BAAL SANJEEVANI – MEGA ISSUE
JUNE 17TH 2011 + MARCH, APRIL + MAY 2011

The ‘GUP-SHUP ! of PEDIATRIC-MEDICINE – LATEST & USEFUL Information + a few REMINDERS (also):

So This time it is - MEGA ISSUE

Dear Reader,

We request ‘SAMAJH-DAAR’ (!) reader to excuse us – because of unavoidable – personal problem – we could not see you, in MARCH, APRIL, MAY-2011 – and Today is JUNE 17th 2011 so this the COMBINATION of 4-months – Do provide us ‘Feed back’ and tell the websites to as many as possible i.e. www..baalsanjeevani.blogspot.com

E.COLI :

We the Siblings of our ‘Ailing BHARAT MAA – This is our Family Member (!) But right now, IT HAS BECOME SUPERBUG IN THE DEVELOPED PART OF WORLD!

A particularly nasty and rare version of E.Coli called OIO4 : H4 – but figuring out how this pathogen made its way into the food supply is a trickier challenge.

DNA testing failed to nail them. Russia, which is hoping for membership in the World Trade Organization, took a characteristically extreme approach, banning imports of all European Union produce.

And given the most recent report from the US Centers for Disease Control and Prevention (CDC), that worry may be justified.

In the past 15-years, outbreaks of salmonella infection in the US from contaminated foods such as eggs, meat, poultry and nuts have not declined, despite efforts to improve education about safe handling of food. And while a newly passed law gives the Food and Drug Administration expanded authority to inspect, test and hold desired foods until they are deemed safe to eat.

President Obama requested $955 million for food-safety measures in his most recent budget, but the House Appropriations Committee slashed that request to $ 750 million.

The US has some advantages over the E.U. when it comes to preventing this kind of disaster.

Because there’s no single authority in charge - whether across the continent or within Germany.

In a 2006 outbreak of a strain of E.Coli that sickened nearly 200 people. It took the agency and two state health departments just six days from the first identification of clusters of illness to trace the contamination to spinach at specific processing plants.

But good coordination is not always enough. No matter how strong food safety policies are, bugs like E.Coli can find their way into meat and other foods, especially fruits and vegetables such as spinach, peppers and onions. In fact, we live with certain colonies of E.Coli in our gut, and the bugs are essential to helping us digest and break down food. But E.Coli is notoriously promiscuous, adept at swapping genetic material not just with other strains but with other organisms as well. Crowded conditions for cattle, sheep and other livestock that can harbor colonies of E.Coli provide the ideal environment for games of genetic roulette. And all of that makes the bacterium especially nimble, able to mutate easily into ever more destructive forms. The US got a taste of that nightmare in 1993, when E.Coli OI57 caused its first significant outbreak of illness, with others to follow – principally through hamburger meat and spinach.

Once in our bodies, the toxin breaks down red blood cells, leading to clots and strokes, and targets kidney cells, causing a form of kidney failure known as hemolytic uremic syndrome (HUS) – and sometimes death. Some patients who develop HUS and recover may need dialysis for the rest of their lives. “In terms of the numbers of cases of HUS, what we’re seeing in Germany is much bigger than anything we’ve seen before, “says Dr. Rober Tauxe of the CDC. “That does surprise me.”

Farmers often use manure to fertilize vegetable crops, and contaminated feces could spread the bacteria to these foods, Infected runoff from agricultural pastures could also reach crops and deposit E.Coli in the roots or leaves of plants. Given that we’re in the midst of the spring and summer growing season, more people are eating fresh produce, which may be a reason so many have become ill.

Treating these people isn’t easy.

The tragic E.Coli outbreak in Europe reminds us that investing in prevention of food safety problems is ultimately the only way to provide the protection that consumers expect and to avoid economic and social disruption.”

THIS REPORTING IS BY LEO CENDROWICZ( BRUSSELS) AND TRISTANA MOORE (BERLIN)

We don’t have words to thank these two Genuine Humanitarians serving the world for telling us our DEMON E.Coli . Fighting A Un-Holy war with Mankind of Developed World.

Thanks to Time –June 20th, 2011

“TO REMIND YOU THE ‘INDIAN STORY’

DIARREA
Acute diarrhea is a leading cause of under –five mortality in India. Diarrhea is the passage of watery stools at least three times in a 24 hour period. However, recent change in the consistency of the stools is more important than the frequency. Mothers usually know when their children have diarrhea and provide useful working definitions in local situations.

Clinical Types of Diarrheal Diseases
Four Clinical types of diarrhea can be recognized, each reflecting the basic underlying pathology and altered physiology:
• Acute Watery
• Acute Bloody diarrhea (Dysentery)
• Persistent Diarrhea (Starts as acute watery diarrhea and lasts 14-days or longer)
• Diarrhea with severe malnutrition (marasmus or kwashiorkor) carries risk of severe systemic infection, dehydration, heart failure and vitamin and mineral deficiency.

What causes acute Diarrhea?
In India, rotavirus and enterotoxigenic E.Coli account for nearly half the total diarrheal episodes among children.

Apart from enterotoxin producing E.Coil (ETEC), which account for nearly 20% of childhood diarrhea, other forms of diarrheagenic E.Coli are enteroinvasive (EIEC), enterohemorrhagic (EHEC), attaching effacing E.coli or localized adherent (LA-EC), diffusely adherent E.Coli (DA-EC) and aggregative adherent E.coli (Agg-EC) EIEC and EHEC can cause dysentery. EHEC is a cause of hermolytic uremic syndrome also.

Yours’ Truly
Dr.(Prof.) DEEPAK SETH,
MD(PAED) MICP(USA) MNNF MNPGF FIAP
PROFESSOR & HEAD, DEPTT. OF PEDIATRICES- HIMS, NEAR LUCKNOW
MOB. 8826605719(Delhi) / 9897076071(UP/UK)
EMAIL : drdeepakseth@rediffmail.com / drdeepakseth@gmail.com
AT present I am in Delhi, D-41 Jangpura Extension, New Delhi-110014 Tel.No.24315610

Editor in Chief :
Dr. Prof. Deepak Seth,
I may be in any part of our ailing Bharat Maa (is it not shameful for us) Tomorrow!

Consultant Editor:
Dr. Prof. Neeraj Jain HIMS, Dehradun
Email neerajjain@vsnl.com / Contact No. 9412989195

Editor :
Dr. SURYA AGGARWAL,
Deptt. Of Medicine, HIMS, Dehradun (UK)
Email : agg_surya@yahoo.com / Contact No. 9811330543, 8006444404

Assistant Editor :
Mr.ABHINAV TOMAR
HIMS, Dehradun (UK)
Email : abhinav.tomar22@gmail.com / Mob. 8958484480

My PAs :
1. Ms.Deepani Seth / Email : deepani_seth@hotmail.com / Mob.9873247991
2. Ms. Kittoo Katyani Seth, Email : skatyani@gmail.com / Contact No. 001-8574176283(USA), 09456685866(India)
My 1st PA had done specialization in Designing from National Institute of Design – Ahmadabad + Bangalooroo and 2nd PA is now doing PG from Havard (US) in World Population and Public Health.

PLEASE DO TELL YOUR KNOWN TO THE IMPORTANCE AND FRUITFUL (WHICH FRUIT? )

i.e. http://www.baalsanjeevani.blogspt.com

PS - So the June part is in the AIR now and with in 2-3 days, March, April & May-2011 will follow.