Tuesday, August 11, 2009

Private hospitals reluctant to join battle against H1N1

NEW DELHI:

NEW DELHI: Despite Union health minister Ghulam Nabi Azad’s virtual threat on Tuesday to private hospitals being clear — start isolation wards for the treatment of H1N1 swine flu patients or face legal action under the Epidemic Diseases Act, the private sector hospitals, which control 70% of the country’s health infrastructure , continue to be reluctant to pitch in.

They have cited a number of ‘‘ justifications’ ’ for their reluctance, including the absence of isolation wards, common air-conditioning as well as the doubtful revenue model . In turn, this has triggered anger in the government which feels that these hospitals were quick to seek concessions like cheap land but very slow to react to an unexpected medical emergency.

Delhi chief minister Sheila Dikshit called an emergency meeting of city private hospitals . Barring Max and Batra hospitals, all of them showed little eagerness to treat H1N1 patients and trotted out excuses . Two private pathological labs who were also called for the meeting, were said to be willing to carry out tests.

Dikshit described the meeting as a ‘‘ stock-taking exercise to evaluate the capability and infrastructure of private hospitals and to what extent they were willing to help us deal with the pandemic. Once the Centre issues guidelines we will draw up a plan to rope in private hospitals.’’

Speaking to TOI, a Union health ministry official said, “Private hospitals have no choice. States will identify the hospitals with the capacity to have a large isolation ward. It’s just a backup. What if the government’s infrastructure gets saturated? Don’t private hospitals have any responsibility towards the people?’’

The labs said they already have the golden Real Time PCR H1N1 testing kits. However , they wanted a relaxation of the rules. “According to the present stipulation, only bio safety level-II plus labs can test samples for H1N1. We have BSL II labs. The government should consider them good enough for testing.”

The government was not interested in setting charges for private hospitals. An official said, ‘‘ It’s up to private hospitals what they charge. But they should at least provide the facility for those who want to go to a private hospital.’’

ET

‘Tamiflu can have bad side-effects on children’

Consumers

Consumers in India will soon be able to buy anti-flu drug oseltamivir (marketed as Tamiflu by Swiss company Roche) from retail stores, with the government planning to lift the ban on retail sales. However, researchers at Oxford University have questioned the safety of the drug for children. They found in a study that it caused vomiting, dehydration and other complications in about 5% of cases among children aged between one and 12 years.

While the drug provided a small benefit by shortening the duration of illness in children with seasonal influenza and reducing household transmission, it was found to have little effect on asthma flare-ups, says the study published in British Medical Journal.

Researchers have clearly said that the harmful effects of Tamiflu and Relenza — another commonly used anti-viral drug — far outweigh their benefits and the results found for seasonal flu would apply for H1N1 too. The way out, they say, is to limit Tamiflu use, especially in children, to serious cases.

Indian doctors say this is the latest in a long series of questions raised about the H1N1 ‘‘wonder drug’’. Earlier, another study had reported that Tamiflu caused nausea and nightmares in children.

Said AIIMS professor of medicine Dr Randeep Guleria: ‘‘There have been other reports. In Japan, it was found to cause neuro-psychiatric manifestations like suicidal tendencies in patients. The drug’s literature, I believe, mentions this. That’s why we have been constantly warning against indiscriminate use.”

ET

Drought looms large, but don’t panic: Mukherjee

NEW DELHI, Aug 11: The spectre of drought looms large over as many as 161 out of 626 districts in India due to deficient monsoon, Finance Minister Pranab Mukherjee said here on Tuesday, but asked citizens not to panic. “One hundred and sixty one districts have been declared drought-prone. As far as sowing is concerned, 20 per cent would be down,” Mukherjee told reporters on the margins of an annual conference with officials of the income tax administration.
“Monsoon situation is still erratic,” he warned, but added: “But there is no point of pressing the panic button. You all will go and start chanting drought, drought, drought and it will have an adverse impact.” Mukherjee said Punjab and Haryana - two most important states for food output - were fortunate since they use groundwater extensively, even as Bihar and Uttar Pradesh were facing shortage of water. Nearly 60 per cent of India’s farm sector is dependent on monsoon rains between June and September, but this year has witnessed one of the driest spells in eight decades, as per the Indian Meteorological Department. The met department said the average monsoon rainfall has been deficient by 25 per cent in the country for the monsoon period June 1 to August 5. The shortfall has been far higher in traditional breadbasket states like Punjab and Haryana. “We have a contingency plan,” said the finance minister, indicating measures such as allowing import of food grain, continuing with the ban on exports and asking state-run agencies to buy more stocks from the open market. The deficient rains have already resulted in prices of essential commodities go through the roof, with tur dal, a lentil native to India and part of the staple diet, costing over Rs 100 a kilogram in several states.

India seeks foreign investors for $20.6 bn road projects

India seeks foreign investors for $20.6 bn road projects
Date : Aug-11-2009 11:17

The government will hold a road show in Zurich, Switzerland, in order to attract the foreign investment for the road projects in India. The road show will seek investors for 135 road projects with an estimated cost of $20.68 billion, a government statement said Monday.

The show, being organised in association with the Confederation of Indian Industry (CII) as well as ICICI Bank, JM Financial Consultants and Swiss-Indian Chamber of Commerce and this will be inaugurated by Road Transport and Highways Minister Kamal Nath. Last month, the government has done a road show in Singapore.

On the top of this, Nath added "I am also planning to re-consider the termination clause of the project so that more investors can come,".

As per government estimates, the road sector entails an investment of about $70 billion by 2012. Out of this, around $41.05 billion is expected to be from the private sector participation while $10 billion is likely from foreign investors