Combating Cancer through wider public outreach & use of new age awareness is key – Dr. Sandeep Chatrath

Combating Cancer through wider public outreach & use of new age awareness is key  – Dr. Sandeep Chatrath

Community Outreach Strategy is Key for Cancer Prevention

The organization works to improve the health and well-being of the people and communities. Our present work focuses on strategies to make it easier for people to eat well, be tobacco- free, be physically active, and obtain preventive care.

Through these programs, our staffs works collaboratively with school districts, businesses, communities, hospitals, and healthcare provider organizations to support healthy lifestyles for our patients and community members. Specific strategies focus on policy, systems, and environmental changes that reduce risks for Cancer& chronic disease and improve quality of life for both children and adults. Hospital is committed to the surrounding community and participates in a variety of programs designed to increase awareness on Cancer.

Our community outreach programs are effective vehicles for bringing health education, screening and other health care services directly to those in need. Our efforts focus on increasing health literacy especially on prevention from cancer, providing better access to quality health care facilities and providers, and supporting communities in need by funding vital health programs.

Improving Community Health

Non-medical, non-emergent needs are often intricately tied to personal health and well-being. Hospital is working to address basic, social and personal needs as a way to improve their communities’ health. They are working not just to mend bodies, but also to make people and communities healthier. 

Various Community Outreach strategies for Cancer Prevention are :

  • Understanding mortality and morbidity due to cancer: As per WHO 33% women and 25% men are likely to get cancer in their life time. Incidence of cancer is increasing with every passing day. Battle against cancer cannot be won by doctors and scientist alone. The entire community has to be involved. It is possible to prevent 40-50 % cancers by adopting healthy life styles. By self examination, it is possible to detect 10-20 % of cancer and by annual check up for cancer, it is possible to detect 50-60 % of cancers. Cancer is curable, if detected early and treated promptly at good cancer hospitals.
  • Understanding Common cancers in India:Men: Lung, Larynx, Tongue, Mouth Oesophagus, Gall Bladder, Prostate, Non Hodgkin Lymphoma (NHL) Women: Breast, Cervix, Ovary, gall Bladder, Oesophagus, lung, Thyroid, Non Hodgkin Lymphoma (NHL), Brain
  • Understanding Warning Sign of Cancer: Change in bowel or bladder habit, Asore / wound that does not heal, Unusual bleeding or discharge from any part of the body, Thickening / lump in breast or elsewhere, Indigestion or difficulty in swallowing, Obvious change in size of a wart or mole, Nagging cough or hoarseness
  • Spreading awareness about Causes of Cancer: Tobacco and tobacco products initiate cancer, Alcohol promotes cancers, High fat foods and overweight, Infections e.g. HIV, Hepatitis B and C, Papilloma Virus etc., Genetic, Unknown.
  • Steps for Prevention of Cancer: Stop Smoking (active and passive) and alcohol to prevent lung, head and neck cancers, Avoid high fat and rich foods. Eat Whole grains, fruits and fresh vegetables to prevent cancers of breast, prostate and colon, Exercise to stay healthy, Avoid exposure to household solvent cleaners, cleaning fluids and paint thinners, pesticides, fungicides and other chemicals to avoid lung cancer. Avoid multiple sex partners to avoid cancer cervix, Avoid direct sunlight in summers to avoid skin cancers
  • Screening& Early Cancer detection :The earlier the cancer is detected / diagnosed the better are the chances of cure and complete recovery. It is important to realize that many cancers today are curable. Monthly Self Examination and Annual Cancer Screening are mandatory for early detection of cancer.
  • Monthly Self Examination:Mouth: Change in colour of gums, lips, and Cheeks, White, Brown or Red patches, Ulcer, sore or Scab, thickening in any part of the mouth. Neck: Look for any lump, Swelling or any other abnormality. Breast: Complete self breast examination for any lump, discharge from the nipple, puckering of skin. Abdomen: Any Swelling, enlargement or hardness of abdomen. Testis: Any Swelling, enlargement or hardness. Limbs: Any Swelling / Lump etc.
  • Annual Cancer Screening: Men above the age of 50 years and women above the age of 40 years must go for annual cancer screening test like the Pap Smears, mammograms, Prostate Specific Antigen (PSA) and Digital Rectal Examination (DRE) for early detection of Cancer.
  • Diagnostic and Staging Investigations for Common Cancers: Breast Cancer: FNAC / Biopsy, Mammography, Ultrasound Whole Abdomen, X-Ray Chest etc. Head & Neck Cancer: Biopsy, Direct Laryngoscope, X-Ray Chest, CT Scan (Head & Neck) etc. OesophagusCancer: Oesophagoscopy, Biopsy, EUS, CT Scan / MRI etc. Lung cancer: Bronchoscopy, Biopsy, CT Chest & Upper Abdomen, Bone Scan, MRI Brain etc. Cancer of Cervix: Pap Smear, Biopsy, LFT / RFT, Chest X-Ray, CT / MRI (Abdomen), EUA Cystoscopy / Proctoscopy. Ovarian Cancer: CA125 Blood Test, Tumour Marker, Ultrasound, Biopsy, CT Scan / MRI, Upper and Lower G.I Scopy etc. Gall Bladder Cancer: Ultrasound / EUS, Biopsy, CT Scan / MRI etc. Prostate: Digital Rectal Examination (DRE), PSA, Biopsy, Bone Scan, Pelvic CT / MRI etc.
  • How to increase chances of cancer cure: Early detection by FNAC / Biopsy, Staging work up to find out the stage of the disease, Tumour Board evaluation , Treatment of cancer at dedicated cancer centres especially NABH Accredited Cancer Hospitals, Faith in Self, God and the treating team, Positive attitude and the will to fight
  • Healthpromotion: Health awareness talk is being organized in various location of the Delhi NCR.
  • Cancer detection Camp is organized in various locations like schools, colleges, NGOs etc.

The organization pay attention and makes a plan in terms of program expectations, cost to the hospitalfor providing the programs, potential market for the programs, best use of staff currently available within the hospital, recommended and required staff for efficient and effective health promotion programs, and a potential profit margin that might allow hospitals to prospectively absorb cost and develop a feasible, effective & efficient community outreach programs.

The Author is Dr. Sandeep Chatrath , CEO, Dharamshila Hospital And Research Centre

United States Can Be India’s Best Partner: Barack Obama

New Delhi:  Recalling the historic address of Swami Vivekananda, US President Barack Obama on Tuesday won over his audience by referring to them as “sisters and brothers of India” and said he firmly believes America can be India’s “best partner” and together the two nations can bring more prosperity to their people.

In his final engagement in India, before flying to Riyadh and then home, the US president addressed a town hall-style meeting in Siri Fort auditorium, where he said: “India and the US are not just natural partners, I believe that America can be India’s best partner, I believe that.”

Addressing an invited gathering of young people, civil society and diplomats, the US president reached out to the audience with many Hindi words like “Namastey”, “Dhanyavad” and even some references to Bollywood films, which had the crowd ecstatic.

He said he was “absolutely convinced” that when both the democracies stand together they can produce more jobs, opportunities and prosperity for their people. “I believe that,” he said.

Recalling the historic address of Swami Vivekananda, President Obama began his town hall meeting with the invocation “sisters and brothers of India” and talked about how the philosopher-sage introduced Hinduism and yoga to America in a city that was his hometown.

He recalled Swami Vivekananda and his famous speech in Chicago, exactly 100 years ago, where he addressed the gathering as “sisters and brothers of America” and said he was going to address the audience likewise.

President Obama struck a personal chord with the mainly youthful crowd, saying he was very impressed with the daredevilry of the motorcycle contingent riding Royal Enfield bikes and wished he could ride a bike too.

“But the Secret Service does not let me ride motor cycles,” he said, and also remarked that he cannot dance as well as his wife Michelle.

In a speech where he touched on the need for India and the US to work together on climate change, on how the US can partner India in its growth story, in defence cooperation and becoming partners in the security of the Asia-Pacific region, the American president also stressed on the need for the government to uphold the freedom of religion written in the constitution of both the countries.

On Tuesday, the Election Commission was responding to fresh complaints by the BJP and Congress, which had demanded the cancellation of Mr Kejriwal’s nomination. Earlier, the two parties had complained to the Commission, saying Mr Kejriwal was violating the Model Code of Conduct.

The Election Commission took note of an undertaking by Mr Kejriwal that he respects the poll body and the law, and would stop making such appeals to voters if the Commission found his statements inappropriate.

Pulled up by Election Commission, Arvind Kejriwal Stays Away From Controversial Remarks

New Delhi:  After a stern warning from the Election Commission on Tuesday, Aam Aadmi Party chief Arvind Kejriwal refrained from making controversial comments at his election rallies.

The Commission had directed Mr Kejriwal to “desist from making these utterances in all forms of election campaign… from today 7 PM onwards”. Any further violation of its orders would invite “stern action”, the EC said.

Prior to the warning, at two rallies held on Tuesday morning — at Babarpur and Shahdara — Mr Kejriwal had apparently justified his earlier remarks

“What is bribery? It is taking money and then voting. However, I am forbidding voters to do so. I say, ‘take money from them but don’t vote for them. Rather give vote to us’,” news agency Press Trust of India quoted him as saying.

Mr Kejriwal had also apparently repeated remarks that had invited the ire of the BJP and the Congress.

“It’s election time. When people both from BJP and Congress come offering money, don’t refuse, accept. Some have looted money from 2G, some have looted money from coal scam. Take money from both the parties but vote for AAP,” PTI quoted him as saying.

Judge Suggests Day-to-Day Hearings in Salman Khan Hit-and-Run Case

Mumbai:  The hearing in 2002 hit-and-run case involving actor Salman Khan continued on Tuesday, with the cross-examination of Dr Shashikant Pawar, who took the actor’s blood sample at Mumbai’s JJ Hospital the night of the accident. The sessions court hearing the case has adjourned it to January 31, with the prosecution saying it wants to introduce three new witnesses, including the magistrate who recorded Salman’s statement under section 164 CrPC, during the trial in lower court.

The deposition of Dr Pawar had been seen as crucial to the case, in which the Bollywood star is alleged to have been at the wheel of a car when it rammed into a bakery, killing one and injuring four. The allegations against the actor have been that he was inebriated. However, his lawyers have been arguing that Mr Khan was not driving the car.

During the cross-examination, Dr Pawar told the court that he had smelt alcohol on Mr Khan’s breath, and that he had taken blood samples with the actor’s consent. Giving a detailed breakdown of the process by which he took the blood samples, Dr Pawar said he was not an expert in the process of preserving blood samples.

He told the court that he had learnt the procedure from his predecessor, and was unsure if government notifications are published regarding standard procedure for sealing bottles.

Adjourning the case to January 31, the judge suggested that the hearings be held on a day-to-day basis from February 12 to 18, to expedite the case, which has already seen delays. Mr Khan is being tried for culpable homicide not amounting to murder. If convicted, he could spend up to 10 years in prison.

For years, his lawyers have argued that Mr Khan was not driving the car. The prosecution alleges that he was, and has called at least two witnesses in the ongoing trial to prove that the actor was at the wheel. A hotel parking attendant told the court that he had seen Mr Khan sit in the driver’s seat but had not seen him drive off and another witness testified last May, claiming that the actor had exited the car from the right side

Obama Ends Visit With Challenge to India on Climate Change

New Delhi:  President Obama pressed India on Tuesday to do more to curb the pollution that is choking its capital and contributing to global climate change, as he wrapped up a visit that yielded no meaningful breakthrough on the issue.

While India and the United States agreed to cooperate in promoting cleaner energy, Mr. Obama left after three days without the sort of specific commitment to curbing greenhouse gases that he won in China last year. Instead, he used a farewell speech before his departure to argue that India had an obligation to step up, despite its economic challenges.

“I know the argument made by some – that it’s unfair for countries like the United States to ask developing nations and emerging economies like India to reduce your dependence on the same fossil fuels that helped power our growth for more than a century,” Mr. Obama told an audience of 1,500 mostly young Indians at Siri Fort Auditorium on the final day of his trip here.

“But here’s the truth,” he added. “Even if countries like the United States curb our emissions, if countries that are growing rapidly like India with soaring energy needs don’t also embrace cleaner fuels, then we don’t stand a chance against climate change.”

The president’s remarks came during a speech with a broader tough-love message, lavishing praise on India and pledging friendship while challenging it to cut back on human rights abuses. He urged India to protect the rights of girls and women, combat human trafficking and slavery, promote religious and racial tolerance, and empower young people.

Colonel MN Rai, Killed in Kashmir on Tuesday, Left Poignant WhatsApp Status

Pulwama:  The army today honoured Colonel Munindra Nath Rai, who died fighting terrorists in Kashmir on Tuesday, 24 hours he was awarded a Republic Day gallantry medal.

Colonel Rai, 39, is the highest-ranking military officer to be killed in the region in nearly a year. A wreath-laying ceremony was held for him in Srinagar on Wednesday.

His last status on the mobile messaging service WhatsApp, posted two months ago, read: “Play your role in life with such passion, that even after the curtains come down, the applause doesn’t stop.”

A policeman, Sanjeev Singh, was also killed in the encounter that the army described as an intense gun battle at a village in Pulwama in south Kashmir.

“It was my duty to shoot the enemy, and I don’t regret it. My regrets are for the people I couldn’t save: soldiers, buddies, innocents, etc,” says the policeman’s status message on WhatsApp, posted 48 days ago.

On Tuesday morning, Col Rai received intelligence inputs that terrorists were hiding in a house at a village in Tral and he rushed there with a quick reaction team of eight to 12 men.

Army sources said that when Col Rai’s team reached the house and cordoned it off, its residents, suspected to be relatives of the terrorists, requested them not to carry out a full-scale operation, as that would entail sequestering the entire village.

As the Colonel was engaging with the residents, two terrorists rushed out firing blindly. Col Rai was hit in the temple and Sanjeev Singh, a part of the Special Operations Group, was killed instantly. The terrorists were shot down.

The Colonel died in hospital.

Col Rai won the Yudh Seva Medal on Monday for killing a foreign terrorist in a close battle last year. The Yudh Seva Medal is awarded for the highest degree of distinguished service in a war or conflict.

His fellow officers knew him as a brave soldier who always led from the front. He is survived by his wife and three children.

“Most humbled and honoured by what the Nation has given me” Amitabh Bachchan

Big B expressed his views on Twitter
“Most humbled and honoured by what the Nation has given me,” he added

Megastar Amitabh Bachchan today politely disagreed with West Bengal Chief Minister Mamata Banerjee’s suggestion that he should have been honoured with the Bharat Ratna instead of Padma Vibhushan.

The 72-year-old actor, who is also the recipient of the Padma Bhushan and Padma Shri, expressed his views on Twitter.

The Shamitabh star was chosen for this year’s Padma Vibhushan, the second highest civilian award of the country, with veteran actor Dilip Kumar and seven others.

President Obama wins India’s heart, signals to China India is with US, Modi wins Obama, Signals as a Global Leader!

President Obama wins India’s heart, signals to China India is with US, Modi wins Obama, Signals as a Global Leader!

NEW DELHI—U.S. President Barack Obama was set to join Indian leaders at a parade here Monday as the world’s second-most-populous nation shows off its military modernization efforts and cultural diversity.Mr. Obama’s attendance is meant to be an important display of solidarity between the world’s two largest democracies in the face of an increasingly assertive, well-armed and authoritarian China that is shifting the balance of power in Asia.The U.S. president’s three-day visit to India during the country’s symbolically important Republic Day celebrations marks a significant deepening in relations between the two countries amid mounting geopolitical tensions globally.

Obama Visit to India Marked by Woman Power
On Sunday, Indian Prime Minister Narendra Modi said that Mr. Obama’s visit “reflects the transformation of our relationship,” and said New Delhi and Washington “are prepared to step forward firmly to accept the responsibility of this global partnership—for our two countries and for the shaping the character of this century.”

This is the first time India—which spent much of the Cold War espousing nonalignment and nurturing ties with Russia as the U.S. cultivated New Delhi’s rivals, Pakistan and China—has invited an American head of state for the event.Mr. Obama’s acceptance is a sign of renewed U.S. hope that India, under the leadership of a new government elected last year, will be able to achieve the sustained economic development that has long eluded it but is critical if the country is ever to become an effective strategic counterweight to China.After a summit meeting between Messrs. Obama and Modi on Sunday, the two leaders said they would deepen defense cooperation, increasing joint exercises between the two countries’ armies and navies. They also agreed to work to jointly develop and produce defense technologies.U.S. Defense Secretary Chuck Hagel said the countries would form working groups to explore aircraft-carrier technology sharing as well as work on jet engines.India has been working to upgrade its defense equipment, which for years was mostly supplied first by the Soviet Union and then Russia. Over the past three budget years, however, India has purchased more weapons from the U.S. than from Moscow.Monday’s parade was to feature flybys by a Boeing Co. -made P-8I antisubmarine-warfare plane and a Lockheed Martin C-130J transport, which India has made a point of landing at a high-altitude airstrip to demonstrate its ability to rush troops and equipment to the country’s Himalayan border with China.Among the other military hardware expected to be on display: Russian warplanes and homegrown missiles that are being deployed in northeastern India.India, while trying to deepen commercial ties with China to fuel its own economy, is deeply distrustful of Beijing, with which it has competing territorial claims. New Delhi also resents China’s rising aid-driven influence among its South Asian neighbors and Beijing’s greater naval presence in the Indian Ocean.

It is a great pleasure and privilege to welcome back President Obama and the First Lady in India.

Mr. President, we are honored that you accepted our invitation to be the Chief Guest for our Republic Day, despite a busy January.It is special because on this day we celebrate the values shared by the world’s two largest democracies.You are also the first United States President to visit India twice in Office.It reflects the transformation in our relationship. It shows your deep personal commitment to this partnership.It tells us that our two nations are prepared to step forward firmly to accept the responsibility of this global partnership – for our two countries and for shaping the character of this century.The promise and potential of this relationship has never been in doubt. This is a natural global partnership. It has become even more relevant in the digital age. It is needed even more in our world of far-reaching changes and widespread turmoil.The success of this partnership is important for our progress and for advancing peace, stability and prosperity around the world.From the turn of this century, we have begun transforming our relationship.But, we have to convert a good start into lasting progress. This requires translating our vision into sustained action and concrete achievements.

Mr. President, in the last few months, I see new excitement and confidence in this relationship. I see renewed energy in our engagement. I thank you for your leadership and for setting the tone last September.The civil nuclear agreement was the centrepiece of our transformed relationship, which demonstrated new trust. It also created new economic opportunities and expanded our option for clean energy. In the course of the past four months, we have worked with a sense of purpose to move it forward. I am pleased that six years after we signed our bilateral agreement, we are moving towards commercial cooperation, consistent with our law, our international legal obligations, and technical and commercial viability.President Obama has also assured me of strong U.S. efforts in support of India’s full membership of the four international export control regimes at the earliest.Today, we have also decided to take our growing defence cooperation to a new level. We have agreed, in principle, to pursue co-development and co-production of specific advanced defence projects. These will help upgrade our domestic defence industry; and expand the manufacturing sector in India.We will also explore cooperation in other areas of advanced defence technologies.We have renewed our Defence Framework Agreement. We will deepen our cooperation on maritime security.Terrorism remains a principal global threat. It is taking on a new character, even as existing challenges persist. We agreed that we need a comprehensive global strategy and approach to combat with it. There should be no distinction between terrorist groups. Every country must fulfil its commitments to eliminate terrorist safe havens and bring terrorists to justice.Our two countries will deepen our bilateral security cooperation against terrorist groups. And, we will further enhance our counter-terrorism capabilities, including in the area of technology.President Obama and I agree that a strong and growing economic relationship is vital for the success of our strategic partnership. Economic growth in our two countries is becoming stronger. Our business climate is improving. This gives me great optimism about our economic ties.In addition, we have established a number of effective bilateral mechanisms to identify opportunities and also help our businesses trade and invest more.We will also resume our dialogue on Bilateral Investment Treaty. We will also restart discussions on a Social Security Agreement that is so important for the hundreds of thousands of Indian professionals working in the United States.For President Obama and me, clean and renewable energy is a personal and national priority. We discussed our ambitious national efforts and goals to increase the use of clean and renewable energy. We also agreed to further enhance our excellent and innovative partnership in this area. I asked him to lead international efforts in making renewable energy more accessible and affordable to the world. President and I expressed hope for a successful Paris Conference on climate change this year.We will continue to deepen our collaboration in science, technology, innovation, agriculture, health, education and skills. These are central to the future of our two countries; and also give us an opportunity to help others around the world.Indeed, our strategic partnership will only be complete if we assume our responsibility to work together to promote development and connectivity in our vast region. President Obama and I agreed to pursue this goal with a sense of priority.President and I had an excellent discussion on global and regional issues. In particular, we renewed our commitment to deepen our cooperation to advance peace, stability, prosperity in Asia, Pacific and Indian Ocean Region, which is critical for the future of our two countries and the destiny of this world.Our relationship stands at a new level today. We have outlined a broad vision for our friendship and cooperation that reflects the opportunities and challenges of this century. As Lord Buddha said, noble friends and companions are the whole of the holy life.We have decided to give this critical partnership a new thrust and sustained attention. For this, we have agreed that India and the United States must have regular summits at greater frequency. And, we will also establish hotlines between us and our National Security Advisors.At the beginning of this year, we start a new journey.Let me welcome you once again, Mr. President. It is a great pleasure to have you with us.