RNI No. DELENG/2010/3383

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Volume XIII | Issue X | OCTOBER 2022

THE RISE OF

MEDICAL VALUE & WELLNESS TRAVEL INDIA AS MEDICAL INTERVENTION & WELLNESS HUB

MEDICAL VALUE TOURISM - DR. MINNIE BODHANWALA - AMITAVO BHATTACHARYYA - RAJEEV TANEJA TRIVITRON’S ULTRA - MODERN SEMI-AUTOMATED BIOCHEMISTRY ANALYZERS

MEDICAL WELLNESS

EMERGING IN A BIG WAY IN MEDICAL TOURISM DR. PREM JAGYASI WHAT KIND OF BIOHACKING

WILL WIN IN THE LONG RUN? SAJEEV NAIR INTERVIEW FUTURE OF E-DIAGNOSTICS IN INDIA DHEERAJ JAIN

New s Update | Doctor Speak | Expert Views | Product Line | Industry Watch | Interview | Cover Story

EDITOR SPEAK

Vasudhaiv Swasth Kutambkkam

LET THE WHOLE WORLD

BE A HEALTHY FAMILY

A

n idea whose time has come is Medical Value Tourism. Adept Pandemic Management has immensely enhanced India's image as responsive health system and destination thanks to comprehensive and ever evolving Indian healthcare infrastructure, and Editor-in-Chief deliver y innovation. Medgate Today Offering CoWIN platform to world reflects our strong commitment to healthy global community, hence Vasudhaiv Swasth Kutambkkam !

Md. Afzal Kamal

Honorable Prime Minister Shri Narendra Modi's clarion call for Heal in India by India is a timely, visionar y, compassionate, inclusive and much needed universal health care outreach. Months ago, while global healthcare was stuck dealing with pandemic. This has resulted in piling up of native elective surgeries. It is also sad to note that due to pandemic induced inflation, corresponding as well as average global per capita income has considerably gone down. To set right this demand-supply mismatch and ward off resultant inflationar y/premium healthcare pricing trends, reasonably priced Indian healthcare deliver y ser vices could offer huge respite to global healthcare governance and management. Symposia, Conferences, Global/ Regional Healthcare Outreach programs in coordination with foreign embassies and consulates and Indian embassies and consulates would indeed be a game changer towards MVT projection of $13 billion by 2026 ! Have an insightful reading. Your suggestions are most welcome! E-mail: [email protected] Website: w w w . m e d g a t e t o d a y . c o m

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CONTENTS

VOLUME - XIII ISSUE - X OCTOBER 2022

32

NEWS UPDATE

10 KRSNAA LEVERAGES AI TO DELIVER

34

MEDICAL VALUE TOURISM DR. MINNIE BODHANWALA

QUALITY DIAGNOSTICS TO THE RURAL HINTERLANDS OF INDIA

12 CHAVI - INDIA’S FIRST ONCOLOGY

IMAGE BANK LAUNCHED TO ACCELERATE COLLABORATIVE CANCER RESEARCH

18 WORLD HEART DAY | BPL MEDICAL

DESTINATIONS FOR MEDICAL TOURISM

TECHNOLOGIES - DR. VIKAS SINGH

THE BOON FOR INDIA’S ECONOMIC GROWTH RAJEEV TANEJA

38 MEDICAL VALUE TOURISM AMITAVO BHATTACHARYYA MEDICAL WELLNESS EMERGING IN A BIG WAY IN MEDICAL TOURISM DR. PREM JAGYASI

.........................................................................................................................

COVER STORY

40 46

42

20 SWASTHYA SAATHI & THE MIRACULOUS

TRAUMA CARE AT MEDICA TOGETHER SAVES THE RIGHT LIMB OF A DAILY WAGE EARNER FROM HASNABAD

22 AMITABH BACHCHAN CO-ANCHORS BANEGA SWASTH INDIA SEASON 9, A 12HOUR LIVE TELETHON

26 ASSOCIATION OF MEDICAL CONSULTANTS (MUMBAI) PLEDGES SUPPORT TO THE KEM HOSPITAL MARATHON, PARTICIPATES TO RAISE AWARENESS ABOUT THE ERADICATION OF TUBERCULOSIS

28 PERIOD PAL BY LAIQA TO LAUNCH

SAJEEV NAIR

WHAT KIND OF BIOHACKING WILL WIN IN THE LONG RUN?

‘VIRTUAL MARATHON’ TO SPREAD AWARENESS ABOUT MENSTRUAL HYGIENE IN INDIA

.............................................................................................................................................................. FUTURE OF E-DIAGNOSTICS IN INDIA

CARING FOR CHILDREN WITH HEART DEFECTS DR. S INDU NAIR

DHEERAJ JAIN ...............................................

PRODUCT LINE

52

TRIVITRON’S ULTRA MODERN SEMIAUTOMATED BIOCHEMISTRY ANALYZERS MR. RANABIR SINHA 6

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48

HOW DOES POLYCYSTIC KIDNEY DISEASE AFFECT THE KIDNEYS? SUJIT CHATTERJEE

50

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DOCTOR SPEAK

30

...........................................................

INTERVIEW

EXPERT VIEW

EXPAND YOUR REACH WITH MEDIKABAZAAR VIVEK TIWARI

54

INTEGRATED CARDIOLOGY SOLUTIONS CAN BE PANACEA FOR INDIA’S CARDIOVASCULAR DISEASE BURDEN NITIN STEPHEN ABEL

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NEWS UPDATE

KRSNAA LEVERAGES AI TO DELIVER QUALITY DIAGNOSTICS TO THE RURAL HINTERLANDS OF INDIA • India’s largest diagnostics player has joined hands with SigTuple to use AI powered technology for automated microscopy processes • The tele-pathology reporting centre in Pune will use AI100 to digitize its entire network of pathology labs, to reduce the turnaround time • Krsnaa Diagnostics already has India’s largest tele-radiology centre in Pune spread across 4,500 sq ft

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rsnaa Diagnostics, India’s largest diagnostics player and pioneer in tele-radiology has made a significant step to leverage Artificial Intelligence (AI) to improve the diagnostics outcome. Krsnaa Diagnostics will set up tele-pathology reporting centre in Pune, to use AI100 to digitize its entire network of pathology labs. For this, Krsnaa Diagnostics has tied up with SigTuple to use AI powered technology to automate the manual microscopy process across its entire pathology network. The tie-up is expected to significantly reduce the turnaround time, standardize reporting quality and increase efficiency. Globally, artificial intelligence assisted digital microscopy is the way forward for pathology. Digital microscopy is the process in which a physical sample is digitally imaged through a microscopic lens. This makes it possible for pathologists to review them remotely, without having to ship the samples to the reference laboratory, as the digital conversion can happen at site. SigTuple AI100 is the premier solution for AI assisted

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digital pathology. It is also the only digital pathology solution available, which is economical and robust enough for wide scale adoption in emerging markets. Commenting on the collaboration, Tathagato Rai Dastidar, Founder & CEO of SigTuple said, “SigTuple started in 2015 with a singular goal – to make quality healthcare more accessible, more accurate and more affordable. AI100 was built to solve the problem of digital pathology with that aim in mind. We are very excited to see that vision coming true in real life, solving real world problems in rural India, in partnership with KRSNAA Diagnostics. We hope to replicate this success in the rest of the world very soon.” Highlighting on the positive impact, Dr. Ravinder Sethi, Chief Operating Officer from Krsnaa Diagnostics said, “We are glad and proud to collaborate with SigTuple and with the tie-up, Krsnaa Diagnostics has moved a step closer in making healthcare accessible for all. We are a staunch believer of technology enabled quality diagnostics at affordable costs. The SigTuple’s AI100 will be deployed across our laboratories. To begin with, we have commenced deployment in Punjab, Himachal Pradesh and Maharashtra.” Echoing similar opinion, COO of Pathology Services at Krsnaa Diagnostics, Dr. Manish Dattatreya Karekar, said, “One of the major challenges that any diagnostics provider faces in setting up quality diagnostic centres outside of the large urban areas, is the availability of pathologists. In the absence of a pathologist at site in laboratories outside urban areas, these samples need to be shipped to central reference laboratories for review. This tie-up will help the pathologists work efficiently and bring standardization in reporting processes".

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NEWS UPDATE

CHAVI - INDIA’S FIRST ONCOLOGY IMAGE BANK LAUNCHED TO ACCELERATE COLLABORATIVE CANCER RESEARCH

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ata Medical Center, Kolkata, and the Indian Institute of Technology (IIT), Kharagpur, have launched India’s first fully annotated, relational, de-identified cancer image bank - CHAVI. This firstof-its-kind research partnership between the two premiere institutions in India was inaugurated in Kolkata on the 24th of September. The launch of CHAVI Comprehensive Archive of Imaging is a towering boost to cancer research in India and will enable scientists from across the world to have free access to de-identified patient images and requisite clinical information that can be utilized for research purposes. The inauguration also witnessed an enriching discussion chaired by experts including Dr. Arun P, Director Tata Medical Center, Kolkata, Dr Mammen Chandy, Ex-Director Tata Medical Center, Prof Partha Pratim Chakrabarty, Ex-Director and Professor of AI and Computer Sciences, IIT Kharagpur, Prof Jayanta Mukherjee, Dean Outreach of IIT Kharagpur along with the Heads of Departments of ACTREC Mumbai, Tata Memorial Hospital Mumbai, Sanjay Gandhi Post Graduate Institute Lucknow, Christian Medical College Vellore, amongst other specialists in the fields of cancer and artificial intelligence in Medicine. Dr. Sanjoy Chatterjee, Dr. Indranil Mallick, and Dr. Santam

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Chakrabarty from Tata Medical Center were also present at the launch. CHAVI is the first imaging biobank exclusively dedicated to oncological imaging from India. The project has been designed as a research collaboration between Tata Medical Center, Kolkata, and IIT Kharagpur, and developed as a part of the National Digital Library of India (NDLI). Its purpose is to develop an image biobank that is available across the country and to foster a foundation for future collaborative research efforts amongst major Indian cancer institutes. The project will encourage researchers, academicians, and industry experts to use the wealth of imaging data available in CHAVI. Dr. P Arun, Director Tata Medical Center Kolkata said, “Data from digital imaging is critical to patient care, and with today’s technology, it also forms the substrate for future research to improve patient outcomes. It also allows evaluation of the efficacy of current treatment protocols. CHAVI from Tata Medical Center, developed in collaboration with IIT Kharagpur colleagues, gives us the platform to enhance AI-Radiomic research using freely available annotated digital oncological imaging.” Professor Partha Pratim Chakrabarty, Ex-Director IIT Kharagpur, Prof of Computer Sciences Department

IIT Kharagpur said, “We envisioned CHAVI as a unique comprehensive digital archive of cancer images allowing complementary information on assisting improvements in patient outcomes. The collaborative work between Tata Medical Center and IIT Kharagpur, commissioned by us has now reached a critical point- the repository has been made functional. This should now allow significant collaboration between institutions across the world. India’s first such free access databank: CHAVI, will allow usage of previously unavailable data from the region, add relevant ethnic diversity in Radiomic research and hopefully complement available OMICS data to improve patient care.” Professor Jayanta Mukherjee, Dean Outreach IIT Kharagpur and Professor of Computer Sciences Department IIT Kharagpur added, “It is very satisfying to see that the radiological image databank 'Comprehensive Digital Archive of Cancer Imaging' (CHAVI), developed under a research collaboration between IIT Kharagpur and Tata Medical Center, Kolkata, operational and available for the researchers in the domain of Medical Imaging and Oncology. In this era of AI and Machine Learning, data is a critical asset for the pursuance of knowledge, and CHAVI will facilitate the researchers with this key component and build a vibrant ecosystem for collaborative research among them.” Dr Sandeep Verma, Secretary of Science and Engineering Research Board (SERB), Department of Science & Technology, Government of India, shared, ‘‘I am very happy to note that the first fully annotated cancer image bank of India - CHAVI, has been developed by Tata Medical Center and IIT Kharagpur. It is really a matter of pride to know of such an advancement. The efforts of Dr Sanjoy Chatterjee, Prof PP Chakrabarty and their team is appreciated for their pioneering work.”

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NEWS UPDATE

IIT GUWAHATI SCIENTISTS DEVELOP A STRATEGY TO DELIVER CHEMOTHERAPEUTIC DRUGS SPECIFICALLY TO CANCER CELLS

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he developed approach would allow the development of drug carriers for chemotherapy with enhanced efficacy and negligible side effects. Indian Institute of Technology Guwahati researchers have developed a new strategy to deliver chemotherapeutic drugs specifically to the cancerous cells in a patient’s body. The pathbreaking results of this research have been published in prestigious journals of The Royal Society of Chemistry including ‘Chemical Communications’ and ‘Organic and Biomolecular Chemistry’. The research papers have been co-authored by Prof. Debasis Manna, Department of Chemistry, IIT Guwahati, along with his research scholars Mr. Subhasis Dey, Ms. Anjali Patel, and Mr. Biswa Mohan Prusty, among others. Anticancer activities were carried out in collaboration with Prof. Siddhartha Sankar Ghosh and Ms. Plaboni Sen from the Indian Institute of Technology Guwahati and Prof. Arindam Bhattacharyya and Mr. Soumya Chatterjee from Calcutta University. A part of the ongoing research was recently highlighted as the cover page of Chemical Communications. The problem with existing chemotherapeutic drugs is that they kill healthy cells of the body in addition to cancerous cells,

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leading to numerous undesirable side effects. In fact, it is believed that cancer deaths are as much due to the side effects of chemotherapy as the disease itself. There is worldwide research to overcome the drawbacks of secondary toxicity of chemotherapeutic drugs. Some strategies that are being explored include targetspecific delivery of the drugs and ondemand delivery of appropriate drug doses to cancerous cells/tissues. Explaining his research Prof. Debasis Manna, Department of Chemistry, IIT Guwahati, said, “We have two needs in the development of chemotherapy drugs – the drug must be targeted at the cancer cells, the drug must be released by an external trigger whenever it is required,” To meet the above needs, the molecule developed by the research team has four special features. •

The first feature is that the molecules assemble to form hollow spherical shells in water These shells that are ten-millionth of a meter in size can be used as a minuscule container for the drug molecule

•

The second characteristic is that the molecule has a part (the acetazolamide ligand) that specifically binds to cancer cells and not normal cells

•

The third feature of the molecule is that it has a photocleavable linker moiety that is responsive to infrared light and breaks the shell when exposed to IR

•

Molecule also contain a dye moiety (cyanine-3) which is also useful for both fluoresce and scattering-based imaging to visually monitor the entire process.

INDIA’S DEMENTIA AWARATHON 2.0 BY ALKEM & ARDSI ON 25TH SEPT 2022, MUMBAI UNIVERSITY

A

warathonA WALK FOR CAUSE by Alkem Foundation and ARDSI to raise awareness for Alzheimer’s & Dementia at Mumbai University (Kalina). Alkem Foundation and the Mumbai Chapter of Alzheimer’s & Related Disorders Society of India (ARDSI) organized an Alzheimer’s awareness campaign on 25th September, 2022 at the Mumbai University Campus, Kalina. The event saw more than 500 people participate, including citizens from all strata of society, medical practitioners, caregivers, corporate people, and non-governmental organizations. Renowned psychiatrists, neurologists and neurosurgeons started the event with a message for the society, followed by a 1.5-kilometer walk to raise public awareness. During the event, Vidya Shenoy, Integrative Therapist and Dementia Care Specialist is Hon. Secretary, ARDSI Mumbai Chapter and Founder of Smriti VishvamUniverse of Memory, a dementia Daycare Center in Mumbai said,” It is a pleasure to collaborate with Alkem for the third time to create more awareness of Alzheimer’s and Dementia. Keeping in mind the challenge of Alzheimer’s, dementia & its numbers shooting rapidly, once again ARDSI Mumbai Chapter and, now with Alkem Foundation Mumbai look forward to strengthening this collaboration for many years to come.”

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NEWS UPDATE

HCMCT MANIPAL HOSPITALS, COLLABORATES WITH DELHI TRAFFIC POLICE AND CULT.FIT TO RAISE AWARENESS ON HEART HEALTH ON WORLD HEART DAY

MEDICOVER HOSPITALS ORGANISED MINI WALKATHON IN NAVI MUMBAI

O

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n the occasion of World Heart Day, Dwarka based HCMCT Manipal Hospitals has posted heart-shaped stickers on over signals around South-West Delhi along with creative messages across the streets on the significance of heart health. Through this initiative, HCMCT Manipal Hospitals wants to encourage people to take a pause and understand the importance of heart health. This was followed by a dance fitness session in the hospital in collaboration with the health and fitness platform, Cult.Fit, in which over 150 people from the hospital and the local community took part. Speaking on the importance of heart health, Dr. Yugal Kishore Mishra, Chief of Clinical Services, Head of Cardiac Sciences and Chief Cardiovascular Surgeon, HCMCT Manipal Hospitals, Dwarka said, “Today, people are living a fast-paced lifestyle and have forgotten to take care of their health. Cases of heart attack among young people are on the rise, and people still ignore the fact that living a bad lifestyle can have an adverse impact on heart health. Heart attacks are no longer just a health concern for the elderly; even the youngest of people are suffering from this fatal condition today. This is mainly because of the increased prevalence of bad lifestyle behaviours like smoking, alcohol drinking, unhealthy diets, and sedentary lifestyles. With this initiative, HCMCT Manipal Hospitals urges people to take a pause and focus on their heart health for a healthy life".

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o Create Awareness of Heart Care and HeartHealthy Lifestyle

In a bid to create awareness and promote a healthy heart among the masses and to educate the common man to fight against cardiovascular disease (CVD), Medicover Hospitals of Navi Mumbai held a mini walkathon from the service road to three monkey points and took a pledge on Thursday, 29th September, on the occasion of World Heart Day. Sudden Cardiac Death (SCD) is a catastrophic event and it is contributed to 10.3% of overall mortality. The majority of SCD cases will occur in the general population who are not known to have heart disease. With aiming to make awareness about cardiovascular disease and early identification of cardiac disease. a mini walkathon was organised by Medicover Hospitals in Navi Mumbai. The walkathon was flagged by releasing the heart-shaped balloons. Along with the hospital staff, doctors participated in the walkathon, each carrying messages on how to prevent heart disease and take care of the heart. The Hospital staff and doctors also took a pledge for heart care and a heart-healthy lifestyle. The hospital organised free cardiac screening camps in collaboration with nursing homes, clinics, societies, diagnostics,

and corporates across Navi Mumbai. During these camps, the hospital provided free screening including ECG, RBS, and doctor consultation for heart care. Hospital has organised community health talks to raise awareness about cardiac disease. The webinars were held by hospitals to generate awareness among younger people about cardiac health. “Though peak prevalence of SCD is in a geriatric group, the age trend is now changing in the last few years. It is rising in prevalence from 30 years and peaking at 50 to 70 years. The existence of a large substrate of undiagnosed coronary artery disease in a younger population contributing to SCD is a major health issue in India that merits focused designing of effective preventive strategies. Therefore, we are focusing on the early diagnosis of cardiac disease and on-time treatment”, said Dr. Brajesh Kunwar, Head of Cardiology Department, Medicover Hospitals, Navi Mumbai. “This is due to the unhealthy lifestyle. We organized a 20 minutes walkathon which highlighted the importance of a brisk 20-minute walk each day could reduce the risk of heart disease. ”, said Dr. Anup Mahajani, Consultant Interventional Cardiologist, Medicover Hospitals, Navi Mumbai.

NEWS UPDATE

WORLD HEART DAY | BPL MEDICAL TECHNOLOGIES

W

Issued in public interest by

hat is the relationship between hypertension and heart diseases?

According to an article published by the National Library of Medicine, high blood pressure (BP) is one of the most important risk factors for cardiovascular disease (CVD), which is the leading cause of mortality. An individual with hypertension is almost 10 times at a higher risk of being affected by a heart attack, stroke or paralysis, brain haemorrhage, or chronic kidney disease such as kidney failure at some point in their life. That’s because the blood throughout our body exerts a certain pressure and is directly linked to our organs, and when the blood MBBS(Hons) Gold Medalist pressure exceeds the normal range, it may have adverse effect on our health. MD (Medicine), DM (Cardiology) Therefore, it is recommended by FACC, FSCAI, FAPSIC American Heart Association to keep a Consultant Intervention Cardiologist blood pressure which is ideally in the Daksh Heart Care, Patna. range of 120/80 mm Hg. While having an ideal blood pressure is a good goal for most people, factors like age, sex, family (3) ABPM, also known as Ambulatory health history or any other underlying Blood Pressure Monitoring health conditions will define the ideal blood pressure range to aim for. In CBPM, blood pressure is measured What are the symptoms & signs of in a doctor’s clinic. However, blood hypertension? And how can we check pressure readings measured in the doctor’s office is often unreliable, as the our blood pressure? blood pressure may vary according to Hypertension is also known as the silent the patient’s environment. For example, killer because it usually has no warning some patients experience a spike in their signs or symptoms, and many people blood pressure specifically when it is don’t realise they have it. However, some measured at the doctor’s office but not in individuals with hypertension experience other settings, such as the home. This is some signs such as frequent headaches, called as white-coat hypertension. On the chest tightness, shortness of breath while other hand, some patients have normal exercising, Fatigue, Nausea, Indigestion, blood pressure readings at the doctor’s Heart burn, feeling of restlessness, pain office, but the blood pressure increases at which spreads to arm, etc. other times of day or in different settings. There are 3 ways of monitoring blood This is called as masked hypertension. Patients with either of these conditions pressure: may be misdiagnosed if only standard in(1) CBPM, also known as Clinical Blood office testing (CBPM) is used. Pressure Monitoring HBPM is a self-monitoring technique that can be incorporated into everyday (2) HBPM, also known as Home Blood life for patients with hypertension and Pressure Monitoring

Dr. Vikas Singh

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is recommended by major guidelines. HBPM allows patients to monitor BP as often as they wish, or as advised by the doctor. HBPM is an effective and convenient means of screening for hypertension. ABPM is another method that allows the doctor to assess the patient’s blood pressure over an extended period outside the doctor’s office. This method provides overall blood pressure levels and offers a more complete picture of the patient’s condition, to ensure appropriate treatment and control of elevated blood pressure. What are the risk factors cardiovascular diseases?

of

Some risk factors such as family history that cannot be modified while other risk factors like high blood pressure can be modified by controlling the habitual risk factors such as smoking, eating unhealthy diet or stress. An individual will not necessarily develop cardiovascular disease if they have a risk factor. But the more risk factors one has, the greater the likelihood that they will, unless they take action to modify your risk factors and work to prevent them. Any advice to people on World Heart Day? Some of these unhealthy lifestyle habits and choices have been a problem in this country. one needs to seek regular, routine medical help to identify the risk factors, lay out a plan for how to deal with those risk factors with your health care provider, and then work hard to adhere to that plan. This world heart day, my advice to the readers would be to review their everyday choices and start small. Cut down on sugary beverages and choose water or unsweetened juices instead. Swap sweet, sugary treats for fresh fruit as a healthy alternative. Include fruits and vegetables in your diet.

NEWS UPDATE

SWASTHYA SAATHI & THE MIRACULOUS TRAUMA CARE AT MEDICA TOGETHER SAVES THE RIGHT LIMB OF A DAILY WAGE EARNER FROM HASNABAD

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edica Group of Hospitals, the largest private hospital chain in Eastern India, at its flagship facility Medica Superspecialty Hospital in Kolkata conducted a lifesaving trauma care treatment on a 30-year-old male from Hasnabad, Nandanpur Kolkata. The team of experienced doctors from the GI Surgery department and Medica’s care team joined together for this case. The team put in their combined efforts under the leadership of Dr. Udipta Ray, Senior Consultant GI Surgery, Medica Superspecialty Hospital along with the care team of Medica ensured to achieve this momentous feat on 13th September 2022. Mr. Sujoy Chakraborty, 30, of Hasnabad, Nandanpur, earns his living by loading and unloading trucks equipped with construction materials. He was being driven back home on a tempo when the driver lost control and crashed the tempo into a metro construction site near Medica. Sujoy was severely injured and was screaming in immense pain. “It was late at night, the roads were empty, and I was driving the tempo at rapid speed. I somehow lost control, and the car was immediately crushed against some iron rods from the metro construction site, one of which went through Sujoy’s upper side of his right arm,” the driver explained. After seeing his condition, he was rushed to the operation theatre & was instantly provided with adequate ice fluids and other medication for pain relief and to stop the bleeding. A large portion of the rod was protruding on each side of the wound, causing extensive injury to the surrounding tissues, muscles, and skin. Due to the exigency, Medica had to arrange for a metal cutter to cut one end of the rod very near the skin so that the

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that the patient was stable, the wound was healthy, and there was no bleeding, the appropriate dressing was initiated, and the patient was discharged with physiotherapy.

other portion could be removed easily. The rod was gently removed, taking complete control of the joint, the primary bone of the upper arm, muscles, and skin to prevent these tissues from any further damage. However, the skin was lacerated and abraded, and the edges of the skin were completely burnt due to the heat of the cutter. Later when the rod was removed, the bleeding vessels from the muscles were all secured, and the dead/damaged tissues that were permanently destroyed during the accident were all removed, leaving fresh tissues to recover. The bleeding was completely stopped, and as much muscle repair as feasible was performed. Because the wound had dust, dirt, iron particles from the rod, and even the patient’s clothes within, it required thorough cleaning to avoid infections. An adequate functional assessment was performed following the successful removal of the rod and proper wound care, indicating that the patient recovered well from the surgery. To avoid any loss of muscle activity, early physiotherapy was initiated. The bleeding was controlled and prevented even after the post-operative period with proper gauge piece packing. After ensuring

Dr. Udipta Ray, who led the operation, said, “Sujoy was in a state of shock after seeing the pool of blood when he was brought to Medica. He screamed in pain. This was one of the most serious cases I had seen in a long time. To begin with, being a doctor, and working as an expert welder was a very challenging situation for me. Second, the removal of the rod could have further damaged the skin because it was already burnt from the heat of the cutter, and third, the rod could have injured the main bone of the upper arm, the ‘humerus,’ and caused a dislocation of the joint because any manipulation of the rod could only be done with the patient under full anesthesia. As a result, preventing the damaged adjacent joints and bones was a critical issue and it was taken care of during the entire procedure. We are pleased to see Sujoy’s quick recovery despite the difficulties.” He further added, “Because of his financial circumstances, he was worried while being admitted to the hospital. We wasted no time because he had his Swasthya Saathi card and promptly admitted him to the scheme. This did not offer him with adequate comfort from his physical suffering, but it did provide him with mental relief.” The patient is said to be doing well at the time of the follow-up, with full functional recovery of the arm. The procedure was not only lifesaving, but it was also a remarkable limb-saving surgery at Medica. Saving the right arm from amputation makes a huge difference for a daily earner.

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NEWS UPDATE

AMITABH BACHCHAN CO-ANCHORS BANEGA SWASTH INDIA SEASON 9, A 12-HOUR LIVE TELETHON The 12-hour live event on October 2nd was a resounding success as they highlighted the 10 biggest game-changers in health in the last 75 years and the future of health tech in India.

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ith an aim to making holistic good health for all Indians a common goal, India’s longest running and most credible social initiative for health is back for year 9. This campaign has been acknowledged by Prime Minister Narendra Modi for its impact on public awareness on health and hygiene. Debuting as Banega Swacch India 8 years ago, for promoting hygiene and cleanliness, the campaign transformed into Banega Swasth India, taking forward Gandhiji’s assertion that cleanliness and health are intertwined. Every year highlighted themes on good hygiene practices, clean environment and health, how a healthy India is a prosperous India and how no Indian must be left behind in the quest for good health. Season 9’s theme Lakshya Sampoorn Swasthya Ka, focuses on holistic good health for every Indian regardless and of their backgrounds. To build a future where every Indian has access to good health care and to improve average life expectancy to 80 years of age through innovation, technology, access to medical care and focused self-care. The 12-hour telethon attended by Ministers representing different states, experts from the WHO, innovators, doctors, artists and health care workers who function on the frontlines helping the most vulnerable people, focused on how we can achieve the goal of holistic health for all, setting the tone for the new year of the Campaign. These conversations were interspersed with live performances by esteemed artists such as Mohit Chauhan, Kailash Kher, Palak Mucchal, Mika Singh, Vishal Mishra, Aastha Gill, Dharmesh Yelonde

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and Ganesh Acharya. This annual event and campaign has won multiple awards for being a force for bringing about social change and awareness. Amitabh Bachchan, Campaign Ambassador, says, “A Swasth Bharat needs to be our lakshya…it’s the key to a prosperous future. Programs like Banega Swasth India work towards raising awareness about good health and hygiene, and this year, the spotlight is on the game-changers of health in the last 75 years. Health tech has advanced so much over the last few years – the fact that we’ve been able to make indigenous and affordable vaccines speaks volumes of the potential India has. Health care needs to be inclusive and accessible to every individual.” Kris Licht, President Health & Global Chief Officer, Reckitt said, “Creating positive social impact which goes beyond our products and business is a natural extension of our purpose- to protect, heal and nurture in the relentless pursuit of a cleaner and healthier world. We are certain that we will create a lasting impact in communities and, together with our partners, will contribute to delivering the UN Sustainable Development Goals (SDGs).”

Gaurav Jain, Senior Vice President, Reckitt South Asia said, “The access to good health and hygiene should be a right of every individual. Our Goal is Good Health for All. This means that every Indian is able to live a healthy life. If we as individuals and communities focus on better physical and mental well-being, we will no doubt be able to achieve our ‘LakshyaSampoorn Swasthya Ka’.” Ravi Bhatnagar, Director- External Affairs and Partnerships, Reckitt- South Asia said, “The Dettol Banega Swasth India platform not only gives us a chance to make a difference, but we also get to celebrate success stories that have truly been inspiring to audience across the globe. We believe in working on SDG 17 (Partnerships) and making sure we ‘Leave No One Behind’ through right Public, Private and Patient Mix to make every Indian live a healthy ‘Sahasra Poorna Chandrodayam’ (Living 1000 full moons).”

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NEWS UPDATE

HIGHLY EXPERIENCED SURGEONS OF INDIA GAVE A NEW LEASE OF LIFE TO A 106-YEAR-OLD PATIENT SUFFERING FROM A BLOOD CLOT IN THE BRAIN heart and lung disease and clogged arteries may make one more vulnerable to experience side effects or complications. The patient’s family had almost lost hope of a proper treatment for Sriram when they consulted a doctor at Asian Hospital for further advice and management.

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riram, a 106-year-old man from Faridabad, Sector 28 successfully underwent a complicated brain surgery performed by a team of surgeons at the Asian Institute of Medical Sciences (Asian Hospital), Faridabad. An otherwise healthy and energetic centenarian, Sriram was bedridden for a month. He was living in a state of unconsciousness and faced great difficulty in even putting a step down to walk. His family members were surprised to see him in this state as he had always led an active life. They took him to a GP, who advised a CT scan of the brain to evaluate the cause of his illness. The scan revealed the formation of blood clots in both parts of the brain which were hindering his day-to-day activities resulting in restlessness. The family had consulted several doctors for adequate treatment and management of his condition, but to no avail. Looking at the age of the patient, the surgery involved multiple risks during or after surgery, likehigh risk of death during surgery, going on ventilator after surgery, prominent being an increased risk of bleeding which in turn can lead to shock, deep vein thrombosis, pulmonary embolism, reaction to anesthesia among others. Besides some common age-related health issues like high blood pressure,

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After reviewing the patient’s condition, Dr. Mukesh Pandey, Associate Director & HOD – Neurosurgery, Asian Hospital said, the clots could not be eliminated through medicines and therefore, we decided to go for surgical removal of the clots. While the surgery was not without risks, Sriram’s family members showed great trust in our team and had faith in medical advancement as well. That is how we went ahead with the surgery. Looking back, I feel it was the best thing to have happened.” Sharing details of the surgery, Dr. Pandey added, “we opened both parts of the brain and successfully removed the blood clot, after which Sriram was able to walk the very next day. He is back on track leading a healthy and active life like before.” According to the team at Asian, he will be able to lead a normal life without any further issues. The patient family expressed their gratitude to Dr. Pandey and his team at Asian Hospital. About Asian Institute of Medical Sciences, Faridabad Asian Institute of Medical Sciences (AIMS) is a super specialty tertiary care hospital that is truly futuristic in its services & technology and brings together some of the most talented medical professionals in India. The hospital has been accredited with NABH and NABL accreditations and is equipped with state-of-the-art technology. The hospital provides preventive, diagnostic, therapeutic, rehabilitative, palliative and supportive services all under one roof and is designed to meet patient care and research requirements of the new millennium. Ranked as the ‘Best Healthcare Brand’, it provides comprehensive multi-speciality tertiary care facilities through its 14 centers of excellence.

NEWS UPDATE

ASSOCIATION OF MEDICAL CONSULTANTS (MUMBAI) PLEDGES SUPPORT TO THE KEM HOSPITAL MARATHON, PARTICIPATES TO RAISE AWARENESS ABOUT THE ERADICATION OF TUBERCULOSIS

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he Association of Medical Consultants, Mumbai participated in the KEM Hospital Marathon to pledge their support towards ‘Eradication of Tuberculosis’ in the country. On Gandhi Jayanti, the doctor community participated in the marathon for a cause to raise awareness about this deadly disease. India notified more than 2.4 million TB cases in 2019 and continues to have the largest share of the global TB burden, according to the National Health Portal of India. The COVID-19 pandemic drew too much attention in the last few years, side lining other public health issues which have become a global crisis. Tuberculosis is no less of a pandemic and requires urgent attention and faster intervention to avoid the rising death numbers not only in India but globally too. Dr Nilima Vaidya Bhamare, President, Association of Medical Consultants, Mumbai, said, “Tuberculosis is a preventable and curable disease

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however as a country we are yet to get a grip on the infectious disease. Lack of awareness about the dangers of TB, accessibility to diagnosis and testing coupled with affordability of treatment are increasing the disease burden in the country. The spread of Tuberculosis can be reduced if we follow preventive measures such as covering of mouth while coughing or sneezing, refraining from spitting in public places, using masks to reduce the transmission of airborne diseases, a practice that can be extended beyond covid-19 and followed for other transmittable diseases. We as an association of forward-thinking medical practitioners are doing our bit by supporting KEM Hospital in the marathon held for this cause.” The marathon witnessed a participation of around 900 runners who chose to run either 10km, 5 km or 3km depending on their stamina and interest. The marathon begun at 5.30 am and ended with a speech from the representative from AMC, Mumbai.

SWASTI IN COLLABORATION WITH USAID, NACO AND THE STATE AIDS CONTROL SOCIETY IMPLEMENTED A PILOT PROJECT TO IMPROVE THE ACCESSIBILITY AND AVAILABILITY OF HIV SERVICES

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wasti Health Catalyst, a notfor-profit health organisation, implemented a Communityled Monitoring (CLM) pilot project with support from its funding partner USAID-PEPFAR, the National AIDS Control Organisation (NACO) and the concerned State AIDS Control Society to improve the accessibility and availability of HIV services in New Delhi, Maharashtra and Telangana. With a focus on community system strengthening the national programme conducted from May 2021 to September 2022 in 2 districts of Maharashtra – Thane & Pune, 5 districts of Telangana – Rangareddy, Karimnagar, Hyderabad, Mahabubnagar, & Nalgonda and 3 districts of Delhi – North East, North West & Central Delhi. Swasti took up the development and piloting of the Community-led Monitoring (CLM) for improving HIV service quality and access which is an accountability mechanism led and implemented by local representatives of the key population – female sex workers, men who have sex with men, injecting drug users, transgenders and people living with HIV (PLHIV). In the three States, over 160+ Community Representatives (CR’s) volunteered to be a part of the initiative. 590+ HIV service facilities and centers across the three states were visited in the first two rounds of CLM. Dr. Bhawani Singh, Deputy Director, NACO said, “The community should be at the forefront in 600+ districts and should lead the efforts, represent and voice what is important to them. This approach can help ensure that the facilities are providing quality HIV services that beneficiaries want to utilize, improves the patient experience, and ultimately improves patient outcomes”.

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NEWS UPDATE

PERIOD PAL BY LAIQA TO LAUNCH ‘VIRTUAL MARATHON’ TO SPREAD AWARENESS ABOUT MENSTRUAL HYGIENE IN INDIA The marathon's goal is to spread awareness and raise funds for the advancement of Menstrual hygiene management facilities and infrastructure across India. Hygiene awareness and accessibility in India. The entire participation and tracking can happen through the Period pal mobile app. Further details are available on the Period pal website. www.Periodpal.in .

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ver 23 million girls drop out of school each year due to lack of menstrual hygiene facilities. More than 71% of girls are completely unaware of menstruation, until their first menstrual cycle. However, the ground reality is far more horrifying than the figures and statistics. Seeing this, Period Pal by Laiqa is all set to launch Virtual Marathon pan India on 6th November 2022. The aim is to spread awareness for menstrual hygiene among women in India and raising funds for the advancement of menstrual hygiene awareness and infrastructure across India. The ‘Virtual Marathon’ is divided into the following categories Step Up Run – 1 km, Fun Run 3.5 - 5 km; Half Marathon - 21.1 km; Mini Marathon - 10 km; Full Marathon - 42.192 km. Since it is a virtual marathon, the participants can run from anywhere across the world and participate in the biggest people’s movement to throw light on Menstrual

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Period Pal by Laiqa is expecting the participation of over 1,00,000 people, collectively to raise funds of over INR 1 Crore. The upcoming RUN FOR HER Marathon will have participation from individuals, schools and college students, corporates, celebrities, politicians, and other stakeholders across India to unify citizens under one banner for a cause. The launch event will be telecasted as a live event on all social media channels and personal social media channels of Laiqa, Taapsee Pannu, Bollywood Actress & CIO, who will throw open the registration drive for the marathon. Multiple companies and educational institutions have signed up to be part of the registration drive on the launch day. Post the launch event, registration drives will be conducted across schools, colleges and organizations across the country making this a national event with participation not only from the urban, aware, and woke crowd but from all sectors and tiers of the country. Monica Bindra, CEO, Period Pal by Laiqa said, “ It is time for all of us to come together irrespective of who we are and stand up for the cause as one

voice. Since the beginning, Laiqa's mission is to make people aware of the importance of menstrual hygiene and to help underprivileged menstruators to get access to basic menstrual hygiene products. For that, we have conducted awareness programmes and events and run the “ Buy one donate one programme”. As part of our mission, this marathon perfectly caters to spreading the word on this gap and helps to throw light and finally brings the change that we need to create an environment of safe and comfortable menstruation for all our women. ” Manoj Prasad, CTO, Period Pal by Laiqa said, “ The whole concept of conducting a virtual marathon is to make this accessible to all the people across India, even the world. We are looking to make this the biggest movement that can bring people from various walks of life with everyone contributing to the cause of awareness and accessibility of Menstrual hygiene in India. Technology has helped to make this a truly global event rather than being restricted to specific pockets of users or geographies. This is a pure example of how Femtech is changing and impacting the lives of millions of people around the world. “ In addition, Period pal by Laiqa conducts Menstrual Hygiene awareness campaigns in various educational institutions and corporate organizations, increasing the availability of safe and hygienic products for menstruators. Also, webinars, workshops and installation of sanitary napkin vending machines at public spots have been consistently happening over the last few months.

INTERVIEW

INTERVIEW UPDATE

FUTURE OF E-DIAGNOSTICS IN INDIA DHEERAJ JAIN Founder Redcliffe Labs

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E-diagnostics in India will go mainstream, with fullthrottle growth expected in the near future. It’s driven by the need for doorstep sample collection, quick turnaround time, and speedy delivery of reports. Consequently, this will stimulate the sector to devise innovative techniques and newer tests with upgraded equipment and implement the latest software applications, while also keeping a sharp eye on quality control, accuracy, and affordability.

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hat are the plans of Redcliffe Labs to reach 500 million Indians and how are you going ahead on Network expansion? The company is planning to expand its operations in the country through a series of upcoming initiatives. Currently, Redcliffe Labs operates a nationwide network of over 30 labs and 900+ collection centres spread across over 120 cities. It plans to establish more than 500 labs, 40,000 collection centres, and be accessible in more than 2000 cities and towns by the end of FY27. What are the new tools & technologies Redcliffe Labs is adopting to improve disease management in India? By making use of Artificial Intelligence (AI) and Machine Learning (ML), Redcliffe Labs is increasing its reach and ensuring that high-end diagnostics are accessible to each and every Indian across the country. Many diagnostic tests that used to take hours of a pathologist's time can now be completed in minutes thanks to these technologies. And some of the tests cost one tenth of what they used to cost earlier. How do you see Future of e-diagnostics in India? E-diagnostics in India will go mainstream, with full-throttle growth expected in the near future. It’s driven by the need for doorstep sample collection, quick turnaround time, and speedy delivery of reports. Consequently, this will stimulate the sector to devise innovative techniques and newer tests with upgraded equipment and implement the latest software applications, while also keeping a sharp eye on quality control, accuracy, and affordability. Logistics is becoming critical in the pursuit of serving customers, what Redcliffe is doing on the same. Redcliffe Labs' ever growing network of labs and collection centres, which

INTERVIEW currently stands at 30 labs and 900+ collection centres in 150+ cities across the country, is helping make its services and diagnostic care accessible to the remotest areas. Therefore, with easy access to quality diagnostics, people do not have to travel to the bigger cities to meet their diagnostic needs. Also, Redcliffe Labs recently became the first diagnostic service provider to embrace drone technology for its blood sample collection in clinical trials. Hence, it will implement drone technology in different pockets and hardto-reach areas in the country to further speed up its diagnostics services. Please elaborate about your new genetic lab in Noida and how the new initiative GENEë-To the Gene will fulfill the needs of all genetic related issues? Our genetic lab in Noida is also North India’s first-of-its-kind and most advanced genetics laboratory. to line up the most advanced and high-end sequencing systems like Novaseq 6000’ Sequencing System and Spatial Genomics, which are useful in the diagnosis of rare conditions in newborns, infants, and in prenatal settings. GENEë-To the Gene, a common platform for all genetic needs of doctors and patients. It comprises of a team of DM Geneticists from across India and senior board-certified counsellors and medical liaisoners who are technically strong. The platform will help bridge the gap between clinicians from every part of India and clinical geneticists for guidance on testing and training on genetics. For report guidance and support, GENEë will bring patients closer to a certified geneticist and a genetic counsellor.

Besides, it will create possibilities for geneticists from India to join the platform to support correct genetic testing for patients. Also, through our network of 900 collection centres and lab network across the country with both routine tests and now diagnostics, Redcliffe Labs will be able to take this platform to even the smallest cities and centres and provide clinicians access to geneticists. Doctors from other hospitals and cities can also be connected to the Geneê via WhatsApp. The Noida Lab is well equipped to perform different tests such as new-born screening-baby screen; Non-Invasive Prenatal Screening; Marker Screening; couple carrier screening; cytogenetics (Karyotype, FISH, Chromosomal Microarray); and exome sequencing . According to a report India's diagnostic industry expected to grow at 14%, to touch $20 bn by FY26: What are views on the same. Over 70 per cent of the medical decisions regarding disease treatment, management and prevention are based on diagnostics. They are a crucial tool in preventive healthcare as well. So it is bound to grow. There will also be a lot of innovation as the diagnostic of the future will be doorstep sample collection, quick turnaround time, and speedy delivery of reports. Consequently, this will stimulate the sector to devise innovative techniques and newer tests with upgraded equipment and implement the latest software applications, while also keeping a sharp eye on quality control, accuracy, and affordability.

Furthermore, geneticists on the platform will also do online training with government and private institutes on genetics and testing. The platform will also set up offline genetic clinics with geneticists and genetic counsellors. w w w.medgatetoday.com   October 2022

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COVER STORY

INDIA AS MEDICAL INTERVENTION & WELLNESS HUB

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edical tourism has been around for centuries. Belief has existed that bathing in hot springs, has therapeutic value for a number of ailments (including chronic skin diseases) and so those who could afford it, especially the ruling classes, would visit such locations seeking cures. Even pilgrimage to shrines and to abodes of miracle workers is a form of medical tourism. The TB afflicted would seek out more salubrious – dry and warm locations to resettle – even if stays were relatively brief.

been on the rise in “poor” countries and this has allowed many to seek more expensive intervention perceived to be either “state-of-art” or treatment through “alternate” forms of medicine.

With journeys becoming easier to undertake, the last five decades have seen a mushroom growth in the volume of traffic for medical reasons. The proliferation began owing to spiralling costs of medical intervention in affluent regions. This brought about exploration of lower cost options elsewhere by patients, doctors and hospitals and even insurance companies. Provided it was feasible to travel and that a solution was readily available abroad, decisions were then made based on the travel cost and treatment cost relations. For a while, affluent nations would display a distinct bias about the quality aspects on offer elsewhere. Word of mouth publicity (such as about the better quality of nursing care in India or Singapore); the generation of analytical scientific reports; awareness creation and promotional activity; the modernizing and “catching-up” that was ongoing in the under-developed world vis-a-vis the developed; has brought about considerable shift in perception. Both Institutions and patients are not as hesitant as before.

Granted that Covid had played its part, but by 2021 over 2,00,000 British patients were waiting for CABG (5,000 for more than a year). It was similar for other interventional procedures – cardiac, GUM, knee and hip replacement. This in itself made a strong case for medical tourism. While the system could provide high-quality health care, this was only done “eventually”. It did not provide timely intervention

Meanwhile, well-to-do classes have 32 October 2022  w w w. me d g a te to d a y.co m

Not all such medical tourism decisions are logical however. A case in point is the UK’s NHS. While the United Kingdom has an enviable Health System, in the National Health Service that seeks to provide healthcare nearly free of cost for all citizens, the NHS has piled up huge backlogs by way of patients waiting for overdue medical intervention.

and so inflicted unnecessary suffering, morbidity, and mortality. Unnecessary! Because competent doctors, enough beds, and adequate equipment and facilities were available in places like India and Thailand for procedures that have become so common as to be “off-the-shelf”. Having analysed this in some depth, take the case of the UK allotting 5,000 CABG level interventions to the medical tourism route. On average CABGs cost £11,000 each in the UK. Including transportation (air-fares, an attendant’s costs and procedure) the average cost for an Indian case would be around £7,000. The resulting saving for the NHS would be of the order £20,000,000. Such savings could then release considerable funds for putting back into the NHS as required. It would have been a win-win outcome for both nations. It was an opportunity missed. It required understanding on the part of the Indian Government – since it involved politicians in the UK – all the way down to the level of local selfgovernance councils.

COVER STORY

The Medical Tourism Market: Estimates Global Medical Tourism Market in 2021: US$ 18.7 billion. Compound Annual Growth Rate (CAGR) expected for next decade: 20%. Market size expected in 2030: US$ 107 billion. Medical Tourist traffic in 2017: 14-16 million Medical Tourist Traffic in 2021: ~ 18 million These traffic figures are compiled from those of individual states. Some (such as from the US, Mexico, EU and India) are quite accurate.

Factors that will drive Growth • Cost Differentials for equivalent treatment in different nations. • Dissemination of awareness about what is on offer in destination location. » To elaborate: The larger Indian players enjoy a level of visibility (and created brand images for themselves) in some markets abroad. However, awareness of the full potential of India is low in most parts of the world. » This has to percolate to Governments, Medical Institutions and Bodies, Doctors and the Medical Communities, and finally among Patients. » To move from awareness to acceptance, word of mouth is vital. Thailand is way ahead of India as regards this. • Adoption of state-of-art technology and practices. Catching up with the developed world. • Quality aspects: Such as dedicated nursing and post operative care. • Partners in originating countries: Tie ups with insurance companies for instance. • Synergies: In addition to high quality conventional intervention, India also offers alternate medicine, and a variety of appealing wellness therapies.

Limiting Factors • Competition: A number of different regions will begin to compete with each other for a slice of the medical tourism pie. Not only will this be about prices but also in terms of reputation and brand imaging. A single rogue player can damage perceptions about all others in that destination.

• Post operative needs and their fits with protocols of the origin states. • Changes in health demographics • Capacities & Transportation: While Crete, Turkey and the Virgin Islands happen to be the preferred destination of medical tourists from Europe and the U K, only Singapore, Thailand and India have any real capacities at the moment. Among the latter India is best placed in terms quality hospitals all over the country. Upcountry centres, CMC Vellore for example, may have all the attributes of an excellent health centre but the question is: will someone desperately sick accept the imposition of getting there? Also Air-fares to India exceed those to Thailand. • Innovation or the lack of it: Thailand for instance has positioned itself as the destination for cosmetic surgery – offering instant face-lifts at bargain rates. Thailand generates the highest volume of medical tourist traffic in the world, and this further leads to huge word of mouth publicity. India needs strategy for generating foreign traffic for its larger “boutique” hospitals. Transportation is not confined to air. Medical tourists from Bangladesh to Thailand outnumber those to India many times over. Cheap overland transport forms exist – but these are unsuitable for the unwell. What about Pakistan and Nepal?

SUMMARY • Medical Tourism is one of the fastest growing activities on the planet and presents huge opportunities for Indian players. So is Wellness Tourism. • For such entrants, it is important to develop strategies based on what they have on offer. Such strategies will identify countries of relevance and who they need to partner with in these regions. • Medical Tourism has the potential to earn foreign exchange on a scale comparable to our IT sector and so requires Government support: » By building bilateral relations (as illustrated by the NHS reference given above) » Through organizing awareness building campaigns at identified locations and providing forums to a range of Indian health care businesses including niche and boutique style entities.

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COVER STORY

Medical Value Tourism DR. MINNIE BODHANWALA CEO, Wadia Hospital

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e all know the field of Healthcare in India is rapidly growing and advancing. The growth is observed not only in the traditional sectors of Hospitals and Pharmaceuticals but also in the newly emerging field of Medical tourism where the demand for Indian healthcare services has increased significantly in the international community as well. With new medical advances in healthcare there is a strong need for innovative practices to overcome challenges faced in this sectors collectively for long-term growth and sustainability. Medical tourism is one of the sectors, which is important to both Healthcare, and Tourism industry of our country. A combination of many factors has led to the recent increase in popularity of medical tourism: exorbitant costs of healthcare in developed nations, ease and affordability of international travel, favourable currency exchange rates in the global economy, rapidly improving technology and standards of care. A combination of three key factors – quality, availability and cost has been key factors in fuelling the phenomenal growth witnessed in the Indian medical tourism industry. Medical tourism services could include complex specialized surgeries such as joint replacement (knee/hip), cardiac surgery, IVF, dental surgery, and cosmetic surgeries. But other types of health care like psychiatry, alternative treatments (example, Ayurveda), convalescent care, wellness etc. are also available. Though the industry has shown increasing potential in the last few years, most of the international patients from Middle East and Europe still prefer countries like Thailand where medical services are at par with India but they prefer it due to the ease of obtaining visa and friendly mind-set and general attitude of the people towards tourists. There is also a need to curate quality destinations within India where differentiated experience that is unique could be provided to the quality-seeking visitors, Quality medical tourism destinations could also help us with sustainable growth that will be innovative, productive and lean. There is also a need to undertake an international marketing campaign to create awareness amongst the global community about the facilities rendered by Indian healthcare institutions. In order to boost medical tourisms strong efforts need to be made towards the same. We at Wadia Hospitals strongly believe in providing quality care at affordable costs for all individuals who visit us including international patients.

COVER STORY

Bai Jerbai Wadia Hospital for Children

Nowrosjee Wadia Maternity Hospital

Bai Jerbai Wadia Hospital for Children is India’s first, one of the largest and best known hospitals for Paediatric care established in the year 1929 for the poorer classes of the society. It is the first ever-public hospital established in India exclusively for Children by a joint agreement between the Municipal Corporation of Greater Mumbai and the Wadia Family.

Nowrosjee Wadia Maternity Hospital is one of the largest and best-known hospitals for Obstetrics and Gynaecology care in India established in the year 1926 for the poorer classes of the society. It is the first ever-public hospital established in India exclusively for Women by a joint agreement between the Government of Maharashtra, Municipal Corporation of Greater Mumbai and the Wadia Family.

A teaching hospital of worldwide repute, this 525-bed hospital is propelled by a highly accomplished team of over 100 Paediatrics specialists. BJWHC is conveniently located in the Heart of the Mumbai city in Parel area. In brightly painted wards, surrounded with their favourite cartoon characters, children are treated for a wide spectrum of rare and complex conditions, in an environment that does its best to keep their spirits high. With tender care by the staff and each doctor taking a personal interest in every child’s health and wellbeing, the hospital sees its responsibility as much more than just medical treatment. Besides providing comprehensive clinical care it also offers rehabilitation and family focused methods of promoting a healthy environment for the child, thus striving to prevent childhood diseases. What keeps BJWHC at the forefront of Paediatrics in India and beyond is the professional competence, continuous innovation and dedication of all departments who manned BJWHC during last ninety years. Paediatric Well babyservices Audiology NutritionRehabili- Research Casualty Services tation Department Centre Paediatric High Risk OPD Blood Bank Intensive Care services Paediatric Neonatology Dietetics Dermatology Paediatric Child Guidance Microbiology Cardiology Clinic Paediatric Paediatric Cardiac Pathology Endocrinology Surgery Department of Paediatric Occupational PaediatricAnaesthesia Services Epilepsy Paediatric Paediatric Surgery Physiotherapy Hemat- Oncology Paediatric Paediatric Laparo- Radiology and Hepatobiliary Imaging scopic surgery Paediatric Neuro- Speech Therapy Paediatric HIV surgery Paediatric Paediatric Library Orthopedics Immunology Paediatric Plastic Immunization surgery & burns Paediatric Paediatric Urology Nephrology Paediatric Paediatric E.N.T Neurology Department Paediatric Ophthalmology TB clinic Clinic Paediatric Medicine

Nowrosjee Wadia Maternity Hospital specializes in offering affordable Obstetric and Gynaecological services to women across all sections of society, catering to their changing needs through different stages of their lives. The hospital does not limit its services to its patients alone. It acts as a tertiary level referral center as well as helps rehabilitate these women and their families by showing them methods of improving the health and sanitation around their environment and ensuring a healthy life for their whole family. With a dedicated team of over 40 specialists this 400-bed hospital, also has a constant influx of aspiring doctors who train under some of the best specialists in not only the city but also the country. Services offered at NWMH: Congenital Anomaly Scan Antenatal Clinic V. F (A.R.T) Centre Foetal Medicine Prenatal Clinic Endocrinology Gynaec Oncology Postnatal Clinic Ultrasonography & Imaging High Risk Nutrition & Pregnancy Clinic Exercise Clinic Clinic For Immuno Uro-Gynaecology Compromised Women Endoscopy Minimal Access Surgery Well Women Clinic

Blood Bank Dietetics Microbiology Pathology Library

About Wadia Hospitals: The Wadia Hospitals comprise of two dedicated super speciality public hospitals the Bai Jerbai Wadia Hospital for Children (525 Beds) & Nowrosjee Wadia Maternity Hospital (400 Beds). The Hospitals see an influx of more than four lakh patients on an outpatient basis and more than thirty thousand patients on an inpatient basis annually. Both Hospitals serve the underprivileged section of the society for more than nine decades now.

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COVER STORY

Key points: •

BJWHC has a centre of excellence for Paediatric Cardiology, where more than 3000 children have benefitted in a short span of over three years. The hospital aims to zero the list of children in Maharashtra who are waiting for a Paediatric Surgery.

•

Centres of excellence in the field of Paediatric Neurology, Paediatric Neurosurgery, Paediatric Surgery, Nephrology, Hemat-Oncology, Bone Marrow Transplant and many more.

•

BJWHC has one of the largest NICU’s in the world with 155 beds.

•

BJWHC is a nodal centre for Club Foot treatment in Maharashtra, India and also the only centre in Western India that provides a zero day dialysis for new-borns.

•

In partnership with UNICEF, BJWHC is addressing child survival and development with equity among the most deprived urban poor communities of Mumbai by providing a state of the art advanced Nutrition Rehabilitation Centre for children with Severe Acute Malnutrition

•

BJWHC has also conducted numerous Health camps for Children. Every child who enters BJWHC is screened for nutrition status; this is a first of its kind program in India to tackle malnutrition. Hospitals are also providing support for capacity building, disaster management, screening and treatment of health conditions and knowledge management for Government and non-profit organizations

•

There are also dedicated centres for Tuberculosis and HIV, which undertake extensive research activities. The hospital also has 24/7 Cath lab and state of the art diagnostic facilities to support the patients and provide all services under one roof. The hospital is also planning a MRI setup that will be functional soon.

•

Human Milk Bank
has has also been established at NWMH and is catering to new-borns and infants and thus helping the vulnerable children survive. State of the Art I.V.F (A.R.T) Center has been established to provide an affordable chance for the lower income families. The I.V.F (A.R.T) Center at NWMH is the first in India to achieve QAI accreditation for IVF services

•

Every year the entire community comes together to participate in the Little Hearts Marathon (LHM), which is a social event to engage the community and help spread awareness for prevention of cardiac diseases in children. More than hundred thousand children have supported the cause of LHM over the last 6 years.

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DR. MINNIE BODHANWALA •

BJWHC is First Hospital in India to have achieved the accreditation from the American Accreditation Commission International (AACI). The hospitals have received NABH Accreditation, Nursing Excellence Certificate from NABH, NABL and Accreditation for institutional ethics committee from NABH.

•

The hospitals have received over 25 prestigious international and national awards for quality care and healthcare services.

•

First Hospital in India to identify the condition of Multisystem Inflammatory 
Syndrome (PMIS) in COVID-19 positive children.

COVER STORY

Medical Value Tourism

AMITAVO BHATTACHARYYA

Head of Business Development Labaid Cancer Hospital & Super Speciality Centre, Dhaka, Bangladesh

I

ndia is ranked 10th out of the top 46 countries in the world in the Medical Tourism Index 2020-21 by Medical Tourism Association & is expected to grow to USD 13 billion by 2022.

Statistics reveal that India receives most of its medical tourists from Afghanistan, Pakistan, Oman, Maldives, Nigeria, Kenya and Iraq in its Northern & Western regions & Bangladesh, Bhutan , Nepal & Myanmar in the eastern parts mainly Kolkata , Siliguri & also to South India. Mostly patients from various countries flock to India for complex Heart surgeries, Cancer treatment, Infertility , Bariatric surgeries, Solid Organ transplant & BMT being the major ones at affordable costs. Many patients also come for age-old traditional treatment methods such as Ayurveda, Yoga, Unani, Siddha and Homoeopathy (AYUSH), with proven efficacy & are considered alternative treatment options. Not only treatment but the patients & their families also visit places which involves tourism , shopping & trying various cuisines. With the advent of Internet & social networking lots of Information providers, Hospitals, Doctors publish their details so that patients can contact them for better treatment. There are around 37 Joint Commission International (JCI) accredited hospitals and 513 (NABH) accredited hospitals in India. Patients & parties nowadays look for accreditations of the Hospitals ,positive cases & Doctor details (experience & expertise) before finalizing. Nowadays even healthcare industry in Bangladesh is booming with various International Hospitals & Healthcare spreading footprints even from India & top Hospitals like the Labaid group offering best quality treatment at affordable prices , patients from UAE etc are taking treatments here. With Government support, the industry has taken various initiatives for marketing and promotion of the Indian healthcare industry in the key markets & the industry will witness growing revenues. With over 2 decades of experience accross Hospital industry, Amitavo Bhattacharyya is a strategist & achiever with excellence in end to end Healthcare Marketing, strategic Hospital operations, Profit Centre operations, Business development with focus on accomplishing Organizational goals. His experience spans over Multispeciality Hospitals, IVF , Opthalmology in India & overseas & presently spearheading the business for Labaid Cancer Hospital & Super Speciality Centre in Dhaka, Bangladesh.

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SPIROMETER SP10BT

COVER STORY

Medical Value Travel -

The boon for

India’s

economic growth RAJEEV TANEJA Founder and CEO Global Care

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COVER

M

edical tourism has grown to become a major source of economic diversification in India. It is majorly accelerated by the low cost of treatment, quality treatment, English language proficiency, and ease of travel that India offers. The medical tourism industry is currently valued at USD 6 billion and the sector is expected to grow at a CAGR of 21.1% from 2020 to 2027. Source(Kamala Vardhana Rao, DG (Tourism) and C&MD, ITDC, in an article dated 27th Sep, 2021 in Financial Express) Medical Tourism has largely been a private-backed sector but with the government acting as a catalyst, medical tourism is the perfect way to position India as The Global Destination for medical tourism. The key concerns facing the industry currently are – not enough focus by Govt of India in the past, comprehensive effort at marketing the industry, no accreditation for hospitals defining capability of servicing international patients and a lack of standardization of pricing policies. As an economic activity that entails trade in various services here is why the medical tourism industry needs a consistent and comprehensive focus from the Indian government •

Foreign exchange - Medical tourism is one of the biggest sources of forex exchange for India. It is also helping position India as an authority across the world and increase the country’s prestige and goodwill.

•

Diplomatic favours - Medical tourism is one of the major reasons why India is profiting from globalization and can leverage these opportunities for better diplomatic relations. With this innovative form of consumer diplomacy, the government can garner positive relations with key countries of the world.

STORY

•

Growth of related sectors - Medical tourism is not a standalone sector. The inbound traffic of patients not just brings in money for the medical fraternity and companies but also promotes other sectors such as tourism and hospitality. Besides medical treatments, India also has facilities for superlative convalescence which in turn further supports the hospitality industry.

•

Job generation - The process of travelling to another country for medical treatment by virtue requires coordination of travel, treatment, post-treatment recovery, hospitality, language interpretation etc. If focused upon properly, medical tourism can help augment job generation in various tertiary sectors as well.

•

Wholistic wellness destination- For centuries India has been recognized as the destination for ancient knowledge and wellness. Different streams of medicine like Unani, Naturopathy, Siddha, Sowa-Rigpa, Homoeopathy, Yoga and meditation are now acknowledged around the world. Having a focused approach toward medical tourism can help the government promote India as a holistic country for wellness with not just modern treatments but also traditional treatments.

•

Technological advancements - Medicine and diagnostics as an industry is ever-evolving. To keep at par with the advancements worldwide and to continue bringing these advanced treatments, therapies and techniques to the country, the medical tourism sector needs government support for growth.

India ranks 10th out of the top 46 countries in the world in the Medical Tourism Index 2020-21. With comprehensive and conclusive strategies to augment the sector, medical value tourism in India can aim for the biggest piece of this pie globally.

"

Mr Rajeev Taneja, Founder and CEO of Global Care talks about the need for a comprehensive and consistent focus by the government to help medical tourism with accelerated growth. The key concerns facing the industry currently are – not enough focus by Govt of India in the past, comprehensive effort at marketing the industry, no accreditation for hospitals defining capability of servicing international patients and a lack of standardization of pricing policies.

"

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COVER STORY

Medical Wellness emerging in a big way in Medical Tourism DR. PREM JAGYASI

MD & CEO Dr Prem and Associates FOUNDER Dr Prem Web Magazine Network

D

r. Prem Jagyasi is an award-winning global speaker, executive coach, bestseller author and publisher. Dr Prem is also a leading authority and influencer in Global Healthcare, Medical Tourism, Wellness Tourism and Wellness Resort Industry. Dr Prem & Associates Medical Wellness Consultancy has created amazing success stories in medical wellness by working with reputed brands in different corners of the globe. Their consultancy covers wellness resorts, medical facilities, wellness centers, and spas anywhere in the world.

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COVER STORY

Will medical tourism be the same as before? Consumers’ perspectives on health and wellness are changing. We need to view medical tourism more holistically. Medical wellness is set to be the next big thing where traditional practices and modern medicine coalesce creating unique wellness experiences. Medical wellness is aimed at the holistic enhancement of health and well-being with a broader perspective of effective prevention, intervention, and preservation. The primary goal is not only the treatment and healing but the motivation and guidance to maintain sustainable well-being throughout life.

Why medical wellness?

Short-term well-being

relief

never

supports

long-term

For decades, people have focused too much on treatment and medication overlooking the basics of well-being. • Chronic stress is linked to six leading causes of death namely cardiovascular diseases (CVD), lung disorders, cancer, liver cirrhosis, accident, and suicide. • 7 out of 10 deaths worldwide are caused by NCDs (noncommunicable diseases) like hypertension, obesity, diabetes, cancer, and respiratory ailments. All these by and large are preventable.

Medical tourism is picking up but at a cautious pace. Even though the pandemic is waning, economic uncertainties and geopolitical tensions have put brakes on the usual growth process. Prospective medical tourists are looking for holistic solutions in medical tourism that will fulfill their immediate medical needs as well as give the roadmap for life-long management of health and well-being.

• Cardiovascular diseases account for a majority of NCDrelated deaths.

Traveling is not as easy as before. Patients no longer would prefer the hurried get-the-treatment-and-fly-back schedule. They will be willing for a worthwhile investment to avoid long-term suffering in the future.

• More than 75% of insurers expect an acceleration of healthcare costs in the next 3 years.

• Global healthcare spending could cross $10 Trillion by 2022. • Many countries are unable to bear the expense load of NCD treatments.

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COVER STORY

Medical travelers are generally long stayers than conventional tourists. Post-pandemic, this duration is likely to increase. On average, they are most likely to stay for a minimum of 14 days often crossing a month. They are likely to spend the recuperation phase in some exotic wellness resorts amid various relaxing and rejuvenating activities. A medical tourist after undergoing heart surgery or joint replacement has to take up different rehabilitation programs and check-up sessions. What if both the treatment and recuperation period can be under the same roof arrangement with a well-synchronized service? This is the main objective of medical wellness ensuring a better and more consistent quality of medical and associated wellness services making the entire venture a delightful experience for patients.

Medical Wellness – Best Practices Despite the fundamental differences between medical tourism and wellness tourism, integrated medical wellness is seen in renowned medical facilities, health resorts, sanatoriums, and wellness resorts. Their service platform is focused on holistic medical wellness with equal emphasis on preventive and curative programs with the right combination of western medicine and eastern holistic healing practices. To build a successful medical wellness setup, the following are key considerations:

Feasibility It is also important to understand the feasibility of wellness integration from the existing positioning of the facility. Wellness treatments should be selected carefully ensuring their outcome is in sync with the medical treatments that will fulfill the goals of a patient’s holistic wellness journey.

Create the right organizational structure In an integrated medical wellness structure, exclusive medical and wellness-focused teams must work in sync each aware of their goals and responsibilities. To sustain a seamless patient flow, both teams should be led by respective medical and wellness directors. The top leadership to monitor that the medical and wellness teams under two directors are cohesive and deliver an exceptional patient experience.

Getting the right experts To integrate medical wellness, it is essential to hire licensed and certified wellness therapists. Experts should display utmost professionalism to create a great ambience of safety, trust, and comfort. Any lapse here will impact the synchronized operation and the patient’s objectives.

Proper equipment management Integrating advanced wellness treatments like Cryotherapy, 44 October 2022  w w w. me d g a te to d a y.co m

Hydrotherapy, Hyperbaric Oxygen therapy, etc. may demand an exclusive setup with certified technicians, nurses, or assistants. Have a proper system in place to run the entire operation successfully.

Building strategic partnerships If the facility does not have adequate space or resources for the necessary integration, partnerships with established wellness resorts or facilities can serve the purpose. Such partnerships can help in expanding medical wellness offerings without additional fixed costs.

DR. PREM JAGYASI

Brand positioning An integrated service platform will attract a broad customer segment. A dedicated sales and marketing team for each customer segment is vital to position your brand as a medical wellness destination. This helps in a well-defined promotion of medical wellness very specific to a group. Merging of medical and wellness will evolve as a widespread practice but this needs careful planning. Any mishap can ruin the image of a destination forever. To avoid this, it is always recommended to hire a reputed medical wellness consultant and advisor to guide facilities towards a successful venture.

India is at the cusp of medical wellness confluence India commands a formidable position in the global medical tourism and wellness tourism market. The country with its state-of-the-art medical facilities, excellent talent pool, and age-old traditional healing practices is best positioned to tap the emerging medical wellness trend. Ayurveda medical tourism in India is booming. Many medical facilities are integrating yoga, meditation, and other forms of alternative therapies into their treatment programs, it is just the start. Indian government’s ‘Heal In India’ campaign and special AYUSH visa is set to open the floodgates of opportunities. The country has seen massive growth in wellness resorts offering customized holistic wellness programs. As medical tourism in India picks up pace, stakeholders of the healthcare, wellness, and tourism sectors can set up great collaborations to create attractive products. India is targeting a bigger customer market where integrated medical wellness propositions will be the star.

COVER STORY

What Kind of Biohacking Will Win in the Long Run? SAJEEV NAIR

Founder & Chairman Vieroots Wellness Solutions

S

ajeev Nair is a pioneering biohacker in India who is credited with bringing geno-metabolic-based personalized epigenetic lifestyle modifications into the country. Mr. Nair, through his bestselling biohacking book ‘The Making of a Superhuman’, proved the efficacy & safety of bringing together modern medical research and biohacks from ancient systems like Ayurveda, Yoga & Meditation. Mr. Nair is the co-founder of Vieroots Wellness Solutions, a health-tech startup focusing on practical and safe biohacking; and Limoverse, the world’s first blockchain-based health & wellness ecosystem and metaverse connecting wellness seekers with wellness experts.

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COVER STORY

Biohacking is one of those emerging ideas that mean different things to different people. On one hand, it can range from do-it-yourself biology using garage labs to self-health using various means. And in self- health too, it can range from adopting research-validated lifestyle modifications in diet, exercise, sleep, meditation etc, to the grinder subculture of implanting chips, injecting chemicals, undergoing geneediting using CRISPR and following cyborg-like ambitions.

relatively faster growing developing economies like India & China. Another major thrust for the wellness and biohacking industry is coming from the rapid deployment of technology. For example, the wellness genomics market which is the backbone of personalized wellness is poised to touch $12.8 billion, whereas its other enabler, the digital health records market is projected to reach $48.2 billion by 2025 itself.

The adoption of biohacking by the healthcare industry is closely linked with the growing size of the wellness sub-sector within the overall healthcare sector. This is because all the varied forms of biohacks with an aim of better self-health are all about ensuring wellness or the lack of diseases, rather than treating diseases. Biohacking gels perfectly with wellness as they both concern themselves with not only prevention of diseases, but also bettering physical and mental performance.

There are several other drivers too for the fast growth of wellness and biohacking. In fact one of the greatest drivers for this market is the wearables and quantified self tools, which is growing at a rapid rate to touch $118 billion by the end of this decade. While the original devices were smartwatches, fitness bands, pedometers & smartphone apps, today this segment has unbelievable innovations like pocket EKGs that can detect all the common cardiac arrhythmias.

Wellness vs Treatments

What Kind of Biohacking Will See Faster Adoption?

Currently, 10-20% of the global healthcare industry is made up of the wellness sub-sector which is dominated by nutritional supplements, specialized diets, fitness programs, biohacking and such lifestyle industries. With the healthcare industry recently crossing the $10 trillion dollar mark, this means the wellness sub-sector is already valued between $1-2 trillion now. But growing forward, wellness is poised to do much better than the overall healthcare sector.

This is not a million dollar or billion dollar question anymore, but a multi-trillion dollar question. Everyone from hospital systems to pharma giants to tech majors to private equity leaders to giant mutual funds to the best stock market analysts are desperately trying to crack this puzzle - which way will the wellness and biohacking industry swing finally?

This is because wellness is growing at a faster clip of 15% as against healthcare’s overall growth rate of 7%. According to a major study by a global consultancy major, this will result in around 60% of the global healthcare industry consisting of prevention or wellness activities by 2040, overtaking even the classic reactionary model of treating diseases. There are several reasons for this enormous growth awaiting the wellness sub-sector.

The Role of Biohacking in Wellness On an average, around 10% of the GDP of developed nations like in North America & Europe are coming from their health & wellness industries, whereas in developing nations like India it is close to low single digits. However, in recent years, the USA has clearly diverged from this trend with healthcare & wellness accounting for 18% of its GDP. This in turn is driven by several trends in this largest healthcare & wellness market in the world. For one, lifestyle modifications which are the most proven biohacks have gone mainstream in the US after the health insurance industry started covering them much like they provide for treatments like medicines, procedures & surgeries. Sooner or later, this trend is sure to spread to other developed nations and even to

Three pointers are enough to answer this invaluable question. Firstly, what will win eventually is what will deliver quantifiable good health & wellness. On this count, genomics based personalized lifestyle modifications is the clear winner. This is the gold standard in wellness and biohacking today as such modifications are epigenetic which means capable of overriding even genetic risks for diseases. Secondly, what will win is those biohacking tools that can be mass adopted. On this count, the wearable wellness & biohacking devices is an obvious winner. Health & wellness ecosystems and metaverses that bring in gamification and rewards using such wearables are also expected to boom. On the other hand, grinder technologies like implantables, injectables & gene editors have a clear disadvantage as there is great resistance for their mass adoption. Thirdly, the safety of the biohacks will be a major concern deciding the eventual winner. On this count, the clear winner is likely to be the time-tested and totally safe biohacks from ancient wellness systems like Ayurveda & Yoga. Indeed, in the words of Dave Asprey, widely considered as the Father of Biohacking, “We have been biohacking forever. Ayurveda is an ancient biohacking system to put yourself in better control of your own biology.”

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47

DOCTOR SPEAK

Caring for Children with Heart Defects to clarify all your doubts to have a clear understanding of the situation and to avoid any mistakes while taking care of the child. Few things that you must ask: • How severe is your child’s heart conditions? • What are the few things that are completely restricted for the child? • Are there specific precautions that you have to take when caring for the child ? • Will the child face any trouble while feeding? Will the problems persist as the child will grow? • What if the child is not gaining weight normally? • If the child undergoes surgical treatment, what are the complications associated with surgery and long term prognosis ?

DR. S INDU NAIR

I

Senior consultant Neonatology & Paediatrics Kinder Women’s Hospital and Fertility Clinic

Post-treatment, the questions remains on how to take utmost care of the child so that its condition does not deteriorate, or no other complications may arise? The child needs special attention and care, and so do you. Here are some tips to help you care for your child better: •

t isn’t an easy situation to deal with when your child is diagnosed with heart abnormalities. It is stressful when you think of it and may feel angry, depressed, or guilty. Heart Defects in a Child •

Some children are born with heart defects, that is, with problems in their heart’s structure. These heart defects are referred to as "congenital heart problems” or problems that are present at birth. These heart defects can be mild or severe. Congenital heart defects can be different types – • Hole in the heart problem – the most common type of heart defect involving an abnormal connection between the heart's chambers

• Abnormal connections of the blood vessels to the heart

Things to ask your doctor Once your child is diagnosed with any heart defect, make sure 48 48 October 2022  w w w. me d g a te to d a y.co m

Feeding your baby: It may be difficult to breastfeed an infant or toddler with heart defects since they can get tired easily. Speak to your doctor or a lactation specialist to find ways to breastfeed. If the baby is on formula feed, follow the nutritionist’s recommendations on calorie count and nutritional benefits to choose the right formula.

•

Building strong immune system: Any child with heart defects have weak immune systems and find it difficult to fight infections easily. Ensure that the baby gets its scheduled flu shots and pneumonia vaccines on time. Avoid crowded places and maintain good hand hygiene.

•

Staying physically active: Similar to all other children, a child with heart defect can also stay physically active without any specific restrictions or rules to follow. In fact, they must be encouraged to take up sports activities such as swimming, tennis, cycling, etc. after consultations with their pediatric cardiologists. For certain congenital heart problems, highly strenuous activities may be advised to be avoided.

• Abnormalities found in the heart valves • Obstruction to the blood flow while entering or leaving the heart

Ways to prevent bacterial infection: One of the foremost things to keep in mind include preventing infective endocarditis (bacterial infection in the tissue lining the heart and the blood vessels). Although rare, there are chances of developing it and appropriate actions must be taken to prevent it. Maintaining good dental hygiene by reducing any risk of tooth or gum infections can help.

SPECIAL ISSUE

MB NOVE ER 14TH

CARDIOVASCULAR DISEASE DIABETIC FOOT GESTATIONAL DIABETES MELLITUS

SUMISSION DEADLINES Register your interest 28TH NOVERMVER 2022 [email protected] +91 1126946348

DOCTOR SPEAK

HOW DOES POLYCYSTIC KIDNEY DISEASE AFFECT THE KIDNEYS?

K

idneys are staggering organs of our body. The two beanformed kidneys guard us by sifting through chemicals, our waste products, and eliminating abundance water from our bodies. To make due and carry out typical substantial roles, people with kidney disappointment require dialysis or a transfer. Diabetes and hypertension are the most well-known reasons for renal illness in all kinds of people in India. Keeping up with astounding kidney wellbeing requires early location and treatment of these issues. Be proactive about your kidney wellbeing by carrying on with a sound way of life and seeing your doctor consistently. In the past couple of years, polycystic kidney sickness (PKD) is influencing individuals of different ages, races, and identities are impacted by PKD. Ladies and gents are both impacted by the condition. PKD is quite possibly of the most incessant acquired condition. It influences one in each 400 to 1000 individuals in the whole world. It is likewise seen among kids and one in each 20,000 youngsters is impacted by PKD. What precisely is polycystic kidney infection? Polycystic kidney infection (PKD) is a hereditary problem. In this sickness, your kidneys foster different liquid filled cysts. PKD pimples can likewise influence the state of your kidneys. Blisters make them bigger and can likewise that could shape further down the road. PKD is additionally viewed as ongoing kidney illness (CKD). This makes kidney capability fall apart. This can likewise prompt renal disappointment. Other than this there are many more outcomes or troubles related with PKD. This

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incorporates hypertension, liver pimples, and vein irregularities in the cerebrum and heart. What causes PKD? PKD is brought about by a development of cysts in the kidneys. Individuals with PKD are hereditarily inclined toward it. PKD is regularly passed down from one or the two guardians. PKD can influence individuals of different sex, age, race, identity, as well as country.

Sujit Chatterjee

You are bound to foster PKD or carry the genes that particularly CEO, causes it on the off chance that Dr. L H Hiranandani Hospital you have a blood family who has it. A transporter is somebody who conveys the genes that What are the signs and side effects of causes PKD however doesn't have the PKD? infection. The signs and side effects are not seen What organs do PKD influence with commonly in individuals of 30 or 40 the exception of the kidney? years old. Here are a few signs and side PKD can influence organs other than the effects that cause PKD that you should kidney. Growths in the liver, pancreas, take note: spleen, ovaries, and enormous gut are normal in individuals with PKD. Blisters in these organs don't ordinarily cause hardships, however they can in specific individuals. At which point should you ought to visit a specialist It's normal for individuals to go a long time without acknowledging they have polycystic kidney sickness. Counsel your doctor in the event that you foster a portion of the signs and side effects of polycystic kidney illness. If you have a first-degree relative with polycystic kidney illness, you ought to promptly converse with your primary care physician or step through them for additional exams.

•

Pain toward the back or side

•

An expansion in the abdomen's size

•

Pee with blood

•

Contaminations of the bladder or kidneys consistently

•

Pulse that is excessively high

Individuals experiencing hypertension are bound to have PKD. Because of this, they can likewise have serious cerebral pains. Extreme circulatory strain can prompt kidney harm. Hypertension drug can truly assist slow or even with forestalling renal disappointment.

PRODUCT LINE

TRIVITRON’S ULTRA - MODERN SEMI-AUTOMATED BIOCHEMISTRY ANALYZERS

T

he Semi -automated Biochemistry Analyzer measures biochemical indexes by analysing blood and other body fluid, then combines with other clinical information, to help diagnose disease, evaluate organs function. These analyser operates using two measuring techniques: optical and electrochemical, similar to the operation of fully automated biochemistry analysers. To enhance the routine workflow, Trivitron Healthcare launched the ultra- modern SemiAutomated Biochemistry Analysers- Labmate NXT & Labmate Plus+ Labmate NXT, next generation clinical chemistry and immunoturbidimetry semi-automated biochemistry analyser is used for performing routine electrolyte, biochemistry, and drug test. It comes with Linux-based user-friendly operating system and is equipped with seven operating modes that offer easy programming and test performance. The software supports to customise report printing format wherein the user can upload their laboratory/hospital logo and digital signature of the pathologist. The analyser can store unlimited patient data up to 10 Lakhs along with real-time curve monitoring. It comes with 4 levels of quality control run, 7 assay modes with 32 µl flow cell volume, LJ chart which provides daily & monthly Quality Control data. The 7-inch LCD touch screen with colour display helps in easy monitoring and migration from one window to another with a user-friendly interface. The analyser can perform quantitative and qualitative assays to determine various analytes in the body fluids.

Mr. Ranabir Sinha

Executive President, IVD India Trivitron Healthcare

Labmate Plus+ an advanced clinical chemistry, coagulation, immuno-turbidimetry semi-automated biochemistry analyser offers an absorbance range from 0 - 3.5 Abs, 8 assay modes with 18μl (32μl optional) flow cell volume. It can store unlimited patient report data up to 10 Lakhs along with realtime curve monitoring. It is also equipped with advanced optics, versatile analytical capabilities, and a high-quality flow cell, which makes this analyser a smart choice for all Tier 2 and 3 laboratory set-up. Labmate NXT & Labmate PLUS+ are designed with an ultramodern technology wherein almost every external printer is compatible to obtain the customised print report solution. With a possibility of user defined format, the laboratory/ hospital can upload their logo and digital signature of the pathologist to generate and deliver timely reports. 52 October 2022  w w w. me d g a te to d a y.co m

REGISTRATION OPEN!

EXHIBITION HIGHLIGHTS The 3- day expo will provide an appropriate platform to leverage, strengthen and showcase the company brand among government and private sector. An extremely effective way to showcase the products/services to the current & potential customers. New Product launches. Gain access to one of the highly buoyant markets of Asia and find channel partners & distributors. Meet the decision makers of the industry through widespread promotional campaign specifically targets visitors with decision making power. Start-up Zone: This edition would also provide a platform to young and innovative entrepreneurs to exhibit new ideas and technologies A power packed two-day conference focusing on New & Emerging Technologies for Healthcare. Exclusive packages with speaking slots and logo visibility.

For more details, pls contact: Rohit Bahl; Mobile: 9818300149; Email: [email protected]

EXPERT VIEWS

T

he business world is transforming at a rapid pace. The way customers and consumers buy products is evolving. The covid 19 waves had been the fuel to the fire in this shift from offline to online. In India the geography is vast and the sellers are concentrated in and around the urban areas. The hospitals, pharmacies, and diagnostic centers are in a constant state of struggle for procurement of supplies. They have to wait for supplies and the long distribution chain results in increased landing prices. A Similar scenario is visible when it comes to equipment life cycle management. The spares don’t come easy and so do the biomedical engineers carry out the maintenance.

EXPAND YOUR REACH WITH MEDIKABAZAAR

Medikabazaar-the largest and fastest growing platform for B2B Medikabazaar is the fastest growing and largest platform that can provide anything and everything that one needs to set up and run a medical facility. Be it a 10-bed hospital, a diagnostic center, an independent clinic, a dentist, or a medical professional in making. They can fulfill their requirements of medical equipment, pharmacy, medical furniture, consumables, reagents. From finance for capital investment, working capital requirements, and Ad hoc equipment service to AMC, Medikabazaar gets you all. Medikabazaar brings the buyers, the sellers, and the distributors on the same platform so there is rationalization in terms of price and removes the limitation of geographical boundaries.

Advantages of being Medikabazaar as a seller

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Instant Scale-up at no cost For sellers that are looking to expand their reach and 54 October 2022  w w w. me d g a te to d a y.co m

VIVEK TIWARI Founder & CEO Medikabazaar

EXPERT

VIEWS

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•

Uploading product catalogue

Doing the above gives you access to 2 lakhs plus hospitals, clinics, and individual practitioners. These networks of buyers are spread across the Indian subcontinent and Bangladesh. Recently Medikabazaar has also opened its offices in China and Dubai. This is a big advantage to sellers who are looking to scale up their business across geographies and do not want to commit to a big budget.

Part of a Growing network Medikabazaar is growing every day. The platform has more than 7 lakh SKUs covering all categories of medical products including medical equipment, reagents, consumables and disposables, surgical instruments, hospital establishments, lab diagnostics and equipment, pharmaceuticals products, implants, veterinary products, dental and ophthalmic products etc. This range is growing and daily newer categories and products are being added. Thus, attracting newer buyers of these products on the platform. Medikabazaar has created the largest online marketplace and an opportunity for sellers looking for an online presence.

Timely payments Getting paid on time is crucial in any business. The team at Medikabazaar ensures that the sellers get paid on time.

The payment terms are decided by the seller at the time of creating the catalog and the same is visible to the buyer. Enhancing transparency between the buyer and the seller ensures a stressfree transaction between them. With Medikabazaar, the sellers can focus on their core business and not get haggled with payments.

•

With Medikabazaar the sellers can build a strong social media presence. As Medikabazaar has a strong presence across social media platforms. The team generates 10 million impressions on the net. Sellers can drive awareness campaigns and be a brand of choice during the purchase decision.

Marketing support

•

With Medikabazaar, sellers can also drive their database marketing and offline campaigns. The team at Medikabazaar can help design emails, content, SMS, and direct mailers also.

Medikabazaar helps sellers facing the following challenges of business •

Sales decline or stagnation issues

•

Creating new avenues for growth

•

Enhancing brand awareness for products

•

Run focused digital marketing campaigns for Target group.

Medikabazaar has designed a 360-degree marketing amplification platform and offers the power of 4 for the sellers. The Power of 4 includes •

•

The Medikabazaar online platform is accessible on any device with internet connectivity. Sellers can leverage this advantage by promoting their products through pop-ups, large and small banners, putting links to the landing page of their sites, or giving a shout-out for any promotional offers. The seller can choose options suiting his budget. Medikabazaar has a team of marketing professionals that generate monthly traffic of more than 5 lakh plus visitors on the net. The team can run remarketing ads, search optimizations, and run google ads catering to sellerspecific requirements.

The seller gets the best ROI for the money that he invests as the marketing spends. Medikabazaar has an offer to match all kinds of marketing budgets, large medium and small.

Warehousing strength

and

last

mile

Medikabazaar is an ideal plug-and-play distribution partner. The company has more than 30 plus fulfillment centers that cater to 20000 plus pin-codes across the country. Sellers can leverage the distribution strength of the company and start reaching buyers from day one by partnering with Medikabazaar. With wafer-thin margins and an everevolving competitive landscape, it is imperative to gauge customer preference and buying behaviors. There is a radical shift in the way customers buy products. Whether in B2C or in B2B domain, customers make informed choices based on research and reviews of the products. With increased awareness and data speeds, customers spend more time online. Medikabazaar is a recommended choice for sellers as it catapults them to a world where customers are.

w w w.medgatetoday.com   October 2022

55

EXPERT VIEWS

INTEGRATED CARDIOLOGY SOLUTIONS CAN BE PANACEA FOR INDIA’S CARDIOVASCULAR DISEASE BURDEN

I

ndia suffers from a huge cardiovascular disease (CVDs) burden with one in four deaths (2.5 million/ year) due to CVDs including ischemic heart diseases. The Global Burden of Disease study states that the age-standardised CVD death rate is 272 per 100,000 population in India, much higher than that of the global average of 235. India had approximately 55 million CVD cases in 2016 and just before the pandemic, there were only six lakh angioplasties in the country each year. Despite such a huge disease burden, there are around only ~2000 active Cath Labs available in about ~140 cities in the country. To tackle such a massive disease burden, there is an opportunity for healthtech companies to provide innovative, integrated cardiology solutions at each point in a patient’s journey—and connect them across the care pathway to improve care and quality of life for patients. These innovations have the potential to help provide enhanced clinical insights, strengthen clinical confidence, drive efficiency in critical care and improve cardiac care experiences from diagnosis and treatment to home care, delivering better experiences for clinicians, patients, and staff. A powerful ecosystem for cardiovascular care comprises of software-defined systems supported by Artificial Intelligence (AI) and connects care along the entire patient journey (from emergency care, diagnosis, treatment, post-acute to at home care) with uniquely integrated imaging, devices, software, informatics, and services. This ecosystem can deliver datadriven insights to provide the right care at the right time to help better manage even the most complex cardiology cases. Smart integrated end-to-end technology streamlines communication between devices and systems to help identify and address clinical as well as

56 October 2022  w w w. me d g a te to d a y.co m

NITIN STEPHEN ABEL

Image Guided Therapy, Philips Indian Subcontinent operational improvements, strengthen clinical confidence, build workflow efficiency, optimize resources, and help lower the cost of care. There is scope for transformation of cardiac care delivery in India into a connected future by integrating imaging, devices, software, informatics, and services including: Minimally invasive treatment Minimally invasive/ image guided therapy (IGT) procedures have seen a major uptake in the recent times. These procedures are completely safe (lessinvasive/short-recovery) and provide better clinical outcomes in most selected patient groups. A large part of this success can be attributed to the way digitally sophisticated products such as cath labs empower experienced physicians with clear images. Further, AI enabled smart applications on these products helps the operator tackle several disease challenges. A cath-lab is a good example where a physician can tackle multiple cardiac issues under fluoroscopy, which, traditionally would have been addressed by complex surgeries. With the rise of IGT procedures in India, cardiac interventions such as angioplasties

have become routine. Over six hundred and fifty thousand angioplasties are performed annually in India and are growing at a high single digit rate each year. Futuristic cath-labs, also referred to as interventional suites, combine multiple advanced technologies to yield varied solutions than the traditional outputs. This approach allows catheterbased interventional therapies to expand their capabilities and reach broader patient groups with higher success rates. It also enables multiple specialty doctors to make the best decisions for their patients while protecting themselves and their patients from avoidable radiation exposure during X-Ray procedures. With 1000+ active cath labs in India and growing strongly, we continue to demonstrate our commitment to address the burden of cardiovascular disease in the country. However, we clearly acknowledge a huge unmet clinical need owing to the high CVD disease burden and have aggressive plans to expand our cath labs in the next several years to reach to the remotest of locations, helping the medical community tackle more complex patient procedures.

Almedequipment.com [email protected] 9322510636, 9768941838

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BENEFITS OF DUCTLESS • 8 TR Outdoor Unit sufficient to give cooling in OT.vs the 11tr compressor in ducted system • 0.180 kW blower to give air velocity 90-120 FPM flow at grill/diffuser level.vs 3-5 KW in ducted System DETAILS OF DUCTLESS LAMINAR AIR FLOW SYSTEM INCLUDES

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Feature Of O3 GEN – The Magical Air Disinfectant without any chemicals :- O3 Gen Kills all types of bacteria , Fungus , virus molds and reduces the biological burden upto 93% with 2.5 ppm concentration within 30 minutes. ozone having half life just 10 minutes and its biproduct is oxygen which is very safe to use in unoccupied operation theaters.

DETAILS OF DUCTLESS AIR HANDLING UNIT WITH DISPLAY INCLUDES

Almed Equipment has introduced a new type patented and exclusive Ductless Air handling Unit which has Ultra HEPA (High-efficiency particulate air) filter with 0.1 micron filtrate.

DETAILS OF VINYL FLOORING It is an anti static flooring with 2mm thickness. mechanical stress and dynamic loads.

It provides resistance to

DETAILS OF HERMETICALLY SEALED SWING DOOR

SS handle for opening and push plate, Lock and Auto bottom seal make airtight. Hand and Footwsensor Operated Size 5’X7’ October 2022  w w. me d g a te to d a y.co m

Price 2999 tax inclusive Power consumption 2 watt Cover area 150 to 180 sq. Ft Improve immunity Power consumption 2 watt No filteration No maintenance Improve immunity Increase metabolism 100% safe Good for health Best for room indicator - red led ONE YEAR REPLACEMENT WARRANTY

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