Sunday 24 April 2016

According to doctors, the 'Universal drug susceptibility testing' for all TB patients in the city will enable quicker treatment for drug-resistant TB and also control spread of new infections.

In a huge step towards tuberculosis management, new TB patients in Mumbai are all set to get individualised treatment soon in public sector. The Union government has decided that all new TB patients will have their drug sensitive tests – for all 13 available medicines – done before commencing of their treatment.

The plan will be implemented as a pilot project in Mumbai, where currently this is done only certain categories like children, HIV patients, and close-contact people of drug resistant TB patients testing positive for TB undergo. The Centre has also lined up a nationwide TB survey to get a real picture of TB prevalence in the country.
According to doctors, the 'Universal drug susceptibility testing' for all TB patients in the city will enable quicker treatment for drug-resistant TB and also control spread of new infections. Experts say that one TB patient can infect 10 contacts in a year and if s/he is an Extensive Drug Resistant TB (XDR-TB) patient, the person is 2x as infectious as MDR contacts.

"There is a good evidence about the rising number of multi-drug resistant and extensive drug resistance TB cases from Mumbai. The universal drug susceptibility testing will start from Mumbai in a phased manner," said Dr Sunil Khaparde, deputy director general, ministry of health and family welfare, on Saturday, during a workshop on TB research, organised by PD Hinduja Hospital, Mahim.

"It is one of the most important directives of the End TB Strategy according to the guidelines by the World Health Organisation (WHO). It is a diagnostic test that checks for the TB causing bacterium's drug resistance pattern for all 13 anti-drugs available," he added.

Dr Dakshah Shah, TB officer-BMC, who was also one of the speakers at the two-day long workshop, said that individualised treatment is recommended in the guidelines layed out by WHO. "Universal DST is recommended by the National TB control program for all MDR cases as it is the only way to move towards individualised treatment," she said.

Shah added that in Mumbai, 'universal DST' is extended only for select cases like paediatric, HIV positive and contact tracing. The Brihanmumbai Municipal Corporation is also set to have a house to house survey in 12 chosen wards to detect TB and start treatment.

The National TB Institute under the guidance of Central TB Division is also kick-starting a pan India survey for prevalence of TB which the results are expected by the end of 2016.

"The prevalence survey is important as it will be give us clearer picture on where we stand in terms of TB. We will be holding a three day long meeting starting on May 10 for the designing and sampling for the survey. Screening by symptoms, radiology examination, gene expert and other confirmatory tests will be part of the survey," said Khaparde.

He further said that the department is also doing drug resistance survey for which 5,400 samples from 120 TB units across the country has already been collected and will be checked for the resistance pattern for all 13 anti-TB drugs drug.

"The results will provide reliable estimate of drug-resistant TB and community level resistance pattern of first and second line drugs," he added.

According to Global TB Report 2015, WHO, Geneva

Global annual incidence of Tb is 9.6 million

India's is 2.2 million

Estimated incidence of all forms of TB in India in 2014- 22 lakh

Estimated incidence of HIV associated TB in 2014- 1.1 lakh

Estimated number of deaths 2014 for all forms of TB -2.2 lakh

Estimated number of deaths 2014 HIV associated TB -31,000
Economic loss due to Tuberculosis: $23.7 billion in a year

There are 63,000 new MDR-TB cases in India

It is estimated that about 40% of the Indian population is infected with TB bacteria, the vast majority of whom have latent rather than active TB.
70% of the TB patients opt for treatment in private sector.

1 Indian will die every two minute

The probability of transmission from one person to another depends upon the number of infectious droplets expelled by a carrier, the effectiveness of ventilation, the duration of exposure, and the virulence of the M. tuberculosis strain.

There is 63% in XDR TB cases and 3% MDR Tb cases in Mumbai in last 1 year.
% increase from 2014 to 2015: 20%

In 2014, around 30,000 TB cases were reported whereas in 2015 the figures went up to 45,333.

Monday 18 April 2016

FEW WORDS BY CHAIRMAN OF R & D ASSOCIATES

Few words by our Chariman

We know that you are having other priorities, responsibilities and obligations but our priority is to serve you (24X7) with moto that you serve society and we will serve you. If you have gone through above mentioned you will find out that our job is very tough task but we believe in relation building, we will keep you secure like a guardian.
The membership means from the starting day till last day the membership will start from the day you pay us, we will serve 7 days as grace period but this period do not include as insurance grace period. If any cause of action accrued against you before start of membership that will be considered as pre membership.
Come out of your conservative coverage and opt for a best company with best services. We can assure you that not even any international company will provide you as much we are providing. Be the part of India’s best company and join the largest doctors group.
We are also serving to those doctors who want to join R & D but were already having policy of any other company. (surrender your policy to us and we will serve you as our member and will not charge for our policy but you will have to pay minimum fees for basic membership and enjoy all the rights like other members)
 Cover yourself for 24 hours and for every problem which no one covers.
If you have a hospital setup  and you know how expensive the equipments are and you depend on various companies for its maintenance but you do not hire any risk management company. You normally pay annual charges but unfortunate incident happens in spite of all cautions  have you ever thought that what will be the consequences. We will provide complete protection Our service charge includes the legal AM C of each and every item of your setup.
Coverage for cases arising from unqualified nurses
Emergency advice in sudden unexpected death
Difficult situation management like OT Table death
Management of Post death media trial
Management of cases under death due to anaphylaxis, SJS, Post spinal meningitis, death during transfers, usual withdrawal of o2 etc.
Management in brought dead with mob, Police arrest or false media reports
WHY SO IMPORTANT TO MANAGE YOUR PROFESSIONAL RISKS

(1)That in today`s world public awareness is at its peak. There are various NGOS working for the welfare of patient s.  There is no doubt  that with increased awareness the patients have started raising fingers on doctors, para medics and hospitals. That the Hon`ble supreme court have even quoted in one judgment that today the patients have started a trend of lodging complaints against doctors and hospitals, Further the Hon`ble Court have quoted that the patients who hardly spend rupees 10,000/- on their treatment sue the doctors for crores. This is evident that in coming years it will increase with leaps and bounds.
(2)That there are more then 50 laws and legislations which are applicable on the doctors, para medics and Hospitals as such in today`s time it is very much important for every medical professional , para medic staff,  hospitals and even medical stores to hire us for proper management of their risks and get them self properly defended by us.
(3)That by hiring our services our clients will save their valuable hard earned money as our membership fees is very much reasonable and less then other companies.
(4)That other companies who claim risk coverage does not provide the services as promised. That this fact is also not hidden that these companies only provide their wise assistance to its members but  once the matter is gone into court or police station these companies either charge extra or does not provide services to their clients. We will serve our clients 24X7 and will not lead any stone unturned for defending our clients.  We are establishment of members with aim that once a client who hire us should be our client for always and we will serve our best of this purpose.
(5)That the leading risk management of India which claims its business in 14 countries is having no expert advocate or doctor in their management but we are the foundation of experts who are having ample of experience in law and medical field as such we are not dependent on our empanelled members.
(6)That we have experience of working in this field.
(7)We are hardly a call away from you.
(8)That the said experienced companies play the role of mediator between the doctors and experts. They neither do have any permanent panel of experts nor do they themselves know about these issues. This arise a mental harassment for the doctors as first the doctor get his grievance noted after getting all the permissions etc the matter is marked to an incompetent expert  during this few weeks pass away. That as these companies are not having permanent experts they  then bother its clients for checking the drafting’s,  We raise a point that if the doctors have to defend them self then there is no requirement of such company. The doctors expertise in their field and we in our as such once  you get enrolled with us then all your worries are ours. We wont bother you for defending you.
RISK MANAGEMENT & CRISIS

With medical malpractice insurance premiums rising sharply across the nation and at least a dozen states facing an insurance crisis, physicians and policymakers are debating vigorously how best to respond. Tort reforms that would cap awards are among the proposals and have proven effective at moderating premiums in several states.
Risk management involves more than just reading a journal article, listening to a lecture or filling out a workbook. It is a style of practice that endeavors, first and foremost, to prevent patient injuries; second, to avoid malpractice claims; and third, when a claim does occur, to reduce malpractice claim losses.

Monday 11 April 2016

Saturday 2 April 2016

LAWS APPLICABLE ON MEDICS

R & D ASSOCIATES, MEDICO LEGAL EXPERTS (RISK MANAGEMENT COMPANY CONTACT US 9855570099
 AS YOU ALL KNOW WE HAVE BEEN UPDATING OUR DOCTORS WITH EACH AND EVERY USEFUL AND IMPORTANT INFORMATION . WE WANT TO AWARE YOU THAT A SELF PROCLAIMED RISK MANAGEMENT COMPANY IS ALSO PUBLISHING OUR POSTS BY COPYING AND CHANGING THE TITLE.
R & D Associates Risk management company
Published by :RANDEEP SINGH GILL ADVOCATE

LAWS APPLICABLE ON DOCTORS AND THEY MUST KNOW ABOUT
MEDICAL LAWS & ETHICS IN INDIA
dear doctors we have been doing best to keep you aware and safe, we are R & D associates we manage your risks, contact us on:-r.dassociates.medicolegal@gmail.com
ph:9855570099
Law Governing Storage / Sale of Drugs and Safe Medication
S. no Name of Act / Rule Year
1. Drugs and cosmetic Act 1940
2. Drug and cosmetic Act amendment 1982
3. The drug and cosmetics rules (Amendment 2005) 1945
4. The drugs control Act 1950
5. Pharmacy Act 1948
6. License for possession and use of Rectified / denatured spirit 
7. Narcotics and psychotropic substances Act 1985
8. Central excise Act ( for permit to use and store sprit ) 1944
9. Retail drug license 
10. VAT Act 
11. . Central sales Tax Act 1956
12. Sales of good Act 1930
13. Adulteration of drugs (IPC Sec 274) 
14. Sales of adulterated drugs ( IPC Sec 275 ) 
15. Sales of drug as different drug or preparation ( IPC Sec 276 ) 
16. Negligent conduct with regard to poisonous substances (IPC Sec 284) 
17. Blood bank regulations under Drugs and cosmetic ( 2nd amendment ) rules 1999
18. Homoeopathy Central Council (Amendment) Act 2002
19. Homoeopathy Central Council Act, 1973
Law Governing Biomedical Research
S. no Name of Act / Rule Year
1. Breeding of and Experiments on Animals (Control and Supervision )Amendment Rules 2005
2. Reconstitution of Committee for the Purpose of Control and Supervision of Experiments on Animals(CPCSEA). 
Law Governing to Management of Patients
S. no Name of Act / Rule Year
1. Drugs and magic remedies ( objectionable ) advertisements Act 1954 1954
2. PNDT Act 1994
3.Pre conception and prenatal diagnostic techniques ( prohibition of sex selection ) Rules, 1996
4. MTP Act 1997
5. MTP Rules 1971
6. Transplantation of human organ Act 1994
7. Transplantation of human organ Rule 1995
8. Rules for insurance cover for the sterilization cases 
9. Laws of contract section 13 (Consent 
10. Birth and death and marriage registration act 1886
11. Delhi registration of birth and deaths act 1969
12. Indian lunacy Act 1912
13. The epidemic disease Act 1897
14. . Delhi Municipal corporation ( Malaria and other mosquito Borne disease ) Bye Law 1975
15. Lepers act 1975
16. Guardians and wards Act 1890
17. . National guidelines for clinical management of HIV / AIDS , NACO, Govt Of India. 
18. Manual for control of hospital associated infections : SOPs, NACO , Govt of India 
19. The Mental Health Act 1987
20. Ear Drums and Ear Bones (Authority for Use for Therapeutic Purposes) Act 1982
21. Eyes (Authority for Use for Therapeutic Purposes) Act 1982
Law Governing Medico Legal Aspects
S. no Name of Act / Rule Year
1. Law of privileged communications 
2. Indian Evidence act (disclosure of privileged / confidential patient related information before a court of law – under protest) 
3. Law of torts 
4. Consumer protection Act 1986
5. Protection of human rights Act 
6. IPC section 52 
7. IPC section 80 
8. IPC section 89 
9. IPC section 92 
10. IPC section 93 
11. IPC section 269
Law Governing The Safety of Patients, Public and Staff Within the Hospital Premises and Environmental Protection
S. no Name of Act / Rule Year/Amendment
1. Biomedical medical waste management handling rules 1998/2000
2. Water ( prevention and control of pollution) Act 1974
3. .The Water (Prevention and Control of Pollution) Cess (Amendment) Act, 2003
4. The Water (Prevention and Control of Pollution) Act 1974/1988
5. The Water (Prevention and Control of Pollution) Cess Rules 1978
6. The Water (Prevention and Control of Pollution) Rules 1975
7. The Noise Pollution (Regulation and Control) (Amendment) Rules 2010
8. The Noise Pollution (Regulation and Control) (Amendment) Rules 2006
9. The Noise Pollution (Regulation and Control) (Amendment) Rules 2006
10. The Noise Pollution (Regulation and Control) (Amendment) Rules 2002
11. The Noise Pollution (Regulation and Control) (Amendment) Rules 2000
12. Business) Rules 1975/1976
13. Rules regarding the safe discharge of effluents in the public sewers / drains
14. DMC sanitation and public health Bye laws 1959
15. Air ( prevention and control of pollution ) act 1981/1987
16. The Air (Prevention and Control of Pollution) (Union Territories) Rules, 1983
17. The Air (Prevention and Control of Pollution) Rules 1982
18. Environment protection Act 1986
19. Environment protection Rule 1986
20. Environment protection Act 1996
21. .Noise pollution control Rules 2000
22. IPC sec 269 ( negligent act likely to spread infection or disease dangerous to life , unlawfully or negligently 
23. IPC sec 278 ( making atmosphere noxious to health
Law Governing The Safety of Patients, Public and Staff within the Hospital Premises
S. no Name of Act / Rule Year
1. Indian Boilers Act 1923
2. Explosive Act 1884 (for diesel storage) 1884
3. Petroleum Act + storage Rules 2002
4. Gas cylinder Rules 2004
5. Rules for provision of safe drinking water 
6. Rules for provision of uninterrupted power supply 
7. Prevention of food adulteration Act 1954
8. The radiation surveillance procedures for the medical application of radiation 
1989
9. Radiation protection Rules 1971
10. AERB safety code no . AERB/SC/Med -2 ( REV -1) 2001
11. Insecticide Act 1968
12. Arms Act, 1950
13. IPC Sec 336 ( act endangering life and personal safety of others) 
14. IPC Sec 337 (causing hurt by act endangering life and personal safety of others) 
15. .IPC Sec 338 ( causing grievous hurt by act endangering the life and personal safety of others 
16. The Indian fatal accidents Act 1955
17. The cigarettes and other Tobacco products ( prohibition of advertisement and Regulation of trade and commerce , production , supply and distribution ) bill 2003
18. .Prohibition of smoking in public places Rules 2008
19. .Prohibition of smoking in public places Rules 2008
20. The Tamilnadu Medicare service persons and Medicare service institutions( prevention of violence and damage or loss to property ) Act 2008
21. The Tamilnadu Medicare service persons and Medicare service institutions( prevention of violence and damage or loss to property ) Act 2008
22. Vaccination Act 1880
23. Vaccination (Repeal) Act 2001
24. Disaster Management Act 2005
25. Protection of Human Rights Act 1993
Laws Governing the Employment of Manpower
S. no Name of Act / Rule Year
1. Child Labour Act 
2. Citizenship Act 1955
3. Employees provident fund and misc provision Act 1952
4. ESI Act 1948
5. ESI ( central ) Rules 1950
6. Employment exchange ( compulsory notification of vacancies ) act 1959
7. Equal remuneration Act 1976
8. Minimum Wedge Act 1948
9. Payment of bonus Act 1965
10. Payment of Gratuity Act 1972
11. Payment of wages Act 1936
12. PPF Act 1968
13. TDS Act
Maternity Benefit (Amendment) Act,
15. Workmen’s Compensation Act 1923
16. Workmen's Compensation (Amendment) Act 2009
17. Indian Trade Union Act 1926
18. Industrial Disputes Act 1947
19. Shops and factories Act (for national holidays) 
20. Negotiable instrument Act 1881
21. Persons with Disabilities Act 1995
22. SC and ST Act 1989
23. Weekly Holidays Act 1942
24. Official Secrets Act 1923
25. Persons With Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act 
1995
26. Karnataka Prohibition of Violence against Medicare Service Personnel and Damageto Property in Medicare Service Institutions Act 2009
27. Information Technology (Amendment) Act 2008
28. Information Technology Act 2000
Law Governing to Professional Training and Research
S. no Name of Act / Rule Year
1. MCI rules for internship training 
2. National board of examinations Rules for DNB training 
3. Nursing Council of India Rules for staring school / college of nursing 
4. .ICMR rules governing Medical Research
Regulations Governing The Business Aspects of Hospital
Sr no Name of Act / Rule Year/Amendment
1. Charitable and religious trust Act 1920
2. Contract Act 1982
3. Income Tax ACT 1961
4. Customs Act 1962
5. .Foreign Exchange management Act 1999
6. Insurance Act 1938
7. Rules for display of Red Cross Insignia 
8. Sales of good Act 1930
9. Vehicle registration certificate 
10. Wireless operation certificate from post and telegraphs 
11. Cable television network ACT 1995
12. Gift Tax Act 1958
13. Copyright Act 1982
14. The Public Liability Insurance Act 1991/1992
15. The Public Liability Insurance Rules 1991/1993