Myths about Dengue! Part 1
By Faisal Javed MirRespected Subscribers & Readers,
There is a lot said by medical experts on prevention/precautions of dengue fever: and local, provincial and national government also launched very heavy campaigns to control havoc/panic created by dengue fever. First Aid to Save a Life Pakistan would like to discuss some of the misconceptions while discussing precautions and medications relating to dengue fever.
1:- Lethal advice – Stop use of Aspirin:
It is advised by local government and even by the other national medical organizations that dengue fever patients should stop use of Aspirin. On the other hand the national level cardiologists and most prominent names of Punjab Institute of Cardiology, Lahore, Senior Professor Nadeem Hayat Malik (who is also Elected President of Pakistan Cardiac Society) publicly denied this advice (in his public address on September 25, 2011 in PC Lahore while commemorating World Heart Day Campaign organized by Jang Group) and suggested the patients those are suffering with cardiovascular diseases and have dengue fever that they should first consult with their cardiologists and take appropriate actions as advised by them and should not stop the medicines (like aspirin) on their own. He further emphasized that stopping use of these medicines without consultation with their cardiologists can be far more lethal and cause adverse effects on their health as compared to dengue fever.
He also presented some facts about severity of cardiovascular diseases in Pakistan and claimed that approximately more than 1000 deaths results in Pakistan due to cardiovascular diseases.
In this seminar other experts were also present who didn’t denied the public statement made by Professor Nadeem Hayat Malik. Some of the prominent names are Dr. Ambar Malik (Senior doctor of Sheikh Zayed Hospital) & Dr. Shahid Amin (Senior Doctor of PIC).
He again publicly addressed on September 29, 2011 in Punjab Institute of Cardiology Auditorium, on day of World Heart Day proceedings in Punjab Institute of Cardiology and again emphasized his concerns. A full panel of experts were also present there including the Head of Institute (Professor Dr. Azhar) along with the other experts like Dr. Amber Malik (Sr. Dr. of Sheikh Zayed Hospital), Dr. Shahid Amin (Sr. Dr. of PIC), Dr. Saqib Shafi (Sr. Dr. of PIC) and Medical Superintendent of PIC Lahore.
He further explained the complications and precautions in use of medicines especially aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) prescribed by cardiologists to cardiovascular disease patients. He added that sudden stoppage of these medicines can cause serious damages and these medicines can be stopped as advised by cardiologists. He included that these medicines can only be stopped if the platelet count reaches 50,000 range and the prescribed medicines can be cut to half if it reaches between 90,000. The patients are not advised to suddenly stop their medicines and must consult with their local cardiologists whom they visit for regular checkup or any institute.
There is not only one which is mentioned above, unfortunately there more than one.
To Your Health & Safety,
Faisal Javed Mir
Other posts: An Awareness Campaign on Prevention of Dengue
What is a Major Accident, and How Do I Report One?
By Mariza Ruas
Fatal and major accidents can, and must be reported by telephone
on 0845 300 9923. Major accidents will continue to include:
Fractures, other than to digits of the hand and foot.
Amputation.
Dislocation of the shoulder, hip, knee or spine.
Loss of sight.
Chemical or hot metal burn to the eye.
Any penetrating injury to the eye.
Injury resulting from an electric shock.
Electrical burn leading to unconsciousness, or requiring
resuscitation or admittance to hospital for more than 24
hours.
Injury leading to hypothermia.
Heat-induced illness or unconsciousness, or requiring
resuscitation, or requiring admittance to hospital for more than
24 hours.
Unconsciousness caused by asphyxia.
Unconsciousness caused by exposure to a harmful substance.
Unconsciousness caused by exposure to a biological agent.
Acute illness requiring medical treatment.
Loss of consciousness arising from absorption of any substance by
inhalation, ingestion or through the skin.
Acute illness requiring medical treatment where there is reason
to believe that this resulted from exposure to a biological agent
or its toxins or infected material.
The reporting service is available in normal office hours
(Mon-Fri 8:30-17:00). The HSE do provide an out of hours duty
officer service on 0151 922 9235. The service should be used when
the contact centre is closed and:
A work related incident has caused a death (or is likely to
result in a death).
Following a serious accident when there is a risk that evidence
would be lost if you were to wait until the contact centre was
open.
Following a major incident where the severity of the incident or
public concern warrants an immediate statement from the HSE or
Government Ministers.
Amendments to original notification for major and fatal incidents
can be made by phone or by submitting a report form online. When
submitting an amendment, state “Amendment to incident reference
number” and include the reference number provided by HSE. This
detail should be included in the text box labelled “Describe What
Happened”.
The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) 1995 are under review. A consultative document was released by the HSE in the early part of 2011. Responses to the consultation document were required for the 9th May 2011 and the consultation has now closed. Changes are expected to be included in the legal review in Spring 2011, when the Government will introduce any new health and safety legislation. It is expected that RIDDOR will be amended to extend the reporting requirement for lost time accidents and injuries from three to seven days.
In addition, on the 30th September the HSE Infoline will close. Individuals seeking advice on RIDDOR reporting will be directed to the HSE website. The HSE advise that if you are unable to find the information you require you should contact a commercial health and safety advice service or a safety consultant listed on the Occupational Safety and Health Consultants Register at www.oshcr.org . Subscribers to Health and Safety Adviser can submit emails to the editorial team where we will provide advice on compliance.