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Dr K K Aggarwal

Over 1500 nurses participated in Divya Jyoti Nurses’ Festival in the ongoing 19th Perfect Health Mela. Various competitions including health debate, skit/health play, health model display, poster-cum-slogan writing and collage making were organized in the festival. The topics included – Should nurses spend at least two years abroad, the patient-doctor relationship, ideal clinic, natural fast food and slim with taste.

Following are the gist of discussion:

  • Nurses are the backbone of the society and an important conduit between patient care and the doctor.
  • Nurses can play an important role in educating the people about dengue fever as well as the smog menace.
  • Every doctor who practices should hire services of a nurse whose job should be to check blood pressure, pulse of every patient and for about history of smoking, alcoholism, sexual preferences and diet.
  • They should also be doing the job of talking to the patient after the doctor has seen and counseled them about the prescription details.
  • They should also telephonically call the patient at regular intervals to know about their status.

Live workshop on hypertension

A workshop on Hypertension was also organized. The faculty included Dr Vanita Arora from Max Heart Institute and Dr KK Aggarwal.

Facts about hypertension

  • The conclusion of the workshop was that every effort must be made to keep the blood pressure below 120/80.
  • Hypertension affects 15-20% of the society.
  • The first blood pressure should be checked at 4 years of age.
  • Even 5mm reduction in blood pressure reading can reduce the mortality
  • Hypertension is silent killer and if not controlled can damage the eyes, kidney, heart and brain.
  • In hypertension, in addition to controlling the blood pressure reading, it is equally important to control blood sugar and lipid profile.
  • Smoking even one cigarette can increase the blood pressure reading.
  • The harmful changes of high blood pressure can be regressed with lifestyle management.

Anmol festival for children with special needs

Anmol, a festival for children with special needs was organized in the Perfect Health Mela. The festival was coordinated by Balwant Rai Mehta Vidya Bhavan. Over 200 children with special needs participated in folk dance, yoga, painting, singing and diya decoration competitions.

Seminar on Therapeutic Value of Indian Classical Dance

A special seminar on therapeutic value of India Classical Dance was organized in MTNL Perfect Health Mela. Noted dancers Guru Jitendra Maharaj, Saroja Vaidyanathan, Nalini-Kamalini and Kanak Sudhakar participated in the seminar.

Facts about classical dance

  • Classical dance is better than western dance as in addition to exercise, it harmonizes the body’s autonomic nervous system.
  • It comes into category of an aerobic dance.
  • It gives all the advantages of doing pranayama and meditation.
  • People who do classical dance regularly have less chances of developing heart attack.

Qawwali by Urdu Academy

Urdu Academy organized a live performance of Qawwali by Mr. Ghulam Sabir Nizami, famous qawwal of Delhi.

All Pathy Consensus on Exercise

Doctors from all pathies participated in a seminar on exercise organised in association with All India Radio. The faculty included Dr. KK Aggarwal, Dr. V.A. Siddiqui (Homeopathy), Dr. BN Sinha (Ayurveda), Dr. Raisuddin (Unani), Dr. S.N. Yadav (Yoga), Dr. R.K. Tuli (Holistic medicine) and Dr. D.N. Sharma (Naturopathy).

Facts about exercise

  • One should exercise 80 minutes a day and brisk exercise 80 minutes a week.
  • The speed of walking should be at least 80 steps per minute.
  • One should do resistance or weight bearing exercises twice in a week.
  • Avoid doing strenuous exercises for the first time in life after the age of 40.
  • According to Ayurveda, one should exercise to his or her body type.
  • Diabetics who exercise should not exercise if blood sugar is lower than 90.
  • In conditions of smog, avoid walking early in the morning till sunlight appears.

Pakistani stall attracts crowd

For the first time, a Pakistani delegation has set up a stall in the Perfect Health Mela.

Thirty stalls from the Dept. of Handicrafts, Government of India (COHANDS) also have items on display that would be of interest of people who enjoy Diwali shopping.

Vacuum massaging in the Mela

The old traditional ancient vacuum massage therapy workshops are being conducted in the Mela by Mumbai team lead by Suman Srivastava and Anil Jani. The massage is good for the chronic ailments.

About 4571 people including teachers, parents, children, nurses, doctors, journalists and general public have been trained in CPR 10.

Tomorrow’s attractions

Tomorrow, the Mela will hold Medico Masti, youth festival which includes fashion show, western dance and choreography. There will also be a conference on Homeopathy Cardiology, Cardiology in Naturopathy. There will also be a session by Delhi Medical Association on Nursing Home problems.

Inaugurating the Mela, Dr. Ashok Walia, Hon’ble Minister of Health and Family Welfare, Government of Delhi said that to reduce the menace of increasing lifestyle disorders in the society, we must say no to junk food and avoid eating a combination of white sugar, white rice and white maida. He said that one should not use trans-fat in the diet as it can lead to abdominal obesity.

Dr. Walia emphasized regarding heart diseases in the city and said

1.   About 50 people die of heart disease every day in Delhi itself. Delhi Government has planned to reduce this in the city.

3.   It has already banned Gutka.

4.   It has started diabetic and hypertension control programmes,

5.   It is working against the supply of junk food in schools and is educating about the concept of exercise in schools.

6.   The Government also has a school health scheme for the examination of school children.

7.   For kidney patients, it has a free dialysis programme.

8.    For BPL heart patients, Delhi Government provides free angioplasty and bypass surgery and the Government is enforcing free beds for heart patients in private hospitals, which have received free or concessional land from the Government.

Dr. T. Meniya, Member of Parliament said that emphasis on the role of exercise in day to day life should be given. He said that even simple walking can make all the difference.

In her message to the Mela, Smt. Sheila Dixit, Hon’ble Chief Minister of Delhi, said that for combating lifestyle disorders, the public health education is the only answer.

Smt. Savita Gupta, Hon’ble Mayor, South MCD in her message said that meditation and prayer are part and parcel of healthy lifestyle.

Acharya Dr. Sadhvi Sadhna Ji Maharaj, Chairperson World Fellowship of Religions emphasized on the role of Mantra meditation.

Delivering the presidential address, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that the Government should think of limiting the quantity of trans fats in the hotel industry. He also said that education should be created amongst school children about the hazards of eating trans fats. Talking about dengue menace, Dr. Aggarwal said that all school children should be given home work to check for dengue breeding in their respective houses and neighbourhood.

Other eminent personalities who gave their messages were – Shri AK Garg, CMD MTNL, Shri Suman Mukherjee, Director, SAIL, Shri AP Frank Noronha, DG DAVP, Shri SS Gupta, Dev. Commissioner Handicrafts, Govt.. of India, Padma Shri Awardee Alok Mehta Editor National Dunya, Sh Rajiv Ranjan Srivastava Editor  Deshbandhu, Sh Anil Ganeriwala Joint  Secretary, AYUSH, Govt. of India, Shri Satish Kumar, ED, Indian Oil, Shri R. Chandra Mohan, Pr. Secretary-cum-Commissioner, Transport Department, Shri Sanjiv Kumar, Secretary, Dept of Environment, Shri AP Singh, Zonal Manager(North), LIC, Shri GG Saxena, CMD DTDC, Shri BP Singh, Advisor & Head, RVPSP, DST, Shri Rajiv Kale, Director WCD, Dr. M Sudhakar, Scientist G, Ministry of Earth Science, Shri Sanjay Kumar, Secretary (Environment & Forest), Shri Deepak Jolly, Vice President Coca Cola Ltd., Shri R.C. Daka, Director AIIMS, Shri Vivek Kumar, Trustee, Brij Rma Foundation, Shri KS Rao, Jt. Secy., MOHFW, GoI, Dr. A K Aggarwal, President, DMC, Sh Satish Goell Chairman Mujaffar Nagar Medical College, Dr Harish Gupta, President, DMA, Shri Sandeep Marwah, Chairman, AAFT, Shri Rajender Gupta, Former Transport  Minister Delhi, Shri Satish Upadhayay, Chairman Education Committee, MCD South Zone and Dr V K Khanna President IAHP.

Celebrities who were present were Padma Bhushan Awardee Uma Sharma, Kathak Dancers Nalini Kamalkini, Sangeeta Bahl and Ramon Lamba.

Over 50 activities have been planned in the Perfect Health Mela and will include inter-school; inter-nursing school, inter-dancing school and inter-college festivals, workshops on physics and consciousness, cardiology workshops for naturopaths, Ayurved physicians and homeopaths, all pathy and all religion meet on exercise and prayer. The 5 days of Mela will be a mix of exhibition, checkups and infotainment.

Workshop on obesity

A special workshop was organized on obesity and concluded that trans-fat should be banned in the hotel industry. The participants included Dr. KK Aggarwal and Dr Praveen Bhatia obesity surgeon.

1.   Abdominal obesity is more dangerous than generalized obesity

2.    One should avoid a combination of refined carbs and animal fat

3.   Eat in moderation

4.   Exercise more

5.   Longer the waist line shorter the life line

1000 children walk for good health

1000 children walked from Shastri Bhavan to the Mela ground in the morning with health play cards

1.   Foods of plant in origin have no cholesterol

2.   Dengue mosquito grows in fresh collected home water

3.   Breathing with a speed of 5 per minute for twenty minute can be a used like a drug

4.   Eat seasonal fruits and vegetables

5.   Move and walk is the fitness mantra

1500 school children participate in Harmony

Over 1500 school children participated in the special festival Harmony in competitions like Poster-cum-Slogan Writing, Health Model Display-cum-Demonstration on prevention of vector born diseases, Quiz on non-communicable diseases and Folk Dance on dance to good health. The prizes were distributed on the spot. Birla Vidya Niketan school was the coordinating school.

Mrs Minakshi Kushwaha and Mrs Tapati Singhi from BVN said that school children can paly a major role in checking the menace of dengue in the city.

1.   Dance is good for the heart

2.   Walk atleast 80 minutes a day

3.   Brisk walk atleast 80 minutes a week

4.   Brisk walk should be more than 80 steps a minute

5.   Do not use lift for the first floor

 National workshop on Ayurveda in cardiology

Over 200 Ayurvedic doctors participated in a workshop organized in association with Integrated Medical Association on all about cardiac diagnostics an Ayurveda doctor should know. The faculty included Dr. KK Aggarwal and Dr. Vinayak Aggarwal and Dr R P Parasher.

Facts

1.   Arjuna Chaal is good for heart patients

2.   One clove of garlic is good for the heart

3.   Heart patients should avoid eating food rich in pungent, sour and salt taste.

Over 400 school teachers attend a workshop on Health and Hygiene

Over 400 school teachers attended a workshop on health and hygiene. The workshops were conducted for school teachers by Birla Vidya Niketan and Ryan International School. Over 400 teachers including from SMCD were trained. The workshops were conducted by Dr. KK Aggarwal and Anju Uppal Principal Rynes International School Faridabad.

Facts

1.   One should not cough in hands or in handkerchief

2.   One should wash hands before eating

3.   Washing hands should be for 15 seconds.

PFA stalls attack crowd

Large number of people could be seen at the food adulteration stalls showing how to detect adulteration in food.

Cultural Shows at Perfect Health Mela

Cultural shows were organized by Punjabi Academy and National Song and Drama Division.

Any chest pain which lasts less than 30 seconds and/or can be pinpointed by a finger is not cardiac pain, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, Dr. Viveka Kumar, Director, Max Heart Centre and Dr. HK Chopra, Vice-President, CSR in a joint statement. They were participating in a seminar organized at Birla Vidya Niketan, Pushp Vihar as part of 19th MTNL Perfect Health Mela.

The audience-based interaction was attended by over 100 teachers and parents. The doctors said that chewing a tablet of 300 mg water-soluble aspirin at the onset of chest pain can prevent death in 22% of cases.

Even if a person dies, one should be able to revive the person in most cases by compressing the centre of the chest of the deceased within 10 minutes of death for the next 10 minutes with a speed of 100 per minute (10×10).

If a person has normal ECG, a pumping action of heart more than 40%, can climb two flight of stairs, walk 2 km without any chest discomfort, he is not a candidate for future sudden cardiac death.

The main Perfect Health Mela will start on 7th November, 2012 at Constitution Club of India and will have a mix of exhibitions, competitions, workshops, seminars, entertainment incorporating all pathies under one roof. The entry to the Mela will be free. The programme will be telecast live on 7th November, 2012 6pm on Fit Dilli in Dilli Aajtak.

170 teachers and principals of MCD south were trained today on adolescent deaddiction by Padma Shri Awardee Dr KK Aggarwal as part of 19th MTNL Perfect Health Mela celebrations. Mr Satish Upadhyay chairman education committee was the chief guest. Dr Aggarwal said that addiction is a disease and should be treated under medical supervision.

Addiction occurs either due to ignorance or under peer pressure. Non fulfillment if desires and in guilt also ends up with addictions.

Do not ignore chronic constipation, especially in the elderly as it may be a sign of underlying cancer, said Padmashri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, Dr. Rajiv Khosla and Dr. Praveen Bhatia, in a joint statement.

They were participating in a seminar organized by Heart Care Foundation of India and eMedinewS at Constitution Club of India as part of 19th MTNL Perfect Health Mela celebrations. Over 200 doctors participated in the seminar which was supported by Win Medicare.

The doctors said that any abdominal pain associated with diarrhea should suspect one of inflammatory bowel disease but if the same appears for the first time in the elderly, one must conduct colonoscopy to rule out cancer of gut.

Constipation should not be treated with laxatives as they may be habit forming. Isabgol, triphala and poly ethylene glycol are the commonest medicines used to treat constipation. Isabgol is a bulk laxative. Presence of rectal bleeding, constipation and diarrhea, unexplained abdominal pain should warrant one to undergo colonoscopy.

Facts about chronic constipation
1. Constipation is the most common digestive complaint in the general population, and is associated with substantial economic costs
2. Infrequently, constipation is the first manifestation of metabolic (diabetes mellitus, hypothyroidism, hypercalcemia, heavy metal intoxication), neurologic, or obstructive intestinal disease; more often, it occurs as a side effect of commonly used drug
3. Constipation has been defined as a stool frequency of less than three per week
4. An international working committee recommended diagnostic criteria (Rome III) for functional constipation. The diagnosis should be based upon the presence of the following for at least three months (with symptom onset at least six months prior to diagnosis).
a. Must include two or more of the following:
 Straining during at least 25 percent of defecations
 Lumpy or hard stools in at least 25 percent of defecations
 Sensation of incomplete evacuation for at least 25 percent of defecations
 Sensation of anorectal obstruction/blockage for at least 25 percent of defecations
 Manual maneuvers to facilitate at least 25 percent of defecations (eg, digital evacuation, support of the pelvic floor)
 Fewer than three defecations per week
b. Loose stools are rarely present without the use of laxatives
c. There are insufficient criteria for IBS.
5. It often responds to dietary changes and various laxatives.
6. Idiopathic constipation is associated with normal or slow colonic transit, functional defecation disorder, or both.
7. Management of normal and slow transit chronic constipation includes patient education, behavior modification, dietary change, bulk forming laxatives, and the use of non-bulk forming laxatives or enemas
8. Initial management of idiopathic constipation involve dietary fiber and bulk forming laxatives such as psyllium ormethylcellulose, together with adequate fluids
9. For patients who do not tolerate bulk forming laxatives or respond poorly to fiber one should start with osmotic laxative
10. Other options include stool softeners or stimulant laxatives (bisacodyl, senna, and sodium picosulfate).
11. Management of severe constipation and functional defecation disorder may involve suppositories, biofeedback, botulinum toxin injections into the puborectalis muscle, or subtotal colectomy under specific circumstances.
12. Various pharmacologic therapies (lubiprostone, misoprostol, colchicine) have been used to treat severe constipation with limited success.
13. In patients over the age of 70 years warm water enemas rather than sodium phosphate enemas be used for the treatment of constipation
14. The use of sodium phosphate enemas in older adults has been associated with complications including hypotension and volume depletion, hyperphosphatemia, hypo- or hyperkalemia, metabolic acidosis, severe hypocalcemia, renal failure, and EKG changes (prolonged QT interval).

In an audience based interaction on paralysis, Padmashri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India,  Dr. Vinit Suri, Senior Neurologist, Apollo Hospital and Dr. Vibha Sharma, Ayurvedic Consultant said that brain attach should be tackled like a heart attack. As time is brain, a patient with suspected paralysis/stroke or brain attack should be shifted to hospital at the earliest and given a clot dissolving therapy if the CT scan is negative for brain hemorrhage.  Prevention for paralysis is the same as prevention for heart attack.

All patients with paralysis should undergo testing for underlying heart disease and all patients with heart diseases should undergo testing to detect blockages in the neck artery which can cause future paralysis.

The programme was organized as part of 19th MTNL Perfect Health Mela celebrations which will open to general public on 7th November, 2012 at Constitution Club of India and will be a mix of exhibitions, competitions, workshops, seminars, entertainment incorporating all pathies under one roof. The entry to the mela will be free. The programme will have a telecast in DD India.

 Facts

1.    One should rule out brain hemorrhage as soon as possible

2.    Obtain emergent brain imaging (with CT or MRI) and other important laboratory studies, including cardiac monitoring during the first 24 hours after the onset of ischemic stroke

3.    Check glucose and correct high or low sugar. If the blood sugar is over 180 mg/dL start insulin

4.    Maintain normothermia for at least the first several days after an acute stroke

5.    For patients with acute ischemic stroke who are not treated with thrombolytic therapy, treat high blood pressure only if the hypertension is extreme (systolic blood pressure >220 mmHg or diastolic blood pressure >120 mmHg), or if the patient has another clear indication (active ischemic coronary disease, heart failure, aortic dissection, hypertensive encephalopathy, acute renal failure, or pre-eclampsia/eclampsia)

6.  For patients with acute ischemic stroke who will receive thrombolytic therapy, antihypertensive treatment is recommended so that systolic blood pressure is ≤185 mmHg and diastolic blood pressure is ≤110 mmHg

7. Antithrombotic therapy should be initiated within 48 hours of stroke onset.

8. For patients receiving statin therapy prior to stroke onset it should be continued

 Breast Cancer is on the rise

In another discussion organized by the Heart Care Foundation of India, Dr. KK Aggarwal, President of the Foundation, Dr. P.K. Julka, Senior Cancer Specialist, AIIMS and Dr. Anurag Srivastava, Breast Cancer Surgeon, in a joint statement said that breast cancer is on the rise in the country. The doctors said that breast cancer, prostate cancer and heart diseases are all linked to obesity, eating refined carbohydrates, smoking and access of alcohol.

They said that eating vegetarian diet with large amount of fruits and vegetables, exercising regularly and no smoking and drinking in moderation can reduce the chances of breast cancer.

a. Globally, breast cancer is the most frequently diagnosed cancer and the leading cause of cancer death in females.

b. Risk factors have been associated with female breast cancer  are Age and gender; Race and ethnicity; Benign breast disease; Personal history of breast cancer; Lifestyle and dietary factors; Reproductive and hormonal factors; Family history and genetic factors; Exposure to ionizing radiation; Environmental factors and Smoking

c.  Men are more than one hundred times less likely to get breast cancer than women.

d.  Women can take to decrease their risk of breast cancer. These include lifestyle changes: minimize use of postmenopausal hormones, childbearing at a younger age, breastfeeding for at least six months, avoidance of adult weight gain, limiting alcohol consumption, avoidance of smoking, regular physical activity), chemoprevention and early detection through screening mammography.

e.  Breast cancer is the most common female cancer

f.   It is second most common cause of cancer death in women

g.  It is main cause of death in women ages 40 to 59.

h. Important risk factors for breast cancer are age, gender, hormonal factors, and family history.

i. The diagnostic evaluation of a patient with suspected breast cancer includes diagnostic breast imaging and breast biopsy.

j. All primary breast cancers should be evaluated for expression of hormone receptors (estrogen [ER] and progesterone [PR] receptors) and human epidermal growth factor receptor 2 (HER2) expression.

k.    The treatment of early breast cancer includes locoregional treatment with surgery, radiation therapy, or both, and the treatment of systemic disease with one or a combination of chemotherapy, endocrine therapy, or biologic therapy.

l.  Many women have the option of preserving a cosmetically acceptable breast with breast conserving therapy (BCT) without sacrificing survival.

The seeds of heart blockages are born while a person is in his adolescence or childhood. Prevention, therefore, must start right at that age, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, Padma Shri Dr. S.C. Manchanda and Dr. A.K. Jhingan, Diabetes Specialist, in a joint statement. They were participating in an open house group discussion organized at Ryan International School, Vasant Kunj as a part of the 19th MTNL Perfect Health Mela being organized by the Heart Care Foundation of India in association with Department of Health, Government of Delhi.

The doctors said that heart attack cannot be given or accepted as a Gift. It takes minimum 15 years to live a lifestyle against the laws of nature to develop early blockages. Heart disease, therefore, is reversible and gives you enough time to reverse. They also said that in diet one should adopt the principle of moderations and variety and include all seven colours and six tastes in their diet.

Noted Kathak Dancers, Nalini and Kamalini, who were celebrity guests said that aerobic dance in any form should be part and parcel of school health programme. Traditional dances are better than western dance as classical traditional dance is a mix of yoga, meditation, relaxation and exercise.

The main Perfect Health Mela will start on 7th November, 2012 at Constitution Club of India and will have a mix of exhibitions, competitions, workshops, seminars, entertainment incorporating all pathies under one roof. The entry to the Mela will be free. The programme will also be aired on 7th November, 2012 6pm on Fit Delhi Dilli Aaj Tak.

Watch Video CPR10

Heart Care Foundation of India today created an Indian record by training 1010 students and teachers in one session in Continuous Compression-only CPR called CPR-10. The event was held at Birla Vidya Niketan School. 200 human dummies were used for the training.

Celebrities who witnessed and addressed the event were Dr Sadhvi Sadhna Ji Maharaj Chairperson World Fellowship of Religions, Ms Geeta Chandran, Noted Bharat Natyam Exponent, Mr Satish Upadhyay, Chairman Education Committee MCD South Zone, Dr Aparna Jaswal Sr Cardiologist Escorts Heart Institute, Dr H K Chopra Vice President Cardiological Society of India,  Dr Anil Bansal Jt Secretary National IMA, Mr Rakesh Paveria Additional DCP, Ms Minakshi Kushwaha Principal Birla Vidya Niketan and Ms Tapati Singhi Administrator Birla Vidya Niketan.

Launching the campaign, Ms Geeta Chandran said that 1% of the population at any given time should be trained in CPR-10.

Speaking on the occasion, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that resuscitation mantra is that within 10 minutes of clinical death, for the next 10 minutes the chest of the victim should be compressed with a speed of 100   (10 x 10) per minute. If the electric shock machine is not available, one can give two thumps in the centre of the chest from a distance of one foot.

Dr. Aggarwal said that all relations of heart patients, healthcare workers, health journalists should be trained in this procedure. The difference between CPR 10 and traditional CPR is that mouth to mouth respiration is not needed in CPR 10. The Foundation plans to train one lakh people in the next two years.

Learning can be one to one on a human dummy, called single-rescuer CPR or it can be multiple rescuer training with multiple people performing resuscitation on one person.

Single-rescuer training will be held on 9th November 2012 at the Perfect Health Mela ground where 200 nurses will learn the technique in one go.

The function also launched the various other activities to be held in MTNL Perfect Health Mela.

CPR 10

1.   Cardiac death is reversible in the first 10 minutes. In this period the brain remains alive even though the heart and respiration have stopped. This period is called clinical death.

2.   In Ayurvedic language, the consciousness and the Prana Vayu do not leave the body in the first 10 minutes and therefore if the heart can be revived, one can be revived.

3.    The best way to resuscitate is to provide mouth to mouth respiration combined with chest compressions but if a sole lay rescuer is present or multiple lay rescuers are reluctant to perform mouth-to-mouth breathing, the Heart Care Foundation of India recommends performance of CPR 10 using chest compressions alone, called continuous compression-only CPR.

4.   The CPR 10 mantra (Formula of 10) is: Within 10 minutes of clinical death for the next 10 minutes continuously and effectively compress the center of the chest with a speed of 100 (10×10) compressions per minute.

5.   Clinical death means no respiration, no heart breathing and no response on painful stimuli.

6.   Ten minutes mean as early as possible. The chances of revival reduce by 10% each minute.

7.   Center of the chest means in the centre of a line between two nipples.

8.   Continuously means with minimum interruptions

9.   Effectively means compressing the chest up to 5 cm with each down stroke and allowing the chest to recoil completely between each down-stroke

10.       Remember: Push hard (compress 5 cm with each down stroke) and push fast (100 per minute) on the center of the chest.

11.       Do not interrupt chest compressions to palpate for pulses and continue CPR 10 until electric shock machine is available or a doctor takes the charge or the patient wakes up.

12.    CPR 10 is not for children or arrest that occurs due to drowning. In these cases, mouth to mouth breathing is still necessary.

The 19th MTNL Perfect Health Mela is being organised by Heart Care Foundation of India jointly with Department of Health, Delhi Government from 7th to 11th November, 2012 at Constitution Club of India. A week before the event, various activities will be organised at multiple locations.

Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Mr Sandeep Marwah, Director of Asian Academy of Film & Television, said that focus of the Mela this year will be “Prevention of Non-Communicable Diseases” and “Revival of Heart After Death.”

The Mela will provide a unique opportunity for people from all walks of life to get preventive awareness about the non-communicable diseases incorporating all pathies and by using the medium of exhibition, checkups, competitions, workshops under one roof.

Over 10,000 members of the public will be certified in compression only CPR. Two hundred special dummies will be located at the Mela venue. Life is reversible in the first 10 minutes of death through the compression only CPR module. The mantra is within 10 minutes of the death for the next 10 minutes, compress effectively and continuously the centre of the chest of the deceased with a speed of 100 per minute (10×10). The entry to the Mela is free. General public can also avail training at the Mela venue.

Special arrangements are being made and special counters are being made for the residents of Noida and Ghaziabad.

For the first time to promote health campaign advertising, two competitions will also be held in association with Asian Academy of Film and TV for the best 30 seconds health campaign. The themes are “Death is Reversible in the First 10 Minutes” and “Health Myths in Bollywood Movies”.