Teach children good oral habits
A child's happiness shines through his or her smile and laughter. Consider the impact on your child's self-esteem if those smiles fade or disappear due to gross neglect of their oral health.
Hence, as recommended by the American Academy of Paediatrics, parents should give early attention to a child's oral health, laying the groundwork for a lifetime of healthy teeth. Teaching proper oral health care will instil in them a routine that will last well into adulthood. Hence, it is prudent that parents take an active role in promoting good oral habits in their children.
According to the World Health Organisation, dental caries is the most common and easily preventable oral disease in children, affecting over 500 million children globally, including infants suffering from early childhood caries. This condition can lead to debilitating consequences, such as pain, abscesses, loss of appetite, and infections. Tooth decay occurs when plaque forms as a result of food breakdown by bacteria in the mouth, which produces acid from sugars and starches. If left untreated, decay can progress to pulp infection, posing a challenge to the development of permanent teeth. Good oral health is important for overall health and provides benefits such as increased self-confidence and a higher quality of life.
Methods for teaching your child good oral habits
Because primary teeth are necessary for proper chewing, eating, and speaking, parents should encourage their children to develop good oral habits. Here are some ideas for teaching them good oral habits:
• Allow your child to see you brushing your teeth so that they can mimic you.
• Brush and floss your child's baby teeth twice a day, beginning at a young age, with a pea-sized amount of fluoride toothpaste.
• Ensure that your child's teeth are properly brushed. Assist younger children in brushing and flossing their teeth, or supervise them to ensure that all teeth are clean.
• Parents should wipe their infants' gums with a soft, clean cloth after the first feeding and right before bedtime.
• Establish routine visits to the dentist by scheduling six-monthly dental visits. A trip to the dentist will make them realise the significance and necessity of oral health care.
• Limit their intake of sweet foods and beverages. Caries can be reduced by eating a healthy diet rich in fruits and vegetables.
Tooth decay preventive measures
The first step in preventing caries formation is to practise good oral hygiene, such as brushing with a soft-bristled toothbrush and flossing primary teeth. To restore the surface of the tooth, parents should allow their children to use fluoride toothpaste and drink fluoridated water. If necessary, dental sealants can be applied at your dentist to the enamel of healthy teeth to protect them from decay. Dental fillings can keep cavities from getting worse and affecting permanent teeth. To reduce the risk of early childhood caries, teach infants to use a cup instead of a bottle with milk or formula before they are one-year-old.
Remember, as the Jamaican proverb says, "A nuh same day leaf drap it rotten." Tooth decay or "rotten teeth" don't happen the moment your child keeps you up at night because of a toothache. The process takes days to months to occur because of prolonged duration of bad oral hygiene that can be felt for years to come. Therefore, by teaching your children good oral hygiene habits, parents can protect their children's smiles. I implore parents to support and enforce these guidelines, because practice makes perfect smiles.
This article was contributed by University of Technology, Jamaica, College of Oral Health Sciences student Melissa Frater-Evans and dentist, lecturer Dr Meleka Daley. For additional information contact Dr Daley at mbeckford@utech.edu.jm
2 years 4 months ago
Ackee and Jamaican vomiting sickness
In
recent weeks, there has been an increase in the incidence of food intoxication and death caused by the consumption of meals containing the Jamaican ackee.
In
recent weeks, there has been an increase in the incidence of food intoxication and death caused by the consumption of meals containing the Jamaican ackee.
Consider the national and global incidence of ackee poisoning (blighia sapida intoxication). In March 2023 alone, there were five cases of the illness and one associated death in Jamaica. Globally in 2015, nine Nigerian children also experienced neurotoxicity after consuming roasted ackee seeds. Over the years Haiti, French Guiana and Suriname has also recorded cases of food-borne illness due to the consumption of ackee arils (yellow part) or the seeds.
General properties of the Jamaican ackee fruit
The ackee (blighia sapida), which is also called the Jamaican ackee, is a member of the sapindaceae family. The fruit of some sapindaceae is normally embedded in a capsule or pod that opens between the internal partitions when they are mature. Approximately 2,000 species of sapindaceae, such as the Jamaican ackee, grow within temperate to tropical regions throughout world and are normally studied for their pharmacological activities such as antioxidant, anti-inflammatory and anti-diabetic properties.
Food safety and nutritional characteristics of the Jamaican ackee (blighia sapida)
Mature ackees are safe to eat and are not only delicious but are also found to be a source of nutrients such as in protein, fats and vitamins. Consumption of ackee has also been associated with the promotion of digestive health, stabilisation of the body's glucose levels, improved heart and bone health amongst other health and dietary benefits. Amidst the proven benefits, the arils (yellow part) are the only edible portion of the fruit hence differentiating the ripe from the unripe ackee is necessary to prevent any associated risk of food intoxication.
What makes the Jamaican ackee (blighia sapida) poisonous?
Ackee arils (yellow part) contains high levels of the heat stable toxin hypoglycin A at approximately 1,000 ppm. As the fruit matures, the levels of toxin is drastically reduced to nearly 10,000 times less the concentration that is in the immature fruit. Ackee pods and seeds are also high in hypoglycin and even after the fruit has matured, the toxin in the seeds and pods remain very high, making these parts of the fruit inedible and always toxic. This, therefore, means that ackee toxicity only occurs when there is the ingestion of the unripe ackee arils, the ingestion of ackee seeds or cross contamination of foods with the hypoglycin toxin found in ackee.
Signs and symptoms associated with ackee poisoning
Ackee poisoning is a food intoxication caused by the hypogylcin A or B toxin. The illness, which is referred to as "Jamaican vomiting sickness", usually has an onset within 6 to 48 hours after consuming a meal containing the toxin or toxins. Severe hypoglycaemia, accompanied by convulsions and death, cholestatic jaundice, vomiting, and coma are also associated symptoms of the illness.
How to differentiate between the ripe and unripe ackee fruit (blighia sapida)
The Jamaican ackee fruit that is ripe has a completely open pod which is normally yellow to red colour. When the fruit is mature all parts of the seeds and arils are also visible hence no need for further opening of the pod. In contrast, unripe ackee pods are normally unopened and green to yellow in colour. The seeds of the unripe fruit is barely visible; therefore, ackee should be rejected if there is evidence of forced opening such as the absence of a smooth surface between the partitions of the pods.
Food safety measures to observe when selecting and preparing the Jamaican ackee (blighia sapida) for consumption
Ensure that all the arils in the pod are fully visible before the ackee is considered edible. A slight opening in the pod does not mean that the fruit is safe to eat. Ackee pods should be allowed to open, naturally and fully.
Do not:
• Consume ackees which show signs of immaturity as cooking does not reduce the hypogylycin toxin in the arils.
• Eat ackee seeds or cook ackee seeds. Vigilance should be exercised to ensure that all the seeds are removed from amongst the arils prior to cooking.
• Cook other food items in the water with raw ackee: Codfish, ground provision or any other food item that will constitute a part of the intended meal should be cooked separately.
• Consume the water used for boiling the ackee arils, instead the water should be drained from the cooked arils and disposed of in a safe manner.
Other precautionary measures worth observing
Buy ackee from trusted sources only, especially when the arils are already removed from the pods.
Wash hands after handling raw ackee and before handling other foods; ackee pods and seeds contain high levels of hyploglycin, the possibility for cross contamination of other foods through the hands is therefore likely.
Vigilance, policy and strategies will reduce morbidity and save lives
Undeniably ackee-related food intoxication has resulted in numerous illnesses and deaths worldwide. Also, 194 cases of ackee poisoning in Jamaica in 2011 and 23 associated deaths in that same year coupled with repeated international trade restrictions placed on ackee exports from Jamaica is evidence of the fact that increased consumer vigilance, more efficient polices and strategies to reduce the risk associated with ackee-related food-borne illnesses are long overdue. Ackee is the national fruit of Jamaica and is widely consumed throughout the society. Understanding the seriousness of the illness and risk posed to the population due to the consumption of this fruit, stakeholders with responsible for food safety, plant health and epidemiology must collaborate and proactively implement and enforce more effective strategies and polices geared towards ensuring the protection of the public's health. Polices which are comprehensive and not just bias towards the protection of the ackee export market as well as more research and public education relating to ackee toxicity will avert or minimise the continuous negative effect relating to incidence of ackee poisoning in Jamaica.
Karlene Atkinson is a public health specialist and lecturer at the School of Public Health, University of Technology, Jamaica.
2 years 4 months ago
The impact of drought on water quality and sanitation
WATER is ubiquitous and is in all that we do. As such, it will likely impact various sectors of human life. This ranges from health, economy, social, and food security.
The effects of climate change, growing water scarcity, increase in population, and present urbanisation challenges for water supply to meet required and desired needs.
WATER is ubiquitous and is in all that we do. As such, it will likely impact various sectors of human life. This ranges from health, economy, social, and food security.
The effects of climate change, growing water scarcity, increase in population, and present urbanisation challenges for water supply to meet required and desired needs.
Owing to the ubiquitous nature of water and its various demands, surface and groundwater are susceptible to deliberate or unintentional degradation of the quality and quantity of water due mainly to chemical, physical and biological contaminants. This degradation will result in water being unsafe for human consumption, impacting the quality and quantity of water available for daily living.
Drinking water contaminated by microorganisms can transmit diseases such as diarrhoea, cholera, dysentery, typhoid, and polio. These diseases are estimated to result in high numbers of mortality each year. Human activities and sanitary practices concerning waste disposal significantly increase the probability of disease outbreaks.
In Jamaica, the majority of the population (81 per cent) uses water closet facilities. Still, a notable portion of our people rely on latrines to dispose of their waste. Therefore, the demand for water in quantities to ensure sanitary waste disposal will continue to increase. However, more so, there is the possibility that these facilities, if not properly constructed, utilise the correct method of disposal that is compatible with the geological material and properly sited away from water source to reduce surface and underground contamination — for example, areas with a high water table or underground limestone formations.
Other notable risks in drinking water arise from chemicals such as nitrates, lead, fluoride and arsenic. There are also increasing concerns relating to contamination from pharmaceuticals, pesticides, and microplastics. These will likely make water unsafe if not identified and removed before public supply.
Vulnerable populations and water
The absence of adequate water in quantities that will facilitate good sanitary practices is inextricably linked to and a significant contributor to tropical diseases such as typhoid, cholera, dysentery, and intestinal parasites. The World Health Organization reported that people in low- and middle-income countries die yearly because of inadequate water, sanitation, and hygiene. This represents 60 per cent of total diarrhoeal deaths.
Impact of drought on health
The occurrence of drought is likely to impact water quantity and quality. In addition to the disruption of social and economic activities, sanitation, influenced by a reduction in the availability of potable water, is likely to be affected. Therefore, health and safety linked to sanitation will also be negatively impacted. Where there is limited water supply, there is an increased likelihood that basic sanitation will not be prioritised. This could give rise to gastrointestinal illnesses, acute respiratory infections and dermatological infections. Potable water in adequate supply is, therefore, necessary to reduce the incidents of water-borne or water-related diseases.
Several tropical diseases, some of which have been stated earlier, are linked to water and sanitation, such as typhoid, and are still endemic to some parts of Jamaica. Beyond the endemicity in Jamaica, there is the possibility for the importation of water-borne disease organisms. Cholera, which is also water-borne, is also a concern. As our neighbour Haiti repeatedly grapples with this disease, attention with due consideration must be given to the potential, now more than ever, during periods of drought where sanitation can easily be compromised, exposing the Jamaican population.
The present drought situation in Jamaica and opportunities for intervention
There is an array of opportunities for intervention. Access to improved water, sanitation, and hygiene could prevent avoidable illness and deaths among vulnerable populations such as the young and elderly and the immune-compromised. Prevention efforts should focus on individuals, community, and government.
Individual and communities
Public health education should focus on not only medical treatment. The prevention of illness during drought has a strong environmental component. Environmental protection of the water sources by disposing of their waste using approved methods is critically linked to the intervention. Disposing garbage in gullies, usually water shed areas will pollute surface and underground water. The public needs to be advised on the requirements to approved excreta and wastewater disposal systems that are compatible with the soil type in the area in which it is to build. Guidance should be sought from the local health department when constructing water and liquid waste disposal system.
Chemical containers containing labels with instructions for using and disposing of pesticides and herbicides used domestically and for agricultural, must always be followed. Unused portions of chemicals diluted or otherwise should not be poured down the drain or directly in the soil.
Water provided by the public water supplier may periodically need additional treatment if there has been contamination after leaving the treatment facility. Water can become unsafe for use during instances such as inclement weather, and turbidity is present in the water. Water with high turbidity or water retrieved from undeveloped sources should be treated with five per cent hypochlorite (bleach) or boiled for at least five minutes to kill pathogenic microorganisms especially in emergency and disasters. Note that boiled water will only remain as safe as the cleanliness of the container in which it is placed after boiling. Therefore, ensure containers used to store the water are clean and covered. Articles used to remove the water from the stored water should also be clean.
Tanks that store drinking water should be periodically flushed and sanitised with a food-safe sanitiser, for example, bleach solution mixed as per the manufacturer's instructions on the label.
During times of scarcity, prioritise health and sanitation, using potable water for drinking, hand washing and surfaces vulnerable to pathogenic microbiological contamination.
During scarcity, reuse water to flush toilets or water plants rather than use fresh potable water. Do not allow water to run to waste while showering or washing utensils.
Communities can partner with local authorities to ensure that the regulations and guidelines for waste disposal are practised. Communities can also lobby authorities for improved solid waste collection and improved water services in underserved areas, including consistently maintaining water supply facilities such as community storage tanks and entombed springs.
Government
As the international authority on public health and water quality, the World Health Organization (WHO) leads global efforts to prevent water-related disease, advising governments on the development of health-based targets and regulations.
The organisation has produced a series of guidelines that would go a long way in improving water supply and reducing the effects of disease transmission during drought. And are based on the management of risks. Notable among the guidelines is the need to most effectively identify and manage risks from catchment to consumer, independent surveillance to ensure that water safety plans are effective and health-based targets are being met.
While the statistics show that Jamaica has access to water that can be treated and facilities to provide safe drinking water for the population, some populations are at risk of becoming ill due to quality, quantity, and access issues. The efforts and opportunities to reduce this risk are multifaceted and should not be viewed in isolation. In attaining Vision 2030 goal of Jamaica having a Healthy Natural Environment, accelerated action is needed to ensure safe drinking water, sanitation and hygiene for all. As part of its focus, this effort should include sustainable management and use of our water resources to reduce the risk of pollution which increase the risk of ill health, especially during a drought when the challenges multiply threefold among the vulnerable population (children and the elderly) living in urban and rural Jamaica. Notwithstanding, the public has a part to play in ensuring their personal and community health and begin to embrace the practices to protect the water resources as per guidelines and regulations and partner with authorities to reduce the risks to income, increased cost to for medical treatment of water-borne illnesses, disruption in work, education and productivity. It is therefore imperative to be proactive in forecasting the wide ranging implications and actively seek to implement preventative measures to mitigate the impact of drought on water quality and sanitation.
Andrea F Hardware is a public health specialist and lecturer in environmental health at the School of Public Health and Health Technology, University of Technology, Jamaica.
2 years 4 months ago
Health & Wellness | Toronto Caribbean Newspaper
Doing weight loss the natural way: juicing
BY RACHEL MARY RILEY There are so many methods to lose weight quickly and keep it off. However, through my journey and continuous studying, I have discovered that losing weight naturally is one of the best natural ways to reach your goals, create a healthier lifestyle, and keep that weight off for good. In this […]
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2 years 4 months ago
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Health Archives - Barbados Today
‘STABBED IN THE BACK’
HEALTH MINISTER CAUGHT OFF GUARD BY JUNIOR DOCTORS’ COMPLAINTS
By Jenique Belgrave
Minister of Health and Wellness Senator Dr The Most Honourable Jerome Walcott says public complaints about junior doctors working long hours have left him feeling like he was “stabbed in the back” because the issue was never raised with him.
The visibly upset Dr Walcott also insisted on Friday that plans were already in the works to get more medical practitioners at the Queen Elizabeth Hospital (QEH) in the next financial year.
Even so, he said, the 30-hour workdays doctors were complaining about were “part of the process” and were actually an improvement over what previously obtained.
“I feel as though I have been stabbed in my back because since I became Minister of Health, I met with the Barbados Association of Medical Practitioners (BAMP) in December. We discussed a number of things. There was no issue mentioned in that discussion about junior doctors and their conditions of service…. Not a single junior doctor has asked to meet with me or has written me anything and that is why I feel particularly upset about it,” he told the media on the sidelines of a seminar to mark World Tuberculosis Day, at the Pan American Health Organisation.
“Even on Wednesday, I said that we are going to look at extending the hours in the operating theatres and, naturally, you will need more doctors. I spoke about anaesthetists and I spoke about categories of doctors. Even in the well of Parliament [during the Estimates debate], I said not only doctors but that we will need additional staff – medical and also additional technical people and stuff like this. I’ve been speaking and negotiating, and I’ve been stabbed in my back.”
After Government Senator Dr Crystal Haynes earlier this week, during debate on the Appropriation Bill, 2023 in the Upper House, called for an end to the more than 30-hour shifts junior doctors were working to safeguard both patients and healthcare providers, consultant physician at the QEH Dr Kenneth Connell drew further attention to the matter in an interview with Barbados TODAY, declaring it was a “dangerous” situation for both doctors and the public. Then on Thursday, a group of junior doctors spoke out about their experience in a statement sent to this media house, saying the workload had been so heavy, some of their colleagues had quit and some even required counselling.
However, the Health Minister insisted that long shifts were the norm not only here but in hospitals in developed countries.
He added that overall, conditions have improved.
“They have been improving over time. You are talking about 30 hours? I can speak of working 48 hours. We worked weekends straight and then continued working on Monday. We did. This is part of the process. All over the world, junior doctors complain about the length of days that they work and the hours they work. In some developed countries, they have set guidelines, but even where those guidelines are set, still doctors in the United Kingdom complain about conditions,” asserted the medical doctor who was accompanied by Minister with responsibility for the QEH Dr Sonia Browne.
Adding that the job is not a glamorous one, he declared: “Health care is not sitting down in an office at a desk or a computer and then leaving at 4.30 and being off for a weekend. That is not hospital medicine!”
Minister Walcott said 176 junior doctors and 12 sessional junior doctors are currently employed at the QEH and a case has been made for additional personnel to address staffing shortages there.
“During the Estimates process, I have been speaking to my colleagues in Cabinet, to the Prime Minister. In the well in Parliament, I [said] that we will need – and put a case for the employment of – additional junior doctors. I have said so since January,” he contended.
Responding to the suggestion that a shift system be introduced, Dr Walcott said while doctors in the Accident and Emergency department do work in shifts, staff are also on-call and junior doctors are compensated with allowances for their long hours.
Sources have informed Barbados TODAY that all junior doctors have been invited to a closed-door listening session on Monday at 2 p.m. in the QEH Auditorium to guide plans “to improve their working conditions and well-being going forward”.
In a statement sent to Barbados TODAY and signed by ‘Concerned Junior Doctors’, the medical professionals said the vicious cycle of long workdays and even longer on-call shifts continued to take a negative toll on their physical and mental well-being.
They said burnout and long sick leave were commonplace and called on authorities to give them relief.
They were supported in their call by BAMP president Dr Lynda Williams who welcomed “an urgent examination of the hours that junior doctors now work”.
“We fully support the need to transition to an ideal number of working hours that will allow them to have safe, productive and fulfilling lives and that will protect the public from harm,” she said.
jeniquebelgrave@barbadostoday.bb
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2 years 4 months ago
Health, Health Care, Local News
Health Archives - Barbados Today
Culture division staffers donate to HIV Food Bank
Staff of the Division of Culture in the Prime Minister’s Office on Friday donated much-needed hampers to the HIV Food Bank and vulnerable families.
Staff of the Division of Culture in the Prime Minister’s Office on Friday donated much-needed hampers to the HIV Food Bank and vulnerable families.
During the handover ceremony, Minister with responsibility for Culture Senator Dr Shantal Munro-Knight said they worked hard to be able to donate the critical items.
“This is a part of our ongoing commitment in terms of our work with the HIV/AIDS Commission. The staff have been extremely diligent annually in making sure that we demonstrate that commitment very practically by having presentations to the Food Bank,” she said.
The donation comprised eight baskets, four of which will be given to vulnerable families.
“We wanted to make sure that as a division that yes, we will show our commitment to the HIV Food Bank but recognise as well that there might be other vulnerable families that we want to be able to show that care, that love, and support,” Munro-Knight said.
HIV Food Bank volunteer Kedlyn Morgan-Richards said the donation would go a long way in assisting people most in need.
“It is indeed [on behalf] of the more vulnerable that we can be here this morning to receive this. It is indeed a privilege that persons affected and infected would [benefit] from the great support,” Morgan-Richards said.
“On the behalf of the HIV Food Bank, we indeed say thank you, and it is a big thank you. We know at this time it’s a hard time, so it will indeed go a long way.” (SB)
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2 years 4 months ago
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Health Archives - Barbados Today
Patient-centred approach needed at QEH
By Shamar Blunt
Former acting Director of Medical Services at the Queen Elizabeth Hospital (QEH), Dr Clyde Cave believes that the facility has not changed sufficiently with the times to be able to help interns cope with their workload.
“The duties of ‘on-call’ doctors in many departments at the QEH have evolved over the past decades. The workload is now closer to a full shift than to being available for a few emergencies,” Dr Cave explained.
“The system has not effectively responded to this, I think in large part because it would be expensive to hire more doctors to accomplish the same work that is being done now. Of course, this false economy is at the expense of quality and working conditions.”
His comments came in response to recent calls by Government Senator Dr Crystal Haynes and consultant physician at the QEH and Deputy Dean of the Faculty of Medical Sciences at the University of West Indies Cave Hill Campus Dr Kenneth Connell, for the practice of having junior doctors working more than 30 hours per shift to be abolished.
Dr Cave, who was also the former Internship Coordinator at the QEH, told Barbados TODAY that though the institution has changed over the years to better meet the healthcare needs of Barbadians, the system has not responded effectively to better manage the duties of the young doctors.
He also explained that the training hours for interns have also increased over the years in keeping with the demands of the healthcare industry.
“For interns, their apprenticeship is more than just a matter of hours of duty, though that is important too. Mentorship, continuity of care, experience, acquisition of expertise and development of clinical judgment are essential to their professional growth to be eligible for full registration by the Medical Council of Barbados,” noted the respected paediatric consultant.
Dr Clyde stressed however, that simply hiring more doctors will not be enough. Instead, the entire system needs to be re-examined to be able to promote a “culture of patient-centred efficiency” at the healthcare institution.
“The solution, as I see it, is beyond just extra posts, though that is clearly needed. All functions at the hospital would have to operate beyond 8 – 4, and a culture of patient-centred efficiency be promoted. This would entail review and possible reassignment of traditional medical chores with appropriate support from technology and an expanded healthcare team.”
shamarblunt@barbadostoday.bb
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2 years 4 months ago
Health, Local News, Politics
Health Archives - Barbados Today
HOOKED ON METH
PSYCHIATRIST REVEALS PEOPLE TURNING UP FOR TREATMENT FOR ADDICTION TO POWERFUL DRUG
By Anesta Henry
Methamphetamine, the deadly, white, odourless drug commonly known as “meth” is here in Barbados and a psychiatrist has suggested that some Barbadians may already be addicted to it.
Minister of Home Affairs and Information Wilfred Abrahams announced during a press briefing on Friday that he was seriously concerned with the confirmation from the Government Forensic Science Centre of the presence here of the highly-addictive stimulant that affects the body’s central nervous system.
Authorities have reported intercepting a quantity of the drug being brought from Canada to Barbados earlier this month.
During the briefing at the ministry in Wildey, St Michael, Senior Registrar at the Psychiatric Hospital, Dr Ronald Chase, revealed that persons have already presented to treatment facilities with addiction to meth.
He said that while the patients admitted to using the drug in the past, there was no scientific evidence to show that they used it in Barbados.
“This is the first seizure, so this is the first confirmation of meth being on the island. So unfortunately, I will be blunt and say, there are probably persons already addicted to meth in the country,” Dr Chase said.
Director of the Forensic Sciences Centre, Cheryl Corbin, reported that the centre had its first confirmed meth case late last year.
“We have confirmed the presence of it here, we don’t know how much we have actually missed. But just having the occurrence of one confirmation is more than enough for concern,” Corbin said.
Describing the situation as “serious” Minister Abrahams stressed that authorities need the public’s help to stop the use of the drug from spreading.
The minister said in the coming weeks, Government and private agencies will establish a public awareness drug campaign to highlight the harm associated with meth use, the signs and symptoms in users of the drug and where help may be sought.
“This one is very serious because of how highly addictive it is and because of the societal consequences which flow from a society that is using meth. This is not the time to keep your mouth shut and think that you are protecting somebody or you are not snitching.
“The person that you don’t snitch on, or the person that you don’t encourage to seek help or the person that you don’t seek help for, may all of a sudden just drop dead from the use of meth and then you are going to be asking yourself what if. . .I am asking the young people who are discovering themselves and trying out things, leave this one alone, it will end badly for you,” he said
Also confirming that there are a “couple cases” before the law courts related to meth possession, Minister Abrahams said there are some who felt the public should not be made aware of the development at this point. However, he insisted, the discovery must not be swept under the carpet and Barbadians should be fully informed on the issue.
“We had to be aware of the sensitivities of the investigations, and the proceedings going on in court. I do not, as the Minister of Home Affairs and as the minister under whose portfolio the NCSA [National Council on Substance Abuse] falls, intend to cover up anything in relation to the presence of any drug in Barbados. From the time we know and it is confirmed, we are going to tell you,” Abrahams said.
“And for all those who are going to call this alarmist, the public needs to know upfront what to look out for. If your child is acting strangely or your boyfriend or whoever is acting strangely, you must be able to start to identify or investigate what is going on.
“People need to not be afraid to come forward for assistance, it is not the habit of the police to arrest persons who seek assistance or treatment. So somebody coming into the psychiatric hospital or going to a doctor to try to get assistance for a meth addiction is not going to get arrested for possession. If the police hold you with it, that is a different story.”
Assistant Superintendent Anthony Warner told the briefing that there has not been any large-scale seizures of meth and the drug is not produced on the island.
The police officer said partnerships have been formed with international law enforcement agencies to identify sources and trends used by those trying to get illegal substances into Barbados.
He revealed that on March 14, the quantity of meth was discovered being brought from Canada to Barbados.
“That all has to do with the relationships that we as a country formed with other countries in trying to deal with these issues that we are facing. We are continuing all of our policing initiatives to deal with all types of illegal drugs entering and leaving Barbados.
“I say leaving especially for meth because Barbados would be seen as a transhipment point to traffic these drugs to the real intended destinations, and because of that, some will be left here,” Warner said.
anestahenry@barbadostoday.bb
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2 years 4 months ago
Health, Health Care, Local News
Medical News, Health News Latest, Medical News Today - Medical Dialogues |
GSK loses bid to keep experts out of upcoming Zantac trial
Bengaluru: A California judge on Thursday denied GSK Plc's bid to keep expert testimony linking its discontinued heartburn drug Zantac to cancer out of an upcoming trial, a setback for the British drugmaker facing lawsuits over the medicine in courts across the United States. GSK shares were down 3.6% on Friday.
Analysts said that while Alameda County Superior Court Judge Evelio Grillo's ruling was not surprising, the litigation will likely weigh on the drugmaker's share price until the trial, scheduled to begin July 24. The trial will be the first test of how Zantac cancer claims will fare before a jury. The plaintiff, California resident James Goetz, says he developed bladder cancer from taking the drug."Our client will now have his day in court, and we look forward to sharing the evidence with the jury that GSK has known for decades that Zantac contains staggering amounts of a proven carcinogen," Jennifer Moore, a lawyer for Goetz and others suing over Zantac, said in a statement.GSK said in a statement it disagreed with the ruling and would defend the case at trial. The company has repeatedly denied that Zantac can cause cancer.First approved in 1983, Zantac became the world's best selling medicine in 1988 and one of the first-ever drugs to top $1 billion in annual sales.Originally marketed by a forerunner of GSK, it was later sold successively to Pfizer, Boehringer Ingelheim and finally Sanofi. Those companies also face lawsuits over the drug.The companies scored a major victory in December, when a federal judge threw out all of the Zantac cases in U.S. federal court, some 50,000, after finding the opinions of the plaintiffs' expert witnesses linking the drug to cancer were not backed by sound science.In 2019, some manufacturers and pharmacies halted Zantac sales over concerns that its active ingredient, ranitidine, degraded over time to form a chemical called NDMA. While NDMA is found in low levels in food and water, it is known to cause cancer in larger amounts.The FDA in 2020 pulled all remaining brand name Zantac and generic versions off the market, triggering a wave of lawsuits.Analysts said it was not surprising that Grillo ruled differently from the federal court because California's courts are known to be friendlier to plaintiffs."We've had some (investor) feedback who are disappointed here given that they were hoping a settlement would have been more likely," said Barclays analyst Emily Field. "This obviously removes the blue sky scenario of the case being totally thrown out, but really that wasn't people's expectation."Citi analysts said the likely magnitude of any settlement for GSK is "likely very modest", at less than $5 billion, and noted that the statute of limitations will somewhat restrict a mushrooming of casesRead also: Heartburn drug: Sanofi expects decision on Zantac dispute with Boehringer in Q1 at earliest
2 years 4 months ago
News,Industry,Pharma News,Latest Industry News
PAHO/WHO | Pan American Health Organization
La OPS actualiza la información sobre la situación del poliovirus en las Américas
PAHO issues update on poliovirus in the Americas
Cristina Mitchell
24 Mar 2023
PAHO issues update on poliovirus in the Americas
Cristina Mitchell
24 Mar 2023
2 years 4 months ago
PAHO/WHO | Pan American Health Organization
PAHO calls on countries to accelerate action towards ending tuberculosis
PAHO calls on countries to accelerate action towards ending tuberculosis
Cristina Mitchell
24 Mar 2023
PAHO calls on countries to accelerate action towards ending tuberculosis
Cristina Mitchell
24 Mar 2023
2 years 4 months ago
Health Archives - Barbados Today
Overweight and undernourished Bajans a worry for Nutrition Centre
The National Nutrition Centre (NNC) has expressed concern about the proliferation of overweight Barbadians and pockets of undernourished people.
Acting Assistant Nutrition Officer at the NNC, Brian Payne, told members of the media on Wednesday that while Barbados has always had less fortunate people who do not get enough nutritious food, “we may expect a higher incidence of undernutrition” as a result of the increase in the cost of living.
“The challenges that we are having in Barbados relate to over nutrition in the sense that . . . we are seeing higher levels of overweight and obesity in children and adults. And a large part of it is associated with diet,” he said as he addressed the centre’s Nutrition Conference, which coincides with National Nutrition Month, at the Radisson Aquatica Resort.
“In terms of overweight and obesity, I can’t give you the numbers now, but you can imagine there has been an increase. People point to the numbers in terms of one-third of the general population being obese and overweight.”
Research conducted in 2012 found that 30 per cent of children in Barbados were overweight, but Payne said the NNC plans to conduct research to determine the updated nutrition status of Barbadians.
He said the recently launched Barbados School Nutrition Policy is one of the key initiatives designed to allow the Ministry of Health and Ministry of Education to have some measure of control over what children are eating and drinking in school.
“We are happy with the response thus far. I think there have been some initial challenges and this really relates to trying to sensitise the stakeholders – parents, teachers, students, and the vending community as well,” he said.
“The challenges kind of relate to the fact that it’s hard to get everyone in the same place at the same time. I think we appreciate that we need to meet people where they are so we have been doing more work in the schools to sensitise the students,” Payne added.
The nutrition officer added that the centre has launched its Healthy Eating Guide for Barbados, a public health intervention programme that teaches Barbadians key skills and concepts to help maintain a healthy, balanced diet.
(AH)
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2 years 4 months ago
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Health Archives - Barbados Today
Pandemic changes health focus
One local consultant internist believes that the last three years of COVID-19 have turned the focus on the need to re-examine the current policies used to address mental health illnesses and the non-communicable diseases (NCDs) affecting citizens.
Dr Petra Crookendale also believes it is time preventive medicine, and “generational health” are seen as practical policies going forward for the country, as a change in healthy lifestyles needed to start from the ground up.
Speaking on the lessons learned by the medical fraternity after the prolonged battle with the pandemic, Dr. Crookendale, said the rise in anxiety and depression among locals seeking help, has been stark.
“One of the things that I have noticed is that we do need to improve our mental health facilities, the ability for people to have counselling and so on. One of the glaring things that came out of COVID-19 was the mental health issues, especially things like anxiety and depression.
“There are people who don’t want to acknowledge that they do have a mental health issue… which by the way, post COVID, I think all of us do, it’s just the degree to which we have it. I think a lot of it existed before COVID but people were coping. Now after COVID they are not coping as well and this is why these symptoms of anxiety are manifesting,” she explained.
Her comments aligned with those of Minister of Health Dr the Most Honourable Jerome Walcott made in the Upper House as the Senate debated the Appropriation Bill 2023. The minister said that over the course of the last three years of the pandemic many patients have been reporting to several institutions with mental health concerns, with cases having increased by 200 per cent since 2019.
Dr Crookendale said though Barbadians may have gotten numb to the NCD numbers affecting the country over the last several years, the cases of chronic illnesses being diagnosed remains uncomfortably high.
(SB)
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2 years 4 months ago
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Health Archives - Barbados Today
Hope for change
DOCTORS OPTIMISTIC ABOUT IMPROVEMENT IN WORK HOURS, CONDITIONS AFTER DISCUSSION WITH QEH ADMIN
By Shamar Blunt
DOCTORS OPTIMISTIC ABOUT IMPROVEMENT IN WORK HOURS, CONDITIONS AFTER DISCUSSION WITH QEH ADMIN
By Shamar Blunt
Junior doctors at the Queen Elizabeth Hospital (QEH) are hoping that talks with officials at the state-run institution will bring an end to the excessive workloads that have resulted in some of their colleagues quitting and even seeking mental health intervention.
And as the medical professionals warned that the current state of affairs created room for medical errors, the Barbados Association of Medical Practitioners (BAMP) expressed support for a reduction in their work hours to protect the public from harm.
In a statement sent to Barbados TODAY, the ‘Concerned Junior Doctors’ identified themselves among those who Government Senator Dr Crystal Haynes and consultant physician at the QEH and Deputy Dean of the Faculty of Medical Sciences at the University of West Indies Cave Hill Campus Dr Kenneth Connell said were forced to work 32 hours or more on a stretch.
“While we remain dedicated to providing the best care for the patients under our charge, the vicious cycle of long work days and even longer on-call shifts continues to take a negative toll on our physical and mental
well-being,” they said, noting that burnout and long sick leave are commonplace.
“As of today, several of our colleagues have either migrated to the US, UK or Canada – creating brain drain –, resigned from their posts, taken protracted sick leave periods or even require mental health counselling for physician burnout and the sequelae thereof.”
Senator Haynes, speaking in the Upper House during the debate on the Appropriation Bill, 2023 earlier this week, and Dr Connell in an interview with Barbados TODAY on Wednesday called for an end to the long workdays that were putting strain on the medical professionals and had the potential to also put members of the public at risk.
“We join with Senator Dr Crystal Haynes to make a valiant effort to come to a reasonable, safe and practical approach to regulation of working hours for the medical staff employed at the institution,” the non-consultant doctors said.
They further expressed optimism that discussions with hospital management would bear fruit soon.
“We have been in communication with the administration of the QEH to implement measures that lead to the restructuring of our various departments to ensure both patient and doctor satisfaction as well as safety in the administration of our medical care to our charges,” they disclosed.
“It is, therefore, our hope, in the year 2023, that with the drafting of legislation, the times of 32-hour shifts, severely sleep-deprived physicians – [a situation] affecting our cardiovascular health – and the resultant risk of medical errors from the above is fully abolished and put behind us.”
Highlighting their “arduous plight”, the doctors said while the general public may not be fully aware of their working conditions, some patients could attest to the long hours they were on the job.
“On several occasions, patients remark in awe that the same speciality doctor that attended to them at 8 a.m. while waiting in the Accident & Emergency Department remains on active duty until 4 p.m. the subsequent day, oftentimes without lunch [or] dinner breaks and little to no sleep,” they wrote.
“This equates and corroborates the 32-hour shifts mentioned [by Senator Haynes] that junior doctors in almost all specialities – including Internal Medicine, General Surgery, Obstetrics & Gynecology and Pediatrics – experience once every four days. Added to this, on average, a standard workday can easily go beyond the recommended eight hours due to the persistent issue of increasing patient loads, perpetuated by delays in both investigations and administration of treatment.”
The doctors also noted that in 2019, with the advent of the COVID-19 pandemic, “an already mentally and physically exhausted workforce from critical departments were split in two to attend [to] the dynamic needs of the Harrison Point facility while still meeting their contractual obligations at the Queen Elizabeth Hospital”.
“Thankfully, with the significant reduction in the number of severely ill COVID patients needing specialist care, our efforts no longer need to be strained in providing care to two facilities,” the doctors noted.
However, they said, they remain overworked and have made it a priority to take their physical and mental health more seriously than ever before.
Their call for that to change was supported by BAMP president Dr Lynda Williams who welcomed “an urgent examination of the hours that junior doctors now work”.
“We fully support the need to transition to an ideal number of working hours that will allow them to have safe, productive and fulfilling lives and that will protect the public from harm,” she said in a statement sent at the request of Barbados TODAY.
Noting the dangers posed by doctors working excessive hours, she referred to several studies, saying: “Fatigue causes significant negative physical and psychological effects. For every hour that a doctor works beyond 11 hours of continuous work, there is a measurable decline in cognitive performance, psychomotor skills, clinical acumen and prescribing accuracy. Depression and burnout, risks to physical health and fear of litigation also affect junior doctors disproportionately.”
Dr Williams acknowledged that the costs associated with expanding the allotment of junior doctors at the QEH would be significant, but said allowing the current situation to continue without intervention would be even more costly.
“In order to reduce junior doctors’ working hours, as Senator Dr. Haynes pointed out, a large influx of new staff would be required. This requires careful investigation because increasing junior staff also increases the need for supervision and training.
“BAMP appreciates that in a developing nation such as ours, a large increase in staff at once will have a significant economic cost. However, we also believe that no cost is greater than the safety of our junior doctors and, ultimately, the lives they care for,” the doctor said.
Though noting that the practice of doctors working 30 hours or more per shift was “a longstanding and complex problem which is not unique to Barbados”, Dr Williams pointed out that other jurisdictions had proven the situation could be addressed.
Even so, she acknowledged, reducing doctors’ working hours was only part of the solution.
“Several developed countries have introduced restrictions on the number of hours that junior doctors can work; however, organisational cultures of working long or antisocial hours often exist and doctors in training reported being unofficially expected to work extra hours voluntarily, even when working time restrictions were implemented,” the BAMP president noted.
“Furthermore, lack of resources available for work, lack of nursing staff and ancillary staff, poor workflow, poor shift design, lack of adequate facilities as well as interdepartmental pressures may mean that simply restricting the number of work hours may be insufficient to address issues relating to stress, fatigue and their consequences for the junior doctor. In short, reducing junior doctors’ working hours only partially addresses the problem.”
Dr Williams gave BAMP’s commitment to working with the Ministry of Health and Wellness and the QEH to find “workable solutions to the highlighted problems”.
Up to late Thursday, QEH officials could not be reached for comment.
shamarblunt@barbadostoday.bb
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2 years 4 months ago
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Medical News, Health News Latest, Medical News Today - Medical Dialogues |
Top Medical Colleges In Uttar Pradesh (UP)
Uttar Pradesh (UP) is the largest and most populous state in India. It has 67 medical colleges, out of which 35 are government medical colleges and 32 are private medical colleges that have 5,128 MBBS seats available as of 2023. The government has planned to establish a medical college in every district.
As it is the most populated state it gives students an opportunity to gain better clinical experience.
Studying Medicine in Uttar Pradesh (UP) has several benefits, such as:
Quality Education: Uttar Pradesh has some of the best medical colleges in the country that offer high-quality education and training to students. Many of these colleges are recognized by the National Medical Commission (NMC) and have state-of-the-art infrastructure and facilities.
Affordability: The cost of education in Uttar Pradesh is relatively lower compared to other states, making it an option for students who want to pursue a career in Medicine.
Diverse Culture: Uttar Pradesh has diverse cultures, traditions, and languages. Studying in this state can expose you to a diverse range of people and cultures, which allows you to gain a better perspective of the world.
Internship Opportunities: Medical colleges in Uttar Pradesh offer a variety of internship opportunities for students. These internships can provide students with hands-on experience and help them gain practical skills that can be useful in their future careers.
Career Opportunities: Uttar Pradesh has a growing healthcare industry, meaning there are plenty of job opportunities for medical professionals in the state. Additionally, many medical colleges in UP have tie-ups with hospitals and healthcare organizations, providing students with opportunities for job placements and career advancement.
In Uttar Pradesh, the counseling process for admission to medical colleges is conducted by the Directorate of Medical Education and Training (DMET). The counseling process is conducted for admission to medical courses.
The state counseling process begins after the results of the National Eligibility-cum-Entrance Test (NEET) are announced. Candidates who have qualified for NEET are required to register for counseling on the official website of DMET.
During the counseling process, candidates can choose the medical colleges they are interested in, and the seats are allocated based on the candidate's rank, preferences, and availability of seats.
The MCC/DGHS for Undergraduate Medical Colleges will conduct the counseling for successful candidates for Seats under 15% All India Quota and 100% including 85% State Quota of Central Institutions (ABVIMS & RML Hospital/VMMC & Safdarjung Hospital/ESIC)/ Central Universities (including DU/ BHU /AMU)/AIIMS/ JIPMER and Deemed Universities.
MCC merely completes the AFMC registration process and provides the AFMC Officials with the information of enrolled Candidates for the admissions procedure. The grade may be applied to any additional pertinent classes that DU/BHU or other Universities give.
The seat percentage for the state counseling process for admission to medical colleges in Uttar Pradesh varies every year and is subject to change.
According to the National Medical Commission's official website, these are the recognized government and private medical colleges.
Government medical colleges in Uttar Pradesh (U.P.)
1. Jawaharlal Nehru Medical College (JNMC), Aligarh
Jawaharlal Nehru Medical College (JNMC) is a medical school and hospital in Aligarh, Uttar Pradesh, India. It was established in 1962 and is affiliated with Aligarh Muslim University (AMU).
JNMC offers undergraduate and postgraduate medical courses, including MBBS, MD, MS, D.M., and MCh. The College has a teaching hospital with 1250 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The College has a highly qualified faculty comprising experienced doctors and researchers. It also has modern facilities such as well-equipped laboratories, classrooms, and a library. JNMC is certified with an "A" rating by NAAC and has received recognition from the National Medical Commission (NMC).
Jawaharlal Nehru Medical College is a highly respected institution for India's medical education and healthcare services. It has produced many successful doctors and researchers, and its teaching hospital is known for providing quality medical care to patients nationwide.
2. All India Institute of Medical Sciences (AIIMS), Gorakhpur
The All India Institute of Medical Sciences (AIIMS) in Gorakhpur is a medical college and hospital in Gorakhpur, Uttar Pradesh, India. It was established in 2019 as one of the new AIIMS institutes in the country.
The institute offers undergraduate and postgraduate medical courses, including MBBS, MD, MS, D.M., and MCh. The institute has a teaching hospital with 750 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the institute comprises highly qualified and experienced doctors and researchers. The institute has modern facilities such as well-equipped laboratories, classrooms, and a library. The school is accredited with an "A" rating by the NAAC and has received recognition from the National Medical Commission.
AIIMS Gorakhpur is a new but promising institution for India's medical education and healthcare services. With its focus on quality education and medical care, it is expected to produce many successful doctors and researchers in the coming years.
3. All India Institute of Medical Sciences (AIIMS), Rae Bareli
The Pradhan Mantri Sawasthya Suraksha Yojana (PMSSY) Phase-II approved the All India Institute of Medical Sciences (AIIMS) at Raebareli in Uttar Pradesh in February 2009. AIIMS Raebareli is a public medical research university and hospital headquartered in Raebareli, Uttar Pradesh, India. Rae Bareli was founded in 2013.
4. Maharani Laxmi Bai Medical College, Jhansi
MLBMC is a medical college and hospital in Jhansi, Uttar Pradesh, India. It was established in 1968 and is affiliated with Bundelkhand University.
MLBMC offers undergraduate and postgraduate medical courses, including MBBS, MD, MS, and diploma courses. The College has a teaching hospital with 885 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the College comprises highly qualified and experienced doctors and researchers. The College has modern facilities such as well-equipped laboratories, classrooms, and a library. It has been recognized by the NMC and accredited by the NAAC with an 'A' grade.
Maharani Laxmi Bai Medical College is a respected institution for Uttar Pradesh medical education and healthcare services. It has produced many successful doctors and researchers, and its teaching hospital is known for providing quality medical care to patients from all over the region.
5. Institute of Medical Sciences (IMS - BHU), Varanasi
The Institute of Medical Sciences (IMS) at Banaras Hindu University (BHU) is a medical school and hospital in Varanasi, Uttar Pradesh, India. It was established in 1960 and is affiliated with Banaras Hindu University.
IMS offers undergraduate and postgraduate medical courses, including MBBS, MD, MS, DM, MCh, and diploma courses. The institute has a teaching hospital with 1826 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the institute comprises highly qualified and experienced doctors and researchers. The institute has modern facilities such as well-equipped laboratories, classrooms, and a library. It has been recognized by the NMC and accredited by the NAAC with an 'A' grade.
IMS at BHU is a highly respected institution for India's medical education and healthcare services. It has produced many successful doctors and researchers, and its teaching hospital is known for providing quality medical care to patients nationwide.
6. Mahamaya Rajkiya Allopathic Medical College (MRAMC), Ambedkar Nagar
Mahamaya Rajkiya Allopathic Medical College (MRAMC) is a medical college located in Ambedkar Nagar, Uttar Pradesh, India. It was established in 2011 and is affiliated with Dr. Ram Manohar Lohia Avadh University, Faizabad.
MRAMC offers undergraduate medical courses, including MBBS. The College has a teaching hospital with 300 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the College comprises qualified and experienced doctors and researchers. The College has modern facilities such as well-equipped laboratories, classrooms, and a library.
Mahamaya Rajkiya Allopathic Medical College is a relatively new institution for India's medical education and healthcare services. While it may not have the same reputation and resources as some of the older and more established medical colleges, it is still a significant contributor to healthcare in the region, providing medical education and services to the local population. MRAMC is certified with a "B" rating by the National Assessment and Accreditation Council (NAAC) and is recognized by the NMC.
7. S N Medical College, Agra
S N Medical College (SNMC) is a medical college and hospital located in Agra, Uttar Pradesh, India. It was established in 1965 and is affiliated with Dr. Bhimrao Ambedkar University, Agra.
SNMC offers undergraduate and postgraduate medical courses, including MBBS, MD, MS, and diploma courses. The College has a teaching hospital with 890 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the College comprises highly qualified and experienced doctors and researchers. It has been recognized by the National Medical Commission (NMC) and accredited by the National Assessment and Accreditation Council (NAAC) with an 'A' grade. The College has modern facilities such as well-equipped laboratories, classrooms, and a library.
S N Medical College is a well-regarded institution for Uttar Pradesh medical education and healthcare services. It has produced many successful doctors and researchers, and its teaching hospital is known for providing quality medical care to patients from all over the region.
8. Uttar Pradesh University of Medical Sciences, (Prev. UP Rural Inst. of Med.Sc&R) Etawah
Uttar Pradesh University of Medical Sciences (UPUMS), previously known as Uttar Pradesh Rural Institute of Medical Sciences and Research (UPRIMSR), is a medical university in Saifai, Etawah, Uttar Pradesh, India. It was established in 2005 by the Government of Uttar Pradesh.
UPUMS offers undergraduate and postgraduate medical courses, including MBBS, MD, MS, DM, MCh, and diploma courses. The University has a teaching hospital with 750 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the University comprises qualified and experienced doctors and researchers. It has been recognized by the National Medical Commission (NMC) and accredited by the National Assessment and Accreditation Council (NAAC) with an 'A' grade. The University has modern facilities such as well-equipped laboratories, classrooms, and a library.
Overall, Uttar Pradesh University of Medical Sciences is a relatively new but rapidly growing institution for India's medical education and healthcare services. It is committed to providing quality medical education and services to the local population and has the potential to become a leading medical university in the country.
9. Moti Lal Nehru Medical College, Allahabad
Moti Lal Nehru Medical College (MLNMC) is a medical college and hospital in Allahabad, Uttar Pradesh, India. It was established in 1961 and is affiliated with King George's Medical University, Lucknow.
MLNMC offers undergraduate and postgraduate medical courses, including MBBS, MD, MS, and diploma courses. The College has a teaching hospital with 1075 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the College comprises qualified and experienced doctors and researchers. It has been recognized by the National Medical Commission (NMC) and accredited by the National Assessment and Accreditation Council (NAAC) with an 'A' grade. The College has modern facilities such as well-equipped laboratories, classrooms, and a library.
10. Lala Lajpat Rai Memorial Medical College (LLRM), Meerut
Lala Lajpat Rai Memorial Medical College (LLRM) is a medical college and hospital in Meerut, Uttar Pradesh, India. It was established in 1966 and is affiliated with Chaudhary Charan Singh University, Meerut.
LLRM offers undergraduate and postgraduate medical courses, including MBBS, MD, MS, and diploma courses. The College has a teaching hospital with 1179 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the College comprises qualified and experienced doctors and researchers. It has been recognized by the National Medical Commission (NMC) and accredited by the National Assessment and Accreditation Council (NAAC) with an 'A' grade. The College has modern facilities such as well-equipped laboratories, classrooms, and a library.
Overall, Lala Lajpat Rai Memorial Medical College is a well-regarded institution for Uttar Pradesh medical education and healthcare services. It has produced many successful doctors and researchers, and its teaching hospital is known for providing quality medical care to patients from all over the region.
11. Ganesh Shankar Vidyarthi Memorial Medical College (GSVM), Kanpur
Ganesh Shankar Vidyarthi Memorial Medical College (GSVM) is a medical college and hospital located in Kanpur, Uttar Pradesh, India. Established in 1956, it is affiliated with the Chhatrapati Shahu Ji Maharaj University, Kanpur.
GSVM offers undergraduate and postgraduate medical courses, including MBBS, MD, MS, and diploma courses. The College has a teaching hospital with 1130 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the College comprises qualified and experienced doctors and researchers. It has been recognized by the National Medical Commission (NMC) and accredited by the National Assessment and Accreditation Council (NAAC) with an 'A' grade. The College has modern facilities such as well-equipped laboratories, classrooms, and a library.
Ganesh Shankar Vidyarthi Memorial Medical College is a well-regarded institution for medical education and healthcare services in Uttar Pradesh. It has produced many successful doctors and researchers, and its teaching hospital is known for providing quality medical care to patients from all over the region.
12. Baba Raghav Das Medical College (BRD), Gorakhpur
Baba Raghav Das Medical College (BRD) is a medical college and hospital located in Gorakhpur, Uttar Pradesh, India. It was established in 1969 and is affiliated with Gorakhpur University.
BRD offers undergraduate and postgraduate medical courses, including MBBS, MD, MS, and diploma courses. The College has a teaching hospital with 1144 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the College comprises qualified and experienced doctors and researchers. It has been recognized by the National Medical Commission (NMC) and accredited by the National Assessment and Accreditation Council (NAAC) with an 'A' grade. The College has modern facilities such as well-equipped laboratories, classrooms, and a library.
13. King George Medical University (KGMU), Lucknow
King George's Medical University (KGMU) is a medical college and hospital in Lucknow, Uttar Pradesh, India. It was established in 1911 and is affiliated with King George's Medical University.
KGMU offers undergraduate and postgraduate medical courses, including MBBS, MD, MS, and diploma courses. The College has a teaching hospital with 2500 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the College comprises highly qualified and experienced doctors and researchers. It has been recognized by the National Medical Commission (NMC)and accredited by the National Assessment and Accreditation Council (NAAC) with an 'A' grade. The College has modern facilities such as well-equipped laboratories, classrooms, and a library.
14. Rajkiya Medical College Jalaun (RMC Jalaun), Orai, Uttar Pradesh
Rajkiya Medical College Jalaun (RMC Jalaun) is a government medical college in Orai, Uttar Pradesh, India. It was established in 2019 and is affiliated with Bundelkhand University, Jhansi.
RMC Jalaun offers undergraduate medical courses leading to the degree of Bachelor of Medicine and Bachelor of Surgery (MBBS). The College has a teaching hospital with 300 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the College comprises qualified and experienced doctors and researchers. The College has modern facilities such as well-equipped laboratories, classrooms, and a library.
Rajkiya Medical College Jalaun is a promising medical education and healthcare service institution in Uttar Pradesh. Despite being a newly established college, it has a dedicated faculty and modern facilities. The teaching hospital is expected to provide quality medical care to patients from the region.
15. Government Medical College & Super facility Hospital, Azamgarh
Government Medical College & Super Facility Hospital, Azamgarh, or GMC Azamgarh, is a government medical college and hospital located in Azamgarh, Uttar Pradesh, India. It was established in 2018 and is affiliated with King George's Medical University, Lucknow.
GMC Azamgarh offers undergraduate medical courses leading to the degree of Bachelor of Medicine and Bachelor of Surgery (MBBS). The College has a teaching hospital with 500 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the College comprises highly qualified and experienced doctors and researchers. The College has modern facilities such as well-equipped laboratories, classrooms, and a library.
16. Government Medical College (GMCK), Kannauj
Government Medical College Kannauj (GMCK) is a government medical college located in Kannauj, Uttar Pradesh, India. It was established in 2021 and is affiliated with Dr. Ram Manohar Lohia Avadh University, Faizabad.
GMCK Kannauj offers undergraduate medical courses leading to the degree of Bachelor of Medicine and Bachelor of Surgery (MBBS). The College has a teaching hospital with 300 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the College comprises qualified and experienced doctors and researchers. The College has modern facilities such as well-equipped laboratories, classrooms, and a library.
Government Medical College Kannauj is a promising medical education and healthcare service institution in Uttar Pradesh. Despite being a newly established college, it has a dedicated faculty and modern facilities. The teaching hospital is expected to provide quality medical care to patients from the region.
17. Shaikh-UL-Hind Maulana Mahmood Hasan Medical College, Saharanpur
Shaikh-UL-Hind Maulana Mahmood Hasan Medical College, also known as MMM Medical College, is a government medical college located in Saharanpur, Uttar Pradesh, India. It was established in 2015 and is affiliated with Chaudhary Charan Singh University, Meerut.
MMM Medical College offers undergraduate medical courses leading to the degree of Bachelor of Medicine and Bachelor of Surgery (MBBS). The College has a teaching hospital with 600 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the College comprises highly qualified and experienced doctors and researchers. The College has modern facilities such as well-equipped laboratories, classrooms, and a library.
Shaikh-UL-Hind Maulana Mahmood Hasan Medical College is a promising institution for Uttar Pradesh medical education and healthcare services. Despite being a relatively new college, it has a dedicated faculty and modern facilities. The teaching hospital is expected to provide quality medical care to patients from the region.
18. Government Allopathic Medical College, Banda
Government Allopathic Medical College Banda, or GAMC Banda, is a government medical college located in Banda, Uttar Pradesh, India. It was established in 2018 and is affiliated with King George's Medical University, Lucknow.
GAMC Banda offers undergraduate medical courses leading to the degree of Bachelor of Medicine and Bachelor of Surgery (MBBS). The College has a teaching hospital with 500 beds, which provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The faculty of the College comprises qualified and experienced doctors and researchers. The College has modern facilities such as well-equipped laboratories, classrooms, and a library.
19. Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow
Dr. Ram Manohar Lohia Institute of Medical Sciences (RMLIMS) is a premier medical institute in Lucknow, Uttar Pradesh, India. It was established in 2006 and is named after Dr. Ram Manohar Lohia, a prominent Indian freedom fighter and socialist leader.
RMLIMS offers various undergraduate, postgraduate, and doctoral courses in medical and allied fields such as Medicine, surgery, pediatrics, obstetrics and gynecology, radiology, pathology, microbiology, biochemistry, and pharmacology. The institute also offers super-specialty cardiology, neurology, neurosurgery, and gastroenterology courses.
The faculty at RMLIMS comprises highly qualified and experienced doctors and researchers dedicated to providing quality medical education and healthcare services. The institute has modern facilities such as well-equipped laboratories, classrooms, and a library.
The RMLIMS hospital is a 1200-bed tertiary care hospital that provides medical services in various specialties, such as cardiology, neurology, neurosurgery, gastroenterology, nephrology, endocrinology, pulmonology, and hematology. The hospital has state-of-the-art diagnostic and treatment facilities and provides affordable healthcare services to the people of Lucknow and the surrounding areas.
20. Government Medical College, Rampur, Basti
Government Medical College, Rampur, Basti, Uttar Pradesh, is a medical college in India. It is affiliated with Dr. Ram Manohar Lohia Avadh University and is recognized by the National Medical Commission (NMC). The University provides student and graduate degrees in several medical disciplines, including MBBS, MD, MS, and diploma studies. The College has state-of-the-art medical instruction and research resources and highly skilled staff.
21. Government Medical College, Badaun
Government Medical College, Badaun, is located in the Badaun district of Uttar Pradesh, India. It is affiliated with Mahatma Jyotiba Phule Rohilkhand University and is recognized by the National Medical Commission (NMC). The College offers undergraduate and postgraduate programs in various medical fields, such as MBBS, MD, MS, and diploma courses. The College has well-equipped labs, classrooms, and a hospital where students can gain practical training and experience. The College has a highly qualified faculty and an excellent academic reputation in the region.
22. Government Medical College, Shahjahanpur
Government Medical College, Shahjahanpur, is a medical college located in Shahjahanpur district of Uttar Pradesh, India. It is affiliated with King George's Medical University, Lucknow, and is recognized by the National Medical Commission (NMC). The College offers undergraduate and postgraduate programs in various medical fields, such as MBBS, MD, MS, and diploma courses. The College has a well-equipped hospital with modern facilities where students can gain practical training and experience. The College has a highly qualified faculty and an excellent academic reputation in the region.
23. Government Medical College, Faizabad
Government Medical College, Faizabad, is a medical college located in Faizabad district of Uttar Pradesh, India. It is affiliated with Dr. Ram Manohar Lohia Avadh University and is recognized by the National Medical Commission (NMC). The College offers undergraduate and postgraduate programs in various medical fields, such as MBBS, MD, MS, and diploma courses. The College has a well-equipped hospital with modern facilities where students can gain practical training and experience. The College has a highly qualified faculty and an excellent academic reputation in the region.
24. Rajkiya Allopathic Medical College, Bahraich
Rajkiya Allopathic Medical College, Bahraich, is a medical college located in Bahraich district of Uttar Pradesh, India. It is affiliated with King George's Medical University, Lucknow, and is recognized by the National Medical Commission (NMC). The College offers undergraduate and postgraduate programs in various medical fields, such as MBBS, MD, MS, and diploma courses. The College has a well-equipped hospital with modern facilities where students can gain practical training and experience.
25. Government Medical College, Firozabad
Government Medical College, Firozabad, is a medical college located in Firozabad district of Uttar Pradesh, India. It is affiliated with Dr. B.R. Ambedkar University, Agra and is recognized by the National Medical Commission (NMC). The College offers undergraduate and postgraduate programs in various medical fields, such as MBBS, MD, MS, and diploma courses.
26. Government Institute of Medical Sciences, Kasna, Greater Noida
Government Institute of Medical Sciences, Kasna, is a medical college in Greater Noida, Uttar Pradesh, India. It is affiliated with Chaudhary Charan Singh University, Meerut and is recognized by the National Medical Commission (NMC). The College offers undergraduate and postgraduate programs in various medical fields, such as MBBS, MD, MS, and diploma courses.
27. Autonomous State Medical College (ASMC) Pratapgarh
Autonomous State Medical College, Pratapgarh, or Government Medical College, Pratapgarh, is a full-fledged tertiary government medical college and hospital. It is located at Pratapgarh in Uttar Pradesh, India. The College imparts the degree of Bachelor of Medicine and Surgery.
28. Autonomous State Medical College Society, Ghazipur
Maharshi Vishwamitra Autonomous State Medical College, also known as Ghazipur Medical College, is a full-fledged tertiary government Medical college and hospital. It is located at Ghazipur in Uttar Pradesh.
29. Uma Nath Singh Autonomous State Medical College Society, Jaunpur
The Uma Nath Singh Autonomous state medical college is an autonomous medical teaching institute run by the Autonomous society of state medical colleges and Medical education department of Uttar Pradesh for an annual intake of 100 MBBS students. This institute is affiliated with Atal Bihari Vajpayee Medical University.
30. Autonomous State Medical College Society, Fatehpur
Autonomous State Medical College, Fatehpur, U.P., has been established under phase -2 of the centrally sponsored Scheme to attach Medical College to the existing District Hospital, which is approximately 9 km away from Medical College.
This institute aims to achieve excellence in Health Care Medical Education and research work. ASMC Fatehpur is run by the Department of Medical Education, Uttar Pradesh, and is Affiliated with Atal Bihari Vajpayee Medical University Lucknow.
31. Autonomous State Medical College Society, Etah, Uttar Pradesh
The Government of Uttar Pradesh has set up the Autonomous State Medical College at Etah to meet the ever-growing needs of medical professionals equipped with the best of their knowledge and techniques. To achieve the goal, faculty members of very sound backgrounds in different branches of Medicine have been brought from all over the country for teaching, research, and technical guidance. It is the earnest endeavor of the Government to fulfill its commitment to improved health care services and the Nation through this Institution.
The Autonomous State Medical College has the latest scientific equipment, teaching aids, and most modern R & D facilities.
32. Autonomous State Medical College Society, Hardoi
Autonomous State Medical College Hardoi is a prestigious medical college. The College was established in 2021 to provide a world-class medical education, health care, and research facility. The College is Atal Bihari Vajpayee Medical University Lucknow and approved by the National Medical Commission (NMC).
33. Autonomous State Medical College, Siddharth Nagar
The autonomous state medical college in Siddharth Nagar was founded in 2021 by the Government of Uttar Pradesh to produce socially conscious and qualified physicians, offering tertiary-level medical treatment to Siddharthnagar and the surrounding regions and addressing the state's physician shortage. It is connected to Lucknow's Atal Bihari Vajpayee Medical University. Applicants must pass the National Eligibility combined Entrance Test (Undergraduate) to be admitted to the MBBS program. (NEET-UG). The 350-bed hospital offers emergency, outpatient, inpatient, daycare, laboratory, and imaging services, a blood bank, a BSL lab, and other required facilities. Patient Services Department (OPD)
34. Maharshi Devraha Baba Autonomous State Medical College, Deoria
Maharshi Devraha Baba Autonomous State Medical College, Deoria, is a medical college in the Deoria district, Uttar Pradesh, India. It is affiliated with King George's Medical University, Lucknow and is recognized by the National Medical Commission (NMC) The College offers undergraduate (MBBS) and postgraduate (M.D., MS) courses in various medical fields. The College has a well-equipped hospital with modern facilities where students can gain practical training and experience. The College has a highly qualified faculty and an excellent academic reputation in the region.
35. Autonomous State Society Medical College Mirzapur
Mirzapur, Uttar Pradesh, is home to the Autonomous State Medical College. The College was founded in 2021 to offer a top-notch center for medical education, healthcare, and study. The National Medical Commission (NMC) has authorized the College, and it is connected to Atal Bihari Vajpayee Medical University in Lucknow.
Private medical colleges in Uttar Pradesh (U.P.):
1. Major S D Singh Medical College and Hospital, Fathehgarh, Farrukhabad
Major S D Singh Medical College and Hospital is a medical college and hospital located in Fatehgarh, Farrukhabad district, Uttar Pradesh, India. The College was established in 2011 and is affiliated with Dr. Ram Manohar Lohia Avadh University, Faizabad.
The College offers undergraduate (MBBS) and postgraduate courses in Medicine (M.D., MS) and diploma courses. The College has a teaching hospital with 700 beds and provides medical services in various specialties such as Medicine, surgery, obstetrics and gynecology, pediatrics, orthopedics, ophthalmology, ENT, dermatology, and psychiatry.
The College has a well-qualified faculty with many experienced doctors and researchers. It also has modern facilities such as well-equipped laboratories, classrooms, and a library. The NMC approved the Institution, and the Indian Government's Ministry of Health and Family Welfare has officially recognized it.
In Uttar Pradesh, Major S D Singh Medical College and Hospital is a reputable medical education and healthcare services facility.
2. Hind Institute of Medical Sciences, Barabanki
Hind Institute of Medical Sciences is a private medical college in Barabanki, Uttar Pradesh, India. The College is affiliated with Dr. Ram Manohar Lohia Avadh University and is recognized by the National Medical Commission (NMC). The College offers undergraduate (MBBS) and postgraduate (M.D., MS) courses in various medical fields. The faculty at the College is highly qualified and experienced in their respective fields. The College has a well-equipped hospital with modern facilities where students can gain practical training and experience.
3. Subharti Medical College, Meerut
Subharti Medical College is a private medical college in Meerut, Uttar Pradesh, India. It is affiliated with Swami Vivekanand Subharti University and is recognized by the NMC. The College offers undergraduate (MBBS) and postgraduate (M.D., MS) courses in various medical fields. The College has a well-equipped hospital with modern facilities where students can gain practical training and experience. The faculty at the College is highly qualified and experienced in their respective fields. The Institution also provides research chances for students who want to work in medical investigation.
4. Santosh Medical College, Ghaziabad
SMC, Ghaziabad, is a private medical college in Ghaziabad, Uttar Pradesh, India. It is affiliated with Santosh Deemed to be University and is recognized by the National Medical Commission (NMC). The College offers undergraduate (MBBS) and postgraduate (M.D., MS) courses in various medical fields. The College has a well-equipped hospital with modern facilities where students can gain practical training and experience. The faculty at the College is highly qualified and experienced in their respective fields. The College also has a research center that promotes research in the field of medical sciences.
5. Rohilkhand Medical College & Hospital, Bareilly
Rohilkhand Medical College & Hospital is a private medical college in Bareilly, Uttar Pradesh, India. It is affiliated with M.J.P. Rohilkhand University and is recognized by the National Medical Commission (NMC). The College offers undergraduate (MBBS) and postgraduate (M.D., MS) courses in various medical fields. The College has a well-equipped hospital with modern facilities where students can gain practical training and experience. The faculty at the College is highly qualified and experienced in their respective fields. The College also has a research center that promotes research in the field of medical sciences.
6. Teerthanker Mahaveer Medical College, Moradabad
Teerthanker Mahaveer Medical College is a private medical college in Moradabad, Uttar Pradesh, India. It is affiliated with Teerthanker Mahaveer University and is recognized by the National Medical Commission (NMC). The College offers undergraduate (MBBS) and postgraduate (M.D., MS) courses in various medical fields. The College has a well-equipped hospital with modern facilities where students can gain practical training and experience. The faculty at the College is highly qualified and experienced in their respective fields. The College also has a research center that promotes research in the field of medical sciences.
7. Muzaffarnagar Medical College, Muzaffarnagar
Muzaffarnagar Medical College is a private medical college in Muzaffarnagar, Uttar Pradesh, India. It is affiliated with Chaudhary Charan Singh University and is recognized by the National Medical Commission (NMC). The College offers undergraduate (MBBS) and postgraduate (M.D., MS) courses in various medical fields. The faculty at the College is highly qualified and experienced in their respective fields. The College has a well-equipped hospital with modern facilities where students can gain practical training and experience. The College also has a research center that promotes research in the field of medical sciences.
8. Era Lucknow Medical College, Lucknow
Era Lucknow Medical College (ELMC) is in Lucknow, Uttar Pradesh, India. It was established in 2001 and is affiliated with Dr. Ram Manohar Lohia Avadh University, Faizabad. The College offers undergraduate (MBBS) and postgraduate (MD/MS) courses in various specialties of Medicine.
ELMC has a well-equipped campus with modern facilities and infrastructure. The College has an extensive library, computer center, auditorium, and sports facilities. The faculty at ELMC consists of experienced and highly qualified doctors and professors dedicated to teaching and research.
In addition to academic activities, ELMC also promotes extracurricular activities to encourage the overall development of its students. The College has various clubs and societies for music, dance, drama, and sports.
ELMC is committed to providing quality medical education and producing skilled and compassionate doctors who can contribute to the healthcare needs of society.
9. K.D. Medical College Hospital & Research Centre, Mathura
K.D. Medical College Hospital & Research Centre is a medical college located in Mathura, Uttar Pradesh, India. The College was established in 2015 and is affiliated with Dr. Bhimrao Ambedkar University, Agra. The College offers undergraduate (MBBS) and postgraduate (MD/MS) courses in various specialties of Medicine.
The campus of K.D. Medical College Hospital & Research Centre is spread over 35 acres of land with modern facilities and infrastructure. The College has a well-equipped library, laboratories, computer center, auditorium, and sports facilities—the faculty at K.D. Medical College comprises experienced and highly qualified doctors and professors dedicated to teaching and research.
The hospital attached to the College has 750 beds and provides healthcare services to the local community. The hospital has various departments, including surgery, Medicine, pediatrics, obstetrics and gynecology, ophthalmology, and ENT. The hospital also has a blood bank, pharmacy, and emergency services.
10. F.H. Medical College & Hospital, Etamdapur, Agra
F.H. Medical College & Hospital is a medical college in Etamdapur, Agra, Uttar Pradesh, India. The College was established in 2014 and is affiliated with Dr. Bhimrao Ambedkar University, Agra. The College offers undergraduate (MBBS) and postgraduate (MD/MS) courses in various specialties of Medicine.
The campus of F.H. Medical College & Hospital is spread over 100 acres of land with modern facilities and infrastructure. The College has a well-equipped library, laboratories, computer center, auditorium, and sports facilities. The faculty at F.H. Medical College & Hospital consists of experienced and highly qualified doctors and professors dedicated to teaching and research.
The hospital attached to the College has 500 beds and provides healthcare services to the local community. The hospital has various departments, including surgery, Medicine, pediatrics, obstetrics and gynecology, ophthalmology, and ENT.
11. Rajshree Medical Research Institute, Bareilly
Rajshree Medical Research Institute (RMRI) is a medical college in Bareilly, Uttar Pradesh, India. The College was established in 2009 and is affiliated with Mahatma Jyotiba Phule Rohilkhand University, Bareilly. The College offers undergraduate (MBBS) and postgraduate (MD/MS) courses in various specialties of Medicine.
The campus of Rajshree Medical Research Institute is spread over 35 acres of land with modern facilities and infrastructure. The College has a well-equipped library, laboratories, computer center, auditorium, and sports facilities. The Rajshree Medical Research Institute faculty consists of experienced and highly qualified doctors and professors dedicated to teaching and research.
12. Integral Institute of Medical Sciences & Research, Lucknow
Integral Institute of Medical Sciences & Research (IIMS&R) is a medical college in Lucknow, Uttar Pradesh, India. The College was established in 2015 and is affiliated with Dr. Ram Manohar Lohia Avadh University, Faizabad. The College offers undergraduate (MBBS) and postgraduate (MD/MS) courses in various specialties of Medicine.
The Integral Institute of Medical Sciences & Research campus is spread over 60 acres of land with modern facilities and infrastructure. The College has a well-equipped library, laboratories, computer center, auditorium, and sports facilities. The integral Institute of Medical Sciences & Research faculty comprises experienced and highly qualified doctors and professors dedicated to teaching and research.
13. Mayo Institute of Medical Sciences, Barabanki
Mayo Institute of Medical Sciences is a medical college and hospital located in Barabanki, Uttar Pradesh, India. The institute was established in 2012 and is affiliated with Dr. Ram Manohar Lohia Avadh University, Faizabad.
The College offers undergraduate medical courses such as MBBS, postgraduate courses like MD MS, and diplomas in various medical specialties. A library, lecture rooms, labs, and a hospital with different sections are among the contemporary amenities and equipment available.
The hospital attached to the institute has a capacity of 500 beds and provides healthcare services to the local population and patients from nearby areas. The hospital has well-equipped intensive care units, operation theatres, and diagnostic facilities to cater to the medical needs of patients.
14. Rama Medical College Hospital and Research Centre, Hapur
Rama Medical College Hospital and Research Centre is a private medical college in Hapur, Uttar Pradesh, India. The College was established in 2011 and is affiliated with Chaudhary Charan Singh University, Meerut.
The College offers undergraduate medical courses like MBBS, postgraduate courses such as M.D., MS, and diploma courses in various medical specialties. The campus has modern infrastructure and facilities such as lecture halls, laboratories, a library, and a hospital with multiple departments.
The hospital attached to the institute has a capacity of 650 beds and provides healthcare services to the local population and patients from nearby areas.
15. Career Institute Of Medical Sciences & Hospital, Lucknow
Career Institute of Medical Sciences & Hospital is a private medical college in Lucknow, Uttar Pradesh, India. The College was established in 2011 and is affiliated with Dr. Ram Manohar Lohia Avadh University, Faizabad.
The College offers undergraduate medical courses like MBBS and postgraduate courses like M.D. and M.S. in various medical specialties. The campus has modern infrastructure and facilities such as lecture halls, laboratories, a library, and a hospital with multiple departments.
The hospital attached to the institute has a capacity of 450 beds and provides healthcare services to the local population and patients from nearby areas. The College provides community healthcare services through outreach programs and health camps.
16. School of Medical Sciences & Research, Greater Noida
School of Medical Sciences & Research (SMS&R) is a private medical college in Greater Noida, Uttar Pradesh, India. The College was established in 2009 and is affiliated with Sharda University.
The College offers undergraduate medical courses like MBBS and postgraduate courses like M.D. and M.S. in various medical specialties. The campus has modern infrastructure and facilities such as lecture halls, laboratories, a library, and a hospital with multiple departments.
17. Rama Medical College and Hospital, Kanpur
In 2008, the Rama Educational Organization, Kanpur, founded the Rama Medical College - Hospital Research Center. The organization aims to offer everyone access to top-notch medical facilities and the best medical education. Using traditional and contemporary approaches, the College provides medical education and training using all available technologies. In addition to the MBBS (Bachelor of Medicine and Bachelor of Surgery) program, it also provides Post Graduate Programs as of 2008.
18. Saraswati Institute of Medical Sciences, Hapur
Saraswati Institute of Medical Sciences is a private medical college in Hapur, Uttar Pradesh, India. The College was established in 2008 and is affiliated with Chaudhary Charan Singh University, Meerut.
The College offers undergraduate medical courses like MBBS and postgraduate courses like M.D. and M.S. in various medical specialties. The campus has modern infrastructure and facilities such as lecture halls, laboratories, a library, and a hospital with multiple departments.
19. Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly
Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, or SRMSIMS, is a private medical college in Bareilly, Uttar Pradesh, India. M.J.P. Rohilkhand University, Bareilly, is associated with the Institution founded in 2002.
The College offers undergraduate medical courses like MBBS and postgraduate courses like M.D. and M.S. in various medical specialties. The campus has modern infrastructure and facilities such as lecture halls, laboratories, a library, and a hospital with multiple departments.
The faculty comprises experienced and qualified medical professionals who provide quality education and training to their students. The hospital attached to the institute has a capacity of 950 beds. The College also has a research center and various academic and extracurricular activities for the overall development of its students.
20. G.S. Medical College & Hospital, Hapur, UP (GSMC&H)
G.S. Medical College & Hospital (GSMC&H) is headquartered in Pilkhuwa, Hapur. Focusing on comprehensive learning and instilling competitive abilities in pupils, it has established itself as a high-quality education provider.
The National Medical Commission has approved G.S. and is affiliated with Lucknow's Atal Bihari Vajpayee Medical University.
Academic, research and instructional excellence are hallmarks of GSMC&H. with its renowned staff, top-notch educational programs, and cutting-edge teaching standards.
21. Heritage Institute of Medical Sciences, Varanasi
Heritage Institute of Medical Sciences, Varanasi, is a private medical college in Varanasi, Uttar Pradesh, India. The College was established in 2015 and is affiliated with Dr. A.P.J. Abdul Kalam Technical University, Lucknow.
The College's vision is to be a center of excellence in medical education, research, and healthcare services. The College offers undergraduate medical courses like MBBS and postgraduate courses like M.D. and M.S. in various medical specialties. The campus has modern infrastructure and facilities such as lecture halls, laboratories, a library, and a hospital with multiple departments. The hospital attached to the institute has a capacity of 700 beds.
22. Hind Institute of Medical Sciences, Sitapur
Hind Institute of Medical Sciences, Sitapur, is a private medical college in Sitapur, Uttar Pradesh, India. The College was established in 2008 and is affiliated with Dr. Ram Manohar Lohia Avadh University, Faizabad.
The College offers undergraduate medical courses like MBBS and postgraduate courses like M.D. and M.S. in various medical specialties. The campus has modern infrastructure and facilities such as lecture halls, laboratories, a library, and a hospital with multiple departments.
23. Saraswati Medical College, Unnao
Saraswati Medical College, Unnao, is a private medical college in Unnao, Uttar Pradesh, India. The College was established in 2011 and is affiliated with Dr. Ram Manohar Lohia Avadh University, Faizabad.
The College offers undergraduate medical courses like MBBS and postgraduate courses like M.D. and M.S. in various medical specialties. The campus has modern infrastructure and facilities such as lecture halls, laboratories, a library, and a hospital with multiple departments.
24. Varun Arjun Medical College, Banthra, Shahjahanpur
Varun Arjun Medical College, Banthra, Shahjahanpur, is a private medical college in Banthra, Shahjahanpur, Uttar Pradesh, India. The College was established in 2016 and is affiliated with Dr. Ram Manohar Lohia Avadh University, Faizabad.
The College offers undergraduate medical courses like MBBS and postgraduate courses like M.D. and M.S. in various medical specialties. The campus has modern infrastructure and facilities such as lecture halls, laboratories, a library, and a hospital with multiple departments.
25. Venkateshwara Institute of Medical Sciences, Gajraula
Venkateshwara Institute of Medical Sciences (VIMS), Gajraula, is a private medical college in Gajraula, Uttar Pradesh, India. The College was established in 2016 and is affiliated with Chaudhary Charan Singh University, Meerut.
The College offers undergraduate medical courses like MBBS and postgraduate courses like M.D. and M.S. in various medical specialties. The campus has modern infrastructure and facilities such as lecture halls, laboratories, a library, and a hospital with multiple departments.
Venkateshwara Institute of Medical Sciences is recognized by the National Medical Commission (NMC) and is committed to providing quality medical education to its students. The College's vision is to be a center of excellence in medical education, research, and healthcare services.
26. Krishna Mohan Medical College & Hospital, Mathura
Krishna Mohan Medical College & Hospital (KMMCH) is a private medical college in Mathura, Uttar Pradesh, India. The College was established in 2016 and is affiliated with Dr. Bhimrao Ambedkar University, Agra.
KMMCH offers undergraduate medical courses like MBBS and postgraduate courses such as M.D. and M.S. in various medical specialties. The campus has modern infrastructure and facilities such as lecture halls, laboratories, a library, and a hospital with multiple departments.
27. Prasad Institute of Medical Sciences, Lucknow
Prasad Institute of Medical Sciences (PIMS) is a private medical college in Lucknow, Uttar Pradesh, India. The College was established in 2016 and is affiliated with Dr. Ram Manohar Lohia Avadh University, Faizabad.
PIMS offers undergraduate medical courses like MBBS and postgraduate courses like M.D. and M.S. in various medical specialties. The College also has a research center and various academic and extracurricular activities for the overall development of its students. The staff consists of skilled and seasoned medical professionals committed to giving their pupils high-quality instruction and training.
28. T S Misra Medical College & Hospital, Amusi, Lucknow
T S Misra Medical College & Hospital is a private medical college in Lucknow, Uttar Pradesh, India. The Institution was founded in 2019 and is affiliated with Faizabad's Dr. Ram Manohar Lohia Avadh University. The College offers undergraduate medical courses MBBS.
29. National Capital Region Institute of Medical Sciences, Meerut
National Capital Region Institute of Medical Sciences (NCIMS) is a private medical college in Meerut, Uttar Pradesh, India. The Institution was founded in 2018 and is associated with Meerut's Chaudhary Charan Singh University.
NCIMS offers undergraduate medical courses like MBBS and postgraduate courses such as M.D. and M.S. in various medical specialties.
30. United Institute of Medical Sciences, Allahabad
United Institute of Medical Sciences is located in Prayagraj, the center of Uttar Pradesh. It is the first private medical school in Prayagraj and was founded in 2020.
31. Noida International Institute Of Medical Sciences, Noida
Noida International Institute of Medical Sciences (NIIMS) is a private medical college in Noida, Uttar Pradesh, India. The College was established in 2009 and is affiliated with Chaudhary Charan Singh University, Meerut.
NIIMS offers undergraduate medical courses like MBBS and postgraduate courses such as M.D. and M.S. in various medical specialties.
32. Naraina Medical College & Research Centre
Naraina Medical College & Research Centre (NMRC) is a private medical college in Sasni, Hathras district, Uttar Pradesh, India. The College was established in 2011 and is affiliated with Dr. APJ Abdul Kalam Technical University, Lucknow.
NMRC offers undergraduate medical courses like MBBS and postgraduate courses like M.D. and M.S. in various medical specialties. The campus has modern infrastructure and facilities like lecture halls, laboratories, a library, and a hospital with multiple departments.
The hospital attached to the institute has a capacity of 350 beds and provides healthcare services to the local population and patients from nearby areas.
Studying Medicine in Uttar Pradesh can provide students with quality education, diverse cultural exposure, and various job opportunities.
2 years 4 months ago
Blog,News
UN: A quarter of world population lacks safe drinking water
UNITED NATIONS (AP) — A report issued on the eve of the first major UN conference on water in over 45 years says 26 per cent of the world's popul
ation doesn't have access to safe drinking water and 46 per cent lacks access to basic sanitation.
UNITED NATIONS (AP) — A report issued on the eve of the first major UN conference on water in over 45 years says 26 per cent of the world's popul
ation doesn't have access to safe drinking water and 46 per cent lacks access to basic sanitation.
The UN World Water Development Report 2023, released Tuesday, painted a stark picture of the huge gap that needs to be filled to meet UN goals to ensure all people have access to clean water and sanitation by 2030.
Richard Connor, editor-in-chief of the report, told a news conference that the estimated cost of meeting the goals is between $600 billion and $1 trillion a year.
But equally important, Connor said, is forging partnerships with investors, financiers, governments and climate change communities to ensure that money is invested in ways to sustain the environment and provide potable water to the two billion people who don't have it and sanitation to the 3.6 billion in need.
According to the report, water use has been increasing globally by roughly one per cent per year over the last 40 years "and is expected to grow at a similar rate through to 2050, driven by a combination of population growth, socio-economic development and changing consumption patterns".
Connor said that actual increase in demand is happening in developing countries and emerging economies where it is driven by industrial growth and especially the rapid increase in the population of cities. It is in these urban areas "that you're having a real big increase in demand", he said.
With agriculture using 70 per cent of all water globally, Connor said, irrigation for crops has to be more efficient — as it is in some countries that now use drip irrigation, which saves water. "That allows water to be available to cities," he said.
As a result of climate change, the report said, "seasonal water scarcity will increase in regions where it is currently abundant — such as Central Africa, East Asia and parts of South America — and worsen in regions where water is already in short supply, such as the Middle East and the Sahara in Africa".
On average, "10 per cent of the global population lives in countries with high or critical water stress" and up to 3.5 billion people live under conditions of water stress at least one month a year, said the report issued by UNESCO, the UN Educational, Scientific and Cultural Organization.
Since 2000, floods in the tropics have quadrupled, while floods in the north mid-latitudes have increased 2.5-fold, the report said. Trends in droughts are more difficult to establish, it said, "although an increase in intensity or frequency of droughts and 'heat extremes' can be expected in most regions as a direct result of climate change".
As for water pollution, Connor said, the biggest source of pollution is untreated wastewater.
"Globally, 80 per cent of wastewater is released to the environment without any treatment," he said, "and in many developing countries it's pretty much 99 per cent".
These and other issues including protecting aquatic ecosystems, improving management of water resources, increasing water reuse and promoting cooperation across borders on water use will be discussed during the three-day UN Water Conference co-chaired by King Willem-Alexander of the Netherlands and Tajikistan's President Emomali Rahmon opening Wednesday.
There are 171 countries, including over 100 ministers, on the speakers' list along with more than 20 organisations. The meeting will also include five "interactive dialogues" and dozens of side events.
2 years 4 months ago
Autism now more common among black, Hispanic kids in US
NEW YORK, United States (AP) — For the first time, autism is being diagnosed more frequently in black and Hispanic children than in white kids in the US, the Centers for Disease Control and Prevention (CDC) said Thursday.
Among all US eight-year-old children, one in 36 had autism in 2020, the CDC estimated. That's up from one in 44 two years earlier.
NEW YORK, United States (AP) — For the first time, autism is being diagnosed more frequently in black and Hispanic children than in white kids in the US, the Centers for Disease Control and Prevention (CDC) said Thursday.
Among all US eight-year-old children, one in 36 had autism in 2020, the CDC estimated. That's up from one in 44 two years earlier.
But the rate rose faster for children of colour than for white kids. The new estimates suggest that about three per cent of black, Hispanic and Asian or Pacific Islander children have an autism diagnosis, compared with about two per cent of white kids.
That's a contrast to the past, when autism was most commonly diagnosed in white kids — usually in middle- or upper-income families with the means to go to autism specialists. As recently as 2010, white kids were deemed 30 per cent more likely to be diagnosed with autism than black children and 50 per cent more likely than Hispanic children.
Experts attributed the change to improved screening and autism services for all kids, and to increased awareness and advocacy for black and Hispanic families.
The increase is from "this rush to catch up", said David Mandell, a University of Pennsylvania psychiatry professor.
Still, it's not clear that black and Hispanic children with autism are being helped as much as their white counterparts. A study published in January found that black and Hispanic kids had less access to autism services than white children during the 2017-2018 academic year.
Autism is a developmental disability caused by differences in the brain. There are many possible symptoms, many of which overlap with other diagnoses. They can include delays in language and learning, social and emotional withdrawal, and an unusual need for routine. Scientists believe genetics can play a factor, but there is no known biological reason why it would be more common in one racial or ethnic group than another.
2 years 4 months ago
The Policy, and Politics, of Medicare Advantage
The Host
Julie Rovner
KHN
Julie Rovner is chief Washington correspondent and host of KHN’s weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A to Z,” now in its third edition.
Medicare Advantage, the private-sector alternative to original Medicare, now enrolls nearly half of all Medicare beneficiaries. But it remains controversial because — while most of its subscribers like the extra benefits many plans provide — the program frequently costs the federal government more than if those seniors remained in the fully public program. That controversy is becoming political, as the Biden administration tries to rein in some of those payments without being accused of “cutting” Medicare.
Meanwhile, President Joe Biden has signed a bill to declassify U.S. intelligence about the possible origin of covid-19 in China. And new evidence has emerged potentially linking the virus to raccoon dogs at an animal market in Wuhan, where the virus reportedly first took hold.
This week’s panelists are Julie Rovner of KHN, Margot Sanger-Katz of The New York Times, Jessie Hellmann of CQ Roll Call, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico.
Panelists
Jessie Hellmann
CQ Roll Call
Joanne Kenen
Johns Hopkins Bloomberg School of Public Health and Politico
Margot Sanger-Katz
The New York Times
Among the takeaways from this week’s episode:
- The Biden administration recently changed the formula used to calculate how much the federal government pays private Medicare Advantage plans to care for patients with serious conditions, amid allegations that many of the health plans overcharge or even defraud the government. Major insurers are making no secret about how lucrative the program can be: Humana recently said it would leave the commercial insurance market and focus on government-funded programs, like its booming Medicare Advantage plans.
- The formula change is intended to rein in excess spending on Medicare — a huge, costly program at risk of insolvency — yet it has triggered a lobbying blitz, including a vigorous letter-writing campaign in support of the popular Medicare Advantage program. On Capitol Hill, though, party leaders have not stepped up to defend private insurers as aggressively as they have in the past. But the 2024 campaign season could hear the parties trading accusations over whether Biden cut Medicare or, conversely, protected it.
- The latest maternal mortality rates released by the Centers for Disease Control and Prevention show the problem continued to worsen during the pandemic. Many states have extended Medicaid coverage for a full year after women give birth, in an effort to improve care during that higher-risk period. But other problems limit access to postpartum care. During the pandemic, some women did not get prenatal care. And after the fall of Roe v. Wade, some states are having trouble securing providers — including one rural Idaho hospital, which announced it will stop delivering babies.
- The federal government will soon declassify intelligence related to the origins of the covid pandemic. In the United States, the fight over what started the pandemic has largely morphed into an issue of political identity, with Republicans favoring the notion that a Chinese lab leak started the global health crisis that killed millions, while Democrats are more likely to believe it was animal transmission tied to a wet market.
- And in drug price news, Sanofi has become the third major insulin maker (of three) to announce it will reduce the price on some of its insulin products ahead of a U.S. government policy change next year that could have cost the company.
Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too:
Julie Rovner: Vice News’ “Inside the Private Group Where Parents Give Ivermectin to Kids With Autism,” by David Gilbert
Jessie Hellmann: The Washington Post’s “Senior Care Is Crushingly Expensive. Boomers Aren’t Ready,” by Christopher Rowland
Joanne Kenen: The New Yorker’s “Will the Ozempic Era Change How We Think About Being Fat and Being Thin?” by Jia Tolentino
Margot Sanger-Katz: Slate’s “You Know What? I’m Not Doing This Anymore,” by Sophie Novack
Also mentioned on this week’s podcast:
- Coverage by KHN’s Fred Schulte on Medicare Advantage: https://khn.org/news/author/fred-schulte/
- The New York Times’ “Biden Plan to Cut Billions in Medicare Fraud Ignites Lobbying Frenzy,” by Reed Abelson and Margot Sanger-Katz
- The CDC’s “Maternal Mortality Rates in the United States, 2021,” by Donna L. Hoyert
Click to open the transcript
Transcript: The Policy, and Politics, of Medicare Advantage
KHN’s ‘What the Health?’Episode Title: The Policy, and Politics, of Medicare AdvantageEpisode Number: 290Published: March 23, 2023
[Editor’s note: This transcript, generated using transcription software, has been edited for style and clarity.]
Julie Rovner: Hello and welcome back to KHN’s “What the Health?” I’m Julie Rovner, chief Washington correspondent at Kaiser Health News. And I’m joined by some of the best and smartest health reporters in Washington. We’re taping this week on Thursday, March 23, at 10:30 a.m. As always, news happens fast, and things might have changed by the time you hear this. So here we go. Today we are joined via video conference by Margot Sanger-Katz of The New York Times.
Margot Sanger-Katz: Good morning, everybody.
Rovner: Jessie Hellmann of CQ Roll Call.
Jessie Hellmann: Hello.
Rovner: And Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico.
Joanne Kenen: Hi, everybody.
Rovner: So a happy 13th birthday to the Affordable Care Act, which President Obama signed just a couple of hundred feet from where I am sitting now. But there’s lots of other health news, so we’re going to dive right in. I want to start this week with Medicare Advantage, the private Medicare alternative that now enrolls more than half of all Medicare beneficiaries. If you watch cable TV or pretty much any TV at all, you have likely seen the dueling ads. They’re part of a multimillion-dollar lobbying campaign, like this ad from the Better Medicare Alliance, made up of mostly Medicare Advantage insurers.
Excerpt from ad set in a bowling alley:Bowler 1: They might cut Medicare Advantage.Bowler 2: C’mon!Bowler 1: They’re talking about it in Washington.Bowler 2: Cut Medicare Advantage? Higher premiums? With inflation already so high?Bowler 3: That’s nuts!
Rovner: Or this one from the consumer advocacy group Protect Our Care.
Excerpt from ad: Insurance companies are lying to America’s seniors about cuts to Medicare Advantage benefits. Experts agree what they are saying is just plain false. Health insurance companies are simply trying to stop cuts to their sky-high profits, CEO salaries, and bonuses.
Rovner: I swear, Margot, I pulled the clip from that first ad before you also used it in your excellent story published Wednesday. So — and I know this is a hugely complicated issue that we’re going to try to take apart at least a little bit — but, who’s right here? Those who are saying that Medicare Advantage is about to be cut or those who were saying not really.
Sanger-Katz: I think actually they are both a little bit right. The Biden administration has made a very technical change to the formula that pays these private plans extra money when they sign up patients who have serious medical diagnoses. And this is, of course, a response to an earlier problem. It used to be Medicare Advantage plans — those are the private plans that are an alternative to the government Medicare program. It used to be that they just got a flat fee for everyone that they signed up. That was about what it costs on average to take care of someone in Medicare. And what happened is that the plans then had a huge incentive to only sign up healthy people. And so that’s what they tried to do. And they marketed to healthy people by doing things like including gym benefits in the health insurance plan or this famous, and perhaps apocryphal, example of, you know, locating the enrollment office on the third story of a building with no elevators so only people who could get up the stairs would be able to sign up for the plan. And so, there was this policy response where it said, well, you know, sicker people are more expensive to take care of, and we want these plans to not just be cherry-picking all of the healthiest people. And so they created this system that basically pays extra to the plans. If you have congestive heart failure, if you have cancer, or if you have diabetes, then your health plan gets, like, a little bonus. But what we have seen over the course of the life of this program is that this has created enormous incentives for the plans to diagnose their customers with as many diseases as possible, regardless of the strength of the evidence that they have. And there is a whole industry of data-mining operations that go through people’s medical records, of home health agencies that go into people’s homes just to diagnose them with more illnesses. And there are just absolutely widespread — from, like, every possible authoritative source that you can think of — allegations of overcharging of the federal government through this program and also of fraud. Not every insurance plan in the country in this program has been accused of fraud, but quite a lot of them have, including most of the largest players. And they are facing lawsuits in federal court for basically scamming Medicare by saying that their people are too sick.
Rovner: So I want to go back to the beginning or, really, the middle. Medicare has offered beneficiaries the option of enrolling in a private managed-care plan instead of what’s known as traditional Medicare, where patients can go to just about any doctor or hospital, pretty much from the inception of the program and pretty broadly since the Reagan administration in the early 1980s. They were originally called Medicare risk plans. Health plans almost exclusively, HMOs, said they could provide the same care more efficiently by, quote, “managing care,” and could still make a profit even if the government paid them 5% less than the average patient in traditional Medicare in that area. So it was a good deal all around. The plans were making money. The government was saving money. Yeah, that was a very long time ago. Since then, Congress has significantly raised what it pays the plans with the stipulation that they use the excess funds to either reduce premiums or add benefits, mostly dental, vision, and hearing care. Still, however, a lot of insurers are, to use a technical term, raking it in. In fact, Humana last month announced that it was going to pull out of the commercial insurance market in order to concentrate on its much more lucrative Medicare Advantage business. So, how are these companies both providing more benefits and making big profits? I know that fraud is part of it. Jessie, where’s all this money coming from?
Hellmann: Like Margot said … I think a lot of it has to do with the upcoding that they do. They’re just able to find all of these diagnoses from their enrollees, either through chart reviews … some have done home health visits where they send in people to interview patients and ask about their health history without really providing any care. So that’s another way. And it’s just become, like, a really lucrative business practice for them. But like Margot said, they’ve just been facing more and more scrutiny and lawsuits over the way that they do this.
Rovner: They deny care, too, right? That has been a long-standing issue that people who go into these plans and then get sick sometimes have trouble getting the care that they need.
Hellmann: Medicare Advantage plans do something called prior authorization, where they require providers submit requests for something to be covered before they’ll pay for it. They do this with a lot of more costly things, like imaging or like nursing home stays, which are obviously very expensive. And so if they can deny these claims and maybe get a beneficiary to do something that is cheaper before moving onto these more costly things, then that obviously saves some money. But that’s something else that the Biden administration has been looking more closely at. They’ve proposed a few rules that would just say that Medicare Advantage plans have to cover things that are covered by Medicare. They can’t just deny care for something based on their own proprietary models of deciding whether something is medically necessary or not.
Kenen: It’s complicated because sometimes there are patients that ask for things that they actually don’t need. You know, something they have seen on TV or they heard their neighbor had or whatever, and that [there’s] actually something more conservative [that can be done]. Back surgery is the famous example. You know, sometimes physical therapy and other treatments will do better than an $80,000 back surgery. But there’s a difference between saying, “Let’s try something else first,” and times when somebody is really sick and needs an expensive drug, they may have already tried a cheaper drug in another health plan the year before. It’s very hard to untangle, you know, when “no” is appropriate because we have overtreatment in this country. But the problem here is that sometimes “no” it’s completely inappropriate, and the insurer is not paying for something that the patient expected to get when they signed up for a health plan to take care of their health.
Rovner: And we should point out this is true in all managed-care plans, not just in Medicare Advantage plans.
Kenen: Yes.
Rovner: So before we move on, I want to give a shoutout to my KHN colleague Fred Schulte, who has been on the Medicare Advantage fraud trail like a dog with a bone for more than a decade now. We will link to some of his award-winning work in our show notes. Anyway, now the Biden administration, Margot, as you said, is trying to crack down on the, if not outright fraud, at least the manipulation of payments, which will also, at the same time, save the Medicare trust fund a lot of money. In the past, though, even small changes to Medicare Advantage, because it is so popular, have been met with a lot of pushback from members of Congress in both parties. But that’s not really happening this time, is it?
Sanger-Katz: Yeah, This has, I think, been the biggest surprise and the most interesting part of reporting on this story. Historically, Medicare Advantage is about half of Medicare’s enrollment, as in these plans. If you survey seniors who have these plans, they tell you that they really love them. And notwithstanding all the stuff we just talked about, I think they are popular by most people who use them. In part, it’s because they get these extra benefits. They have lower premiums. You know, they get some goodies that they wouldn’t get with regular Medicare. And in Congress, the preponderance of members of Congress have signed letters indicating that they support, I think, what they call a stable policy-and-rate environment for the plan. So last year, 80% of members of the House of Representatives signed such a letter. That’s just, I mean, you don’t see 80% of members of the House of Representatives agreeing on practically anything — and a majority of senators as well. And I think everyone’s expectation, including me, is that when these people signed this letter and said, you know, this is important and my constituents care about it, that they would have the back of the plans and that it would be hard for regulators to be aggressive in trying to change anything about this program because there would be such a big political outcry. And, in fact, what’s happened is they have really started cracking down. They started with some of these smaller regulations. And then the one that they did, it was kind of hidden in a technical way, but it had a really big impact. They changed this whole formula and they basically said, hey, plans, like, you can no longer get these extra payments for a lot of the diseases that they were very commonly making money for diagnosing people for. And all of a sudden, you know, this support on the Hill just kind of dissolved. And that is very much in the face of this huge lobbying effort. You know, Julie, you mentioned the television commercials, but the plans also mobilize their customers to call their members of Congress to contact the White House. Something like 142,000 calls and letters have been submitted to members of Congress and the White House. The proposal itself, there’s the formal comment process — in a normal year [it] gets like a couple of hundred comments, mostly from various stakeholders in the Medicare system. This year there was an organized letter-writing campaign and 15,000 comments were submitted on this rate notice. So we just see this environment in which the public has been activated. Lobbyists are going crazy. The CEO of United[Healthcare], the largest health insurer in the country, was making the rounds on the Hill, talking to members of Congress. And yet … and yet there’s really no one in Congress who’s standing up and screaming and yelling about how terrible this is. I mean, I shouldn’t say no one. There are a few individual members of Congress, Republicans, who have been highly critical of this and who have pointed out that this move is potentially inconsistent with President [Joe] Biden’s promise to never cut Medicare, which is a key campaign message for him going into his reelection. But the leaders in Congress, the heads of committees, the really prominent members, and certainly leading Democrats have not said those kinds of things. There were letters that came out very late in the process, really in the last week or so, from Republicans in House and Senate committees of jurisdiction that you might have expected to be these angry, partisan, like, “how dare you do this to Medicare Advantage?” kind of letters. And they were not those kinds of letters. They weren’t critical, but they were very polite and they were very technical. They’re, like, could you please answer the following 10 very technical questions about this tiny little detail of the formula? So it’s clear … they are concerned and they are providing oversight. And I don’t think that they are enthusiastically embracing these changes. But at the same time, I think they are not carrying water for the insurance industry and making it very politically difficult for the Biden administration to make these changes.
Rovner: I feel like the Humana announcement actually sent quite a message that says, wow, we can make a lot more money from Medicare than we can make from the commercial market.
Kenen: Well, I think that’s true. I mean, one reason so many seniors are in Medicare Advantage, and do like it, is that they get an incredible deluge of marketing. I mean, the companies went in here, they saw that it was a business opportunity. They have marketed themselves very aggressively. People get dozens and dozens of letters saying, “Apply for this plan” or “We’ll give you this. We’ll give you that.” So the market is there. But I also think there’s a political dynamic that’s bubbled up recently that’s different. There’s been a fight every year about Medicare Advantage payments. It hasn’t been as grassroots; it hasn’t gotten as much attention. But there’s been a fight. I mean, every year the administration puts out their formula. Every year the industry fights it back. You know, there’s some kind of compromise. The industry doesn’t get hit as much as it would have. It’s part of the game, right? I mean, that’s how payment rules are made in Washington. But something has changed here that Biden quite successfully, at the State of the Union, really put the Republicans on the hot seat in terms of protecting Medicare and Social Security. And they’ve flipped it. Because the Republicans are better at language. You know, if this was a Republican rule, they would be calling it the “Protect America’s Seniors From Fraudulent Insurers” rule. You know … the Democrats just don’t do that.
Rovner: We should point out that it was the Republicans who named it Medicare Advantage — renamed the whole Medicare private plan program.
Kenen: Right. But just as … Biden’s politically great moment at the State of the Union making the Republicans promise not to touch Medicare, the Republicans have flipped it, because now they’re accusing Biden of attacking Medicare in a different way. And, you know, Medicare was this hot political issue in campaigns in the late Nineties and the early 2000s. It was replaced by a 10- to 15-year fight about what became the Affordable Care Act and repealing it and all that. And then there was this political vacuum in 2022, and in 2020, after the Republicans failed to repeal the ACA, we sort of had a — not health slogan-free, but it was on the back burner and …
Rovner: We had a reset. Well, we did have a pandemic.
Kenen: We had the pandemic, but — and that was politicized — but the traditional health care fight is reemerging. The traditional partisan health care fight is … both sides have accused the other over the year of “Mediscare.” This is the platform for that fight that I think we will continue to see going into 2024. I mean, it will evolve. I mean, this particular rule will get settled. But, you know, you’re sort of seeing who is the champion of Medicare, which Republicans, years ago, when Paul Ryan, when he was the budget chair of the House and the speaker of the House, he really wanted to significantly transform Medicare in ways that made it very different than the Medicare as it existed for them, Republicans, who are “saving Medicare.” For the Democrats, it was “Republicans are privatizing and destroying Medicare.” This is just Chapter 9,000. It’ll morph again between now and November 2024, but it’s begun.
Sanger-Katz: I think the politics of this are interesting and I think kind of unsettled. I’m very curious to see how this plays out in the campaigns. I do think that there is an available argument for Republicans to make that this change, which does take money out of the pockets of these plans and which potentially could mean that beneficiaries are going to end up with a little bit less generosity, because when those plans make less money, maybe they’re not going to give you as many extra goodies or lower your premium by as much. We don’t know that, but it’s certainly possible.
Rovner: In 1997, they cut payments for what was then Medicare Plus Choice, I think, Medicare Part C. And that’s exactly what happened. They cut all the extra benefits and people threw a fit, and they ended up having to put a lot of the money back.
Sanger-Katz: But in the Affordable Care Act, they cut a lot of the money and the benefits just kept growing. So we don’t know how the plans are going to absorb this change. But anyway, I think there is this available attack line for Republicans. Biden said he’s not going to cut Medicare. Look what he did. He’s cut Medicare. He’s taken all this money out of Medicare and it’s causing your premiums to go up. On the other hand, I do think there is this opportunity for Biden to say, “We reduced fraud; we improved the health of the Medicare trust fund.” And I think a lot of Republicans are actually committed to both of those things. I think they care about program integrity. They care about the fiscal future of the program. And so it’s all just a little bit scrambled. This almost feels more like something you might see in a Republican administration than a Democratic one.
Rovner: I was just saying, Jessie, is there any inclination on the Hill to do anything about this, or do you think they’re just going to either talk about it or not talk about it, as it were?
Hellmann: I haven’t heard anything about any potential action on the Hill. There’s just been letters sent asking questions, or some Republicans have sent letters saying, “We don’t like this.” But I don’t know that there’s enough support in both the Senate and the House to override this. And they are talking more about, like, the health of the Medicare trust fund. And some of the rules proposed by the administration could help strengthen that a little bit. It’s not going to solve all of its problems. But to go in and meddle with what the administration is doing to help the trust fund a little bit, while Congress is having more and more debates about helping the trust fund, I don’t know if that would be a good look.
Kenen: You could still have a policy compromise on, like, anti-fraud policy and still have a political fight. “We saved it!” “No, we saved it!” Oh, they … it’s way too soon to know what issues are going to dominate 2024 and what issues attract sustained attention from a public that doesn’t sustain attention to much of anything anymore. But right now, this is certainly a trial balloon for 2024. And I can see it. I can see that. I can see working out some kind of compromise on the actual technical issues and still having a political fight.
Rovner: Well, we’re going to move on because we’re clearly not gonna settle this today. But I hope people at least got a flavor for really how complicated this is, both, you know, technically and politically. I want to turn to something else that’s complicated: That’s reproductive health. And by that I mean much more than abortion and birth control. A new study from the Centers for Disease Control and Prevention finds that maternal mortality, the death rate for people when they are giving birth or in the weeks immediately after, rose by more than a third in 2021 compared to 2020. And African American women, even those with higher incomes, were 2½ times more likely to die during or just after childbirth than white women. Certainly, the pandemic had something to do with this. It disrupted medical care for just about everybody, and pregnant women who got covid had a higher risk of severe illness or death. But this is really just a continuation of a trend that’s been troubling health experts for several years now. Joanne, you’re our public health expert here. Why has this been so difficult to address?
Kenen: I mean, I think some of it is the two things that Julie said for 2020. I mean, you know, there was all this fear that the vaccines could hurt pregnant women. Actually, it was covid that hurt pregnant women and their babies. So, hopefully, we’re over the worst of that. And people weren’t going in for good prenatal care. So that was a factor. But this is a really sustained problem, and we’ve begun to take some steps. Most states are now extending Medicaid coverage postpartum for six months or a year under Medicaid. I think that when many of us, including me, when I first heard about these problems with maternal mortality, I was thinking about giving birth. I was thinking about hemorrhage and things that happen in the delivery room or right after, when, in fact, it’s really the full year after. There is high risk for everything. And that’s where a lot of the disparities in our system … the states that don’t have Medicaid, the states that …
Rovner: Didn’t expand Medicaid.
Kenen: … didn’t extend Medicaid, you know, or there aren’t … most of them are now expanding it for women in this category, or beginning to. So that might help. I mean, the disparities throughout the health care system, this is not just an income thing. In all economic strata, the racial disparities in maternal mortality exist. And then I just found out something recently that really shocked me. I’ve done some work over the past six months writing about domestic violence as a public health problem, and I’ve moderated two panels, just like in the last 10 days on it. And most states do not count homicide, suicide, and overdose as part of the maternal mortality figures. So if you think these figures are bad, it’s way worse, because pregnancy and postpartum are all so high risk for all of those things. But since the OB-GYNs actually review these maternal mortality cases, they’re not reviewing those other three categories. So as bad as it is, it shocked me to realize what we’re looking at and being horrified by isn’t even the full picture.
Rovner: Wow. So, well, here’s where reproductive health writ large and abortion policy cross in ways that may be unexpected to lawmakers who voted for their states’ bans, but not to anybody who’s studied health policy. In Idaho, a rural hospital has announced it will no longer deliver babies, forcing women seeking labor and delivery care to travel nearly 50 miles. Why? Because the hospital, Bonner General Health in Sandpoint, says it cannot keep enough health professionals, both OB-GYNs and pediatricians, to safely run a maternity ward. Why not? Well, Idaho’s, quote, “legal and political climate,” says the hospital from its press release, quote: “The Idaho legislature continues to introduce and pass bills that criminalize physicians for medical care nationally recognized as the standard of care.” Margot, your extra credit this week is about something similar, but in Texas. So why don’t you do it now?
Sanger-Katz: Yes, I wanted to recommend this article from Sophie Novak in Slate called “You Know What? I’m Not Doing This Anymore.” And her piece profiles a whole bunch of nurses and doctors who work in OB-GYN care in Texas who are quitting or leaving or who are considering not taking jobs that they might otherwise have taken. And I think we don’t have real data on these trends, and I’m always a little bit worried about these kinds of stories that, you know, you can always find five or six or seven or 10 doctors who are unhappy or who say that they might quit. There was a lot of those stories, like, when Obamacare passed, all these doctors are going to retire early because they don’t like the rules. I think that turned out to be more marginal than we might have expected based on that coverage. But I still think that this story is telling these stories of these providers, and I think it’s pointing to something that is a real risk and is potentially a real trend, which is if you are someone who is in the business of caring for women through pregnancy and childbirth, and you feel like you cannot do the things that you were trained to do, that there is potential criminal liability for you in providing the care that your patients need, if you’re having to watch your patients suffer through needless harm or medical risk because you can’t provide an abortion when one is medically indicated without facing that kind of legal risk. I do think that there is a real risk that these people are not going to want to practice in those states. They would rather go to a place where they have a little bit more autonomy and a little bit less concern about prosecution. And what that means is that the women left behind in these states, however you feel about abortion, may not have access to as many health care providers, and they are going to continue to have pregnancies and births and need that kind of support. And I think that is a very interesting and troubling dynamic that I think could have very large reverberations and could, of course, make the trends that Joanne was just talking about, you know, even more concerning and lead to even more disparities. Because, of course, it is a lot of the states that are banning abortion are states that have these kind of poor, minority communities who are already facing a lot of the maternal mortality. We see in the existing data it’s increasing in a kind of across-the-board way, but there are some places where it’s worse than other places. And a lot of the worst places for maternal and fetal mortality are these same places that are banning abortion and where they may be at risk of losing some of the providers that can help ameliorate the problem.
Rovner: And it’s not just losing the providers, it’s replacing the providers who do get old enough and retire or who leave, because we’re seeing medical students, fourth-year medical students, say they’re loath to apply for residencies in some of these states, partly because they’re worried about their training, but partly because, you know, if they’re women, they may need this care at some point or they may have family members who will come with them who need this care at some point. And because, for the most part, where you do your residency tends to be where you end up practicing. So, I mean, we didn’t see it so much in this year’s match, but I’m wondering whether this is going to be an issue, too. There’s some big, important academic training centers in some of these states with bans. I’m thinking, you know, Vanderbilt comes to mind immediately in Tennessee. I think this is another thing that was perhaps unexpected, although if you thought about it hard, you could have predicted it.
Kenen: I mean, pregnancy is complicated. A century ago, women commonly died in pregnancy. And we live in an era where it’s safer than it had been, but we forget it can still be risky. And wanted pregnancies, very much wanted pregnancies, can go wrong. And I’ve experienced … I mean, I have two kids, but I experienced that, and I needed emergency medical care and I was able to get it. I needed emergency medical care more than once, and I was able to get it.
Rovner: And I remember visiting you when you were on bed rest.
Kenen: Right? It was one of my few fun nights on bed rest, when Julie and Joanne Silberner brought me dinner. We had a picnic, right? In bed, right? But, you know, I never had to deal with anything except the grief of losing a pregnancy. So, you know, it was a very much wanted pregnancy, and I didn’t have to worry about anything being withheld from me. I had a lot of things go wrong a lot of times. But, you know, I was really lucky to end up with the family I have. When I read these stories, and I go back and think, what if I had to deal with infection? What if I couldn’t get that care? And we’re just not thinking this assumption, by mostly male lawmakers, that it’s not a huge medical thing. Pregnancy changes your body, everything about your body, it’s not just cosmetic. There are lots and lots of risk factors, before and after. That [has] sort of just been glossed over as, oh, it’s not a problem. And it is a problem. And one reason we’re going to see this shift in medical practice is because they understand it’s a problem. I mean, you read these stories about these doctors, and we’ve talked about them every week, and our listeners have heard them and read them, about doctors who are watching a patient with a serious infection, until she is getting close enough to die that they can treat her, but not so close to dying that they lose her. And you hear the anguish.
Rovner: That’s why I was so taken by that line in the press release from the hospital in Idaho, which is that doctors don’t want to possibly be criminalized for what is considered the standard of care. They’re being asked to basically choose between perhaps getting sued or put in jail and what they vowed to do to care for their patients. And it’s really hard. It’s not really that much of a surprise that people are going to leave or not go there. All right. Well, we will definitely come back to this, too. I want to talk about covid briefly. Jessie, the president signed the bill passed by Congress to declassify intelligence on the origin of covid. Do we have any idea when that’s going to happen? How soon? And do we get to see this, too? Or just the members of Congress?
Hellmann: The director of national intelligence is supposed to declassify this information 90 days after the law is passed. After that, I’m not entirely sure if it’s just for Congress or it’s for the public, to be honest.
Rovner: We will see. I was amused that, right after this happened — because now we have all this talk that, you know, “Oh, absolutely” or not, absolutely it was a lab leak, but “more likely it was a lab leak.” Now we have new evidence suggesting that it may, in fact, have started in the Wuhan wet market, after all, jumping from something called raccoon dogs? Now, I consider myself something of an animal expert here. I have never heard of a raccoon dog.
Sanger-Katz: They’re really cute. I was enjoying looking at all the photographs of them.
Rovner: Are we going to now go back to the “OK, maybe it really did come from the market”? I-I-I …
Kenen: What I’m about to say is an oversimplification, but if you’re a Republican, you think it’s a lab leak. And if you’re a Democrat, you think it’s a raccoon dog. And that is an oversimplification. And one of the things that drives me crazy is that the potential for lab leaks exists and lab safety is an issue that should be bipartisan. There have been lab leaks in the U.S., there have been lab leaks elsewhere in the world. And that doesn’t mean this came from a lab leak, but lab leaks are a thing. And we want to make them not a thing. But again, there are many lessons we should be able to take from the pandemic; that’s one of them. Like, OK, maybe this wasn’t a lab leak, maybe this was the Wuhan animal market, but let’s take this as a moment to think about how we can protect ourselves from a future lab leak. You know, we may never conclusively know. Even the raccoon dog thing is still a theory. I mean, there’s evidence behind that theory, but the scientific establishment has not said, OK, this is it. There’s still debate. The science world tends to think it’s zoonotic, that it’s from an animal, but it’s not over yet. And again, the politicization is preventing good public policy.
Rovner: If only someone could turn that fight into something. And as I quoted Michael Osterholm last week as saying, “It doesn’t matter which one it was, because we have to be ready for both of them in a future pandemic.”
Kenen: Exactly. And we’ll probably have both. I mean, we may not have a pandemic from a lab leak, but is it possible that somebody, somewhere, or some community will be hurt from a lab leak? Yes, it is. And we need to mitigate that. Is it possible we have another zoonotic infection? I mean, there’s two Marburg outbreaks in Africa right now. I mean, that’s from animals. And there’s two of them going on. It’s an obscure disease. It’s worse than Ebola. It doesn’t spread as fast, but we have zoonotic infections way more often than the average American realizes.
Sanger-Katz: And also just one more thing, which is we still had and have a global pandemic that has caused enormous suffering and death and fear around the world. And in some ways, I feel like this obsession with like whose fault it is is a distraction from what can we do to prevent such a thing from happening in the future and really looking at, like, what was done appropriately and inappropriately in terms of the covid response? Pinning this down seems … it seems academically interesting to me. It seems useful to know. I think, as you guys have said, you’ve got to be ready for both things anyway. But it also feels like a little bit of a sideshow sometimes when the reality is: Covid came for us. It wasn’t a near-miss where looking at the origin is the whole story. It’s also everything that came afterwards is really important, too.
Rovner: Yes, absolutely. Well, finally this week, one more update. On last week’s podcast,while we were discussing Novo Nordisk following Eli Lilly’s lead in announcing insulin price cuts, I wondered aloud how long it would be before the third company in the triumvirate that controls most of the diabetes drug market, Sanofi, would follow suit. As it turned out, the answer was a couple of hours. In a press release that came out Thursday afternoon, Sanofi said it would cut the price of its most popular insulin product by 78% and ensure that people with health insurance pay no more than $35 a month for their insulin. But I’m thinking this fight is not completely over; now that the three big companies have voluntarily said we’ll lower our prices on some of our insulins, Congress is still going to want to do something about this, right?
Hellmann: Yeah. Sen. [Chuck] Schumer said last week that he still wants Congress to address this issue. He still wants to cap the cost of insulin because, like you said, there are still insulin products that some of these companies offer that don’t fall under these announcements.
Rovner: Drug prices will continue to be a top-of-mind issue, I suspect. All right. Well, that’s as much news as we have time for this week. Now it is time for our extra-credit segment. That’s when we each recommend a story we read this week we think you should read, too. As always, don’t worry if you miss it. We will post the links on the podcast page at khn.org and in our show notes on your phone or other mobile device. Margot, you’ve already done yours. Joanne, why don’t you go next?
Kenen: It’s a piece in The New Yorker, and I’m not sure how she pronounces her name. I think it’s Jia Tolentino. If any of you know, please correct me. But the story is called “Will the Ozempic Era Change How We Think About Being Fat and Being Thin?” I mean, this is a diabetes drug that is being used off-label for weight loss, quite widely to the point that there’s a shortage for people who have diabetes; they are having trouble getting it. It does help people lose weight and it’s become very much in demand because it does help you lose weight. And there are a few others in this class. So, the question she poses: This is a metabolic disorder, it’s not just a willpower issue, and will this help us get to that point? … It was a really good, interesting article, and I still ended up with a lot of questions about long-term safety, about do you have to take it forever and how much, and what happens if you don’t? It’s treating obesity rather than thinking about how to prevent obesity, which is a better — you know, too late for some millions of Americans, but there is generations to come. So but it was an interesting, provocative landscape piece.
Hellmann: My story is from The Washington Post. It’s called “Senior Care Is Crushingly Expensive. Boomers Aren’t Ready.” It’s just a story about how expensive long-term care could be, especially if you need really specialized care. One of the people interviewed for this story would have to pay about $72,000 a year to stay in an assisted-living facility. This person has Alzheimer’s and so they just need a little more help than someone else might. And they talk a lot about how Medicaid will cover some of this care, but only if you spend all of your life savings. And obviously, Medicare doesn’t really cover stays in assisted-living facilities either. I know we talked in email about how perennial this issue is. It’s something that was an issue 20 years ago. People are warning: We need to fix this problem.
Rovner: More than that. When I first joined CQ in 1986, it was the first big story I wrote, about what are we going to do about long-term care for the baby boomers? Here we are almost 40 years later, still talking about the same thing.
Hellmann: Yeah, I guess the answer is nothing.
Rovner: Not much has happened.
Kenen: Yeah, what’s happened is we’ve shifted more and more of it onto families.
Rovner: Yeah, that’s true.
Kenen: More complicated care for longer.
Rovner: My extra credit this week is a truly terrifying piece from Vice News called “Inside the Private Group Where Parents Give Ivermectin to Kids With Autism,” by David Gilbert. And the headline says most of it. What it doesn’t say is that when you give horse wormer to kids — and this group actually advises the use of the paste that’s given to horses — they’re going to have adverse reactions. The kids, not the horses, including headaches, stomachaches, blurry vision, and more. But the administrators of this group insist that the side effects aren’t because the children are being administered something that can kill people in the wrong dosages, but because the medication is, quote, “working.” They also say it can cure a whole host of other disorders from Down syndrome to alopecia. It is quite the story. You really do need to read it.
OK. That is our show for this week. As always, if you enjoy the podcast, you can subscribe wherever you get your podcasts. We’d appreciate it if you left us a review — that helps other people find us, too. Special thanks, as always to our ever-patient producer, Francis Ying. As always, you can email us your comments or questions. We’re at whatthehealth — all one word — at kff.org. Or you can tweet me. I am @jrovner. Margot?
Sanger-Katz: @sangerkatz
Rovner: Jessie.
Hellmann: @jessiehellmann
Rovner: Joanne.
Kenen: @JoanneKenen
Rovner: We will be back in your feed next week. Until then, be healthy.
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Health Archives - Barbados Today
Mental health clinics seeing 200 per cent more patients
The Ministry of Health is committed to tackling the significant increase in people turning up in the island’s healthcare system with mental health illnesses.
Health Minister Dr the Most Honourable Jerome Walcott said over the course of the last three years of the COVID-19 pandemic many of these patients have reported at several institutions with general numbers shooting up by over 200 per cent since 2019.
As he made his contribution to the debate on the Appropriation Bill 2023 in the Senate on Wednesday Dr Walcott noted: “In the Ministry of Health, we recognise that post-COVID mental health illness and disease in Barbados is a real concern. We have been looking at the attendance at the various clinics, and the attendance to the ‘psychi’ clinics in the polyclinic system [since] 2019. We are now over 200 per cent above what it was then, which tells you that there are people seeking care [and] to be evaluated.
“The ministry this year is really going after mental health,” he insisted.
He further revealed that the previously operational Mental Health Commission had been re-established, along with a strategic plan which was first drafted using the 2005 Mental Health Reform Policy.
Dr Walcott stressed that the mental health of citizens and the policies governing this aspect of healthcare needed to be relooked.
“We need to look at the whole issue of governance of mental health illness in this country. We need to look at public education and the stigma associated with mental health illness, [and] we need to look at community mental health.
“We have started but we really need to push it. We need to integrate it totally into the polyclinic system. We are expanding the numbers of psychiatrists and counselling psychologists in the community because we need to move it into the community.”
He added: “There are a number of issues with teenagers in the schools, some of the violence we are hearing about is related to mental health issues.”
He explained that clinics have been introduced in the antenatal and postnatal at the Queen Elizabeth Hospital, recognising that postpartum psychosis is a real factor, and that “people can become suicidal after delivery”.
(SB)
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Health Archives - Barbados Today
Senator says situation in A&E “worse than before” upgrades
An Independent Senator who works at the Queen Elizabeth Hospital (QEH) claims there has been little to no improvement in patient care at the Accident & Emergency (A&E) Department since the multi-million-dollar upgrade.
In fact, ENT specialist Dr Christopher Maynard said that far from getting better with the $11 million expansion, the situation appears to be worse for some patients seeking assistance there.
“The A&E was supposed to have been expanded and the project was supposed to be finished and the people of this country were supposed to be treated in a better facility and more efficiently. One can’t question whether it is a better facility, but it’s certainly not more efficient. Some would argue it is worse,” he charged in the Upper Chamber on Wednesday as the debate on the Appropriations Bill, 2023 continued.
Senator Maynard noted that with an additional $5.2 million to be spent to complete the refurbishment, improving how the department functions is important because without that, “you would have created a larger, spacious, more comfortable A&E for people to wait in for longer times and have worse outcomes”.
“The budget given for the A&E department by the then Minister has now been increased by 50 per cent, give or take a couple of hundred thousand. It is amazing that you’ve had to increase the budget for a project by 50 per cent in a tertiary care institution, and you still can’t deliver. Something’s really wrong…. Things are worse than they were before. We need change and we have to fix it,” he contended.
Dr Maynard also questioned whether there had been a “real facts and figures” assessment of outcomes in several departments that had been assigned additional funds.
In that regard, the doctor queried “whether the waiting lists are generally getting shorter and whether productivity is genuinely increasing”.
He took issue with the claim made by Senator Dr Crystal Haynes, during the debate on Tuesday, that the backlog of cataract surgeries had been cleared.
“I challenge that because every week, I get calls from people who dropped off the waiting list. So you can say you have cleared the list of the people who are listed but there are a large number of persons in this country who are almost blind because they have cataracts, and while they may have gone for surgeries during COVID, they have dropped off the map and they haven’t been coming because they are terrified and for various reasons they didn’t come, so don’t be lulled into a sense of security that you have fixed the problem,” Dr Maynard said.
He acknowledged, however, that there was no “easy fix” to the situation at the QEH and stressed that “leadership is important”.
“If you have 2 000-plus people under one roof and do not have the right leadership, you have problems and the people who you treat will have worse problems. So, I call on those in charge to stop the experiment and make a change and fix it. It requires some hard, harsh decisions. It requires that workers of all sorts – lowest paid workers and the highest paid workers – have to improve their productivity, not just turn up to work, and they have to be assessed without fear,” the Independent Senator said.
(JB)
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