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24/05/13 11:03 PM
[Public Health] Current Affairs 2012-13: Diseases, Drugs and Research (Part
2 of 3)
1. Universal Immunization program (UIP)
2.
3.
4.
5.
6.
7.
8.
9.
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12.
13.
14.
15.
16.
17.
18.
Hydrogel
Statin
Omega-3 Fatty Acids
HDL vs LDL
Lupifio, Klotbuster
Cancer related
No Touch BreastScan (NTBS)
Dermoscope
Magic Shotgun
Glivec, Novartis Patent
Evergreening
Zimmerman / Imatinib
Novartiss side of story
Gardasil and Cervarix
Kinesio tape
VitaVallis
Instruments
Neurostimulator
Emmident Toothbrush
Vomiting Larry
Handheld Dental X-ray
SAR
Virtopsy
Electronic nose
BIONIC EYE
OraQuick Home
Surgeries
Femtosecond Cataract Surgery
Ex-Vivo Lung Perfusion
Nobel Prizes
G-proteincoupled receptors (GPCRs)
Blank Slate Cells / Reprograming Cells / Disease in Dish
Misc.
ENCODE project
Telomer
Memory Enhancer/ BESEB
Radioimmunoassay (RIA)
IRMA
Bhabhatron
PACT
ISOMED
Linear No Threshold (LNT) concept
Drugs from Sea
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Polio
Measels
Childhood TB
Hepatitis B
Tetanus
Diphtheria
Pertussis (whooping cough)
Govt. also declared year 2012-13, as Year of Intensification of Routine
Immunization.
Caused by
Virus
Parasite
Bacteria
Virus
Parasite
Bacteria
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Uttar Pradesh. cases of children with non-polio AFP were not being monitored
by either the polio eradication programme or the larger state health care system.
As a result, there is no clear picture of what was causing the AFP, the kind of
diseases these children displayed, or how many of them were seriously affected
BIBCOL
Name of public sector undertaking (PSU)
It manufactures Oral polio vaccine for Universal immunization program.
Penta-valent Vaccine
Penta=five. So penta-valent vaccine=five vaccines in one.
1.
2.
3.
4.
5.
Diphtheria
Pertussis
Tetanus,
Hepatitis-B
Hib. (Hib Haemophilus Influenzae Type B). It is Responsible For Pneumonia,
Meningitis And Epiglottitis)
This is an injection (and not oral drops like polio vaccine.)
In India, pentavalent vaccine was introduced in Tamil Nadu and Kerala in
December 2011, under the Universal immunization program.
Recently Delhi and Jammu and Kashmir, Haryana, Puducherry, Goa and Gujarat
also started using it.
Benefits
Pentavalent vaccine helps in reducing the number of shots a child receives from
nine to three.
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Convenient in storage space and transport because five vaccines are combined in
a single vial.
JEEV
Indias first vaccine for Japanese Encephalitis.
Company: Biological E Ltd. (BEL)
Vector control
National Vector borne diseases control program (NVBDCP)
This is under National rural health mission.
Directorate @Delhi gives cash and commodity to state Governments for
implementing this.
Government plans to eliminate kala-azar and filariasis by 2015.
-
By
Notes
Via female Anopheles mosquitoes.
3 stages 1) cold 2) hot 3) sweating.
World Malaria day = 25th April
12th FYP wants Annual Malaria Incidence of
<1/1000.
Synriam
Piperaquine (trade name Synriam): this was
launched on World Malaria day in 2012
Synriam =First Indian anti-malarial drug. Ranbaxy
produced it, with help of Dept. of Science and
Technology + ICMR.
Malaria
Protozoa
(parasite)
ELQ-300
New anti-malarial drug.
Undergoing trials.
Humanized Mice
It is engrafted with human liver cells. Itll help
research liver-to-blood stage infection of Malaria.
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Kala Azar
Japanese
Encephalitis
Dengue
Virus
Chikungunya
Filariasis
Elephantiasis
Via mosquitos
It makes the skin and tissues around leg very thickmakes it look like elephants legs.
Blindness
control
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Leprosy
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Iodine
AIDS control
NACO
NACP phases
Phase
Year
One
Two
What?
1986: first AIDS case in India detected, in Chennai,
TN.
First phase to control the spread of HIV infection.
Treatment of sexually transmitted diseases in district
hospitals and medical colleges
Establishing AIDS surveillance system
19921999
condom promotion.
The School AIDS Education Programme
National AIDS Prevention and Control Policy
National Blood Policy
NGOs involvement
focus on High Risk Groups (HRGs)
19992006
1.
2.
3.
4.
prostitutes
gays
drug addicts
bridge populations (truckers and single male
migrants)
halt and reverse the epidemic in India over the next
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Three
Four
200712
20122017
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five years.
promote district-level network of people living with
HIV/AIDS
income generation and other welfare activities for
HIV positive people.
reach zero infection, zero stigma and zero deaths.
Prevent new infections
Prevent Parent-to-Child Transmission
Reduce stigma and discrimination of AIDS
Increase partnership with NGO and civil society.
Social protection and insurance mechanism for HIV
positive people.
Provide comprehensive care, support and treatment to
all.
Bridge Population
HIV first appears among most vulnerable (e.g. prostitutes and drug addicts) and.
Bridge population means those people who acts as Bridge for transferring HIV
virus from
1. high risk group (prostitutes, drug addicts, gays) to low risk groups/general
population (housewives, future kids)
2. Urban to rural areas.
Example of bridge population = single male migrant, truck drivers, bisexual
men.
Mother to Child
If a pregnant woman is HIV positive, there are now drugs that can reduce the
risk of her passing HIV virus on to her baby in the womb or at birth.
Caesarean Delivery also reduces the risk of a baby becoming infected.
if a mother is HIV positive, beast-feeding will increase the risk of her baby
becoming infected. (because some HIV transmission can occur through breast
milk.)
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Truvada
Worlds first Oral pill to prevent HIV
Developed by: Gilead Sciences.
Made of two anti-reteroviral drugs: 1) Tenofovir and 2) Emtricitabine
Given approval by US FDA.
Truvada: Issues/concerns
This drug only lowers the amount of HIV virus in blood. It doesnt make a
person totally immune to HIV virus.
But Some idiots will think they have become totally immune against HIV, and
then indulge in unprotected sex- further spreading AIDS.
Experts also believe that same idiots (described above), will not take the
medicine regularly, and HIV virus will become resistant to Truvada.
Then another billion dollars and 10-12 years will be required to design a new
drug.
In one clinical study, some prostitutes were given Truvada, yet it did not prevent
the spread of HIV. Hence critiques are not entirely convinced about the
efficiency of this drug.
OraQuick Home
Its the first Do It Yourself testkit for detecting HIVthe same one that health
professionals use but without the trip to a doctors office or the need to wait days
for results.
Oral kit for HIV Test can detect antibodies developed within 1-3 months after
getting infected.
It cannot pick up acute or recent infection.
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WHOs present policy does not recommend antiviral drugs but instead advocates
strengthening of clinical management for HIV- associated infections such as TB,
pneumonia and diarrhoea.
TB control
TB shortens the survival of patients with HIV infection.
Revised TB control program, Under National Rural Health Mission (NRHM)
Provide DOTS therapy.
DOTS= directly observed treatment short course. It could drastically reduce the
TB treatment duration.
More on details, given in earlier article click me
12th FYP wants to reduce annual TB cases and deaths by 50%
Lets look at the current affairs associated with TB
Risorin
CSIR is developing this new Anti-TB drug.
GeneXpert/ CBNAAT?
Problem with MDR-TB= it takes almost 8 weeks, for doctor to diagnose this
disease.
GeneXpert/ CBNAAT is the latest device that can diagnose this MDR-TB in just
two hours.
Fastest detection of TB. can be installed at any place and can be used by
paramedical staff.
In India, itll be provided at subsidized rate (less than Rs.2000)
Crystal TB Confirm
Another TB detection test. Based on chromatography.
Designed by Scientists @Delhi university.
Provides result within twenty minutes.
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Misc TB tests
1. MGIT Liquid Culture
2. Hain Genotype
(there may be five dozen more TB tests in the world, but these two were given in
Hindus S&T edition hence listed hahaha)
Tamiflu, Relenza
Antiviral drug.
Tamiflu=trade name for the drug
Oseltamivir=generic name for the drug.
Used for swine and bird flu.
Another drug is: Relenza (Zanamivir)
Concern: report suggest that the swine flu virus (H1N1) is becoming resistant to
this drug.
Antiflu= this is the cheaper version of Tamiflu, produced by Cipla.
Vaxiflu-S= Indias first indigenously manufactured vaccine to combat swine flu
(Cadila).
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1.
2.
3.
4.
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Heart related
Hydrogel
myocardial infarction= when heart tissue is destroyed, it blocks the oxygen
supply to heart muscles.
When cells of heart do not receive oxygen= they get permanently damaged.
Such damaged heart cells cannot regenerate, thus a thick scar develops in heart.
This is where Hydrogel can help.
Hydrogel is derived from a pigs heart. The basic function of the gel is to
provide a scaffold (platform) for new heart cells to form.
Thus hydrogel can the damaged heart recover and function like a healthy one.
Statin
Theyre drugs used for cholesterol control.
But new research indicates these Statins pose heath risks.
HDL vs LDL
HDL
High Density
Good cholesterol
Decreases heart risk
LDL
low-density lipoprotein
Bad
Increases
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Lupifio, Klotbuster
CSIR developed it
It can dissolve the blood clots and save heart attack patient.
Cancer related
No Touch BreastScan (NTBS)
Imaging device, based on thermography, to detect brast cancer.
Increased metabolism in cancer cells leads to increase in temperature.
The NTBS device looks for temperature hot spots at the surface of breast and
detects breast cancer.
However, US Food and Drug Administration (USFDA) has found no evidence to
support the claim that thermography is a replacement for mammography.
Dermoscope
Melanoma=Skin cancer. To Detect Melanoma, earlier dermatologists had to put
incision (cut) on the skin, take sample, and observe It under microscope.
Dermoscope is a new handheld device for skin-cancer (Melanoma) detection.
The device uses imaging technology that, in less than one minute, visualizes the
micro-vessel structure of just below the skins surface.
So Cancer can be detected without incision.
Magic Shotgun
US researchers are using this approach for developing more effective anti-cancer
drugs.
Evergreening
As long as a company has patent for xyz drug, others cannot manufacture it. (for
20 years).
But when the patent is about to expire, the company just slightly modifies the
original drug formula to create a new drug and seeks patent for that new drug.
This practice is known as everygreening
Indian patent act prohibits Evergreening. (under Section 3(d)).
In case of Norvatis, when their Glivec patent was about to expire, they had
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In case of Norvatis, when their Glivec patent was about to expire, they had
sought patent for similar new anti-cancer drug (Imatinib Mesylate), but lost
patent case. They approached Supreme
Now Indian companies can produce generic version of this anti cancer drug, and
patient will get it at cheaper price.
one-month dose of Glivec costs around Rs 1.2 lakh, while generic Indian drugs
can do it at Rs 8,000.
Zimmerman / Imatinib
Imatinib Mesylate= a drug molecule to fight cancer.
It was patented under Zimmarman patent.
Now, this Glivec contains a beta crystalline form of a drug molecule imatinib
mesylate. (therefore, Glivec is not really a new drug but a typical case of
Evergreening, where company merely made some chances in the old drug
molecule to file new patent.)
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neither of these vaccines had been studied to determine their potential to cause
cancer
Dressing
Kinesio
tape
VitaVallis
Instruments
Neurostimulator
New therapy for Migraine (type of Headache). Migraine is a chronic disease
(long-term disease, unlike Common fever.)
It is placed in the upper gum of patients mouth, through a small surgical incision.
When a patient feels a headache or Migraine coming, the device delivers
stimulation to block the headache pain.
MALDI
It is a new Mass-Spectroscopy technique to detect Bacterial infection in blood,
sputum, tissue etc. MALDI=Matrix assisted laser desorption/ionization.
MALDI can accurately identify bacteria in minutes, which allows doctors to
more quickly and appropriately treat infections.
Emmident Toothbrush
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Emmident Toothbrush
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Vomiting Larry
Larry is a humanoid simulated vomiting system designed by British scientists.
It is being use to how norovirus spreads.
SAR
specific and absorption rate it is a measure of the amount of radio frequency
energy absorbed by the human body while using a mobile phone) so that
radiation does not affect human health.
Presently, Indias SAR limit is 2 watt per kg The Inter-ministerial Committee
wants SAR to be 1.6 watts per kg.
Virtopsy
Autopsy=examination and dissection of a dead body to determine cause of death.
Previously, doctors would use scalpel, cut the chest open and examine tissues.
Often, relatives of the dead donot agree for autopsies because of the
disfigurement caused by such cutting and incisions.
Now scientists have come up with a non-invasive technique for conducting
autopsy. This is called Virtopsy(=virtual autopsy). Here, doctor examines the
corpse in 3-D via computer screens.
Virtopsy combine the images from high-powered magnetic resonance imaging
(MRI), computed tomography (CT) and surface scans of dead bodies. Combined,
the devices are referred to as a virtobot.
The technique allows the detection of injuries such as lesions and blows often
undetectable during a traditional autopsy, as well as air pockets, heart attacks
and even cancer. The method has already allowed the discovery of haemorrhages
and fractures that were not picked up during conventional autopsies.
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Electronic nose
Prototype electronic instrument. It can detect small quantities of harmful
airborne substances. can be used for Batch to batch consistency during
production. (perfumes, food)
Detection of contamination, spoilage, adulteration
BIONIC EYE
The implants are said to be capable of completely restoring sight to blind
patients, but only if their blindness was caused by a faulty retina
OraQuick Home
Its the first Do It Yourself testkit for detecting HIVthe same one that health
professionals use but without the trip to a doctors office or the need to wait days
for results.
Oral kit for HIV Test can detect antibodies developed within 1-3 months after
getting infected.
It cannot pick up acute or recent infection.
Surgeries
Femtosecond Cataract Surgery
Femtosecond=one quadrillionth of a second.
This is the latest surgical for Cataract, using a computer Laser system, now the
the surgeon can soften and break up the cataract within Femtoseconds.
This surgery is more precise and causes less inflammation after surgery.
Nobel Prizes
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Misc.
ENCODE project
ENCyclopedia Of DNA Elements, which was started in 2003. The goal is to find
all functional elements in the human genome.
Until recently, the majority view has been that much of the DNA is junk
DNA that is never transcribed and has no biological function and only 1% of the
DNA is actually responsible for everything.
But ENCODE project has found that not one per cent but more than 80 per cent
of the genome has an active role or function.
Telomer
They are situated at the ends of chromosomes and protect the DNA from
damage.
Longer the size of telomer, means person will have longer life expectancy.
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Radioimmunoassay
(RIA)
IRMA
Bhabhatron
PACT
ISOMED
Linear No
Threshold (LNT)
concept
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In the third and last part, well see the mock questions from part 1 and 2. click me to
see the third part
For more science-tech, public health, space tech and defense related current affairs,
visit Mrunal.org/snt
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