scholarly journals Epidemiological study on cardiac emergencies in Indian states having GVK Emergency Management and Research Institute services

2016 ◽  
Vol 04 (02) ◽  
pp. 121-126
Author(s):  
G. Ramana Rao ◽  
H. Rajanarsing Rao ◽  
G. Reddy ◽  
M. Prasad

Abstract Background: Emergency medical service (EMS) is critical for the healthcare system as it saves lives by providing care immediately. Rapid access to medical care after a major cardiovascular event decreases morbidity and mortality. GVK Emergency Management and Research Institute (GVK EMRI) is a pioneer in emergency management services operated as a public private partnership (PPP) with various state governments. GVK EMRI coordinates medical, fire, and police-related emergencies through a single toll-free number, 108, across 15 states and 2 union territories of India. Material and Methods: This is a retrospective study of reported cases of cardiac emergencies in 2015 across 11 states with GVK EMRI services: Andhra Pradesh, Telangana, Assam, Goa, Gujarat, Karnataka, Madhya Pradesh, Meghalaya, Rajasthan, Tamil Nadu and Uttarakhand. Descriptive statistics using frequencies, proportions and means were calculated. Results and Discussion: This study aimed to describe the epidemiology of cardiac emergencies presenting to GVK EMRI across 11 states in India in 2015. There were increased cases of cardiac emergencies reported by higher age group individual across all states. The mean age was reported between 43 years to 62 years across the states. In this study, men called EMS for cardiac emergencies more often than women, except in the state of Gujarat. A higher number of cardiac emergency cases were reported by individuals living below the poverty line in Andhra Pradesh, Telangana, Assam, and Goa. Often (82.8%) people called 108 greater than six hours of symptom onset. Variation in call volume per day was minimal between the days of the week. At 48 hours, there were 2,675 reported deaths (1.1%). Conclusions: The current study stresses the scale and seriousness of the emerging challenge of cardiac emergencies, with particular emphasis on socioeconomic deprived groups in the operated states of GVK EMRI.

Author(s):  
Ramanan Laxminarayan ◽  
Brian Wahl ◽  
Shankar Reddy Dudala ◽  
K Gopal ◽  
Chandra Mohan ◽  
...  

Although most COVID-19 cases have occurred in low-resource countries, there is scarce information on the epidemiology of the disease in such settings. Comprehensive SARS-CoV-2 testing and contact-tracing data from the Indian states of Tamil Nadu and Andhra Pradesh reveal stark contrasts from epidemics affecting high-income countries, with 92.1% of cases and 59.7% of deaths occurring among individuals <65 years old. The per-contact risk of infection is 9.0% (95% confidence interval: 7.5-10.5%) in the household and 2.6% (1.6-3.9%) in the community. Superspreading plays a prominent role in transmission, with 5.4% of cases accounting for 80% of infected contacts. The case-fatality ratio is 1.3% (1.0-1.6%), and median time-to-death is 5 days from testing. Primary data are urgently needed from low- and middle-income countries to guide locally-appropriate control measures.


2011 ◽  
Vol 34 (1) ◽  
pp. 49-52 ◽  
Author(s):  
Chandrasekhar Reddy Bolla ◽  
Shankar Reddy Dudala ◽  
A.R. Rao ◽  
Sashidhar Bandaru ◽  
Manoj B. Patki ◽  
...  

2018 ◽  
Author(s):  
Jayalakshmi Mitnala

The soil health card (SHC) is used to assess the current status of soil health and when usedover time, helps to determine changes in soil health that are affected by land management. ASHC displays soil health indicators and associated descriptive terms. The SHC carries cropwiserecommendations of nutrients / fertilizers required for farms, making it possible forfarmers to improve productivity by using appropriate inputs. The Central Government isproviding assistance to State Governments for setting up soil testing laboratories for issuingsuch SHCs to farmers. State Governments have adopted innovative practices like involvementof agricultural students, NGOs and private sector in soil testing, determining average soilhealth of villages, etc., to issue SHCs. Though quite a few states including Tamil Nadu,Gujarat, Andhra Pradesh and Haryana are successfully distributing such cards, the Centreplans to make it a pan India effort. According to a data, till November 15th 2017, over 9.72 croresoil health cards have been issued to farmers to make them aware about nutrient deficienciesin their fields.


Author(s):  
Seema Mishra ◽  
Sanjay Dwivedi ◽  
Amit Kumar ◽  
Jürgen Mattusch ◽  
R.D. Tripathi

India is consisting of 29 states and 7 union territories, including a national capital, Delhi. Elevated concentrations (>10 g l ) of arsenic (As) in ground water (GW)  -1 of many states of India have become a major concern in recent years. Up to now about 0.2 million GW samples have been analyzed for As contamination from all over India by various researchers and Government agencies. About 90% of these cover only the Eastern part of India while several states and UTs are still unexplored. However, from the available data, GW of eighteen Indian states and three union territories has been found to be As contaminated to different extents through natural or anthropogenic origin. Among these, As >300 μg l has been reported from at least one locality from fourteen states. The -1 maximum level of As (7350 μg l ) in GW has been reported from a highly industrialized -1 area, Patancheru in Medak district of Andhra Pradesh. However, the gravity of problem is more in West Bengal followed by Bihar and Uttar Pradesh. Five out of eight North-Eastern states are also affected by As contamination. Manipur is ranked first and Assam as second followed by Arunachal Pradesh, Tripura and Nagaland. The GW in these regions is naturally As enriched, and therefore wide spatial distribution of As has been found in these areas. In North India, Punjab and Haryana and in South India, Andhra Pradesh and Karnataka are suffering with GW As contamination. Low level of As (up to 17 μg l ) has also -1 been reported in Tamil Nadu from South India. Many of the states like Jammu and Kashmir, Uttarakhand, Odisha, Gujrat, Kerala, Telengana, Goa etc. are still unexplored for GW As contamination. Thus, according to current reports out of 640 districts in India, 141 are As affected (As >10 g l-1), among them 120 are above 50 g l-1. Considering its severity, the issue of As contamination in drinking water has been taken up by the Government of India and mitigation efforts are being initiated. In order to provide safe drinking water, different agencies/ organizations have developed eco-friendly, cost effective devices/ filtration techniques having higher As removal capacity. Here we elucidated the current status of GWAs contamination in different states of India and the new developments of mitigation options.


Science ◽  
2020 ◽  
Vol 370 (6517) ◽  
pp. 691-697 ◽  
Author(s):  
Ramanan Laxminarayan ◽  
Brian Wahl ◽  
Shankar Reddy Dudala ◽  
K. Gopal ◽  
Chandra Mohan B ◽  
...  

Although most cases of coronavirus disease 2019 (COVID-19) have occurred in low-resource countries, little is known about the epidemiology of the disease in such contexts. Data from the Indian states of Tamil Nadu and Andhra Pradesh provide a detailed view into severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission pathways and mortality in a high-incidence setting. Reported cases and deaths have been concentrated in younger cohorts than would be expected from observations in higher-income countries, even after accounting for demographic differences across settings. Among 575,071 individuals exposed to 84,965 confirmed cases, infection probabilities ranged from 4.7 to 10.7% for low-risk and high-risk contact types, respectively. Same-age contacts were associated with the greatest infection risk. Case fatality ratios spanned 0.05% at ages of 5 to 17 years to 16.6% at ages of 85 years or more. Primary data from low-resource countries are urgently needed to guide control measures.


2020 ◽  
Author(s):  
Vandana Tamrakar ◽  
Ankita Srivastava ◽  
Mukesh C. Parmar ◽  
Sudheer Kumar Shukla ◽  
Shewli Shabnam ◽  
...  

AbstractBackgroundThe number of patients with coronavirus infection (COVID-19) has amplified in India. Understanding the district level correlates of the COVID-19 infection ratio (IR) is therefore essential for formulating policies and intervention.ObjectivesThe present study examines the association between socio-economic and demographic characteristics of India’s population and the COVID-19 infection ratio at district level…Data and MethodsUsing crowdsourced data on the COVID-19 prevalence rate, we analyzed state and district level variation in India from March 14 to July 31 2020. We identified hotspot and cold spot districts for COVID-19 cases and infection ratio. We have also carried out a regression analysis to highlight the district level demographic, socio-economic, infrastructure, and health-related correlates of the COVID-19 infection ratio.ResultsThe results showed that the IR is 42.38 per one hundred thousand population in India. The highest IR was observed in Andhra Pradesh (145.0), followed by Maharashtra (123.6), and was the lowest in Chhattisgarh (10.1). About 80 per cent of infected cases, and 90 per cent of deaths were observed in nine Indian states (Tamil Nadu, Andhra Pradesh, Telangana, Karnataka, Maharashtra, Delhi, Uttar Pradesh, West Bengal, and Gujarat). Moreover, we observed COVID-19 cold-spots in central, northern, western, and north-eastern regions of India. Out of 736 districts, six metropolitan cities (Mumbai, Chennai, Thane, Pune, Bengaluru, and Hyderabad) emerged as the major hotspots in India, containing around 30 per cent of confirmed total COVID-19 cases in the country. Simultaneously, parts of the Konkan coast in Maharashtra, parts of Delhi, the southern part of Tamil Nadu, the northern part of Jammu & Kashmir were identified as hotspots of COVID-19 infection. Moran’s-I value of 0.333showed a positive spatial clusteringlevel in the COVID-19 IR case over neighboring districts. Our regression analysis found that district-level population density (β: 0.05, CI:004-0.06), the percent of urban population (β:3.08, CI: 1.05-5.11), percent of Scheduled Caste Population (β: 3.92, CI: 0.12-7.72),and district-level testing ratio (β: 0.03, CI: 0.01-0.04) are positively associated with the prevalence of COVID-19.ConclusionCOVID-19 cases were heavily concentrated in 9 states of India. Several demographic, socio-economic, and health-related variables are correlated with COVID-19 prevalence rate. However, after adjusting the role of socio-economic and health-related factors, the COVID-19 infection rate was found to be more rampant in districts with a higher population density, a higher percentage of the urban population, and a higher percentage of deprived castes and with a higher level of testing ratio. The identified hotspots and correlates in this study give crucial information for policy discourse.


1990 ◽  
Vol 17 (1) ◽  
pp. 1-4 ◽  
Author(s):  
P. Subrahmanyam ◽  
P. M. Reddy ◽  
D. McDonald

Abstract Verticillium lecanii was found parasitizing rust, early and late leafspot pathogens of peanut in the glasshouse at ICRISAT Center and in fanners' fields in the Indian States of Andhra Pradesh, Karnataka and Tamil Nadu. In inoculation experiments, there was a significant reduction in the extent of rust and late leafspot development on peanut leaves inoculated with V. lecanii. Receptivity and percentage leaf area damage of rust and late leafspot were reduced when inoculated with V. lecanii. The potential use of V. lecanii in biological control of rust and leafspot diseases of peanut is discussed.


2001 ◽  
Vol 33 (2) ◽  
pp. 185-197 ◽  
Author(s):  
S. KRISHNAMOORTHY ◽  
N. AUDINARAYANA

This study uses data from the 1992–93 National Family Health Survey to assess trends in consanguinity in the South Indian states of Andhra Pradesh, Karnataka, Kerala and Tamil Nadu. In Kerala, the frequency of consanguineous marriages is very low and one type of preferred marriage of the Dravidian marriage system – uncle–niece marriage – is conspicuously absent. In the other states of South India, consanguinity and the coefficient of inbreeding are high. While no change in consanguinity is observed during the past three to four decades in Karnataka, a definite decline is observed in Andhra Pradesh and Tamil Nadu. Due to recent changes in the demographic and social situation in these states, this decline in consanguinity is likely to continue.


2019 ◽  
Vol 11 (6) ◽  
pp. 13795-13804
Author(s):  
Kanakasabhapathi Pradheep ◽  
Ganjalagatta Dasaiah Harish ◽  
Ranbir Singh Rathi ◽  
Joseph John Kattukkunnel ◽  
Sheikh Mohmmad Sultan ◽  
...  

Plant genetic resource collection expedition across various parts of India and herbarium study of Amaranthus and Luffa genera at Botanical Survey of India (BSI), Kolkata and Coimbatore revealed the distribution of 18 plant taxa new to various Indian states/union territory, viz., Arunachal Pradesh (7), Andaman & Nicobar Islands (5), Jammu & Kashmir (3), Andhra Pradesh (2), Manipur (1), and Tamil Nadu (1).  Out of these, 14 taxa have importance as wild relatives of 12 crop species.  In addition, herbarium studies at the BSI, Kolkata revealed the natural distribution of a cucurbitaceous species – Siraitia siamensis in Myanmar, which remained unnoticed and unreported so far.  Locality of herbarium/ germplasm collection, habitat and other field observations have been highlighted here.


2021 ◽  
Author(s):  
Christopher T Leffler ◽  
Joseph D. Lykins ◽  
Edward Yang

Background. As both testing for SARS Cov-2 and death registrations are incomplete or not yet available in many countries, the full impact of the Covid-19 pandemic is currently unknown in many world regions. Methods. We studied the Covid-19 and all-cause mortality in 18 Indian states (combined population of 1.26 billion) with available all-cause mortality data during the pandemic for the entire state or for large cities: Gujarat, Karnataka, Kerala, Maharashtra, Tamil Nadu, West Bengal, Delhi, Madhya Pradesh, Andhra Pradesh, Telangana, Assam, Bihar, Odisha, Haryana, Rajasthan, Himachal Pradesh, Punjab, and Uttar Pradesh. Excess mortality was calculated by comparison with available data from years 2015-2019. The known Covid-19 deaths reported by the Johns Hopkins University Center for Systems Science and Engineering for a state were assumed to be accurate, unless excess mortality data suggested a higher toll during the pandemic. Data from Uttar Pradesh were not included in the final model due to anomalies. Results. In several regions, fewer deaths were registered in 2020 than expected. The excess mortality in Mumbai (in Maharashtra) in 2020 was 137.0 / 100K. Areas in Tamil Nadu, Kolkata (in West Bengal), Delhi, Madhya Pradesh, Karnataka, Haryana, and Andhra Pradesh saw spikes in mortality in the spring of 2021. Conclusions. The pandemic-related mortality through June 30, 2021 in 17 Indian states was estimated to be 132.9 to 194.4 per 100,000 population. If these rates apply to India as a whole, then between 1.80 to 2.63 million people may have perished in India as a result of the Covid-19 pandemic by June 30, 2021. This per-capita mortality rate is similar to that in the United States and many other regions.


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