mohit recent blog: 01/01/2012

Monday, January 16, 2012

Health Enterprise Zones to target disparities in state

Frustrated by Maryland high rate of health inequalities, the state's leaders propose a new attack - more commonly associated with economic development.

Governor Martin O'Malley's 2012-2013 budget will include funds to provide health Enterprise Zones, where doctors and community groups in areas with large health inequalities that Baltimore could add medical and support services to minorities. Tax credits and other financial incentives would be available to spur interest.

The plan is designed to save lives and healthcare dollars, according to Lt. Gov. Anthony G. Brown, who last summer formed a working group on the differences under the direction of Dr. E. Albert Reece, dean of the University of Maryland School of Medicine.

"Maryland has world-class hospitals, top medical schools and one of the highest rates of primary care physicians per capita, yet we continue to see disparities in health care and outcomes among Maryland racial and ethnic communities. It is clear that a lack on access to primary care in many communities is a major factor these differences, "Brown said, adding that funding is in the governor's budget proposal, which has not yet been released.

According to state and national data, the differences are many: In Maryland, the infant mortality among blacks nearly three times greater than for whites, the incidence of new HIV infections among blacks is almost 12 times greater than whites and Hispanics are more than four times as likely not to have health insurance as whites.

Moreover, nearly twice as many African-Americans suffer from diabetes as whites, and hospitalization rates were three times higher for blacks with asthma and 41 / 2 times as high for blacks with hypertension.

Treatment of such diseases is expensive, the working group, which cited data showing nearly 230 billion dollars in direct medical costs could have been saved from 2003 to 2006, if there was any racial and ethnic disparities in health.

The proposed program would work somewhat as economic enterprise zones where businesses receive grants to create jobs and activity in certain areas. The health zones program will be a pilot, available in two or three geographical areas.

New and existing primary care practitioners could receive loan repayment assistance, income, property tax or rent, and help with installation of information on health and other technology. Grants will be capped, probably in the tens of thousands of dollars. Local health departments may be involved in recruiting participants.

Brown said he would push to expand the program statewide if it proves successful in a few years - not certain, given the logistical and cultural complexity of the problems. For example, residents in some neighborhoods do not have easy access to grocery stores that sell fresh fruit and vegetables or not to visit the doctor until there is an emergency.

Reece said many groups have addressed the differences, but the working group wanted to focus on chronic diseases are responsible for 80 percent of health expenditures. They have drilled down to a few important maladies that often have "ripple" effects. They include diabetes, hypertension and asthma.

"We decided to find out ... areas where we thought we could make a real impact within a reasonable timeframe," he said.

The health enterprise zones approach is unique, he said. Working group members got the idea from a similar program built around the needs of children in society to Harlem in New York City.

Program applicants are expected to come predominantly from rural and urban areas where inequalities are most pronounced.

In Baltimore, studies show a 20-year gap in life expectancy between high-income, predominantly white neighborhoods and poor, predominantly minority neighborhoods.

Recently, city Health Department officials began working with local leaders in 55 districts to identify the most pressing health needs and develop plans to address them.

National zones would complement these efforts, Reece said. His work group also suggested other elements that promote health and track results.

Group suggested Health innovation awards with small financial rewards and public recognition for individuals and groups that improve health and wellbeing of their communities. The group also recommended track difference data for programs that already exist for primary care physicians and hospitals. Incentives and penalties assessed by these programs could ultimately be linked to the differences.

Reece said the price, and the enterprise zones are two things Maryland can do now to help reduce disparities in a few key geographic and health areas.

If legislation is to create zones have passed during the current legislative session, will further be developed by the state Department of Health and Mental Hygiene.

Already, Dr. Joshua M. Sharfstein, department secretary, supports the move: "The establishment of Health Enterprise Zones will help communities target resources to have the most powerful effect."

Articale source:-http://www.baltimoresun.com/health/bs-hs-disparities-report-20120116,0,5859254.story

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Health schemes for mom and child show results

The recently launched Janani Suraksha-Shishu Karyakram (JSSK), and mother and child tracking system (MCTS) adopted by the State has begun to show results. Both schemes are aimed at minimizing the infant mortality rate (IMR) and maternal mortality rate (MMR) under National Rural Health Mission (NRHM). Although the central government schemes are implemented by the public health system department of the state.

The JSSK is not a replacement of existing Janani Surakasha Yojna (JSY) that promote institutional deliveries. It is a further arrangement with much broader scope. Under JSY, the benefit was limited to the mother and it is only those who live below the poverty line and SC / ST categories. But JSSK covers every mother and child regardless of income and caste status.

The main advantage of JSSK is that instead of providing any financial support scheme allows free delivery (including caesarean section a) and care to all expectant mother up to 42 days after delivery and free care for the baby for 30 days.

Dr. Manohar Pawar, deputy director of health services (DDHS), Nagpur circle covering Nagpur, Wardha, Gondia, Bhandara, Gadchiroli districts Chandrpaur and told TOI that the scheme very attractive for both rural and urban women, as it allowed not just free diagnosis, studies complimentary therapy, medication and meals during the hospitalization period but also free pick and drop facilities to the patient.

"The pick and drop facility is available round the clock via a call center. Anyone interested in using it to call 102 at district level hospital," said Dr. Pawar. Of course, the vehicle is made available, even at the primary health center as the information passed to the nearest Delivery Center, which could be a PHC, a sub-center or district hospital. We get very good response from patients. If a patient does not use the department vehicle or ambulance, is a fixed fare refunded to the patient, "says Dr. Pawar.

Since Nagpur does not have a district hospital has Daga Memorial Hospital has been chosen. The hospital still does not have the 102-number. "You'll have to call 2729332 for now. The process of moving 102 Number from Nagpur Municipal Corporation (NMC), ambulance service to Daga hospital is on," says Dr. Vaishali Khedikar, hospital superintendent. Actually received Daga two vehicles on Thursday itself.

The second scheme, MCTS, is a relatively mature one, but has just now become popular.As of now, it is limited to only rural areas but will soon be extended to the cities too. The process of training of the staff has already begun. DDHS office claims to have registered an increase in institutional deliveries from 65% in 2005, when the NRHM began to 98% now.

MCTS covering the mother from the day she reports to the registration of pregnancy to 30 days for children and 42 days for mom. This system has computer records of every mother and child, and the data are updated daily across the country. The changes are visible every day at NRHM website (sub-head nrhm-MCTC).

Comprehensive data, including name, address, phone numbers, ANM and Asha workers who treat patients and follow up records maintained for each patient. Immunization of the baby is also maintained. Highest authorities in the health sector can keep watch on employee .

Article source:-http://timesofindia.indiatimes.com/city/nagpur/Health-schemes-for-mom-and-child-show-results/articleshow/11504544.cms

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Thursday, January 12, 2012

Age barrier for health policies may go

Regulator as well as the insurance companies eager for such policies, but the pricing could be a problem.

Insurance Regulatory and Development Authority (IRDA) to purchase insurance policies have been looking to do away with age.free 'is taken to make the move. This is just a "long life" had made it mandatory for renewal policies section. This means that once a health insurance policy is issued, during the lifetime of the policyholder to the insurance companies, such policies would be obliged to continue renewing. However, the entry age has been barrier.
Meanwhile, some general insurance companies already have an age-free "policy, the application is started. For example, Apollo Munich Insurance has applied such a policy a few months ago and is awaiting approval.

L & T Insurance, on the other hand, is an interesting version of the age of 70 after a lifetime permit renewal but the mandate is a co-donor. Even looking at ICICI Lombard is a life-long renewal policy.is. "GIC.

Other insurance companies follow suit, or their products in the portfolio are expected to add the required section. Currently, the existing health insurance plan is capped at the age of 65 years of age.

Contacted, IRDA chairman J Hari Narayan said that there are gaps, remove old entries about the discussion was. "However, as there are no concrete plans," he said.

However, the regulator is to see these products carefully. Apollo senior officials in Munich said that the first application was made at a time, IRDA sent it back with questions. Applicable to the product and are awaiting a response.

Most insurance companies, pricing policies, with the main issue remains. For a Rs 5 lakh cover for a 75-80 year age group, should not exceed 15 per cent of the premium covers.

As a result, 5 lakh policy (for individuals over 70 years) annually for the price is expected to be around Rs 60000-80000. In addition, certain conditions, be subject to individual's health. "For example, some may be out of covering existing chronic diseases," the officer said.

According to industry estimates, the health insurance business constitutes more than 25 percent of the general insurance industry. Over the last year, premiums have risen 25 per cent. This financial year from April to September 5540.34 crore during the health insurance premium collection of Rs 6721.53 crore rose 21.3 percent.

Articale source:-http://www.business-standard.com/india/news/age-barrier-for-health-policies-may-go/461515/

MORE REUTERS RESULTS FOR: "health" Watch fair to reveal health of luxury industry 4:39pm IST India's polio victory fuels endgame vaccine talks 3:

For a country that many experts thought a major milestone will be the last place on earth to get rid of severe virus. Global health and other human infectious disease after smallpox to polio eradication to be facing an exciting step forward for workers.

"If all data for the next few weeks, it is more obvious for the first time from India, WHO polio as an unshaded area map will be shown on" World Health Organization's Global Polio Eradication Initiative, said the gold-turn .

"It's a great start for India for years."

But when India celebrates, global health officials are debating how to reduce the risk that vaccines containing live virus polio-free areas just can reintroduce the disease.

This time, risk and cost of a hard decision, but the fact is it being discussed polio fight is a sign of how far has come.

Serious illness

But this broad, population-wide can be prevented with vaccination.

WHO for use in certified polio immunization campaign, GlaxoSmithKline, Novartis, Sanofi-Aventis, and others made by Panacea Biotech's vaccine.

Pakistan, Afghanistan and Nigeria - India's success leaves only three countries where polio is still endemic, and may be in store for them to set an example.

"It shows that we are going to be somewhere else," said John Hewko, Chief Executive and the charity Rotary International, which has spearheaded the global fight against polio for three decades, said the president.

Since the Global Polio Eradication Initiative was launched in 1988, the 99 percent reduction in polio cases worldwide have been.

Back then 125 countries and nearly 1,000 children in endemic disease is caused by paralysis. By contrast, the whole of 2011, there were 620 cases throughout the New World.

But as the prospect of global eradication is in sight, it is a new dilemma that will be the focus of WHO's Executive Board next week brings.

Live or inactivated

Oral polio vaccine in the heart of the issue, which are highly effective, and the fact that they are cheap, are easy to grow and live polio virus strains to owe much of their success.

Have finished it already has 2 types, a three-strain vaccine called oral tOPV called a bivalent or bOPV two strain type 1 and 3 types which are being phased out in favor of conflict. But the problem remains that the live virus.

chair of the European Certification Commission and the UK Director of Immunization.

Turn is described as a tipping point. "When the risk of vaccine virus from the wild, should decide when we start to outweigh the risks," she said.

There is an option called inactivated polio vaccine, or IPV, unlike OPV but it is expensive and difficult because it is injected at the clinic by trained health workers to deliver.

The richest countries like the United States and Britain, the use of oral polio vaccine to prevent transmission and to maintain the point dealt with the issue, then switching to inactivated polio vaccine when they were sure they were beaten by the virus, Bari said.

A subsidiary of an option, or booster, adding that would be cheaper to reduce the amount of antigen in the vaccine. And therefore cheaper - IPV dose and the skin, rather than under a law that would require a few may develop a method of injection.

Urgent Task

Salisbury vaccine decision to switch to something for the future force, and in halting the worldwide polio transmission is still the most important work.

"These are very difficult decision, but we have now begun to discuss, if we did not we did not think things through in the future to the criticism," he said.

After India's success came as a huge, mostly domestically financed $ 2 billion to fight.

Last year alone, there are two different national immunization program, under the age of five, each of which 172 million children were immunized in five days.

To reach people on the move, mobile vaccination teams were sent out on the trains at railway stations and bus stands, market places and construction sites rid children.

The only case in the previous calendar year, two-year-old girl in Kolkata, West Bengal in Kolkata on January 13 was close.

"There is evidence from India, if you work well when you stop polio," Salisbury said. "And if it can be done in India, technically it can be done anywhere."

Articale source:-http://in.reuters.com/article/2012/01/12/polio-india-endgame-idINDEE80B0BK20120112

Tuesday, January 10, 2012

Syria's Assad blames 'foreign conspiracy'

"It is clear to all external conspiracy" in his first public comments in months.

Syria protests against his rule of 10 months has attracted international condemnation of the violent crackdown.

He said that after the elections held this year, but "terrorism", which he blamed for the unrest an "iron fist" would be met with.

Regional and international parties have tried to destabilize the country "from the University of Damascus, President Assad said in a speech broadcast live nationally.

"Our priority now is to achieve for decades we basked, and it only kill terrorists with an iron fist can be achieved [in the] [] security," he said.

"We work with outsiders against the country will not be as liberal."

Nations has said more than 5,000 civilians had been killed since the protests began in March last year.

Syrian officials say they are fighting armed groups, and about 2,000 members of the security forces have been killed so far.

In recent months, have joined forces in opposition and government forces targeting fugitives.

monitor implementation.

Against opposition groups, which have continued despite the presence of observers on the action of the Arab League mission to cover the demand for service is charged.

Mr. Assad said that the security forces had no order to fire on demonstrators.

"There's about to open fire on any citizen of any level is an order that, by law, no one should open fire - only in self defense or in conflict with an armed man."

No photo reforms'
Mr. Assad the Arab League, November and suspended sanctions imposed on Syria lashed out, saying: "We were surprised it was not standing with Arab Syria".

He said the Arab countries that Syria has resisted outside pressure, which was under the sovereignty had been reduced.

But he said, not long as Syria closed its doors to an Arab solution "as" it respects the sovereignty of Syria ".

Mr. Assad "regret" as the events described in the previous 10 months and that he was a severe test for Syria.

But he ruled out the improved picture in response to disturbance.

There were no obstacle to a multi-party system, he said, adding that it was a question of time.

Mr. Assad said that the government extend to "all political forces" and welcomed the idea.

Referendum on a new constitution could be held in March, he said, paving the way for elections in May or June.

Both the Party of Syria, President Assad family and the minority Alawite sect, an offshoot of Shiite Islam is governed by the dominated.

articale source:-http://www.bbc.co.uk/news/world-middle-east-16483548

Monday, January 16, 2012

Health Enterprise Zones to target disparities in state

Health schemes for mom and child show results

Thursday, January 12, 2012

Age barrier for health policies may go

MORE REUTERS RESULTS FOR: "health" Watch fair to reveal health of luxury industry 4:39pm IST India's polio victory fuels endgame vaccine talks 3:

Tuesday, January 10, 2012

Syria's Assad blames 'foreign conspiracy'

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