Bystander CPR training should be compulsory in school

4th October, 2013: The Government of India should make bystander cardiology pulmonary resuscitation (CPR) 10 training mandatory in elementary schools.  CPR training should also be mandatory when getting a driving licence.

Padma Shri and Dr. B.C. Roy National Awardee, Dr KK Aggarwal, President Heart Care Foundation of India said that the forthcoming 20th MTNL Perfect Health Mela being organized from 23rd to 27th October, 2013 in Constitution Club of India will have special training camps for school children. The Mela is being organized by Heart Care Foundation of India in association with various departments of Central and Delhi Government, LIC, Central Bank of India, GAIL, and Coca Cola.

Quoting a Denmark initiative published in October issue in the Journal of the American Medical Association, Dr. Aggarwal said that with the initiatives taken by the Denmark Government, the percentage of out of hospital cardiac arrest that involved bystander CPR more than doubled from 21.1% to 44.9% over a 10-year period. Following that trend there was a significant improvement in survival at 30 days and at one year.  When the bystander CPR rate is less than 21%, the 30-day survival rates are below 6%.

Dr. Aggarwal said that ever since CPR 10 programme has been initiated in Delhi by Heart Care Foundation of India, the number of survivals by the bystander has increased. We are getting success stories, which is a good trend, he further added.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 63400 people since 1^st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

In Paralysis, Act Fast

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 19^th MTNL Perfect Health Mela celebrations which will open to general public on 7^th 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. 

Lifestyle changes should start in childhood

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 19^th 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 7^th 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 7^th November, 2012 6pm on Fit Delhi Dilli Aaj Tak.

MCD South to train its teachers on Health and Hygiene at Perfect Health Mela

MCD South in association with Heart Care Foundation of India will be organizing a training program for its teachers on 7th November, 2012, Wednesday, at Constitution Club of India, the venue for the 19th MTNL Perfect Health Mela being organized from 7th to 11th November, 2012.

Addressing a press conference here, Padmashri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Mr. Satish Upadhyay, Chairman Education Committee, MCD South said that a series of health educational activities are being organized for MCD school teachers.

In September this year in Dil Ka Darbar, 300 school teachers were trained in cardiac first aid and now in the forthcoming MTNL Perfect Health Mela, there will be a training of 300 school teachers on Health and Hygiene. These 300 teachers will be certified as trainers who in turn will train other school teachers and students. The training will be coordinated by Ryan Global School.

Hygiene is the most important part to be taught right at the primary school level. The components of hygiene include hand hygiene, personal hygiene, sleep hygiene, respiratory hygiene, food and water hygiene and sexual hygiene.

Hand washing done in proper way can prevent 80% of food and water borne diseases including diarrhea, typhoid and jaundice.

Respiratory hygiene involves correct way of coughing into the sleeves and not in the hands can prevent spread of rheumatic fever and flu. Water hygiene involves safe drinking water techniques. Unsafe water is responsible for most of the water borne diseases. Food hygiene involves following the principle of heat it, boil it, cook it, peal it or forget it.

 MCD South will also post its teachers and students in the mela on daily basis for acquiring knowledge about health. MCD Health Department will also be putting up dengue, malaria exhibitions and conduct health checkups.

 Following recommendations by heart care foundation of India were also released in the press conference:

 1.    All school children should be given deworming tablet albandazole once in three-six months.

2.    All school children should be given iron folic acid tablets once in a week.

3.    Hand wash technique involving six steps should be taught to every school child.

4.    Revival of heart technique learning should be compulsory for school teachers.

5.    Availability of safe water should be mandatory in school premises.

6.    Toilets in every school should be made hygienic.

The entry to the mela will be free. The mela will be a mix of exhibitions, checkups, competitions and infotainment.

Vandana Sharma Headmistress Ryan Global School said that the training program after the event will be hosted in YouTube.

MTNL Perfect Health Mela to focus on revival after sudden death

Every family member of a heart patient should learn the revival technique as it is possible to revive a person after sudden cardiac death provided compression only CPR is done within 10 minutes of the heart stopping. The formula of 10 means “within 10 minutes of death for the next 10 minutes compress the centre of the chest with a speed of 10x10=100 per minute”.

Addressing a press conference in Ghaziabad, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Dr. B.P. Tyagi, Convener, Heart Care Foundation of India said that in the forthcoming Perfect Health Mela being organized from 1st to 11^th November, 2012, the Foundation will train 10000 people in Compression Only CPR. And, 300 special dummies have been procured for practical training of these people.

Demonstrating the technique on a dummy, Dr. KK Aggarwal said that it is not always possible to reach the medical facility within 10 minutes of death.

The main Mela to be held at the Constitution Club of India will have competitions, exhibitions, workshops and seminars under one roof. Health education will be imparted through competitions and entertainment. Events like choreography, western dance and fashion shows will be utilized to communicate the health sutras to the general public.

Few health sutras released on the occasion were:

1. Foods of plant in origin contain no cholesterol.
2. Keep your lower blood pressure, fasting sugar, resting heart rate, bad cholesterol and abdominal circumference all lower than 80.
3. One should walk 80 minutes a day, brisk walk 80 minutes a week with a speed of more than 80 steps in a minute.
4. One should eat less than 80 gm or 80 ml of caloric food at a time and omit carbohydrates 80 days in a year.
5. One should not take alcohol more than 80 ml in a day and 80gm in a week.
6. One should do 80 cycles of pranayama in a day with a speed of 4 per minutes.

Entry to the Mela will be free.

19th Perfect Health Mela in November

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, New Delhi. Various activities will be organised at multiple locations, a week before the event.

Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that focus of the Mela this year will be “Prevention of Non-Communicable Diseases”.

Co-addressing the press conference, Mr A K Srivastav GM (Marketing) MTNL Delhi, Mr Deepak Chanduka, GM, MTNL Corporate Office, Dr N K Yadav MHO MCD South Zone and  Sr representatives from DHS, Dept. of Health & FW Govt. of NCT Delhi, NDMC and SAIL said that the Mela will be a unique opportunity for people from all walks of life to get preventive awareness about non-communicable diseases incorporating all pathies and using the medium of exhibition, checkups, competitions, workshops under one roof.

Ms Nalini & Ms Kamalini, eminent Kathak exponents, guests for the press conference, released the theme and logo of the event. A chart containing various activities was also released. The highlight of this year’s Mela will be a series of workshops of all pathies in non-communicable diseases. Ten thousand members of the public will also be trained and certified in compression-only CPR.

Delhi Transport Corporation will also run special buses for the various locations from Mela venue. Over 3000 school children, 1500 nurses and 1000 youth will participate in various events. Over 1000 cardiologists from all pathies, totaling 1000 will participate in various workshops.

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