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Dr K K Aggarwal

  1. Avoiding rodents (multimammate rats).
  2. Consider all patients as infectious even if signs and symptoms are mild.
  3. All standard, contact, and droplet precautions as well as correct use of appropriate personal protective equipment should be strictly adhered to.
  4. Blood and body fluid specimens from patients with suspected Lassa fever infection should be considered highly infectious. Caution should be exercised when handling such material.
  5. Postexposure prophylaxis with oral ribavirin for contacts with known or suspected Lassa fever infection with risk factors for transmission such as penetrating needle stick injury, exposure of mucous membranes or broken skin to blood or body fluids, and participation in procedures involving exposure to bodily fluids or respiratory secretions without use of personal protective equipment.
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  1. BCG (Bacillus Calmette Guerin) 1 dose at Birth (up to 1 year if not given earlier)
  2. DPT (Diphtheria, Pertussis and Tetanus Toxoid) 5 doses; Three primary doses at 6weeks,10weeks and 14 weeks and two booster doses at 16-24 months and 5 Years of age
  3. OPV (Oral Polio Vaccine) 5 doses; 0 dose at birth, three primary doses at 6,10 and 14 weeks and one booster dose at 16-24 months of age
  4. Hepatitis B vaccine 4 doses; 0 dose within 24 hours of birth and three doses at 6, 10 and 14 weeks of age.
  5. Measles 2 doses; first dose at 9-12 months and second dose at 16-24 months of age
  6. TT (Tetanus Toxoid) 2 doses at 10 years and 16 years of age
  7. TT – for pregnant woman two doses or one dose if previously vaccinated within 3 Years
  8. Japanese Encephalitis (JE vaccine) vaccine was introduced in 112 endemic districts in campaign mode in phased manner from 2006-10 and has now been incorporated under the Routine Immunisation Programme.
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Some tips from HCFI

By Dr K K Aggarwal
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  1. Exercises and stretches can help maintain strength and stop joints becoming stiff in children with spinal muscular atrophy. Although the amount of exercise will depend on the condition, its best to try and stay as active as possible.
  2. There are activities/exercises that can be done to strengthen the breathing muscles and make coughing easier.
  3. It is important for people with spinal muscular atrophy, especially children, to get the right nutrients. This will help with healthy growth and development. A dietitian can offer advice about feeding and diet.
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Some health tips from HCFI

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , , , | | Comments Off

  1. Be aware of the products you use in your home and on your skin. For example, cleaning products with harsh chemicals.
  2. Eat healthy and include lots of fresh fruits and vegetables in your diet. They contain fibre and substances that can help in flushing toxins out of your system.
  3. Take steps to combat stress as this lowers your immune system function. Exercise, sleep well, and meditate. You can also opt for yoga to get rid of stress.
  4. Sleep well as it reduces cortisol produced by the body during stress. It also balances leptin, which determines how much food we eat. If our leptin is off balance, most likely the body will feel that it never gets enough food, which leads to overeating.
  5. Reduce or quit smoking and drinking.
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Some tips on thyroid disorders from HCFI

By Dr K K Aggarwal
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  1. Hypothyroidism is linked to weight gain. Thus, a person with this condition can find it difficult to lose weight. Consume a diet rich in fibre and low in fat to maintain a healthy weight.
  2. Although it may be difficult to get moving in those with a sluggish thyroid, it is a good idea to push yourself to do some physical activity.
  3. Stress is known to exacerbate thyroid disorders. Do something to reduce those stress levels. It could be yoga, meditation, dance, or anything.
  4. Know the symptoms. Understand what the common symptoms of thyroid cancer are.
  5. Get Tested. Have your GP check for nodules and test TSH levels every few years if you have risk factors for cancer.
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  • Eat only when you are hungry.

  • Do not eat for pleasure, social obligations or emotional satisfaction.

  • Eat at a slow pace

  • Eat less; dinner less than lunch.

  • Take small mouthfuls each time, chew each morsel well, swallow it and only then take the next morsel.

  • Do not eat while watching television, driving a car or watching sports events. The mind is absorbed in these activities and one does not know what and how much one has eaten.

  • Do not talk while eating and never enter into heated arguments. The stomach has ears and can listen to your conversation. It will accordingly send signals to the mind and heart.

  • Plan and decide in advance what and how much food you will be eating.

  • Use low fat or skimmed mild dairy products. For cooking, use oils which are liquid at room temperature.

  • Do not take red meat and if you are a non–vegetarian, you may take poultry meat or fish.

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  1. Patients with asthma and chronic bronchitis should get the dose of their medicine increased during smog days.
  2. Avoid exertion in conditions of smog. It is better to avoid walking during smog hours.
  3. Drive slowly during smog hours.
  4. Heart patients should stop their early morning walk during smog hours.
  5. Remember to take the flu pneumonia vaccine.
  6. Keep doors and windows shut particularly during the early morning hours.
  7. It is better to wear protective masks if you must venture out.
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Typhoid fever

By Dr K K Aggarwal
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Typhoid fever is caused by a bacteria Salmonella typhi and is transmitted through the ingestion of food or drink contaminated by the feces or urine of infected people.

Flying insects feeding on feces may occasionally transfer the bacteria through poor hygiene habits and public sanitation conditions. Though the cases occur all through the year, the number is higher during the summer and rainy seasons.

Symptoms usually develop 1 to 3 weeks after exposure, and may be mild or severe. They include high fever, malaise, headache, constipation or diarrhea and enlarged spleen and liver. A healthy carrier state may follow acute illness.

Typhoid fever can be treated with antibiotics. However, resistance to common antimicrobials is widespread. Healthy carriers should be excluded from handling food.

Sanitation and hygiene are the critical measures that can be taken to prevent typhoid.

  1. Typhoid does not affect animals and therefore transmission occurs only from human to human.
  2. Typhoid can only spread in environments where human feces or urine are able to come into contact with food or drinking water.
  3. Careful food preparation and washing of hands are crucial to preventing typhoid.
  4. Typhoid fever in most cases is not fatal.
  5. Prompt treatment of the disease with antibiotics reduces the case-fatality rate to approximately 1%.
  6. When untreated, typhoid fever may persist for three weeks to a month.
  7. Resistance to common antibiotics is now common.
  8. Typhoid that is resistant to common antibiotics is known as multidrug-resistant typhoid (MDR typhoid).
  9. Ciprofloxacin resistance is an increasing problem, especially in the Indian subcontinent and Southeast Asia.
  10. Typhoid vaccine taken every three years is the best preventive approach.
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