Team JGJ

Nov 20, 2024 Bhopal: Madhya Pradesh Chief Minister Mohan Yadav has said that the state government has been very serious about the medical education and services, adding that Medicity will be built in Ujjain district. The proposed Medicity in Ujjain will include a medical college along with comprehensive facilities such as nursing, paramedical services, research centres, and accommodations for doctors, specialists, and staff. “The Madhya Pradesh government has been serious about medical education and medical services. Under the leadership of Prime Minister Narendra Modi, a different concept has come to the country in medical services, through the AWSH department. I would like to say that in the last 20 years, the Madhya Pradesh government has taken revolutionary steps in the medical sector,” CM Yadav told ANI. He highlighted that currently there are 17 medical colleges at government level in the state and eight more colleges will be constructed soon in the state. “There were 5 medical colleges here in 2004-05. Now in 2024, there are 17 medical colleges operational at the government level. Eight more colleges are in the pipeline which will be built here. I would like to mention that Ujjain Medical College will have the new concept of Medicity, given by PM Modi. It will not be just a medical college but nursing, paramedical, different types of research labs and staff quarters, doctor quarters, administrative building, new research campus will be there. The Madhya Pradesh government will try to provide all the facilities required in the Medicity,” CM Yadav added. The Chief Minister also extended greetings to the people of the state and Ujjain district and shared that he would perform the Bhoomi Pujan of the campus. He further added that during the ‘Simhastha’ period, there would be a crowd of about 15 crores in Ujjain. Even in normal times, about 5 to 7 crore travellers are visiting Ujjain every year. Therefore, the formation of Medicity here is useful and important. Notably, Simhastha Kumbh is held every 12 years in the Ujjain city. The last ‘Simhastha’ took place in 2016 and the next would be held in 2028. (ANI) Source: Economic Times

Nov 18, 2024 New Delhi: Delhi Chief Minister Atishi on Monday said north India is facing a medical emergency due to hazardous air quality caused by stubble burning. Addressing a press conference here, Atishi said the BJP-led central government has been doing politics over the issue of pollution but has taken no step to check stubble burning in states like Haryana, Rajasthan, Uttar Pradesh and Madhya Pradesh all ruled by the saffron party. Lauding the AAP-ruled Punjab, she said it is the only state where the cases of stubble burning have come down significantly. In BJP-ruled states, they have gone up, she claimed. Atishi said due to Delhi’s worsening air quality, the elderly are being hospitalised and children need inhalers and steroids to breathe. Delhi’s air quality worsened to the ‘severe plus’ category on Monday with the city recording an AQI of 484. Tighter pollution control measures, including a ban on truck entry and suspension of construction at public projects, came into force in the morning. The dense toxic smog caused visibility to drop sharply in the morning. Source: Economic Times

Nov 20, 2024 The Centre for Chronic Disease Control (CCDC), a non-profit organisation working in the healthcare sector, on Tuesday (November 19, 2024), announced the completion of a study on drug treatment optimisation for blood pressure in India. The research initiative tested the effectiveness of three double anti-hypertensive pill combinations in South Asian populations with uncontrolled hypertension. Conducted over two years in collaboration with the All India Institute of Medical Sciences (AIIMS) and Imperial College, London, the study demonstrated that all the three combinations were equally effective and safe in regulating blood pressure. The study evaluated three two-drug combinations — Amlodipine + Perindopril, Amlodipine + Indapamide, and Perindopril + Indapamide — and revealed that all three combinations were similarly effective in achieving blood pressure (BP) control. South Asians account for 25% of the global population, and India alone is burdened with over 300 million individuals suffering from high BP. This is the first randomised study to test the choice of anti-hypertensives in them. “These findings will provide clinicians a roadmap for addressing the burden of hypertension,” said a press release. Dorairaj Prabhakaran, executive director, CCDC, and one of the principal investigators said that the study demonstrates that a once-a-day single pill combination of two blood pressure lowering drugs can control blood pressure effectively. “This is in conformity with several international guidelines, eases the management of hypertension, and provides wider choices to doctors. With this evidence, healthcare professionals can be better equipped in recommending any of these three combination therapies in managing hypertension among South Asians,” he said. For the study, the participant base spanned 35 clinical sites across all four regions of India and incorporated both rural and urban populations. The participants, aged 30 to 79 years, had a wide range of clinical profiles, making the results applicable to a diverse population. “The study bridges a critical knowledge gap in hypertension treatment for South Asians. It provides novel evidence to choose any of these three combinations to treat high blood pressure in Indians. It is important to note that the blood pressure control achieved with a single pill a day in 70% of the participants in the study exceeded the current control rates in India by five times. This has important implications for management of hypertension, a major public health burden in India,” Ambuj Roy, Professor, Department of Cardiology, AIIMS, said. Source: The Hindu

Nov 23, 2024 HYDERABAD: In a big boost to state’s pharma sector, six companies have come forward to establish green pharma units and expand their operations in the Green Pharma City. The firms MSN Group, Laurus Labs, Gland Pharma, Dr Reddy’s Laboratories, Aurobindo Pharma and Hetero Labs signed MoUs with the state government in the presence of Chief Minister A Revanth Reddy on Friday. These companies will invest around Rs 5,620 crore and create 12,490 jobs. The government has agreed to allot land to these companies in the Green Pharma City. As per the MoUs, the MSN Group will establish a manufacturing unit and an R&D centre and Aurobindo Pharma and Laurus Labs will set up formulation units, while Gland Pharma will build an R&D centre as well as injectable drug substance manufacturing units. Dr Reddy’s Laboratories will set up an injectable and biosimilars unit, while Hetero Labs will establish a finishing dose and injectable drugs manufacturing unit. The chief minister directed officials to expedite the land allotment process and provide necessary facilities to ensure that construction works begin within the next four months. TGIIC chairperson Nirmala Jagga Reddy, Special Chief Secretary to Industries Department Jayesh Ranjan and representatives of the six companies were present on the occasion. Source: Indian Express

Nov 22, 2024 India’s pharmaceutical industry, often called the “pharmacy of the world”, is seeing a slowdown in voluntary licensing and technology transfers—mechanisms essential for improving access to medicines in low- and middle-income countries (LMlCs), according to the 2024 Access to Medicine Index. Published biennially by the non-profit Access to Medicine Foundation, the report is supported by the I-JK Foreign, Commonwealth and Development Office and the Dutch Ministry. India has long been a crucial provider of affordable generics, underpinning global healthcare systems. However, a decline in licensing agreements for patented drugs has raised concerns about healthcare delivery in nations dependent on these arrangements. The index, which evaluates 20 major pharmaceutical companies, highlights a drop in non-exclusive voluntary licensing agreements critical for the generic production of essential medicines. Voluntary licensing allows pharmaceutical companies to permit other manufacturers to produce patented medicines at lower costs, but the report highlighted a decline in such agreements, potentially restricting access to affordable medicines in poorer nations. Similarly, technology transfers, which involve sharing the knowledge needed for local medicine production, are largely concentrated in wealthier countries, leaving regions like sub-Saharan Africa facing critical medicine shortages. Despite these challenges, India remains integral to global manufacturing efforts. Five of the 20 pharmaceutical companies assessed have set up production facilities in the country, reducing costs and strengthening supply chains. Additionally, India has participated in 11 of the 47 global technology transfer projects, including end-to-end production capabilities. Collaborations between Indian and global pharmaceutical firms underscore the potential to address pressing healthcare needs. One such partnership is between Takeda and Biological E. Limited for the production of the dengue vaccine QDENGA@ (TAK-003), aimed at alleviating India’s significant dengue burden. This initiative targets the manufacture of 50 million doses annually by 2030, addressing India’s disease burden from dengue, which accounts for 59.5 disability-adjusted life years (DALYs) per 100,000 population. Partnerships like this demonstrate the critical role of technology transfers in improving access to medicines and mitigating supply chain risks. Claudia Martinez, Director of Research at the Access to Medicine Foundation, emphasised the need for more proactive measures. “There are some very clear opportunities for companies to scale up access and promote health equity, but more deliberate action is needed,” said Martinez. “Developing inclusive business models for low-income countries, engaging in voluntary licensing and technology transfers, and diversifying clinical trial locations are shown to be effective mechanisms for improving access. Real progress will require companies to reassess and adapt their policies to meet access equity goals,” she added. Source: Business Today

Nov 22, 2024 New Delhi: Abbott has launched a pacemaker in India for the treatment of patients with slow heart rhythms. Abbott has introduced AVEIR VR single-chamber ventricular leadless pacemaker which has been approved by the Central Drugs Standard Control Organisation, the company said in a statement on Friday. The product has also been approved by the US Food and Drug Administration (USFDA). “The AVEIR VR leadless pacemaker was designed to make the implantation and retrieval processes as seamless as possible for physicians and provide improvements over existing options,” said Ajay Singh Chauhan, General Manager for Abbott’s Cardiac Rhythm Management business in India, Southeast Asia, HK, Taiwan & Korea. People who experience slower-than-normal heart rhythm may receive a pacemaker to deliver pulses of electricity to trigger the heart to beat properly. Balbir Singh, Chairman Cardiology, Max Superspeciality Hospital said, “Leadless pacemakers address known complications associated with traditional pacemakers.” While traditional pacemakers require a chest incision and pocket for the generator along with one or more insulated wires ‘known as cardiac leads ‘to deliver electricity to the heart, leadless pacemakers do not require a pocket or leads. “In some circumstances where we believe a person’s therapy needs may change in the future, retrievability also becomes a critical device feature,” Vanita Arora, Clinical Lead Electrophysiology, Apollo Hospitals Delhi said. Source: Economic Times

Nov 19, 2024 Delhi: Boston Scientific Corporation, a leading medical device manufacturer, has announced the launch of its multi-modality guidance system, AVVIGO. This system is designed to generate IVUS vessel images and draw physiological graphs to assist in percutaneous coronary intervention (PCI) procedures. AVVIGO is an Al-enabled intravascular ultrasound (INWS) and fractional flow reserve (FFR) system that provides high-quality IVUS vessel images and enhanced guidance. By creating a physiological graph, it offers a comprehensive roadmap for treating diseased coronary arteries, the company stated. “AWIGO provides fast, intuitive, and accurate vessel and lesion assessment capabilities for percutaneous coronary interventions. This automated tool will help optimize these procedures, delivering better outcomes for patients with coronary artery disease,” said Madan R. Krishnan, Vice President and Managing Director, India Subcontinent, Boston Scientific. According to the release, IWS is a specialized diagnostic procedure that uses an ultrasound probe to create high-resolution images of the heart’s structures and functions from inside the body. Unlike traditional echocardiograms, which use sound waves to produce images from outside the body, INWS involves inserting a thin catheter equipped with an ultrasound probe directly into the heart. Source: Economic Times

Nov 20, 2024 New Delhi: The Supreme Court on Tuesday suggested the Centre to come out with a policy relating to the construction of feeding rooms and childcare rooms in public places. A bench of justices BV Nagarathna and Justice N Kotiswar Singh asked the Centre to formulate a plan of action so that same be implemented by the state government and adjourned the matter for December 10 for further hearing. The top court was hearing the petition seeking separate and exclusive space for child care and feeding of children in public places. The top court said that before passing any directions on the petition, it would be appropriate to get the views of the Centre with regard to the implementation of the demand urged by the petitioner. The top court noted that currently there is no concrete law or policy on the issue. Additional Solicitor General Aishwarya Bhati appearing for the Centre submitted that there is no policy or law in this regard yet. The petitioner, NGO Maatr Sparsh, an initiative by Avyaan Foundation, which works towards setting up of feeding rooms, child care rooms and creches in public places, filed the petition through advocates Neha Rastogi, Animesh Rastogi and Abhimanue Shrestha. The petitioner had said that feeding rooms and child care rooms in all the public places are so much important in today’s scenario when women’s are equally participating in the economic growth of this nation and are stepping out in such a large numbers. “Therefore, basic facilities such as feeding rooms and child care rooms shall be provided at all public places so that women can lead her life with dignity and her privacy is also not infringed,” the petitioner said. “That right to life and privacy are inalienable and inseparable and integral part ofthe Constitution of India as enshrined in part III of the Constitution of India. That there are various provisions in Labour laws for setting up of creche and other facilities for women and child this clearly show that the right to have proper nursing of a child is his/her fundamental right and it is also recognized to be one of the most important rights,” the petitioner said. However, nursing of a child with privacy and dignity is a fundamental right of every single women which is being infringed each time due to lack of basic facilities such as feeding room and child care rooms for women and child at public places, the petition said Union of India and states are well aware that feeding room and child care room at public places are essential services which they ought to provide. However, no concrete steps have been taken by them for providing such basic facilities at public places there needs to be comprehensive guidelines for setting of these facilities at all public places, the petition said. The petitioner assumes importance, as the child has the right to receive proper nutrition through nursing, so is the right of a mother to be able to feed the child, in an environment which is conducive to her dignity and privacy and in no manner impedes exercise of any of her rights. “Article 42 and 47 of The Constitution of India casts a duty on the State, in the form of “directive principles of State policy”, to take adequate and effective steps for betterment and improvement and to rise of the level of nutrition and the standard of living of its people and the improvement of public health of women and child. State is bound to take adequate measures to provide health care, opportunities and social standing of women and child,” the petition said. Hence, the petitioner has sought to issue direction to all Respondents to act and construct feeding rooms and child care rooms etc. or any other facilities related to infants and mothers in public places and to ensure that the fundamental rights of nursing mothers and infants are protected. (ANI) Source: Economic Times

Nov 18, 2024 Lucknow: Over one and a half years since the launch of e-rupee vouchers in Uttar Pradesh, the govt has issued more than 14.5 lakh e-rupee vouchers, enabling pregnant women to access essential diagnostic services, particularly ultrasounds, at private centres across the state. According to data released by the govt on Sunday, Azamgarh has emerged as the leading district in voucher distribution, with over 61,000 vouchers issued, followed by Agra and Badaun, with nearly 56,000 and 53,000 vouchers, respectively. Of the 14S lakh vouchers issued, 6.81 lakh have already been utilised by beneficiaries across the state. Prayagraj secured the fourth position in voucher distribution, followed by Deoria in fifth, Ghaziabad in sixth, Gorakhpur in seventh, Bareilly in eighth, Ghazipur in ninth, and Hardoi in tenth. On the other hand, the lowest number of vouchers were issued in Kasganj (4,352), Bhadohi (4,876), and Shamli (5,749). Director of the National Health Mission (NHM), Dr Pinky Jowal, said that this initiative reflected Chief Minister Yogi Adityanath’s unwavering focus on maternal and child health. “The e-rupee voucher scheme ensures that pregnant women receive timely and essential diagnostic services to safeguard their health and that of their unborn children. These vouchers demonstrate the govt’s proactive approach to improving healthcare delivery in the state,” she said. Dr Jowal further said that the e-rupee voucher initiative aimed to enhance the efficiency and accessibility of healthcare services across the state. This programme has not only ensured timely health check-ups for women but has also played a significant role in curbing corruption. “As a fully digital scheme, it guarantees that the benefits directly reach the intended beneficiaries, reflecting the govt’s commitment to transparency and effective governance,” she said. Source: Economic Times

Nov 18, 2024 New Delhi: A separate central law to deal with offences against health care professionals is not required as the state laws have adequate provisions to address day-to-day minor offences and serious ones can be addressed by the Bharatiya Nyaya Sanhita (BNS) 2023, the National Task Force (NTF) has recommended. The NTF was constituted by the Supreme Court on August 20 to formulate a protocol for ensuring safety and security of medical professionals in wake of the rape and murder of a postgraduate trainee doctor at RG Kar Medical College and Hospital in Kolkata. In a slew of recommendations made in its report, the NTF said 24 states have already enacted laws to address violence against health care professionals, whereby the terms “health care institutions” and “medical professionals” have also been defined. It said two more states have already introduced their Bills in this regard. The recommendations said most of the state laws cover minor offences and prescribe punishment for them and the major offences or heinous crimes are adequately covered under the BNS. “It has been observed that state laws have adequate provisions to address day-to-day minor offences and serious offences can be addressed by BNS. A separate central law to deal with offences against health care professionals is, therefore, not required,” the NTF said. The task force has recommended that in states where no specific legislation exists to protect medical professionals, the provisions of the BNS 2023 should be used immediately to address acts of violence against them. The Centre has placed the NTF’s report in an affidavit filed in the apex court. In its detailed report, the NTF said for the timeline of implementation, its recommendations have been divided into short-term, medium-term and long-term measures. It has stressed on ensuring due security in health care establishments, including constitution of security committee there, deployment of trained security personnel and coordination with local police. The NTF has recommended that depending on the size and nature of the health care establishments (HCE), adequate number of CCTVs are required to be installed for surveillance. “Distress call system is to be installed in HCE in critical, vulnerable/violence prone areas and other areas as per requirement which should be accessible to medical professionals,” it said. The NTF has also made recommendations about infrastructural development and strengthening of infrastructure, which included well- kept boundary wall with fencing and secured windows. “NTF recommends that medical institutions should endeavour to adhere to guidelines laid down/instructions issued by the National Medical Commission (NMC) from time-to-time in respect of duty hours regulation and working conditions for resident doctors,” it said. In its recommendations for strengthening legal framework and capacity building, the task force has said timely intervention (lodging complaint/FIR, including Zero FIR), proper investigation and prompt legal action is necessary to deter potential offenders and create a sense of security amongst all medical professionals. It said public at large and medical professionals in particular may be made aware about legal provisions related to safety and security of medical professionals. The NTF has said effective communication between medical professionals and patients’ families is critical in ensuring a safe environment in medical spaces. “Poor communication is often identified as a major factor in frustration, mistrust and sometimes increased tension resulting in violence or even mob attacks on medical professionals,” it said. It recommended that an internal grievance redressal mechanism should be set up to enable medical professionals to register complaints and redress any threat or offences committed against them. The report stressed on constitution of internal complaints committee (ICC) under the Sexual Harassment of Women at Workplace (Prevention, Prohibition and Redressal) Act, 2013 at each HCE. It said appropriate measures must be taken to prevent any stigmatisation of the complainant. “All HCEs should bring awareness regarding ‘Sexual Harassmentd electronic- Box (SHe-Box)’ which is a single window online access portald for every woman, irrespective of her work status, whether working ind organised or unorganised, private or public sector, to facilitate the registration of complaint related to sexual harassment,” it said. The NTF has recommended that states and Union Territories (UTs) may utilise and further strengthen ‘Women Safety’ infrastructure which has been instituted across the country in last few years, both for safety of women in public places as also for speeding up probe of crimes against women and the judicial process to bring offenders to justice quickly. In its conclusion, the NTF report said implementation of these recommendations would need to allow flexibility in terms of size, scale and sophistication of the HCEs and cannot always be uniform for all. “Accordingly, committees may be constituted and SOPs (standard operating procedures) may be developed appropriately as may be required at different levels of HCEs for implementation of the recommendations,” it said. The task force has said monitoring mechanisms may also be devised accordingly for implementation of the recommendations and the Centre, states and UT administration may ensure that adequate support is provided to all HCEs in this regard. Source: Economic Times