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Can Manipur become medical value travel destination of South East Asia?

December 8, 2011 Leave a comment

Can Manipur become medical value travel destination of South East Asia?.

‘Future belongs to those who believe in the beauties of their dreams’.

I am a passionate believer of human potential and so also of Manipur. We have abundance of opportunities because of our location, hospitality nature of our region, comfortable weather, land, lake, hills, short surface connectivity with Myanmar, Trans Asia Highway, possible International Airport at Imphal, India’s “Look East” policy etc. We can very well visualize Manipur becoming the healthcare hub of South East Asia. We can solve most of our problems by addressing the advantages rather than the disadvantages.

‘If you really understand the problem, the answer will come out of it, because the answer is not separate from the problem’.
– Jiddu Krishnamurti
Healthcare is one of the fastest growing industries in India. Manipur is not an exception. A recent CII-McKinsey study on healthcare says medical tourism alone can contribute Rs 5,000- Rs 10,000 crore (Rs 50-100 billion) additional revenue for upmarket tertiary hospitals by 2012, and will account for 3-5 per cent of the total healthcare delivery market and  only 10% of the opportunity has been tapped in India.

India’s medical tourism is through Non-Residential Indians, Patients from countries with underdeveloped facilities and Patients from developed countries because of long waiting list. India has adopted NABH (National Accreditation Board for Hospitals & Healthcare Providers) program to improve the quality to international standard for attracting more foreigner medical tourists.

Healthcare is a major service Manipur can sell to neighboring states and countries. Myanmar is our advantage. First we need to have good hospitals. Till now there is no NABH hospital in NE India. Myanmar patients are going to Bangkok and Singapore for their advanced medical treatment which is costlier than India. Health Visa is not issued to Myanmar nationals to visit Manipur as it is issued to Bangladeshi at the border to visit India for medical reasons. Bus service between Mandalay and Imphal is yet to be materialized for different reasons. India’s Look East Policy is delayed in implementation. The situation is now difficult but not impossible to go ahead because of Chinese speed and dominance in Myanmar. After all nobody wants to go to a war zone for treatment. Good relationship with Myanmar cannot be established so long as they are arrested for illegal entry to Manipur in spite of PAP removal. We need a leader who will take 100 percent responsibility for successful implementation of the policy.

New trend of diseases and our focus areas.
Infectious diseases, caused by invading microorganisms, were the leading causes of death a century ago. Chronic diseases, caused by a variety of lifestyle and other factors, are the leading causes of death today. Leading causes of death overall are heart disease, cancer, stroke, chronic lower respiratory diseases (emphysema, chronic bronchitis), diabetes, accident and emergency.

And the main objectives of Tourism are in the specialities of Cardiac  Care, plastic and Cosmetic surgery, organ transplantation, reproductive IVF and ICSI procedures, Joint replacement. The medical care can be combined with related tourism activities such  as spiritual and  eco-tourism. Flow of Myanmar medical tourists depends upon our pricing, branding, hospital accreditation, quality control, categorization of hospitals etc.

Healthcare is investment intensive for technological advancement and nothing is free. In May 2008, McKinsey and Company reported that primary considerations in medical tourism are:
* 40% seek advanced technology,
*  32% seek better healthcare,
* 15% seek faster medical services
* while only 9% of travellers seek lower costs.

We need to update the facilities to attract medical tourists. Organ transplantation act needs to be passed in our state. Government alone cannot handle healthcare of 1.2 billion populations in India. Private sector participation is the need of the hour. Public Private Partnership is now the new ‘Mantra’ to provide affordable quality healthcare to the masses. Categorisation of healthcare institutes and quality control may be undertaken.

We need to rethink our healthcare planning and develop Infrastructure and HR, Quality and Accreditation, Law and Order, Accessibility, Affordability according to our opportunity.

In 2006 more than 2 million medical tourists availed services in South-east Asia from all corners of the world. Revenues close to US$ 450 million generated. But India had only 2% share. In 2007 India had 0.2 million medical tourists only. Singapore and Bangkok are healthcare destination in South East Asia. A single hospital in Bangkok, Brumugrade, first to get JCI (Joint Commission International ) accreditation in Asia is treating  0.45 million foreigners per year.

‘India is home for 16% of total world population and 21% of total global diseases.  In India the Health Care spending is 3.4% and Military 18.6% of its total spending. Developed National spends 12-17% in Health.  India needs a holistic massive USD 80 Billion investment to bring up the quality of healthcare matching to developed nations. Every new bed creates employment for 5 personnel directly and about 25 personnel indirectly. There is a huge requirement for health care workforce estimated to be 70 to 80 million jobs in the next 10 yrs, adding 2 to 3 % p.a. to GDP.’

India currently has 0.6 beds per 1,000 and the global average – 4.7 beds per 1000. India needs 1.7 million beds to meet 2 beds per 1000 only. There is a shortfall of 1.4 million doctors and 2.8 Nurses million. North Eastern India needs 52000 nurses immediately. MCI (Medical Council of India) has recommended the centre to establish 500 medical colleges in 5 years to meet the gap. Till now Eastern India has the lowest number of medical colleges compare to rest of the country. Manipur needs more beds and medical colleges to increase state exchequer.  More than 300 students who are going privately outside the state per year for medical studies.

In Manipur, a task force constituted by Ministries of Health and Family Welfare and Tourism may assess the opportunities for promoting our state as one of the health destination and formulate policy to promote and control the quality of healthcare of the state. Only quality service will attract more medical value tourists and generate nearly 2 lacs of employment in turbulent Manipur.

Can Manipur become healthcare destination of South East Asia? The choice is ours. Grow or die.

The writer is CMD and Consultant Plastic Surgeon, Shija Hospitals, Langol.

Vice President, Manipur Chamber of Commerce and Industries.

President, Indian Medical Association, Manipu State Branch. And he can be reached at drpalin@shijahospitals.com

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Categories: health, Opinion Tags: , ,

Recruitment of Medical Officers and Dental Surgeons in Department of Health, Manipur Health Services

September 25, 2011 1 comment

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World Alzheimer’s Day 2011

September 22, 2011 Leave a comment

Every year 21st September is observed as World Alzheimer’s Day. Year 2011’s theme is “FACES OF DEMENTIA”.

Alzheimer’s disease is the commonest type of dementia named after Alois Alzheimer, a German psychiatrist and neuro-pathologist who had first described the disease in the year 1906. Clinical presentation of Alzheimer’s disease is similar with other types of dementia.
“Our goal in the management of dementia is basically to enhance quality of life, by slowing down disease progression, maximising function, improving cognition, mood and behaviour.”
Read More

via The Sangai Express

Salary Clearance for Newly Recruited Doctors Under Manipur Health Services

September 6, 2011 Leave a comment

The Government of Manipur has approved withdrawal/disbursal of pay and allowances of the newly recruited Medical Officers and Dental Surgeons under Manipur Health Services vide order No. 1/6/2011-FB(11) without an updated MGEL/CPIS Certificate.

Finance Department considering the tremendous hardship faced by the newly recruited Medical Officers and Dental Surgeons has decided the drawal of salary for newly appointed MHS Officers ( Medical Officers and Dental Surgeons) who have already joined the services since 27/01/2011 may be allowed till the month of July, 2011 without an updated MGEL/CPIS Certificate subject to proper verification of appointment order, transfer and posting order, etc., by the TO concerned.

The copy of the said order can be downloaded from here: MGEL relaxation order for salaray release

Categories: health, News Tags: , ,

A real doctor will first do no harm

September 4, 2011 Leave a comment
by | in Patient | 7 responses
………………………………………………………………………………………………………………………………………………………………………………………………………………………
I’m really miserable and need that 5 day antibiotic to get better faster.

Ninety eight percent of the time it is a viral infection and will resolve without antibiotics.

But I can’t breathe and I can’t sleep.

You can use salt water rinses and decongestant nose spray.

But my face feels like there is a blown up balloon inside.

Try applying a warm towel to your face.

 

And I’m feverish and having sweats at night.

Your temp is 99.2. You can use ibuprofen or acetominophen.

But my snot is green.

That’s not unusual with viral upper respiratory infections.

And my teeth are starting to hurt and my ears are popping.

Let me know if that is not resolving in a week or so.

But I’m starting to cough.

Your lungs are clear so breathe steam, push fluids and prop up with an extra pillow.

But sometimes I cough to the point of gagging.

You can consider using this strong cough suppressant prescription.

But I always end up needing antibiotics.

There’s plenty of evidence they can do more harm than good.  They really aren’t indicated at this point in your illness.

But I always get better faster with antibiotics.

Studies show that two weeks later there is no difference in symptoms between those treated with antibiotics and those who did self-care only.

But I have a really hard week coming up and I won’t be able to rest.

This may be your body’s way of saying that you need to evaluate your priorities.

But I just waited an hour to see you.

I really am sorry about the wait; there are a lot of sick people with this viral thing going around.

But I paid $20 co-pay today for this visit.

We’re appreciative of you paying promptly on the day of service.

But I can go down the street to the walk in clinic and for $95 they will write me an antibiotic prescription without making me feel guilty for asking.

I wouldn’t recommend taking unnecessary medication that can lead to bacterial resistance, side effects and allergic reactions. I think you can be spared the expense, inconvenience and potential risk of taking something you don’t really need.

So that’s it?  Salt water rinses and wait it out?  That’s all you can offer?

Let me know if your symptoms are unresolved in the next week or so.

So you spent all that time in school just to tell people they don’t need medicine?

I believe I help people heal themselves and educate them about when they do need medicine.

I’m going to go find a real doctor.

A real doctor will first do no harm.  I wish you the best.

Emily Gibson is a family physician who blogs at Barnstorming.

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Courtesy: www.kevinmd.com

Recruitment of 233 doctors

August 29, 2011 Leave a comment

IMPHAL, Aug 27: The state cabinet meeting convened this evening under the chair of Chief Minister Okram Ibobi has approved recruitment of 233 doctors under the state health department.

According to an official source, the 233 doctors will include 25 for dental and 21 for Ayush. Out of these 233 posts, 75 will also be reserved for scheduled tribes.

Sources:- Imphal Free Press

Doctors press panic button on Hepatitis

Doctors press panic button on Hepatitis

Durgesh Nandan Jha, TNN | Jul 27, 2011, 02.09AM IST
NEW DELHI: One in every 12 people suffers from chronic hepatitis B or C worldwide. According to health experts, the number of cases of the viral infection is on the rise in India due to unavailability of safe drinking water.

With the World Hepatitis Day being observed for the first time this year on Thursday, July 28, by the World Health Organization (WHO), city doctors said there is a need to create more awareness and step up preventive measures.

According to Dr M P Sharma, head of the department of gastroenterology at Rockland Hospital, “Types B and C are the most common cause of liver cirrhosis and cancer . People also run the risk of contracting hepatitis B through sexual transmission with an infected individual. “Vaccines are available for hepatitis B and in some states, it has been included in the universal immunization programme. Mother-to-child transmission is one of the causes of hepatitis in children, so pregnant women should be screened for the disease and vaccinated on time. Blood banks need to screen properly and dispose of infected blood because transfusion is one of the mediums for the spread of the disease.”

A senior doctor at AIIMS said hepatitis B and C also spread through injections.

“Hepatitis A and E are spread through faeco-oral transmission. It is present in the faece of infected persons and is most often transmitted through consumption of contaminated water or food,” said Dr Anoop Saraya, professor, gastroenterology department at AIIMS.

Dr A S Puri, head of the department of gastroenterology at G B Pant Hospital, said they have come across many cases in which unsterilized tattoo equipment or contaminated ink was the cause of a Hepatitis C infection. “Hepatitis C is a stealth virus. It can hide in liver cells for years and manifest itself as cirrhosis, liver cancer or liver failure,” said Dr Puri. He said body piercing was another cause along with intravenous drug abuse. Hepatitis viruses are 30 times more prevalent than HIV in Southeast Asia. However, due to the asymptomatic nature of these infections, about 60% of infected individuals remain unaware they are infected, until they show symptoms of cirrhosis or liver cancer; this may take over 20 years. Both cirrhosis and liver cancer are irreversible and cause death.

Sources:- Times of India
Categories: health, News Tags: , ,