DAILY SUMMARY AND ANALYSIS OF THE HINDU in Hindi 22 June,2017 Presented by Amit Baghel
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TB patients will need Aadhaar for benefits Tuberculosis patients, hospitals and healthcare workers availing cash assistance from the government will need to register with the Aadhaar database by August 31, according to the Union Health Ministry. However, Ministry sources claimed that no patient will be denied treatment on grounds that they do not have an Aadhaar card Background The scheme refers to the government's Revised National Tuberculosis Control Programme (RNTCP). Patients diagnosed with TB and availing treatment be registered with Nikshay a web-based application used by the authorities to track funds, treatment outcomes and health providers connected to the RNTCP. It is being implemented by State governments and Union Territory administrations via government health facilities and registered private health facilities across the country What if Aadhaar is not available? until the patient is able to provide an Aadhaar card, he or she can provide an Aadhaar enrolment number proof of registering for an Aadhaar, or in the event this is not available, the patient can provide other documents of identification, including a voter's ID, driving licence and pan card, to avail treatment. Cash assistance cash assistance to patients who are tribals, a transport allowance for patients with Multi Drug Resistant TB, private sector doctors who report cases and complete treatment for patients, and those who assist patients with taking the drugs, or DOTS (Directly Observed Treatment, Short Course) providers proposal to extend cash assistance to all patients. In spite of treatment being free, patients incur considerable expenditure on nutritional supplements to ensure they can benefit from the TB drug regimen Benefits of linking Aadhaar An Aadhaar number would also help avoid duplication as there were instances of the same people registering multiple times across various centres Aadhaar link could help hospitals better track their patients and help ensure that patients did not drop off midway during the six-month treatment.
Solar push could mean 3 lakh jobs by 2022 As part of its commitments to dealing with global warming, India has committed to installing 1,75,000 MW of green power by 2022. Of this, only 10% has been installed so far. Job Creation Generate employment for 3,00,000 new workers in renewable energy ( Solar & Wind) as per Council on Energy, Environment and Water (CEEW) and the Natural Resources Defense Council (NRDC). Ninety per cent of these jobs would be in the solar sector. Current Status both these industries employ around 21,000 people, But with a strong domestic manufacturing policy in place, another 45,000 could find indirect full-time jobs Seventy per cent of the new jobs would be in the labour-intensive rooftop solar segment, which tend to generate 'seven times more jobs" than large-scale projects such as solar farms Solar jobs would be distributed fairly evenly across the country, with a pronounced tilt in favour of Maharashtra and Uttar Pradesh However, wind jobs were likely to be concentrated in a few States that have high wind potential. > 80% of the new clean energy workforce will be employed during the construction phase. Also, since most of these jobs are in the rooftop solar PV segment, central and state governments must provide reater policy support to the rooftop sector
U.N. chief 'in touch' with PMs over LoC tensions Heart failure patients in India have higher mortality rate post-diagnosis: Study Indians have one of the highest rates of mortality after diagnosis of heart failure mortality after diagnosis of heart failure. U.N. Secretary-General Antonio Guterres Secretary-General Antonio Guterres :U, greater than that of people in several developing countries in the world, according to a study published in the The Lancet Global Health has been "in touch" with Prime Minister Narendra Modi and Pakistan Prime Minister Nawaz Sharif over tensions along the Line of Control (LoC) Research Data Heart failure patients in India had one of the highest mortality rates after oneyear of diagnosis at 23%. This was more than mortality rates of patients in Southeast Asia (15%), China (7%). Sou from countries in Africa had a higher mortality rate at 34%. The study also highlighted that heart failure patients in India, Africa and Southeast Asia were approximately 10 years younger than patients in the U.S. and Europe. Big concern? th America (9%) and West Asia (9%). Only patients However, given that there have been n substantive talks between the governments on Jammu and Kashmir as well as other issues, a number of countries have begun to express their concern over rising violence at the LoC and ceasefire violations by both sides Possible reasons Patients reached hospitals at a later stage of the disease, along with an associated high prevalence of risk factors such as diabetes and hypertension. India has maintained three conditions for resolving differences: dialogue, only Low permeance of medical insurance. only 19% of patients from India who werebiaral dialogue with no third party, and part of the study were insured, the lowest across countries. This meant that even after diagnosis, many patients dropped out of treatment. that talks and terror cannot go together Need for better health coverage Particularly in rural settings. Rural health setups in India are not equipped to handle non-communicable diseases such as diabetes, hypertension and heart failure, which need regular follow-up.
Editorial : The high cost of ageing The National Health Policy (NHP), 2017, is long on banalities and short on specifics. In a somewhat glaring omission especially sharply rising non-communicable diseases (NCDs) and disabilities Global Organization about India An estimate provided for the 2014 World Economic Forum suggests that NCDs may cost as much as $4.3 trillion in productivity losses and health-care expenditure between 2012 and 2030, twice India's annual GDP United Nations Population Division (UN 2011) show that India's population, ages 60 and older will climb from 8% in 2010to19%in 2050-By mid-century, their number is expected to be 323 million Declines in infant mortality and survival at older ages due to public health improvements. The key question is whether longer lives have translated into healthier lives. Evidence from IHDS survey Based on the India Human Development Survey (IHDS) 2015, the only nation-wide panel survey covering the period 2005-2012, throws new light on these issues. A major advantage of the panel survey is that the same individuals are years The prevalence of high blood pressure among the old almost doubled over the period 2005-12; that of heart disease other NCDs rose more rapidly (i.e. by two and a half times) A related question is whether multi-morbidity (ie. co-occurrence of two or more NCDs) also rose over this period. Often multi-morbidities occur non-randomly or systematically. The prevalence of high blood pressure and heart disease rose ore than twice while that of high blood pressure and diabetes nearly doubled. By age 60, the maior burdens of disability and death arise from age-related losses in hearing, seeing or moving and NCDs (WHO. 2015). Thus co-occurrence of disability and NCDs poses a higher risk of mortality
Editorial : The high cost of ageing Assessing disability An assessment of functioning in activities of daily living (ADLs) is one method widely used to assess disability in older persons Disability is usually measured by a set of items on self-reported limitations with severity of disability ranked by the number of positively answered items. Disabilities in ADL show dependence of an individual on others with need for assistance in daily life. In select disabilities, there is a sharp rise with age and over time. Difficulty in walking was 1.7 times greater in the age older group (70-plus years) Hearing difficulty was just under twice as high among the older group in 2012, To assess severity of disabilities, these are classified into counts of 1-4 and greater than 4. The proportion of old women was larger than that of males in both groups and years. At the aggregate level too, disabilities grew in both groups, especially in the group greater than 4. Thus both prevalence and severity of disabilities rose during 2005-2012. As observed earlier, it is the co-occurrence of NCDs and disabilities that is more likely to be fatal. We find that in most cases there was an increase Way Forward In brief, that the curse of old age has become worse is undeniable. Along with expansion of old age pension and health insurance, and public spending on programmes targeted to the health care of the old, careful attention must be given to reorient health systems to accommodate the needs of chronic disease prevention and control by enhancing the skills of ealth-care providers and equipping health-care facilities to provide services related to health promotion, risk detection nd risk reduction.
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