Saturday, February 21, 2015

Priorities . . .

Since the beginning of 2015, we're in the midst of a flu epidemic. Newspapers have gone head over heels to report from every nook and corner of the country. There is quite a lot of panic about the situation in the country. 

I found it quite amusing to have a young man come to our outpatient wearing a surgical mask. He had been told at his college that the surgical mask will prevent swine flu infection. He also claimed that authorities in his college had distributed about 2000 masks to students and teachers.

As of today, there have been 743 deaths caused by Swine Flu since January 1, 2015. 



I thought of calculating the number of deaths by other major causes (mainly preventable) in our country during the same period. The calculations are based on figures provided from previous year data. There should not be a more than 5% decrease from those numbers.

Cause of Death

Tuberculosis
Road Traffic Accidents
Malaria
27945 *
Childhood Diarrhoea 
(11m and less)
Childhood Pneumonia 
(5 years and less
Maternal deaths
* This number would be certainly much less than this as it is not malaria season.

Yes, you read it right. If the news sources are to be believed, almost 10 times the number of swine flu deaths have been accounted by maternal deaths during the last 50 days. And nobody of us even noticed. 

I can only hope that the sources of my information about deaths every year in the country is wrong.

I hope we can get our priorities right . . . 

Tuesday, February 17, 2015

Ominous signs

Today, in outpatient, I had a 30 year old lady walking in. Her history was quite shocking. 

Diagnosed to have tuberculosis without a sputum AFB more than a year back, she was on treatment for almost 10 months with a multitude of medicines including 90 injections of streptomycin. 

The problem was that she had not felt better throughout the course of her treatment. 

Below are 3 X-Rays she had with her. 

Feb 2014

Sept 2014

Feb 2015
I await for her sputum AFB. 

I'm not sure if I would do justice to her if I just refer her to a higher center nearby. 

Earlier in the day, I had another patient who was invariably depressed. The interesting thing was that this guy had absolutely no symptom suggestive of tuberculosis. However, he was on anti-tuberculous medications since the last 2 months. The reason - - - some doctor had done a Quantiferon TB Gold Test on him and it was positive. 

Just a glimpse of the scenario of tuberculosis control in the country. 

Of course, I would be glad to get feedback on the management of the patient . . .