'Heart disease set to spike in India, especially in the south'

October 17, 2012

heart

New Delhi, October 17: India is set to witness a spike in deaths due to heart diseases, far exceeding that of China, with more and more younger people falling victim and a large percentage of patients coming from south India, said an expert.

According to well-known radiologist Harsh Mahajan, by 2020 India will have more than 4.77 million deaths a year due to cardiovascular disease (CVD) and 2.58 million deaths due to coronary heart diseases (CHD).

China, which has the world's largest population at 1.34 billion, will have 4.53 million deaths due to CVD and 1.37 million due to CHD by 2020. The figures are from the Global Burden of Diseases Study conducted by WHO.

While north Indian states - including Jammu and Kashmir, Punjab and Uttar Pradesh - have a high percentage of people suffering from heart diseases, south Indian states of Kerala and Tamil Nadu have a higher prevalence of CHD, he said quoting from a study.

"In south India, a lot of people are vegetarian. But vegetarianism is no safeguard. In fact, coconut oil leads to heart diseases," Mahajan said at a talk Tuesday evening at the India International Centre here.

"In 2004, 14 percent of total deaths in India were due to heart diseases... and the percentage keeps rising," said Mahajan, president of the Indian Radiological and Imaging Association and founder of the city's well-known Mahajan Imaging Centre.

Unlike the "mistaken thought" that heart pain occurs on the left side of the chest, the expert said it occurs in the middle of the chest, and some patients could also feel pain in the shoulder, elbow and jaw. This could be accompanied by shortness of breath, a feeling of light-headedness and even severe sweating.

"It is important to recognize the symptoms, and act... even if it seems a case of overkill,"

said Mahajan.

"I am not saying we should get over-anxious, but let us not ignore the symptoms. The first hour is when most of the deaths occur. It may be worth going to the doctor even if it turns out to be a false alarm," Mahajan said.

Diabetic patients don't get the pain indicative of a heart attack coming on "because their nerves get deadened", he said. "Diabetics may never feel chest pain at all," he said.

Other signs to watch out for are the feelings of constriction and discomfort while jogging or running. "When you feel something you've never felt before, if you have any problem while active that is relieved by rest, you need to see the doctor."

While coronary heart diseases are due to arteries getting narrowed due to blockages, Mahajan said "60-70 percent of heart attack patients don't get significant narrowing of arteries".

"It is generally patients who have 30-40 percent blockage with plaque deposits, who are most prone to heart attacks," Mahajan said.

Listing the efficacy of testing mechanisms, Mahajan said ECG/EKG (Electrocardiography) shows up an angina, while X-rays are useful in detecting abnormalities in heart size.

The treadmill test "is not a great test if done in isolation", said Mahajan. According to the expert, the best machine is the Dual Energy GSI Spectral CT Scanner, which his laboratory has introduced in India - the first to do so.

It is a non-invasive test, which can look inside the heart and vessels - even at the stents to see their condition, it can see the plaque deposits. "It is the ultimate tool. Each and every millimetre of the arteries and segment can be seen, as well as the plaque," Mahajan said.

Japan is the only other country in Asia to have a similar machine, which has just got FDA approval. The radiology exposure due to the machine is negligible, he said.

The machine provides 128 slices of imaging of the body. The cost of an imaging is Rs.15,000

Cardiovascular diseases would be the largest cause of death and disability in India by 2020 as per a World Health Organisation (WHO) report. By 2030, it is expected that 23 million people will die from CVDs annually.

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News Network
April 25,2024

EVM.jpg

Electronics Corporation of India Ltd and Bharat Electronics Ltd have refused to disclose the names and contact details of the manufacturers and suppliers of various components of EVMs and VVPATs under the RTI Act citing "commercial confidence", according to RTI responses from the PSUs to an activist.

Activist Venkatesh Nayak had filed two identical Right To Information applications with the ECIL and BEL, seeking the details of the manufacturers and suppliers of various components used in the assembling of the electronic voting machines (EVMs) and voter-verifiable paper audit trail (VVPATs).

The VVPAT is an independent vote verification system which enables electors to see whether their votes have been cast correctly.

The ECIL and the BEL, public sector undertakings under the Ministry of Defence, manufacture EVMs and VVPATs for the Election Commission.

Nayak also sought a copy of the purchase orders for the components from both PSUs.

"Information sought is in commercial confidence. Hence details cannot be provided under Section 8(1)(d) of the RTI Act," BEL said in its response.

A similar response was sent by ECIL which said the details requested are related to a product which is being manufactured by ECIL, and third party in nature.

"Disclosing of details will affect the Competitive position of ECIL. Hence, Exemption is claimed under section 8(1) (d) of RTI ACT, 2005," it said.

In response to the purchase order copies, ECIL's central public information officer said the information is "voluminous" which would disproportionately divert the resources of the Public Authority.

"Further, the information will give away the design details of EVM components. The same may pose a danger to the machines produced. Hence, the exemption is claimed U/s 7(9) and under section 8(1)(d) of RTI Act, 2005," ECIL said.

Section 8(1)(d) of the RTI Act exempts from disclosure the information, including commercial confidence, trade secrets or intellectual property, the disclosure of which would harm the competitive position of a third party, unless the competent authority is satisfied that larger public interest warrants the disclosure of such information.

Section 7(9) of the Act says the information shall ordinarily be provided in the form in which it is sought unless it would disproportionately divert the resources of the public authority or would be detrimental to the safety or preservation of the record in question.

"I don't know whose interests they are trying to protect against the right to know of close to a billion-strong electorate. ECIL said that disclosure of the purchase orders will reveal the design details of the components and this may pose a danger to the machines produced. ECIL did not upload even a signed copy of its reply on the RTI Online Portal," Nayak said.

He said it is reasonable to infer that the two companies are not manufacturing every single item of the EVM-VVPAT combo or else the two companies would have replied that they are manufacturing all these components internally without any outsourcing being involved.

"But the electorate is expected to take everything about the voting machines based on what the ECI is claiming in its manuals and FAQs," Nayak said.

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News Network
April 20,2024

Union Finance Minister Nirmala Sitharaman, on Friday, said that the Bharatiya Janata Party (BJP) plans to reintroduce electoral bonds in some capacity following extensive consultations with all stakeholders, should it come back to power in the 2024 general elections, according to a report in the Hindustan Times (HT).

HT cited Nirmala Sitharam as saying, “We still have to do a lot of consultation with stakeholders and see what is it that we have to do to make or bring in a framework which will be acceptable to all, primarily retain the level of transparency and completely remove the possibility of black money entering into this.”

However, the Centre has not yet decided whether to seek a review of the ruling made by the Supreme Court (SC), she said.

She further added, “What the scheme, which has been just thrown out by the Supreme Court, brought in was transparency. What prevailed earlier was just free-for-all.”

Launched in 2018, electoral bonds were accessible for acquisition at any State Bank of India (SBI) branch. Contributions made through this programme by corporations and even foreign entities via Indian subsidiaries received full tax exemption, while the identities of the donors remained confidential, safeguarded by both the bank and the recipient political parties.

On February 15, a five-judge Constitution Bench struck down the scheme, deeming it ‘unconstitutional’ due to its complete anonymisation of contributions to political parties. Additionally, the Bench stated that the articulated objectives of curbing black money or illegal election financing did not warrant disproportionately infringing upon voters’ right to information.

FM Sitharaman said, some aspects of the scheme need improvement and they will be brought back following consultations.

She also lashed out at the Opposition’s claims that the BJP disregarded criminal charges against leaders who switched from other parties to join the ruling party.

The HT quoted her as saying, “The BJP can’t sit here and say, you come to my party today, and the case will be closed tomorrow. The case has to go through the courts that have to take a call; they will not just say, “Oh, he’s come to your party, close the case.” Doesn’t happen that way. So is this washing machine a term they want to use for the courts?”

She further said that the Union government plans to simplify the process of taxation and make it easy for investments to come through into the country.

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News Network
April 29,2024

indore.jpg

In yet another setback to the Congress party amid the ongoing Lok Sabha elections, its candidate from Indore Akshay Kanti Bam withdrew his nomination on Monday, April 29, days before voting.

Interestingly, he had reached the Collector's office with BJP MLA Ramesh Mendola to withdraw his nomination. He also reportedly joined BJP. 

Senior BJP leader and state cabinet minister Kailash Vijayvargiya in a post on X said Bam was welcome to join the BJP.

"Congress Lok Sabha candidate from Indore Akshay Kanti Bam is welcome in the BJP under the leadership of Prime Minister Narendra Modi, party national president J P Nadda, Chief Minister Mohan Yadav and state president VD Sharma," he said in the post.

The Congress had fielded Bam against sitting BJP MP Shankar Lalwani from the Indore Lok Sabha seat, where polling will be held on May 13.

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