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Public Health / Sanitation

So why has the city gone to the dogs?

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The Hindu    25.07.2012

So why has the city gone to the dogs?

Dhananjai Shastri

A LONG HAUL:Dogs have two annual breeding cycles and give birth to six to eight puppies per cycle.— FILE PHOTO: K. GOPINATHAN
A LONG HAUL:Dogs have two annual breeding cycles and give birth to six to eight puppies per cycle.— FILE PHOTO: K. GOPINATHAN

Despite the crores of rupees being spent, dog menace continues unabated in the city. Stray dogs are a menace to people on the road, especially children, as well as two-wheeler riders, as the highly territorial animals often chase them. So much so pedestrians and riders dread entering localities notorious for their aggressive stray dogs.

With stray dogs and their whelps seen everywhere, what is the Bruhat Bangalore Mahanagara Palike (BBMP) doing to fix the problem?

2 lakh dogs

BBMP officials concede that the city’s stray dog number is rising. According to the last cattle census (in 2007), the number of dogs stood at 1.83 lakh. It is now risen to 2 lakh, according to estimates. This despite BBMP’s Animal Birth Control programme that involves neutering the dogs.

Officials claimed that despite the increased dog population, the number of bites reported had come down. Between 2010 and 2011, 24,120 bites were reported in the city, of which approximately half were stray dog bites. Between 2011 and 2012, it was 19,066.

7,000 a month

It was in 2000 that the civic authority launched the birth control programme, touting it as a long-term solution to the dog menace. The programme calls for the systematic neutering of strays, after dividing the city into 20 packages. Each package covers approximately 10 wards and BBMP enlisted the help of seven non-governmental organisations for the programme. Records say that the NGOs neuter around 7,000 stray dogs a month.

So, why is the dog population still on the rise? BBMP’s Joint Director (Animal Husbandry) Parviz Ahmed Piran told The Hindu that the civic agency was still “fighting an uphill battle against nature”. Dogs have two annual breeding cycles, with pregnancy lasting 60-62 days, and they give birth to six to eight puppies per cycle.

Of the litter, half of them are usually female. Within 10 to 12 months, the puppies reach maturity and start reproducing on their own. The rate of reproduction is rapid and the birth control programme can only slowly take effect, he maintained.

He conceded that the manpower shortage had affected the programme. “There simply is not enough manpower to capture the dogs. Also, neutering requires proper training. Hence, the process of controlling dog menace is slow,” he said.

Dr. Piran said that the BBMP could try to decrease the dogs’ access to food (garbage in the case of stray dogs), which would go towards controlling reproduction.

“The programme will prove effective in the long run. Since it began, the rate of increase in the dog population has declined. We need to adopt a multi-pronged approach to tackle the problem,” he said.

 

Three BMC hospitals lead in cardio procedures

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The Times of India    25.07.2012

Three BMC hospitals lead in cardio procedures

 
MUMBAI: The country's first angioplasty was performed not in the five-star-like environs of a private hospital but in a civic hospital's medical school in central Mumbai. In 1987, Sion Hospital's cardiology department showed the country how blockages in the heart could be fixed without huge cuts and blood loss; only a thin catheter carrying a balloon travelled to the narrowed spot in the blood vessel and unclogged it. The duo who performed the landmark procedure, Dr A B Mehta and Dr D Pahlajani, are today counted among the country's leading cardiologists.

Clearly, though Shiv Sena leader Uddhav Thackeray underwent an angioplasty in one of the city's poshest medical centres, Lilavati Hospital, a cursory look at hospitals run by the Sena-ruled BMC reveals a classy performance over decades. The country's first angiography was performed in Sion Hospital in 1978 by Dr M J Gandhi. The city's seniormost bureaucrats often land up at clinics managed by cardiologists of these teaching hospitals, the logic being doctors at medical schools have the best training and wide experience and are hence the best. "Chief minister Prithviraj Chavan chose KEM's cardiology department for a checkup,'' said a doctor.

KEM Hospital, the biggest corporation-run hospital located in Parel, boasts of two catherisation laboratories instead of one that most hospitals have. Cath labs are where minimally invasive heart procedures are performed. KEM Hospital's head of cardiology Dr Prafulla Kerkar holds the distinction of performing the most procedures in the world to fix holes in the heart's often forgotten areas, the sinuses of Valsalva.

The BMC runs medical schools at each of its three super-specialty hospitals - KEM, LTMG Hospital in Sion and Nair Hospital in Mumbai Central. What differentiates these hospitals from private sector ones is that they perform procedures the latter wouldn't offer. "We operate on children and pregnant women with rheumatic heart disease. These won't be offered in the private sector because they aren't too lucrative a proposition," says an old-timer.

Research is another area. When Lancet published a study on worldwide trends in heart diseases, data from KEM's cardiology department helped understand that Indians get heart attacks at least a decade earlier than their western counterparts.

An old student of KEM's medical school said, "Two decades back, Dr Samuel Matthew Kalarickal would come to Mumbai to teach cardiology at KEM.'' Chennai-based Dr Kalarickal performed Uddhav's angioplasty at Lilavati last week.
Last Updated on Wednesday, 25 July 2012 11:31
 

Dengue cases double in 3 years, malaria rises 71%

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The Times of India     25.07.2012

Dengue cases double in 3 years, malaria rises 71%

 
MUMBAI: The city is fast becoming a hotbed for ailments and diseases. From dengue to malaria and even cholera, sensitive diseases are on the rise, putting at risk the lives of nearly 1.24 crore Mumbaikars.

Official data from civic-run hospitals alone show a 176% rise in dengue cases in 2011-12, while the number of those affected by malaria saw a 71% increase from 2008-09. Cholera cases—178, a rise of 85%—add to the medical nightmare that's been officially recorded. While experts are surprised by the cholera cases, BMC officials admit that it has been kept under wraps as its mere occurrence could attract international travel sanctions. Cholera is highly infectious and can spread within the community in a few hours.

What is even more worrying is that these figures could just be the tip of the iceberg as it does not take into account people getting treated at private hospitals and clinics, according to Praja Foundation that surveyed around 15,000 households.

The NGO in its white paper said that if private healthcare services were taken into account, an estimated 3.9 lakh people were affected by malaria in 2011-12, or in other words there were 148 cases per 1,000 households. The official figure is only 29,828 cases of malaria but there were 64 deaths reported in 2011 alone.

Dr Hemant Thacker, who consults in Jaslok and Breach Candy Hospitals, said the reason why dengue cases have been going up was due to the virus that spreads the disease. "Dengue is caused by a virus, while malaria is caused by a parasite called plasmodium. Though the lifespan of a virus is only 5-15 days, due to sudden weather changes, the virus remains active causing dengue," he said, adding that the BMC has been able to control malaria cases in the city. "But the BMC figures are not representative of the whole city as a majority of the patients consult private hospitals," he said.

"Our report on the state of health of Mumbai raises several red flags. The survey revealed that more than 30% of households spend 11% or more of their annual income on hospitals and medical costs. The survey also shows that almost 80% Mumbaikars did not have a medical insurance. Also, 75% of Mumbaikars use private sources, hence, there is a need for a strong mechanism to collect data from them." said Nitai Mehta, founder trustee of Praja Foundation.

An average of 20,038 persons are packed into every square kilometre in the island city and 20,925 persons in the extended suburbs.

BMC health officer Dr Arun Bamne said diseases like malaria and diarrhoea come under non-notifiable diseases, meaning the private hospitals do not notify the BMC when they get patients suffering from these ailments. While dengue and cholera are notifiable, tuberculosis has come in this category only this year.

"We have not received the Praja Foundation report yet, so it will not be right to comment on the report. We take into consideration only the official figures," said Dr Bamne.

Dr Mangesh Pednekar, director of Healis Sekhsaria Institute for Public Health who has monitored and endorsed the report, said the city needs a better surveillance system in place. "Surveillance systems can provide accurate understanding of the problem. Hence, setting up strong surveillance system should be priority of the administrator and the data process should be scientific, up-to-date and sacrosanct," he said.

Last Updated on Wednesday, 25 July 2012 09:46
 


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