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The blood bank at RIMS, Ranchi, supported by JSACS

Ranchi, Oct. 25: Jharkhand State AIDS Control Society (JSACS) will be opening a clutch of blood banks across several districts to ensure safe transfusion in remote areas that do not have such facilities amid a relatively high incidence of HIV positive cases.

By the year-end, the state-owned apex body for AIDS control hopes to have in place blood banks in the district headquarters of Sahebganj, Koderma, Seraikela-Kharsawan and Chatra.

While Koderma, according to sources, may have 700 HIV/AIDS patients, Seraikela-Kharsawan, Sahebganj and Chatra each roughly have 500 affected by the disease.

So, a decontaminated blood source in these districts is a must to prevent an outbreak.

The society is also looking at lifelines for Khunti, Ramgarh, Godda, Pakur and Jamtara by the next financial year.

It has already applied to the Central Licence Approving Authority for Sahebganj licence. It is expected to apply for licences for the three other blood banks within a few weeks.

"We expect a team from Central Drug Authority, Calcutta, to come and assess the infrastructure at Sahebganj in a few days. Following its approval, we will be issued the licence to run a blood bank there," said JSACS director Aradhana Patnaik.

She maintained that the banks would ensure timely collection and storage of decontaminated blood. "We deem it our responsibility to make safe blood available for transfusion," she added.

Each blood bank will be manned by a doctor, a pathologist, two lab technicians and a nurse. They will be appointed by the National AIDS Control Organisation (Naco). Naco has already appointed members of staff to man the Sahebganj blood bank while the process of appointment for the others is underway.

Currently, the apex AIDS body has blood banks at sadar hospitals in 15 districts. Once the licences are obtained, the number of JSACS blood banks in the state will go up to 19, leaving only five districts without the life-saving facility.

Apart from Ramgarh, where the military hospital in the cantonment area has a blood bank, Khunti, Godda, Pakur and Jamtara are yet to be equipped with government-owned or private blood banks.

Besides JSACS, the government owns 16 blood banks across Jharkhand, including three in medical colleges and hospitals. There are also 26 blood banks jointly owned by public and private sector organisations in the state.

The maximum number of blood banks, which is 14 considering both government-run and non-government ones, are located in the state capital.

The districts, where the AIDS society plans to open blood banks this financial year, currently lack the facility. The project will thus bring much relief to patients who require frequent transfusion.

The JSACS has recently identified 6,265 HIV patients following a survey on more than 1.3 lakh people in villages across the state. Main carriers of the AIDS virus are migrant workers. Though Jharkhand falls in the low-prevalence category of HIV/AIDS, according to a rough Naco estimate, over 20,000 people may have already been affected statewide.source - telegraphindia.com

NHRC notice to J'khand over death of 34 patients at Rajendra Institute of Medical Sciences

Ranchi: Death of about three dozen patients at Jharkhand's premier health institute, Rajendra Institute of Medical Science (RIMS), during a recent strike has come under the National Human Rights Commission (NHRC) scanner.

Taking serious note of the death of 34 patients due to gross negligence of medical staff during August 17 to 23, the NHRC has sought explanation from the RIMS administration and the State government as to why the people were left to fend for themselves.

About 300 junior doctors and 425 contractual nurses along with para-medical staff went on a lightning strike during the period in support of their demands, which included withdrawal of cases against some doctors and substantial hike in their remunerations.

The police had lodged a case against some doctors and other RIMS staff for allegedly beating up attendants of a couple of patients, who reportedly died due to the doctors' neglect.

NHRC spokesman Jaimini Kumar Srivastava said that the commission would serve a reminder to the State government if its reply did not reach them within the stipulated time.

"In a petition, the commission has been brought to the notice that over 60 patients had to be shifted from RIMS to other private hospitals due the strike, while 34 patients lost their lives," Srivastava said.

Officiating Health Secretary AK Sarkar said that necessary action had been initiated in response to the NHRC query. -

Health dept seeks details from Jharkhand Medical Colleges

RANCHI: Health department principal secretary A K Sircar has directed all three medical colleges in the state to submit details of seats and corresponding facilities along with the requirement of infrastructure as per guidelines of the Medical Council of India (MCI) to decide increasing seats for admission to MBBS course.

A meeting in this regard was convened by chief secretary A K Singh along with health department officials and representatives of the medical colleges here on Wednesday.

The state government is mulling a plan to increase the number of seats for MBBS courses from 190 to 350. As per proposal, number of seats at Rajendra Institute of Medical Sciences (RIMS) would be increased from 90 to 150 in the first phase and consecutively to 250 whereas the seats at Mahatma Gandhi Memorial Medical College, Jamshedpur, and Patliputra Medical College Hospital, Dhanbad, would be increased from 50 to 100 each.

Sircar said, as per MCI guidelines, for every seat of medical college there are certain standard parameters of infrastructure and faculty strength, which the state needs to fulfil before applying for increasing the seats.

"We have asked the medical colleges to furnish the details of gap between existing infrastructure and requirement as per MCI norms when the seats are increased," he said.

Sircar added that the government would enclose the details of requirement before forwarding the proposal to the chief minister's office. Giving deadline till Friday morning to the medical colleges, the department is also analysing possibilities of utilizing the available infrastructure at medical colleges for including them in the report being prepared for claiming enhancement of seats.

RIMS officials suggested that most of the institutes are ready in terms of physical infrastructure but the strength of faculty is the only bottleneck. "MCI is particular about student-teacher ratio and the number of seats permitted for any course depends upon the strength of faculty," said Ajay Kumar, former vice-president of Indian Medical Association, adding that new appointments would be necessary in case the number of seats are increased. He also said beginning with 150 seats in 1960, the number of admissions for MBBS course went up to 225 but later with exodus of teachers and delay in appointment student-teacher ratio came down thereby bringing down the permissible admissions to '90s after mid '80s. source-timesofindia.indiatimes.com

MCI official satisfied with department of anaesthesia at Rajendra Institute of Medical Sciences (RIMS) inspection

RANCHI: Students and faculty members of department of anaesthesia at Rajendra Institute of Medical Sciences (RIMS) are keeping their fingers crossed expecting the nod of Medical Council of India (MCI) for
recognising post-graduate course in the department.

MCI inspector Poonam Bhadoria from Maulana Azad Medical College, Delhi, who was here on a two-day visit expressed satisfaction over infrastructure, cleanliness and strenght of faculty members. Talking to the media after inspecting the operation theatre, Intensive Care Unit, labour room and recovery room, Bhadoria said she was happy to note standard of cleanliness and latest equipment being used.

"Hardly any government hospital maintains such high standards," she said. Bhadoria, however, clarified that the report would be submitted to the MCI headquarters and a final decision on whether admissions to PG course be allowed, would be taken by senior officials.

Head department of anaesthesia, Ajit Kumar said no short falls were pointed in course of inspection. "We have been preparing for the inspection for quite some time now. We are hopeful that not only the admissions to PG course would be allowed but also the course would be recognised for the first time since 1988," he said.

PG course in anaesthesia was being conducted all these years with due approval of MCI but it was not registered with the MCI as a result of which students obtaining post-graduate degree from RIMS are not
allowed to apply for government jobs outside Jharkhand.

"Paper degree is hardly taken into account in the private sector and due to limited vacancy in government hospitals only few students complained about the course not being recognised by MCI," said a PG student.

The RIMS management invited MCI team way back in March 2009 for inpection but the institute requested the team to delay its visit in July the same year after it identified shortfall in faculty position. source-timesofindia.indiatimes.com

More medical seats proposed for Jharkhand Medical College

Ranchi, Oct. 20: Following chief minister Arjun Munda's nod, the state government has begun working towards increasing MBBS seats in the three medical colleges of the state.

At present, Jharkhand produces only 190 MBBS graduates every year from the three medical college-cum-hospitals. While Ranchi-based Rajendra Institute of Medical Sciences (RIMS) offers 90 seats, Jamshedpur-based Mahatma Gandhi Medical College and Hospital (MGMCH) and Dhanbad-based Patliputra Medical College and Hospital (PMCH) offer only 50 seats each.

"A preliminary decision to increase MBBS seats in the three medical colleges was taken today. RIMS will offer 250 seats, followed by MGMCH and PMCH, which will offer 100 seats each. We will now start working towards setting up infrastructure and recruiting teachers, nurses and other staff. After fulfilling the minimum criteria for increasing the number of seats, the state will approach Medical Council of India (MCI) which is the final authority on the matter," additional secretary in the state heath department Arun Kumar Sinha told The Telegraph.

Today, chief secretary A K Singh held a crucial meeting to decide the nitty-gritty of executing the plans with principal secretary of health department A.K. Sarkar. Sinha and senior representatives of the three medical colleges were also present during the meeting.

The need to increase the number of MBBS seats in the three medical colleges has been felt since long in the wake of acute scarcity of doctors to man government health establishments at every level — from district headquarters to blocks.

A few decades ago, RIMS used to offer as many as 150 seats, while MGMCH and PMCH, 100 seats each. But over the years, the number of MBBS seats shrunk, thanks to the stringent MCI norms the colleges failed to adhere to.

Former vice president of Indian Medical Association (IMA) Dr Ajay Kumar Singh welcomed the state government's noble initiative, but exercised caution at the same time. "It should not remain a hypothetical situation. I see good co-ordination between chief minister Arjun Munda and chief secretary A.K. Singh. They can work hard to ensure increase in the number of seats which will benefit people," he said.

According to rough estimates, the state faces a shortage of 5,000 doctors. Of the over 10,000 doctors needed to serve a population of over three crore, the government health establishments have only 2,000 doctors at their disposal with many in administrative capacity as civil surgeons, directors, superintendents and others.

About 3,000 doctors work in the private sector due to several reasons, including less pay offered by the government and lack of infrastructure in community health centres.

Moreover, absenteeism of doctors is common.

Block-level referral hospitals are often hit due to this malaise. source-telegraphindia.com

Dengue on its way out of Ranchi

Ranchi, Oct. 10: Dengue finally seems to be on its way out of the capital.

Doctors at Rajendra Institute of Medical Sciences (RIMS) heaved a sigh of relief today as the number of dengue patients undergoing treatment fell to 13 after peaking at 30 on October 7.

As many as 17 patients were released over the past two days from the RIMS isolation ward. Now, two rooms of the ward have been closed and the remaining patients are in a single room.

A nurse at the isolation ward said the last person to be released from the unit was Subodh Kumar Barnwal (26), a resident of Saria in Giridih. According to another nurse, during last three days 18 patients have been released from the institute while only one new patient has been admitted.

"Most patients were released on October 8. One patient, Rita Devi (26) from Garhwa, was admitted last night," the nurse said.

RIMS superintendent M.K. Roy said the hospital expected to release all dengue patients within 10 to 15 days. "Once the weather cools, it will be difficult for the disease-spreading mosquitoes to survive," he said.

Roy added that the disease could be controlled by cleaning drains and getting rid of stagnant water. "The district administration should take measures to check the disease in future," he said.

So far, 82 dengue patients have been treated at RIMS since early September. No one has died of the disease in the capital. source-telegraphindia.com

More Beds for dengue in RIMS

Oct. 6: To cope with the growing number of dengue patients, Rajendra Institute of Medical Sciences (RIMS) has added more beds in its isolation ward, while in Jamshedpur, the number of patients undergoing treatment stood at 26.

An RIMS, there are 22 dengue patients under treatment at present. Initially, the hospital's isolation ward opened with 14 beds on September 8, when the first patient was admitted.

Since then, the hospital has treated 71 dengue patients, of whom 49 have been discharged.

The ward has now been provided with 24 beds. While 14 beds are at one place, 10 beds have been accommodated in two other rooms.

The number of nurses attending on dengue patients has also been increased. There were only three nurses in the beginning, now there are eight.

"Patients are coming from different parts of the state. Till September 28, the space available to us was sufficient to accommodate the number of cases we had. But after that, the rush has only increased. When the number of patients crossed 18 on October 2, we started increasing the number of beds," a nurse said.

RIMS director A.K. Mahto confirmed the development and said more beds would be added if the situation so demanded.

He claimed there was adequate quantity of platelets available at the RIMS blood bank, as were necessary kits to identify dengue cases. "Those admitted are recovering within a week and fortunately we have not had any casualties at our institute so far," he said.

He added there was no reason to panic as dengue was a self-limiting disease. "The role of the doctor is limited to providing symptomatic treatment," he said.

Some patients undergoing treatment at the institute, however, complained that they had to depend on private labs for pathological tests advised by doctors as the facilities were not available at the hospital. They added that barring a few saline bottles, they had to buy all medicines from outside. Asked about the same, RIMS superintendent M.K. Roy said the matter would be looked into.

In Jamshedpur, where two persons have died of dengue so far, district health department sources said 155 cases of the fever have been reported till now.

At present, 26 patients are undergoing treatment at various hospitals. The cases have been reported Sakchi, Kitadih, Agrico, Sonari, Adityapur, Jugsalai, Kadma, Telco and Parsudih. Patients have also come in from Rajnagar and Ichagarh in Seraikela-Kharsawan district.

Surveillance officer for communicable diseases, Swarn Singh, revealed that the civil surgeon's office has been taking preventive measures to check the spread of dengue by spraying pesticides at possible mosquito-breeding sites.

In Ranchi too, health department officials have been asked to be vigilant. source-.telegraphindia.com 

RIMS has added more beds for DENDU

Ranchi/Jamshedpur, Oct. 6: To cope with the growing number of dengue patients, Rajendra Institute of Medical Sciences (RIMS) has added more beds in its isolation ward, while in Jamshedpur, the number of patients undergoing treatment stood at 26.

An RIMS, there are 22 dengue patients under treatment at present. Initially, the hospital's isolation ward opened with 14 beds on September 8, when the first patient was admitted.

Since then, the hospital has treated 71 dengue patients, of whom 49 have been discharged.

The ward has now been provided with 24 beds. While 14 beds are at one place, 10 beds have been accommodated in two other rooms.

The number of nurses attending on dengue patients has also been increased. There were only three nurses in the beginning, now there are eight.

"Patients are coming from different parts of the state. Till September 28, the space available to us was sufficient to accommodate the number of cases we had. But after that, the rush has only increased. When the number of patients crossed 18 on October 2, we started increasing the number of beds," a nurse said.

RIMS director A.K. Mahto confirmed the development and said more beds would be added if the situation so demanded.

He claimed there was adequate quantity of platelets available at the RIMS blood bank, as were necessary kits to identify dengue cases. "Those admitted are recovering within a week and fortunately we have not had any casualties at our institute so far," he said.

He added there was no reason to panic as dengue was a self-limiting disease. "The role of the doctor is limited to providing symptomatic treatment," he said.

Some patients undergoing treatment at the institute, however, complained that they had to depend on private labs for pathological tests advised by doctors as the facilities were not available at the hospital. They added that barring a few saline bottles, they had to buy all medicines from outside. Asked about the same, RIMS superintendent M.K. Roy said the matter would be looked into.

In Jamshedpur, where two persons have died of dengue so far, district health department sources said 155 cases of the fever have been reported till now.

At present, 26 patients are undergoing treatment at various hospitals. The cases have been reported Sakchi, Kitadih, Agrico, Sonari, Adityapur, Jugsalai, Kadma, Telco and Parsudih. Patients have also come in from Rajnagar and Ichagarh in Seraikela-Kharsawan district.

Surveillance officer for communicable diseases, Swarn Singh, revealed that the civil surgeon's office has been taking preventive measures to check the spread of dengue by spraying pesticides at possible mosquito-breeding sites.

In Ranchi too, health department officials have been asked to be vigilant. source-telegraphindia.com

MGM plans more room for patients

Jamshedpur, Oct. 6: Patients jostling for space in cramped wards and the OPD of Mahatma Gandhi Memorial (MGM) Medical College and Hospital may well be a thing of the past.

The state-owned hospital has drawn up an ambitious plan to nearly triple its capacity, adding 1,000 beds to the existing 520. This will not just add room to wards, but also prevent patients from encroaching upon OPD space in the absence of beds.

Newly appointed MGM superintendent S.S. Prasad said the facelift proposal would be discussed at a meeting with East Singhbhum additional deputy commissioner Vijay Kumar Singh. "We are scheduled to meet him tomorrow. The proposal will be discussed in details and routed to the state health department through the deputy commissioner," he said, adding that a "verbal discussion" with the state health secretary had already taken place.

Besides increasing the number of beds, the hospital also plans online registration of patients and makeover for the administrative block and medicine building. Recruitment of additional doctors, nurses and other hospital staff has also been included in the proposal to be sent to the health department.

On an average, 900 patients visit the hospital's OPD everyday while 300 turn up at the emergency ward and 200 at the gynaecology ward, Prasad pointed out. "Attending to the needs of so many patients with just 520 beds is virtually impossible. We need at least 1,000 more beds," he said, adding that land was available behind the old hospital. "We also plan to dismantle old structures there for infrastructure development."

Prasad, who took charge of MGM from August, said the proposal was in keeping with the status of the hospital. "MGM is a medical college and hospital. In other cities, medical colleges and hospitals have far better infrastructure and facilities. We need to give the same kind of attention," he said. source-telegraphindia.com

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