Date: 20-10-18  Time: 01:17 AM

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1
 Nearly half of the children under the age of five years suffer from stunted growth, said health and child rights experts, while expressing concern over acute food shortage across the province.
Sharing a research presentation at a meeting organised on Wednesday by Scaling Up Civil Society Alliance Pakistan (SUN-CSA, Pak) and Nutrition International with support from Health and Nutrition Development Society (Hands),  they demanded implementation of the ‘inter secretarial nutrition strategy’ made by the government around three years ago and enforcement of the Sindh Protection and Promotion of Breastfeeding Act to overcome the acute malnutrition
problem in Sindh.
During the four-hour-long discussion on the issue, the participants pledged to play their role in prioritizing nutrition at the policy level in Sindh and raise public awareness on the adverse effects of malnutrition.
Speaking on the occasion, Hands Chief Executive Officer Dr Sheikh Tanveer Ahmed said that nearly half of the children under five years of age in Sindh are stunted due to chronic malnutrition, a condition that has lifelong consequences on their physical and mental development.  He said the media, considered as the fourth pillar of the state, can play a powerful and active role through sustained focus on nutrition reporting. He urged the media to highlight the issue of malnutrition.
http://www.forumpakistan.com.pk/haspatal-f34.html

2
 A study conducted by the researchers of US-Pakistan Centre for Advanced Studies in Water (USPCASW) and Pakistan Council of Scientific and Industrial Research (PCSIR) has found alarming presence of antibiotic resistant bacteria (ARB) in water in Hyderabad. The findings were shared at a seminar held in USPCASW at Mehran University of Engineering and Technology (MUET), Jamshoro, on Saturday.
http://hyderabad.pakistanjobs.pk/
DC Magsi orders PHE to ensure clean water supply
“… the presence of ARB is found in the groundwater, surface water and wastewater in Hyderabad and its surroundings,” said USPCASW Deputy Director and principle investigator of the study Dr Rasool Bux Mahar. He identified the industrial waste, agricultural runoff and the waste of humans and animals as sources of the ARB.
“Bacterial isolates identified in the study’s findings pose a potential threat to the people living in Hyderabad,” he highlighted. According to Dr Mahar, the water distribution network in Hyderabad, being operated by the Water and Sanitation Agency, brimmed with technical flaws, deteriorating the water quality and also providing ripe conditions for the bacterial growth.
The Heterotrophic Plate Count, a method of measuring colony formation of bacteria in drinking water, found pseudomonas, shigella, vibrio and e-coli bacteria in the water samples. The ARBs reduce the efficacy of antibiotic medicines, making treatment of life-threatening illnesses difficult, if not impossible. Dr Mahar also illustrated the disinfection processes of ARB including the chlorine, ultraviolet and silver nano particles.
PCSIR senior scientific officer and co-investigator of study Dr Zulfiqar Ali Mirani informed that a total of 501 isolates of escherichia coli, pseudomonas aeruginosa, staphylococcus aureus, klebsiella pneumoniae, proteusp., shigella, vibrio and enterococci were identified in the study. The research, he added, screened them against commonly prescribed antibiotics.
“The microbiological analysis showed that the majority of water samples were not fit for human consumption,” he concluded. Dr Mirani said that water used for drinking, cooking and washing should be free from coliform and fecal coliform bacteria.
The study, he told, found 70% of water samples, taken from the Water and Sanitation Agency’s system, and 87% of river, canal and groundwater samples are unfit for drinking, cooking and washing purposes. “Majority of reverse osmosis (RO) plants’ water samples were also not fit due to high bacterial load.”

3
Health Care System / JPMC sets up special ward for dog-bite cases
« on: October 13, 2018, 03:26:31 PM »
 A special ward has been set up at the Jinnah Postgraduate Medical Centre (JPMC) hospital to deal with dog-bite incidents that have become common in many areas of the city.
According to JPMC Executive Director Dr Seemin Jamali, around 20 to 25 dog-bite cases are reported daily at different city hospitals. In the past year,more than 6,300 dog-bite cases were reported in Jinnah hospital alone. In the past one-and-a-half month, more than 80 dog-bite incidents have been reported. This year, within a four month span, six people have died due to rabies caused because of a stray dog bite at Jinnah hospital.
Dr Jamali said that to contain the dog-bite incidents, immediate measures were needed and the city’s municipal bodies must wake up to address this issue.
The number of dog-bite incidents has increased with the rise in the population of stray dogs on the streets, but local authorities have failed to launch any campaign to eliminate this menace.
A mad dog bit 12 people in Korangi 5 on August 12 while 13 people were bitten by a stray dog in Landhi 2 on August 30 and five people in Korangi 5 on September 9 and 10 people in another area of Korangi on September 19 became victims of dog-bites. Furthermore, 20 children were bitten by a mad stray dog while playing outside in Korangi 2 and 10 people, including four men and three women who were taken to the hospital for immediate treatment and given vaccination, in Defence Housing Authority (DHA) Phase I on October 1.
http://www.forumpakistan.com.pk/haspatal-f34.html
Residents fearing the increase in the population of stray dogs in the city regret that no action was being taken to eliminate stray dogs.

4
The early years of adulthood significantly impact an individual’s life.
Often the aspirations and apprehensions for the future engulf one in stress and anxiety. The feelings, if not recognised and managed, can distract and overwhelm you. In some case, it can lead to mental health issues.
For the youth of today, the increasing pressure of social media and constant connectivity frequently overpowers the urge to find contentment.
To stress upon the importance of mental health for young people growing up in a changing world, the World Health Organisation (WHO) chose it as the theme for the annual World Mental Health Day.
According to WHO, “Half of all mental illness begins by the age of 14, but most cases go undetected and untreated”.
Attention-Deficit Hyperactivity Disorder
One of the most common behavioral disorders of childhood yet only recently was the persistence of ADHD symptoms in adult life recognized.
A child with ADHD typically cries more than other babies, is irritable and sleeps less often. Developmental milestones may occur early but they may also be clumsy and have problems with coordination.
An individual with ADHD often finds it difficult to focus and tends to be impulsive. Adults may have continuing interpersonal problems such as alcohol or drug use. They may also complain of trouble with concentration, disorganisation, impulsivity, mood liability, over activity, quick temper, and intolerance of stress.
Generalized Anxiety Disorder
A challenge to diagnose, GAD appears differently than assumed. In our world, anxiety is considered ‘too much worrying’ if there are no panic attacks. The constant struggle to contain worrying is usually dismissed and left untreated.
Gaming addiction classified as mental health disorder by WHO
According to DSM-5, the presence of excessive anxiety and worry occurring for more than six months is clearly is a mental health disorder. The worrying, in both adults and children, may easily shift from one topic to another. It is accompanied by restlessness, fatigue, lack of attention, irritability and trouble in sleeping.
In simple terms, anxiety is excessive worrying without the presence of a specific concern. A person struggling with GAD will spend a large amount of time worrying about something or the other.
The anxiety and its associated symptoms make it difficult to carry out routine activities and responsibilities.
Eating disorder
An eating disorder is defined by abnormal eating habits that negatively affect an individual’s physical and mental health. Research shows biological and environmental factors play a role in eating disorders.
Eating disorders are common among children, teens and women. General symptoms involve self-criticism, negative thoughts and feelings about body weight and food and eating habits that disrupt normal body function and daily life.
The three main sub-categories of eating disorders defined in DSM-V include:
Binge Eating Disorder:  it involves recurring episodes of overeating in a short period of time. The episodes are marked by feelings of lack of control followed by feelings of guilt, embarrassment and disgust.
Self-employment improves mental health: study
Anorexia Nervosa: the disorder primarily affects adolescent girls and young women. It involves having distorted body image perception and excessive dieting leading to severe weight loss. In simple terms, the disorder revolves around a person’s pathological fear of gaining weight.
Bulimia Nervous: this eating disorder is characterized by frequent episodes of binge eating followed by extreme guilt that leads to unhealthy behaviors such as self-induced vomiting to avoid weight gain.
Obsessive–Compulsive Disorder
Obsessions are recurring thoughts, beliefs, or ideas that dominate an individual’s mental content. These thoughts persist even despite the person’s efforts to resist. These are rituals performed with the aim to neutralize the obsessional thinking.
It is pertinent to note that repeated thoughts can sometimes be compulsions – if their purpose is to reduce the obsessional anxiety. Compulsions can be comparatively simple, such as uttering or thinking a word or phrase of protection against an obsessive thought. But some are almost unbelievably complex. For instance, some elaborate routine rituals, if not performed exactly as specified by intricate rules, must be repeated until the patient gets it right.
The rituals can soak up hours every day. Most obsessions and compulsions usually result in anxiety and dread. These patients are bothered by repeated thoughts or behaviors that appear senseless, even to them.
OCD contains a variety of disorders including some that heavily impact youth.
Body-dysphoric disorder: Physically normal patients believe that parts of their bodies are misshapen or ugly. Excoriation disorder: Largely known as skin-picking disorder, it is the persistence of picking at their skin that they traumatize it. Hoarding disorder: an individual is compelled to hold on and accumulate so many objects, sometimes of no value, that they interfere with routine life. Trigonometrical: Commonly known as hair-pulling disorder, it involves pulling hair from various parts of the body and it is often accompanied by feelings of “tension and release”.
In some cases, obsessions and compulsions are caused by various medical conditions.
Substance or medication-induced obsessive-compulsive and related disorder: Various substances can lead to obsessive-compulsive symptoms that don’t fulfill criteria for any of the above-mentioned disorders.
According to DSM-V, OCD comprises four major symptom patterns. The most common is the fear of contamination that leads to excessive attempts to clean oneself. The second one is ‘doubts’ which leads to a repeated thought about act one has done or not.
http://www.forumpakistan.com.pk/haspatal-f34.html

5
Children perform better on mental and academic tests when they limit their screen time to under two hours per day, eat right, sleep well, and stay physically active.
“For kids, if they have better cognitive function, they may succeed better in their life.” —Jean-Philippe Chaput, PhD, of the Children’s Hospital of Eastern Ontario Research Institute. Getty Images
If you want to maximize your child’s brainpower, help them develop good habits, suggests a new study.
This includes encouraging them to limit their recreational screen time to no more than two hours a day, get enough sleep, and stay physically active.
The study looked at how well 4,500 U.S. children ages 8 to 11 met the Canadian 24-Hour Movement Guidelines for Children and Youth.
Researchers found that 37 percent of children had two hours or less of recreational screen time per day, 51 percent had 9 to 11 hours of uninterrupted sleep per night, and 18 percent got at least 60 minutes per day of moderate to vigorous physical activity.
Only 5 percent of the children in the study met all three recommendations. Twenty-nine percent met none at all.
Researchers found that children who met the guidelines for all three areas had “superior global cognition” compared to those who met none. This includes memory, attention, processing speed, and language.
The strongest link was for screen time alone, and for screen time and sleep together.
The researchers did not see a connection between physical activity and improved cognition. However, they noted in the paper that this may be due to a lack of information about the intensity and kinds of physical activity that kids were doing.
While there are guidelines for healthy levels of screen time, sleep, and physical activity for children, this study looked at how they interacted.
“Any change in one of the three behaviors will impact one or two of the others. So you cannot look at them alone. They need to be combined,” said study author Jean-Philippe Chaput, PhD, of the Children’s Hospital of Eastern Ontario Research Institute.
The study was published September 26 in The Lancet Child & Adolescent Health.
Screen time and sleep affect each other
Heather Kirkorian, PhD, an associate professor in human development and family studies at the University of Wisconsin–Madison, who as not involved in the study, said one of the strengths of the study is that researchers measured cognitive abilities directly rather than relying on a parent’s assessment.
Kirkorian pointed out, though, that the results only show some association between these factors, but they can’t say which one causes which.
This is echoed by Chaput, who said, “We know that screen time before bed is bad for your sleep quality, but we also know that short sleepers tend to engage in more screen time.”
Another recent study found a similar impact of screen time, sleep, and physical activity — along with diet — on the academic performance of more than 4,000 10- and 11-year-olds.
Kids in this study who met the screen time and sleep recommendations performed better on a standardized writing test taken one year later.
But math, reading, and writing all improved with each additional good lifestyle behavior that children had.
Study author Paul Veugelers, PhD, a professor of public health at the University of Alberta said the effect of these lifestyle behaviors on academic performance was “substantial.”
This study looked only at television viewing, which may capture just a small piece of children’s screen time.
Also, Veugelers said that asking kids how often they use screens may miss information about their other health habits.
“Hypothetically you can have a student playing with the Wii or Dance Revolution and reporting that as screen time,” he said.
Kirkorian would like to see additional research that gives a more detailed view of screen time.
“There’s plenty of research suggesting that the type of activity, the content, and the social context all matter,” she said.
For example, there’s a difference between watching a movie alone or watching and talking about the movie with others, or between playing video games and doing research online for school.
http://www.forumpakistan.com.pk/haspatal-f34.html

6
Several companies are selling vaporizers that let you inhale vitamins, essential oils, and herbal supplements. But is this trend safe… or even needed?

First, . Then it was just plain cool.

Now it’s a “healthy” activity, say companies that are pushing people to vape vitamins, herbal supplements, and essential oils.

At least three companies have embraced this new vape trend. One markets its vitamin B-12 vaporizer as containing “10 times the amount found in a typical B-12 shot,” alongside pictures of fresh fruits and berries (none of which contain vitamin B-12, by the way).

Another sells vape juice that contains vitamins, essential oils, and organic flavor waters, with the motto “if you wouldn’t eat it, you shouldn’t inhale it.”

But just because you eat something, does that mean it’s safe to inhale a vapor made from it? (Imagine relaxing at home with a savory organic, free-range chicken vape.)

Or is it even an effective way to boost your health?

There’s very little research to answer either of these questions, but here’s what we do know about vaping vitamins.

Is vaping vitamins safe?
According to a report released earlier this year by the National Academies of Sciences, Engineering, and Medicine, studies show that e-cigarette vapor contains fewer kinds and lower levels of toxic chemicals than cigarette smoke.

However, combustible cigarette smoke is made up of thousands of chemicals, with at least 70 known to cause cancer. So being “less harmful” is an easy bar to reach.

One good thing about the herbal and vitamin vape liquids is that they are free of nicotine, which is highly addictive.

Still, one study found that even non-nicotine e-cigarettes may be a gateway to cigarette smoking among teens.

Some companies selling “healthy” vape liquids also market their products as containing organic ingredients and no chemicals.
http://www.forumpakistan.com.pk/haspatal-f34.html
But heating the vape liquid to create vapor can produce chemicals that weren’t in the original liquid. The NAS report points out that the chemicals in the vapor depend upon the flavorings and other compounds in the vape juice, as well as how the device is used.

This is why scientists test the vapor — sometimes on multiple vaporizers — not just the vape liquid.

Compared to combustible cigarettes, e-cigarettes have only been around for a short time, so there’s less research available on their safety.

7
Advertise / Govt forms task force for health sector
« on: October 01, 2018, 02:21:08 PM »
The government has notified the health task force to evaluate the current status of healthcare in Pakistan and submit its findings to the government.
According to an official notification, around 13 experts both from the private and public sector, from Pakistan and abroad will evaluate all aspects with statistical analysis including but not limited to medical, dental, nursing and ancillary health care.
The force constitutes renowned health experts including from Shaukat Khanum Memorial Cancer Hospital and Research Centre (SKMCH&RC).
Prof Nausherwan Burki of University of Connecticut, USA, is leading the task force who was the key member of the Khyber-Pakhtunkhawa (K-P) team that brought reforms in the health care system of the province.
He had already visited both the major public sector hospitals in the federal capital earlier this month along with the health minister.
The other members include SKMCH&RC CEO Dr Faisal Sultan, Indus Hospital CEO Prof Abdul Bari Khan, SKMCH&RC CMO Dr Asim Yusuf, Prof M Hamid Zaman from Dept of Biomed Engr and International Health at Boston University USA.
The Ex-director of Pharmacy Services at Aga Khan University Hospital (AKUH) Latif Sheikh, and Prof Zulfiqar A Bhutta from Centre of Excellence in Women and Child Health at AKUH are also in the team.
The nursing section include Prof Dr Rasia Gul, Prof Dean FNM at Shifa College of Nursing, Shaheen Ghani, President of Pakistan Nursing Association K-P and Director Nursing at Lady Reading Hospital Peshawar, Professor Rafat Jan, President of Pakistan Nursing Council and Dean School of Nursing and Midwifery, Rawalpindi, and Rehana Elahi, Director at Nursing SKMCH&RC.
National Health Services Regulations and Coordination Secretary Captain (retd) Zahid Saeed is part of both the teams.
http://www.forumpakistan.com.pk/haspatal-f34.html

8
Advertise / Punjabi Translation Services in Pakistan
« on: September 28, 2018, 02:05:38 PM »
Punjabi is an Indo-Aryan language like other languages of South Asia. There are almost 88 million native Punjabi speakers in all over the world. Total number of native Punjabi speakers in Pakistan is almost 76,335,300 according to 2008 census and 29,102,477 in India. Punjabi is mainly spoken in Pakistan and India. Punjabi speaking communities also found in USA, UK, UAE, Saudi Arab, Canada, Australia and Malaysia. It is 13th most widely spoken language in all over the world.
Translation.pk is specialist in providing certified professional punjabi translation services in all major cities of Pakistan including Karachi, Lahore, Islamabad, Rawalpindi, Faisalabad, Peshawar, Quetta, Sialkot, Gujrat, Multan, Hyderabad, Bahawalpur and all other cities.
We do punjabi translate all kind of letters and documents in almost all languages. We have expert punjabi translators, punjabi interpreters from all languages including Arabic, Balochi, Check Republic, Chinese, Dutch, English, French, German, Greek, Hindi, Italian, Japanese, Korean, Latin, Pashto, Polish, Portuguese, Punjabi, Russian, Sindhi, Spanish etc.
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Although Translation.pk translation rates are very cheap but we provide most reliable, trustworthy and best punjabi translation.

9
Pakistan is among seven countries across the globe where four American drug companies appear to underpay and deprive the economies of the developing countries by an estimated ‘$112 million in taxes every year’, according to a research report published by Oxfam.
The new research report titled Prescription for Poverty: Drug companies as tax dodgers, price gougers, and influence peddlers, shows that “four pharmaceutical firms—Abbott, Johnson & Johnson, Merck, and Pfizer—systematically stash their profits in overseas tax havens. They appear to deprive developing countries of more than $100 million every year—money that is urgently needed to meet the health needs of people in these countries—while vastly overcharging for their products.”
http://www.pakistanjobs.pk/accounting-jobs-a2

10
Other Health Professionals / Govt forms task force for health sector
« on: September 26, 2018, 03:13:27 PM »
The government has notified the health task force to evaluate the current status of healthcare in Pakistan and submit its findings to the government.
According to an official notification, around 13 experts both from the private and public sector, from Pakistan and abroad will evaluate all aspects with statistical analysis including but not limited to medical, dental, nursing and ancillary health care.
The force constitutes renowned health experts including from Shaukat Khanum Memorial Cancer Hospital and Research Centre (SKMCH&RC).
Prof Nausherwan Burki of University of Connecticut, USA, is leading the task force who was the key member of the Khyber-Pakhtunkhawa (K-P) team that brought reforms in the health care system of the province.
He had already visited both the major public sector hospitals in the federal capital earlier this month along with the health minister.
The other members include SKMCH&RC CEO Dr Faisal Sultan, Indus Hospital CEO Prof Abdul Bari Khan, SKMCH&RC CMO Dr Asim Yusuf, Prof M Hamid Zaman from Dept of Biomed Engr and International Health at Boston University USA.
The Ex-director of Pharmacy Services at Aga Khan University Hospital (AKUH) Latif Sheikh, and Prof Zulfiqar A Bhutta from Centre of Excellence in Women and Child Health at AKUH are also in the team.
The nursing section include Prof Dr Rasia Gul, Prof Dean FNM at Shifa College of Nursing, Shaheen Ghani, President of Pakistan Nursing Association K-P and Director Nursing at Lady Reading Hospital Peshawar, Professor Rafat Jan, President of Pakistan Nursing Council and Dean School of Nursing and Midwifery, Rawalpindi, and Rehana Elahi, Director at Nursing SKMCH&RC.
National Health Services Regulations and Coordination Secretary Captain (retd) Zahid Saeed is part of both the teams.
http://www.forumpakistan.com.pk/haspatal-f34.html

11
Advertise / 8 ways 'ghee' can benefit you
« on: September 25, 2018, 02:35:54 PM »
Nowadays, jars of ghee are shoved to the side in a bid to be healthier. However, did you know that this neglected product has a remarkable spectrum of health and beauty benefits?
Made from milk, it contains omega-3 fatty acids, vitamin A and much more. So it comes as no surprise that ghee has been a valued food product for decades. From aiding the digestive system to conditioning frizzy hair, here are eight ways ghee can benefit you, as compiled from The Indian Express.

1. Rids you of dark circles

Lack of sleep, stress and too much work seem to be issues for everyone these days. Times like this call for ghee application to aid in the reduction of dark circles. Apply a small amount, lightly around the eyes before getting your beauty sleep and you’ll get rid of them in no time!

2. Tames frizzy hair

Ghee is full of fatty acids and antioxidants, making for a tremendous hair conditioner for dry and frizzy hair. Mixing a little olive oil and ghee together will help condition your hair – making it soft and shiny. Mixing lemon juice with ghee will sort out your dandruff issues too.

3. Conditions chapped lips

With winter soon approaching, chapped lips will be every girl’s problem. Applying warm ghee before bedtime will result in soft, supple lips.

4. Helps in getting glowing skin

Ghee has long been an essential part of various beauty care rituals. Its essential fatty acids act as a nourishing agent that can do wonders on dull, tired skin.

5. Reduces belly fat

Ghee comes packed with essential amino acids that could reduce belly fat. The omega-3 and omega-6 fatty acids aid in losing body fat.

6. Has anti-inflammatory properties

Not only is ghee great for naturally treating burns on the body, it is also widely used for swelling. The fat is known to ease both inflammation and burns on the skin when applied to the affected area.

7. Aids the digestive system

Ghee can improve the digestive system as it is quite rich in butaric acid. It also helps with the stimulation of stomach acid secretion.

8. Strengthens the immune system


Loaded with a high content of rich antioxidants, ghee improves the body’s ability to absorb vitamins and minerals better, keeping the immune system strong.

http://www.forumpakistan.com.pk/beauty-tips-f50.html

12
With the first polio virus case recorded in the province in over a year, officials involved in the anti-polio campaigns have decided to further focus their activities to get rid of the crippling virus.
Khyber-Pakhtunkhwa (K-P) health officials have stated that while only one such case has been reported in 2018 so far, they will not be taking it lightly as the case poses a serious threat to the entire programmed, adding that since the virus is circulating in the environment, activities will be further expanded to curb the virus’ movement.
So far in 2018, as many as four polio virus cases have been reported across the country. Hence, a comprehensive campaign is being launched from Monday (today) where over 5.7 million children under five-years-of-age will be vaccinated against the virus.
Apart from anti-polio drops, children will also be administered vitamin-A drops.
The decision was taken after preparedness reports were received from districts.
A review meeting was held at the K-P Emergency Operations Center (EOC) with EOC Coordinator Abid Wazir in the chair. It was attended by Bill and Melinda Gates Foundation (BMGF) Technical Focal Person Dr Imtiaz Ali Shah, United Nations Children’s Fund (UNICEF) Team Leader Dr Johar Khan, World Health Organisation (WHO) Team Leader Dr Abdi Nasir, and N-Stop Provincial Team Lead Dr Ijaz Ali Shah.
The meeting was told that all necessary logistical and security arrangements have been made and training of the teams have been completed to build their capacity with the required information and skills, necessary for carrying out a successful campaign.
Moreover, it was disclosed that around 21,948 teams have been constituted to carry out the campaign. Of these, 19,251 are mobile teams who will conduct the door-to-door vaccination campaign. Moreover, there will be 1,620 fixed, 895 transit and 182 roaming teams.
These teams will be managed by 5,060 area in-charges who have been deputed to ensure the quality of the campaign.
To guard the vaccination, as many as 30,000 security personnel have been deployed across the province, the meeting was told.
According to a statement issued by the EOC on Sunday, Wazir said that K-P has made tremendous progress and emphasized on the need for immunization in every round of anti-polio drive until the circulation was curbed and all children are protected from lifelong paralysis.
“The virus continues to circulate in Pakistan and Afghanistan and it will not stop unless every child is reached and vaccinated against the crippling virus in every campaign,” the statement quoted Wazir as saying, adding that the media has played an important role in educating people about the significance of the vaccination which was the only solution to defeating the virus.
Referring to the recent positive polio case discovered in Charsadda, the EOC coordinator for K-P stated that the case only served to prove that the virus remains in the environment in the province.
But, at the same time, it also suggests the success of the vaccination campaign as the infection could have left the child paralysed had she not been vaccinated multiple times.
Four poliovirus cases have been confirmed across the country in 2018. One has been confirmed in K-P and three others from Dukki area of Balochistan.
Earlier in September, the first polio positive case of the province in over a year was confirmed in Charsadda district. While stool samples from the toddler tested positive for the virus, the boy showed none of the physical symptoms which accompany infection. It was only the second such case to ever surface in the province in as many years.
In the first such case, two-year-old Zunaira hailing from Lakki Marwat had tested positive for the virus in September last year. Having received seven doses of vaccine as well as the inactivated polio vaccine, her body managed to fight off the virus and did not show any of the physical symptoms of the infection — i.e. physical crippling.
Health officials believe that the reason behind children resisting the virus is the repeated doses administered to them. Like Zunaira, Arsalan too had received multiple doses of the vaccine. Not only the oral polio vaccine (OPV) but the inactivated polio vaccine (IPV) as well which further boosts the immunity of children against the virus.
http://list.com.pk/lakki-marwat/

13
Advertise / Yemen faces worsening threat of famine
« on: September 22, 2018, 02:54:59 PM »
International aid agencies are losing the fight against famine in Yemen, where 3.5 million people may soon be added to the eight million Yemenis already facing starvation, the UN aid chief warned Friday.

A sharp drop in the value of Yemen’s currency that has sent fuel prices spiraling compounded with renewed fighting has led to a worsening of what the United Nations already considers the world’s worst humanitarian crisis.

“We are losing the fight against famine,” Mark Low cock, the under-secretary-general for humanitarian affairs, told the Security Council.
http://www.pakistanjobs.pk/district-health-office-jobs-o727

14
Advertise / K-P health officials fret over missing family planning target
« on: September 18, 2018, 02:43:08 PM »
With the population growing at a ratio of 2.41 per cent, the lower spending on family planning and reproductive health besides along with a host of other issues which have yet to be resolved, the country could fail to achieve its family planning (FP) target of 2020.
Failing this major target, the country would be on track to miss its Sustainable Development Goals (SDG) 2030 for the availability of services to women on family planning and reproductive health, just as was the case for the Millennium Development Goals (MDGs).
According to the census report for 2017, the population is growing at a rate of 2.41 per cent across the country. In Khyber-Pakhtunkhwa, where the population nearly doubled from 17.7 million in 1998 to 30.52 million in 2017, the population has grown at a rate of 2.8 per cent.
Punjab clocked in a slower 2.1 per cent growth, 2.4 per cent for Sindh and 3.1 per cent for Balochistan.
Officials say that the London summit for FP2020 decided that family planning and reproductive health (FPRH) services will be provided to 120 million women in 71 countries across the world with some 7 million in Pakistan. This, however, may not be met.
Officials say some Rs 14.8 billion was allocated for family planning for a population of 220 million, or around Rs60 per individual — around Rs 250 less than international standards
“We are not even close to it,” explained National Health Services Regulation and Coordination Director General Abdul Ghaffar Khan to The Express Tribune.
During a quarterly meeting of the Country Engagement Working Group (CEWG) in the provincial capital last week, officials shared details of the programmers status in all the provinces.
The Pakistan Demographic Health Survey (PDHS) 2017 shows that 34 per cent of all married women use any method of family planning. Of these, 25 per cent opt for modern methods while nine per cent rely on traditional methods.
Among currently married women, the most popular modern family planning method is the male contraceptive and female sterilization (each used by nine per cent). Contraceptive prevalence rates (CPR) amongst married women vary with age, rising from seven per cent among women between the ages of 15-19, peaking at 48 per cent for women between the ages of 40-44, and then slightly declining to 37 per cent amongst women of 45-49 years of age.
More women in urban areas are more likely to use a contraceptive method than women in rural areas, 43 per cent versus 29 per cent respectively.
The use of contraceptive methods, both modern as well as traditional, increases with education and wealth, the PDHS report says.
For instance, 22 per cent of married women with no education used a modern method of contraception compared to 30 per cent of women with secondary or higher levels of education.
Similarly, seven per cent of currently married women with no education used a traditional method compared with 14 per cent of women who had a higher level of education.
http://www.forumpakistan.com.pk/haspatal-f34.html

15
Balochistan has the highest maternal mortality rate in the country, with the nonavailability of female gynaecologists in rural parts of the province being one of the prime reasons.
Dera Bugti district is one such part of Balochistan where maternal mortality rate is on a constant rise because a large number of delivery cases are handled by untrained midwives as gynaecologists are not willing to work in rural areas.
A recent death of a pregnant woman, Mehnaz Bibi, once again brings to fore the acute shortage – in fact the absence – of gynaecologists in rural parts of the province
It was on Thursday evening when Mehnaz was taken to the District Headquarter Hospital Dera Bugti by her family members where they were assured that the delivery would go normally. “After a medical procedure spanning hours, we were informed that Mehnaz’s case had turned critical, and she must be shifted to Rahim Yar Khan,” said Badshah Maratha Bugti, Mehnaz’s cousin. “But she died on way to Rahim Yar Khan, which is more than 500km from Dera Bugti, with the baby inside her womb.”
Mehnaz’s family called upon the provincial government to appoint four to five lady doctors in Dera Bugti so that nobody else would have to face such a tragedy. “Our sister is gone due to lack of doctors and healthcare, but we don’t want any more people to suffer as she did,” Badshah said.
At least 24 maternal mortality cases were reported in Dera Bugti this year, with nine in this month alone. Local people claim the number is higher as many cases remain unreported.
The recent surge in the maternal mortality cases initiated a debate on social and mainstream media over the healthcare facilities available in Dera Bugti district, which is the country’s major producer of natural gas. The increasing number of such cases also questions the performance of the provincial government.
Nawabzada Gohram Bugti, the MPA from the district, holds previous governments responsible for failing to address the issue by appointing female gynaecologists in his constituency. “A lady doctor had been appointed in the District Headquarter Dera Bugti four days back on my directives but a single gynaecologist can’t handle all the cases,” Gohram Bugti said.
“Being a member of the provincial coalition government, I have requested CM Jam Kamal to appoint specialists in Dera Bugti for addressing such cases,” he added.
Gohram Bugti admitted that the mortality rate is higher than the official figures. “According to my information, two deaths are being reported every week in the district,” he said. “Unfortunately, untrained and negligent staff was appointed by the previous regimes, but they can’t be allowed to play with the lives of our mothers and sisters.”
“They have to be sincere towards their duties or we will take strict action against them,” he added. Gohram Bugti reiterated that he would raise the issue on all platforms and seek Balochistan Chief Minister Jam Kamal’s immediate attention. “If the provincial government fails to appoint lady doctors in Dera Bugti, we will start a movement against it,” he added.
He said the provincial government had been giving salaries to doctors appointed in Dera Bugti but “they are not willing to work”. According to sources, the provincial government had appointed a female gynaecologist to treat the cases but she was not available when Mehnaz reached the hospital.
The sources said that one lady health worker at a hospital, that too lacking expertise to handle serious cases, cannot do the needful.
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