INTRODUCTION
1. This is a virus human DISEASE.
Kills numerous at EASE
Post pubertal entering into ‘depth’ AFFECTED.
All extra-maraital / personal intimacy INFECTED
HISTORY
2. History of HIV infection is amazingly CHILLING
Positive sero conversion discovered THIRILING
From a blood sample of the year 1947
So the age of the culprit virus is at least years 57.
3. First noticed from immuno-compormised African HOMOS
Undergoing Chemotherapy at HOMES.
Pneumocystis corni and KAPOSI-SARCOMA.
Found together as flower and AROMA
4. HIV discovery established IN 1984.
In the age group of 14 TO 44 WITH SYMPTOMS FOUR.
Kaposi-sarcoma, T-cell reduction in DEPTH.
Opportunistic infection and ultimate DEATH.
5. What does HIV mean In ANALOGY?
H stands for Human in ANTHRAPOLOGY
I means Immune deficiency in MICROBIOLOGY.
V for virus in the science VIROLOGY.
6. ‘Acquired’ - contracted through source EXTERNAL.
‘Immune’ - Body’s defence from source INTERNAL
‘Deficiency’ - lack or reduction or ABSENCE.
‘Syndrome’ - group of signs, symptoms PRESENCE.
7. Place of origin of HIV is African CONTINENT.
Spread is via multiple points PERTINENT
Syninges, needles, blood, tatooing PERFUSED & ABUSED
Most important is ‘secret (private) cells’ USED.
8. In congenital protective protein is ABSENT.
In acquired, HIV Killing T-cells is PRESENT.
T-cell is important for Body’s DEFENCE
Its absence causes infection in ABUNDANCE.
9. Organisms invasion is nature’s law is ANOMALY.
Different for different species of ANIMALS ONLY
Organisms have species specificity LIMITED
But when rule broken, devastation is UNLIMITED.
10. What is essence of these two on FINE TUNE.
Poor defence leading to infection OPPORTUNE.
In Congenital it is absence of a GLOBULIN.
In Acquired it is HIV throughout GLOBE-IN
HIV-VIURS TRANSFORMATION
11. This is true in transformation of HIV.
Simian (monkey) immune deficiency virus is SIV.
When SIV enters human, it becomes HIV I.
Killing white cells almost leaving NONE.
12. Monkeys don’t eat MONKEYS.
But chimpanzees hunt for only MONKEYS.
Some humans eat chimpanzee MEAT.
Thus virus transformation COMPLETES.
13. Siv Cpz (chimpanzee Virus) enters HUMANS.
This Zoonosis transforms to HIV ONES.
Another animal is sooty mangabeys in W.AFRICA.
This SIV becomes HIV II entering humans even in NON-AFRICANS
14. When HIV & HTLV contracted through “ILIACS”
Especially through transfusion in HEAMOPHILIACS
Aids may become more possible and FIRM.
Western blot, Immunoassay are tools to CONFORM.
15. HIV colonises at point of ENTRY.
Omnipotent in blood tissues like SENTRY
Placenta IN infected pregnancy is TRANSFORMER.
Identifies embryopathy as INFORMER.
HIV-INCUBATION
16. Perinatal incubation is 6-36 MONTHS.
Foetal virus isolation in pregnancy after 4 MONTHS
Post Transfusion incubation is 2 years in PEDIATRICS.
The same is 5-18 yrs in GERIATRICS.
17. HIV’s transport vehicle is infected MONOCYTE
The destination point is CNS ON SITE
Leading pulmonary macrophages INFECTED.
Pneumocystis carni / interstitial pnueumonia develop UNAFFECTED
MODE OF SPREAD OF HIV
18. Spread of HIV by intimate physical CONTACT.
The ‘exchange’ is via red and white fluid passing INTACT
Essence of Microbiology is presence of BODY CELLS.
Deeper muscles / fluid secretions provide MICROSPOIC CELLS.
19. Hepatitis B virus is dangerously AWFUL.
HIV is Ten times Les POWERFUL
Hep N can enter through needle INJURY
But HIV entry often after ‘muscles’ get MERRY
20. Causative agent is electron MICROSCOPIC
Point of body entry is often MACROSCOPIC
Human desire is via muscular ENDSCOPIC
Virus Lives a distance deeper and PROCTOSCOPIC
21. HIV II is less dangerous than HIV I.
Both coextist in certain death in HIV I.
Uncommon death weast africans HIV II.
But Both Spread by via naturalis is TRUE
22. HIV is in Africa and US PREVALANT
Birth place of I and II are Africa DIVALANT
HIV II is more common in WEST AFRICA.
Only to spread to Brazil, UK & N-AMERICA.
23. ‘X Active’ Men (70%) are like HONEY BEES.
Thus Happens ‘Pollengrain’ TRANSFER.
‘X Active’ Women (30%) ‘X Workers, are LIKE FLOWERS.
‘Samething’ Happens in HIV TRANSFER
24. Haiti & Hawaii Have HIV in ABUNDANCE.
Unchecked Blood Transfusion (5%) another HINDERANCE
Mother to Child Vertical Transmission 5-10% Hence.
Any AIDS Secretions / Body Fluids Spreads HIV SINCE
HIV VIRUS ITS CHARECTERISTICS
25. Killed readily by HEAT.
Otherwise remains alive life long very NEAT.
Though incubation maximum is SIX YEARS.
Progression to Aids faster without ARREARS.
26. Acetone, Ethanol, Beta PROPIOLACTONE.
Inactive HIV virus to ATONE
‘Hot cone ice’ is vibrant for infection ACTIVITY
Yet another modality for spread in CAPTIVITY.
27. All that glitter are not GOLD.
All HIV don’t cause AIDS to be BOLD.
But all AIBS are due top HIV ONLY.
AODS is a Killer disease CERTAINLY.
28. Namakkal and Chennai have HIV HIGHEST.
Even school children are affected MODEST.
Gravity of situation WORSENING
Government is engrossed in pointless PLANNING
29. When HIV enters blood it is infection ONLY.
It by itself is not a disease TRULY.
When virus produces symptoms of DISEASE
It is AIDS’ problem with no SOLACE
30. HIV with symptoms of AIDS.
Always deteriorates with virus RAIDS.
Diagnostic Confirmation is final and LAST.
Lies in the patients when breathings LOSt.
31. HIV differs from other INFECTION
In its multifacted PRESENTATION
Important aspect in new PRODUCTION
Is constant mutogenic strains of REPRODUCTION
32. After HIV hep B was trouble SHOOTER
Outcome of both remain HOTTER.
Luckily hep B vaccine DISCOVERED
But mystery of HIV remain UNCOVERED.
33. An imprtant thing is Respiratory SIGN.
Hand in gloves is AIDS and TB FINE.
Either singularly or with other ILLS.
TB in AIDS is like primary complex in MEASLES.
34. Defence crakes and breaks in MEASLES.
In AIDS it is shattered to PIECES.
TB may affect not essentially only LUNGS.
Other organs are not out of BOUNDS.
35. A Syndrome consists symptom COMPLEX
Not unique to any disease to PERPLEX.
Many diseases have fuatures SIMLARITY.
‘Secret hide outs’ nurtures agents in UNIFORMITY.
36. Symptoms vary from fatigue FEVER
Malaise and night sweats EVER.
Weight loss, pain and PYORRHOEA.
Always omni present is DIARRHOEA.
37. Signs are not UNCOMMON.
Lymphadenopathy and wasting EVEN.
Oral leukoplakia, SPLENOMEGALY,
Perianal herpes and ORGANO MEGALY.
38. Poor growth, failure to THRIVE.
Interstitial pneumania and hepatomegaly ARRIVE.
Systemic / pulmonary signs dominate AMERICA.
Diarrhoea, inanition, wasting predominate AFRICA.
39. Patulous lips and Triangular PHILTRUM.
Box forehead and short nose ANTRUM.
Oblique eyes and long palpabral FISSURE.
Facial signs of pediatric AIDS AT LEISURE
40. `What are the AIDS signs?
Prolonged diarrhoea, fever, vomiting, PAINS.
Problematic coughs, kaposi sarcoma GROWTH.
Conventional treatment failure is TRUTH.
41. TB in AIDS is compared to SNAKES.
Lid of snake box is defence at STAKES.
Once lid of box REMOVED.
The ‘TB snake’ raises its HOOD.
42. Pediatric AIDS....
In HIV case if Tuberculin is POSITIVE.
Star INH prophylaxis with INITIATIVE.
Oral polio for HIV children CONTRA INDICATED.
Inactivated polio vaccine SUBSTITUTED.
43. Hypo / Agamaglobulinaemia is CONGENITAL.
Arresting exposure to infection is URGENT AND VITAL.
Often the modus operundi is same as HIV.
Except for the absence of virus HIV.
44. In both child succombs to opportunistic infection O! MAN.
Where conventional therapy failure is COMMON.
If cause is virus AHT is Treatment of CHOICE.
In ELISA negative case aptimmune globulin
replacement WISE.
45. All 2 years and older symptomatic / ASYMPTAMATIC.
Pnemococal vaccine is given AUTOMATIC.
No contra indication for MMR VACCINE.
Immune globulin considered GENUINE.
46. Prognosis in Pediatric AIDS Treatment
Prognosis is always bad and WORSE.
With complication TIDES.
Overall survival upto ten YEARS.
Worse in infection and encophalopathy with FEARS.
47. AIDS –Prevention should at ROOT CAUSE.
Eating monkeys prohibited as FIRST CAUSE.
Monkeys brain is a DELICACY
In star hotel of singapore honkong as FANCY.
48. Aide itself is ACQUIRED.
Congenitally ‘acquired’ exists when ENQUIRED
Prevention strategy is current RESEARCH.
Pediatic AIDS tops the list in scientists SEARCH.
49. Infected mothers transmit HIV to 30 % CHILDREN.
If there is no treatment for mothers and CHILDREN.
transmission rate falls down to 2 %
When both mother and child are treated 100%
50. AZT given during and 3 months prior DELIVERY
Azt given also for 7 days to the NEONATE.
Additional nevirapine treatment given single DOSE.
For mother and child to achieve purpose at EASE.
51. Last but not least researcher SAY.
To keep the mothers breast milk AWAY.
Virus transmission in breast milk is proven
CONTRA-INDICATION.
Formula Bottle feeding along is final DESTINATION.
52. All immune deficiency states and AGE
prone to Infection at some STAGE
low dose antibiotics is a MUST
To escape from infecting organisms THRUST
53. Sulpha, INH, Metrogyl worth CONSIDERING
Frequently at repeated interval DOSING
Though this may not kill HIV
Life prolongation is definite and HEAVY.
54. Curing aids is out of QUESTION.
Prevention helps n disease reduction BEST IN.
Arresting spread will control DISEASE.
AIDS guarnteed even after decades at EASE.
55. AIDS affect Children INNOCENT.
But mode of virus entry is UNPLEASANT.
Through mother’s milk is SUPERFICIAL.
Through maternal blood transfusion it is.
deep and ESSENTIAL.
AIDS – PATHOGENESIS
56. Children in general have less DEFENCE.
AIDS affected children have poor DEFENCE.
It is like adult mechanism of disease PRODUCTION.
Suffering infection due to defence REDUCTION.
57. In adult it is T-cell REDUCTION.
Leads to embarassing INFECTION.
In Children gamaglobulin DEFICIENCY.
Contribute to infection’s EFFICIENCY.
58. HTLVI is a close relative of HIV I.
Lives in human T-cell Lymphocytes OFTEN.
Children are targets from nursing MOTHER.
Other route per via naturalis blammed TOGETHER.
59. This innocent pediatric infection SPREAD.
Through needles, syringes and blood with SPEED.
While remaining asymptomatic decades with ANAEMIA.
May develop Adult T-cell LEUKAEMIA.
60. Half of all pediatric AIDS POPULATION.
Contributed by black POPULATION.
Main cause is non-use of LATEX OR ‘BRAKES’
25% are due to ‘swimming’ BACK STROKES.
61. ‘Same side’ goal strikers are 50%
Opposite side strikers are LESS PERCENT.
Coagulation disease sufferes from 25%
‘Vat 69 or upside down opposite amount 75%
62. Pediatric AIDS in USA FORMS.
Seventh leading cause of death – 1989
WHO INFORMS.
Male female ratio in USA is 3:1.
Same in Africa is 1:1.
63. Pediatric HIV-3 Million WORLDWIDE.
Surviving Under Conrtesy of WHO AID
50% Die Before AGE FIVE.
Within Age Ten Others are not ALIVE.
64. Mother to child HIV Transmission 90%
Through Placental Blood without Intermission 25%
During Delivery Per Via Naturalis 50%
While Breast Feeding Naturally is 15%.
65. Statistics in India Rapidly RAISING.
1% of States Population AIDS SUFFERING.
10 Million Indians will Have AIDS in 5 Yrs.
By Year 2020 Life Expectancy Reduction to 20 Yrs.
66. Statistics in India Rapidly RAISING.
1% of States Population AIDS SUFFERING.
10 Million Indians will Have AIDS in 5 Yrs.
By Year 2020 Life Expectancy Reduction to 20 Yrs.
67. Spread of AIDS can be arrested SOON.
Specially from ‘XXX workers’ as BOON.
Technology available from SELSON.
For proof of pudding dial 044 – 4217-7784 on
68. Many maniacs switch over to VIAGARA.
Only to die in the great falls of HIV NIGARA.
Some develope genital / oral ulcer CHOLERA AND PELLAGRA.
AIDS is an ugly grave unlike TAJ MAHAL OF AGRA.
69. OF AIDS and Simple HIV Infection TEALLY.
Which is more Dangerous TRULY ?
AIDS is Smoked out CIGRAETTE BUTT.
HIV without AIDS is a Tiger with a COW’S SKIN BUT.
70. AIDS diagnosed first IN 1980.
In two decades it multiplied in PLENTY.
AIDS Spread can be arrested in 2 YEARS.
Virus spread can be retarded and checked for ALL YEARS.
71. Prolonged Breast Feeding increases RISK.
Recent Postnatal (Maternal) infection also BRISK & RISK.
Campared to BM Cholostrum has LESS RISK.
During First 90 Days (age) Doubles INFECTION RISK.
HIV AND BREAST MILK
72. How to stop HIV through milk of MOTHER.
When virus swim in maternal blood HITHER AND THITHER.
Either AZT or equilavalent are required to KILL.
Side effect and expenses may swell the BILL.
73. Can we use mother’s milk FILTERS ?
By internal or external source TILT OVER?
Can Mothers milk extracted and IRRADIATED?
Can milk treatment by drugs / UV rays EXPEDITED ?
74. Less Risk Encountered When BM BOILED HA.
Risk in wet nursing by HIV Negative Women FOILED.
AZT to Mother helps throughout PREGNANCY.
AZT + Nevirapine for Neonate helps without POLGNANCY.
75. What are the mother’s milk ADVANTAGES ?
Most important is Immune globulin APPENDRAGES
Bifidus Factor stops neonatal DIARRHOEA.
Last but not least is ‘maternal bonding in SCENERIA.
76. All three are managable as per AREA.
Hygiene sanitation averts DIARRHOEA.
Cheating techique illusions BONDING.
Gamaglobulin injection solution ASTOUNDING.
AIDS – PREVENTION
77. Prevention should hit at root ROOT CAUSE.
Eating monkeys prohibited as first CAUSE.
Monkey brain is a DELICACY.
In star hotels of signapore honkong as FANCY.
78. Current best prophylaxis is LATEX.
Non – use perpertraters regret LATEST.
“Revolutionary method” is better then BEST.
Available by selsens improvised NEST.
79. In this noval method affected destined to DIE.
But unaffected remain non – ingfected after ‘TIE’.
Needles / Syringes / blood are exempted TRULY.
Beneficial fo ‘professional’ workers GENUINELY.
80. Dead yesterday, unborn TOMORROW.
Why fret about them if today has NO SORROW.
Omar kayam’s philosophy applicable TRUE HERE.
WHO should think laterally for the Present and future NEAR.
HIV – ITS COMPLEXITIES
81. Who will do the job of ‘BELL – CATS’?
Non bailable viral arrest warrant is with BILL GATES.
New selson prophylaxis is best to STOP AIDS.
Serious practical thinking helps scientific SIDES.
82. Cure for AIDS is not today’s need – it is a GREED.
Selsens formula sure to arrest the spread INDEED.
Priority to be given to stop speedy SPREAD.
Selson (044-42178874) knows the sensitive THREAD.
83. Will the house-wives and GENTLE MEN.
Opt for Anti-HIV vaccine IN-COMMON?
All or none law ‘applicable in HIV VACCINATION.
Imagining benefit will be fantacy and FACINATION.
84. Drinking, Smoking, Opium are HIV’s cousin BROTHERS.
All drug addictions are HIV’s younger BROTHERS.
HIV itself is like ‘DADH’s half BROTHER.
But father of all brothers is ‘cyanide’ – HIV’ elder BROTHER.
85. ‘Garibi-hatavo’ said Indira GANDHI.
Means ‘poverty go-away in simple HINDHI.
Now ‘HIV hatavo’ says sonia GANDHI.
Like Small pox Exadication for Man Kind’s SHANTHI.
86. Feelings are Pschyo-Physiological CONFLICTS.
Very difficult to tame ‘TARGETS’.
The ‘urge’ has an eye on the ‘BULLS EYE’.
Better to fortify the garden of Edens’s GAL AND GUY.
87. Mangolians and Africans possess eating SIMILARITIES.
In their taste buds of Tongue as SPECIALITIES.
Hypothalamic center is unique IN BOTH.
Desire for delicacies uniformly complied with salivation FROTH.
88. ALDS or SARS as virus diseases Everyone WHO KNOWS.
Is Prevalant in Peculiar flesh eaters as ZOONOSIS.
AIDS originated from eaters of MONKEYS.
SARS originated from eaters of DOGS AND FROGS.
89. Kings / Monarcs in African COUNTRIES.
Subject even their proposed wives to HIV test BOUNDARIES.
The reason is distressing and ALARMING.
40% African population are positive in HIV NAMING.
90. Global Terrorism is due to POPULATION EXPLOSION.
Death Terrorism is due to AIDS EXPLOSION.
Population reduction in hurricane, Floods and VALCANOS.
AIDS more dangerous than nature’s death CASINOS.
NEW AIDS-PREVENTION STRATEGY
91. Selsen has prophylatic specific STATEGY.
Yet Undisclosed by any scienfic TECHNOLOGY.
Practical application will proove TOO GOOD.
Number of strategy are TWO GOOD.
92. Prophylactic researches are in FULL SWING.
To discover anti HIV vaccine to CLING.
Virus Vaccine Production will be a WASTE.
As no one will use it in HASTE.
93. Immune deficiency is the central PIVOT.
Altering immune system is like a RIVETTE.
Can You Thrust vaccine on EVERY ONE?
What is its use if it has no support on ANY ONE?
94. HIV and small pox are not COMPARABLE.
Small pox spread by air is TOLERABLE.
Hence Small pox eradication was POSSIBLE.
HIV vaccine on everyone is UNACCEPTABLE.
95. In small pox entire global population with sincerity VACCINATED.
Scientists call it as Herd IMUNITY.
If entires population NON-VACCANTED.
HIV vaccine a great loss in IMPUNITY.
96. When any STD is clinical / SERLOGICAL
ELISA For HIV throughts LOGICAL
When secretions / ulcers predominate around PUBIS.
HIV’s presence dominate allriound VISA-VIS.
97. one more Childhood immune deficiency is NON-GENITAL
This is different and CONGENITAL.
Cause is agama globulinaemia
98. Syringes and needles sterilisatio IMPOSSIBLES.
After AIDS and hep B – All became DISPOSABLES.
Most blood banks never tested STD in the RACe.
ELISA for HIV is the order of medico-legal CASE.
99. Best of all idea is very SIMPLE.
Economically viable and lie at DIMPLE.
Practicabilty is alternate POSSIBILITY.
Better than best is BM Bank AVAILABILITY.
ANTI – RETROVIRAL DRUGS – FOR AIDS.
100. Zidovudine has life PROLONGATION.
If cd 4 count is 500 confirms HIV INFECTION.
in symptoms with 200 – 500 CD4 COUNTS.
Only zidavudine will help by ALL COUNTS.
101. If CD is less than 200 + in AIDS
Zidavudine as stat doze aids.
But switch over is NECESSARY.
Often with DDI / DDC as COMPULSORY.
102. Selsen’s formula sure to arrest spread and BREED.
Cure for AIDS is not today’s NEED.
Priority given for stopping SPEEDY SPREAD.
AIDS Exlosion is in near vicinity INDEED.
Wednesday, September 24, 2008
Saturday, September 20, 2008
AIDS
SELSEN'S SECRET FORMULA FOR PREVENTION OF AIDS:
(REF: STANZA NO. 91 & 102)
THESE ARE THE IMPORTANT SENTENCES IN THE BOOKLET.& NECESSARY EXPLANATIONS WILL BE GIVEN IN DETAIL
FOR THOSE WHO SEEK FURTHER INFORMATIONS ON THE SUBJECT.WITH ME BY E-MAIL.(PHONE;9144-23790380,
9144-4217 8874,MOBILE-91-9841354335)THIS IS A SIMPLE TECHNIC FOR PREVENTIONOF AIDS,TEORITICALLY SUCESSFUL 100% & WILL BE COMMERCIALLY ALSO VIABLE.A CONFERENCE OF SEXOLOGISTS, VENERIOLOGIST,EXPERTS ON SEXUAL MEDICINE IF CONDUCTEDWILL HAVE GENERAL AGREMENT REGARDING THE APPLICABILITYOF THIS NEW TECHNOLOGY, NOT THOUGHT OF,OR PUBLISHED ANYWHERE IN THE WORLD MEDICAL LITERATURE.I HAVE WRITTEN TO VARIOUS INTELCTUALS ON THIS ISSUE,INCLUDING DR.ABDUL KALAM PAST PRESIDENT OF INDIA.ALL MY LETTERS WENT TO AIDS CELL FOR HYBERNATION!,EXCEPT ONE WHO WAS A LIEUTINANT GENERAL,OFFICER COMMANDING SOUTHEN COMMAND,INDIA.HE RECOMMENDED THAT THIS MAY BE XEROXED & SUPPLIED TO ALL MEDICAL OFFICERS UNDER HIS COMMAND 5 YRS BACK.THERE WAS NO INTERACTION BETWEN ME &ANY POWER HOLDING AUTHORITY.I ASSURE ANY READER THAT THIS NEW TECHNOLOGY CAN BE PROOVED TO CONTAIN AIDS &PREVENT FURTHER SPREAD IF PRACTICED METICULOUSLY.
SELSEN IS A PARAMEDICS IN A US HOSPITAL IN TEXAS.
(sd) DR.PSELVARAJ.FORMERLY PROFESSOR.
NOW,CONSULTANT PEDIATRITIAN.S R M GENERAL HOSPITAL
RAMAPURAM.CHENNAI.600 089.TAMILNADU.INDIA.
(REF: STANZA NO. 91 & 102)
THESE ARE THE IMPORTANT SENTENCES IN THE BOOKLET.& NECESSARY EXPLANATIONS WILL BE GIVEN IN DETAIL
FOR THOSE WHO SEEK FURTHER INFORMATIONS ON THE SUBJECT.WITH ME BY E-MAIL.(PHONE;9144-23790380,
9144-4217 8874,MOBILE-91-9841354335)THIS IS A SIMPLE TECHNIC FOR PREVENTIONOF AIDS,TEORITICALLY SUCESSFUL 100% & WILL BE COMMERCIALLY ALSO VIABLE.A CONFERENCE OF SEXOLOGISTS, VENERIOLOGIST,EXPERTS ON SEXUAL MEDICINE IF CONDUCTEDWILL HAVE GENERAL AGREMENT REGARDING THE APPLICABILITYOF THIS NEW TECHNOLOGY, NOT THOUGHT OF,OR PUBLISHED ANYWHERE IN THE WORLD MEDICAL LITERATURE.I HAVE WRITTEN TO VARIOUS INTELCTUALS ON THIS ISSUE,INCLUDING DR.ABDUL KALAM PAST PRESIDENT OF INDIA.ALL MY LETTERS WENT TO AIDS CELL FOR HYBERNATION!,EXCEPT ONE WHO WAS A LIEUTINANT GENERAL,OFFICER COMMANDING SOUTHEN COMMAND,INDIA.HE RECOMMENDED THAT THIS MAY BE XEROXED & SUPPLIED TO ALL MEDICAL OFFICERS UNDER HIS COMMAND 5 YRS BACK.THERE WAS NO INTERACTION BETWEN ME &ANY POWER HOLDING AUTHORITY.I ASSURE ANY READER THAT THIS NEW TECHNOLOGY CAN BE PROOVED TO CONTAIN AIDS &PREVENT FURTHER SPREAD IF PRACTICED METICULOUSLY.
SELSEN IS A PARAMEDICS IN A US HOSPITAL IN TEXAS.
(sd) DR.PSELVARAJ.FORMERLY PROFESSOR.
NOW,CONSULTANT PEDIATRITIAN.S R M GENERAL HOSPITAL
RAMAPURAM.CHENNAI.600 089.TAMILNADU.INDIA.
Thursday, September 18, 2008
ENGLISH TRANSLATION OF
MR.S.VAIRAMUTHU'S
LETTER OF CONGRATULATIONS:
DEAR DR.PSELVARAJ.CHENNAI.
RECEIVED YOUR LETTER.
GOOD ATTEMPT.
CONGRATULATIONS.
I, CONSIDER YOUR POETRY AS A SERVICE.CONTINUE.
AFFECTIONATELY,
(SD) S VAIRAMUTHU.
---------------------------------------------------------------------------------------------------
PREFACE.
THIS IS NOT A SERIOUS BOOKLET FOR READING.OR IS THIS A TREATISE OR A MEDICAL TEXT BOOK ON AIDS.
IT IS MEANT FOR CASUAL RELAXED READING.BUT IT CONTAINS ALMOST ALL THE BASIC DETAILS OF AIDS.
IT IS PRESUMED THAT YOUNG DOCTORS,MEDICAL STUDENTS GENERAL PRACTITIONERS& ALL THOSE WHO KNEW ENGLISH CAN HAVE WIDE GLIMPSE & A BIRD'S EYE VIEW OF AIDS.THE STYLE OF PRESENTATION IS TOTALLY &UNCOMMONLY DIFFERENT.MANY MEDICAL MATTERS ARE EXPRESSED IN A PARTIALLY HIDDEN MANNER,SO THAT THE READER IS COMPELLED TO STRETCH HIS IMAGINATION TO ARRIVE AT THE CORRECT MEANING.LAST BUT NOT LEAST IT CONTAINS A NEW MESSAGE--TO STOP THE SPREAD OF AIDS &MAINTAINED AS A CAT NOT NOT LET OUT OF THE BAG.SO FOR THIS NEW THOUGHTS HAS NOT BEEN DISCUSSED OR PUBLISHED ANYWHERE IN THE MEDICAL LITERATURE.
WRITTEN IN THE FOLLOWING SUB TITLES.
1)HISTORY2)WHAT IS AIDS IF EXPANDED.3)HIV VIRUS TRANSFORMATION4)HIV INCUBATION.5)MODE OF SPREAD OF HIV.6)HIV VIRUS -ITS CHARACTERS/PROPERTIES.7)AIDS -SIGNS &SYMPTOMS.8)PEDIATRIC -AIDS.9)PROGNOSIS IN PEDIATRIC AIDS.10)AIDS-PATHOGENESIS.11)HIV&BREAST MILK.12)AIDS PREVENTION.13)HIV-ITS COMPLEXITIES.14)NEW AIDS PREVENTION STRATEGY.15)ANTI RETROVIRUS DRUGS FOR AIDS.
MR.S.VAIRAMUTHU'S
LETTER OF CONGRATULATIONS:
DEAR DR.PSELVARAJ.CHENNAI.
RECEIVED YOUR LETTER.
GOOD ATTEMPT.
CONGRATULATIONS.
I, CONSIDER YOUR POETRY AS A SERVICE.CONTINUE.
AFFECTIONATELY,
(SD) S VAIRAMUTHU.
---------------------------------------------------------------------------------------------------
PREFACE.
THIS IS NOT A SERIOUS BOOKLET FOR READING.OR IS THIS A TREATISE OR A MEDICAL TEXT BOOK ON AIDS.
IT IS MEANT FOR CASUAL RELAXED READING.BUT IT CONTAINS ALMOST ALL THE BASIC DETAILS OF AIDS.
IT IS PRESUMED THAT YOUNG DOCTORS,MEDICAL STUDENTS GENERAL PRACTITIONERS& ALL THOSE WHO KNEW ENGLISH CAN HAVE WIDE GLIMPSE & A BIRD'S EYE VIEW OF AIDS.THE STYLE OF PRESENTATION IS TOTALLY &UNCOMMONLY DIFFERENT.MANY MEDICAL MATTERS ARE EXPRESSED IN A PARTIALLY HIDDEN MANNER,SO THAT THE READER IS COMPELLED TO STRETCH HIS IMAGINATION TO ARRIVE AT THE CORRECT MEANING.LAST BUT NOT LEAST IT CONTAINS A NEW MESSAGE--TO STOP THE SPREAD OF AIDS &MAINTAINED AS A CAT NOT NOT LET OUT OF THE BAG.SO FOR THIS NEW THOUGHTS HAS NOT BEEN DISCUSSED OR PUBLISHED ANYWHERE IN THE MEDICAL LITERATURE.
WRITTEN IN THE FOLLOWING SUB TITLES.
1)HISTORY2)WHAT IS AIDS IF EXPANDED.3)HIV VIRUS TRANSFORMATION4)HIV INCUBATION.5)MODE OF SPREAD OF HIV.6)HIV VIRUS -ITS CHARACTERS/PROPERTIES.7)AIDS -SIGNS &SYMPTOMS.8)PEDIATRIC -AIDS.9)PROGNOSIS IN PEDIATRIC AIDS.10)AIDS-PATHOGENESIS.11)HIV&BREAST MILK.12)AIDS PREVENTION.13)HIV-ITS COMPLEXITIES.14)NEW AIDS PREVENTION STRATEGY.15)ANTI RETROVIRUS DRUGS FOR AIDS.
Monday, June 30, 2008
REMOTE CONTROLLED MEDICAL CLINICS OF ARJUN&;ARAN.
INTRODUCTION:-THIS IS A MEDICAL CLINIC WITH ALL SUPER SPECIALITY DOCTORS LOCATED IN CHENNAI TO SERVE THE MEDICAL NEEDS OF NRIS &;ALLIED PERSONS MUCH FASTER THAN THEY CAN GET IN THEIR OWN PLACE&; FOUND TO BE VERY HELPFUL IN ALMOST ALL MEDICAL EMERGENCIES SAFELY &;RELIABLY.ASK OUR CLIENTS &;JOIN.
THIS IS MEANT FOR THOSE WHO DONT HAVE EASY ACCESS TO A WELL QUALIFIED PHYSICIAN IN AN EMERGENCY.EXAMPLE:-A PERSON MAY GET LOOSE WATERY MOTION SEVERAL TIMES AFTER DINNER.THIS IS A SYMPTAMATICALLY CURABLE DISORDER.NO NEED TO GO IN SEARCH OF A DOCTOR AT MIDDLE OF THE NIGHT.USEFUL FOR THOSE WHO LIVE IN 1)INACCESSIBLE AREA 2)LIVE IN REMOTE VILLAGE-LIKE CONDITION WHERE DOCTOR IS AVAILABLE AFTER 30 MILES.3)AT A FAR OFF PLACE FROM WORKING AREA OR RESIDENCE.4)IN A PLACE WHERE PHARMACY IS LOCATED AT A FAR OFF PLACE.5)WHERE MEDICINES CAN NOT BE PROCURED WITHOUT A DOCTOR'S PRESCRIPTION 6)PEOPLE LIVING ABROAD.7)PEOPLE WHO FLY FRQUENTLY8)THOSE WHO DONT HAVE TIME FOR DOCTOR'S APPOINMENT &;WAIT.9)ECONOMICALLY NON-VIABILITY.(MANY DRUGS WITHSAME PHARMACUTICAL FORMULATIONS IN INDIA COSTS UPTO 40 TIMES IN USA) DESIGNED TO MEET THE NEEDS OF NRIS IN ANY COUNTRY &MEDICAL AID REACHES THEM IN MINUTES &SOLUTION OBTAINED FOR PROBLEM IN LESS THAN ONE HOUR
P L A N
--------
A SET OF 10 -20 MEDICINES SENT FOR VARIOUS COMMON DAY -TODAY AIL MENTS.A BOOKLET CONTAINING INDICATIONS &;DOSAGE GIVEN. MEDICINE TAKEN ONLY AFTER CONSULTING OUR DOCTOR TELEPHONICALLY AT EACH EPISODE.A 4 LINE TELEPHONE FECILITY AVAILABLE ALL THE 24 HRS.A WELL QUALIFIED PROFESSOR CADRE -DOCTOR IS AVAILABLE ON SHIFT DUTY.THIS IS WORLD'S FIRST ORGANISATION OF THIS KIND &;IS PURELY SERVICE ORIENTED.
DRUGS FOR THE FOLLOWING AILMENTS WILL BE SENT IN PLAN "A"
1)FEVER2)PAIN.3)CONSTIPATION +/-ANUS TEAR 4)DIARRHOEA /VOMITING.5)ALL KINDS OF COUGH. 6)PEPTIC ULCER(BURNING BEHIND CHEST BONE) 7)EAR /NOSE/ THROAT AILMENT8)KNOWN ASTHMA 9)BURNING WHILE PASSING URINE.10)ITCHING SENSE AT GROIN, GENITALS ,ANYWHERE.
IN PLAN "B" WE HAVE MANY GYNACOLOGICAL/MENSTRUAL SOLUTION INCLUDING EMERGENCY CONTRACEPTION(NEW CONCEPT)&;ALSO SOLUTIONS FOR MANY CHILD HEALTH PROBLEMS&; SENIOR CITIZENS.
COST OF PACKAGE.
---------------
1)ONE CONSIGNMENT OF MEDICINE IS USUALLY SUFFICIENT FOR ONE YEAR.
2)COST OF MEDICINE -AROUND-USD 12/PACKAGE +POSTAGE EXTRA.
3)SERVICE CHARGE USD.250/YEAR(WORKS OUT TO USD20/MONTHLY)
4)ALL E MAIL,TELEPHONE CONSULTATIONS FREE.
5)NUMBER OF CONSULTATIONS UNLIMITED.
6)works out toUSD7/HEAD FOR A SMALL FAMILY OF 3
CLINIC - DIRECTOR--DR P.SELVARAJ.M.D.,D.C.H.,F.R.S.H.,(LONDON)
PROFESSOR OF PEDIATRICS-RETIRED.
E-MAIL ,TELEPHONE CONSULTATIONS FREE.
INTRODUCTION:-THIS IS A MEDICAL CLINIC WITH ALL SUPER SPECIALITY DOCTORS LOCATED IN CHENNAI TO SERVE THE MEDICAL NEEDS OF NRIS &;ALLIED PERSONS MUCH FASTER THAN THEY CAN GET IN THEIR OWN PLACE&; FOUND TO BE VERY HELPFUL IN ALMOST ALL MEDICAL EMERGENCIES SAFELY &;RELIABLY.ASK OUR CLIENTS &;JOIN.
THIS IS MEANT FOR THOSE WHO DONT HAVE EASY ACCESS TO A WELL QUALIFIED PHYSICIAN IN AN EMERGENCY.EXAMPLE:-A PERSON MAY GET LOOSE WATERY MOTION SEVERAL TIMES AFTER DINNER.THIS IS A SYMPTAMATICALLY CURABLE DISORDER.NO NEED TO GO IN SEARCH OF A DOCTOR AT MIDDLE OF THE NIGHT.USEFUL FOR THOSE WHO LIVE IN 1)INACCESSIBLE AREA 2)LIVE IN REMOTE VILLAGE-LIKE CONDITION WHERE DOCTOR IS AVAILABLE AFTER 30 MILES.3)AT A FAR OFF PLACE FROM WORKING AREA OR RESIDENCE.4)IN A PLACE WHERE PHARMACY IS LOCATED AT A FAR OFF PLACE.5)WHERE MEDICINES CAN NOT BE PROCURED WITHOUT A DOCTOR'S PRESCRIPTION 6)PEOPLE LIVING ABROAD.7)PEOPLE WHO FLY FRQUENTLY8)THOSE WHO DONT HAVE TIME FOR DOCTOR'S APPOINMENT &;WAIT.9)ECONOMICALLY NON-VIABILITY.(MANY DRUGS WITHSAME PHARMACUTICAL FORMULATIONS IN INDIA COSTS UPTO 40 TIMES IN USA) DESIGNED TO MEET THE NEEDS OF NRIS IN ANY COUNTRY &MEDICAL AID REACHES THEM IN MINUTES &SOLUTION OBTAINED FOR PROBLEM IN LESS THAN ONE HOUR
P L A N
--------
A SET OF 10 -20 MEDICINES SENT FOR VARIOUS COMMON DAY -TODAY AIL MENTS.A BOOKLET CONTAINING INDICATIONS &;DOSAGE GIVEN. MEDICINE TAKEN ONLY AFTER CONSULTING OUR DOCTOR TELEPHONICALLY AT EACH EPISODE.A 4 LINE TELEPHONE FECILITY AVAILABLE ALL THE 24 HRS.A WELL QUALIFIED PROFESSOR CADRE -DOCTOR IS AVAILABLE ON SHIFT DUTY.THIS IS WORLD'S FIRST ORGANISATION OF THIS KIND &;IS PURELY SERVICE ORIENTED.
DRUGS FOR THE FOLLOWING AILMENTS WILL BE SENT IN PLAN "A"
1)FEVER2)PAIN.3)CONSTIPATION +/-ANUS TEAR 4)DIARRHOEA /VOMITING.5)ALL KINDS OF COUGH. 6)PEPTIC ULCER(BURNING BEHIND CHEST BONE) 7)EAR /NOSE/ THROAT AILMENT8)KNOWN ASTHMA 9)BURNING WHILE PASSING URINE.10)ITCHING SENSE AT GROIN, GENITALS ,ANYWHERE.
IN PLAN "B" WE HAVE MANY GYNACOLOGICAL/MENSTRUAL SOLUTION INCLUDING EMERGENCY CONTRACEPTION(NEW CONCEPT)&;ALSO SOLUTIONS FOR MANY CHILD HEALTH PROBLEMS&; SENIOR CITIZENS.
COST OF PACKAGE.
---------------
1)ONE CONSIGNMENT OF MEDICINE IS USUALLY SUFFICIENT FOR ONE YEAR.
2)COST OF MEDICINE -AROUND-USD 12/PACKAGE +POSTAGE EXTRA.
3)SERVICE CHARGE USD.250/YEAR(WORKS OUT TO USD20/MONTHLY)
4)ALL E MAIL,TELEPHONE CONSULTATIONS FREE.
5)NUMBER OF CONSULTATIONS UNLIMITED.
6)works out toUSD7/HEAD FOR A SMALL FAMILY OF 3
CLINIC - DIRECTOR--DR P.SELVARAJ.M.D.,D.C.H.,F.R.S.H.,(LONDON)
PROFESSOR OF PEDIATRICS-RETIRED.
E-MAIL ,TELEPHONE CONSULTATIONS FREE.
Monday, March 3, 2008
VACCINES-BIRD"S EYE VIEW/IAP-&AAP
Introduction:These two giant organisations in the world are making the policy decisions on immunisations for children&is formulated by Advisery commitee on immunisation practices on the respective countries.This is a comparative study of observation between Indian academy of pediatrics,&American academy of pediatrics regarding their immunisation policy,meant for elite population & N R I S.For completion sake & for quick reference certain other countries' immunisation are included,as we have lot of NRIS IN THESE COUNTRIES:1)INDIA 2)USA3)AUSTRALIA 4)UK 5) MALAYSIA 6)SINGAPORE.
Immunisation is a global procedure against preventable diseases as per prevalance.World's Eco system is such that mother nature has distributed the organisms in its own way.In the densely populated country like India like every dog has its day,these organisms also had their days &played their part to reduce population explosion.The health measures required to counteract simply sucks the country's finance like leeches.People's co operation is essential in disease eradication.In India people expect all vaccines to be available free,thanks to LION'S &ROTARY CLUBS IN PROVIDING HEPATITIS &POLIO VACCINES RESPECTIVELY.Ignorance is still alive even with educated people. Every parent must feel that they are morally responsible for prevention of disease to their children even if one is poor.Let him beg ,borrow, or ,steal to immunise his child.
I A P IMMUNISATION TIME TABLE:2005--2006.
-------------------------------------------------------
Total doctor's visit-10
diseases covered---10(optional vaccines-3)
Birth
OPV-0
Hep B-1
6 weeks DTPW-I/DTPa-1
OPV-1
HEP B-2
Hib-1
10 weeks DTPW-2/DTPa-2
OPV-2
Hib-2
14 weeks DTPW3/DTPa3
OPV-3
HEP.B-3
Hib-3
9 Months. meascles
15-18 months DTPWB-1/DTPaB-1
OPVB-1
Hib B-1
MMR
2 YEARS Typhoid+
5 years DTPWB-2/DTPaB2
10YEARS Td#/TT
16.YEARS Td#/TT
PREGNANT WEMEN:2 DOSES OF Td#/TT.
Vaccines that can be given after discussion with parents:---
>6 WEEKS----------PNUMOCOCCAL CONJUGATE VACCINE *
>15 months---------Varicella(chicken pox)#.
>18 months---------Hep A +
#<13>13 YRS- 2DOSES.(1-2 MONTHS INTERVAL)
+ 2 doses (6-12 months interval) (hep.A)
*3 primary doses at 6, 10 ,14 weeks followed by booster at 15 months (Pnuemococcal)
New recommendations:2 Doses of MMR.USE of combination vaccines &IPV in private practice.
Observation:one of the countries recomendingBCG.Only country to advice typhoid.No rota virus, or meningococcal vaccine advised.Chiken pox,pneumococcal,&hepatitis A are advised after discussion with parents.T .T FOR PREGNANT women advised .
A A P--JAN 2008. (U S A) AMERICAN ACADEMY OF PEDIATRICS.
--------------------
Hep.B-1--Birth,1mo,2 mo,12-15 mo
Rota virus-1 mo,3 mo,6 mo.
Diph,tetanus, pertusis--2mo,4mo,6mo,15mo.
Hib-2mo,4mo,6mo, 12-15mo
pnuemo--2 mo,4 mo,6 mo,12-15 mo.pnuemo-polisacharide(ppv)--2--6yrs.
Inactivated polio--2 mo,4 mo,12-15mo, 4-6 yrs.
Infuenza- yearly.4-6 yrs for certain high risk group
MMR--12-15 mo, 4-6 yrs
Varicella-12-15mo, 4-6yrs.
Hep A---2 doses.12-15 mo--19-23 mo,
Meningococcus:--recomended for teens &college students.
MCV 4--FOR HIGH RISK group,at 2--6 yrs.
HUMAN PAPPILLOMA VIRUS VACCINE :FOR GIRLS AT AGE 12-13YRS.
IMMUNISATION SHCEDULE --UK.SEP 2006.
------------------------------------------------
3 DAYS.--BCG if TB in family in last 6 months.
Hep.B.if mother is Hbs Ag +ve
2 mo.---DTaP+IPV+Hib+pneumococcal(pcv)
3 mo.---DTaP+IPV+Hib+Meningitis-C
4 MO.--DTaP+IPV+Hib(pediacel)+pneumococcal(prevnar)+meningitis-c(neisvac)
12 mo.--Hib+meningitis-c(menitorix)
13 mo.-MMR+Pnuemococcal
3 -1/2---5 yrs.-dtap+ipv, or,Dtap+ipv(,Repavax)or,Infanrix
MMR(Priorix,or mmr)
13-18yrs.-Td+IPV(TETANUS/DIPHTHERIA/POLIO)
OVER 65&
<65 AT RISK GROUP:-Annual influenza vaccine+one of pnuemococcal.
AUSTRALIAN GOVERNMENT--31 OCT 2007
-----------------------------------------------------
Birth :Hep.B
2 mo :DPT+POLIO+Hib+HepB+pnuemo+rota virus
4 mo. :DPT+POLIO+Hib+Hep .B(Infanrix-Hexa)+Pnuemo(prevnar)+Rota virus(Rotateq)
6 mo :DPT+POLIO(IPV)+Hib+Hep.B+Pnuemococal+Rotavirus.
12mo :MMR+Hib+Hep.B+ Meningococcal-C.
18 mo.VARICELLA.
4 YRS :DPT+POLIO+MMR.
Comments:No,BCG/TYPHOID/H EPATITIS A advised.
M A L A Y S I A 28 FEB 2006
---------------------------------
At birth : B C G
2. mo.---Hep,B+OPV+DPT/DT+Hib
3.mo---Hep.B+opv+DPT/DT+Hib
5.mo.--Hep.B+OPV+DPT/DT+Hib
6.mo.--Meascles.
!2 mo.--MMR
18.mo.--opv+DPT
5-7 yrs.-OPV+DPT+MMR.
12--15yrs--TT+Rubella.
COMMENTS: Hib,/rotavirus/pnuemo/ meningo/Hep A /Influenza/chickenpox are not advised.
SINGAPORE--GOVERNMENT--11-AUG-2007.
-------------------------------------------------
Birth: BCG+Hep.B(FIRST DOSE)
1.mo.--Hep.B (SECOND DOSE)
3.mo.--DPT/DT-- 1st dose.
oral sabin 1st dose
4 .mo-DPT/DT----2nd dose.
oral sabin ---2nd dose.
5.mo.DPT?DT ----3rd dose-----Hep.B. can be combined for patient compliance
oral sabin ----3rd dose.
5-6.mo.--Hep B----3rd dose-if not comb9ned above.
1-2 yrs.----MMR-primary dose.
18. mo.--DPT/DT+ORAL SABIN 1st booster.
6-7yrs--DT+ORAL SABIN-------2nd booster.
11-12 yrs.-DT+ORAL SABIN-----3rd booster.+MMR BOOSTER DOSE.
comments;No Measles/Rubella//Hib/ Pnuemo/meningo/Rota/Influenza/Hep A advised.Using OPV like India.All Other countries using IPV
OBSERVATION & ANALYSIS:
----------------------------------
There is conses of openion for immunising for the following diseases in all the countries.
1) Hepatitis B 2)Polio 3)Diphtheria.4)Tetanus.5)Wooping cough.6)Meascles.7)Mumps.
8)Rubella.
2)Tuberculosis:IAP continues to advice BCG, AS THE DISEASE IS STILL PREVALENT IN INDIA
&also believed to reduce incidence of desseminated TB such as TBM,OR REDUCE THE MORBIDITY IN TBM. Malaysia& singapore continues BCG as INDIA IS NEARBY&there is lot of traveller's movement.Other developed nations stopped BCG as they think the disease has been eradicated, or they believe that TB eradication is better done by other non-vaccine methods like offering better treatment(like surgical removal of the pulmonary liesions wherever
possible)
3)Vaccines for the following disease are advised byIAP,ONLY after discussion with the parents.
a)H.influenza(hib)b)chicken pox.(varilrix for varicella)c)Hepatitis A.d)pnuemococcal vaccine.The reasons are not given.Perhaps it may be due to following causes.a) It is expensive(not available free of cost).b)low incidence of the disease.c)not virulent compared to Hep.B. d)Anaphylaxis &other side effects possible.
4)Following vaccines are advised by AAP ONLY FOR HIGH RISK GROUP.
A) Influenza
B)Hep.A.
C)Meningococcal.
The center for disease control(cdc) in USA from time to time advises adults &kids for influenza shots, whenever there is evidence of a slight epidemic.Recently there was one schoolchild died in USA,&THE AUTHORITIES SAID THAT IT WAS AN ISOLATED CASE,EVEN THOUGH IT IS VACCINE PREVENTABLE DISEASE(T V News.feb 2008 usa)
5)Typhoid is recommended only in india.Does it mean that it has been eradicated world wide?
6)Rota virus vaccine:Advised only by USA& AUSTRALIA.
Mortality is said to be 200-300 per year in USA& all children said to suffer at least once before 5 yrs of age.The occurence of intusseption after vaccine is so negligible that the issue does not seem to merit further discussion.Though in India ROTA VIRUS DIARRHOEA IS PREVALENT.THE MORTALITY RATE HAS COME DOWN.Still the the incidence of diarrhoea &pnumonia are the top two for highest mortality.If pnuemococcal vaccine(prevnar) &rota virus vaccine(rotateq) are used in India,pediatric physicians will have no work!.(Oh! politics,Oh Finance--Thou shall get up?
7)Tetanus Toxoid: in pregnancy(to prevent neonatal tetanus)
Not advised by any country other than India.India can boast almost 100% success in eradicating neonatal tetanus.AAP advises TT/DPT TO ALL CHILDREN.It means tetanus organisms are present in the American soil.Does a pregnant women is immune to tetanus in USA?
8)POLIO:
Polio-immunisation.AAP advises ,inactivated polio vaccines,which is undoubtedly more effective than oral polio.IAP continues to advise ,oral polio only for various socio economic/ political reasons,while fully acknoledging that IPV IS BETTER..AMONG many causes for our inability to eradicate poilo the use of oral polio itself is considered as one cause.Now IAP advises &recomends IPV may be given by private practitioners, if they desire to do so.The key to global polio eradication,lies in India.UP &Madhya pradesh continues to harbour polio virus.Unless the government machinary is fully geared up there like other statesfor polio eradication it can not be expected that global polio eradication is in the near vicinity.UK advises IPV for 13-18 yr age group also.Theoritically &practically it is found to be good in UK.India should emulate this as it is possible for adults to excrete polio virus,in their excreta.These excreta may infect children ,&this is a worthy point to ponder about&if practiced may yield in polio eradication in India or any other country.
AAP;FURTHER RECOMENDS TO ADOLESCENTS as below:This is not recomended by IAP.ALL VACCINES ADMINISTERED IN CHILDHOOD ARE REPEATED ONCE OR TWICE+pappilloma virus vaccine for girls 11-12 yrs ,if not at 13-18 yrs.USA is the only country to recomennds,pappilloma virus vaccine,meningococcal+pnuemococcal also given
DTP+TDaP+HPV=MCV ARE COMPULSARILY GIVEN AT 11-12 YRS All other vaccines either as a catch up immunisation or certain hige risk group (immune difficiency like status)
Immunisation is a global procedure against preventable diseases as per prevalance.World's Eco system is such that mother nature has distributed the organisms in its own way.In the densely populated country like India like every dog has its day,these organisms also had their days &played their part to reduce population explosion.The health measures required to counteract simply sucks the country's finance like leeches.People's co operation is essential in disease eradication.In India people expect all vaccines to be available free,thanks to LION'S &ROTARY CLUBS IN PROVIDING HEPATITIS &POLIO VACCINES RESPECTIVELY.Ignorance is still alive even with educated people. Every parent must feel that they are morally responsible for prevention of disease to their children even if one is poor.Let him beg ,borrow, or ,steal to immunise his child.
I A P IMMUNISATION TIME TABLE:2005--2006.
-------------------------------------------------------
Total doctor's visit-10
diseases covered---10(optional vaccines-3)
Birth
OPV-0
Hep B-1
6 weeks DTPW-I/DTPa-1
OPV-1
HEP B-2
Hib-1
10 weeks DTPW-2/DTPa-2
OPV-2
Hib-2
14 weeks DTPW3/DTPa3
OPV-3
HEP.B-3
Hib-3
9 Months. meascles
15-18 months DTPWB-1/DTPaB-1
OPVB-1
Hib B-1
MMR
2 YEARS Typhoid+
5 years DTPWB-2/DTPaB2
10YEARS Td#/TT
16.YEARS Td#/TT
PREGNANT WEMEN:2 DOSES OF Td#/TT.
Vaccines that can be given after discussion with parents:---
>6 WEEKS----------PNUMOCOCCAL CONJUGATE VACCINE *
>15 months---------Varicella(chicken pox)#.
>18 months---------Hep A +
#<13>13 YRS- 2DOSES.(1-2 MONTHS INTERVAL)
+ 2 doses (6-12 months interval) (hep.A)
*3 primary doses at 6, 10 ,14 weeks followed by booster at 15 months (Pnuemococcal)
New recommendations:2 Doses of MMR.USE of combination vaccines &IPV in private practice.
Observation:one of the countries recomendingBCG.Only country to advice typhoid.No rota virus, or meningococcal vaccine advised.Chiken pox,pneumococcal,&hepatitis A are advised after discussion with parents.T .T FOR PREGNANT women advised .
A A P--JAN 2008. (U S A) AMERICAN ACADEMY OF PEDIATRICS.
--------------------
Hep.B-1--Birth,1mo,2 mo,12-15 mo
Rota virus-1 mo,3 mo,6 mo.
Diph,tetanus, pertusis--2mo,4mo,6mo,15mo.
Hib-2mo,4mo,6mo, 12-15mo
pnuemo--2 mo,4 mo,6 mo,12-15 mo.pnuemo-polisacharide(ppv)--2--6yrs.
Inactivated polio--2 mo,4 mo,12-15mo, 4-6 yrs.
Infuenza- yearly.4-6 yrs for certain high risk group
MMR--12-15 mo, 4-6 yrs
Varicella-12-15mo, 4-6yrs.
Hep A---2 doses.12-15 mo--19-23 mo,
Meningococcus:--recomended for teens &college students.
MCV 4--FOR HIGH RISK group,at 2--6 yrs.
HUMAN PAPPILLOMA VIRUS VACCINE :FOR GIRLS AT AGE 12-13YRS.
IMMUNISATION SHCEDULE --UK.SEP 2006.
------------------------------------------------
3 DAYS.--BCG if TB in family in last 6 months.
Hep.B.if mother is Hbs Ag +ve
2 mo.---DTaP+IPV+Hib+pneumococcal(pcv)
3 mo.---DTaP+IPV+Hib+Meningitis-C
4 MO.--DTaP+IPV+Hib(pediacel)+pneumococcal(prevnar)+meningitis-c(neisvac)
12 mo.--Hib+meningitis-c(menitorix)
13 mo.-MMR+Pnuemococcal
3 -1/2---5 yrs.-dtap+ipv, or,Dtap+ipv(,Repavax)or,Infanrix
MMR(Priorix,or mmr)
13-18yrs.-Td+IPV(TETANUS/DIPHTHERIA/POLIO)
OVER 65&
<65 AT RISK GROUP:-Annual influenza vaccine+one of pnuemococcal.
AUSTRALIAN GOVERNMENT--31 OCT 2007
-----------------------------------------------------
Birth :Hep.B
2 mo :DPT+POLIO+Hib+HepB+pnuemo+rota virus
4 mo. :DPT+POLIO+Hib+Hep .B(Infanrix-Hexa)+Pnuemo(prevnar)+Rota virus(Rotateq)
6 mo :DPT+POLIO(IPV)+Hib+Hep.B+Pnuemococal+Rotavirus.
12mo :MMR+Hib+Hep.B+ Meningococcal-C.
18 mo.VARICELLA.
4 YRS :DPT+POLIO+MMR.
Comments:No,BCG/TYPHOID/H EPATITIS A advised.
M A L A Y S I A 28 FEB 2006
---------------------------------
At birth : B C G
2. mo.---Hep,B+OPV+DPT/DT+Hib
3.mo---Hep.B+opv+DPT/DT+Hib
5.mo.--Hep.B+OPV+DPT/DT+Hib
6.mo.--Meascles.
!2 mo.--MMR
18.mo.--opv+DPT
5-7 yrs.-OPV+DPT+MMR.
12--15yrs--TT+Rubella.
COMMENTS: Hib,/rotavirus/pnuemo/ meningo/Hep A /Influenza/chickenpox are not advised.
SINGAPORE--GOVERNMENT--11-AUG-2007.
-------------------------------------------------
Birth: BCG+Hep.B(FIRST DOSE)
1.mo.--Hep.B (SECOND DOSE)
3.mo.--DPT/DT-- 1st dose.
oral sabin 1st dose
4 .mo-DPT/DT----2nd dose.
oral sabin ---2nd dose.
5.mo.DPT?DT ----3rd dose-----Hep.B. can be combined for patient compliance
oral sabin ----3rd dose.
5-6.mo.--Hep B----3rd dose-if not comb9ned above.
1-2 yrs.----MMR-primary dose.
18. mo.--DPT/DT+ORAL SABIN 1st booster.
6-7yrs--DT+ORAL SABIN-------2nd booster.
11-12 yrs.-DT+ORAL SABIN-----3rd booster.+MMR BOOSTER DOSE.
comments;No Measles/Rubella//Hib/ Pnuemo/meningo/Rota/Influenza/Hep A advised.Using OPV like India.All Other countries using IPV
OBSERVATION & ANALYSIS:
----------------------------------
There is conses of openion for immunising for the following diseases in all the countries.
1) Hepatitis B 2)Polio 3)Diphtheria.4)Tetanus.5)Wooping cough.6)Meascles.7)Mumps.
8)Rubella.
2)Tuberculosis:IAP continues to advice BCG, AS THE DISEASE IS STILL PREVALENT IN INDIA
&also believed to reduce incidence of desseminated TB such as TBM,OR REDUCE THE MORBIDITY IN TBM. Malaysia& singapore continues BCG as INDIA IS NEARBY&there is lot of traveller's movement.Other developed nations stopped BCG as they think the disease has been eradicated, or they believe that TB eradication is better done by other non-vaccine methods like offering better treatment(like surgical removal of the pulmonary liesions wherever
possible)
3)Vaccines for the following disease are advised byIAP,ONLY after discussion with the parents.
a)H.influenza(hib)b)chicken pox.(varilrix for varicella)c)Hepatitis A.d)pnuemococcal vaccine.The reasons are not given.Perhaps it may be due to following causes.a) It is expensive(not available free of cost).b)low incidence of the disease.c)not virulent compared to Hep.B. d)Anaphylaxis &other side effects possible.
4)Following vaccines are advised by AAP ONLY FOR HIGH RISK GROUP.
A) Influenza
B)Hep.A.
C)Meningococcal.
The center for disease control(cdc) in USA from time to time advises adults &kids for influenza shots, whenever there is evidence of a slight epidemic.Recently there was one schoolchild died in USA,&THE AUTHORITIES SAID THAT IT WAS AN ISOLATED CASE,EVEN THOUGH IT IS VACCINE PREVENTABLE DISEASE(T V News.feb 2008 usa)
5)Typhoid is recommended only in india.Does it mean that it has been eradicated world wide?
6)Rota virus vaccine:Advised only by USA& AUSTRALIA.
Mortality is said to be 200-300 per year in USA& all children said to suffer at least once before 5 yrs of age.The occurence of intusseption after vaccine is so negligible that the issue does not seem to merit further discussion.Though in India ROTA VIRUS DIARRHOEA IS PREVALENT.THE MORTALITY RATE HAS COME DOWN.Still the the incidence of diarrhoea &pnumonia are the top two for highest mortality.If pnuemococcal vaccine(prevnar) &rota virus vaccine(rotateq) are used in India,pediatric physicians will have no work!.(Oh! politics,Oh Finance--Thou shall get up?
7)Tetanus Toxoid: in pregnancy(to prevent neonatal tetanus)
Not advised by any country other than India.India can boast almost 100% success in eradicating neonatal tetanus.AAP advises TT/DPT TO ALL CHILDREN.It means tetanus organisms are present in the American soil.Does a pregnant women is immune to tetanus in USA?
8)POLIO:
Polio-immunisation.AAP advises ,inactivated polio vaccines,which is undoubtedly more effective than oral polio.IAP continues to advise ,oral polio only for various socio economic/ political reasons,while fully acknoledging that IPV IS BETTER..AMONG many causes for our inability to eradicate poilo the use of oral polio itself is considered as one cause.Now IAP advises &recomends IPV may be given by private practitioners, if they desire to do so.The key to global polio eradication,lies in India.UP &Madhya pradesh continues to harbour polio virus.Unless the government machinary is fully geared up there like other statesfor polio eradication it can not be expected that global polio eradication is in the near vicinity.UK advises IPV for 13-18 yr age group also.Theoritically &practically it is found to be good in UK.India should emulate this as it is possible for adults to excrete polio virus,in their excreta.These excreta may infect children ,&this is a worthy point to ponder about&if practiced may yield in polio eradication in India or any other country.
AAP;FURTHER RECOMENDS TO ADOLESCENTS as below:This is not recomended by IAP.ALL VACCINES ADMINISTERED IN CHILDHOOD ARE REPEATED ONCE OR TWICE+pappilloma virus vaccine for girls 11-12 yrs ,if not at 13-18 yrs.USA is the only country to recomennds,pappilloma virus vaccine,meningococcal+pnuemococcal also given
DTP+TDaP+HPV=MCV ARE COMPULSARILY GIVEN AT 11-12 YRS All other vaccines either as a catch up immunisation or certain hige risk group (immune difficiency like status)
Sunday, February 24, 2008
F I R S T A I D --FOR CHILDREN
Introduction:
Though this is a first aid home treatment for your kids,some of them are suitable to adults also.PLEASE note that this is not a treatment guide for your child's medical problems,BUT ONLY a first aid management at critical times.All drugs named here should be used only for ONE DOSE ONLY& visit doctor at earliest oppertunity.
If a child gets fever at 10 pm one can not wait till morning.If fever is not controlled he may throw a fit.Or suppose,you are urgently moving with your family from one place to another 300 km,your family member gets a vomiting,diarrhoea,acidity,or abdominal pain discomfort,anxiety,what will you do?Or while at home your child swallows few tablets of adults(like anti-diabetic /blood pressure reducing.)what will you do?So it becomes necessary for all mothers to know certain first aid treatment.It is with this hope the following is written& to be practiced only at a critical situation& non availability of doctor for quick help.
FIRST AID TREATMENT AT HOME:
All drugs,can be given as per this schedule.Dose of any adult tablet for children can be given thus.--New born-1/10,6 months-1/6.,1-3 yrs--1/4.,5 yrs-1/2,.10 yrs-1.,
Syrup;New born-5-9 drops.,6 months-1/2tsp.,1-3 yrs--3/4 tsp.,5 yrs--1-2 tsp.
PLEASE remember the above is for single dose only.consult doctor for subsequent dose.
1)FEVER:101.F is significant.Tepid?ice sponging is enough.In very high fever,ice at axilla,groin soles will be required.Doctor will find cause &treat latter.you may use tab/syrup paracetamol
6 months-1/6tab/1/2 tsp.5yrs-1/2 tab..1 tsp.
2)VOMITING:2-3 vomitings significant Ideal treatment-I V Fluids at hospital.or else, tab domperidol,mixed in honey.No feeds for 8 hrs.If vomiting occurs 2 hrs after tab,,go to hospital as emergency.
3)Jaundice:Dangerous during first 3 days of neonatal life.Admit as emergencyfor other jaundice also go to doctor.Dont trust KEELANELLI leaf extract,or any other siddha ayurveda or other herbal treatments.Jaundice after 15 days can be due to surgical congenital cause,if with clay white stools.Jaundice in an unimmunised child at any age could be due to virus infection.Blood test necessary.
4)Diarrhoea:One loose large watery motion needs admission in hospital.3 such motions is often dangerous,unless iv fluid treatment given.Very risky upto age 2 yrsMaximum death rate in this age group.So any home treatment is not advisible.
May try tab lopramideafter 6 months of age.Diarrhoea should stop within 2 hrs.STOP THE FOLLOWING:a)any oral feed b)milk--mothers,/cow's.c)electrolyte powder.d)sweets. e)tender coconut water.If no associated vomiting may try rice water after 2 hrs of lopramide,in small frequent feeds(100 ml/kg /day)
5)Fits:Signifies ,irritation to brain.Needs immediate admission as emergency.Do not put the child in sitting position..put the child lying,face turned to one side&keep a spoon betweenupper 7lower molar teeth,to avoid tongue bite.SUCK OUT MOUTH SECRETIONS.If conscious you can give one tab of Diazapam,orGardinal,especially if he is already a known case of fits.Dont give keys or iron in the hands because it is unscientific.
6)Febrile fits:Fits occuring only during fever episodes in certain children,aged 6months to 6 yrs.Once fever is controlled,fits usually subsides &never reccurs if continuous tepid/ice sponging alone is sufficiently givenIt is necessary that a doctor should rule out it is not brain infection by clinical/ csf exam..A (30 mg-for 10 kgdose of phenobarb(gardinal)(30 mg for 10 kg ,&60 mg for 20 kg child) may be given.
7)Rigor(chills)Abnormal body temperature meckanism as if thermostate function is out of order,
in the brain..Put on a warmer,or heater fan.cover body with blankets.Apply hot water bottle 1--2 is the best.In 10 mts there will be total relief.If not controlled adeqately,give Tab Avil+ dexamethasone.Take him to hospital if no relief within 1 hour.
8)'stomach' pain: If there is no vomiting or diarrhoea,give antacid tabs-3Wait for 15 mts.If no relief ,tab Raftase/CYCLOPAM,WHICH IS GOOD FOR ALL PAINS,INCLUDING MENSTRUAL
DISORDER DIS MENNORRHOEA,OVULATIONPAIN(pain 15 days after menses) kidney stones(Beralgan-drops-tabs)
9)URETHRITIS (Burning micturition).child cries while passing urine,&puts hands over the genitaia & scratches.children above 5 can clearly communicate.give frequent water&tab pyridium,which imparts a brownish red colour to urine.pain disappears in 30 mts like butter on a frying pan.
10)Ear pain:Otogesic/Otec ac/candidwith local anaesthetic drops..Can take one Paracetamol+brufen.
11)foriegn body Eye: Sudden & continuous irritation of Eye.Go to eye specialist immediately.dont try your own treatment.If at night go to government eye hospital Egmore chennai for 24 hr service.
12)Foriegn body-Nose/Ears.:Go to doctor or childrens hospital egmore chennai(24 hrs)
13)accidental poisoning:Children taking blood pressure/diabetes drugs of elders,or any other poisonous substances.If child is CONSCIOUS only,induce vomiting by giving 100- 200 ml of saturated solution of common salt(put salt more so that there is a deposit at the bottom of the vessel.specific antidote can be given at hos pitalIf child is unconscious take him to hospital in LYING POSITION.
14)CHEST PAIN :(Adults above 40 yrs)Left or rt.sidedor central,with or without sweating or reflected to left shoulder or left jaw;Gelusil 3 tabs +1 tab aspirin150 mg,swallowed.1 tab sorbitrate 5 mg kept under tongue.
15)Burns/scalds:Put ice pack all over affected part.sedate ,if pain is severe. tab diazapam1-2 as per age.(5 mg .tab.)
16)SEVERE ITCHING;IN ANY PART OF THE BODY,OR GENERALISED ALL OVER WITH RASHES,?PATCHY THICKENED SKIN(URTICARIA).THE MORE ONE SCRATCHES THE MORE WILL BE ITCHING SENSE: Take tab AVIL+dexamethasone.Flucort ointment for external use if the affected part is very small.If genaralised go to hospital streight.
17)Breath holding spell :Some young children when they cry end up in compleat breathlessness,at the end of the cry&may turn blue.recovers by itslf.stimulate by cold /hot water on the palms/soles.dont give feeds.some times child may throw a fit due to lack of oxygen to brain.
18)Asthma.Not a sudden problem if taking proper medications.Keep a beclamethasone inhaler & give 1-2 puffs,in addition to usual drugs
19)Difficulty in breathing:Put the child in sitting position¬ in lying positionDont give feeds when child is restless,till doctor sees.
20)coughing blood/vomiting blood:Emergency admission in hospital with blood transfusion fecility.dont give feeds.transport in sitting position forcough,&lying for vomiting.
21)Insect bites:Tab Avil+Dexamethasone.
22)sleeplessness;Tab?Syp:Diazapam/phenergan
Phenergan should be available in all homes&kept at height not reachable by kids.Good for:-
irritability,sleeplessness,asthma or any wheezing,allergy, coughs,rashes,vomiting,running nose ,pain any where in the body, any insect bite including scorpion sting.It is like Gold or King among the drugs for kids.
23)child's cry over 1-2 hrs:Depends on age &many other factors.There is no way to stop until the cause is foundNo harm to try phenergan syp.
24)Fall from a height:Effect depends upon height &the anatomical part touching the groundfirst.If there is no obvious external injury &if the child is conscious,but for a short cry of 5-10 mts,nothing much to worry.If child stops crying on its own it is good.If the cry is continuous ,take him to doctor.Let him decide.C-T Scan brain may be required if there is a blunt head injury.
25)Cuts/wounds/lacerations/fractures:Dont take any risk for head injuries.All city govt.hospitals equiped with Neuro centeres,for 24 hr service.
For any obvious fractures,or severe pain+inability to move any part:fold 1-2 pages of News paper as splint&keep it at center of deformed part&bandage along with the folded news paper,for immobilisation.
small cuts, lacerations:Clean it with dettol if possible,or apply sterile gause dressings(available in medical shop).INJ.TETANUS TOXOID CAN BE TAKEN LEISURLY.
Keep a first aid box to contain,dressings &all other medicines mentioned in this article(4 tabs in each variety)
It may be stressed that school children may be put to work for 1-2 hrs a week in a doctors clinic as a hobby or pastime so that he can not only learn how to practice first aid on demand when need arises,but also develope interest to become a doctor in later life that will be not only be useful to him but also to the community.
Keep the telephone numbers of the following written in the calender for ready reference;
Ambulance,nearest medical college hospital,fire,leading private hospitals,nearest doctor's clinic ,,residence,any small hospital for ambulance service only, poison controlcenter,casuality department of any big hospital.
Though this is a first aid home treatment for your kids,some of them are suitable to adults also.PLEASE note that this is not a treatment guide for your child's medical problems,BUT ONLY a first aid management at critical times.All drugs named here should be used only for ONE DOSE ONLY& visit doctor at earliest oppertunity.
If a child gets fever at 10 pm one can not wait till morning.If fever is not controlled he may throw a fit.Or suppose,you are urgently moving with your family from one place to another 300 km,your family member gets a vomiting,diarrhoea,acidity,or abdominal pain discomfort,anxiety,what will you do?Or while at home your child swallows few tablets of adults(like anti-diabetic /blood pressure reducing.)what will you do?So it becomes necessary for all mothers to know certain first aid treatment.It is with this hope the following is written& to be practiced only at a critical situation& non availability of doctor for quick help.
FIRST AID TREATMENT AT HOME:
All drugs,can be given as per this schedule.Dose of any adult tablet for children can be given thus.--New born-1/10,6 months-1/6.,1-3 yrs--1/4.,5 yrs-1/2,.10 yrs-1.,
Syrup;New born-5-9 drops.,6 months-1/2tsp.,1-3 yrs--3/4 tsp.,5 yrs--1-2 tsp.
PLEASE remember the above is for single dose only.consult doctor for subsequent dose.
1)FEVER:101.F is significant.Tepid?ice sponging is enough.In very high fever,ice at axilla,groin soles will be required.Doctor will find cause &treat latter.you may use tab/syrup paracetamol
6 months-1/6tab/1/2 tsp.5yrs-1/2 tab..1 tsp.
2)VOMITING:2-3 vomitings significant Ideal treatment-I V Fluids at hospital.or else, tab domperidol,mixed in honey.No feeds for 8 hrs.If vomiting occurs 2 hrs after tab,,go to hospital as emergency.
3)Jaundice:Dangerous during first 3 days of neonatal life.Admit as emergencyfor other jaundice also go to doctor.Dont trust KEELANELLI leaf extract,or any other siddha ayurveda or other herbal treatments.Jaundice after 15 days can be due to surgical congenital cause,if with clay white stools.Jaundice in an unimmunised child at any age could be due to virus infection.Blood test necessary.
4)Diarrhoea:One loose large watery motion needs admission in hospital.3 such motions is often dangerous,unless iv fluid treatment given.Very risky upto age 2 yrsMaximum death rate in this age group.So any home treatment is not advisible.
May try tab lopramideafter 6 months of age.Diarrhoea should stop within 2 hrs.STOP THE FOLLOWING:a)any oral feed b)milk--mothers,/cow's.c)electrolyte powder.d)sweets. e)tender coconut water.If no associated vomiting may try rice water after 2 hrs of lopramide,in small frequent feeds(100 ml/kg /day)
5)Fits:Signifies ,irritation to brain.Needs immediate admission as emergency.Do not put the child in sitting position..put the child lying,face turned to one side&keep a spoon betweenupper 7lower molar teeth,to avoid tongue bite.SUCK OUT MOUTH SECRETIONS.If conscious you can give one tab of Diazapam,orGardinal,especially if he is already a known case of fits.Dont give keys or iron in the hands because it is unscientific.
6)Febrile fits:Fits occuring only during fever episodes in certain children,aged 6months to 6 yrs.Once fever is controlled,fits usually subsides &never reccurs if continuous tepid/ice sponging alone is sufficiently givenIt is necessary that a doctor should rule out it is not brain infection by clinical/ csf exam..A (30 mg-for 10 kgdose of phenobarb(gardinal)(30 mg for 10 kg ,&60 mg for 20 kg child) may be given.
7)Rigor(chills)Abnormal body temperature meckanism as if thermostate function is out of order,
in the brain..Put on a warmer,or heater fan.cover body with blankets.Apply hot water bottle 1--2 is the best.In 10 mts there will be total relief.If not controlled adeqately,give Tab Avil+ dexamethasone.Take him to hospital if no relief within 1 hour.
8)'stomach' pain: If there is no vomiting or diarrhoea,give antacid tabs-3Wait for 15 mts.If no relief ,tab Raftase/CYCLOPAM,WHICH IS GOOD FOR ALL PAINS,INCLUDING MENSTRUAL
DISORDER DIS MENNORRHOEA,OVULATIONPAIN(pain 15 days after menses) kidney stones(Beralgan-drops-tabs)
9)URETHRITIS (Burning micturition).child cries while passing urine,&puts hands over the genitaia & scratches.children above 5 can clearly communicate.give frequent water&tab pyridium,which imparts a brownish red colour to urine.pain disappears in 30 mts like butter on a frying pan.
10)Ear pain:Otogesic/Otec ac/candidwith local anaesthetic drops..Can take one Paracetamol+brufen.
11)foriegn body Eye: Sudden & continuous irritation of Eye.Go to eye specialist immediately.dont try your own treatment.If at night go to government eye hospital Egmore chennai for 24 hr service.
12)Foriegn body-Nose/Ears.:Go to doctor or childrens hospital egmore chennai(24 hrs)
13)accidental poisoning:Children taking blood pressure/diabetes drugs of elders,or any other poisonous substances.If child is CONSCIOUS only,induce vomiting by giving 100- 200 ml of saturated solution of common salt(put salt more so that there is a deposit at the bottom of the vessel.specific antidote can be given at hos pitalIf child is unconscious take him to hospital in LYING POSITION.
14)CHEST PAIN :(Adults above 40 yrs)Left or rt.sidedor central,with or without sweating or reflected to left shoulder or left jaw;Gelusil 3 tabs +1 tab aspirin150 mg,swallowed.1 tab sorbitrate 5 mg kept under tongue.
15)Burns/scalds:Put ice pack all over affected part.sedate ,if pain is severe. tab diazapam1-2 as per age.(5 mg .tab.)
16)SEVERE ITCHING;IN ANY PART OF THE BODY,OR GENERALISED ALL OVER WITH RASHES,?PATCHY THICKENED SKIN(URTICARIA).THE MORE ONE SCRATCHES THE MORE WILL BE ITCHING SENSE: Take tab AVIL+dexamethasone.Flucort ointment for external use if the affected part is very small.If genaralised go to hospital streight.
17)Breath holding spell :Some young children when they cry end up in compleat breathlessness,at the end of the cry&may turn blue.recovers by itslf.stimulate by cold /hot water on the palms/soles.dont give feeds.some times child may throw a fit due to lack of oxygen to brain.
18)Asthma.Not a sudden problem if taking proper medications.Keep a beclamethasone inhaler & give 1-2 puffs,in addition to usual drugs
19)Difficulty in breathing:Put the child in sitting position¬ in lying positionDont give feeds when child is restless,till doctor sees.
20)coughing blood/vomiting blood:Emergency admission in hospital with blood transfusion fecility.dont give feeds.transport in sitting position forcough,&lying for vomiting.
21)Insect bites:Tab Avil+Dexamethasone.
22)sleeplessness;Tab?Syp:Diazapam/phenergan
Phenergan should be available in all homes&kept at height not reachable by kids.Good for:-
irritability,sleeplessness,asthma or any wheezing,allergy, coughs,rashes,vomiting,running nose ,pain any where in the body, any insect bite including scorpion sting.It is like Gold or King among the drugs for kids.
23)child's cry over 1-2 hrs:Depends on age &many other factors.There is no way to stop until the cause is foundNo harm to try phenergan syp.
24)Fall from a height:Effect depends upon height &the anatomical part touching the groundfirst.If there is no obvious external injury &if the child is conscious,but for a short cry of 5-10 mts,nothing much to worry.If child stops crying on its own it is good.If the cry is continuous ,take him to doctor.Let him decide.C-T Scan brain may be required if there is a blunt head injury.
25)Cuts/wounds/lacerations/fractures:Dont take any risk for head injuries.All city govt.hospitals equiped with Neuro centeres,for 24 hr service.
For any obvious fractures,or severe pain+inability to move any part:fold 1-2 pages of News paper as splint&keep it at center of deformed part&bandage along with the folded news paper,for immobilisation.
small cuts, lacerations:Clean it with dettol if possible,or apply sterile gause dressings(available in medical shop).INJ.TETANUS TOXOID CAN BE TAKEN LEISURLY.
Keep a first aid box to contain,dressings &all other medicines mentioned in this article(4 tabs in each variety)
It may be stressed that school children may be put to work for 1-2 hrs a week in a doctors clinic as a hobby or pastime so that he can not only learn how to practice first aid on demand when need arises,but also develope interest to become a doctor in later life that will be not only be useful to him but also to the community.
Keep the telephone numbers of the following written in the calender for ready reference;
Ambulance,nearest medical college hospital,fire,leading private hospitals,nearest doctor's clinic ,,residence,any small hospital for ambulance service only, poison controlcenter,casuality department of any big hospital.
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