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Author MEDICOS CRY HOARSE FOR SAFE INJECTIONS
Dr. Jai Maharaj

2005-05-20, 8:57 am

Medicos cry hoarse for safe injections

PTI
Friday, May 20, 2005

Kolkata, May 20 (PTI) - Doctors across the country have
begun a mass movement on injection safety in a bid to
save thousands of lives lost every year to unsafe
management of the pricking needle.

With the risk of serious diseases like hepatitis B and C
as well as AIDS growing by the day, medicos have
identified injuries and infection from used needles as
one of the prime reasons behind the menace.

"Each year, 16,000 million injections are administered in
developing and transitional countries with India
accounting for 4.2 billion. The concern, therefore, is
for occupational risk to health workers, patients and
indirect risk via the environment to the community," says
Satish B Kaipilyawar, project coordinator of Hyderbad-
based NGO PATH which is pioneering the cause of safe
injections in the country.

WHO estimates that unsafe injection resulted in about 1.6
lakh new HIV infections, 16 million Hepatitis B and about
4.7 million hepatitis C infections.

About two-thirds of injections given in India were
estimated to be unsafe, according to an IndiaClen Program
Evaluation Network (IPEN) report for the Union Ministry
of Health and Family Welfare.

Taking cognizance of the seriousness of the issue, the
Indian Medical Association (IMA) dedicated the latest
volume of its journal to injection safety and has
launched a national campaign on it.

"It might seem like a very small thing to a layman but it
has emerged as a major issue in healthcare. Only
immunisation injections amount to 210 million in India
and that is a staggering figure," says IMA national
President Sudipto Roy.

While hundreds of healthcare personnel and waste handlers
injure and infect themselves during handling of used
injections not packed in puncture proof containers, a
large quantity of syringes not managed safely were
recirculated in the market risking the life of users, he
says.

Burning or incineration of syringes also emitted
pollutants called furans that could cause serious
illness, Kaipilyawar says.

The entire issue of injecting patients with medication
has also come under scanner with doctors questioning if
that was the most rational way of treatment.

"A study conducted by PATH shows that 70 per cent of
injections prescribed were irrational, unnecessary and
could be substituted by oral drugs. The commonest
injections prescribed were antibiotics, minerals,
vitamins and pain killers," Kaipilyawar says.

Senior Technical Advisor for Immunisation at Becton
Dickinson India Pvt. Ltd. Saurabh Sharma, says auto
disable (AD) syringes were the best bet for safe
injection practice as there was minimal or no chance of
reuse of such syringes.

"WHO, UNICEF and UNFPA have issued a joint statement
urging countries to use only AD syringes for immunisation
after 2003. This not only looks at safety but also
ensures minimal wastage of vaccines," he says.

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Sbharris[atsign]ix.netcom.com

2005-05-20, 5:57 pm

Hey, was this the country you were advocating Brits go to, for cheap
medical treatment?

Sounds like they might go home with a little something extra.

SBH

Sbharris[atsign]ix.netcom.com

2005-05-24, 12:00 pm

Hey, was this the country you were advocating Brits go to, for cheap
medical treatment?

Sounds like they might go home with a little something extra.

SBH

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