Misleading ads case: SC rejects apology of Ramdev, MD Balkrishna

Not convinced by the latest apology, the Supreme Court on Wednesday refused to accept the second affidavits filed by Ramdev and managing director of Patanjali Ayurved Balkrishna tendering unconditional apologies over publishing “misleading” advertisements, asserting they did so when “caught on the wrong foot”.

Refusing to accept the latest affidavit, the apex court described the apology as “on paper” and questioned the intention of the apology as it asked if the apology was “even heartfelt”. Further, the court warned both Baba Ramdev and the company’s MD, Acharya Krishan, to brace themselves for potential repercussions.

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Health Bulletin 04/ April/ 2024

Here are the top health stories for the day:

SC rejects apology of Ramdev, MD Balkrishna in misleading ads case

Not convinced by the latest apology, the Supreme Court on Wednesday refused to accept the second affidavits filed by Ramdev and managing director of Patanjali Ayurved Balkrishna tendering unconditional apologies over publishing “misleading” advertisements, asserting they did so when “caught on the wrong foot”.

Refusing to accept the latest affidavit, the apex court described the apology as “on paper” and questioned the intention of the apology as it asked if the apology was “even heartfelt”. Further, the court warned both Baba Ramdev and the company’s MD, Acharya Krishan, to brace themselves for potential repercussions.

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Who is an Intensivist? DGHS defends broader definition of Intensivist, Critical Care specialists see red

Although the Directorate General of Health Services (DGHS) under the Union Health Ministry recently defended its broader definition of an “Intensivist” citing the scarcity of physician staff with minimum standards of training for critical care delivery, the critical care specialists having NMC recognised degrees are not happy with the explanation.

Raising the issue, a newly formed Forum of Intensivists and Critical Care Specialists (FICCS) agreed that the need for critical care specialists in resource-limited settings is a matter of concern and “possibly DGHS have given a uniform all-inclusive definition of intensivists to match the demand.”

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Tissue sample transported via drone mid-surgery for the first time: ICMR study
In a groundbreaking development, the Indian Council of Medical Research (ICMR) has pioneered the use of drones in healthcare delivery, particularly in pathological testing. This innovative initiative involved the transportation of tissue samples from a peripheral hospital to a tertiary setting for advanced analysis, aimed at determining the nature of the resected tissue, whether cancerous or not. By reducing the transportation time from 60 minutes to just 16 minutes over a distance of 37 kilometers, the approach significantly expedites decision-making during surgery and enhances access to high-quality healthcare, especially in peripheral areas.

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CAT refuses to grant relief to doctor removed from HOD post

Srinagar: Uphelding the government order to remove a doctor from the post of HOD, the Central Administrative Tribunal (CAT), Jammu has refused to grant interim relief to the doctor as the government have assigned the charge of HoD to the next senior-most faculty member to ensure a fair investigation.

The doctor in this case approached the tribunal after an Associate Professor, who is junior to the applicant, had been designated as the Head of Department, Department of Orthodontics by the government after removing him from the position following an internal enquiry based on complaints against him. 

The representative for the petitioner argued that an investigation was started based on complaints filed by the staff/doctor against the Head of Department/Applicant. These complaints were forwarded to the Committee, which further examined them and decided to proceed with a full investigation. The committee recommended the removal of the applicant from the position of Head of Department.  

Also read- Appointment Of PGI Dean: CAT Deferred Hearing On Plea Filed By Dr Surjit Singh

The applicant claims that individuals with ulterior motives have fabricated these complaints against him to oust him from the role of Head of Department.

The petitioner’s representative also pointed out that according to Government Order No. 527-JK(HME) of 2023, dated 22.06.2023, the process for appointing the Head of Department in Government Medical Colleges and Government Dental Colleges of Jammu and Kashmir is as follows: i. In departments with one professor, the professor remains the Head of the Department. ii. In departments with multiple professors, the position of Head of Department rotates among the professors every two years based on seniority.

However, the advocates for the respondents stated that in departments with multiple professors, rotation of the Head of Department position is followed but in departments with only one professor, the most senior professor assumes the role of Head of Department. In the absence of a professor, the most senior individual will act as the Head of Department, whether they are an Associate Professor, Assistant Professor, or Lecturer.

In this case, the applicant is the sole professor in the department, yet an investigation has been initiated against him. On April 1, 2024, the Government sent a message to the Principal of Indira Gandhi Government Dental College, Jammu, to designate the next senior-most faculty member in the discipline of Orthodontics as Head of the Department or himself assume the charge of HoD Orthodontics, till further orders.

“In compliance with this order, the Principal has issued a communication dated 02.04.2024, by which the respondent no. 3 herein, has been designated as Head of Department, for fair enquiry that should not be influenced and no record can be tampered so the action taken by the Respondent Department by removing the applicant from the post of HoD and appointing the senior-most faculty as a new HoD is not wrong,” said the court quoted in Cross Town News

Further, the court adds “So, the balance of convenience is not in favour of the applicant. Hence, there is no infirmity in the communication dated 01.04.2024(Annexure-A1) and communication dated 02.04.2024. The respondents have followed the Principle of Natural Justice and to avoid any foul play the charge of HoD is assigned to the next senior-most faculty member till the enquiry is completed. Hence, I am not inclined to grant any interim at this stage.”

The matter is scheduled for further hearing on 29.05.2024, with a notice issued to the respondents to file a reply within four weeks.

Also read- PGI’s Dean Appointment: CAT Stays Health Ministry Order Of Joining Of Dr Surjit Singh

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Robotically assisted lung transplants are on the horizon, say researchers

While debating the pros and cons of robotically assisted lung transplantation, Albert Jauregui, MD, Ph.D. told attendees at the Annual Meeting and Scientific Sessions of the International Society for Heart and Lung Transplantation (ISHLT), today in Prague that the time for robotic surgery is now.

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Colorless, odorless gas likely linked to alarming rise in non-smoking lung cancer

Although lung cancer is traditionally thought of as a “smoker’s disease,” a surprising 15–20% of newly diagnosed lung cancers occur in people who have never smoked, many of whom are in their 40s or 50s.

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Transmission risk of multidrug-resistant bacteria appears highest in hospital sinks

A new study published today in the American Journal of Infection Control (AJIC) reports the infection prevention steps taken to control a months-long, multispecies outbreak of carbapenemase-producing Enterobacterales that occurred in a pediatric ward at the Toho University Omori Medical Center in Tokyo in 2017. This study highlights the particular vulnerability for contamination through sinks and other water sources; indeed, even replacing all sinks in the ward did not stop this outbreak.

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Case study of 4-year-old with Down syndrome and sleep apnea suggests procedure can be effective at young ages

While Obstructive Sleep Apnea (OSA) affects about 5% of the general pediatric population, 80% of children with Down syndrome experience OSA. Continual OSA results in poor health, including disruptions to cognitive development and functioning, leading physician-researchers from Mass General Brigham to investigate better methods to treat these patients as early as possible to maximize their health outcomes.

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Economic burden of childhood verbal abuse by adults estimated at $300 billion globally

Childhood verbal abuse by adults costs society an estimated $300 billion (£239 billion) a year globally, show findings presented at the first international conference on childhood verbal abuse, hosted by UCL, Words Matter and the World Health Organization (WHO).

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Doctors cry foul on lengthy declaration form for NMC inspections

New Delhi: Pointing out that the current declaration forms are difficult and time-consuming to fill, the doctors have urged the National Medical Commission (NMC) to reconsider the need for these extensive forms required to be filled by residents and faculty during NMC inspections. 

As per the current rules, at the time of inspection by the Apex Medical Regulator, all the faculties and resident doctors are required to submit a declaration form for the purpose of verification.

Writing to NMC, the Federation of Resident Doctors Association (FORDA) recently pointed out that the current declaration form used for verification spans a staggering nine pages and demands detailed information “much of which remains unchanged and need not be resubmitted with each inspection”. Hence, the doctors have asked the NMC to consider accepting smaller declaration forms during inspections for established and verified medical professionals.

“While we acknowledge the necessity of documenting existing manpower within institute. We find much of the information requested to be unnecessary repetition. needlessly burdening both the professionals and administrative staff,” the association said.

FORDA highlighted that the declaration form requires attachments of essential documents such as qualification degrees, Aadhar, and PAN cards. “In an era of digitalization championed by our Honourable Prime Minister Narendra Modi ji, this practice stands in stark contrast to the ideals of a digital India,” the association mentioned in the letter.

Also Read: No annual declaration, No MBBS Permission: NMC directs medical colleges to fill in details on online portal

Referring to the prevalent system of Aadhar-based biometric registration at various levels throughout the career of a professional, FORDA opined that the “repeated submission of this data is not only redundant but also poses a significant risk to the privacy of professionals.”

“Regrettably, many institutes lack robust systems to safeguard such sensitive information, leaving professionals vulnerable to privacy breaches in the event of a data leak. Furthermore, the aftermath of each inspection often entails the submission of multiple online Google forms and Excel sheets, further exacerbating the already burdened plight of residents and its assessors. This unnecessary exercise not only undermines efficiency but also detracts from the core focus of medical education and practice,” it further mentioned in the letter addressed to the NMC Chairman.

Considering this, the association has urged the top medical regulator to reconsider its current approach and explore the possibility of adopting smaller declaration forms for established and verified professionals. FORDA has urged the Commission to digitalise the process, which would ultimately reduce the enormous paperwork. “By doing so, the process can be streamlined, alleviating the administrative burden on both parties involved,” it added.

Pointing out that in certain institutes this data submission occurs biannually, underscoring the urgent need for a more thoughtful and modified approach, the association has urged NMC to take proactive steps to address these issues and ensure a smoother, more efficient process for all stakeholders involved.

Commenting on the matter, the President of FORDA, Dr. Aviral Mathur said, “Everytime an inspection happens, ALL the faculty and resident workforce have to RE-DEPOSIT their important details in paperwork. When a professional has once been verified, cannot the institution just issue a smaller declaration for the same, since some details never change. This will save a lot of paperwork and also avoid potential breach of vital identification data.”

“Nowhere else are such verifications done. In an era of digitalisation, this is a rudimentary practice which merits careful rethinking,” it further added.

Also Read: Soon Medical College Inspections Will Go Online

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No need to panic, H5N1 bird flu vaccine available: Dr Randeep Guleria

Recently, H5N1 bird flu has been making headlines due to concerns about its potential to cause a pandemic. This virus, primarily affecting avian species, has sparked global attention amid fears of a potential outbreak that could be significantly more severe than Covid-19. Experts warn that if H5N1 were to mutate into a form capable of human-to-human transmission, it could result in a devastatingly high mortality rate, estimated at 60%.

Addressing these concerns, former AIIMS director Dr. Randeep Guleria has reassured the public that there is no need to panic. He emphasizes that while avian influenza has been present for over two decades, the virus has remained dormant for many years. Additionally, Guleria highlights the existence of a vaccine against H5N1, developed and stockpiled in anticipation of a potential outbreak. Despite the expiration of previous vaccine stockpiles, advancements in technology mean that pharmaceutical companies could swiftly produce new batches if needed.

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