Prof(Dr.) Sunil Raina
@SunilRaina15
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Public Health, Tribal Health, Covid, climate change, Economics, Kashmir, Migration, World Health Network, #SuperDemic Also at @SunilRaina15.bsky.social
India, Himachal, DRPGMC, Tanda
Joined August 2013
#Tuberculosis
#Assumptions That TB preventive therapy is a useful tool to control TB, especially in high burden countries like India lacks scientific merit- our transmission of infection isn’t very low & a we have a riding burden of drug resistance @froglet80 @organicbotanic
#Tuberculosis We must understand that unlike many other communicable disease’s, TB is a complex adaptive system, not linear one TB dynamics r sensitive to context & path-dependence & it behaves more like a living ecosystem than a mechanical process @1goodtern @organicbotanic
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#Tuberculosis The problem is that we think of controlling TB based on a few assumptions that we have made about it & strategies based on these follow mainly a management textbook approach TB is a social-biological-clinical condition @1goodtern @dbdugger @organicbotanic
#Tuberculosis We must understand that unlike many other communicable disease’s, TB is a complex adaptive system, not linear one TB dynamics r sensitive to context & path-dependence & it behaves more like a living ecosystem than a mechanical process @1goodtern @organicbotanic
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#Tuberculosis Those suggesting that solutions to TB will come from medical schools, universities or institutions r plainly mistaken or acting out of personal interest The solutions lie in the community @1goodtern @yaneerbaryam @organicbotanic
#Tuberculosis We must understand that unlike many other communicable disease’s, TB is a complex adaptive system, not linear one TB dynamics r sensitive to context & path-dependence & it behaves more like a living ecosystem than a mechanical process @1goodtern @organicbotanic
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#Tuberculosis One of my postgraduates presented this case during case-presentation - as per record, a young man with 45 kg weight is supposed to have been cured of Tb twice in last 2-3 years & now has again been diagnosed with sputum +ve TB Cause???
#Tuberculosis We must understand that unlike many other communicable disease’s, TB is a complex adaptive system, not linear one TB dynamics r sensitive to context & path-dependence & it behaves more like a living ecosystem than a mechanical process @1goodtern @organicbotanic
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#Tuberculosis We must understand that unlike many other communicable disease’s, TB is a complex adaptive system, not linear one TB dynamics r sensitive to context & path-dependence & it behaves more like a living ecosystem than a mechanical process @1goodtern @organicbotanic
#Tuberculosis I have said this before & repeat again- The way we r approaching TB as a health & disease condition, it is most likely to Outlast us on this planet With TB it is about taking a decision & then going all out to prove that right @1goodtern @organicbotanic @dbdugger
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#Tuberculosis I have said this before & repeat again- The way we r approaching TB as a health & disease condition, it is most likely to Outlast us on this planet With TB it is about taking a decision & then going all out to prove that right @1goodtern @organicbotanic @dbdugger
Erm. Folks. Has anyone pulled the alarm chord? Hospital episodes of tuberculosis of lymph nodes in he heart. In 10 to 18 year olds.
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#Pain Another realisation- when you are in pain, the Gods appear to have gone to sleep It is not your strength but probably your fear of death that makes you face the severest of pains
#Attendant Past few days I am in ICU as attendant to my father- realised the difficulties attendants face while caring for their loved ones While prescribing, we as doctors tend to not realise that from getting tests done to reports secured to medicine, everything is a big ask
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#Attendant Past few days I am in ICU as attendant to my father- realised the difficulties attendants face while caring for their loved ones While prescribing, we as doctors tend to not realise that from getting tests done to reports secured to medicine, everything is a big ask
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#Measels We need to realise that this was one disease which we have been able to effectively control for quite some time now- through individual & group protection All the hard work of these many years stands defeated @organicbotanic @yaneerbaryam
😥More heartbreaking measles news. Alberta’s immunization rate is below 65%. Please God let there not be more.
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“The findings, published Tuesday, challenge the perception that Covid cases in children are “mild,” as well as the notion that re-infections do not carry the same risk of long Covid as getting it the first time.” https://t.co/duFhIUtds0
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#LongCovidKids Was there evidence to suggest that Kids r immune - No Could there be evidence- No This was a presumption, only that presumptions can’t account for the unknown- conveyed through consensus & statements by a select few @organicbotanic @elisaperego78 @lonnibesancon
#LongCovidKids If anyone told u that accepting infection among kids is normal, he was plainly lying or was being stupid The harm that we brought to our kids is deliberate & we can’t be forgiven for this @organicbotanic @elisaperego78 @LongCovid_Spain @brownecfm @DrPops3
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#LongCovidKids If anyone told u that accepting infection among kids is normal, he was plainly lying or was being stupid The harm that we brought to our kids is deliberate & we can’t be forgiven for this @organicbotanic @elisaperego78 @LongCovid_Spain @brownecfm @DrPops3
Today, the Inquiry heard how the Government ignored the risk of Long Covid to children. There was a deliberate policy of allowing children to acquire Covid and Long Covid. Part of an opening statement by @sangeethaiengar on behalf of @LongCovidKids.
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#Mahabharata to me exemplifies Complex Adaptive System in the purest of forms- a dynamic network of individuals that interacted & adapted to the environs, leading to emergent behaviours that would be difficult to predict from the behaviour of the individuals alone.
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Its counsel is not to escape this complexity but to engage it with resilience & detachment. the Gītā is not only a spiritual classic but also an ancient manual for complexity science, offering enduring guidance for individuals & societies navigating the turbulence of existence.
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#ŚrīmadBhagavadgītā epitomizes #complexity to me not because it uses the language of science but because it addresses the lived reality of complexity. It teaches that life is dynamic, interconnected, emergent & not certainly predictable @narendramodi @NAN_DINI_ @divya_gandotra
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#Tuberculosis
#ComplacencyBias Once we label a group of population as low risk in comparison to others, we r risking complacency Younger, socially/physically active individuals continue to go about doing their work & meeting others without thinking of TB @yaneerbaryam
#Tuberculosis I am willing to stick my neck out- we will see an actual rise (may not be reported) in TB cases A look at the available data suggests that a higher proportion of TB cases r physically/socially active individuals @drgilada @organicbotanic @dbdugger @Dali_Yang
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#Tuberculosis I am willing to stick my neck out- we will see an actual rise (may not be reported) in TB cases A look at the available data suggests that a higher proportion of TB cases r physically/socially active individuals @drgilada @organicbotanic @dbdugger @Dali_Yang
#Tuberculosis This is precisely why I say “certification of elimination doesn’t actually translate into stoppage of transmission” Certification is a “feel good factor” & unfortunately the current favourite of public health @organicbotanic @Dali_Yang @dbdugger @yaneerbaryam
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#Tuberculosis This is precisely why I say “certification of elimination doesn’t actually translate into stoppage of transmission” Certification is a “feel good factor” & unfortunately the current favourite of public health @organicbotanic @Dali_Yang @dbdugger @yaneerbaryam
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#PoliticsInScience & the poor & the vulnerable will continue to suffer We r heading back to dark ages in Science
H9N2 infection identified in a 2-year-old boy in Ghana. Mild symptoms and recovered. Exposure route unknown. G1 lineage similar to H9N2 circulating among poultry in West and North Africa. Mammalian adaptive mutations present. 👉 https://t.co/K7grU2uI1K
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