Monday, 23 April 2012

WORLD MENINGITIS DAY

Increase in Meningitis Fatalities a cause for concern say Experts
Health Organizations around the world to observe World Meningitis Day


Mumbai, April 17, 2012:  Every year on World Meningitis Day, health organizations all over the world come together to warn the public about the dangers of meningitis and encourage prevention through vaccination. The World Meningitis Day falls on April 24.

Instituted in 2009 by the Confederation of Meningitis Organizations (CoMo), World Meningitis Day aims to bring medical experts, survivors and parents from around the world to raise awareness about meningitis. 

On the occasion of World Meningitis Day, the Indian Academy of Pediatrics (IAP) seeks to alert the parents about the impact of pediatric infectious diseases and highlight the benefits of vaccination in preventing avoidable deaths from such diseases.

Meningitis is the inflammation caused by a viral or bacterial infection, of the membranes surrounding the spinal cord and brain. While viral meningitis heals on its own, bacterial meningitis has the potential to get acute without timely intervention. Those most at risk are children under the age of five.

Acute bacterial meningitis strikes with little or no warning and can be fatal making it  a medical emergency that requires aggressive therapy. Initial symptoms of bacterial meningitis include sudden onset of fever, headache, stiff-neck, dislike of bright light, nausea, vomiting and drowsiness. Laboratory tests in addition to the initial clinical signs of meningitis are important for early diagnosis in order to avert the acute stage of meningitis. Those who survive often suffer from irreversible brain damage, mental retardation, epilepsy and deafness.

Infectious diseases such as Meningitis, Pneumonia, Diphtheria and Pertussis kill many children in India and around the world. Over the years, the Indian Academy of Pediatrics (IAP) has been spreading awareness about infectious diseases that affect children.

Dr. -------------- says, “Infectious diseases like meningitis and pneumonia attack infants because of their low immunity and can prove fatal if not diagnosed and treated on time.” Pneumococcal conjugate vaccine that protects children from 13 disease-causing strains and vaccine for haemophilus influenza type b (Hib) are both available in India.

A study of 26 pyogenic (pus producing) meningitis patients at the Christian Medical College, Vellore, showed that 69% of them were pneumococcal; 27% were Hib and 4% were N. Meningitis.

Dr. …….says, “In spite of the appropriate use of antibiotics, the mortality rate due to acute bacterial meningitis has been noticeably high in India (16-32%). Increasing incidence of antibiotic resistance also underscores the importance of prevention through vaccination.”


For further information on Meningitis, please visit:



Thursday, 5 April 2012

DO WE NEED A LACTATION CENTER AT ALL??


Hi!!!!!!!!!!!!!!
I never knew I will be asked this question. As a matter of fact, I started MILC center (our Lactation Center) as I felt there was a need for such a center. So I was  taken aback when a good friend of mine asked me why our society needs lactation centers? The person asking me the question did not have the opportunity to see the variety of problems faced by lactating mothers. 


 Talking about problems in  a conservative and breastfeeding friendly society made me wonder - Are problems not there or are we just sweeping them under the carpet and claiming to be a breast-feeding friendly society, hospital and center.


Feeding problems exist. They are common. Many are minor issues. If corrected early by simple guidance and support they would not spiral into a major lactation failure. Some issues are major and need specialist guidance from day 1.


My friend shot back- We never had these during those days. So are these problems more frequent these days? Or is it because we are copying the western culture and tending to look at breast feeding as a choice for the mother rather than as right of the child?


Now I knew she was  listening. She was just waiting to be convinced. So I strategically answered the question.
  • Yes- More and more mothers are ready to discuss these problems as they feel empowered to do so. 
  • I feel that most mothers do feel breast feeds are the babies right. They understand the advantages of breast feeding. Hence we seldom have to convince mothers regarding this. But most mothers want a definitive evidence that their baby is adequately breastfed. There are a few objective signs which we do explain. But due to social pressure and anxiety they often develop self doubts leading to wrong conclusions, decisions and inappropriate actions. These mothers need that extra- effort from the health care system to keep them in right tract. This is provided by the Lactation consultant now. 
  • With improved antenatal care and infertility centre growing rapidly, more and more mothers with medical disease conceive. These pregnancies have higher rate of complications making establishment of breast feeding early difficult,leading to problems. These mothers benefit a lot from lactation consults.
  • Preterm care has taken large strides. These babies often require special feeding techniques and appropriate transition to breast feeding at later date which can be achieved only if a lactation consultant is involved in the team.
  • Thus I don't think the problems are just a mimic of the western world. we have our own unique problems and we need to address these issues rather than turning a blind eye to these.  
Madam friend was convinced!! What started as an argument turned into an educating discussion for her. Still I need to share some evidence with her. Will do so with you all in the future.


Authored by: Dr.S.Subramanian. M.D