Health Impacts of Mass causality

Health Impacts of Mass causality Incidents

Mass causality incidents can also affects the heath care personals police forces and the public which witnesses the incidents directly or through telecast.

The impacts may be last for short perid of time or for long term. The health  effects can be acute subacut  or it may be a chronic one. Most of the effects, in this people are mind related and even may have mental and physical fatigues. Some time chance of acquiring hepatitis and HIV viral infections while handling the injured people at the site of the incidents are also possible. Rarely these people are affected by chemicals and radiations at the site of the mass casualty  when these agents are used for the act for the incidents

RADIO TALK Dr. M.A.Aleem Former vice principal HOD and Professor of Neurology is talking on Neuro Problems in All India Radio Tiruchirappalli Medium Wave 936 and which will be broadcast from 1.11.2017 to 6.11.2017 at 7.40AM .

World Stroke Day 2017 :‘Prevent stroke through lifestyle changes’ -Trichy The Hindu 30.10.2017 English News Daily from Tamilnadu India

The Hindu Tiruchi 30.10.2017

TAMIL NADU

‘Prevent stroke through lifestyle changes’

SPECIAL CORRESPONDENT

TIRUCHI, OCTOBER 30, 2017 00:00 IST

UPDATED: OCTOBER 30, 2017 04:48 IST
Neurologists stress healthy habits
Two per cent of hospital admission and 20% of neurological admission account for stroke patients in Tiruchi district, according to statistics maintained by the medical community here.
Iischemic stroke (clogging of blood vessels within) has been found to be much more at 69.69% compared to hemorrhagic stroke (rupture of vessels causing blood to leak into the brain) at 27.27%, M.A. Aleem, president, Tamil Nadu-Puducherry Association of Neurologists.
The association members have been sensitising patients to the causes and prevention methodologies over the last few days in connection with the observance of World Stroke Day on October 29.
Their main emphasis is on making life style changes for prevention. “Know your personal risk factors: high blood pressure, diabetes, and high blood cholesterol. Be physically active and exercise regularly. Maintain a healthy diet high in fruit and vegetable and low in salt to stay in a healthy state and to keep blood pressure low. And avoid alcohol consumption and smoking,” said Dr. Aleem who is also former Vice-Principal and former Head, Department of Neurology, KAPV Government Medical College.

"Further, diet is one of the important factors for prevention of stroke, because we eat three times a day. Salt intake must not be more than five grams a day for an adult and much lesser for a child since it increases blood pressure and risk of stroke. Much of the salt we eat is in everyday foods such as bread, sauces, cheese and processed meat, as well as salt added at the table and during cooking”, Dr. Aleem cautioned.
High intake of fruits and vegetables helps in preventing stroke with their high levels of potassium, antioxidants, phytochemicals, and dietary fibre that prevent cardiovascular risk factors.
Another important fact is that individuals engaged in physical activity have a 25-30% lower risk of stroke than inactive individuals. Adults need to engage in at least 150 min per week of moderate-intensity or 75 minutes per week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate and vigorous-intensityv aerobic activity, he said.
Though common risk factors for stroke in the district population have been found to be hypertension, tobacco use, diabetes, anaemia, stress, post partum blood clotting in brain in women, head injury, snake bite, and scorpion bite, not many know that 90% of strokes are linked to 10 avoidable risks, he said.

Look for warning signs: sudden numbness or weakness of the face, arm or leg, especially on one side of the body; sudden confusion, trouble speaking or understanding; sudden trouble in seeing in one both eyes; sudden trouble in walking, dizziness, loss of balance or coordination; and sudden, severe headache with no known cause, Dr. Aleem said, adding: "If you notice one or more of these signs, don’t wait. Stroke is a medical emergency. Call your emergency medical services 108 and get to a hospital right away."

World Stroke Day 29.10.2017 article in Trichy Dinamalar

World Stroke Day 2017 October 29th - Dr. M.A.Aleem Neurologist Trichy releses Public information booklet on Stroke Prevention

Chaired a session on Medical Litigation in K.S. endowment CME at Thanjavur on 28.10.2017

World stroke day 2017 article by Dr M.A.Aleem President Tamilnadu Pondycheery Association of Neurologist (TAN) in Tamil Hindu on 28.10.2017

World stroke day 2017 article by Dr M.A.Aleem President Tamilnadu Pondycheery Association of Neurologist (TAN) in Tamil Hindu on 28.10.2017

Vinayagar parisu tiruvizala Trichy

Received and welcomed our Tamilnadu honorable Chief Minister Edapadi Palanisamy came for our District Dr.M.G.R. centenary function Trichy on 26.10.2017 news in Tamilmurasu on 26.10.2017

Received and welcomed our Tamilnadu honorable Chief Minister Edapadi Palanisamy came for our District Dr.M.G.R. centenary function Trichy on 26.10.2017 news in Dinakaran on 27.10.2017

Dr.M A.Aleem Participated as Chief Guest and distributed the Prizes for the winners in " Vinayagar Parisu Tiruvza" competition contacted by Trichy Dinakaran and Sun TV in a function on 26.10.2017 along with Trichy Dinakaran General Manager S.Kudpudeen , Editor Rajaswarn and Tamilmurasu Editor Umasankar and chief Reporter Surash .

At District Dr.M.G.R. centenary function Trichy 26.10.2017

At District Dr.M.G.R. centenary function Trichy 26.10.2017

Barcelona 2017

32nd IEC Barcelona 2017

Blue Mosque Istanbul Turkey

Drawing by Rifaya 22.10.2017

#natharvalidargha Trichy #incridibleindia

#Srirangam Rajagopuram with river cauvery #incredibleindia

Social media a cause for self harm . Aleem. M.A. BMJ 2017;359:j4351

BMJ

Research

Incidence, clinical management, and mortality risk following self harm among children and adolescents: cohort study in primary care

BMJ 2017; 359 doi: https://doi.org/10.1136/bmj.j4351 (Published 18 October 2017)

Cite this as: BMJ 2017;359:j4351

Rapid responses

Re: Incidence, clinical management, and mortality risk following self harm among children and adolescents: cohort study in primary care

Recently, social media have become an important cause of self harm and self inflicted injuries in children and adolescents.

Competing interests: No competing interests

20 October 2017

M.A. Aleem

Neurologist

ABC Hospital

Trichy 620018 Tamilnadu India

@drmaaleem

Diwali 2017 October 18 Trichy

Dengue management in The Hindu Trichy on 18.10.2017

The Hindu Trichy on 18.10. 2017

Platelet deficiency is not the cause of death, say doctors

R. Krishnamoorthy
TIRUCHI,

OCTOBER 18, 2017 00 :00 IST

UPDATED: OCTOBER 18, 2017 04:33 IST

“Primary cause of death is capillary leakage”

Medical fraternity here have been reaching out to the public with the assurance that dengue patients can effectively be nursed back to health and that there was no need for undue anxiety.

The scenario of people running around in search of platelets for transfusion is all too common in the corridors of the hospitals. However, contrary to the perceptions, platelet deficiency is not the cause of death of people suffering from dengue.

The primary cause of death in patients suffering from dengue is capillary leakage, which causes blood deficiency in the intravascular compartment, leading to multi-organ failure, M. A. Aleem, Neurologist, and former Vice-Principal of KAP Viswanatham Government Medical College, said.

According to International guidelines, if a patient’s platelet count is below 10,000, and there is spontaneous, active bleeding, platelet transfusion is required.

“Most people do not realize is that the first line of treatment for dengue is not platelet transfusion. It, in fact, does more harm than good if used in a patient whose counts are over 10,000,” he said.

Fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the patient passes adequate urine. This is all that is required to treat the patient.

Giving unnecessary platelet transfusion can make the patient more unwell, Dr. Aleem explained.

Common symptoms of dengue include high fever, running nose, a mild skin rash, cough, and pain behind the eyes and in the joints.

However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc. Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids.

Uninhabited plots require attention. Stagnation of water in such plots in the midst of weeds pose danger to the health of residents, according to R. Ganesan, a resident of Tiruvanaikoil

Though the civic body has been spraying pesticides at water stagnation points, the onus is as much on the public to prevent breeding of the aedes aegypti mosquitoes, doctors say.

According to Health Department officials, all hospitals have been apprised of the WHO protocols in providing care to dengue patients.

Dengue management

http://www.thehindu.com/todays-paper/tp-national/tp-tamilnadu/platelet-deficiency-is-not-the-cause-of-death-say-doctors/article19880233.ece

Sir wish you your family a happy DIWALI- Dr Aleem neurologist abc hospital trichy

Madhura

Taj Mahal

Moscow

White House Washington

Amsterdam

Frankfurt Germany

Frankfurt Germany

Trichy has lost a dedicated journalistic personality Dinamalar Thiru R.Ragavan on 10.10.2017. Dr Aleem has given his last respect , condolences and prayers for his soul rest in peace

நீயல்லால் தெய்வமில்லை

பாடியவர்: சீர்காழி கோவிந்தராஜன்
இயற்றியவர்: உளுந்தூர்ப் பேட்டை ஷண்முகம்

நீயல்லால் தெய்வமில்லை எனது
நெஞ்சே நீ வாழும் எல்லை முருகா
நீயல்லால் தெய்வமில்லை எனது
நெஞ்சே நீ வாழும் எல்லை முருகா
நீயல்லால் தெய்வமில்லை எனது
நெஞ்சே நீ வாழும் எல்லை முருகா
நீயல்லால் தெய்வமில்லை
முருகா முருகா முருகா
தாயாகி அன்புப் பாலூற்றி வளர்த்தாய்
தந்தையாய் நின்றே சிந்தை கவர்ந்தாய்
தாயாகி அன்புப் பாலூற்றி வளர்த்தாய்
தந்தையாய் நின்றே சிந்தை கவர்ந்தாய்
குருவாகி எனக்கு நல்லிசை தந்தாய் ஞான
குருவாகி எனக்கு நல்லிசை தந்தாய்
திருவே நீ என்றும் என் உள்ளம் நிறைந்தாய்
திருவே நீ என்றும் என் உள்ளம் நிறைந்தாய்
நாயேனை நாளும் நல்லவனாக்க
நாயேனை நாளும் நல்லவனாக்க
ஓயாமல் ஒழியாமல் உன்னருள் தந்தாய்
ஓயாமல் ஒழியாமல் உன்னருள் தந்தாய்
நீயல்லால் தெய்வமில்லை எனது
நெஞ்சே நீ வாழும் எல்லை முருகா
நெஞ்சே நீ வாழும் எல்லை

வாயாரப் பாடி மனமார நினைந்து
வணங்கிடலே என்தன் வாழ்நாளில் இன்பம்
வாயாரப் பாடி மனமார நினைந்து
வணங்கிடலே என்தன் வாழ்நாளில் இன்பம்
தூயா முருகா மாயோன் மருகா
தூயா முருகா மாயோன் மருகா
தொழுவதொன்றே இங்கு யான் பெற்ற இன்பம் உன்னைத்
தொழுவதொன்றே இங்கு யான் பெற்ற இன்பம்

நீயல்லால் தெய்வமில்லை எனது
நெஞ்சே நீ வாழும் எல்லை முருகா
நீயல்லால் தெய்வமில்லை
முருகா முருகா முருகா

Water flowing Cauvery at Trichy 11.10.2017

My heart felt condolences for the loss of our Trichy Dinamalar Ragavan sir today. Praying for his soul rest in peace. Trichy lost a Diamond in the paper media world

Restrict use of Firecrackers in Tiruchi The Hindu Readers Mail on 10 10.2017

Health is Important Than Crackers

Health is Important Than Crackers

-Dr.M.A.Aleem

  Former Vice-Principal

  KAPV Govt. Medical College. 

 Trichy.

 Consultant Neurologist and             

 Epileptologist

 ABC Hospital

 Trichy Tamilnadu India

With the one of the grandest festival of India “The Diwali” at our doorsteps, we are also getting close to the noisy and polluting crackers. These fire crackers not only cause Air Pollution but also cause Noise Pollution. Crackers are injurious to senior citizens and children’s health.

Crackers not only are injurious to humans but also for other beings such as, animals and birds. Animals whose ears are more sensitive such as Dogs and Cats get afraid and often lose their hearing ability. These problems are also faced by us and these crackers often lead to temporary or permanent deafness.

Hence it is advised to you all to encourage a crackers free Diwali. So, here are some adverse effects of crackers on health.

Air Pollution

Air pollution takes the first position when it comes to the adverse effects of crackers on health. According to articles across the internet, air pollution goes up by 50% during Diwali in India. Air pollution leads to respiratory illnesses such as Asthma, Bronchitis and other Lung problems. Hence, it is advised to avoid crackers to avert the hazards of air pollution on our health.

Smog

Effects of crackers on healthThe pollution thus caused due to crackers also leads to Smog (Smoke + Fog). Smog is not only injurious to health but also causes problems during night driving as it obstructs our view. Smog can occur if there is no wind or rain within 2-3 days from such special occasion. Smog also leads to health problems such as skin burning and Lung Cancers. Hence, Smog is one of the most adverse effect(s) of crackers on health.

Global Warming

The Oxides and Dioxides of Sulphur and Nitrogen are released during the burning of crackers. These are very much harmful to human health and also to the environment around us. These gases are also known as the “Green House Gases” which not only aid in the rising temperatures across the globe but also in the depletion of Earth’s protective shield “The Ozone Layer” which might be hazardous to the living beings around us as they will be directly exposed to Sun’s harmful radiations. Hence Crackers cause Global warming and Global warming has adverse effects on our health.

Noise Pollution

Noise pollution is as dangerous as the Air pollution. Noise pollution is also one of the leading adverse effects of crackers on health. It not only affects the Human Beings but also the animals around us such as cats and dogs as they have Ears that are more sensitive than the Humans. Noise pollution caused by crackers might also lead to temporary or permanent deafness.

Injuries & Wounds

Crackers are not only injurious to health but can also cause injuries to the individuals, especially to the children. If crackers are not fired properly they might cause wounds on the parts of body which is exposed to them. In many cases, Children have lost their lives or have lost their eyesight by not litting the crackers properly. Hence, it is one of the most adverse effects of crackers.

Garbage Disposals

After Diwali the main problem that comes to our sight is the Garbage lying on the roads. This garbage is chemical hazardous garbage that is very difficult to dispose off as it might affect the people’s health who live near these disposal areas of the cities. another adverse Effects of crackers on health is that Many firecracker factories and industries in India dont impose security measures and make people work in factories without any safety measures. These chemicals get exposed to their skin, eyes, lungs and increase toxic levels in the body. Many studies have shown that continuous exposure to such hazardous chemicals can lead to impairment or even impotency leading to birth of unhealthy babies.

Additional Health hazards

Crackers are not only injurious to elderly citizens and children but also to the pregnant women. There have been many cases across the globe where the pollution has lead to Miscarriage in pregnant women. Hence pregnant women are advised not to leave their homes when the bursting of crackers is at its peak. Miscarriage is one of the most adverse effects of crackers on health. Other than this, many children are exploited and made to work in firecrackers factories. These children get exposed to harmful chemicals which hinders their growth or even increases toxic levels in their bodies.

Fire and loss of lives

During Diwali there are always headlines in the National Newspapers that some house/workshop has been a prey to fire due to crackers and many people lost their lives. Hence fire crackers not only injure us but can also kill us. Hence Fire is one of the most adverse effects of crackers on health and our lives too.

Harmful Effects of Crackers & Fireworks

simple sparklers have given way to elaborate fireworks that can light up the entire sky above your home. Unfortunately the fumes that these crackers produce are harmful to the the environment and us.

Copper: Causes irritation in the respiratory tract.

Cadmium: Reduces the oxygen carrying capacity of blood, leading to anaemia.

Lead: Lead in the body has a harmful effect on the nervous system.

Magnesium: Magnesium fumes cause a condition known as metal fume fever.

Zinc: Causes metal fume fever and also induces vomiting.

Sodium: Sodium is a highly reactive element and combines with moisture to cause burns.

i) The SPM (suspended particulate matter) levels rise to a large extent during Diwali. 
It can cause throat, nose & eye related problems which can later develop into adverse health hazards. 
It can lead to headaches & reduced mental acuity when it reaches the level of 100 ppm. 
It has much more severe effects in people with heart, respiratory or nervous system disorders. 
It can aggravate problem for people suffering from cold, allergies or coughs and can also cause congestion of throat & chest.

ii) Increase amount of noise has harmful effects on animals as well as humans. Standard decibel level for humans is 60 dB. 
Increase in the decibel level can lead to: 
Restlessness 
Temporary or Permanent Hearing Loss 
Fidgetiness 
High Blood Pressure 
Anger 
Heart Attack 
Sleep Disturbance 
Impulsiveness 
Can lead to withdrawal behaviour or hyperactivity in pregnant women, children & those suffering from respiratory problems.

iii) Fireworks can also cause health problems like:
Chronic bronchitis 
Common Cold 
Allergic Bronchitis 
Bronchial Asthma 
Sinusitis 
Chronic Obstructive Pulmonary Diseases (COPD) 
Ephysema 
Rhinitis 
Pneumonia 
Laryngitis

iv) It results in smog which can reduce visibility thereby leading to accidents as well as is toxic if inhaled. 
- It is said that one big firecracker like "1000 walas" and "hydrogen bombs" can produce up to 250 cc of smoke. 
- It can also cause water contamination and acid rains. 
- It results in air pollution that creates carcinogenic sulphur compounds and airborne arsenic effect.

v) Use of "rockets" near houses gives rise to many injuries each year. There is no law pertaining to the same.

vi) Harmful effects of fireworks displays: 
- Green light produced in fireworks displays comes from Barium that is radioactive and poisonous. 
- Blue colour produced from copper compounds comes from dioxins linked to cancer. 
- Different effects are produced by using different chemicals that are linked to a host of health and respiratory problems.

Therefore it’s a humble request to everyone to avoid crackers on Diwali or any other special occasion as its just equivalent to burning money. One can also celebrate it by having a get together with relatives and friends and sharing light and warm moments with them. Avoiding crackers will also protect your loved ones and will bring the family together during such occasions.

Effects of crackers on health are adverse and can lead to injuries or even loss of life. Celebrate this Diwali-2017 by meeting people, sharing sweets, having dinner together or playing social games doing so increases human bonding and makes everybody happy and keeps everybody out of danger.

Dengue Prevention Day at Thuvarankurichi Trichy District Tamilnadu India 5.10.2017