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Safdarjung Hospital First Central Govt Hospital With Free Robot Surgery Facility For Poor Patients

The Robotic system provides 7 degrees of freedom, 3-D vision, 10 times magnification and better dissection.

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NEW DELHI: The robotic surgery facility in the Safdarjung Hospital (SJH) New Delhi was dedicated to the nation by the Union Minister of Health and Family Welfare Dr Harsh Vardhan, here today.

Safdarjang Hospital is one of the biggest tertiary care referral centre of India, under Ministry of Health and Family Welfare catering to all poor patients of uro-oncological cancers like prostate, kidney, bladder cancers and kidney failures, from different parts of the country.

It is also the first Central Government hospital in India to start this latest Robot Surgery facility for all poor patients for free.

Robotic surgery has the advantage of providing minimally invasive surgery, reducing significantly the morbidity & mortality of critically ill, cancer and kidney failure patients.


The Robotic system provides 7 degrees of freedom, 3-D vision, 10 times magnification and better dissection with more precision.

The operating time also decreases resulting in improvement in the turnover of patients and decrease in the waiting list of patients for surgery significantly.

Already 25 surgeries have been done using the robotic system including prostate, kidney, bladder cancers and advanced reconstructive surgeries by Dr Anup Kumar, Head of Department (HOD), Urology and Renal Transplant, SJH and VMMC.

SJH has dedicated 21 modular operation theatres, including 24×7 two dedicated renal transplant OTs and a dedicated Robotic OT for Kidney Failure and Urology cancers, for poor patients of India.



Dr Harsh Vardhan said that the Department of Urology and Renal Transplant of SJH has already started the First International LIVE 3-D Laparoscopic Surgeries WebCast, showing complex uro-oncology and reconstructive surgeries, twice in a month.

This has been integrated with the E-Health online education programme of the Ministry of Health and Family Welfare which is now connected with 52 Medical colleges across India. This is the first such program in Urology in India.

The department is going to start international LIVE webcast of robotic surgeries from the second week of November 2019.

A National Robotic training centre has also been set up for the training of young doctors.

Union Health Minister congratulated the entire team of SJH headed by Dr Sunil Gupta, Medical Superintendent, SJH for providing this facility free of cost for poor patients.

He further said that this is in line with Hon’ble Prime Minister Narendra Modi’s vision of making World-class infrastructure and World-class expertise accessible to the poor Indian population.


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HEALTHCARE

Polio Vaccination NOW Causing More Infections than Wild Virus?

In rare instances, the live virus in oral polio vaccines can mutate and become infectious, causing new outbreaks.

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LONDON (England): — Nigeria, Democratic Republic of Congo, Central African Republic, and Angola have reported new cases of polio linked to the oral vaccine, as global health numbers show there are now more children being paralyzed by viruses originating in vaccines than in the wild.

In a report late last week, the World Health Organization and partners noted nine new polio cases caused by the vaccine in the four countries.

Seven countries elsewhere in Africa have similar outbreaks and cases have been reported in Asia. Of the two countries where polio remains endemic, Afghanistan and Pakistan, vaccine-linked cases have been identified in Pakistan.

In rare cases, the live virus in oral polio vaccine can mutate into a form capable of sparking new outbreaks.

All the current vaccine-derived polio cases have been sparked by a Type 2 virus contained in the vaccine.


Type 2 wild virus was eliminated years ago.

Polio is a highly infectious disease that spreads in contaminated water or food and usually strikes children under 5. About one in 200 infections results in paralysis. Among those, a small percentage die when their breathing muscles are crippled.

Donors last week pledged $2.6 billion to combat polio as part of an eradication initiative that began in 1988 and hoped to wipe out polio by 2000. Since then, numerous such deadlines have been missed.



To eradicate polio, more than 95% of a population needs to be immunized. WHO and partners have long relied on oral polio vaccines because they are cheap and can be easily administered, requiring only two drops per dose. Western countries use a more expensive injectable polio vaccine that contains an inactivated virus incapable of causing polio.

The Independent Monitoring Board, a group set up by WHO to assess polio eradication, warned in a report this month that vaccine-derived polio virus is “spreading uncontrolled in West Africa, bursting geographical boundaries and raising fundamental questions and challenges for the whole eradication process.”

The group said officials were already “failing badly” to meet a recently approved polio goal of stopping all vaccine-derived outbreaks within 120 days of detection. It described the initial attitude of WHO and its partners to stopping such vaccine-linked polio cases as “relaxed” and said “new thinking” on how to tackle the problem was needed.

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HEALTHCARE

New Rotavirus Vaccine ROTAVAC-5D® Launched By Vice President Naidu

Rotavirus causes approximately 200,000 deaths and about 2 million hospitalizations annually across the world.

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NEW DELHI: Vice President M Venkaiah Naidu on December 3 launched the new Rotavirus vaccine ROTAVAC-5D®, a smaller dosage form of its earlier oral immunisation shot that can be stored at a relatively higher temperature, in New Delhi.

There is a need for vaccination at the right time. While the government is doing its best on this front, it is a greater social responsibility which every medical professional should take forward besides removing apprehension about vaccination for timely prevention of diseases. This would ensure better health of the nation and its people,” said Naidu in his speech.

Designed and developed by Bharat Biotech, it is available in a 0.5 ml dosage, Rotavac 5D can be stored at 2-8 degree Celsius for up to 24 months, and can be administered in five drops. Rotavac 5D is also stable at 37 degree Celsius for seven days.


In contrast, the earlier version, Rotavac is available in 2.5 ml vial per dose and has to be stored at -20 degree Celsius.

The vaccine stability, combined with its small cold chain footprint, enables its use in low resource settings and outreach programs, the company said in a release.

On the occasion, the Vice President said that he believed that ROTAVAC is an example of a true social innovation that was realized through a partnership between scientists from India and the USA.



He added that India is committed to the goal of protecting the health of each and every one of its children.

Vice President added that India is firmly committed to ending morbidity and mortality in children caused due to diarrhoea by 2022.

The first generation, Rotavirus vaccine, ROTAVAC developed under a Public-Private Partnership with the Department of Biotechnology, Govt. of India, has put India on the global map for setting new standards in pharmaceutical Research and Development.

Rotavac 5D has been evaluated in clinical trials in India and other countries. This vaccine is safe, effective and affordable, besides being cross-protective against a variety of rotavirus strains.

Its efficacy compares favourably with the efficacy of the currently licensed rotavirus vaccines in low-resource countries. The study results showed clear evidence of protection across different rotavirus strains and continued efficacy in the second year of life. Currently, over 25 countries have granted patents for Rotavac 5D.

The company invested US$ 20 million to develop new manufacturing facilities and supporting infrastructure in its Genome Valley plant in Hyderabad with an installed manufacturing capacity of 200 million doses per year. The project was supported in part by the Bill and Melinda Gates Foundation.

Globally rotavirus disease burden is estimated at 200,000 deaths and two million hospitalisations annually, mostly in low-income countries. Prevention of rotavirus infections would lead to a significant reduction in infant mortality rates and reduce the economic impact of hospitalisations to national governments across the globe.


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HEALTHCARE

We Need To Rename It As ‘International Day of Persons with Special Abilities’: Vice President

Schools must inculcate sensitivity towards disability among children early in their lives: VP

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NEW DELHI: Vice President M. Venkaiah Naidu today said that ‘International Day of Persons with Disabilities’ must be renamed as ‘International Day of Persons with Special Abilities’, to reflect the enormous potential and capabilities that differently-abled people posses and to dispel the stigma that society attaches to disability.

They are certainly role models for many others and can make an immense contribution to the cause of nation-building, given the right kind of environment and opportunities”, he added.

He was addressing the gathering after presenting the National Awards for the Empowerment of Persons with Disabilities on the occasion of the International Day of Persons with Disabilities.


Expressing deep concern at the evidently severe problems faced by differently-abled, in terms of their social and economic conditions, Naidu said that we must build an inclusive society that is respectful and sensitive to the needs of the differently-abled.

He spoke of the need to provide the right nutrition and care to pregnant mothers and young children and to create good and accessible medical facilities across rural India.

Stating that early identification of disability is crucial, he said that it would enable us to undertake effective interventions from the beginning for rehabilitation measures and empowerment of the affected persons. “There is also a need to harmonize the immunization and disease prevention programmes with appropriate rehabilitative models at least at the District level”, he added, citing eradication of Polio is an excellent example of such coordinated efforts.



To minimise the disabilities from accidents, we need to improve road and workplace safety.

Referring to government reports that say road injuries caused 65% more disabilities in 2016 than in 1990, the Vice President called for improving road safety and spreading awareness about safe driving. He termed the recent amendments in the Motor Vehicles Act as a step in the right direction.

The Vice President emphasized that a change in society’s attitude towards disability is crucial and added that differently-abled persons are not objects of ‘sympathy’ and ‘pity’ and must instead be given ‘empathy’ and ‘support’.

Naidu said that all schools must strive to inculcate sensitivity towards disability in children early in their lives.

He applauded mainstream Indian cinema for creating many appreciable movies on the topic of disability and said that it is a good trend that needs to be further encouraged to change people’s perception of disability.


The Vice President applauded the Government’s initiatives to systematically address the challenges faced by the persons with disabilities, such as the amendment of Rights of Persons with Disabilities Act in 2016.

Stating that education is the key to empowerment of every person including persons with disabilities, Naidu called for setting up more inclusive schools and special schools to ensure that each disabled child gets good quality education.

Observing that creating an accessible environment for persons with disabilities is of paramount importance, the Vice President said that there is a need to develop collaborative efforts among all stakeholders for developing a barrier-free environment for the Persons with Disabilities. He urged the corporate and the private entities to take all steps possible to make their infrastructure accessible to persons with disabilities.

Speaking of the need to include persons with disabilities in social and cultural activities, especially in sporting events, Naidu said that it would instil a sense of inclusion and confidence amongst persons with disabilities. He also applauded our sportspersons have constantly done the country proud in Paralympics.

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