Infectious diseases are a foremost cause of death, accounting for approximately one third of all deaths worldwide as a direct consequence of risky human behavior, fast paced lifestyle, increased travel, inappropriate use of antibiotic drugs, as well as mutations in pathogens
But the worst is yet to come as new and reemerging infectious diseases pose a even greater threat to global health and protection over the next 20 years endangering citizens and threatening armed troops deployed overseas, argues Dr Narender K. Gupta, a reputed Nri physician and a board certified Fellow with the Royal College of Physicians and Surgeons of Canada, Clinical Assistant Professor at the medical College of Ohio, Usa and President community for Medicare, a Delhi based Ngo in the field of medical education, awareness and capacity construction to save human lives. Dr Gupta was recently elected as one of one hundred physicians in Usa to join the Vascular Biology Group at the University of Florida to investigate the multiple effects of hypertension, high cholesterol and renal dialysis on the blood vessels of the body.
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According to Dr Gupta despite the fact that India has one of the world's highest numbers of population , over 5.7 million Hiv-positive people, suffering from Hiv/Aids patients, sex instruction remains a taboo in most parts of the country
According to Dr Gupta, the only rejoinder breaking this vicious cycle lies in starting a massive nation-wide 'Quit India Movement to banish Hiv and other linked infections' like the mass movement started by Mahatma Gandhi to liberate the country from the British.
At least six Indian states-- Gujarat, Maharashtra, Madhya Pradesh, Chhattisgarh and Karnataka have banned sex instruction or refused to comprise it in their curriculum on the pretext that it encourages permissiveness among young population and is hence has no place in Indian culture. All this is bound to have serious consequences as India already has 165,000 reported Aids cases of which colse to 50,000 are in the age group of 15-29 years.
Another alarming trend observed by a modern discover is that one in four Indian females aged in the middle of 18 - 30 years have experience sex before marriage. The discover across 11 major cities of the country ended that over 40 percent of Indian women have not even heard of Aids, creating a dangerous aggregate of lack of knowledge and greater sexual activity.
According to Dr Gupta conclusion the eyes to the problem and banning sex instruction from the school curriculum on the grounds that it offends Indian sensibilities is in effect not the best way to solving the problem as this indirectly puts young lives at risk and jeopardises the fight against Aids.
'Its a deadly game which the killer twins Hiv and Hcv want us to lose but the real issue is can India be left at the mercy of Hiv/Aids' he says
Outlining five major dangers due to this kind of short sighted approach, he says. The foremost danger is 550,000 Hiv patients in India already have Aids and other 300,000/ year will produce Aids over the next 15-20 years. Apart from this with 600 new Hiv infections in India every hour- close to 21,000 children are getting newly infected and 30,000 Hiv%2Bve babies are being born every year. Thirdly agreeing to World Bank estimates India already has 2 million children, the largest number Aids orphans in the world who are unbelievable to duplicate in next five years.
Yet other danger worth mentioning is that deaths from Hcv known as 'silent killer' are unbelievable to triple in the next 10-20 years and surpass that of Aids. More than a million such deaths by 2020.
Finally 18 million Indians, many of whom do not know they are infected with Hcv - quarter of them may produce lasting liver disease in the next 10 to 15 years
'The only way India can fight and win this battle is through a aggregate of awareness and early detection of the diseases so that the possible spreaders of the disease could be identified and isolated before any added damage gets done. Also early Hiv therapy improves the chances of survival of those already infected by the disease. The benefits of taking medications early comprise stoppage of damage to the immune law without any toxic side-effects of the drugs' says Dr Gupta
Confirming this hypothesis, in a modern record published in the medical journal Lancet -- British researchers have ended that delays or waiting to start anti retro viral therapy leads to a 28 per cent higher rate of Aids and deaths, compared with an earlier start to therapy
Earlier is good when it comes to starting rehabilitation for Hiv, the record adds.
Before coming up with this determination Jonathan Sterne of the University of Bristol and his colleagues analyzed levels of Cd4 immune cells, an indicator of Hiv damage, among more 45, 000 population with Hiv in North America and Europe. 'It is foremost that population at possible risk of having Hiv get tested usually so that if found to be infected they can receive the essential care and treatment' , the record conclude
According to yet other medical finding, early and timely rehabilitation is the key to recovery the lives of infants infected with Hiv. In a record published in New England Journal of Medicine, researchers in South Africa who studied 377 babies ended that giving newborns drug therapy right away instead of delaying it until symptoms emerge reduced early infant mortality by 76 per cent and Hiv progression by 75 per cent
Treating babies infected with Hiv rapidly with drug treatments dramatically reduces their risk of death - the study concluded.
All this prompted officials in U.S., Europe and World health society to suggest immediate rehabilitation of children under one year of age with anti retro viral therapy or Art after the determination instead of waiting until signs of illness appeared.
Dr. Avy Violari of the University of Witwatersrand in Johannesburg, who led the study has been quoted as saying that 'Hiv attacked the developing immune law very quickly. The decline was so rapid, short of seeing the babies every day, you won't be able to pick up any meaningful changes that would prompt a physician to start treatment.'
According to the study delays in starting the rehabilitation was the cause of more than one-third of the 'unexpected and rapid' deaths recorded at home, with subtle or no early warning symptoms for the parents. In 10 out of 12 cases the cause of death could not even be determined.
Quit India Movement to Banish Hiv
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