Wednesday, January 26, 2005

injections in INDIA

my brother SUBURAMA sent me the following article .
as a medical student we were posted for a week in the injection room in niloufer hospital where there used to be almost an assembly line technique which if practised by me now in USA would put me on the death row in texas for sure .
we used to fill a 20 cc syringe with penicilline and administer to 40 patients with the same syringe with needle changes
no one knew whether theye needles were sterilised at all.
boiling them was the way and aseptic technique was some thing learnt only after joining my MS in AIIMS I feel.

63% of the injections not safe: Study


New Delhi, Jan. 24: A shocking 62.9 per cent of injections administered in India are unsafe and the risk of spreading blood-borne viruses due to unsafe injection equipment is 32 per cent, a new study has said. According to the findings of a nationwide study by the All In-dia Institute of Medical Sciences to assess injection practices, an Indian, on an average, received 2.9 to 5.8 injections a year, with every other prescription (48.1 per cent) consisting of an injection.

“Approximately three to six billion injections are administered in the country every year, of which 1.9 to 3.8 billion injections are unsafe,” said N K Arora, who was part of the India CLEN Programme Evaluation Network that did the survey. “Safety is the least in immunisation clinics,” Arora said in a paper published by him. As part of IPEN, the country was divided into 15 zones, and clusters were drawn from urban and rural areas separately.

According to the findings, there were no major differences in the number of injections betw-een urban and rural populations. Almost three-fourths of injections administered in the immunisation sector were unsafe, the study said, with the risk of spre-ad of blood-borne viruses due to unsafe equipment being 32 per cent. Overall, 74.5 per cent injections were administered with plastic syringes. Glass syringes were used unsafely in as much as 90 per cent cases. In a bid to bring about safe injection practices in India, IPEN will soon set up model injection corners in 24 medical colleges in the country, the report said.

Health and Family Welfare Minister Anbumani Ramadoss has announced that auto-destructible syringes will be introduced under a universal immunisation programme in a few months. According to estimates by the World Health Organisation, around 112 billion injections are administered worldwide each year, and at least 50 per cent of these are unsafe, especially in developing countries.

www.ekjalak.com

I have taken the first steps to create the web page for diabetis education in regional languages I have registeres a domain name called ekjalak.com

this is hindi for a view /glance .

as the subject is so vast all we can do is to give the patients a glance at proper diabetes management .I hope I will be able to interest others to join me in this task.

kakatiya univarsity and plant culture

I recently come across some papers By Dr.Ciddi Veeresham,about medicinal plant callus cultures and extraction of chemical components in commercial quatities ,he has also written a book about plant biotechnology ,I wish I could interest him in trying to culture the IBOGA plant to obtain ibogaine
I personally feel ibogaine would have interesting CNS efffects not only in addition treatment but in PTSD also and there will be a need for good PTSD treatment if the present iraq conflict continues the sane way it is going on .