IMA NE Vol. XLI NoWS.2 March - April 2009...4 IMA News March - April 2009 The State/ Local Branches...

National President Hony. Secretary General & EditorDr. Ashok Adhao Dr. Dharam Prakash

IMA NEWSVol. XLI No.2 March - April 2009

An Official Publication of Indian Medical Association (HQs.)

Price: Rs.5/-

www.ima-india.org

Random thoughtsTuberculosis has remained a challenge tomankind for centuries. It is weird that itcontinues as a serious threat well into theantibiotic era. Every aspect ofpathogenesis is known and the scientificstrategy is well defined. The helplessnessof the profession is not as much due to

lack of knowledge but due to lack of cohesiveness. Treatmentof TB necessarily incorporates public health duty forclinicians. To fight on academic nuances against nationalstrategy is nothing but treason. It does no credit to India tohost the largest focus of the disease. Even if the entiremedical profession of India unites, it will take another fivedecades to make an epidemiological impact. One canimagine the situation if we remain divided. Add to thisvulnerability MDR TB and HIV we realize we are sitting ona volcano. This is not the time to argue .It is time to fall inline and fight. Join the national strategy.World health organization has chosen the theme “safehospitals during emergencies”. In our context we have tomake hospitals safe even under normal conditions becauseof the hooliganism. This message is all the more relevant inIndian situation and merits serious attention of thegovernments.Strengthening of internal working of Indian MedicalAssociation is of paramount importance. All the projectsand programmes flow out of Indian Medical Association.Only a strong IMA can become a public health giant relevantto the health of people. I appeal to all my members andbranches to reach out to the community. Your efforts,however small they may be, will raise the health awarenessand status of this country and will help in no small measureto enhance the image of the medical profession and IMA.

Dr.Dharam PrakashHony.Secretary General

Congratulation&

Heartiest Felicitationsto

DR. KETAN DESAI

forBeing Unanimously

Electedas

PRESIDENTMEDICAL COUNCIL OF INDIA

Dr. Ashok S. Adhao Dr. Dharam PrakashNational President Hony. Secretary General

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2..........................................................IMA News..............................................................March - April 2009




March - April 2009.......................................................IMA News..................................................................3

From the President’s Pen......................@Imm. Past National PresidentDr.M. Abbas (Cuttack)President (Elect)Dr. G. Samaram (Vijaywada)Vice-Pre sidentsDr. Ram Dayal Dubey (Kolkata)Dr. A. Nagaraj (Hassan)Dr. K. Vijaykumar (Kanyakumari)Dr. Nirupama S. Shah (Ahmedabad)Hony. Finance SecretaryDr.D.R. Rai (Delhi)Hony. Joint SecretariesDr. Anil Bansal (Delhi)Dr. V.K. Narang (Delhi)Dr. Avtar Kishan (Delhi)Dr. Sarbari Dutta(Kolkata)Dr. S.C.L.Gupta (Delhi)Hony. Asstt . SecretariesDr. V.K. Malhotra (Delhi)Dr. R.N.Tandon (Delhi)

Hony.Joint Finance SecretariesDr. Narender Saini (Delhi)Dr. Sudersan Ghosh Dastidar (Kolkata)IMA CGP (Chennai)Dean of StudiesDr. Vinay Aggarwal (Delhi)Hony. SecretaryDr. J.A.Jayalal (Marthandam)IMA AMS (Hyderabad)ChairmanDr. M.Bhaskaran (Wayanad)Hony. SecretaryDr. B.N. Reddy (Hyderabad)IMA AKN Sinha Institute (Patna)DirectorDr. K.K. Aggarwal (Delhi)Hony. Executive SecretaryDr. Arun Kumar Thakur (Patna)JIMA (Kolkata)Hony. EditorDr. Kajal K. Banik (Kolkata)Hony.SecretaryDr. Iskander Hossain (Kolkata)Your Health (Kolkata)Hony. EditorDr. Sunil K. Nag (Kolkata)Hony. SecretaryDr. Ajit Maity (Kolkata)IMA N.S.S.S. (Ahmedabad)ChairmanDr. Kirti M. Patel (Ahmedabad)Hony. SecretaryDr. Yogendra S.Modi (Ahmedabad)IMA N.P.P.Scheme (Thiru’puram)ChairmanDr. Malay Kr. Patra (Kolkata)Hony. SecretaryDr. Alex Franklin (Thiru’puram)Apka Swasthya (Varanasi)Hony. EditorDr. Arvind Singh (Varanasi)Hony. SecretaryDr. Harendra Gupta (Agra)

Dear Colleagues,I take this opportunity to again remind you to read all the 32 pages ofrecent Supreme Court Judgement. In detailed discussions about medicalnegligence the Supreme Court Judges have made very usefulobservations. Because of immense importance it has, we have publishedfull judgment in our last issue of IMA News. Supreme Court hereafterwants expert doctor or panel of expert doctors to decide about medicalnegligence and further admitted that the judges are layman in the field

of medical negligence.In my presidential address I have already stressed the importance of doctor-doctorrelationship. This is more important than patient-doctor relationship. I have also requestedthe members to develop positive mind set. I am confident if you think in a positive manneryou will also realize that all your colleagues in your practicing area are helping you in oneway or the other and they are your friends only and not enemies. Now after this recentSupreme Court Judgement this becomes all the more important.Health is a State subject. I appeal all the concerned to make IMA State Branches strong inall respect. You can do it. One of the way of doing it, is to have your active members inyour State Medical Council. Taking clue from the successful IMA States, we in MaharashtraMedical Council elections flouted IMA panel & successfully contested all posts and won.This means IMA will have direct or indirect say in their State Medical Councils, so we canhelp our members in difficult times. Act in unity and you will taste success only.Happy reading, With warm regards, Jai Hind! Jai IMA!

Dr Ashok Adhao, National PresidentIMA Action Against Proposed Gujarat Public Health Act, 2009

One who sees the future, wins: We have received a report from Dr.M.R.Kanani, President,Gujarat State Branch, IMA and Dr.Ashok D. Kanodia, Hony. Secretary, Gujarat State Branch,IMA about their Action against the Gujarat Public Health Act, 2009 proposed to be implementedby Gujarat Government.The Govt. of Gujarat had posted a Draft Gujarat Public Health Act2009 on its website and publicized it through the media. On going through the same, it was feltthat the proposed Act was not in favour of the medical profession and will prove to be detrimentalto medical personnel in due course. After various high level meetings of the Gujarat StateBranch, IMA it was decided to take up the matter at all levels. Legal committees of variousbranches also suggested that IMA Gujarat State Branch should aggressively take up the issuewith the Health Minister and ensure that this Act is not implemented in its present form.AnAction Committee consisting of senior members of the State Branch proposed to all LocalBranches in Gujarat to give written Memorandum to local govt. offices at district headquarterand taluka levels to withdraw the proposed Act. More than 100 branches submitted suchmemoranda to the government departments at their levels.As a next step, a maharally of doctorsfrom all over Gujarat was planned from AMA House, Ahmedabad to Income Tax Circle,Ahmedabad. Confirmation of participation was received from more than 2000 IMA membersall over Gujarat in the proposed Rally.A meeting hurriedly called by the Gujarat Health Ministerwith the members of Gujarat State Branch, IMA on 16th April, 2009 did not yield the desiredresults. Therefore, it was decided to go ahead with the agitation as planned. After a fax wasreceived from the Hon’ble Health Minister on 17 April, 2009, which mentioned that GujaratState Branch, IMA will be consulted before implementing the Act and that the proposed Act willnot be implemented in its present form, it was decided to withdraw the agitation for the timebeing.The unity and vigilance of the members of the Gujarat State Branch and the vision of ournational leader towards the welfare of the whole fraternity has made us successful in our fightagainst an attempt of the Government which would have proved detrimental to the profession,if implemented.We congratulate the leaders and members of Gujarat State Branch, IMA fortheir appropriate and timely action.

Dr. Dharam Prakash, Hony. Secretary General





The State/ Local Branches Presidents / Secretaries are advised to forward the nomination of the deserving candidates toIMA Headquarter, New Delhi latest by September 30, 2009 as per details given below:

For Young Doctors

1. IMA Dhirendra Nath Dutta Award in Cardiology:Type of Award : Article/Paper

(Subject to be selected by Orator)Eligibility : Open to all IMA Members not more

than 35 years of age.Value of Award : Rs. 1,000/- plus Scroll.

2. IMA Dr. C.T. Thakar Award:Type of Award : Community Service by young doctors

(Award is for work done in the field ofMedical Science)

Eligibility : Open to all IMA Members not morethan 35 years of age.

Value of Award : Rs.1,500/- plus Scroll.

3. IMA Dr. C.S. Thakar Award:Type of Award : Article/Paper (3000 Words) Topic from

IMA Hqrs.Eligibility : Open to all members of IMA.Value of Award : Rs. 1,000/- plus Scroll.

4. IMA Medical Student Essay Contest(Under Graduates)Type of Award : Essay 2000-3000 words Topic IMA

Hqrs. (Application to be attested byDean/Principal of College).

Eligibility : Open to all Under Graduate StudentsValue of Award : Rs.1,000/- plus Scroll.

Family Planning

1. IMA Dr.C.L. Jhaveri Family Welfare Planning Awardfor State/Terr. Branches:

Type of Award : Distinguished Record of service inFamily Planning.

Eligibility : Open to all IMA Members with 5 yearsstanding.


2. IMA Dr. C.L. Jhaveri Family Welfare Planning Awardfor Individual Members.

Type of Award : Distinguished record of Service in FamilyPlanning Work.

Eligibility : Open to all IMA members with 5 years’standing.


3. IMA Dr. Kanak Goel Award: (Only Female Doctor)Type of Award : Recognition for commendable work in

Family Planning Welfare or CommunityHealth Work.

Eligibility : All Women Doctors of IMA.Value of Award : Silver Medal plus Scroll.

Awards given for Research

1. IMA Dr. D.S. Munagekar Award:Type of Award : Best Published Research Work done

during last two years.Value of Award : Rs.1,000/- plus Scroll.Eligibility : Open to all IMA Members not more

than 50 years of age.

2. IMA Dr. K. Sharan Cardiology Excellence Award:Type of Award : Recognition of any Medical men having

specialisation in the field of Cardiologyor Cardiac Surgery or allied field whohave displayed excellence in academicwork, service and research in the abovefield.

Value of Award : Rs. 50,000/-Plus Scroll.Eligibility : Open to all members of IMA with not

less than 20 years’ continuousmembership.

3. IMA Dr. Deepak Banerjee Award for Best PublishedPaper in JIMA.

Type of Award : Recognition of Paper Published in JIMA.Eligibility : Author of papers published in JIMA.Value of Award : Rs.1,000/- plus Scroll.

4. IMA Dr. Ramachandra N. Moorthy Award inPsychiatry:

Type of Award : Recognition of outstanding achievement/Research work /Community Service/Published paper.

Eligibility : All Members of IMA, individual Branch/Institution.

Value of Award : Silver Medal plus Scroll.

Oration1. IMA Ranbaxy Oration Award :-Type of Award : Oration (Subject of Oration to be

selected by the Orator)

IMA AWARDS : 2008 - 09




March - April 2009.......................................................IMA News..................................................................5Value of Award : Rs.5000/- plus a Memento and Scroll in

addition to travel expenses and incidentalcharges for 3 days.

The nomination alongwith detailed bio-data will be submittedin triplicate to the Hony. Secretary General, Indian MedicalAssociation, I. P. Marg, New Delhi –110 002 through therespective local and State branches concerned before thelast date for consideration by Selection Committee.

2. IMA Diamond Jubilee IDPL Oration Award:-Type of Award : Oration (Nomination by members of

IMA on prescribed form)Value of Award : Rs. 2,500/- plus certificate.Eligibility : Open to IMA Members with 20 years

standing.

3. IMA Dr. Jagdishwari Mishra Oration Award (Surgery& Medicine in relation to Obstetrics andGynaecology):-Type of Award : Oration (Subject of Oration to be

selected by the Orator)Value of Award : Rs. 5,000/- Momento and Scroll.Eligibility : Open to all IMA Life Members.

Outstanding & Distinguished Services Award

1. IMA Dr. A.P. Shukla Memorial Distinguished ServiceAward :-

Type of Award : Recognition of Outstanding anddistinguished services to IMA (Selectionby the Award Committee)

Value of Award : Rs. 5000/- plus Scroll.Eligibility : Open to IMA Members with 20 years

standing

2. IMA Dr. A.K.N. Sinha National Award (Alkem):Type of Award : Recognition of outstanding and

distinguished services to medicalprofession.

Value of Award : Rs.15,000/- plus Scroll.Eligibility: Open to all members of IMA with

minimum 20 years standing.

3. IMA Dr. Jyoti Prashad Ganguli Memorial Award:Type of Award : Award to be given to the Local Branch

or Individual Members of IMA havingDistinguished Record of Selflesscommunity service amongst the lessfortunate in rural.

Value of Award : Rs. 2,500/- plus Scroll.Eligibility : Open to all members of IMA with not

less than 20 years continuousmembership.

4. IMA Dr. P.C. Bhatla Award:Type of Award : Recognition of outstanding and

distinguished services to medicalprofession.

Velue of Award : Rs.5,000/- only.Eligibility : Open to all members of IMA with

minimum 20 years standing

President Appreciation Award1. President IMA Appreciation Award For Best Adjudged

President Of State Branch:2. President IMA Appreciation Award For Best Adjudged

Hony.State Secretary Of State/Terr. Branch:3. President IMA Appreciation Award For Best Adjudged

President of a Local Branch:4. President IMA Appreciation Award For Best Adjudged

Hony. Secretary Of A Local Branch:5. IMA Membership Drive Trophy6. IMA National President Appreciation Award For Life Long

Services To IMA :-7. IMA Community Service Award To Be Given To A Local

Branch Assessed As The Best Branch For OrganisingCommunity Services During the Year – 2008-2009.

8. IMA Community Service Award For Individuals :-9. IMA Doctors’ Day Celebration Award .10.IMA Best CME / Scientific Programme Award :-11. IMA National President Appreciation Award :-12.IMA Special Award To Eminent Medical Men For

Distinguished Achievement Of Highest Order :-13.National President Special Membership Award To Be Given

To An Individual Member Enrolling Maximum Number OfLife Members During The Association Year :-

14.. National President IMA Life Membership EnrollmentAward To Be Given To A State/Terr. Branch EnrollingMaximum Number Of Life Members During TheAssociation Year:-

15.National President IMA Life Membership EnrollmentAward To Be Given To A Local Branch Enrolling MaximumNumber Of Life Members During The Association Year :-

Membership Development Award:

1.. BEST IMA LOCAL BRANCH Rotating Trophy of GujaratState Branch (For Major Branch > 500 ).

2. Best IMA Local Branch Rotating Trophy Of Dr. N.S.Chandra Bose (For Medium Branch 101 - 500 )

3. Best IMA Local Branch Rotating Trophy Of Dr. (Mrs.)Navamani Bose (For Small Branch 1 - 100)

:




6..........................................................IMA News..............................................................March - April 2009Organisational Awards:

1.. IMA Special Award For Organising All India Medical Conference2 IMA Special Award For Orgainising Conference of IMA CGP3. IMA Special Award For Organising Annual National Conference, IMA AMS4.. IMA Special Award For Organising Working Committee Meeting

Publication Award:

IMA ACADEMY OF MEDICAL SPECIALITIESAWARDS

1. IMA MEDICAL EDUCATION AND RESEARCHAWARD II.

Type of Award : Article/Paper (Topic from IMA Hqrs.)Eligibility : Open to all IMA/IMAAMS members.Value of Award : Rs.1,500/- plus scroll.

2. IMA DR. R.K. MENDA MEMORIAL ORATIONAWARD:

Type of Award : Oration (Bio-Data/Topic of Oration &Recent Research Publicationsrecommended by 2 Fellows of IMAAMS . to be submitted.

Eligibility : All Members of IMA IMAAMS.Value of Award : Rs.1,500/- plus Scroll.

3. IMA AMS DR. SATYA PAL AGGARWALMEMORIAL ANNUAL AWARD:

Type of Award : Article/Paper (Topic from IMA Hqrs.)Eligibility : All Members of IMA/IMAAMS.Value of Award : Rs.1,000/- plus Scroll.

4. IMA AMS AWARD FOR BEST PAPERPRESENTED AT THE ANNUALNATIONAL SEMINAR OF IMAAMS (3 PRIZES).

Type of Award : Recognition of papers presented at theSeminar (Selected by a committee offive judges constituted at the time ofSeminar).

Eligibility : All Members of IMA/IMAAMS.Value of Award : First Rs. 1500/-

Second Rs. 1,000/-Third Rs. 500/-

IMA COLLEGE OF GENERAL PRACTITIONERSAWARDS

1. IMA CGP SILVER JUBILEE ORATION AWARD:Type of Award : Oration (Subject to be selected by

Orator)Eligibility : Open to all IMA/IMACGP Members.Value of Award : Rs.1,000/- plus Scroll.

2. IMA MEDICAL EDUCATION AND RESEARCHAWARD I

Type of Award : Article/Paper (Topic from IMAHeadquarters).

Eligibility : Open to all IMA/IMACGP Members.Value of Award : Rs.1,500/- plus Scroll.

3. IMA DR. C.L. SAHNI AWARD:Type of Award : Oration (Subject to be selected by

Orator)Eligibility : Open to all IMA/IMACGP Members.Value of Award : Rs.500/- plus Scroll.

4. IMA DR. M.G. BHIDE MEMORIAL AWARD:Type of Award : Article/Paper (Topic from IMA

Headquarters)Eligibility : Open to Members having membership

of IMA for at least 10 years and LifeMembership of the IMACGP for at least5 years


5. IMA CGP ANNUAL AWARD:Type of Award : Article/Paper (Topic from IMA

Headquarters).Eligibility : Members of IMA CGP who are life

members for 5 years or more.Value of Award : Rs.1,000/- plus Scroll.

6. IMA DR. C.L. JAGGA AWARD FOR BESTFACULTY OF IMA CGP.

Type of Award : Recognition of Activity of the Sub-Faculties (detailed reports of activitiesof Sub Faculty to be submitted to IMAHQRS.)

Eligibility : Open to all Sub Faculties/State Facultyof IMA CGP.

Value of Award : Scroll.

7. IMA DR. I. VENKATA RAO ORATION AWARD:Type of Award : Oration(Subject of Oration should be

selected by the OratorEligibility : Open to all Life Members of IMA/

IMACGP (15 years Continuousmembership)

Value of Award : Rs.2,500/- plus Scroll.PDF created with pdfFactory Pro trial version www.pdffactory.com



March - April 2009.......................................................IMA News..................................................................7ASSESSMENT PERFORMA FOR STATE /LOCAL BRACHES AWARDS:

President IMA Appreciation Awards For:i) Best Adjudged President State Branch.ii) Best adjudged Hony. State Secretary of State/Terr. Branch.iii) Best adjudged President of a Local Branch.iv) Best adjudged Hony. Secretary of a Local Branch.

1. The performance of the State Branch/Local Branch Presidents and Secretaries will be assessed as per criteria laid downin the proforma attached herewith.

2. The President/Hony. Secretaries, State and Local Branches intending to compete for the above Award for the year2008-2009 are requested to send in their reports in triplicate as per enclosed proforma so as to reach the undersignedlatest by 30.9.2009 positively giving reference to the number and date of this circular as mentioned above. Reportsreceived after the 30.9.2008 shall not be taken into consideration.

3. The Local Branches should route their entries through their respective State/Terr. Branches.4. The Awards will be presented to the winning Local Branch/State Branch Presidents and Secretaries at the All India

Medical Conference, Hyderabad, December - 2009.Dr.Dharam Prakash,

Hony. Secretary General, IMAEncl: As Above:1.Proforma I (for President/Hony. State Secretary of a State/Terr. Branch)2.Proforma II (for President/Hony. Secretary of a Local Branch)

PROFORMA - I

(for President/Hony. State/Terr. Secretary of a State/Terr.Branch).Criteria for President IMA Appreciation Award for :Best President /Hony. State Secretary of State/Terr. Branch.1. Name of the State/Terr. Branch.2. Name of the State President/Hony. Secretary.3. Membership Strength as on:

a) 30th September of the preceding year.b) 30th September of the year of Award.

Strength of Life Members should be given separately.Branches:

a) Number of Local Branches as on:i) 31st March of the preceding year.ii) 31st March of the year of Award.

(b) i) No. of New Branches formed.ii) No. of Branches received.iii) No. of Branches suspended.iv) No. of Branches declared defunct.

5. Payment of H.F.C.a) Whether H.F.C. dues paid on due date: if so, please

furnish the following details:Amount Due: Amount Paid:Date of Payment: (*) Amount in arrears:(*) Please write the year(s) for which arrears are due.

b) Whether valid lists/sent in time ? indicate the date ofsending.

6. Details of action taken in response to circulars issued byIMA Headquarters during the year.

7. Organisation Activities:a) Details of Seminars/Conferences organised during the

year.b) Details of CME programmes/Symposia/Seminars

organised under the auspices of IMA/IMACGP/IMAAMS.

c) Details of community projects undertaken during theyear.

d) Details of participation in Family Welfare/MCH/Immunization/ORT/Diarrhoeal disease programmesand other activities not covered above, organisedduring the year.

8. Whether participated in State Secretaries Meet ?If so give briefly your contribution at the Meet. (Applicablein the case of State Secretaries)

9. Whether received any IMA Awards previously ? If so,give particulars.

10. Any other information highlighting performance of thePresident/Hony. State Secretary.




8..........................................................IMA News..............................................................March - April 2009PROFORMA - II

(For President/Hony. Secretary of Local Branch)Criteria for President IMA Appreciation Awards for: Best President/Hony. Secretary of a Local Branch.

1. Name of the Local Branch:(Under jurisdiction of ________________________)

2. Name of President/Hony. State Secretary or Local Branch.

3. Membership strength as ona. 31st March of the preceding year.b. 31st March of the year of Award.

4. Whether HFC dues paid on the dates ? If so please furnish the following details:a. Amount due : Amount Paid: Date of Payment

(*)Amount in Arrears :

(*)Please write the year(s) for which arrears are due.

b. Whether valid list sent in time ? Indicate the date of sending.

5. Details of action taken in response to circulars issued by IMA Hqrs. during the year.

6. Organisational Activities:a. Details of Seminar/Conference organised during the year.b. Details of CME Programme/Symposia/Seminars organised under the auspices of IMA/IMACGP/IMAAMS.c. Details of community projects undertaken during the year.d. Details of participation in Family Welfare/MCH/Immunization/ORT/Diarrhoeal diseases programmes and other national

health programmes.e. Details of any other activities not covered above, organised during the year.

7. Whether received any IMA Awards previously? If so, give particulars.

8. Any other information highlighting performance of the President/Hony. Secretary.

Rotating Trophy for Best Overall PerformanceIn accordance with the Rules and Regulations of IMA Awards an IMA Rotating Trophy shall be awarded to a Local Branchin each of the under mentioned three categories for the best over-all performance during the year 2008- 2009, 1st April 2008to 31st March 2009.

1. IMA Gujarat State Branch Rotating Trophy (For a Major Branch with membership more than 500).

2. IMA Dr. N.S. Chandra Bose Rotating Trophy (For a Medium Branch with membership of 101 to 500 )

3. IMA Dr. (Mrs.) Navamani Bose Rotating Trophy (For a small Branch with membership of 100 or less). The performancewill be assessed as per criteria laid down in the proforma attached herewith. The Local Branches intending to competefor the Trophy are requested to send their reports through their State/Terr. Branch so as to reach the undersigned by31st October, 2009 positively.

Criteria for Rotating Trophy for the Best Branch of IMA.

The performance of Branches will be assessed as per guidelines below:1. Membership:

i) Strength of the Branch as on 31.3.2009ii) Number of New members enrolled during the year.iii) Number of members deleted during the year.




March - April 2009.......................................................IMA News..................................................................9iv) Number of members revived during the year.v) Strength of the Branch as on 31.3.2009vi) Net increase of membership during the year.

2. Payment of H.F.C.:Full Yeari) No. of members for whom HFC paidii) Amount of HFC paid.iii) Date of Payment.iv) Demand Draft/Cheque No. and Date.

3. Academic Activities:Scientific Activities/CME. Programmes under banner ofBranch IMA CGP/IMAAMS. Please give details liketopic, date, time duration, name of speaker and numberof participants.

4. Social /Cultural activities for the numbers:5. Community Service Projects:

(e.g. Family Welfare, Universal immunisation, maternityand child care, Health Campus, Blood Bank Activities,Flood relief etc.) Give details of such activities includingcelebration of IMA Health week and W.H.O. Day.

6. Response of Call for activities of IMA:Headquarters/State Headquarters and circulars etc. (e.g.mailing of list of members in time, address or graph of thejournal, half yearly activity report of the Branch etc.)

7. Participation in State Conference/All India MedicalConference/International Conference by members of theBranch.Give details of members and the Conference attended:

8. Calendar of activities of the Branch including election ofthe new office Bearers and handling over taking overcharges.

9. Any other activities not covered above.Signature of Hony. Secretary :Name of Local Branch:Address:Date:

Rotating Membership Drive Trophy:

In accordance with the Rules and Regulations of the IMAAwards Silver Rotating Trophy is to be awarded annually to aState/Terr. Branch of the Indian Medical Association adjudgedas the best for its membership drive on the basis of the netincrease in its membership during a year over the precedingyear in relation to drop outs etc. Rotating Membership DriveTrophy for the best performance adjudged as above for theyear 2008-2009 April 1,2008 to March 31, 2009 will thereforebe awarded on the basis of the reports to be furnished by theState/Terr. Branches competing for the Trophy.

i. Membership as on 31.3.2009.ii. New Enrolments during the year.iii. Transfer from other State/Terr. Branches during the year.iv. Deaths/Transfers to other State/Terr. Branches during the

year.v. No. of members suspended or whose membership lapsed

due to non payment of subscription.vi. Membership as on 31.3.2009 (i) + (ii) + (iii) - (iv) - (v)vii H.F.C. payment.

Full YearAmount Due:Amount paid by due date to IMA HQs.:Amount of arrears yet to be paid

vii Any other information.Dr. Dharam Prakash,

Hony. Secretary General, IMA

TOPICS OF THE IMA AWARDS FOR THE YEAR 20091. IMA Medical Students Essay Contest (for Under Graduate)

Topic: Compulsory Rural posting – eligibility Criteria for P.G.Courses – How will it work.

2. IMA Dr. C.S. Thakar Award:Topic: Medical Tourism – are we ready for challenges?

3. IMA Medical Education and Research Award I (IMA CGP)Topic: Medical Ethics and medical education – Do we consider it as a Subject.

4. IMA Medical Education and Research Award II (IMA AMS)Topic: Health as Fundamental Rights.

5. IMA Dr. M. G. Bhide Award:Topic: Rural Health mission – answers for many probems.

6. IMACGP Annual Award:Topic: Root cause of Quackery and measure to eradicate it.

7. IMA AMS Dr. S.P. Aggarwal Memorial Annual AwardTopic: Overexposure to radiation: judicious approach by Clinicians.





SWINE FLU - Some Information from CDC AlertWhat is H1N1 (swine flu)?H1N1 (referred to as “swine flu” early on) is a new influenza viruscausing illness in people. This new virus was first detected in peoplein April 2009 in the United States. Other countries, including Mexicoand Canada, have reported people sick with this new virus. Thisvirus is spreading from person-to-person, probably in much thesame way that regular seasonal influenza viruses spread.Why is this new H1N1 virus sometimes called “swine flu”?This virus was originally referred to as “swine flu” because laboratorytesting showed that many of the genes in this new virus were verysimilar to influenza viruses that normally occur in pigs in NorthAmerica. But further study has shown that this new virus is verydifferent from what normally circulates in North American pigs. Ithas two genes from flu viruses that normally circulate in pigs inEurope and Asia & avian genes and human genes. Scientists callthis a “quadruple reassortant” virus.Do pigs carry this virus &can I catch this virus from a pig?At this time, there is no evidence that swine in the United States areinfected with this new virus. However, there are flu viruses thatcommonly cause outbreaks of illness in pigs. Most of the time,these viruses do not infect people, but influenza viruses can spreadback and forth between pigs and people.Are there human infections with this H1N1 virus in U.S.?Yes. Cases of human infection with this H1N1 influenza virus werefirst confirmed in the U.S. in Southern California and near GuadalupeCounty, Texas. The outbreak intensified rapidly from that time andmore and more states have been reporting cases of illness from thisvirus. An updated case count of confirmed novel H1N1 flu infectionsin the United States is kept at http://www.cdc.gov/h1n1flu/investigation.htm. CDC and local and state health agencies areworking together to investigate this situation.Is this new H1N1 virus contagious?CDC has determined that this new H1N1 virus is contagious and isspreading from human to human. However, at this time, it is notknown how easily the virus spreads between people.What are the signs and symptoms of this virus in people?The symptoms of this new influenza A H1N1 virus in people aresimilar to the symptoms of regular human flu and include fever,cough, sore throat, body aches, headache, chills and fatigue. Asignificant number of people who have been infected with this virusalso have reported diarrhea and vomiting. Also, like seasonal flu,severe illnesses and death has occurred as a result of illnessassociated with this virus.How severe is illness associated with this new H1N1 virus?It’s not known at this time how severe this virus will be in thegeneral population. CDC is studying the medical histories of peoplewho have been infected with this virus to determine whether somepeople may be at greater risk from infection, serious illness orhospitalization from the virus. In seasonal flu, there are certain peoplethat are at higher risk of serious flu-related complications. Thisincludes young children, pregnant women, people with chronicmedical conditions and people 65 and older. It’s unknown at thistime whether certain groups of people are at greater risk of seriousflu-related complications from infection with this new virus. CDCalso is conducting laboratory studies to see if certain people mighthave natural immunity to this virus, depending on their age.

How does this new H1N1 virus spread?Spread of this H1N1 virus is thought to be happening in the sameway that seasonal flu spreads. Flu viruses are spread mainly fromperson to person through coughing or sneezing by people withinfluenza. Sometimes people may become infected by touchingsomething with flu viruses on it and then touching their mouth ornose.Can I get infected with this new H1N1 virus from eating orpreparing pork?No. H1N1 viruses are not spread by food. You cannot get this newHIN1 virus from eating pork or pork products. Eating properlyhandled and cooked pork products is safe.Is there a risk from drinking water?Tap water that has been treated by conventional disinfectionprocesses does not likely pose a risk for transmission of influenzaviruses. Current drinking water treatment regulations provide a highdegree of protection from viruses. No research has been completedon the susceptibility of the novel H1N1 flu virus to conventionaldrinking water treatment processes. However, recent studies havedemonstrated that free chlorine levels typically used in drinkingwater treatment are adequate to inactivate highly pathogenic H5N1avian influenza. It is likely that other influenza viruses such as novelH1N1 would also be similarly inactivated by chlorination. To date,there have been no documented human cases of influenza causedby exposure to influenza-contaminated drinking water.Can the novel H1N1 flu virus be spread through water in swimmingpools, spas, water parks, interactive fountains, and other treatedrecreational water venues?Recreational water that has been treated at CDC recommendeddisinfectant levels (1–3 parts per million [ppm or mg/L] for poolsand 2–5 ppm for spas) does not likely pose a risk for transmission ofinfluenza viruses. Currently, there are no documented human casesof influenza caused by exposure to influenza-contaminated swimmingpool water. No research has been completed on the susceptibility ofthe novel H1N1 flu virus to chlorine and other disinfectants used inswimming pools, spas, water parks, interactive fountains, and othertreated recreational venues. However, recent studies havedemonstrated that free chlorine levels recommended by CDC areadequate to disinfect highly pathogenic H5N1 avian influenza virus.It is likely that other influenza viruses such as the novel H1N1 fluvirus would also be disinfected by these chlorine levels.Can H1N1 influenza virus be spread at recreational water venuesoutside of the water?Yes, recreational water venues are no different than any other groupsetting. The spread of this novel H1N1 flu is thought to be happeningin the same way that seasonal flu spreads. Flu viruses are spreadmainly from person to person through coughing or sneezing ofpeople with influenza. Sometimes people may become infected bytouching something with flu viruses on it and then touching theirmouth or nose.What should I do to keep from getting the flu?First and most important: wash your hands. Try to stay in goodgeneral health. Get plenty of sleep, be physically active, manageyour stress, drink plenty of fluids, and eat nutritious food. Try notto touch surfaces that may be contaminated with the flu virus. Avoidclose contact with people who are sick.


http://www.cdc.gov/h1n1flu/



March - April 2009.......................................................IMA News..................................................................11Are there medicines to treat infection with this new virus?Yes. CDC recommends the use of oseltamivir or zanamivir for thetreatment and/or prevention of infection with these new influenza A(H1N1) viruses. Antiviral drugs are prescription medicines (pills,liquid or an inhaler) that fight against the flu by keeping flu virusesfrom reproducing in your body. If you get sick, antiviral drugs canmake your illness milder and make you feel better faster. They mayalso prevent serious flu complications. During the current outbreak,the priority use for influenza antiviral drugs during is to treat severeinfluenza illness.How long can an infected person spread this virus to others?At the current time, CDC believes that this virus has the sameproperties in terms of spread as seasonal flu viruses. With seasonalflu, studies have shown that people may be contagious from oneday before they develop symptoms to up to 7 days after they getsick. Children, especially younger children, might potentially becontagious for longer periods. CDC is studying the virus and itscapabilities to try to learn more and will provide more information asit becomes available.What surfaces are most likely to be sources of contamination?Germs can be spread when a person touches something that iscontaminated with germs and then touches his or her eyes, nose, ormouth. Droplets from a cough or sneeze of an infected person movethrough the air. Germs can be spread when a person touchesrespiratory droplets from another person on a surface like a desk,for example, and then touches their own eyes, mouth or nose beforewashing their hands.What can I do to protect myself from getting sick?There is no vaccine available right now to protect against this newH1N1 virus. There are everyday actions that can help prevent thespread of germs that cause respiratory illnesses like influenza. Takethese everyday steps to protect your health:¨ Cover your nose and mouth with a tissue when you cough or

sneeze. Throw the tissue in the trash after you use it.¨ Wash your hands often with soap and water, especially after

you cough or sneeze. Alcohol-based hand cleaners are alsoeffective. Avoid touching your eyes, nose or mouth. Germsspread this way.

¨ Try to avoid close contact with sick people.- Stay home if you are sick for 7 days after your symptoms

begin or until you have been symptom-free for 24 hours,whichever is longer. This is to keep from infecting othersand spreading the virus further.

Other important actions that you can take are:¨ Follow public health advice regarding school closures, avoiding

crowds and other social distancing measures.¨ Be prepared in case you get sick and need to stay home for a

week or so; a supply of over-the-counter medicines, alcohol-based hand rubs, tissues and other related items might could beuseful and help avoid the need to make trips out in public whileyou are sick and contagious.

What is the best way to keep from spreading the virus throughcoughing or sneezing?If you are sick, limit your contact with other people as much aspossible. Do not go to work or school if ill for 7 days or until yoursymptoms go away (whichever is longer). Cover your mouth andnose with a tissue when coughing or sneezing. It may prevent thosearound you from getting sick. Put your used tissue in the wastebasket. Cover your cough or sneeze if you do not have a tissue.

Then, clean your hands, and do so every time you cough or sneeze.What is the best technique for washing my hands to avoid gettingthe flu?Washing your hands often will help protect you from germs. Washwith soap and water or clean with alcohol-based hand cleaner. Werecommend that when you wash your hands — with soap and warmwater - that you wash for 15 to 20 seconds. When soap & water arenot available, alcohol-based disposable hand wipes or gel sanitizersmay be used. You can find them in most supermarkets & drugstores.If using gel, rub your hands until the gel is dry. The gel doesn’tneed water to work; the alcohol in it kills the germs on your hands.What should I do if I get sick?If you live in areas where cases have been identified and become illwith influenza-like symptoms, including fever, body aches, runnynose, sore throat, nausea, or vomiting or diarrhea, you may want tocontact their health care provider, particularly if you are worriedabout your symptoms. Your health care provider will determinewhether influenza testing or treatment is needed. If you are sick,you should stay home and avoid contact with other people as muchas possible to keep from spreading your illness to others.If you become ill and experience any of the following warning signs,seek emergency medical care. In children emergency warning signsthat need urgent medical attention include:- Fast breathing or trouble breathing- Bluish or gray skin color- Not drinking enough fluids- Not waking up or not interacting- Being so irritable that the child does not want to be held- Flu-like symptoms improve but then return with fever and worse

cough -- Fever with a rashIn adults, emergency warning signs that need urgent medicalattention include:- Difficulty breathing or shortness of breath- Pain or pressure in the chest or abdomen- Sudden dizziness; Confusion; - Severe or persistent vomitingHow long can influenza virus remain viable on objects (such asbooks and doorknobs)?:Studies have shown that influenza viruscan survive on environmental surfaces and can infect a person forup to 2-8 hours after being deposited on the surface.What kills influenza virus?Influenza virus is destroyed by heat (167-212°F [75-100°C]). Inaddition, several chemical germicides, including chlorine, hydrogenperoxide, detergents (soap), iodophors (iodine-based antiseptics),and alcohols are effective against human influenza viruses if usedin proper concentration for a sufficient length of time. For example,wipes or gels with alcohol in them can be used to clean hands. Thegels should be rubbed into hands until they are dry.How should waste disposal be handled to prevent the spread ofinfluenza virus?To prevent the spread of influenza virus, it is recommended thattissues and other disposable items used by an infected person bethrown in the trash. Additionally, persons should wash their handswith soap and water after touching used tissues and similar waste.What household cleaning should be done to prevent the spread ofinfluenza virus?To prevent the spread of influenza virus it is important to keepsurfaces (especially bedside tables, surfaces in the bathroom, kitchencounters and toys for children) clean by wiping them down with ahousehold disinfectant according to directions on the product label.





To

All State President/ Hon. State SecretariesAll President/ SecretariesLocal Branch IMA All Office Bearers of IMA HQ

Dear Colleagues,Indian Medical Association is committed to look after thephysical, mental psychological and social health of thecommunity of all age groups. Our country is prone to naturaldisasters and in the recent past we had few disasters likeearth-quake in Gujarat, cyclone in Orissa and Tsunami in South.The disasters are common in several parts of the county, mostof them are natural however, and some of them are man-made as well. Preventing disaster should be the goal of everyone but this can not be achieved every time and disasters arelikely to occur. The best remedy is to remain prepared tomitigate the damages caused by the disaster.This preparedness is required by all the concerned agenciesincluding law & order, relief agencies, healthcare workers,local administration. The preparedness should be such thatthe response time is minimal and relief material is available asearly as possible. To achieve this ideal situation each one hasto work hard in a coordinated manner for the management ofdisaster situation. The disaster management has not been apart of professional curriculum and we have to learn from ourown experiences and share the same with others.Indian Medical Association has taken up the project of DisasterManagement in a big way for last two years. Our past NationalPresident, Dr. Ajaykumar and Hon. Secretary General, Dr.Dharam Prakash have done a commendable work in this issueand had represented IMA at National and International level.Indian Medical Association HQ has established a DisasterManagement Cell at HQ level.Please note the following:1) The IMA HQ DMC has published a manual on

Disaster Management in 2007 during IMACON 2007 atNagpur. Now IMA HQ DMC is working on publishing thesecond edition of it. Your state has formed/not formeda State Disaster Management Cell as per the guidelinesof IMA HQ DMC. Please go through the records and ifany change is there, inform us as early as possible so thatthe same can be incorporated in the next edition.

2) Please inform IMA HQ DMC regularly regarding anyactivity which had been done by your State DMC/Local

Branch DMC in the past related to Disaster Management,so that such information can be taken up in the manual.

3) Please arrange at least one Awareness &/ortraining programme in a year.

4) Please encourage the local branches to formDisaster Management Cell.

5) IMA HQ DMC Cell has decided to start IMA PresidentDisaster Relief Fund. We request you to collect Rs.100/-per life member from your state & send it to IMA HQalongwith Life membership no. of member. The interest ofthe corpus fund will be utilized for training programmes.

6) IMA HQ DMC has started to maintain the roster of Facultyon the subject of Disaster Management. If you know anyof your colleague who is actively involved in thefield and is interested in training IMA members pleaseinform us.

If your state/local branch has not formed the DisasterManagement Cell, I request you to form a six member DisasterManagement Cell. The members should be selected fromdifferent zones of the state and from different specialities.There will be one Chairman & one Convener.The cell have a status of permanent committee, President andHon. Secretary will be ex-officio members. Every year 1/3members will retire. They are eligible for reappointment. Themembers will meet at least three times in a year. The Chairmancan co-opt two members.Apart from Chairman, the other five members will be allocatedfollowing responsibility.1) Publicity and liasion with press and media people.

Publication and awareness materials.2) Liasion with NGOs, DMC of IMA HQ and other branches

of DMC.3) Development and up-gradation of emergency planning and

emergency response for Disaster.4) Regulations and standards for Disaster Management.5) Upcoming events, conferences, training programmes.Kindly keep the undersigned informed about the formation ofcell alongwith the Name, Addresses, Telephone Nos. & E-mail address etc. of the members.Looking forward to your co-operation and enthusiasm.Thanking you and with kind regards.Yours Sincerely,

Dr. Chetan N. PatelChairman, IMA HQ DMC

Letter to the State and Local Branches from IMA Disaster Management Cell





IMA AKN SINHA INSTITUTE (HQs.)OF CONTINUING MEDICAL HEALTH EDUCATION AND RESEARCH

IMA Building, Dr. AKN Sinha Path, South East Gandhi Maidan, Patna - 800 004;Fax. & Ph. No.: 0612-2320539, Email: [email protected]

Post Graduate Certificate Courses

IMA AKN Sinha Insitute is an Academic Wing of IMA HQs. It is conducting several PostGraduate Certificate Courses in order to update the knowledge and skills of practicingphysicians. It was established in 1994 at IMA Headquarter, New Delhi. Now the officehas been shifted to IMA Building, Patna, Bihar.

The Courses cover a wide range of topics and are very popular among practicing doc-tors. Infact, they are heavily subsidized for the benefit of profession.

1 Pediatrics2 T.B. & Chest Diseases3 Adolescent Health4 Geriatric Medicine (Revised)5 Lactation Management6 HIV/AIDS & STDs Management7 Family Planning8 Torture Medicine9 Environmental & Occupational Health

10 Reproductive & Child Health11 Psychiatriy & Psycho-sexual Medicine12 Medical Negligence & CPA13 Clinical Diabetes14 Clinical Cardiology15 Rheumatology16 Radiology (Radio-diagnosis)

Any Medical Graduate/ Post Graduate who is registered with MCI can apply for this course.

Course Fee: Rs. 2000/- only per course for IMA Life Members & Rs. 5000/- only for IMA Non-Members.

The Draft should be made in favour of “IMA AKN Sinha Institute” payable at Patna. The Course duration is 6 months to 2years. Please write to us for more details. A self addressed envelope a fixing postal stamp of Rs. 20/- on it should be sent tous for obtaining brochure.

For details contact: Dr. Arun Kumar Thakur, Hony. Executive SecretaryMobile: 0-9431003218

EXISTING COURSES (Postal Mode)

For Booking Accommodation at IMA House, New Delhiplease write to the dedicated e-mail: [email protected]


mailto:[email protected]





IMA COLLEGE OF GENERAL PRACTITIONERS(NATIONAL HQ. CHENNAI]

13, VI Cross Street, New Colony Chrompet, Chennai- 44, Tamil NaduWebsite:www.imatn.com/www.imacgpindia.org; email:[email protected] or [email protected]

DIPLOMA IN FAMILY MEDICINEAFFILIATED TO UNIVERSTY OF COLOMBO, SRILANKA

Diploma in Family Medicine is a Post-graduate Diploma in General Practice/ Family Medicine, conducted by IMA CGP anddegree offered by University of Colombo, Srilanka. It becomes the first University recognized Degree/Diploma in India inFamily Medicine. Candicates who have completed DFM become eligible to undertake MD Family Medicine. Hence, DFM isa part I to MD Family Medicine.

The eligibility to apply for DFM are as below:

1. MBBS Medical Graduates from all Recognized Indian Universities.

2. 5 years of experience in General Practice to be Certified by IMA CGP/IMA.

3. Life Member of IMA and IMA CGP

Last Date of Registration with IMA CGP: 30th May

Last Date of Submission of Log Diary & Application Form: 30th July

Examination: August 2009

Centre: Chennai/ Hyderabad/ New Delhi

Registration with IMA CGP Rs. 6000/- send a DD in a name of “IMA CGP” payable at Chennai along with a request.Examination fee: DD USD 525/- Drawn in favour of Post Graduate Insititue of Medicine, University of Colombo, Srilanka.

Dr. J.A. JayalalHony. Secretary, IMA CGP

FCGP is the fellowship pragramme organised by the IMA CGP for the life members of IMA to enhance their clinical skills andacademic input for the effective general practice. This is a one year programme and at the end the candidate will have toappear for the exams after submitting the Log book of his/her training. On the satisfactory completion he/she will be admittedto College as its fellow. Honorary Felloship, however, in recognation of the service rendered by our senior professionals invarious parts of our country Hon. FCGP is bestowed on them during the Annual convocation.

Last Date Extended: For receiving Nominations up to June 30th 2009

Eligiblity for FCGP:

1. Life Member of IMA 3. 20 years of Service to the society after MBBS Registration2. Must become the Life Member of IMA CGP 4. The nomination must be recommended by the fellows of the College.

Total Fee:Rs.6000/- as DD in favour of “IMACGP HQ” payable at Chennai (for Life Members of IMA CGP Rs.4100/- Only)

How to Apply: Along with the filled in life membership application form of CGP and Hon. FCGP nomination form. Kindlyenclose the required fees Rs. 6000/- as DD, Xerox copy of IMA Life Membership, Degreee registration certificate and sendto your state faculty secretary/ who will forword it to the HQ office.

For Booking Accommodation at IMA House, I.P. Marg, New Delhiplease write to: [email protected]


http://www.imatn.com/www.imacgpindia.org;

mailto:email:[email protected]






RNTCP CORNER - The Chennai StatementConsensus statement on the problem, prevention, managementand control of multi-drug resistant and extensively drugresistant TB in India. From the consultative meeting of nationalexperts organized by the TB Research Centre, ICMR, Govt.of India, on 14-15 September 2007, at Chennai.Epidemiology: As per the estimates from the Staterepresentative drug resistance surveillance (DRS) survey inGujarat and various district level DRS studies, the prevalenceof MDR-TB in new smear positive pulmonary TB (PTB)cases is = 3% and 12 to 17% amongst smear positive previouslytreated PTB cases. Review of studies with representativesamples do not indicate any increase in India of the prevalenceof drug resistance over the years. Although isolated reports,both published and unpublished, indicate the existence of XDR-TB in the country, it is not possible as yet to estimate itsmagnitude and distribution from the available data.Definitions:MDR-TB is defined as resistance to isoniazid and rifampicin,with or without resistance to other anti-TB drugs.XDR-TB is defined as resistance to at least Isoniazid andRifampicin (i.e. MDR-TB) plusresistance to any of the fluoroquinolones and any one of thesecond-line injectable drugs (amikacin, kanamycin, orcapreomycin).Prevention of MDR-TB and XDR-TBThe use of inadequate regimens and the absence, orinappropriate application, of directly observed treatment canlead to the development of drug resistance and potentially toan increase in drug resistance levels amongst the community.The implementation of a good quality DOTS programme willprevent the emergence of MDR and XDR-TB in thecommunity. Therefore the highest priority is to further improvethe quality and reach of DOTS services in the country. Forthis, all health care providers managing TB patients need to belinked to RNTCP and operationalchallenges in implementing DOTS needs to be addressed. Theproportion of TB patients being treated outside the DOTSstrategy needs to be minimized. The International Standardsof TB Care need to be used by RNTCP and professionalmedical associations as a tool to improve TB care in the country.The fluoroquinolone group of drugs are not as yet recognized,nor recommended, as first line anti-TB drugs, and their useshould be restricted only to the treatment of confirmed MDR-TB cases.Management of MDR-TB:National guidelines and plans for scaling up management of

MDR-TB have been developed under RNTCP. In the interim,while RNTCP DOTS-Plus services are being expanded acrossthe country, all health care providers in the public and privatesector managing MDR TB cases, need to adhere to thefollowing:- MDR-TB management to be preferably undertaken only

at selected health institutions with experience, expertiseand availability of required diagnostic and treatment facilities

- Diagnosis of MDR-TB• Drug resistance may be suspected based on history of prior

treatment (e.g. smear positive case after repeated treatmentcourses, Cat II failure etc.) and/or close exposure to apossible source case confirmed to have drug-resistant TB

• For patients in whom drug resistance is suspected, diagnosisof MDR-TB should be done through culture and drugsusceptibility testing from a quality-assured laboratory.

- Interpretation of DST Results• Drug susceptibility test results of the 1st line anti-TB drugs

pyrazinamide, streptomycin, and ethambutol should beinterpreted with caution due to the poor reproducibility ofthese results even under optimal laboratory conditions.

• Drug Susceptibility Test (DST) results of 2nd line anti-TBdrugs* should be interpreted with great caution due to limitedcapacity of laboratories, absence of quality-assurance, andlack of standardized methodology.

- Treatment regimen• All relevant investigations to be performed prior to treatment

initiation• Preferably the standardized regimen as recommended in

the national DOTS-Plus guidelines should be used [6(9)Km Ofx Eto Cs Z E / 18 Ofx Eto Cs E] †

• If results of 2nd line DST from an accredited laboratoryare available, an individualized regimen may be used in suchpatients after obtaining a detailed history of previous anti-TB treatment

- Duration of treatment• At least six months of Intensive Phase (IP) should be given,

extended up to 9 months in patients who have a positiveculture result taken at 4th month of treatment

• Minimum 18 months of Continuation Phase (CP) shouldbe given following the Intensive Phase

- Follow-up schedule• Smear examination should be conducted monthly during IP

and at least quarterly during CP• Culture examination should be done at least at 4, 6, 12, 18




16..........................................................IMA News..............................................................March - April 2009and 24 months of treatment

• Relevant additional investigations should be performed asindicated

- Treatment adherence and support* Fluoroquinolones (Ciprofloxacin, Ofloxacin, Levofloxacin,Moxifloxacin, Gatifloxacin, Sparfloxacin, Pefloxacin);Kanamycin, Amikacin, Capreomycin, Ethionamide,Prothionamide, Cycloserine and PAS† Km = Kanamycin; Ofx=Ofloxacin; Eto=Ethinamide;Cs=Cycloserine; Z=Pyrazinamide; E=Etambutol

• All patients initiated on treatment and their family membersshould be intensively counseled prior to treatment initiationand during all follow-up visits

• To reduce the risk of development of resistance to second-line anti-TB drugs and promote optimal treatment outcomes,all efforts should be made to administer treatment underdirect observation (DOT) over the entire course oftreatment

• If DOT is not possible, attempts to ensure treatmentadherence should be made by

- Checking empty blister packs; and- Follow up visits at least every month- Documentation of treatment• Health care facilities/practitioners managing MDR-TB

patients should maintain a systematic record of treatmentregimen, doses, duration, side-effects, investigation resultsand treatment outcome for all patients initiated on second-line treatment.Public health responsibilities of health care providers

- Health care facilities/practitioners managing confirmedMDR-TB patients should inform their respective DistrictTB Officer regarding treatment initiation and outcome ofall MDR-TB cases

- Prior to treatment initiation and on all follow up visits thepatient and family members should be counseled on allaspects of MDR-TB

- All house hold contacts of the MDR-TB patients should bescreened for active TB disease

- Infection control measures• All large health care facilities need to have an infection

control (including airborne infection) plan and a teamfor implementation of measures to prevent nosocomialtransmission of TB and other air-borne infections

- Statements to the press/media on MDR-TB and XDR-TBshould be made with extreme caution and after requisiteverification and authentication.

A Tribute to Dr. Bidhan Chandra Roy





HYDERABAD WELCOMES YOU !

Indian Medical Association of Hyderabad East, HyderabadCity, Hyderabad North, Hyderabad-Airport, HyderabadCharminar welcomes you to the 84th All India MedicalConference of Indian Medical Association under theChairmanship of Dr.N.Appa Rao. The temperature will becool and pleasant at the time of Conference at Hyderabad on27th, 28th & 29th December 2009.

Hyderabad City has a historic tradition spanning over 400colourful years it was founded by Mohd Quli Qutub Shah in1591 and is on the bank of River Musi.

The prominent tourist places are Charminar, Salar JungMusuem, Golconda Fort, Qutub Shahi Tombs, Birla Mandir,Birla Planitorium, Hussain Sagar, Lumbini Park, Shilpa Ramam,Hitech City and Ramoji Film City. Hyderabad is famous forpearls and variety of Saries and Bangles.

The Organizing Committee under the Chairmanship ofDr.N.Appa Rao is planning to make your stay comfortable.The Cultural Programmes and Banquet are being planned tocater to the taste of all our members. The Schedule will befinalized for a local site seeing.

Registration:Upto 1-8-09to 1-11-09 to Spot

31-7-09 31-10-09 26-12-09 Rgistration

Delegate Fees 900 1300 1800 2200Accompanying Person 900 1300 1800 2200Please make the payment through DD in favour of“IMA CON-2009” Payable at Hyderabad.

Accommodation:Tariff: Approx. Chargers per daySl.No. Grade of Hotel Single Bed Double Bed1. Grade A Rs.2000 Rs.25002. Grade B Rs.1500 Rs.18003. Grade C Rs.1200 Rs.15004. Grade D Rs.600 Rs.700

For Further Details Please Contact:Dr. N. Appa Rao, Chairman, Organising Committee

84th IMA National ConferenceIMA Building, Ground Floor, Eamia Bazar, Hyderabad-500 027

Ph: 040-24738197, Fax: 040-24738197Email: [email protected]

REGISTRATION FORM

Name:_____________________________________________

Complete Postal Address:______________________________

__________________________________________________

__________________________________________________

E-mail: ____________________________________________

Ph: (STD Code): _______ No.:___________________________

Mobile :_________________________________________

Accompanying Persons

S.No Name Age Sex1

2

3

4

Mode of Payment Cash/ D.D in favour of “IMACON-2009”

Payable at Hyderabad, Amount in Rs._______________________

DD No —————————— DD Date——————————

Bank—————————————————————————

Signature of the Delegate

For Office Use

Registration. No:—————— Receipt No.———————

Signature of Org. Secretary

84th ANNUAL NATIONAL CONFERENCE OF IMA HQHYDERABAD

IMA Building, Ground Floor, Esamia Bazar, Hyderabad-500 027Ph:: 040-24738197, Fax: 040-24738197; E-mail: [email protected]







Care for ElderlyIndian medical association is always in the forefront in social andcommunity activities. All of us know that the elderly peoples have alot of problems and they are not getting proper care from the societyand generally there is a belief that they are neglected group.Considering the importance and magnitude of the problems ofelderly, IMA has taken up care of elderly as a special project, duringthe period when Dr. Ajaykumar was National President It is anongoing project since 2007; immediate past President Dr. Abbasand immediate past Secretary General Dr. S.N. Mishra also tookspecial interest. A number of states and local branches haveimplemented the project in a very effective way. This will help todevelop better relation between the doctors and public. TheNational President Dr. Ashok Adhao and Secretary General Dr.Dharam Prakash are very much interested for better functioning ofthe Project.The aim of the project is to support the physically weak, mentallydepressed, socially isolated and financially broken elderly people.As per the project the following instructions may be carried outthrough the state and branch.National level: In the National level there will be a managingcommittee nominated by the National President.State level.: In the state level State President and Secretaries maytake initiation for the formation of task force with Chairman,Convenor and 11 members from different parts of the state. StatePresident and State Secretaries will be ex-officio members. Thestate level committee will take initiation to implement the project inthe branch level and training of the doctorsIn the branch level: Special care has to be taken because successof the program depends on functioning at the branch level.A task force should be formed with minimum 7 members, branchpresident and secretary will be ex officio members, and representativefrom women’s wing may be included. Main object of the task forceis implementation of project at the branch levelTraining of doctors: To create awareness among doctors, propertraining should be imparted.In the national level initially few doctors will be trained as mastertrainers. The master trainer will train doctors at the state level aslead trainers. The lead trainers in the state will train the doctor in thebranch level. The national level committee will take a decisionregarding this. ( Subject to the availability of funds )Implementation of the programme in the branch level:1. Identification of deserving individuals: can be divided into two

categories.(a) Financially poor: give them all possible help.(b)Financially sound: counseling and other necessary helprequired for an old man.The local body authorities and local social workers can becontacted to help for identification of the elders. Anidentification card can be issued to the selected people.

2. Adoption of the elderly: The members of the branch can adoptone or two persons to give maximum help by all possible wayslike (a) concessional or free consultation. (b) Seek help ofother doctor or private hospital (c) Counseling program.

After identifying deserving candidates, under IMAsupervision, they can be brought under mediclaim policy. Thefee can be sponsored by single person or as a group. The private hospital management may be requested to adoptfew elderly people.

3. Concessional or free consultation: After proper discussion atthe branch general body /executive committee decision can betaken to give free or subsidized medical care. The decision canbe left to the discretion of the members. The task force canidentify willing doctors to give help. The age limit can be fixedin the branch level.

4. Free clinic: In the branch level free clinics can be establisheddaily, weekly, fortnights or monthly basis.

5. Free geriatric camp: In the selected areas with the help oflocal body representatives, voluntary organizations, socialworkers free periodical camp can be arranged. Those who needsfollow up, private hospital authorities or government hospitalauthorities may be requested to give possible help.Concessional or free charges may be made available.

6. Blindness control program: The branches with the supportof ophthalmologists of government hospitals private hospitaland voluntary organizations, can organize cataract detectioncamps and surgeries

7. Old age homes: Local branches can start old age homes oradoption of the old age homes or periodical free medical checkup and follow up may be given to those who reside in old agehomes.

8. Day care centers: Initiation may be taken to start day carecenters. Maximum importance has to be given for theprogramme because older needs good mental satisfaction andenjoyment during old age.

9. Home care: Patients and family members of bedridden oldpeople will be in a difficult situation to look after them - homecare for the deserving elders may be arranged.

10. Awareness programmes for paramedical staff, social andcommunity leaders, senior citizens can be arranged.

11. Special awareness programme should be arranged for the caretakers of the elder people.

12. Special counseling programmes for the elders and care givingrelatives.

This year we may give special importance to the counseling ofelders and care giving relatives.

Finance: The national level committee will try to get maximumfinancial help from different sources-Central government, WHO,voluntary organizations etc. The finance for the training program ofdoctors made available by the national level committee. The statelevel and branch level committee may also try to get financial helpfrom different sources.The above-mentioned are guidelines only; the branches can have apractical approach according to the decision of the task force.If the project is implemented in an effective way, IMA will get agood social impact.Let’s all work together for the successful implementation of theproject.

Dr. V.U. SeethiNational Co-ordinator, Care of Elderly – IMA





It was a great experience attending the State Presidents &Secretaries meet at Delhi on 14th & 15th March, 2009. It madeus feel the importance of IMA and gave us a lot of inputsfrom other States to be taken up by us as well whoeverattended. I am sure the vast experience of our Hony. SecretaryGeneral has gone through the whole exercise to the benefit ofall. Thanks on behalf of IMA TNSB for accepting oursuggestion to change the MA Form and also for allowing ourtwo Presidents for attending the session.

Dr.L.V.K. Moorthy, Dr. T.N. Ravisankar, IMA TNSB.

I am a pathologist having recently finished my MD fromMumbai. I checked the IMA website and was reallyimpressed. I wish to congratulate you on such wonderful work.Going through it, I was also inspired to join the IMA. However,I was unable to find the procedure for doing the same on thesite. Can you please guide me as to how I can go about it?With best wishes for continuing good work.

Gorakh It was so nice to meet you & have interaction with you in theIMA State Presidents & Secretaries meet on 14th & 15thMarch,09. This meet was so informative & gave us impetusto increase the activities & projects of IMA. I think we shouldhave frequent meets like this to enhance the activities of IMA.I am thinking to implement similar type of meet at my statelevel with branch Presidents & Secretaries. After coming backfrom Delhi,I have started implementing certain of our state’svision which I had projected in the meeting like :1.Membership drive.2.Activating the defunct branches.3.Aao Gaon Chalen.4.Attendance promotion in CMEs.5.Rural health camps.

I am getting some positive results,though slowly.

Regarding HOSPITAL PROTECTION ORDINANCE, I willstart working after the Assembly & Parliament elections areover.

Prof Abhoya Kumar Kar , President of IMA Orissa

It’s a captivating experience for me to share the ideas andpercepting the functional mechanics of various leaders of IMA.Its to your credit to ignite some positive & proactive thoughtprocess in our team and it definitely yields good outcome forthe betterment of our fraternity.

· “STOP-SEX SELECTION” and “pharmaco-vigilence” andother disease preventive programs –

· Continuous educational programs and publishing healthmagazines

· Pushing the welfare schemes on the right path· Bridging the communication gaps between IMA hierarchy

and common member· Improving the standards in medical curriculum· Addressing the various acts through a single window system· Transforming our association into “policy maker” and as

prestigious N.G.O.

On behalf of IMA-A.P.state, my hearty thanks to you for thehomely arrangements.

Dr.Ch.Srinivasa Raju, Hony. Secy.,IMA AP State

This is to congratulate and complement you for the excellentconduct of the Office Bearers orientation programme held atNew Delhi on 14th & 15th March, 2009.The programme went, on very well. All including attendance,presentations, Deliberations, Arrangements were planedmeticulously so that the aim and purpose of the meeting wasfulfilled with a great appreciation from all concerned.In short the meeting was a unique one and was a very successful,purposeful and fruitful one.

Dr. K. Vijayakumar, National Vice President

I, myself and on behalf of IMA, Haryana State congratulateyou for organising a very successful State Presidents and StateSecretaries meets on 14th -15th of March at IMA House, NewDelhi. It is one of the best educative and usefuI meet everattended. Sir, this is all because of your great vision andhard work. I am very sure that under your able guidanceand leadership IMA will achieve great heights.

Dr.V.N.Sood, Hony. Secretary Haryana State

I congratulate you for the excellent way in which themeeting for the presidents and the secretaries wasconducted. I attended such a meeting for the first time. Infact, for the entire two days, none of us from Tamil Naduwent out of the building. Even if we put in 10% of theeffort you are making, it’ll be very useful. It was veryinspiring. We shall do our best to bring IMA to the peak.with personal regards.

Dr.B.Sundararajan, Joint secretary, IMA CGP

Your Views

For Booking Accommodation at IMA House, I.P. Marg, New Delhiplease write to: [email protected]






Branch Activities

Bareilly: Celebrated IMA Community Service Day; Organizeda blood donation camp in different places. Total no. of 68 unitscollected; on this occasion distribution of clothes and fruits tohandicapped children was done in a school located at villageKandharpur.

Belgaum: Organised blood donation camps, screened cataractfor 570 patients; organized CME programmes on latest update onSpine Surgery & Painful knees to pain free walking.

Bengal State: Inaugurated “Rabindra Library” at IMA BengalState Branch On 15th May 2009.

Bidar: Conducted CME on conventional X-Rays and Ultrasoundscanning; Pulse polio mobilization during the 11th round of pulsepolio programme several doctors participated in mobilizing thechildren to the booths. A free health check up camp was conductedat Markhal village on February 2009 and many specialists tookpart in the camp.

Chirmiri: Conducted CME programme at Regional Hospital,Kurasia in Doctor’s club on March 22, 2009 by IMA Chirimiri andSECL on CVA; organized a general health camp at Village Duggiin Khadganwa block jointly by SECL Chirmiri and IMA; 365villagers were examined and provided medicines free of cost.

Chitradurga: Organised CME on ‘overview on breast cancer’,‘Therapeutic Gastro Intestinal Endoscopy’, ‘overview onOpthomology’; organized health checkup camps.

Dharward: Organised CME on Obesity and Hyperlipidemia;conducted health check up camps on International Women’s Day.

Dindigul: Observed International Woman’s Day. The message‘Female Child is Nations Pride’ and the importance of women inall walks of life was conveyed. The importance of that conceptand the modalities of implementation of the concept by the DindigulIMA was discussed in details.

Erode: Conducted camps at Sengodampalayam where 280patients treated with Iron Therapy; Organised 9 blood donationcamps where total of 562 units of blood were collected; 90 freedialysis were done at Govt. Headquarters Hospital; 30 freeEndoscopic examination were done; conducted free diabetesdetection and awareness programme on Foot care where around185 diabetics patients and for other potential diabetics wereexamined; 33 patients benefited from free ear screening camp.

Gangavathi: Conducted CME on Mood Variations; organized megaEye Camp where 600 patients were screened.

Hassan: Organised Cardiology camp on 6th of March in associationwith Vikram Hospital, Mysore where 62 patients attended the camp;organized Cancer detection camp in association with Bharath

Ahmedabad Branch - PPS Zonal Educational Seminar

Durg Branch - Health camp

Bengal Branch - Dr. S.K. Misra, H.M. Bengal and Dr. Ashok Adhaoinaugurating the Annual State Conference

Bhandara Branch - Felicitation of National President

Dr. M. Abbas and Dr. K. Vijay Kumar inauguratingthe Orissa State Conference





Dr. R. D. Dubey addressing Medical Conference of Nepal

Gadag Branch - Conducting CME

Lohardanga Branch - Observing World Health Day

cancer Hospital, Mysore where 18 patients were examined;observed National Woman’s Day in Association with HSOG forpublic where around 450 people attended the function.

Hubli: Organized a rally in association with Vasan Eye Care Hospitalon the eve of World Glaucoma Day. The rally was inaugurated byMr. Chavan, ACP Traffic Inspector and President Dr. B.P. Yalgi,Dr. S.G.Nadagouda and Dr. Virupaksha spoke on this occasion.Large number of students from Nursing college participated in thisrally.

Ilkal Hunagund: Conducted awareness programme on Disposalof Bio-Medical Waste.

Jhargram: Observed World Health Day at IMA Hall; A CMEprogramme was also organized on Modern management in DiabetesMellitus. Many members participated and discussed on the topic.

Kollam: On Anti Leprosy Day, awareness classes were taken onleprosy to the college students; conducts Free OPD on all Sundays,examines patients and gives medicines free of cost; IMA BloodBank and CSU are functioning well; Newly formed Elders Clubwhere the care of elderly people is one of the special project isfunctioning well.

Kota: Organized CME on complex and peripheral vascular diseasein association with Kota Heart Institute. Dr. Michel Henry (France)was the speaker and session was followed by panel discussion;celebrated World Glaucoma Day.

Kozhikode: Organized one day workshop on Vascular Access andSafety IV Practice by IMA AMS Kozhikode Chapter and Deptt.of Emergency Medicine, MIMS at IMA Hall Kozhikode; conductedone day CME on Genetics in Paediatric Practice.

Krishnarajanagara: IMA Ladies Wing, K.R. Nagar celebratedWorld Health Day by observing World Health Slogan of this yearand conducting a programme on mental health “Nararoga SwaraRaja”. It was a programme for both public as well as doctorsregarding scientific correlation of music to mental health and wellbeing.

Lohardaga: Celebrated Woman’s day; organized Medical camp atDistt. Jail; Haemoglobin test was done of all the prisoner and FreeIron and vitamins were given to female prisoner and their children.

Ludhiana: Celebrated International Woman’s Day on March 8,2009; It included lectures on Social issues/ Newer vaccine againstHPV/ Cervical cancer screening, pap smear and small culturalprogramme; At least 400 patients were examined on this day.

Meerut: Organised a free health check up camp on communityService Day at Dr. Amrish Sharma College of Education; manyspecialist members attended the camp; about 500 patients wereexamined and given free medicines; about 50 specialist doctorsfrom different branches, 15 medical persons, 20 social workers 6paramedical staff provided their services.

Dr. Ketan Desai is being felicitated after taking overas the President of Medical Council of India on 2nd March, 2009

Firozabad Branch - District Level CME




22..........................................................IMA News..............................................................March - April 2009Perumbavoor: Actively involved in the National Pulse PolioImmunization programme; A Blood donation camp was conductedat Jayabharath College Arakkappady in association with Deptt. ofMSW of the College where 46 persons donated blood. ConductedMedical camp at Vengola village near Perumbavoor; nearly 250patients attended the medical camp; free medicines were alsodistributed to the patients; Woman’s day was observed on March8, 2009.

Poonamallee High Road: Observed World Health Day atChennai, conducted free eye check up camp for senior citizens onMarch 22, 2009 at Rajan Eye Care Hospital for Cataract,Glaucoma screening and refractive errors detection. Manymembers visited homes for the aged under HelpAge India’sguidelines and gave free medicare wherever needed; Specialistsattended and gave free consultation. Members contributed to“Adopt a Granny Policy” which extended Financial, Emotional andMoral support for Elderly person.

Salem: Organised immunization camp on March 15, 2009 at IMAHall for Chicken Pox, Typhoid, M.M.R. Hepatitis-A & B, DPTPolio Drops and Brain fever injections; 83 children and Adults wereimmunized; organized free ENT camp.

Samastipur: Organized CME on Meditation and Medicine. Thespeaker was Dr. Foulot Harve Paris (France).

Sirsi: Organised Free eye Check up camp at Kagal Kumta where143 patients screened and 46 patients were operated; conductedfree health check up camps at Kakkalmane Village and NarebailVillage where 10 doctors attended the camp and 230 patients werebenefited; Observed Pulse Polio Programme, around 12550 childrenwere given mop-up polio drops with the assistance of Health andFamily Welfare department.

Taliparamba: Celebrated World Health Day as a State Level Publicmeeting by IMA Taliparamba Silver Jubilee Committee with IMAKSB. The programme started with a World Health Day Rally.

Tellicherry: Observed World TB Day at Merchants AssociationHall Tellicherry; Observed Measles Immunization Day andorganized Blood donation Camp.

Thalappilly: Conducted a Diabetes and Hypertension detectioncamp and Blood Group Determination camp in Ambalappad U.P.School where around 200 persons were benefited by the camp.

Virudhunagar: Organised Free Rural Medical Camp atKoonampatti & Chinnapatti where 98 patients were benefited. FreeThyroid profile screening were done for 63 patients at Aruppukottai;conducted Blood donation camp at VHN College where 63 unitsof blood were collected. organized Free Medical camps where400 patients were examined.

Virudhugagar Branch - Observing World Health Day

Krishnarajanagar Branch - Observing World Health Day

Mathura Branch - District Level CME

Punjab State Branch - District Level CME

Krishnagiri Branch - Conducting CME




24..........................................................IMA News..............................................................March - April 2009R.N.I. Registration No. : RN. 14447/67

Edited, Printed and Published by Dr. Dharam Prakash on behalf of Indian Medical Associationat I.M.A. House, Indraprastha Marg, New Delhi-110 002

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Glimpses of 201st CWC held at Goa on 25-26th April, 2009


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