Monday, August 10, 2009

Do you know that Diarrhea is Responsible for 2,000,000 deaths per year in Africa

The introduction of genetically modified rice into Africa is being justified by presenting it as a solution to diarrhoea, responsible for 2,000,000 deaths per year (mainly children) in the global South. However there are other very simple means of reducing cases of diarrhoea such as improved sanitation and cleaner, free water supplies.

On 6 March 2007, it was reported in the media that a new variety of Genetically Modified (GM) rice containing human genes obtained preliminary approval from the US Department of Agriculture (USDA) for large-scale planting in Kansas. California-based Ventria Bioscience, the developer of the rice, claims that it can be used to treat diarrhea. A BBC TV report on 6 March 2007 showed images of African children in a hospital as an example of some supposed beneficiaries of the new rice.

Friends of the Earth Africa believes that our continent does not need genetically modified solutions to diarrhea and condemns the use of African children as a tool to promote the new GM rice produced by Ventria Bioscience. Diarrhea is an illness that has well-known causes, and proven, inexpensive solutions. Ventria’s GM rice is unproven, unnecessary, and a distraction from ongoing programmes to save children suffering from diarrhea on our continent.

Monitoring activities undertaken by Friends of the Earth Africa in 2006 revealed that Africa has been contaminated by illegal GM rice LL601 in Ghana and Sierra Leone, main African recipients of rice as commercial imports and food aid from the US.

The dust raised by the revelation of the contamination of the food chain by an illegal rice variety, LibertyLink Rice601 (LLRice 601), had barely settled when news arrived of new contamination episodes in other parts of the world. On the 5 March 2007, the USDA announced that it was prohibiting the planting of another type of long-grain rice after confirmation of a new case of contamination. The genetically modified contaminant detected in a long-grain rice variety known as Clearfield CL131 was not authorised for commercialisation. Therefore, the U.S. Department of Agriculture’s Animal and Plant Health Inspection Service (APHIS) decided to prevent its planting and distribution.

Just a few days before this latest contamination episode, it was reported that the USDA had given preliminary approval to a large-scale planting of a new variety of GM rice containing human genes. The rice, produced by a company called Ventria Bioscience, has been engineered to produce recombinant human milk proteins to be extracted from the rice for a variety of suggested uses. In the media, Ventria claims these proteins will be used in oral rehydration solutions to treat diarrhea. But elsewhere, the company says it will use them as supplements in yogurt, sports drinks and granola bars.

If that earlier contamination was worrisome, the USDA’s support for planting up to 3200 acres of Ventria’s 'pharmaceutical rice' is even more so. We are particularly concerned that this massive planting of drug-containing rice is going forward even though the US Food and Drug Administration has refused to approve Ventria’s recombinant pharmaceutical proteins as safe.

The first GM food crop containing human genes is set to raise many socio-economic, cultural as well as ethical questions, besides environmental and health concerns.

This rice is being produced by Ventria Bioscience, a biotech company based in California, USA. According to Ventria Bioscience, the rice, which will be planted on up to 3,200 acres in Kansas, is endowed with human genes that produce recombinant versions of human proteins, including bacteria-fighting compounds found in breast milk and saliva. If Ventria’s application is fully approved by USDA, this will be the largest planting of a drug-producing food crop in the US.

Ventria has been field-testing rice engineered with human genes since 1996 to produce three pharmaceutical proteins–lactoferrin, lysozyme and serum albumin. When farmers, consumers and food companies protested against their field trials in California and Missouri, concerned that the engineered crops would contaminate rice destined for the food supply, Ventria shifted to Kansas.

According to analysts, pharmaceutical (pharma) crops such as Ventria's rice pose a threat to human food supply and public health, as the proteins they contain are intended to be biologically active in humans, yet have not undergone adequate testing or received FDA approval as drugs, and thus may thus be harmful if eaten accidentally. The chances of contamination are also high when such compounds are produced in food crops grown outdoors. The contamination routes are numerous, including cross-pollination and seed mixing during commercial growing and seed production.

Ventria’s rice has already been publicized in many written and audiovisual media as an important solution to one disease that particularly affects poor children in the Third World: diarrhea. On 6 March, a BBC report showed images of ill African children in a hospital as an example of some of the supposed beneficiaries of that new GM rice.

'We can really help children with diarrhea get better faster. That is the idea', said Scott E. Deeter, president and chief executive of Sacramento-based Ventria Bioscience. The proponents of this GM rice say they want to widely introduce their products into oral hydration solution,'which is consumed by at least half of the world’s children'. They define their product as 'the Holy Grail' of rice and assert 'that is what every mother would want for their child'.

From the company’s sources, an experiment using this technology has already been conducted in Peru on 140 infants from five to 33 months in age, in hospitals attended by the poorest sectors of the population. Several reports indicate that parents of the children were not adequately informed of the experimental nature of the treatment, and at least two mothers of infants in the clinical trial reported that their infants suffered from allergic reactions, causing the Peruvian government to launch an enquiry into the experiment.

Does Africa need a genetically modified solution for diarrhea? Diarrhea is responsible for over 2,000,000 deaths every year, the majority in the Third World. Despite being a major cause of deaths among children, particularly those under five years old, today there are already well-known measures to prevent and treat diarrhea. In fact, these proven and effective measures have already reduced the mortality rate of children suffering from diarrhea from 4.600,000 deaths in 1980 to 1,500,000 to 2,500,000 million deaths today, and is regarded as one of the greatest medical achievements of the 20th century.

Simply put, when a person has loose or watery stools, he has diarrhea. If mucus and blood can be seen in the stools, he has dysentery. It can be mild or very serious and may come suddenly or remain for many days. It is known that the disease is more common among young children and especially so with the undernourished ones. A well nourished child would usually recover from a case of diarrhea even without any medical treatment. For a poorly nourished child, on the other hand, an attack of diarrhea can easily prove fatal.

One of the most prevalent causes of diarrhea is linked to the limited access to safe water supply and sanitation coverage. In Africa, nearly 40 per cent of the population has an unsafe water supply and poor sanitation coverage. The World Health Organisation (WHO) found that a reduction in the number of diarrhea cases and deaths due to diarrhea was directly related to access to safe water supply and sanitation services. As the Water Quality and Health Council indicates, 'if access to safe water and sanitation coverage were improved there would be a smaller frequency of diarrhoea cases', which consequently would mean that patients would avoid costs related to treatment expenditures, drugs, transportation and time spent going to hospital and clinics. The WHO concluded in a 2004 study that simple technologies for improvement of water and sanitation 'would lead to a global average reduction of 10% of episodes of diarrhoea'. WHO concludes that if the level of intervention was higher, the reduction of diarrhea episodes could be higher: 'access to in-house regulated piped water and sewerage connection with partial treatment of waste waters, could achieve an average global reduction of 69 per cent'.

Diarrhea is a symptom of infection caused by a host of bacterial, viral and parasitic organisms most of which can be spread by contaminated water. It is more common when there is a shortage of clean water for drinking, cooking and cleaning, and basic hygiene is important in prevention. Water contaminated with human faeces, for example from municipal sewage, septic tanks and latrines, is of special concern. Animal faeces also contain micro-organisms that can cause diarrhoea. Diarrhea can also spread from person to person, aggravated by poor personal hygiene. Food is another major cause of diarrhoea when it is prepared or stored in unhygienic conditions. Water can contaminate food during irrigation, and fish and seafood from polluted water may also contribute to the disease (World Health Organisation).

It is important to note that diarrhea usually lasts a day or two and goes away on its own without any special treatment. Only prolonged cases, however, present indications of other problems Thus, special treatment for diarrhea is needed only occasionally. What children suffering from this condition need is rehydration as they lose a lot of water through the diarrhea. There are already very cheap and accessible ways of fighting dehydration by simple oral rehydration therapy.

It is obvious from the above that the world does not require rocket science in order to combat incidents of diarrhea. More than anything else, what is needed is basic hygiene, safe water access and the provision of infrastructure that would support that. Moreover, investing in GM solutions when 'simple' solutions exist constitutes a diversion of energies from the already challenging objective to guarantee the right to clean water and sanitation.

Interventions

Key measures to reduce the number of cases of diarrhea include:
- Access to safe drinking water
- Improved sanitation
- Good personal and food hygiene
- Health education about how infections spread.

Key measures to treat diarrhea include:
- Giving more fluids than usual, including oral rehydration salts solution, to prevent dehydration
- Continue feeding
- Consulting a health worker if there are signs of dehydration or other problems
(World Health Organisation).

African children have been used once again in the media in order to facilitate acceptance for a new product which is not needed in our continent. Diarrhea is a disease with well-known causes, as well as solutions. If deaths from a preventable disease such as diarrhea are to be stopped, more efforts should be undertaken to tackle its causes and greater investments should be made in improving basic water and sanitation conditions in our continent.

We once more state that Africans do not need GMOs and by no means want 'medicine crops' beyond the ones already supplied by nature. Africans do not need these expensive, experimental fixes.

post your comments on http://healthcaremedic.blogspot.com

Friday, August 7, 2009

what is your opinion on this issue and what is your solution to minimise the rate?

Sub-Saharan Africa is more heavily affected by HIV and AIDS than any other region of the world. An estimated 22 million people were living with HIV at the end of 2007 and approximately 1.9 million additional people were infected with HIV during that year. In just the past year, the AIDS epidemic in Africa has claimed the lives of an estimated 1.5 million people in this region. More than eleven million children have been orphaned by AIDS.1

The extent of the AIDS crisis is only now becoming clear in many African countries, as increasing numbers of people with HIV are becoming ill. In the absence of massively expanded prevention, treatment and care efforts, it is expected that the AIDS death toll in sub-Saharan Africa will continue to rise. This means that impact of the AIDS epidemic on these societies will be felt most strongly in the course of the next ten years and beyond. Its social and economic consequences are already widely felt, not only in the health sector but also in education, industry, agriculture, transport, human resources and the economy in general.

what is your opinion on this issue?

Sub-Saharan Africa is more heavily affected by HIV and AIDS than any other region of the world. An estimated 22 million people were living with HIV at the end of 2007 and approximately 1.9 million additional people were infected with HIV during that year. In just the past year, the AIDS epidemic in Africa has claimed the lives of an estimated 1.5 million people in this region. More than eleven million children have been orphaned by AIDS.1

The extent of the AIDS crisis is only now becoming clear in many African countries, as increasing numbers of people with HIV are becoming ill. In the absence of massively expanded prevention, treatment and care efforts, it is expected that the AIDS death toll in sub-Saharan Africa will continue to rise. This means that impact of the AIDS epidemic on these societies will be felt most strongly in the course of the next ten years and beyond. Its social and economic consequences are already widely felt, not only in the health sector but also in education, industry, agriculture, transport, human resources and the economy in general.

Friday, July 31, 2009

FIRST AID (Spinal Cord Injury )

Overview
• Spinal cord injury is otherwise called 'myelopathy'
• It results in an injury to the nerve fibers in the cord
• Can cause loss of physical sensation and mobility
• Spinal cord remains intact in most of the injuries
• Complete injury causes no movement/sensation below injury
• Incomplete injury-retains some movement/sensation below injury
• Physical therapy, ventilators, wheel chairs often required
Causes
• Automobile accidents
• Diving accidents
• Falls
• Shot by a gun
• Conditions like
a. Polio
b. Tumor
c. Spina Bifida
d. Friedreich's Ataxia
Symptoms
• Loss of sensation
• Loss of motor functions
• Loss of bowel/bladder functions
• Sexual function can get affected
• Loss of involuntary functions, like breathing
• Inability to control rate of heart beat
• Inability to sweat
• Chronic pain
Treatment
Seek medical help or call for an ambulance as soon as possible. Meanwhile-
• Move the person, if surrounding is not safe
• Immobilize the head, neck and body on both sides
• Movements may dislocate vertebra and cause further injury
• If there is no sign of breathing, perform CPR
• Do not tilt head backward during CPR
Prevention
• Always wear a seat belt while driving
• Use special seat belts for children and babies
• Do not drink and drive
• Do not dive into a shallow pool area

FIRST AID (Snake Bites )

Overview
• Thousands suffer from snake bites, globally, every year
• People who live near wilderness/trekkers - more prone
• Even bite from a harmless snake can cause allergic reaction
Causes
Some common venomous snakes include -
• Viper
• Cobra
• Rattle snake
• Water moccasin
• Coral snake
• Copper head
Symptoms
• Fang marks
• Swelling/severe pain at the site
• Bloody discharge from wound
• Burning
• Diarrhea
• Excessive sweating
• Blurred vision
• Numbness/tingling sensation
• Increased thirst
• Vomiting
• Fever
• Loss of muscle co-ordinations
• Convulsions
• Rapid pulse
• Weakness/Dizziness/Fainting
Treatment
a. Seek Medical help as soon as possible. Meanwhile -
• Wash wound with soap/water
• Immobilize the affected area
• Keep area slightly elevated
• Apply cool compress/wet cloth to affected part
• Apply a firm bandage 2-4 inches above bite to
i. Prevent venom from spreading
ii.Take care of any bleeding
b. Monitor for pulse, respiration and blood pressure
Prevention
• Do not attempt to kill a snake.
• If you spot a snake, leave it alone
• While hiking or in the woods, stay out of tall grass
• Do not put your hand into pits/crevices during treks
• Exercise caution while climbing rocks

FIRST AID (Tooth Ache )

Overview/Causes
• Tooth ache is primarily caused by tooth decay
• Bacteria flourishes on sugar/starch in food particles inside mouth
• A sticky plaque is then formed on teeth surface
• The bacteria in the plaque produces acid
• This acid erodes the enamel or hard covering of the teeth
• This creates a cavity
• The first sign of tooth decay is tooth ache
• This occurs on eating something very cold/very hot/sweet
• Tooth ache can also be caused by injury/trauma
• Tooth ache can occur in children and adults
Symptoms
Pain in the tooth radiates to jaw, cheek, ear
• Pain while chewing
• Increased sensitivity to hot/cold things
• Swelling in the jaw
• Discharge/Bleeding from tooth or gums
Treatment
• Use a floss to remove any particle lodged between teeth
• Learn flossing from a dentist
• Take a pain relieving tablet
• Apply benzocaine containing antiseptic
• Applying clove oil also might help
• Do not place aspirin directly against the gums
• This might lead to burning of gum tissue
Consult a Doctor
If
• Tooth ache persists
• Fever occurs with the ache
• Difficulty in breathing occurs
• Difficulty in swallowing occurs
Prevention
• Brush teeth after every meal
• Floss regularly
• Visit your dentist twice a year
• Wear a mouth gear while playing
• Avoid smoking as it worsens dental conditions
• Eat a balanced meal with reduced starch/sugar content

FIRST AID (Foreign Object In The Nose )

Overview
• Any outside object inserted into nose
• Usually children are the affected ones
• During play, they insert small objects into nostrils
Causes
• Food particles
• Erasers
• Dried seeds
• Objects, like crayons
• Beads
• Buttons
Symptoms
• Irritation
• Infection
• Foul smelling / bloody discharge from nose
• Breathing difficulty
Treatment
• The person must be urged to breathe through mouth
• The person should avoid breathing with force
• Close the unaffected nostril
• Blow out gently through the affected nostril
• Get medical aid if this method fails
Steps to Avoid
• Do not probe an object which is not seen
• Do not probe an object that is not easy to grasp
• Do not blow nose too hard
• Do not use sharp instruments to remove the object
Consult a doctor
• When the object cannot be removed
• When the victim suffers from infection
Prognosis
• No problem expected once the object is removed
Prevention
• Children must be trained not to put objects in body openings
• Small objects must be kept out of reach of children

FIRST AID (Foreign Object In The Skin )

Overview
• When object is lodged in the skin layers
• It may be embedded superficially or deeply
Causes
• Caused by glass
• Wood splinters
• Fiber glass
Symptoms
• Irritation
• Pain
• Abscess
Treatment
• Wash hands well
• Clean the affected area using soap, water
• If object is visible above skin, squeeze the area around
• When object pops out, remove using sterile tweezer
• If embedded under skin, use a sterile needle
• Sterilize needle by flaming/wiping with alcohol
• Use needle to break skin over affected area
• Lift tip of the object
• Use a small tweezer to pull it out
• Gently squeeze the area and let bleed
• Clean the area with soap, water. Pat dry
• Apply an antibiotic
Steps to Avoid
• Do not wet if the object is of wood
• Wet wooden objects swell- becomes difficult to remove
Consult a doctor
• If the object is difficult to remove
• If the object is close to a sensitive body part, like the eye
• In case of infection

FIRST AID (Foreign Object When Swallowed )

Overview
• Most objects swallowed will be eliminated naturally
• Sharp objects/objects like battery are dangerous
• Sharp objects should be removed
• Can happen to all ages
• Common in children of 1-3 years
Causes
• Certain food like popcorn
• Coins
• Small toys
• Small objects like buttons, beads
Symptoms
• Coughing
• Difficulty in breathing
• Wheezing
Treatment
• If breathing is difficult, do Heimlich maneuver
• Seek medical help as quickly as possible

On someone else
• Stand behind the person
• Wrap your arms around victim's waist
• Tilt the person a little forward
• Make a fist with one hand
• Place it just above the navel
• Hold the fist with the other hand
• Give a hard upward thrust into the abdomen
• Repeat if required

On Oneself
• Make fist with one hand
• Place fist above navel
• Hold it with other hand
• Bend over a hard surface like a chair
• Give hard upward thrust
• Repeat if required
Prevention
• Do not give potentially dangerous food to children
• Give small pieces of food to children
• Avoid laughing / talking when eating

FIRST AID (Fracture )

What is fracture?
• A broken or cracked bone
• Occurs when pressure is applied to bone
• Occurs with / without displacement of bone fragments
Types
• Open fracture: Skin breaks causing open wound
• Closed fracture: Skin not broken
• Complicated fractures: Damage of adjacent organs
• Stress fracture: Hairline crack due to repeated stress
• Greenstick fracture: In children's flexible bones
Symptoms
• Severe pain
• Difficulty in movement
• Swelling/ bruising / bleeding
• Deformity / abnormal twist of limb
• Tenderness on applying pressure
First-aid
• Depends on type & location of fracture
For open fractures
• Control bleeding before treatment
• Rinse and dress the wound
For open / closed fractures
• Check the breathing
• Calm the person
• Examine for other injuries
• Immobilize the broken wound
• Apply ice to reduce pain / swelling
• Consult a doctor
DO NOT
• Massage the affected area
• Straighten the broken bone
• Move without support to broken bone
• Move joints above / below the fracture
• Give oral liquids / food
Prevention
• Wear protective pads / helmets when driving
• Teach children / practice, safe habits

FIRST AID (FAINTING )

About Fainting
• Fainting occurs due to decreased blood supply to brain
• A fainting spell is usually very brief
• It may or may not have medical significance
Common Causes
• Anxiety
• Emotional upset
• Stress
• Severe pain
• Skipping meals
• Standing up too fast
• Standing for a long time in a crowd
• Some medications
• Diabetes
• Blood Pressure
Symptoms

Before fainting, a person may experience the following:
• Nausea
• Giddiness
• Excessive sweating
• Dim vision
• Rapid heart beat or palpitations
Treatment
• Fainting is a medical emergency, till proven otherwise
• When a person feels faint-
Make them sit down or lie down
• If sitting, position head between knees
• When a person faints, position him on his back
• Check to see if airways are clear
• Restore blood flow by
Loosening clothing/belts/collars
• Elevate feet above head level
• Patient should become normal within a minute
• If not, seek medical help
• Check if breathing/pulse is normal
• If not, do Cardio-pulmonary resuscitation (CPR)
Prevention
• When symptoms appear, lie down
• Try do avoid stress and anxiety
• Carefully evaluate your medications
• Take care of underlying medical conditions

FIRST AID (Dislocation )

About Dislocation
• An injury which forces bones out of their sockets
• Dislocation is a common sports injury
• It temporarily deforms or immobilizes the joint
Causes
• Usually caused by a trauma like a fall/blow
• Rheumatoid arthritis also causes dislocation
Symptoms
• Pain
• Tenderness
• Difficulty to move injured part
• Swelling
• Discoloration
Treatment
• Call medical help as soon as possible
• Do not move the joint or try to place it back
• Place ice to control swelling
• If skin is cut, clean gently and bandage with sterile gauze
• Sling or splint the injury in its original position
• If injury is serious, check for breathing
• If not breathing, provide Cardio pulmonary resuscitation (CPR)
Elevate the feet up to 12 inches
• Cover the patient with a blanket
Prevention
• Wear protective gear while sporting
• Make home environment safe
• Teach safe habits to children
• Do not stand on chairs or other unstable objects
• Exercise care while using bath oils
• Make use of hand rails while using the stairs

FIRST AID (Diabetes )

What is Diabetes?
• Chronic health condition
• Insufficient insulin produced /used
• Affects sugar breakdown
Introduction
• Food eaten converted to glucose
• Glucose produces energy
• Insulin breaks down glucose
• Diabetics do not sufficiently produce or use insulin
• Causes blood sugar build-up in blood
Types

Type I diabetes
• Mostly occurs in children/young adult
• Insulin production affected
Type II diabetes
• Mostly occur in adults
• Body is partially/ fully insulin resistant
• Blood sugar level increases
Gestational diabetes
• Occurs in pregnant women
• Causes problems in mother and
baby
Symptoms
• Increased thirst
• Excessive urination
• Weight loss
• Weakness
• Vision changes
• Dry skin / dehydration
• Numbness in hands/ feet
Diagnosis
• Fasting blood glucose level> 126 mg/dL
• Random Blood Glucose> 200 mg/dL
Complications of diabetes
• Diabetic Retinopathy (eye)
• Kidney Disease
• Heart Disease and Stroke
• Nerve Disease
• Impotence (sexual disorder)
Treatment
Type I diabetes
• Daily Insulin injections
• Insulin cannot be taken as a pill
Type II diabetes
• Healthy diet and exercise brings down glucose level.
• Some people need diabetic medicine or insulin
Medications lower blood glucose level
• Sulfonylurea drugs & Meglitinedes: Produces insulin in the pancreas
• Biguanides: decreases glucose in liver
• ยต- glucosidase inhibitors: Slows the absorption of starch
• Consult a diabetologist or general physician

FIRST AID (Chest pain )

Overview
• Feeling of pain /discomfort between neck and abdomen
• Chest pain raises fear of heart attack
• Any tissue or organ in chest can cause pain
• 'Angina' is heart- related chest pain

Causes
• Some mild, others life threatening
• Problems related to the heart
• Asthma
• Pneumonia
• Inflammation in the lung
• Inflammation / strain of rib muscle
• Anxiety
• Indigestion / ulcers in stomach
• Gall bladder stones
• Shingles
• Stress

Symptoms
• Pain or pressure in chest area
• May be accompanied by
a, Heartburn,
b, Vomiting,
c, Dizziness
d, Shortness of breath
e, Fever

Treatment
• If you have asthma or angina take your regular medications
• Medicines like acetaminophen and ibuprofen may help
• Consult a doctor if
a, Pain /fever /cough persists
b, Radiating pain occurs
c, Angina occurs at rest
d, The cough produces yellow -green phlegm
e, Pressure / tightness occurs
f, Nausea
g, Dizziness
h, Shortness of breath
i, Sweating
• Hospitalization may be essential
• Tests like ECG, may have to be taken

Prevention
• Maintain normal weight
• Exercise regularly for 30 - 40 minutes
• Check and control BP, diabetes, cholesterol
• Avoid smoking
• Control stress
• Eat low fat balanced diet
• Get health check ups done regularly

FIRST AID (Chemical Splash in the Eye )

Overview
When a toxic chemical is splashed into the eye(s), it could cause serious complications that may lead to blindness.

Causes
• Working with chemicals in factories
• Handling car battery
• Working in research laboratories
• Handling household chemicals
Symptoms
• Irritation in eye
• Eye Burns
• Watering of the eye
Treatment
• Lay the person on the floor
• Keep eye lids open forcibly
• Use clean cold water to wash eyes gently
• Keep washing steadily for at least 20 minutes
• Rinse/wash hands thoroughly to remove chemical
• If wearing contact lens remove them
• Do not rub eyes
• Do not use eye drops until told
• Wear sunglasses to minimize irritation
• After these basic steps seek medical help
• Remember the name of chemical to tell doctor
Prevention
• If working with chemicals, wear protective face-mask
• Wear eye goggles whenever required
• Do not be careless with chemicals
• Store household chemicals safely
• Keep chemicals out of reach of children

FIRST AID (Black Eye )

What is Black eye?
• A bruise in the tissues around the eye/eyes
• Results from injury to face/head
• Causes swelling and dark coloration of eye
• Hence, "black eye"
• Usually a minor problem
• Sometimes it indicates a serious injury
• One or both eye affected
Causes
• Blow to eye / nose
• Facial surgical procedures
• Allergies
• Bites
Symptoms
• Discoloration of eye
• Swelling
• Blow to nose causes swelling of eye
• Head injuries may blacken/swell eyes
• Pain
• Blurry vision due to swelling
• Headache
Symptoms of severity
• Persistent headache
• Double vision
• Inability to move eye/eyes
• Blood on eye surface
• Blood/fluid issue from nose, ears
• Loss of consciousness
• Loss of sight
Treatment
• Black eyes generally heals within a few days
• Consult with specialist for serious injuries
Home remedy
• Apply ice for 20 min/hour, first two days
• If not better, apply warm compress once in two hours
• Do not use ice directly
• Wrap ice in cloth or use commercial pack
• Continue cold compress till severity eases
• Take acetaminophen, for pain relief
• Avoid aspirins / non-steroidal medications
• These medications may cause bleeding
• Stay away from strenuous activity
• See a medical specialist as soon as possible
Treatment for complications
• For head injuries-Neurosurgeon
• For nose injuries-ENT specialist
• For eye injuries-Ophthalmologist
• For face
• Injuries/disfigurement-Plastic surgeon
• Carry out follow-up as advised by doctor
Prevention
• Protect your eyes always
• Ensure safety at home by removing unwanted objects
• Avoid fist fights

FIRST AID (Bleeding Gums )

Overview
• Progressive disease affecting oral cavity
• Characterized by chronic bleeding of gums
• May lead to tooth loss
Causes
• Poor oral hygiene
• Inadequate plaque removal
• Oral trauma, like toothbrush abrasion
• Inflammation caused by infection
• Vitamin C / K deficiency
• Hot food
• Chemical irritants
• Leukemia
• Pregnancy
Treatment
• Apply pressure using ice-pack
• Mouth rinse: Pinch of salt in lukewarm water
• Rinse twice a day to reduce swelling
• Consult a dentist if bleeding continues
• Avoid aspirin intake
• Massage gums regularly
• Reline poorly fitted dentures
• Take vitamin supplements if necessary
Prevention
• Avoid Tobacco
• Avoid snacking between meals
• Reduce Carbohydrate- rich food
• Remove plaque every 6 months
• Brush teeth using soft-bristled brush
• Floss teeth regularly

FIRST AID (Back pain )

What is Back Pain?
• Short-term, acute pain in the back
• Indicates that body is under stress
Causes

Problems in:
• Bones and ligaments of spine
• Muscles and nerves of the Back
Back pain triggered by
• Poor posture
• Inappropriate footwear
• Incorrect walking habits
• Strained muscles
• Prolonged sitting
• Sleeping on soft mattresses
• Kidney, bladder, or prostate disorders
• Pregnancy
• Constipation
• Stress
First aid for back pain
• Rest in a comfortable position.
• Apply ice pack to affected area
• Painkillers or relaxants may be used
• Avoid strenuous exercise
• Avoid pillows
• Avoid sleeping on soft mattress
Treatment
• Anti-inflammatory drugs
• Massage with hot/ cold packs
• Traction
• Transcutaneous Electrical Nerve Stimulator
(TENS)
• Regular simple exercises
• Consult an Orthopedician if:
a. Pain persists
b. Difficulty in passing urine
c. Numbness or pain in legs or toes
Prevention
• Maintain good posture
• Do not smoke
• Avoid overstretching body
• Reduce stress/ strain
• Take breaks during work
• Sit straight with lower back support
• Use comfortable low-heeled shoes
• Do stretching exercises

FIRST AID (Asthma )

Overview
• It is a chronic lung disease
• It creates narrowing of air passages of the lung
• Produces difficulty in breathing.
Symptoms
• Wheezing
• Cough and cold
• Tightness in the chest
• Sticky mucus
• Disturbed sleep
• Breathlessness
Causes
• Hereditary factors
• Environmental factors like dust, mite, pollen
• Occupational exposure to irritants
• Dietary Changes
• Lack of exercise
Asthma Triggering Factors
• Colds and viruses
• Irritants like Cigarette smoke, scent, pollution
• Cold air or change in weather
• Physical exertion
• Allergens like dust, mite, pollen, furs
• Some medications
• Infections
• Stress
Myths about asthma
• It is contagious
• It cannot be controlled
• Asthma medicines are addictive
Management of Asthma
• Asthma cannot be cured, but it can be controlled
• Keep the house clean
• Use hardwood floors or tile
• Avoid carpets in house
• Avoid pets with fur or feathers
• Use clean bed sheets & pillow covers
• Use bed made of synthetic materials
• Use air conditioner
• Maintain low humidity at home
Treatment
• Anti-inflammatory drugs include:
a. Steroid Inhalers
b. Sodium Chromoglycate
Inhalers / Capsules
• Treatment –Bronchodilators
• Common bronchodilators include:
a. Salbutamol Inhalers
b. Terbutaline Tabs
• Consult your Pulmonologist
Famous sports person with asthma
• Ian Botham (Cricketer)
• Jackie Joyner Kersee (Athlete)
• Mark Spitz (Swimmer)

FIRST AID (Cardio-pulmonary Resuscitation (CPR) )

About Cardiac Arrest
• Often caused by abnormal heart rhythm
• This aberrant rhythm is ventricular fibrillation (VF)
• During VF heart stops pumping blood
• Patient may stop breathing
• No pulse may be detected
• A shock to the heart, called defibrillation, required
• Defibrillation stops VF, restores heart function
What is CPR?
• Emergency life-saving measure
• Combination of rescue breathing & chest compressions
• Done on unconscious/ non-breathing patient
• Done on persons suffering cardiac arrest
• Also for near-drowning/ asphyxiation/ trauma cases
• CPR conducts defibrillation
• Supports heart pumping for short duration
• Allows oxygen to reach brain
• Buys time till help arrives
• More effective when done as early as possible
THE VITAL STEPS
Clear the airway
• Assess if the person is conscious / breathing
• Lay the person on his back on a hard surface
• Using a head tilt -chin lift open his airway
• Check for breathing sound
• If not breathing, start mouth-to-mouth breathing
Mouth- to-mouth breathing
• Pinch the person's nostril shut
• Seal his mouth with your own
• Give the first breath, lasting one second
• Watch if chest rises
• If it rises, give second rescue breath
• If it does not rise, give a head tilt- chin lift
• Now give second rescue breath
Restore circulation through compression
• Place heel of your palm on patient's chest
• Place your other hand above first
Keep elbows straight
• Push down using upper body weight (compress)
• Push hard and fast
• After 30 compressions, clear airway
• Give two rescue breaths
• This is one cycle
• Give 100 compressions /minute
• Continue CPR till medical help arrives
CPR for children (under 8 yrs/ infant)
• Procedure almost same as for adult
• Following details should be incorporated
• 20 breaths/min should be delivered
• 100 compressions/minute should be given
• Chest compressions - given with one hand
Prognosis
• If done well, CPR saves life
• Normalcy is restored in rescued person
• CPR can also be ineffective, causing death
• In some cases, causes injuries / damages
Caution
• Ribs/heart/lungs/ liver may be injured
• After CPR, medical attention should be given
CPR training
• CPR - practical skill acquired through training
• Professional training/ regular practice mandatory
• CPR not confined to medical professionals
• Community organizations, like Red Cross, conduct training