150 + New Ideas To Improve Global Child Survival &amp Child Car

150 + New Ideas for Better Global Child Survival and Child Health
New ideas for: Global Child Survival Clinics Vaccination Hospital Preventive Promotive, Educative, Social Pediatrics Story Therapy : Entertaining Wisdom
Child is God
THIS BOOK IS DEDICATED TO YOU.

Dear Brother / Sister, We humbly submit new ideas. Use what you like. Forget rest. If you like something please reach it to all on earth. In all languages with help of media, internet, email, networking blogs, phone, SMS, websites,T.V., radio, news papers, gossip & speeches. Let us make this world better for us and our children. NO copy right . Copying will be appreciated. Dr. Hemant & Dr. Archana
New Ideas for Better Global Child Survival & Child Health : Dr. Hemant & Dr. Archana Joshi
www.drhaj.com email: haj2007@gmail.com & +91 250 2502710
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Dear Brothers and Sisters, If children could talk, they would say getting good care is our birth right and we will have it. Improving quality, with small improvements is our aim. These ideas that will improve global child survival & child care. Especially in developing countries.Please neglect what you do not like. Use what you like. Can you please share them with all pediatricians members of your society, doctors journalists and leaders? By email, by putting in your journal or any other way. Tell us your good ideas.Make us wiser. Please give us your feedback. Thanks. Your brother and sister Hemant & Archana Joshi Childrens Hospital Virar near Mumbai 401303 INDIA email:haj2007@gmail.com email: arcqrs @gmail.com Do see our 10 language child health website:www.drhaj.com Cell phone +91 98 232 81 447 Phone - Fax +91 250 2502 709
Life time invitation DO VISIT INDIA. We are near Mumbai. Hemant & Archana.
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The Idol of Lord Ganesh
Request to Media:
Once idol of Lord Ganesh drank milk. Thanks to media 6 billion people on the earth knew it by evening.Please reach this information about child care and child survival with same spped.To all in all languages & save lives every moment.Each days delay means more deaths. Children make half the polpatiopn of the globe. Half the media programmes should be for them. We request media to carry at least one child care programme daily on each channel in each language.Then more people will live for more years to see and read what media says. They will have more money to buy the media output. Dr. Hemant & Dr. Archana
Tell people about health, accidents & illnesses.
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Tell people about living healthy, & about accidents & illnesses. This is most cost effective way of improving life and health & happyness of every one and making Humanity Happy. 1 lakh persons die in Car accidents in India annually. Teaching safer car driving to drivers and safe walking to pedistrians will reduce them. Thousands of children die daily the world over. Teaching Better child care to all will change this inmost cost effective way.Let us all translate all available child care knowledge in our languages and reach them to people with help of media.Put it on wikipedia & you tube in our language.The collection of these writiings will make an encyclopaeadia in each language. Let us all write one child health article daily. Let us all do one child health programme daily on t.v. radio. Use local terms. For example cholostrum is called as PIYUSH in India. When we say cholostrum, people do not understand the term.They do not accept it. If we say piyush, all understand. Acceptance increases.With this each child will survive and grow well and will become a blessing for the world.the world.May this happen.
About Authors
Dr. Hemant & Ar. Archana are both pediatricians practicing paediatrics for last 33 years.Their new ideas developed while practicing are given here. They thought of maternity leave of 6 months for working mothers. They campaigned for it. Now it is granted by the central government of India and few state governments, banks and other establishment. They worked for Hindi names on medicines. Now most drugs carry Hindi names in India. They have 6 publications in Indian Pediatrics.They got Indian Academy of paediatrics James Flett Medal for their researchpaper on clinical trial of measles vaccine.They bring out a marathi annual health care volume every year for last 14 years.They honour writers who write popular Medicine in Marathi in media with Arogya Dnyaneshwar Award for last 10 years.They bring out multilingual publications Arogya Dnyaneshwari which has child health article in 10 Indian languages. Their child health website www.drhaj.com has child care information in 10 Indian languages, English & German.
Dr. Joshi got Medical Journalism AWARD of Indian Medical Association Maharashtra in Mumbai on 21.11.09 Releasing Marathi Health Annual Arogya Dnyaneshwari. Dr.Mrs. Archana at left end & Dr. Hemant at right end.
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Dr. Desai (white shirt) Presenting Arogya Dnyaneshwar Award to Dr. Shrikant Chordhade for popular medical writing in Marathi language.
See our 5 child health videos on YOU TUBE You tube video links. 1) BABY IN ARMS - IDEAL FOR I V CANNULATION : http://www.youtube.com/ watch?v=C1fiH1mUzXo 2) GUDHI PADWA celebrations at Dr. Hemant Joshis Hospital : http://www.youtube.com/ watch?v=iRvoRKLqQ8A&feature=channel 3) Is Child/man alive or dead? Learn & tell all : http://www.youtube.com/ watch?v=8Y0NO_uOA3Q&feature=channel 4) BABY IN ARMS - IDEAL FOR I V CANNULATION PART 2 : http://www.youtube.com/watch?v=-nczgBaswI&feature=channel 5) 40-40-40 VENTILATOR : http://www.youtube.com/ watch?v=HoFXXruQ6XQ
CONTENTS
Section 1 : 27 New Ideas for Better Global Child Survival
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 6 months Maternity + breast feeding leave improves child survival & child health Idea to reduce decline in lactation in malnourished mothers Nutri rhymes Faulty weaning leads to smaller brains and Malnutrition in first year of life in India The bent spoon test for the right & wrong weaning food 11 12 13 14 15
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First solid food feeding public ceremony : Anna Prashanam eliminates malnutrition. Makes Win Win Weaning 16 Supine feeding can kill baby. Liquid food Commonest foreign body in larynx.Avoid .Tell all. 4 true stories Constipation free CHILD World P.E.M. = Puffy Eyes, Edema Feet Flat uMbilicus Malnutrition is a wrong diagnosis.Call starvation as starvation 17 19 20 22
3 vaccines & treatments of malnutrition & Constipation in children : Snack filled pocket,Akshaypatra, Baby snack corner 24 Eggs better & 5 times cheaper than Milk Growth Chart: Passport to Health:Make it Compulsory Neonatology: Breast feeding Neonatal breast squeezing causes future Retracted nipples & feeding difficulties. Preventable problem. Seen only in Humans. A comparative zoology study. Rectal dextrose treats neonatal Hypoglycaemia. Good first aid till you get i.v. line A case study: Happy IV cannulation: Painless i.v.set 26 28
29 30 32 33
15. 16. 17. 18. 19.
Drainage of diarrhea fluids by indwelling rectal catheter in diarrhea improves survival, reduces doctors stress:a case study 34 Diarrhoea + diaper = Deadly Disaster 35
20. 21.
When room temperature exceeds 30 degrees Celsius 3 steps to Control Malaria 1. 2. Give primaquine to all Teach medicine & every thing in mother tongue
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22. 23. 24. 25. 26. 27.
3. Pulse Primaquine + chloroquine/artemisine Diarrhoea deaths & Malnutrition free WORLD ... And children started eating Thread around the waist Pals / nals on wheels Promote Adoption at birth Life (drug) Locket
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Section 2: New tips for Happy Vaccination

19 New useful tips 46
Section 3: New Ideas In Clinic

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Keep a Gods photo or idol. Guest is God. Keep mirrors in your clinic. Mirror makes a good hemoglobin meter Multi Para monitors Child food corner: (C.F.C.) SHEERA (wheat sweet dish) FOR CHILDREN Weigh Breast feeding Mothers on every visit Teach these NUSRING RHYMES TO NURSING MOTHRS And that is the way To be happy & feeding well Dr.Joshis 5 star weaning food for babies Decorate all walls with nice health message posters Display a big growth chart, & vaccination schedule Keep Oxygen, suction machine, Ambu bag which works in clinic Nebulize drugs to an asthmatic with oxygen Asthma: Make parents hear Rhonchi. 53 53 54 54 55 55 56 56 56 56 57 58 58 58 58 58
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Ask drug companies to put name of drug and consumer instructions in your language. (If it is not there). 58 59
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Section 4: New Ideas In Hospitals

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Have Gods idol or photo. Receive sick babies under radiant warmer In emergency: Blow a whistle. Giving oxygen to two babies from 1 cylinder Emergency room should be like operation theatre. Bathe a child before hospitalization if possible Hospital bed should be 3.25 feet wide and 6.25 feet long. Fans often give air to passages. Put one Air thermometer in hospital. For best staff: Easier way to give saline bolus. Make instrument information booklets in the peoples language. Give all vaccines to staff like typhoid, Every one should have a name plate in the states language Letter of Honor For Nurses & clinic/hospital staff.
61 61 61 61 61 61 62 62 62 62 63 64 64 64 65
Section 5: New Ideas In Newborn Care

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. What obstetricians fear most? Neonates need much more attention. Bright light hurts newborns eyes. For identification: Write Babys name with skin marker pen USE 100 ml.iv bottles Use autoclaved newspaper Liberally. Touch feet & Receive Outborn Neonates under warmer OIL MASSAGE Oil fortification Remember pnemonic ABCD of Neonatal Jaundice Used i.v. cannulas packing makes good disposable splint. Used 10 ml syringes packing makes a good sterile disposable urine bag for small boys. 67 67 68 68 69 69 70 71 71 72 72 72
13. 14.
Breast feeding mother herself is the best thermometer for the baby. 73 Mothers blood saves sick newborn. 74
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Section 6 : New ideas in Asthma.

17 New Ideas 77
Section 7: New Ideas General Childcare Preventive Promotive Curative, Social Child Care
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. My B12 is low. Yours? Beware of B12 deficiency pandemic in Vegetarians.Treat it with curds (Yoghurt). 7 Lessons from my experiments with Vit. D and calcium and paan. Heat stroke free World OUR AIM: Typhoid Free World Requests to every parent, doctors, Childrens T shirt & other clothes manufacturers. Maternity leave from conception to babys first Birthday. Education in mother tongue makes better doctors,nurses,health workers,engineers,citizen country & the world Make your countrys language official languge of each society in your country along with other languages like English etc. Triumph of our mother tongues We will ensure. We take oath. Child friendly Architecture for homes, Hospitals. Teach safe use of kerosene Road Accident Death FreeWorld Mothers enjoy child birth in sitting/standing position. Common salt (Sodium Chloride) eradicates cord sepsis and helps reduce caries teeth . 116 years of life : LIVE Happy Sickness free . Yoga for better survival and life for children & adults at zero cost. 84 85 89 96 101 103 104 105 106 108 110 111 114 119 122 126
Section 8: Story Therapy Best to Entertain educate & Improve Child Survival
1. 2. 3. 4. From care to Advocacy 4 useful stories:true & amazing Jungles Race. Alexanders story :Give amnesty, to hospitals, doctors, & nurses. Use Krishnakatha, improve practice & child survival
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Section 1: 27 New Ideas for Better Global Child Survival
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Global Child Survival No. 1: Nutrition: Breast Feeding.

Accepted for presentation at International Pediatrics Association Conference 2010 Johanesberg. Child is God
6 months Maternity + Breast Feeding Leave Improves Child Survival & Child Health
Exclusive breast feeding improves child survival. For these mothers need 6 months maternity + breastfeeding leave. In 1991 in annual general body meeting of Indian Academy of Paediatrics Dr. Hemant Joshi and Dr. Archana Joshi proposed following resolution. I.A.P. recommends maternity leave of 6 months. Expert committee of Indian Academy of Paediatrics deliberated over a year. In Jan. 1992 based on the. Recommendations of this committee, IAP unanimously recommended that maternity leave should be of 6 months. Within one week Haryana and Punjab state governments in India gave maternity leave of 6 months to their staff. We campaigned through newspapers and labour unions. We took help of media,
politicians, and beaurocrats. Many colleagues like Dr.Uday Bodhankar worked for this cause. Finally government of India gave 6 months maternity + breastfeeding leave to its employees. In 2009 Maharashtra state government also gave it to its employees. All nationalized banks, Life Insurance Corporation of India etc. give it. Inference: This is the impact of advocacy. A resolution, made by ordinary members, passed by Indian Academy of paediatrics and the subsequent advocacy changed one law of the country benefitting innumerable mothers babies & humanity for all time to come.May this happen every where.
*See page for maternity leave for 1 year.
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Global Child Survival No. 2 : Nutrition: Breast Feeding.

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Idea To Reduce Decline In Lactation In Malnourished Mothers.

Weigh lactating mothers every month. Weigh lactating mother every time she brings the baby to clinic. Ask her to sing this song. Eat while you feed & Feed while you eat & That is the way To be happy and lactating. Eat when you are hungry & Eat before you become hungry. That is the way To be happy and lactating. Mothers following this mantra do not lose weight & have no lactation failure No lactation failure at our clinic over two decades. This practice has almost eradicated lactation failure at our place since 2 decades. Lactation failure is usually seen in malnourished mothers. Usually mothers first lose weight. Then they complain of declining lactation.
If they eat something every time they breast feed, they do not lose weight. Then they do not complain of lactation. Failure either. (This is not for obese mothers.)
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Global Child Survival No. 3 : Nutrition
Nutri Rhymes
Ringa ringa roses Pockets full of snacks Eat all eat all All grow well. HUMPTY DUMPTY At 6 months of age Humpty Dumpty Was chubbiest of all. Then his weight Had a great fall. All the worlds doctors And all the worlds milk And all the worlds tonics Could not make Humpty Dumpty chubby again. Then doctor Joshi said, Wean with solid home food Stop milk, liquid foods & Close the food gap. Fill pockets with snacks And that made Humpty Dumpty chubby again.
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Global Child Survival No. 4 : Infant Feeding

Child is Faulty Weaning Leads to God Smaller Brains and Malnutrition in First Year of life in India
Table showing head size (Circumference) At different ages

Indian children Head size Age At birth At 1 year 90th Centile 39 cms 46.5cms American children Head size 95th centile 39cms. 49 cms.
Above figures are taken from standard childcare text books.
This table shows that 1. The big Indian children from good families and big American child has same head circumference at birth.i.e, 39 cms. 2. At 1year brain growth & head circumference of Indian children is 2.5 cms, less than that of American children. It is 46.5 cms in Indian children and 49 cms in American children. Reason? Faulty weaning with liquid foods in best of homes. LESSON: 1. Teach proper weaning. With solid home as given elsewhere in this write up. 2. In India true malnutrition occurs in
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MEASURE HEAD CIRCUMFERENCE TO MONITOR BRAIN GROWTH FIR 3 YEARS
first year of life in best of the people. 3. Teaching proper weaning is the most important step in eliminating malnutrition.

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The Bent Spoon test For The Right and Wrong Weaning Food
Thin, watery weaning foods have more water and less food. They starve infants. This leads to malnutrition. Use the bent spoon test. Take the weaning food in a spoon. Tilt the spoon a little say by 15 to 30 degrees. Thin weaning food will spill. Thick weaning food will not. Thus a wean food is a good weaning food if it does not spill from a bent spoon. A weaning food is bad weaning food if it spills from a bent spoon.
See photo above Acknowledgement: I learned this form peditrician Dr.Anurag Agarwal of Delhi India.
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First solid food feeding public ceremony:
ANNA PRASHANAM Eleliminates Malnutrition Makes Win Win Weaning
A father feeding a child who was on animal milk earlier.
For every baby first frood feeding public ceremony is done at our hospital the day child becomes 6 months. Daily some children become 6 months. Sheera a soft sweet made of wheat flour+ sugar + ghee is feed to the baby ceremonially. Here after he is fed home food mixed with little mothers food every time before mothers milk. Gradually the home solid food quantity increases and by one year chihld eats all home food.This eliminates the malnutrition that universally occurs in second half of first year of life all over the world.
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This ceremony of giving first solid home food to an infant is called as Anna prashanam Sanskar in Sanskrut. Anna means food. Prashanam means eating. San means good . Karya is a deed. Annaprashanam Sanskar is a good deed that must happen to every baby on this earth.With this we will will our war against malnutrition. This is Win Win WEANING.
Supine feeding can kill baby Semi Liquid Weaning Food: Commonest foreign body in larynx Avoid, Tell all, 4 true stories
Supine feeding can kill baby. Beware
Never put food in the mouths of lying down children. Highest foreign body in air pipe: food especially liquid food /medicine that always chokes and sometimes kills children.
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Lesson: Never put liquids in the mouths of lying down children. 2. Story of one about 18 months old son who could not survive supine feeding. Both parents had gone for a job. It was time to give milk to the child. In this part of the world the mothers and grand mothers sit on the ground with extended legs. They make the baby sleep between their legs, facing the sky. They immobilize the baby with their legs. Then they put milk or the liquid gruel in babys mouth. Many times children resist, cry, but they are forced to swallow. Accidents do happen. Many children get choked up. They cough, become breathless, struggle but survive . In case of this child,as usual the grand mother sat on the ground. She made the child lie down facing the sky between her extended legs. As usually she fed milk to this child. Unfortunately the milk choked the air pipe. They ran to the doctor but no one could save him. The child died.
4 True Stories
1. K.K.B is a healthy school going boy. He came for check up. When he was 9 months old he survived a life threatening accident. On day when gave him, a liquid medicine it choked his air pipe. Parents ran with him to the near by doctor. The doctor found that the child had difficulty in breathing. They referred the baby to our hospital. When the baby reached the hospital the boy was getting fits. He was grunting and fighting for breath. Fortunately he recovered well. He was given medicine while lying down in a supine position. It choked up his air pipe.
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3. Our friendly M.B.B.S. doctor couple had a son. Both were working with the local government hospital. On one Sunday they were overworked and came home late at night. As usual they gave milk bottle to the baby, put the baby in the cradle and went to sleep. While feeding the baby got choked up. They rushed to us. Hours of heroic efforts could not save the child. The child died.
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Lessons:
Never put food in the mouths of lying down children. Highest foreign body in air pipe: food especially liquid food /medicine that always chokes and can kill children. It is better to make them sit in the lap and touch cup to lips. If they want to drink the water / gruel /liquid they will bend head and drink. Feed them in upright position. Smear their lips with food or Make a baby food corner in the house. Put fruit pieces, snacks and water there. Children will help themselves. They will mouth food & water an grow
4. One less than 2 years girl had acute attack of asthma.She came to the hospital. We nebulized her, gave her nasal oxygen and started saline. Another serious child came. When we were attending to the second child, grand mother gave feeding bottle to first girl. The milk choked her. She was in the hospital and got all the help. Yet she could not be saved. A foreign body, liquid food called milk killed her.
Supine feeding can kill baby. Avoid it completely. Tell all.
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Constipation Free CHILD World
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Nursery rhyme based on call the doctor just now I drank milk, I drank juice, I drank liquid food just now Stomach paining, Stomach paining, Stomach paining just now Call the doctor, call the doctor, call the doctor, just now Constipation Constipation Constipation just now Stop liquid feeds, Stop cow milk, Stop juice, kanji, just now Wean with solids, wean with solids, wean with solids just now Wean with oil, rice, dal, fruit, wean with oil, rice, dal, fruit, Wean with oil, rice, dal fruit, just now No constipation, No constipation, No constipation, just now. Tell all, Tell all, Tell all, just now. Thank you doctor, Thank you doctor, Thank you doctor, just now
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P.E.M. = Puffy Eyes, Edema Feet Flat uMbilicus The most visible easy signs to pick up and demonstrate Protein Energy Malnutrition
P.E.M. Marker of high risk of Death
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Flat uMbilicus due to water in abdomen
Puffy eyes best seen on crying
If we does not diagnose malnutrition how will we treat it? P: Puffy Eyes: Best seen in crying baby or crying child. Our eyes are inside the bony socket. In malnourished babies the eyes become puffy due to oedema around eyes and protrude out of the bony socket, E: Edema feet: Press with thumb on the sheen of tibia above the ankle and then lift the thumb. If baby has edema, you see a depression. This is edema feet. Many babies would have it.
F: Flat uMbilicus: Usually umbilicus is round. A malnourished child has flattened umbilicus. Hypothesis: A malnourished child has fluid in abdomen. It stretches umbilicus from both sides and flattens it. The degree of flattening is proportional to the degree of malnutrition. If a child gets hepatomegaly and spleenomegaly, the upper lip of umbilicus gets flattened.
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P.E.M. = Puffy Eyes, Edema Feet Flat uMbilicus.
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P. = Puffy Eyes
P. = Puffy Eyes
E.=Edema Feet
M. = Flat uMbilicus.
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Malnutrition is a wrong diagnosis Call starvation as starvation

Classification of Diseases Name of disease group of disease 1. Measles, Aids 2. Typhoid, Cholera Viral fevers Bacterial illnesses 3. Starvation Obesity Malnutrition Obesity and starvation are diseases of malnutrition. Malnutrition is the name of a group of diseases. It is a name of one disease. Calling starvation as malnutrition is wrong. In Legislative assembly of one state one member asked.Why does government give rice and dal to malnourished children? Isthat the treatment of malnutrition? The expert government officers studied and then replied, Rice and dal is not treatment of malnutrition. It is given as supplementary diet. It was published by new papers next day. All were happy with the reply. This tells the fact that people do not know that starvation is called as malnutrition. If all knew that starvation is called as malntutrition, then all would have known that rice and dal is the treatment of starvation and malnutrition.
All think that malnutrition is an illness like typhoid or polio. Hence it is responsibility of health department. Hence health officials are held responsible in India.
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Let us realise that the true problem is starvation. That it is not a medical illness but a social one. And that solving the problem of malnutrition (starvation) is the responsibility of entire society and government along with doctors & health department. Above two facts show that most do not understand that starvation is called as malnutrition. Example. Measles and aids are viral diseases. The name of the disease is measles or aids. Viral fever is the name of group of diseases.Typhoid and cholera are bacterial diseases. Typhoid is the name of the disease. It belongs to the group of bacterial diseases. Similarly starvation & pbesity are is the diseases belonging to a group of diseases called malnutrition.. Where the diagnosis is wrong how can the treatment be right? How can the problem be eradicated? People who learn medicine in a foreign language are at the greatest disadvantage. Each word is foreign. They can have difficulty in understanding, remembering expressing and communicating the problem, its gravity. Etc. All countries must create encyclopedia in child health in their own language & empower their people. This will reduce malnutrition and all other illnesses.
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3 vaccines & treatments of Malnutrition & Constipation in children
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Snack filled pocket, Akshaypatra, Baby Snack Corner

Malnutrition is major cause of child morbidity & mortality. Eliminate malnutrition. AIM: Snack filled pocket, Akshaypatra, Baby snack corner are treatment & vaccine against malnutrition: To share this with all. Methods: Food is beyond reach of children in most homes.So they get malnourished. Make food available to children liberally, within their reach, round the clock. They will eat all the time & get well nourished. We ask parents to keep childrens pockets filled with snacks round the clock. They also designate one corner of house as childs snack corner. There they keep available snacks in transparent plastic jars. We call it AKSHAYAPATRA, a container that never empties. Parents have to refill it before it empties. Children help themselves to food and grow well. On our request Jijau mission of Maharashtra Government tried it. They fight malnutrition. In more than 1000 villages there are day care centres called Village child development centres. In each centre 10 to 15 severely
2.Akshaypatra,the snack filled transparent container, is treatment & vaccine of malnutrition.
1.Snack filled pocket, is treatment & vaccine of malnutrition.
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malnourished children are kept for day care. They are given micronutrients and ideal food 6 times daily. They also made a child food corner. There they kept snacks for them in transparent plastic bottles within the reach of the children. These included puffed rice, roasted grams, groundnuts, laddoos of soya bean, groundnuts etc. Children eat them all the day through & improve in 1 month. Children from grade 3 & 4 improved to grade 1 & 2. These are primary reports. More than 10 000 children benefit every month due to this practice. Result: Make food available liberally and children grow well every moment. Starving children get constipated. This also treats and prevents constipation.
Conclusion: Snack filled pocket, Akshaypatra, Baby snack corner are treatment & Child is vaccine against malnutrition. God They also treat & prevent constipation. Tell all & make world a better place for children and parents. Make them available to 1. Adolescents. They will grow into strong adults who will have bigger & stronger children. 2. Pregnant mothers. They will have bigger & stronger babies. 3. Lactating mothers: They will not have lactation failure. Their babies will grow well.
3.Child snack corner is treatment & vaccine of malnutrition.

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Eggs Better & 5 times Cheaper than Milk

Noted Gynaecologist Dr. Deepak Desai, based in Virar near Mumbai has strong dog at his home. He noticed that his dog was becoming weak as he was fed on milk. So Dr Desai stopped feeding milk and gave him eggs. Dogs health improved considerably. This led to following observations. Milk and Egg are complete food. But eggs contain better nutritional value. For example 1 liter cow milk contains 900 ml. water and 100 Gms food. This means when we buy 1 liter milk we pay Rs. 36 for 100 gms of food. Thus to get 1 kg food from milk we
actually have to spend Rs.340. One Chickens egg weighing fifty grams costs say Rs. 3. 20 eggs weighing 1 kilo cost Rs.60. Thus 1 kg eggs cost Rs. 60 & one kg. Actual food in milk costs Rs. 340. Rs. 280 more per kilo. National Importance: Milk is given to government school students by public money. We can give 5 times more eggs in same budget to school children. Spread this to all with help of TV, Radio, Internet & Newspapers.
Ob.& Gynaecologist Dr. Deepak Desai, with Anesthetic wife Dr. Usha & daughters Dr. Tejashree & Madhura.) Dr.Deepak Desai is a genius. He does LSCS in six and a half minute. He does extra peritoneal LSCS, without opening peritoneum in about 10 minutes, in morning, the mother takes dinner same evening & goes home third day. His unique Sepisiotomy leaves no visible scar. (We call it sexy episiotomy.) Share this with your ob.g colleagues )
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2 Eggs are better than 1 litre Milk 5 times cheaper too Eggs & milk both are complete foods
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Eggs
Ammount needed to give 100 grams food 2 eggs (50 grams each)
Milk
1 litre, (5 glasses of 200 ml.) Rupees 36 2 eggs? Yes 1
Money needed to buy to get 100 gram food in Indian Rupees in at 2010 rates Can a child take this ? litre milk ? NO. Can you add water and dilute Should government give this in schools Facts:1.Each egg weighs about 50 grams. Cow milk has about 89% water and 11 % food. To get about 100 gram food one
Rupees 6
Yes No
No Yes
Lesson : In India eggs are 6 times cheaper than milk. They can not be adulterated.They can be eatennin addition to other food. Milk is 90% water. It fills stomach and kills hunger and causes malnutrition.
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Global Child Survival No. 13 : Nutrition, Growth

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Growth Chart is Passport to Health

Make it Compulsory Give with birth certificate Add vaccination chart. Give it to every school student. More Important than clothes an ornaments Give in mother tounge
Kerala State in India gives to all school students. Growth chart is the most cost effective tool for monitoring and ensuring proper growth of children.
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Global Child Survival No. 14 : Neonatology: Breast feeding
Neonatal breast squeezing causes Future Retracted Nipples & Feeding Difficulties Preventable problem. Seen only in Humans A comparative zoology study
Clockwise from left top: Animals, 1Bitch, 2goat, 3 pig, 4 cow have NO retracted nipples
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Neonate with breast abscess caused by breast squeezing.
About 7 % mothers suffer from retracted nipples, breast engorgement, feeding difficulty & feeding failure. Eliminate this. Neonatal breast squeezing = abscess + future retracted nipple + feeding problem. Neonatal origin of adult disease. Aim: To study if animals have retracted nipples, like humans. Methods: We studied Pigs, cows, buffalos, dogs & cats. Etc for presence of retracted nipples. We discussed with veterinary doctors. Results: Animals do not have retracted nipples. Only humans have. Hypothesis: Many people squeeze milk from newborns breast. If tiny nipple and breast tissue are injured, these injuries heal with fibrosis. This destroys the nipple and milk ducts. The damage is proportional to the injury. When these girls become mothers, they get milk. If
milk ducts are fibrosed, they get breast engorgement breast abscess etc. Their babies get less milk, and starve. They can get more jaundice, hypoglycemia, dehydration, fits, vision problems, & even death. In sick babies look for retracted nipples in mother. Warning to mothers: When you squeeze neonates nipples, you kill your grand children. Conclusion: Retracted nipples are manmade preventable cause of neonatal and maternal morbidity and mortality. Tell all on war footing not to touch newborns breasts. Eliminate retracted nipples, and related neonatal and maternal morbidity and mortality.
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Global Child Survival No. 15 : Neonatology

Rectal Dextrose Treats Neonatal Hypoglycaemia Good First Aid till you get I.V. line A case study
Giving rectal extrose 2 ml.per kilo body weight.
Hypoglycaemia is a major Cause of neonatal morbidity & mortality. Rectal dextrose prevents & treats it. Aim: Can Rectal Dextrose treat & Prevent hypoglycaemia the major cause of neonatal morbidity & mortality? This study finds out.
Methods: We gave 3 ml 10 % dextrose per rectum, by a no.5 catheter to a newborn & measured blood sugar by heel prick hemo gluco test (HGT) method. As a control study, later on we gave 3 ml. Normal saline per rectum to the same baby and studied blood sugar.
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Results: Table 1. Serial blood sugar after giving dextrose. S.No. time blood sugar level (mg/dl.) 53 60 64 67 79 70
Conclusion: 1. Giving about 2 ml./kg. of Rectal Dextrose increased Child is God blood sugar. It prevents & treats hypoglycaemia. 2. It is a good first aid, till you get i.v. 3. Useful when there is no doctor, where giving i.v. dextrose is necessary but not possible especially in periphery.Any health worker can give it with little training. It can be given to a baby before transferring the baby. The Level remains high for at least an hour or more. 4. I.V. access can cause sepsis. This is avoided. 5. Rectal dextrose is easier, and less injurious,less time consuming. economical & safer than giving i.v. dextrose. 6 Any one in a maternity home cn give rectal dextrose.This reduces transfers to Neonatal Units. Hypoglycaemia is major newborn killer. Many of those who survive get fits, spects, eye problem, mental sub normality etc. Rectal Dextrose can treat & prevent NEONATAL HYPOGYCAEMIA. Let us all study this more & share the information with all. Conflict of Interest: None declared. Thanks to Sister Nisha Maydev and Metron Seema Prabhu of Joshi Childrens Hospital & Research Centre Virar 401303 India
1 before giving dextrose 2 5 minutes after giving dextrose 3. 10 minutes after giving dextrose 4 17 minutes after giving dextrose 5 25 minutes after giving dextrose 6 70 minutes after giving dextrose
Table 2 serial blood sugar after giving saline S.No. time blood sugar level (mg/dl.) 94 89 90
1 before giving saline 2 10 minutes after giving saline 3 30 minutes after giving saline
Rectal dextrose increases blood sugar dextrose, but rectal saline does not.
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Child is God
Happy IV Cannulation: Baby in Arms

Good for Blood Sample Collection too.
I.V. access in children is difficult& stressful not getting i.v. access kills children. This method makes it easy. Useful for all. Try. Tell all.
Steps for Happy cannulation.
A. Feed babies. Breast feed or give snacks. The pain is felt less After feeding. B. Sedate the baby. Trichlorophos is safe. Give them a cough Syrup if needed. It also sedates. C. Apply percutaneous anaesthetic prelocaine + lidocaine. On the skin where you want to put a needle in the vein.It acts in about 10 minutes D. Keep child on parents shoulder, with this there is no separation anxiety. So children will cry less. E. Due to gravity the hand & leg veins become full. You can easily put a needle or IV cannula. (Published in Indian Pediatrics 1993 page 10511053. See at www.indianpediatrics.net.in)
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F. Keep autoclaved Bone marrow needle daily available. If you cannot get vein in 1 minute put needle in bone marrow & start saline. You also can pass a naso gastric tube and can give fluids. Keep this baby upright as the baby may vomit and has risk of aspirating it. This fluid hydrates and saves life.It makes veins prominant & accessible.
Painless I.V. Set

I.V Medicines cause pain to the patient. They cause thrombophlebitis. This pain is cause of children crying on seeing nurses and doctors. This thrombophlebitis at times leads to gangrene and lawsuits.This is all avoided by this painless i.v. set. Try it. Tell all. For giving by intra venous route, ampicillin, cephalosporines etc., must be diluted to 50 mg./ ml.concentration. Aminoglycosides like gentamycin should be diluted to 2mg/ml concentration. Often this is not done. The stronger medicines cause thrombo phlebitis & burning pain. Usually giving i.v. medicines is a painful experience for patients, especially children. Every time intravenous medicines are given, they cause burning pain. Next time, when a nurse approaches a sick child the child cries with fear. This is avoided by this i.v. set. So we call it painless i.v.set. Ask your i.v. set manufacturer to make an IV set with latex rubber tubing in the tubing between the i.v. bottle and the air chamber. To give medicines intra venously, always add medication through this latex rubber tubing by a needle & syringe, into the fluid in the air chamber. With the running i.v. fluid, the medicines mix with the i.v. fluid in the air chamber and are diluted continuously. This ensures that medicine is diluted 10-20 times before it enters a vein. This reduces pain of i.v. injections & thrombophlebitis. It makes life of the sick baby happier. Then babies do not cry on seeing the nurses and the doctors. That makes every ones life happier. This is especially useful for medicines like chloroquine which must be diluted before giving. This i.v. set is good for children parents and doctors. A drug port in the air chamber will do the job of latex tube.
SALINE BOTTLE
Child is God
drug pushed in latex tubing by syringe medicine enters the air chamber, dilutes and then goes to the patient through the I.V . tubeing
to patient
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Global Child Survival No. 18 : Diarrhoea

Drainage of Dairrhoea Fluids by Indwelling Rectal Catheter in Dairrhoea Improves Survival Reduces Doctors' Stress A Case Study
Diarrhoea is a major killer. Dehydration & errors in giving fluids increase diarrhoea deaths. This method eliminates errors and stress in fluid therapy.
Aim: Can accurate measurement of fluid losses in a case of severe diarrhoea by indwelling rectal catheter improve survival, and make treatment easy? This study finds out. Method: A catheter was put in the rectum of child with severe watery diarrhea with severe dehydration. It was connected to a urine collection bag. The fluid lost was accurately monitored & replaced. Results: Ongoing losses were exactly known & replaced. This avoided under hydration, & over hydration. In diarrhea children die of dehydration, or over hydration. This was eliminated. Caring for a serious diarrhea patient is extremely stressful. With rectal catheter the treatment became stress free as the losses were exactly known and replaced. Frequent soiling and wetting of body, cleaning of the child, changing of clothes was avoided. The child could sleep well. This benefited the baby and the caretakers. P e r i a n a l excoriation, its burning, pain and babys crying etc was avoided. The diarrhea fluid was collected in a bag and safely disposed. This reduced spread of infection, very foul smell of diarrhea laundry load, and improved cleanliness & hygiene, Safety: It is safer than nasogastric tube, and i.v. line. Conclusion: This innovation helped patient, doctors, nurses, care taking relatives, and the society. It is cheap, simple, and good for any setting. It improves care and reduces morbidity and mortality & stress. Try. Tell all.
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Global Child Survival No. 19 : Diarrhoea

Diarrhoea + Diaper = Deadly Disaster

Excess salt in home made salt , sugar solution = Deadly disaster
This diapered infant got diarrhoea & got severely dehydrated
Diapers block urine output monitoring. Avoid diapers in sick babies especially diarrhoea babies and improve child survival. 6 months old R.S.bottle fed, diaper clad baby got diarrhoea. (Top photo) Parents could not know if child was passing urine. The baby got severely dehydrated. Luckily this baby recovered with intensive care. Lesson: 1. No diapers for diarrhoea babies. Using diaper in a baby having diarrhoea can kill the baby. Diaper becomes die-per 2. Let us all ask Diaper makers to put the following consumer warning. Warning: Do not use diaper in sick babies especially one suffering from loose motions. Observing that baby passes adequate urine is important for survival of the baby. 3. Put this notice in clinics & Hospitals. 4. Forward this to all, especially journalist, politicians, govt. officers, opinion makers, decision makers, diaper makers, mothers, doctors and health persons. .
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This babys mother gave her home made salt sugar solution. She prepared this by taking about 100 ml. water and adding about 3 grams of common salt (sodium chloride) and 6 grams of sugar. She gave such 20 to 30 glasses of water. The child developed severe dehydration and severe hypernatremia & hypokalemia. There after recovery was uneventful.
Global child survival .20
When room temperature exceeds 30 degrees Celsius take skin and oral temperature to rule out heat stroke.
Child is God
25 to 30 degrees Celsius is the comfortable range of room temperature for us. As environmental temperature rises above 30 degrees Celsius we feel the warmth. As room temperature exceeds 33 degrees Celsius we start getting babies with heat stroke. Usually core temperature i.e., oral or rectal temperature is more than skin temperature by 1 degree. As the body heats up with hot environmental temperature this gap becomes less than 1 degree. This is grade one heat stroke. When skin and oral temperatures become equal it is grade two heat stroke. When skin temperature exceeds oral temperature it is grade three heat stroke. In summer when room temperature exceeds 33 degrees Celsius the room temperature contributes to increasing the fever of a sick person, especially one whose water intake is inadequate and who sweats less. Keeping the patients room cold by use of desert coolers, air conditioner eliminate the environmental heating and
hastens recovery of febrile patients. Give plenty of fluids orally and intravenously. Give water before the child becomes thirsty. Eliminate thirst. That eliminates heat stroke in all. A child can have an illness like viral fever and heat stroke together. You have to treat both. Only then he will become afebrile. Treating one will not do. A child with heat stroke is dehydrated. All his systems will function suboptimally. Only after he is well hydrated he will recover well. A well hydrated child passes adequate urine and is not thirsty. Lesson:
Eliminate thirst & eliminate heat stroke.

Heat stroke: Dr. Joshis grades
Normal or in any illness skin temperature is less than oral* temperature by 1 degree Grade 1 heat stroke skin temperature less than oral temperature. The difference is less . Than 1 degree. Grade 2 heat stroke skin temperature equals oral temperature Grade 3 heat stroke skin temperature more than oral temperature * One may take rectal temperature in place of oral temperature
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Global child survivial 21
3 steps to control malaria
1.Give primaquine to all 2Teach medicine & every thing in mother tongue. 3 Pulse Primaquine + chloroquine/artemisine
1.In India all patients of malaria do not receive Primaquine. Result : The male & female gametes of malarial parasite remain alive and continue to spread malaria.Tell all that all malaria primaquine need primaquine. ( except G6PD deficient people) 2. One of the reasons why doctors do not use primaquine is that they did not learn malaria well in English. Medical English is difficult English. It is LATIN GREEK ENGLISH. Many do not understand it. Malaria is the best example. To study malaria the medical students has know that there are merozytes and metamerozytes. Preerythrocytic Erythrocytic, extraerythrocytic, phases, schizonts, schizogony etc. The relapse is not called as relapse it is recrudescence. The temporary cure is called clinical cure & complete cure is called radical cure. The non English medical students get lost in the terminology and do not understand, remember or treat malaria properly. This happened with me. Many do not know that they do not know.
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They think malaria means chloroquine. So malaria can not be eradicated. By insisting to teach in English we create second class doctors engineers,and slow down progress of the country and the world. Every one learns at jet speed in own language and crawls in a foreign language. We must invest in teaching medicine and every thing inn our languages to make firs class doctors. Then Malaria will be eradicated. Health for all. This can be achieved faster by teaching medicine in our languages. Developing countries will progress faster if the teach every thing in their own language. Try this. Share with all. 3 .Pulse Primaquine + chloroquine/artemisine Non solvable problem need new radical solutions. Malaria is a major global killer.Consider giving a pulse of primaquine + chloroquine/artemisine to entire population to elimiate sensetiver malarial parasites.This is economical than the annual perpetual money spent on malaria.
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Babyss Malaria not cured.

Baby gets Vivax malaria Baby gets chloroquine But baby not fully FINE.. Chloroquine kills not liver parasites It kills not gametes. They die only with Primaquine Malaria needs 2 queens . Cloroqueen & Primaqueen That makes baby 100 % fine.
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Baby gets Falceparum Its resistant to chloroquine . He needs Artesunate +Lumefantrine. & Primaquine for gametes. That makes baby fine.
Doses Primaquine: Dose:Falceparum 45 mg. in adults once for Vivax: adults: 15 mg. daily for 14 days. Mixed: day one 45 mg. 2 to 14 day : 15 mg. daily. Artemether+Lemefantrine available as Lumether or comether. Dose 3.2 mg./kg. artemether daily for 3 days.
Keep book in plastic bag. It will last 500 years.
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Child survival:22 story therapy: Nutrition: Diarrhoea:
Diarrhoea deaths & Malnutrition free WORLD

Baby with diarrhoea and dehydration
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One house had a child and a rat. Whenever the child was hungry the child had to ask elders for food. He ate when they gave and what they gave. He became weak and malnourished. The rat would bite rice bags, eat when needed and thrived. Once both had loose motions. Both lost water. Both became thirsty. Rat went around, located water, drank it plentifully, and recovered. The baby was thirsty. The water was on the table. The thirsty baby cried and died. The baby died. Not of diarrhoea but due to unquenched thirst. The Baby died because baby depended on elders for giving water. Lesson: ''Make one child food and water corner in every house. Keep snacks ( that the child likes,) and water there. Allow children to go there, and drink water and eat snacks when needed. This will reduce diarrhoea deaths and malnutrition and its complications and deaths.
On our request Jijau mission of Maharashtra govt. tried this. They fight malnutrition. In more than 1000 villages there are Village child development centres. In each centre 10 to 15 severely malnourished children are kept for day care. They are given micronutrients and ideal food 6 times daily .They also made a child food corner. There they kept snacks for them in transparent bottles within the reach of the children. these included puffed rice, roasted grams, groundnuts, laddoos of soyabean, groundnuts etc. Children eat them all the day through & improve in 1 month. Children from grade 3& 4 improved to grade 1 &2. These are primary reports. More than 10 000 children benefit every month. Try this and share your experience with us and with all.
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CHILD SURVIVAL: 23
NUTRITION: STORY THERAPY:
Best to educate & improve child survival.
AND CHILDREN STARTED EATING

Once there lived a lovely family in India. They had a son and daughter named A & B. The family was happy except that A & B never ate properly. Hence both become pale white, weak, irritable & never slept well. They passed plenty of urine. They had hard stools. They were constipated. The parents sought doctors help. A & B were given milk, tonics, tinned food, and medicines. But it was of no use. A & B got fed up with the treatment. They ran away from home in forest outside the city. They ran until they got exhausted. They sat below a tree and fell fast asleep. A childless couple in the forest saw A & B and took them to their hut. They gave them food. But both A & B ate nothing. The couple said, Sitting is sickness. Playing working is Wellness.You run, play, work, and dance. Then you will be hungry. Then you will feel good, eat well & sleep well. A & B followed their advice. They helped all to collect fruits & firewood, plucked fruits, did household jobs, ran, played & danced with all. And for the first time in life A & B felt very Very good and very hungry. That night they had very good dinner & very sound sleep. With this routine in 100 days both gained weight and became very healthy and handsome. There was a town fair. A & B and friends visited the fair .Both won prizes in the healthy children contest. Their city parents had come to the fair. A & B had changed so much that city parents could not recognize them. Finally A & B went back to the city with the parents. The parents gave a party on their return. In the party A & B told the secret of how they started eating sleeping & growing well. They said, Earlier you gave us tea, milk, fruit
Child is God
juice, rice water & dal water. All these liquid foods have more water & less food. They filled our stomach but starved us. We had to eat when you wished. We got everything in our hands. We had no exercise either. So we became weak. In jungle, we had the freedom of eating as per our wish. There were no liquid foods. We did lot of physical work. We danced, played, worked & had lot of fun. So we were happy and we grew well. DO AS FOLLOWS & YOUR CHILDREN WILL GROW WELL. 1. Give one corner of the house to kids. Call it child fruit snack water corner. There on the floor keep a plate. Call it Akshaypatra. It should be always full of fruits & snacks that children like. Parents should keep it full. Children may eat some & spill some. None should shout. All neighbouring kids shou ld alsbe allowed to eat from this as well. 2. All childrens all clothes must have pockets. The pockets must be full of snacks all the time. 3. Liquid foods have more water & less food. They starve children. Nobody will give tea, or milk to children. The money saved will be used to for snacks. 4. Best donation for children is donation of playground. Every child must play on ground in evening for at least once Hour. Do this & tell all. They did so, all children started eating round the clock. They started singing, playing, studying, and growing better & made all happy. In 100 days, all became better. Let us right now tell this story to all, with help of T.V., Radio, Newspapers, speeches, email, sms etc. & save lives & make our children stronger, tall, and intelligent. 5. They also gave the following tips.
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Child survival 24:
GROWTH MONITORING
Child is God
Thread around the waist

Best lifetime qualitative growth monitoring tool
(Growth monitoring improves child survival.)

becomes tight or THE THREAD AROUND THE loose or even if there WAIST (called as waist thread) IS is no change. GOOD GROWTH MONITORING 5. Keep a record. TOOL FOR CHILDREN AND GOOD Find the relation ANTI-OBESITY TOOL IN ADULTS. between height, In India a thread is tied around the weight and waist waist of every newborn. Many keep it for measurement if any. life time. Many change it annually. When 6. Share your the thread becomes tight, all conclude experience with all. that child has grown. When this thread waist thread is becomes loose, they conclude that child the vaccine to has become weak. They consultthe Prevent syndrome x doctor. Thus thread around the waist is a in adults. very good growth monitor. In adults, tie a Child with waist thread Many children do not get the thread around the Benefit of growth charts. On the waist. When a Other hand all children can wear a thread around their waist. In India it is tied in the person gets central obesity, this thread first few days of life. Let us use this thread becomes tight and warns the person. Thus waist thread is the vaccine to around the waist for growth monitoring. prevent central obesity, syndrome x, the most To monitor the trees, their trunk is measured. To monitor the growth of children deadly disease, that leads to diabetes, & adults we should monitor the growth of hypertension, heart attacks, and paralysis. Waist thread, is the most sensitive tool trunk of a children and adults. to pick up the truncal obesity. It has following benefits. Every son in law must get it on the day of NOt Needed: Literacy, technology, weighting machine, growth chart his marriage. The day waist thread becomes tight, adults manpower, not needed should get alarmed. They should reduce oil/ We need to do following. 1. Tell that waist thread is important food intake and increase exercise, and energy as it tells them whether the child is growing expenditure and stay fit for 110 years. One can use pant belt similarly. Mark the hole on or not growing or becoming weak. 2. Ask all parents to tie a thread around the belt where the buckle nail enters the belt by a marker pen or paint. Mark lines of the waist of every child. centimeters on both sides of this mark. If a 3 It should be neither tight nor too lose. 4. Ask them to periodically report when man puts on weight the belt becomes tight. If belt becomes loose, he is losing weight. This it . is the best watch dog. Try. Tell all.
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Globalchild survival 25
PALS/NALS on wheels
How to save a dying person? Skills like this have to be given by actual Hands on training to doctors and nurses. On our suggestion, Dr. Suvarna Devi and her colleagues from state of Orissa in India tried this. They are members of National neonatology forum (called NNF)
Child is God
A baby medical simulation mannequin.
NNF teaches How to save dying newborns to all those who attend child birth. They call this program as NALS. Neonatal advanced life support. They have a baby doll of a new born size. On this baby they teach the skills needed to help babies who need help. They call this doll as manicken. They put this doll and experts in a car. They toured entire state of Orissa and taught these skills to all who assist child birth. Gynaecologists, pediatricians, nurses and midwives. We call this NALS ON WHEELS. All skills teaching programmes must be taught like this. A DVD of their Videos should be sent to all. This should be taught on TV channels. We need to have one education channel on TV radio. On this all subjects should be taught. From KG to Ph.D. Use TV to reach health care to all health personnel. A car carries experts & mannequin
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Global child survival 26
Promote Adoption at birth
Child is God
Adopt a baby at birth Lord Krishna and Karna. 2 great people in the epic Mahabharata, Both were adopted at birth. So they survived and thrived. Promote adoption of unwanted babies by infertile couples. This is important because unwanted babies get neglected. This causes morbidity and mortality. Avoid this by early adoptions. Possibly at birth. Make a give a baby take a baby club. Learn from plants. We transplant young bud of one rose plant on another plant. In mango trees a young twig is transplanted on the young trunk another plant. We need young buds, young twigs in plants. Similarly we need to adopt babies at birth. Seek help of maternity homes, media and leaders. This make all happy. The children waiting for adoption, the child wanting couples & the society. Life with out children is no life. Children make life happy & livable. They are the peace keepers of the house. They are like insulators between 2 live wires called husband and wife. Couples not having children crave for them. They do anything to get children. They take divorce, remarry, commit suicide, kill spouse. They steal children. In India a couple killed few children after God man told that will give them a child. Rate of infertility is growing. Adoption is the need of the moment. Tell all.
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Child survival 27
Life (drug) Locket

Child is God
Dr. Hemant Joshi suffers from asthma. Once while travelling by train he felt breathless. His wallet always had terbutaline. But he had forgotten his wallet at home. That day he realized that the medicine must be carried on person. In a locket around the neck. We made such lockets. We call it Joshi Jivan Locket. Jevan means life in Indian languages. Many people in India wear this locket around neck. It carries their life saving drug tablet. Those with heart illness carry sorbirtate. So that if they or any one else gets chest pain they can use it. This has saved many lives. This gives them help the minute they need it. Asthmatics can get attack of asthma any time. Asthmatics keep terbutaline tablet. Sublingual terbutalin relieves asthma. People who get fits keep lorazepam tablet. When kept in mouth lorazepam is absorbed. It stops fits. Many people forget to take medicine. If they keep a tablet in the locket, then can take it when they remember. Any locket, that can store one tablet which one needs, can be used. See table. Table showing who should carry which medicine in a locket. Sr. No I llness 1. Asthma Medicine Tab terbutaline 2.5 mg sublingual/oral sublingual Effect relief from asthma in one minute. Diagnoses asthma. If this tablet relieves you of cough or breathlessness, you have asthma. Relieves chest pain. If this tablet then you have heart attack.
All above 35 years
Sorbitrate10 mg.
sublingual relieves you,
3. High Blood Pressure Nefidipine 5 mg. 4. Fits Lorazepam 2 mg. For adults, 1 mg. for kids. Half of 1 mg. for infants. Migraine medicine own medicine that one takes daily
sublingual
Reduces b.p. or your b.p. medicine Stops fits
sublingual
5 Migraine 6 Every one
for immediate use.
but forgets some time.
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Child is God
Section 2: 19 New Ideas for
Better Happy Vaccination.
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19. New useful tips make Happy vaccination

Vaccination is most cost effective way of improving child survival. These tips increase vaccination rates.
Child is God
Make nation Vaccination
1. Make nation Vaccination. 2. 100% vaccines to 100% kids on war footing. Today 50% dont get them. 3. As per Indian Mythology THE SUN GOD gave KAWACH KUNDAL to his son Karna.Kawach Kundals protected him against enemy weapons. No weapons could hurt him. Vaccines are modernKawach Kundal Be God Sun to all. Give all vaccines to all children all the time on war footing.
God SUN
Son Karna
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4. Make date of birth the vaccination date The most important date for the parents. Make it vaccination date. Benefits:1.100 % compliance. 2. Our entire work divided over 30 days of the month. 3. Good for growth monitoring and filling of growth chart.
growth chart
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5. Feed before and after Vaccination Feed before vaccination: Increases pain threshold. Feed after vaccination:Deviates attention. Good for Post-vaccination monitoring.
snacks.
Give mothers milk to infants, snacks to toddler,.roasted grams, ground nuts, puffed rice etc.
6. Baby in lap: GOOD PLACE TO GIVE VACCINE IN THIGH. Give IM injections to the baby who is comfortably settled in mothers lap. Try it for happy vaccination.
When we keep baby on table for giving vaccine, baby cries while separating from mother. This separation anxiety is avoided. Ask mother to hold babys legs between her legs, babys arms & chest by one hand & babys head by the other hand.
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7. Give Painless Injection: Give after alcohol (spsirit)dries. Personal experience., I once took an injection on wet alcohol. It pained. Next time I took it after alcohol(spirit) dried.It did not pain. The modern disposable needles are almost painless. Tell about the vaccine till the spirit dries. And then give the vaccine. 8. Give vaccine to a sleeping child. Minimum suffering & crying. 9. 24 hours vaccination centre. WE give all vaccines round the clock. 10.Make your place vaccine mall. Give all vaccines all times to aLL KIDS 11.AIM : 100 % VACCINES TO 100 % KIDS. 12.Display big vaccination chart on wall in waiting room We have them in 4 local languages. giving injection before alcohol dries The pain is caused by the alcohol (spirit.)
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vaccination chart
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12. Tell people to Gift vaccines: Vaccine is the best gift 12. Make Vaccine cheques. Gift coupons Please give the bearer as a gift following vaccines. Vaccinate every child on discharge from hospital. Suggest typhoid / MMR /Measles etc.
vaccine gift cheque
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13. Make typhoid vaccination mandatory before school entry. Suggest your childs school and all schools to ask parents to give typhoid vaccine to all students before they catch typhoid. Make typhoid vaccine as common as tetanus toxoid. WHO: Weekly Epidemiological Record dated 8.2.08 says countries like India should have it in national schedule. Give it to every child we meet. Dr.Sivaprakasham V. from Chidambaram city in India studied 12000 students of 11 th standard. He found that maximum absenteeism was due to typhoid. This absenteeism made them back benchers, affected their studies and led to academic failure. This is avoidable tragedy. 14 Malnutrition is a national health problem. A snack filled pocket treatment of malnutrition. It is also a vaccine that prevents malnutrition.
Freedom from Malnutrition. Gandhiji lifted a handful of salt & India became free. Fill childrens pocket with handful of snacks (puffed rice, roasted grams, and groundnuts) and get freedom from malnutrition.
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15. Request: Make life simple. Use one word Vaccination TO reduce confusion omit word immunization.
16 Health Education is the only vaccine that helps to avoid maximum illnesses. It also hastens recovery in all illnesses.
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17. Teach this to the whole world with sms, emails, letters talks on TV...radio, Articles in media & tell your experience to all and to us.
In 1947 when India became Independent, average person lived for 36 years. Today everyone lives for 68 years. This Independent country has doubled our life.Same must be true in all countries. Half of our life span, time breath, and money belong to our country. Let us spend it for our country and tell this to all. Let us promote vaccination and repay the debt.
18. Vaccines are like ice cream. Do not spoil them with warming 19. Request: to every health worker. Be careful. Many vaccines get spoiled on freezing. Tetanus,dpt,etc. all with alphabet t in their name get spoiled by freezing. Never keep them in freezer. Keep one thermometer in the fridge .Here temperature should be 2 to 8 degrees Celsius. Keep one thermometer in the freezer compartment.
Possibly Have separate fridge for . vaccines. Keep a chart of daily temperatures. Paste it on the the wall next to fridge. Buy a voltage stabilizer for fridge. Have a back up generator Shift vaccines from suppliers cold box to fridge. Do not receive them on warm room table. Teach this to all staff & colleagues. Paste this on the fridge.
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Let us all together do this now.

1. Make Nation Vaccination 2. Give all vaccines to all children all the time on war footing. 3. Make date of birth the vaccination date 4. Feed before and after the Vaccination 5. Baby in lap: GOOD to give vaccine 6. Give Painless Injection: Give After the alcohol dries. 7. Give vaccine to a sleeping child.
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8. 24 hours vaccination center everywhere.

Make your place a vaccine mall. 9. Display big vaccination chart on the wall of waiting room
10. Tell people to Gift vaccines 11. Make Vaccine cheques/Gift coupons 13. Make the world typhoid free. 14. Make typhoid vaccination compulsory
Before school entry. 15. Freedom from Malnutrition. .A snack filled pocket is a vaccine that prevents malnutrition. It also treats malnutrition. 16 Health Education is the only vaccine that helps to avoid maximum illnesses. It also hastens recovery in all illnesses. 17. Teach this to the whole world with sms, emails, letters talks on TV...radio, Articles in media & tell your experience to all and to us. 18. Vaccines are like ice cream.Do not spoil them with warming 19. Request to staff on better refrigeration of vaccines.
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Section 3: 18 New Ideas for Better Clinical care in clinic
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IN CLINIC:
New ideas for Better child health.
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Lord Child Krishna:god of Hindus in India
1. Keep a Gods photo or idol. Sick people who believe in God draw strength. It helps 2. Guest is God. In India guests are treated as God. Every visitor is treated with utmost care. In a child clinic the child and his parents are welcome with a smile and folded hands and are greeted saying NAMASTE. With this, Faces of all glows with smile and happiness.
From grandmother to small babies. This creates instant love bond. Heart to heart bond of friendship and love between us and our patients and relatives. This trust improves our success. This is our only and the best protection against legal cases. Try it. Tell all.
Indians greet with folded hands and say, Namaste

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Child sees himself in the mirror on ceiling and play with joy.
child looks in mirror & plays.
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3 Keep mirrors in your clinic. There is a mirror above my examination table. Babies as young as one and half month old see themselves in the mirror and play with joy. They allow examination happily. This is the happiest thing we ever made. Children keep looking at themselves in mirrors on the wall and keep playing happily all the time. Two mirrors placed on opposite walls create multiple images of children and add to happiness. So do convex and concave mirrors.
4. Mirror makes a good hemoglobin meter. Match the colour of face of the parents, especially of father with that of children. Fathers usually have better haemoglobin. Recommend iron supplement till the babys colour matches that of father. This hemoglobin assessment is instant, cost free, pain free. Tell to all
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5. Multi Para monitors: They work like metal detectors in airports. When baby comes in clinic attach pulse ox sensor to him. You will get pulse and oxygen saturation. If they are abnormal the alarm sounds. See him immediately. Serious babies cannot talk and are like suicide terrorists with bombs. If not detected immediately. They die and kill us. Once one infant came in morning. The heart rate was more on pulse ox. There were no other signs. We admitted him. In evening he was diagnosed to have intussusception.
We call this container Akshaypatra. { Akshaya means one that is infinite)Keep it always filled with Child is God snacks. Our idea is currently being used by in Maharashtra state in India. Jijau mission of the government of Maharashtra has tried this in 1000 + villages. They keep severely malnourished children for full day in a centre called VILLAGE CHILD DEVELOPMENT
Child happily eats in baby snack corner.
Multi Para monitor saved this child and us. We can see blood pressure & take electro cardiogram also. We have Et Co2 monitor too. All instruments save US & save babies. Go High tech. It pays us in the long run. They save time & lives. 6. Child food corner: (C.F.C.)Name one corner as baby food corner. Keep snacks like puffed rice (kurmura), roasted grams, groundnuts etc. in a transparent plastic container. Toddlers crawl, and reach there and eat all the time.
CENTRE (V.C.D.C.). There they have made child food corner. Children eats snacks from Akshaypatra kept in food corner all the time. They also get good diet and micro-nutrients. In one month they improve from grade 3 and grade 4 to grade 1 and grade 2. These are early reports. Akshaypata is quoted on page 26 of K.E.Elizabeths book Nutrition and Child Development 3rd edition, published by paras Publishing Hyderabad India. Try this
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For first 6 motherhood.
months
of
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Eat while you feed & Feed while you eat And that is the way To be happy & feeding well. Those mothers who follow this do not lose weight. They do not get lactation failure either. After 6 months Solid feed before you breast feed Eat while you feed & Feed while you eat And that is the way
7. SHEERA (wheat sweet dish) FOR CHILDREN All kids are our God. For them we make fresh sweet snack called Suji Halwa or Sheera. Children and parents are welcome in clinic by giving Suji halwa .It is made from ghee, wheat floor and sugar. Most sick children also eat it very well. In fact many children insist and bring their parents to us for suji halwa and snacks from akshaypatra. 8. Weigh Breast feeding Mothers on every visit: Record it .Usually first the breast feeding mothers lose weight. Then their milk output declines. Then baby starves, becomes weak. Some of them die in an illness. 9. Teach these NUSRING RHYMES TO NURSING MOTHRS. (They are not nursery rhymes. They are Nursing Rhymes. Nursing means breast feeding.)
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To be happy & feeding well. 10. Dr.Joshis 5 star weaning food for babies : 1. One cereal: Rice or wheat 2. One pulse: Any 1 dal or ground nut or soya bean. 3. A spoon of oil or ghee or butter. 4. One fruit: to give minerals & vitamins & taste. 5. Mothers milk to make it tasty Try it. Western experience shows that if you add breast milk to food or medicine babies take it better. First food feeding ceremony. In our clinic we have a public ceremony of giving first food to each baby at the age of 6 months. Smear lips of any baby with suji halwa/ shira all babies eat it well.
There after we ask mother to feed suji halva every time before breast feeding and breast feed only after Child is that. Gradually suji halwa quantity God increases and need of breast feeding reduces. AND baby switches over to solid food effortlessly. One and half month old baby was brought by his poor aunt. Babys mother died of jaundice during delivery. Aunt was giving diluted milk. We stopped liquid foods and started suji halwa and child recovered. He is now healthy boy. Akshaypatra, Food corner & Anna prashan Sanskar prevent Malnutrition and growth retardation that we see in second half of first year. They also treat malnutrition.
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11. Decorate all walls with nice health message posters. This is WRITING Child is ON THE WALL. People read it often & change. God 12. Display a big growth chart, & vaccination schedule. Display your success stories with photos. This will increase your own success, confidence & happiness. 13. Keep Oxygen, suction machine, Ambu bag which works in clinic. Check it daily. Keep a check chart on wall. Keep adrenaline, syringe & spirit at hand. If some one gets anaphylaxis it these will save him. If you do not have them court of law may punish you. 14. Nebulize drugs to an asthmatic with oxygen 15. Asthma: Make parents hear Rhonchi. Tell them what you heard is Asthma. Let them diagnose Asthma. 16. Ask drug companies to put name of drug and consumer instructions in your language. (If it is not there). Prescribe in the language of the people, this reduces errors & improves compliance. For example, now most drugs in India have names in Hindi. We campaigned for it for 2 decades.
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Photo of drug prescription in Indian language Marathi
17. If someone is breathless, give him sublingual terbutalin.It relieves broncospasm in 1 minute. It diagnoses as well as treats asthma.Asthmatics should carry it on body in a locket. Dose half of oral dose. Indian pediatrics published our work. (Indian pediatrics1993 page 84-85 .see at www.indianpediatrics.net.in) 18. Treat Angioedema with sublingual Nefidipine.It reduces angioedema in 1 hour.This diagnoses/ confirms diagnosis of & treats Angioedema. Dose same as oral. (Indian pediatrics1993 page 86 see at www.indianpediatrics.net.in)
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Section 4: 15 new ideas for better care in Hospital
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In hospital.
New ideas for better child health.
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1. Have Gods idol or photo. Sick person his family & our people get peace & support. This makes our job easy. 2. Receive sick babies under radiant warmer . They can be cold. Warmer helps. 3. In emergency: Blow a whistle. Everyone should have a whistle for this. On listening to whistle everybody will rush to you to help. Everyone should loudly say what he is doing. E.g. person taking BP will say so. There is neither confusion nor duplication of work. 4. Giving oxygen to two babies from 1 cylinder Use discarded stethoscope tubing as Y connection. Oxygen from cylinder goes to 1 tube oxygen coming out from 2 other tubes goes to two children. Use more stethoscope for more children. 5. Emergency room should be like operation theatre. Take anesthetists help. At midnight even if there is no power every person should be able to locate & give you what you want. 6. Bathe a child before hospitalization if possible: this itself reduces fever, especially of sunstroke. Beware: Cold skin may make access to vein difficult. So get it first. tubing & you can do this
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7. Hospital bed should be 3.25 feet wide and 6.25 feet long. Enough for 2 persons, baby & mother. Child is It should never be a 4 feet longchildrens bed. These are baby enemy cots. (Published God in Indian Pediatrics 1993 page 1139-1140.) 8. Fans often give air to passages. They should give air to patient on bed when needed. 9. Put one Air thermometer in hospital. 10. Most comfortable temperature for us is between 25 to 30 degree Celsius. Set A.C.s at 26 degrees. 10. For best staff: 1. Treat your staff as your own Children. You reap much more than what you sow. 2. We sleep for 8 hours. Of the remaining hours we spend with our staff. They share with us, our happiness & sorrow and our emergencies. If angry mob attacks our hospital or if some one praises it they are party to it. They are our best friends. Give them respect. 3. Those who work can make errors. Forgive them. Correct errors. Love & support your staff. 4. You are as good as your staff is. All of them should be as good as you. Perpetually teaching staff all possible skills ensures this. 5. If you have 9 staff members then 10 of you with 10 brains & 20 eyes & 20 hands make your hospital. Make them as good as you are. Teach them everything, including computers, vehicles etc. 6. Give every employee following items: 1. Whistle. 2. Pocket folding knife. 3. Pen torch. In emergency they can blow whistle. With this Good people will come for help & bad people will run away. Use knife for those who do not go away with whistle. Ensure staff that they should protect them selves & you will protect them from consequences if any. This will improve their self confidence. 7. Teach them self defense, they will protect you too.
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Photo x
11. Easier way to give saline bolus. To give i.v. fluid fast, use a saline bag, i.v. set,a big syringe and a three way cannula See photo Y. Do not use a needle to aspirate fluid from saline bag as shown in photo X. . It is very difficult, painful & time consuming (See photo X )When you withdraw fluid using I.v. set and a 3 way cannula the fluid comes easily and very fast.(See photo Y ) Reason: A needles lumen is very small as compared to the lumen of i.v. sets spike,which is very big. This was suggested by our intelligent nurse Mrs. Savita Patil. Photo x
Photo y see red 3 way cannula.

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12. Make instrument information booklets in the peoples language. Most of our staff who has studied in their school in their mother tongue do not even touch English information leaflets. Forget about reading them. So they cannot use instruments properly & even after having instruments our children die. Remember consumer is king. Ask your instrument supplier to give you information leaflets in staff s language. Today onwards let all of us ask for this & instrument makers will happily make leaflets in our languages. They do not make it because we do not ask for it. Let us do this small revolution. 13.Give all vaccines to staff like typhoid, hepatitis, tetanus, rabies. Give intradarmal rabies to your staff, if there is a chance that you can get a patient of hydrophobia (Rabies) 14. Every one should have a name plate in the states language. The letters should
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be so big that anyone can read them from a distance. Benefit: This increases accountability of staff & improves their performance.
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15.
Letter of Honour For Nurses & clinic/hospital staff
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You care for sick people day and night, 24 hours and save lives. When we work in mud it spoils our clothes. Similarly when you serve sick persons you can get their illness. Some times sick people and their tense relatives become irritable. Yet you keep calm. Saving serious patients is very stressful. Successful. Keeping awake all through night is also
very stressful. The respect and money paid is also less. Yet you serve the sick people with a smile. You serve to save everyones life. Hence we give this Letter of honour to you. Dr. Hemant Joshi / Dr. Archana Joshi.
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Child is God
Section 5: 14 new ideas in newborn care
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1. Q: What obstetricians fear most? A: Neonatal Mortality & morbidity.
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Q: Who is God for obstetrician? A: One who helps to reduce neonatal morbidity and mortality. Obstretician will happily do anything to reduce neonatal morbidity and mortality. Try this.
2. Neonates need much more attention.

Everywhere neonatal mortality is much more than maternal mortality. For example unicef figures show that the current estimated maternal mortality rate in India is 3011 per 100,000 live births. . The current estimated neonatal mortality rate in India is 44001 per 100,000 live births. ( 44 per 1000 live births) 15 times more. Inferance.Neonates need much more care, man power resourses than mothers get.In most maternity homes neonates do not get even a fraction of , attention, resources, space & care than what the mother gets.More of Neonatal care must be introduced in medical education, and in maternity homes.Every thing that is done for mother's care must be done for neonate on a bigger scale. If maternity homes are always ready to face an ectopic or an LSCS , they must be reay for all the problems neonates get. They must have designated adequate
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space incentre of the room and not in a corner. they should have every thing that a neonate needs warmer, iv lines , cpap, a transoport facility etc.
New Ideas in newborn care.

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3. Bright light hurts newborns eyes. Bright light sources above the babys trolley hurt babys eyes. Look at the bright light source on babys trolley. You will realise it hurts. Ensure that examination light does not fall on babys eyes any time. Use indirect lighting.
4. For identification: Write Babys name with skin marker pen (used in polio campaing to identify kids who recieved polio drops in India.) voting finger marking ink.(Used to identify one who has voted.) No need to take messy soul print. Safe. Harmless. Write mothers name on hand It can be wiped with alcohol. Made by 3 companies in India 1,
Cello, 2, Kores. & 3, Mysore paints in India. (Search on net)
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5. USE 100 ml.iv bottles This is convenient, economical and safe. Avoids over hydration errors. Use it especially when expensive devices are not available.
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6. Use autoclaved newspaper Liberally. Soaks blood & liquids, good for cleaning. Use it in place of cotton or cloth. For drying hands, As towels, eye cover, insulation, Wrap baby in many layers of
newspaper for transport. Costs nothing. Good for all maternity homes & hospitals, homes.Tell all.
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7. Receiving Outborn Neonates *Touch feet. If limbs are Cold, rule out shock/ cold weather problem. Give warm welcome. Receive under a radiant warmer.
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8. OIL MASSAGE
9. Oil fortification In stable pre Child is God term and low birth weight babies, we put 1 drop/kg of coconut oil in mouth of baby before each feed. One can increase 1 drop daily till motions become oily. We give upto1ml./kg/ day. Helps weight gain & growth & early discharge.
5 ml oil needed at 1 time. It is absorbed. This oil disappears in less than 2 hrs. You can massage after 2 hours This oil disappears in less than 2 hrs. You can do massage 2 hrly Sion hospital & LTMG medical college Mumbai studies have shown that this oil is absorbed and benefits growth of serum lipids, brain growth, growth of head circumference. Study by R.H. Gobbur (Professor of Pediatrics, Shri .B. M. Patil Medical College, Bijapur-586103 India. email :rhgobbur@gmail.com) show that using 5 ml. coconut oil every time and massaging it 4 times daily doubles the weight gain rate.
The Indian way of baby oil massage
Note: Many marketed baby massage oils are made from mineral oil. It has no nutritional value. Do not use them for malnourished babies.
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10. remember pnemonic

ABCD OF NEONATAL JAUNDICE. These are signs of bilirubin encephalopathy. Mothers, grandmothers, hospital staff notice them best. Seek their help. A= activity low apnea B= breast feeding low, poor Suck, breathing low,apnea C = convulsions, C = Shrill cry. If you see any of these ABC, do immediate exchange transfusion else D follows. D= death / brain damage in survivors. NEONATAL JAUNDICE Maximum cases in Hot summer months & October in coastal areas in India Most are NON Rh, Non A non B Cause: dehydration. Give iv fluids to jaundiced babies. Photo therapy adds to dehydration. Give i.v. fluids to babies getting photo therapy. If NICU has A.C. regulate temperature.
11. Used i.v. cannulas packing makes good disposable splint. Child is
God
12. Used 10 ml syringes packing makes a good sterile disposable urine bag for small boys. ( Metron Seema Prabhus idea)
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13 Breast feeding mother herself is the best thermometer for the baby. Tell this to all mothers.
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If a baby gets fever, the babys core temperature rises first. Babys mouth becomes warm. A mother can pick this up while breast feeding . When a baby gets fever due to high summer room temperature, the skin first becomes warm but the mouth is comparatively cold. Mother can herself learn that the fever is due to summer or heat stroke and not due to any other illness. Keeping open, sponging, giving breast milk/ors/water /fluids is treatment of heat stroke. Medicines are needed for other illnesses.
Giving mothers heparinised blood to baby.See article on next page.
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14. Mothers blood saves sick newborn.

Useful when there is no blood bank, or blood not available or affordable, or there is no time to go to bloodbank.
Useful when there is no time to go to blood bank or or blood is not available or affordable. Last 2 decades we have been giving mothers blood to serious newborns, having risk of dying, with good results. The retrospective study is on. This is data of 17 cases of last 3 years. We get about 100 outborn neonates in our neonatal unit annually. Logic: Babys plasma is derived from mothers plasma. Babys plasma has no antibodies to mother s blood. So mothers blood can be safely given to babies upto 3 months of age. Maternal blood is easily & instantly available at the time of emergency. The minute you decide to give, you can withdraw mothers blood in a heparinize syringe, and slowly give it to the baby. Pulse ox monitoring shows that the baby tolerates it well. IN many remote places blood bank is not available. In those places, we can use mothers blood safely and effectively. Is there is any hazard of mothers blood transfusion to baby? We have not found any reactions in any baby after transfusion. There is clinical improvement & in Haemoglobin, packed cell volume of red cells, serum
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proteins etc. after transfusion. There is increased survival. There is no hazard to mother also. The amount of blood required for baby is very amount of blood needed is small. In septicaemia, or shock mothers blood is the best volume expander. It gives volume, all immune factors like complement, immunoglobulin etc. In 6 babies, we have given maternal blood for sepsis. In others indication for transfusion was anaemia. Economy: This needs only heparin and syringe. Blood bank, takes lot of money. Sometimes blood is also not available. Time cost: Sick baby requires instant blood. For arranging blood from blood bank, it takes lot of time. Blood bank blood is cold and old and may cause reactions. But mothers blood is easily available, at body temperature, at the time when we require. Zero Wastage: We take exact amount of blood from mother. There is no wastage. Blood bank usually issues the small amount of blood from a bigger bag. The remaining blood can go waste. Before giving mothers blood ensure that mother is HIV negative and hepatitis B negative.
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Comparison of mothers blood and blood from laboratory for neonates.

No. item blood bank 1. Give 2 Time needed 3. fresh? 4 cost 5. Quantity 6 7 8 mothers blood blood from
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if there is no other choice give if available Instant hours. Fresh may or may not be fresh minimal costly exactly what you need you may have to waste 350 ml. bag for giving 20 ml. blood. .HIV/Hepatitis no risk if mother is HIV/HEP. -ve. Risk in window period platelets, immune factors yes may or may not be there Wastage None Often
Table showing details of 17 cases.

sr. R.No. gestation In week 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 31/2 38/8 56/9 45/6 83/5 81/1 49/15 99/3 41/6 87/7 50/16 37/8 32/3 81/10 102/1 106/5 65/2 33 28-30 28 34 32 - 34 28-30 30-33 34 32-34 28 38 34 30 32 34 32 1.58 1.12 1.48 1.43 1 1.03 2.06 1.75 1.9 1.9 1.3 1.58 2.54 1.59 1.01 1.6 1.44 prematurity preterm,small for date. sepsis asphyxia extreme prematurity Prematurity preterm with RDS preterm with RDS preterm pneumonia preterm preterm preterm with RDS Preterm + RDS one of twins extreme prematurity asphyxia preterm sepsis apnea sepsis anaemia anaemai sepsis anaemia anaemia anaemia anaemia anaemia sepsis sepsis anaemia anaemia anaemia pneumonia+sepsis b+ A+ B+ A+ O+ A+ A+ A+ve o+ve A A+ A+ B+ O+ O+ B+ B -ve B+ve AB+ve A+ A+ AB+ve discharged discharged died discharged discharged transferred discharged discharged discharged discharged died died discharged discharged discharged discharged discharged wt diagnosis Indication grp mo. grp baby died / discharged
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Section 6: 16 New Ideas for Better treatment of Asthma.
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Asthmatics are lke Volcanoes: Suddenly erupting. Burning inside for long time. With rivers of lava. In case of asthma and allergic rhinitis,allergic conjunctivitis, there are rivers of secretions. Some photos of current volcanoes and rivers of lava. volcano
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volcano
volcano
volcano
In fact all illnesses are like volcanoes. They burn us from inside. If not quickly treated they kill the patient.
river of lava river of lava
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New ideas in Asthma. Tired or Fatigued persons Disease By an Asthmatic

Some ideas are good for telling people about asthma
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1 Tired or Fatigued persons If you touch the leaves of this plant, disease is the name for asthma in they close. AYURVED the Indian science of health Similarly airway of asthma patients Ayu means life and Ved is science. become small and tends to close when Ayurved has apt names. they are exposed to allergens like dust Asthmatics get tired of everything they etc. are tired of coughing, breathing, living. Mucosa of Easy fatiguability is hall mark of Asthmatics and Allergic Rhinitis Asthma. Patients are delicate They are always fatigued, or they like eyes mucosa. easily get fatigued. It is hurt by dust cold Asthma is a sleeping disorder. Due air, even a jet of air. to their illness, they cannot sleep well at night. As a result they are sleepy in day time. 2. ABCD of Asthma (pneumonic) Asthma is IN this photo Upper eye is normal. Lower eye is red swollen and watery. Airways in allergic Breathless rhinitis and asthma are like this red eye. Coughers Disease 4. Asthma, allergic rhinitis are hyper 3. Asthmatics are like reactive, hyper secretary states. It is like Touch me not (mimosa Pudica) plant. torrential rains lasting many days. They flood the airways and create respiratory distress. Every time you see a case of severe diarrhoea, think of and look for history and signs of atopy/asthma in the patient and in the family. In asthmatic families secretary illnesses like diarrhoea become severe and killer diseases. 5. All Chronic Diseases make life Not Livable. They Reduce Lifespan.
Mimosa pudica (touch me not) plant
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Example: Asthma, Rheumatoid Arthritis A goat being killed.
asthma. Let them auscultate wheeze & diagnose. Give them a stethoscope for keeping at home. Child is God Call asthma as asthma. Give no other name. Reduce confusion. Undertreated. Medicines are not given for adequate duration/dosase/quantity. Patients stop medicines on their own. Underestimated Severity of complaints like breathlessness, heavy ness in chest & severity of asthma is not related.
6. Asthma is a killer disease. Example: You can kill goat in 2 ways. In one stroke of sword. Or, slowly with multiple stroke. Asthma kills similarly. It kills suddenly in acute attack. Else it makes life miserable with every attack and finally patient dies in one of the attacks.Hypoxic asthmatics get heart attack, stroke early. 7. Asthma is Under Diagnosed, Under treated, Under Estimated Under understood Under educated. Underdiagnosed. Majority patients do not know that they have Asthma. Many times they are not told. At times when they are told, Patients refuse to accept diagnosis of
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So patient goes bad and Dies. Actually, nobody dies suddenly. Failure to notice problem and act quickly leads to death. When things go wrong, every one blames some one else. Relatives blame the doctor and the hospital. In a way the doctor dies with the patient. Every time. Under understood Under educated. One does not know he does not know. Such patients have high risk of dying and their doctors get the blame.
Educating patient about asthma is the most important medicine one must give. It is our duty. We are Child is paid for total care. God While treating a patient the first point in their treatment protocol should be What do I educate this patient about this disease. 8Standard patient information leaflets Let us create standard patient information leaflets for our patients. In our languages, put in on our website, give it to media & reach them to all. Ask all asthma patients to search their relatives with similar suffering and educate them. 9 Sublingual Terbutaline diagnoses & treats Asthma Once Dr. Hemant got Relief from bronchospasm within a minute by just putting terbutalin tablet in mouth. This led to discovery of sublingual terbutaline as lifesaver in asthma. It Diagnoses and treats asthma. (See article on page no) Ask your patients to carry a tablet of 1 lakh die in Car accidents in India annually, at hands of licenced learned car terbutaline in a locket on their body round drivers. the clock. 2.IF CAR IS DELICATE & driver 10 Joshi Jivan Locket ignorant ?. Once Dr. Hemant forgot to carry Asthmatics are DELICATE cars medicine and developed bronchospasm Teach them to LIVE carefully. during train travel. He realised that an asthmatic can get Know thy enemy & survive. an attack of asthma any time. He/ She Asthma is patients enemy. should carry a tablet of terbutaline on his Knowing asthma is the best vaccine. / her body round the clock in a locket. So we made lockets. We call them Joshi Jivan locket. (Jivan means life in India)
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If an asthmatic is needs terbutaline anytime he gets it. See accompanying article on page. 11. Be Asthma Minded. 10 to 20 % population has tendency of asthma. They fall sick more often. Obstetricians have to be ectopic minded Similarly Be Asthma Minded. Because Majority patients do not know they have asthma. 12 Definition of asthma: It is a Womb to tomb disorder. It is an inherited disease with variable inheritance, expressivity and penetration. It is an inflammatory degenarative disorder, with remissions and exacerbrations and near total recovery. It is a Debiliting disorder with an acute or chronic fatal outcome. 13. Asthma is a womb to tomb
Definition Asthma is a Womb to tomb inherited disease with variable inheritance, expressivity and penetrance, an inflammatory degenarative disorder, with remissions and exacerbrations and near total recovery, with an acute or chronic fatal outcome.
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Disorder. Effects in Womb: U.K. Study reported in lay press shows that Asthmatics have more abortions, preterm deliveries & smaller babies. Abortions: If these mothers eat Ground nuts the incidence rises. If these
mothers avoid egg in pregnancy and first year of childs life incidence of atopy reduces. Newborn babies from these families who inherit these atopic tendencies present with leaky eyes .They are diagnosed to have blocked naso lacrymal duct. But they probably have excessive secretions that overflow and give leaky eyes to the babies. They also get rash. If they get diarrhoea, it is severe. Infants who inherit atopy get more severe respiratory viral illnesses. The get respiratory distress and present as excessively crying babies. Nose block/otitis media/
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chest in drawing are more common in them. Cleaning the nose with a rubber balloon secretions extractor helps. They often have cough induced vomiting. Bronchodilators and antihistamins are more effective that anti emetics to stop these cough induced vomitings. Diarrhoea is more severe in these children as compared to other children. They show presence of eosinophils on peripheral smear. Presence of even 1 eosinophil should make one suspect atopy. Asthmatics are more likely to have severe, fatal diarrhoea, anaphylaxis etc. Dengue, pandemic flu, all are more severe in them.
14. Story of drowsy child: A drowsy child was hospitalized one day. There was no history of Child is God asthma. After hydrating him with i.v. fluids he developed wheeze. That led to the diagnosis of asthma. 15. Empower Each patient with Peakflo meter. Peak flo meter and graph. Books on asthma. A stethoscope to hear wheeze.
16 . Where there is no spacer, use news paper roll with metered dose inhalor.One can also use an empty bottle.
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Section 6: New Ideas for Better Preventive Promotive Curative Educative & Social Pediatrics.
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General Childcare 1
B12 defeciency Pandemic in vegetarians.Beware

My B12 is low. Yours? Treat with Curd (Yoghurt)
deficiency pandemic in Vegetarians.Treat it with curds. The world is ruled by intelligent people. B12 is needed for proper functioning of brain. B12 deficiency pandemic makes a intellectually weak human race. Let us change this Central Obesity, Heart attacks at younger age, Memory loss, brain problems, cramps in legs, sensory problems like burning soles ,babies born with brain defects, neural tube defects all have one thing in common. B12 deficiency. I had it. Check if you have it. Vitamin B12, also called cobalamin, is a water soluble vitamin. It has a key role in the normal functioning of the brain and nervous system, and for the formation of blood. It is one of the eight B vitamins. It is normally involved in the metabolism of every cell of the body, especially affecting DNA synthesis and regulation, but also fatty acid synthesis and energy production. As the largest and most structurally complicated vitamin, it can be produced industrially only through bacterial fermentationsynthesis. Wikipedia. Q: Why I checked my B 12 level? A: For these facts. 1.Many people of Indian origin in Australia, receive Injection B 12 every 6 months. To check if all Indians vitamin B12 deficient as many Indians are vegetarians.? 2.Indians have more fat tissue, central obesity and heart attacks at younger age, as young as 35 years. B12 deficiency is thought to be one of the reasons. 3.Pune researchers study show that B12 deficiency must be one of the reasons of why babies are born with defective brains and spinal cord. 4.Medical science teaches that B12 is obtained only from animal source. Vegetarians do not get it. Those who eat eggs and milk can get it. 5.I am lacto- vegetarian. I consume about 250 ml. milk daily.
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B12, Vit. D & iron deficiency is much more prevalent that Iodine deficiency. We have iodized salt. Let us have iron,B12 & vit. D fortified foods and or salt..
6 Eating non vegetarian food occasionally or once a week is as good as being vegetarian. I did my B 12 level. It came little below normal. I took Inj. B 12 1000 micrograms. I.M. I benefited. I used to get leg cramps. They became less significantly. Inference: Most vegetarian Indians must be B12 deficient. So must be many people on the earth. Lesson: These is a pandemic of B 12 deficiency, especially in vegetarians. Milk has B 12. When it is converted in curds B12 level rises. Lesson: Vegetarians should consume milk. Curds (yoghurt). If you have to give a placebo injection, give B12. Large dose of B 12 can be given in treatment of cyanide poisoning.(see wikipedia). Beware of a pandemic of B 12 deficiency in Vegetarians.Let us ask our governments to fortify daily foods with b12. Indians have a good cultural practice of eating curds with food. Curds has lactobacilli. They do competitive inhibition of pathogens if any and protect us from illnesses. In fact the people of the world are divided in 2 groups. Curd eaters and non curd eaters. Curd cures B12 deficiency. Lesson: Each house should have a B12 factory called CURDS. We all should consume curds daily.Consuming Curds is better than milk. Tell all.
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General Childcare 2
7 Lessons from my experiments with vit. D and calcium and paan.

Estimate blood vitamin D levels to detect deficiency. Do not wait for Rickets to develop.
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Most economical calcium suppliment . Paan ,betel leaf with slaked lime,Kattha (catechu catechu) Aim: To study if eating paan betel leaf with slaked lime gives calcium. Why : Since 10 years My mother spends more than 20 $ (Rs.1000) per month on calcium supplements. She must have spent more than 250 $ (Rs.120 000) in last decade. An average Indian can not spend this much money. I wanted
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to find a cheap, non medicinal, food source of calcium. Facts: Calcium is sold at Rs. 5000 per kilo as medicine in medicine shops. It is sold as cheap as say Rs. 10 per kilo as slaked lime in paan shops or as lime in grocery shop. In India eating betel leaf is popular. India and South East Asian has a 5000 year old tradition of chewing betel leaf (Piper betle) with areca nut and slaked lime paste and catechu. It tastes nice. I wanted to learn first hand if eating paan betel leaf with slaked lime gives calcium. Experiment: So I ate plenty of it for about 2 to 3 weeks and did my serum calcium Level. For this I did following .I tied tourniquet to my right hand, and took blood sample for serum calcium.
The serum calcium level was 10 mg. / dl. Then I realized that the tourniquet might give false low reading. So I took another sample from my left hand. This time I did not tie a tourniquet.No one held my arm either. We took the blood sample and measured serum calcium. The level was 12 mg./dl. Conclusion.1, Eating slaked lime (calcium hydroxide) increased my calcium level to 12 mg. /dl. 2. Tying tourniquet reduced it by 2 mg/dl. Samples taken with tourniquet give false low calcium level.
My colleague developed knee pain. His Child is vit. D was low. So I did my God vit. D level. It was low. Then reports from Indian pediatrics and from colleagues working on calcium and vitamin D showed that like me, most Indian men, women , mothers, newborns infants are vitamin D deficient. A small survey in about 100 adult friends showed that half of them had backache. I wonder if this is due to low vitamin D and calcium. Lesson: To improve our vitamin D levels, we all need to change our lifestyle. We should wear fewer clothes, some thing like half pants & short sleeved 2 to 3 months after eating shirts for all time for gents and paan liberally I developed 2 mm. skirts for women. We need to go renal calcium oxalate stone. out in the sun (from 10 am to 4 pm.), for at least an hour daily, I drank plenty of water daily for some work. Then sunlight and took Stonevil ayurvedic will fall on our skin and make medicine twice daily and my vitamin D from the cholesterol stone disappeared.Stonevil had below the skin. benefited at least 25 of my child One,14 months old girls patients with renal stone earlier. serum vitamin D3 level was 10.7 nano grams per ml
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(Normal range is 11.1 to 42 This will give them ng/ml.We gave her an ampoule vitamin D. This will give Child is of 6 lakhs of units of vitamin D them stronger & longer God orally.We repeated her vit. D bones.This will make them level after 7 weeks Her blood level rose to 56 ng/ml. Inference Injection vitamin D given 6 lakhs unit to a 14 months old child weighing 8.5 kg. got absorbed and corrected her vitamin D deficiency. Surveys of National nutrition monitoring bureau of India show that most children are malnourished. They get 15 to 25 % less calories and proteins but the deficit is highest for fats, to the tune of 90 %. They do not get even 20 grams fat daily. Most children have low cholesterol. If they have no cholesterol substrate below the skin , how can they make vitamin even when they play in the sun? taller.Vitamin D will also The same is true for weak improve their immune response. malnourished Indian adults and If there is a daily calorie adolescents. deficit all the oil eaten will be Lesson: Increase food & oil/ used to make energy. oilseed consumption and Snack filled pockets round playing of children in fields in the clock will close the food gap, sunlight.
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provide extra calories and only then the cholesterol will rise. Then sunlight will make vitamin
D under their skin. Conclusion: 1.India has pan vitamin D deficiency.This is a major national health problem It deserves more attention. Else the entire aging population will have arthritis and spondilitis.Same must be true in many countries. 2.We need to change life style.We need to expose our skin to sunlight much more than what happens now. Encourage half pant and short sleeved shirts for gents and up to knee frocks for women. Hosiery tea shirts that allow good air circulation through the holes are best for hot countries like India. We need to go out in Sun for an hour in the after noon for some work 3 Promote snack filled pockets in malnourished people. This will eliminate malnutrition, increase cholesterol substrate in body for making vitamin d. 4.Suppliment oil to weak people to increase cholesterol. 5 Every thing is cheap as food and costly as medicine.Calcium is best example.
Calcium as medicine is about 1000 times costlier in medicine shop, than the lime Child is God available in grocery shop. 6 Encourage eating betel leaf with slaked lime and catechu once or twice a day. This will give calcium to the people. Warn them that excess paan can cause stones. Carcinogenic araca catechu ( supari) can be discouraged. 7.Injection vit D 6 lakh units given orally is absorbed and corrects vit.D deficiency in a 14 months old child. 8 Estimate blood vitamin D levels to
detect deficiency.
Do not wait for Rickets to develop.
Share this with all. Country becomes better when 100 % people become wise. Catechu catechu : added to pan. Studies at Government m e d i c a l c o l l e g e Nagpur show that it reduces s e r u m cholesterol. ( The theses can be seen at Dept. of Medicine, Government Medical College Nagpur.)
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General Childcare 3
Heat stroke free World

Heat stroke : Learn Avoid cure
Dr. Hemant Joshi Dr. Archana Joshi Joshi childrens Hospital Virar
e:haj2007@gmail.com tel:0250 2502 710 India 401303
Child is God
Definition: Heat stroke means getting fever due to increased room temperature. Dr. Joshis law of heat stroke: 1 st law: In summer, when room temperature exceeds 33 degrees Celsius every fever is heat stroke. Alone or super added to another illness, unless proved otherwise. 2nd law: In summer, or when room temperature exceeds 33 degree Celsius measure oral & skin temperature of every fever patient. Introduction: Heat stroke kills many every summer. Thousands directly & many times more indirectly by increasing intensity of all fevers. Some where on earth there is summer every day. Reach this information to all. Indian Mythology: Historically Indians bathed 5 times daily. This must be for cooling down and for cleanliness. On the festival of Holi & Ranga Panchami all put coloured water on each other. This must be to teach that we must put plenty of water on ourselves all the summer and avoid heat stroke.
Lord Krishna played holi & rang panchami Why do we get heat stroke? 25 to 30 degrees Celsius is the comfortable range of room temperature for us. As environmental temperature rises above 30 degrees Celsius, we feel the warmth. This excess warmth makes life difficult,sick, short and miserable. Even before the fever comes functions of all systems are a f f e c t e d . Efficiency declines. Growth rates of children decline. One gets fatigued earlier. For India In most parts of India for more than 8 months temperature is above 30 degrees Celsius. Hence this information must reach all on a war footing. Know the temperature of your place from local news paper or observatory. Have your own room temperature thermometer.
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Important facts: Our body is always warm. The core or inside of our body is always warmer than the skin by one degree. This difference is there even when we get fever during any illnesses like cough cold fever, typhoid or malaria. 2 examples explain heat stroke well. 1.Earthen Water pot. 2. Car Radiator 1.Earthen Water pot. : Take 2 earthen water pots. Fill one with water. Keep second empty. The water from the water filled pot percolates out. It evapourates. While evapourating, it cools the pot. The empty pot has no water. It warms up with room warmth. Our body is like water filled earthen water pot In summer as skin warms up due to warm weather, it sweats. As sweat evapourates body cools. Now if body has less water, body stops sweating. Now we become an empty pot. We warm up with the warm room air. 2. Car Radiator The skin works like car radiator. Car engines generate heat. Car radiator loses . heat and keeps theCar Radiator engine cool. The car
radiator has water. If there is no water, it does not work. The engine heats up and fails. It gets heat Child is stroke. God In summer as we sweat the body water reduces. We feel thirsty. If we drink water we continue to sweat. If we do not drink water body can not make sweat. It is like car radiator without water. It heats up. We get fever and heat stroke and can die.
. Car Radiator
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Dr. Joshis Grades of heat stroke: We grade heat stroke as grade 1,2, & 3 Grade 1 heat stroke: Usually core temperature i.e., oral or rectal temperature is more than skin temperature by 1 degree. As the body heats up with hot environmental temperature this gap becomes less than 1 degree. This is grade one heat stroke. Grade 2 heat stroke When skin and oral temperatures become equal it is grade two heat stroke. Grade 3 heat stroke When skin temperature exceeds oral temperature it is grade three heat stroke. Young ones and old people who depend on others to get water get heat stroke more. Sick people are at more risk to get heat stroke. Sick people already have fever. They also tend to drink less water. They are more likely to get heat stroke in addition to their own fever. So the get much more fever. The severity of every fever increases due to warm air. A Person with heat stroke is dehydrated. His all systems will function sub optimally. Hence illness become worse and deaths increase in summer. Only after he is well hydrated he will recover well. We must ensure that they pass adequate amount of urine. They must pass little more urine than normal. This shows that they are getting enough water.
Medical spirit cools faster: Doctors apply alcohol (spirit) before giving injection. It dries & Child is cools skin. God Medical spirit is available in medical stores. We can add medical spirit to water and wet the skin of a person with heat stroke. He will lose heat faster. Medical spirit has alcohol. Beer, and all liquors are alcohols. They can be similarly useful. Treatment: Keeping the patients room cold in homes & hospitals by use of desert coolers, air conditioners etc. eliminates the environmental heating and hastens recovery of febrile patients. Give plenty of fluids orally and intravenously. Give water before one becomes thirsty. Make all hospital rooms cool with desert coolers or air conditioners. . Question: How to measure core temperature and skin temperature? Measure core temperature in the mouth or the rectum by a thermometer. or that of ear drum by infra red thermometer. Measure Mouth and Axilla temperature to diagnose Heatstroke. We all wear invisible coat of water. It keeps skin moist and cool. We have to preserve it. As it thins with warmth we sweat. As we sweat we feel thirsty. We must drink water even before becoming thirsty to ensure liberal water supply to the water coat. When this does not happen the water coat disappears. The skin warms up and we get heat stroke.
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Feel the wet skin of your neck. Then feel the skin of the person having fever. If it is dry he has heat stroke. When to doubt that you have heat stroke? Know that you have heat stroke if you have any of the following . You are thirsty dry hot, not sweating, not passing urine as usual,not recovering with fever medicine skin dry hot .Compare with wet skin of our neck. skin hotter than mouth. Urine gets coloured The specific gravity rises to 1.010 or more.(normally urine is colourless . specific gravity is less than 1.010) Room air temperature above 30 degrees Celsius. Breast feeding mother = babys best thermometer Tell this to all mothers. Babies are in constant touch with the mother. If babys skin dries and warms up mother can know immediately. If baby gets ill and babys core temperature rises, babys mouth becomes warm,before the skin warms up.. Mother know this while breast feeding. She can also tell if only skin has become warm first that it is a heat stroke. Teach this to all mothers. Only the photo showing learned mind can pick doloured urine up the problem. Keeping open, sponging, giving breast milk/ORS/water
/fluids is treatment of heat stroke. Medicines are needed for other illnesses. Child is Newborns and infants & small God kids are most vulnerable: Newborns do not sweat. So they become hot soon. They are most
vulnerable as they can not ask for water. Ensure that newborns pass adequate urine every 2 to 3 hours. Avoid diapers. With diapers on you can not know if a baby has passed urine. No clothes is best for all especially neonates & children if temperature is above 30 degrees Celsius. Avoid wrapping them in summer. Keep them open Use minimum loose cotton clothes if at all. Same is true for infants and small kids. As newborns get dehydrated, they look more yellow. Their jaundice increases. This jaundice decreases by exposing babies to light. These
Do not wipe sweat.Let it cool your body. Wiping it causes more sweating.
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lights often create more warmth and add to the problem. Solution: Keep these babies in cool rooms. Give plenty of water orally or as saline through veins. Lessons:1.As one sweats and body water reduces, one fills thirsty. Drink plenty of water. Best is to drink water before you become thirsty. Avoid thirst. That avoids heat stroke.
4.When room temperature exceeds 30 degrees Celsius take skin and oral temperature in every one Child is having fever to rule out heat stroke. God 5. Have a room thermometer. Many watches, computers, computerized machines have them. Use them. Highest temperature is in the afternoon. Write it on a chart. Keep it on the wall.
Wrapped babies get fever. Keep theopen. Lesson 2: Body makes sweat for evapouration and cooling. If you wipe it away, boy has to make fresh sweat. You lose more water. It is wise to allow the sweat to evapourate and dry and cool the body. Do not wipe sweat. Lesson 3 : We also lose salt in sweat. Add a 2 finger pinch of salt to each 200ml.glass of water. Also add a spoon of sugar. Sugar and salt are needed for entry of water from bowels to inside of body .You can add lemon or any other taste maker if you like. When water is excess you urinate. Drink plenty of water and ensure that you pass a good amount of urine every 3 hours. This will eliminate heat stroke. 6 Learn to take oral (core), axillary (skin)temperatures.& diagnose and treat heat stroke. 7 Eliminate thirst & eliminate heat stroke. 8Breast feeding mothers themselves are best thermometers. 9 To see if some one is alive or dead touch him. On dying a person becomes cold.
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How to avoid heat stroke. Use these facts& remain comfortable in summer. Anything that reduces sweating that makes you more comfortable. Sweating with exercise is good. Sweating due to warm summer is bad. Following 4 factors make you sweat. 1.You get more hot in sunlight. Less so in shade or inside a building. Lesson: Avoid direct sunlight. Learn from Arabs. Cover yourself with white loose cloths. White clothes reflect away maximum heat. Avoid dark clothes especially black Have mercy on your folks. Ask them not to wear black clothes in sun Loose clothes allow air movement. Hosiery clothes are porous. They allow best air movement and hence are the best. 2.If air is flowing, if there is a fan, you sweat less. If there is no air movement or no fan, you sweat more. Lesson: 1 Use fan. 2. Have well ventilated house office. 3. Clothes obstruct airflow. Each layer increases obstruction. The tighter the clothes lesser is airflow Lesson: Wear minimum clothes. 3. Air temperature: More is the air or room temperature more is the sweating and discomfort. Use room temperature thermometers. If you have a choice, Go to coolest room of the house. For example in morning east facing rooms will be warmer. Go to west facing rooms. In the evening west facing rooms will be warmer. So go to east facing rooms. Use desert coolers or air conditioners. Tie obstructs air flow. Avoid tie. It must not be worn by students round the year
in hot India. It reduces comfort and studying capacity of students. It should be avoided by marketing Child is persons who have to roam a lot. God 4. humidity: More the humidity more is sweating and discomfort. Air conditioners reduce it. Our fore fathers used to bathe 5 times a day. That must be their way of keeping cool in hot India. We salute them. Request: Have mercy on all. Provide potable drinking water free to all. People work in rice fields in rains. They use innovative umbrellas. Provide umbrella or a coat to labour who work in hot sun on roads, and in the fields. Provide them potable water too. They are the true nation builders. The young and the old are delicate and fragile. They die. Always keep water handy for them. Small children can not tell they are thirsty. They suffer most. Make a baby corner in the house. Keep water and snacks there. With in the reach of children. So that children wan walk/ crawl there and mouth and drink water. And eat food. This will eliminate thirst and hunger in children. This will reduce heat stroke. This will reduce malnutrition. Story of a child and a rat: One house had one child. The child had a friendly rat. In summer both needed more water. The rat went around, found water, drank it & was happy. The child was thirsty. But the water was on the table. He could not reach it. He could not take it by his hand. He could not talk.
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He could not tell he was thirsty. He cried, cried and got dehydrated and GOT HEAT STROKE. Lesson: Make one child snack water corner. Keep snacks and water there. With in the reach of the children. So that children can drink water when needed and eat snacks when needed. Keeping food within reach avoids malnutrition. Keeping water within reach of children avoids heat stroke. While going out in Sun Wear a cap on the head with large rim to give shadow to face and neck. Carry a water bottle. Often drink water before becoming thirsty. Request: Please translate this in your language and reach it to all with help of media. Electronic & Print journalists, t.v. radio, internet and newspapers and print me
Child is God
Touch back of one hand to skin of child with fever. Touch back of second hand to skin of your neck. Normally our neck skin is wet. If child ha heat stroke, Childs skin will be dry.
URINE : The elixir of life. Good urine good life no heat stroke. Less urine ? ot enough water in body. Risk of death.Could be heat stroke. We all are like a fully filled overflowing. earthen water pot. Urine is our overflow. When water in body reduces our urine output redeuces.When there is no urine, we die.This happens in following conditions. 1. We donot drink enough water. When we are sick we do not feel like eating or drinking.Or water is beyond reach of children and very old people. 2.We lose water in sweating, summer, Exercise.& strenuous work in fields. 3 We lose water in loose motions. 4.In dengue water leaks out of fine blood vessels called capillaries.In each of these cases we become thirsty.If we drink lot of water,quench our thirst we keep urinating. we survive.If we dont we die. Best is to eliminate thirst. Drink water before you become thirsty.In summer.While exercisingIn diarrhea. In dengue. And in every illness.
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General Childcare 4
Our aim : Typhoid Free World:

Child is God Typhoid is a serious illness caused by bacteria salmonella typhi. It especially affects school children age between 5 to 15 years of age. Every year 2.1 crore of people affects from typhoid in worldwide. Out of 90% patients are in Asia. 1 to 4% patients die in spite of treatment. Every year 2 to 6 lacs people die with typhoid. Many available medicines are not effective and are very costly. Morbidity and mortality rate is very high. Two new vaccines are available now. V.I. vaccine and TY 21 vaccine. VI vaccine is painless does not causes fever. It helped in saving money & life of children of poor slum people of Asia. Children mostly suffer from typhoid. Vietnams study shown that 180 to 494 children get typhoid in every 1 lakh children of slum area in cities. Complications can occur in 10% typhoid patients. If fever persists for 2 weeks and expensive medicines are not available, out of 100, 1 to 4 children die below 4 years. The mortality rate is very high in children under 4 years. Sometimes typhoid bacilli remain silent in the human body after the treatment. According to WHOs survey, in India, total average expense is Rs. 6500 in Kolkata and Rs. 41000 in Delhi per patient, Typhoid bacilli are transmitted through contaminated food. So, avoid eating food outside own home. The common symptoms are fever, malaise, headache and stomachache. Child may get diarrhoea. Patient may have
Salmonella typhae.
We take an oath to makethe world typhoid free. Today typhoid is biggest problem in India and many other countries. Many people die due to typhoid everyday. Now painless, cheap vaccine is available for typhoid. In India, Delhi and Goa state governments give free typhoid vaccine to children. This should happen in all other states. Following documents support our oath to make world typhoid free. 1] WHOS recommendations 2] Indian academy of pediatrics advice and guidelines. 3] Our experience. How we prevented typhoid from Virar area by giving typhoid vaccine Governments should give typhoid vaccine Through vaccination programme: WHOs recommendation Every week WHO publishes Weekly Epidemiological Record. Log on www.who.int/wer website. 8th February 2008 issue is on typhoid vaccine. It says.
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fever with delerium, cold extremities, ruptured intestines, haemorrhages and drowsiness, and DEATH In Gukien city in Guanganzhi state of the China, all school students and food handlers were vaccinated with V.I. vaccine between 1995 to 2006 60% children got vaccinated. Before vaccination average 470 people per 10 lakh population got Typhoid. Typhoid was more in children.610 children out of 10 lakh children got typhoid. After vaccination, typhoid reduced only to 2 to 45 patients among 10 lakh people. In Europe and Australia, typhoid vaccine is given every 3 yearly. We should make old killed vaccine in our country. It is like tetanus vaccine. It causes fever for 1 day. Paracetamol should be given 3 times in a day. Typhoid is a very big problem in India. Typhoid is multi drug resistant in India. WHO Says that in such countries it should be included in National programme & given free to all. Indian academy of pediatrics advice and guidelines. Give typhoid vaccine to all children through national vaccination programme. Dr.Nitin Shah, Dr. Vijay Yewle, Dr. Kundu wrote a book Enteric Fecer in Children in 2006.It quotes WHO. WHO says. if 100 people in 1 lakh people get typhoid, then it is dangerous. In India, 622 people get typhoid in 1 lakh population. Dr. A. Sinha and his colleagues researched and published an article in Lancet. They found 980 people get typhoid in 1 lac people in Delhi
If fever persists for more than 4 days, do blood culture .Typhoid causes severe body ache. 1 to 4% patients die Child is .But 99% children improve after God proper treatment. Typhoid is more serious in adolescents and adults. Bone-marrow examination is better than blood culture. Widal test, 1:160 or more suggests typhoid. If there is resistance to Nalidixic acid, it shows resistance to all quinolones including ciprofloxacin. One can give cefixime 15 to 20 milligram per kilo body weight per day in divided in 2 doses for 14 days.Azithromycin is also very effective medicine.20 mg. daily for 14 days. In our own experience, resistance is developing to both these drugs and sensitivity to chloromphenicoal is coming back. Weak child and prolonged illness increases the risk of death. 4 Dangerous Ps 1] Pain in abdomen 2] Pressure low: hypotension 3] Proteins low: low serum proteins 4] Platelets below 1 lac One can always give fresh blood or platelets. If liver is affected then patient gets jaundice. It also affects brain, causes psychological disturbance & drowsiness. In severe cases, intestines may rupture, with bleeding & death. Let us make our village, city, state and country typhoid free 1] Please give typhoid vaccine to all neighbouring children with help of doctors. 2] Request to schools to make typhoid vaccine compulsory before admission. 3] Request to your doctor & medical store to make typhoid vaccine available.
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4] Every where nurses gives vaccines. They should give typhoid vaccine to all children of her area. 5] Request your area leaders to tell government to give typhoid vaccine. 6] Write a letter to government & request for 1] Free typhoid vaccine to all children. 2] Make Old killed vaccine again. How to prevent typhoid?? 1] All villages and slums should have toilets proper drainage system. 2] Dont eat outside home. 3] Should drink clean water. 4] Get typhoid vaccine. Most Precious gift to children Give typhoid vaccine everyone. Make world typhoid free. Condition of urban poor is worse than rural poor. Give this information to them. Typhoid affects students academic performance In Chidambaram city in India, Dr. Shivprakash studied on 12,000 students of 11th standard. He found that most students who got less marks & failed, had suffered from typhoid. They remained absent for weeks due to theirs illness. So, they got poor marks. Give typhoid vaccine every 3 yearly to every student. One schools students from our district went to the picnic. Many students got typhoid after picnic. Lesson- takes typhoid vaccine before travelling. Most of the girls from hostel of one medical college suffered from typhoid simultaneously. Lesson The students staying in the hostel should take typhoid vaccine.
Indian mythology has a story. God Sun gave kavachkundala to his son Karna. They gave him protection Child is God against all arms. Vaccines are todays kavachkundala. Please give all vaccines to all children. Start vaccination with typhoid vaccine. Always apply spirit before injecting vaccine. Please inject only when spirit gets dry. Then it does not cause pain. Dont give injection on an empty stomach. That will increase complaints. Give snack before & after vaccination. Typhoid vaccine is best gift for children. Request your doctor and nurses to give typhoid vaccine for 24 hours. How We Controlled Typhoid from our town Virar in 1992. A thesis is written on this work by Dr. Bhimrao Jadhav. It can be seen at Mumbai Indias grant medical college in department of preventive and social medicine. It was guided by Dr. S.V. Kulkarni Prof. of P.S.M. We gave vaccine whole killed typhoid vaccine to total 16245 people including 9745 students and 6500 adults. In the year before vaccination, in Virar 2300 got fever, widal test, suggesting typhoid, was positive in 525.In the year after vaccination1270 people got fever only 217 patients widal test was positive. MeaningVACCINATION reduced Typhoid reduce by 50% .Had all people taken vaccine, it would have reduced more. How immunity developed against typhoid vaccine?? We did widal test on 220 students before and after giving typhoid vaccine. 88 % students developed immunity against typhoid. This
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vaccines : Comparison
Whole killed LIke cycle 3 to 5 years YES 50 PAISE YES LIKE tetanus injection 6 months VI Like motor cycle 3 years NO 50 rupeees no. 2 years
Child is God
Benifit 2nd dose multiplies benifit of earlier dose? Price Fever? age to start
*One country had added whole killed vaccine to triple antigen and given ** new VI conjugated vaccine can be gien fron agae of 2 to 3 months. *** India needs cycle and motor cycle both.
indicates that 88% people will get benefits from vaccination. Precautions. For fever and pain Along with vaccine we gave paracetamol medicine3 times in a day to 16000 people. Patients didnt get fever and they attended at their work next day. . Necessity We give triple vaccine (diptheria, whooping cough and tetanus vaccines) to all children but we find very few cases of these illness. We see typhoid maximum. Give its vaccine. How we did this in Virar? With help of all. Municipal Council helped bought vaccines. IMA doctors helped & paid for other expenses.MLA Hitendra Thakur took first injection and actively helped. Research Mumbais J.J.Hospital helped. PSM head Dr.Sham Kulkarni personally supervised.20 J.J.Interns helped. Dr. Bhimrao Jadhao wrote thesis on this. See it in J.J.Hospital. Vaccination How Good?
Giving vaccine is like appointing one security guard. He can not stop 50 thieves. 85 people will not get typhoid after vaccination. If someone gets it will be mild. When you get typhoid germs with water you will get fewer germs. You will get too many germs ith food. Not eating outside home is very important. Indian Govt. spends rs.500 crore on polio every year. In this money we can give typhoid vaccine to all Indian children. DEAR STUDENTS, Typhoid is your killer illness. Save yourself and your friends. You are the new soldiers in this fight against the typhoid. Ask everybody to give vaccines to all children. Write a letter to prime-minister. Request them to give typhoid vaccine free to all children in the national programme.
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WHAT W.H.O.SAYS?
Weekly epidemiological record Releve epidemiologique hebdomadaire

Typhoid vaccines:
Child is God
8 FEBRUARY 2008,83rd YEAR/8 FEVRIER 2008,83 ANNEE Contents NO.6, 2008, 83, 49-60 49 Typhoid vaccines : http://www.who.int/wer WHO position paper 60 WHO web sites on infecVaccins antityphoidiques: tious diseases WHO Position Paper note dinformation de lOMS Sommaire 49 Vaccins antityphoidiques: conformement a son mandat , qui est note dinformation de IOMS In accordance with its mandate to de fournir des conseils aux Etats 60 Sites internet de IOMS provide guidance to member States Membres surles questions relatives on health policy matters,WHO isaux politiques de sante,I OMS publie sues a series of regularly updated une serie de notes dinformation position papers on vaccines and regulierement actualisees sur les vaccine combinations against disvaccins etles associations vaccinales eases that have an international pubcontre les maladies quiont un impact lic health impact. surla sante publique auniveau interThese papers, which are concerned national. Ces notes dinformation, primarily with the use of vaccines in quiportent essentiellement sur WHO gives everylarge-scale immunization lutilisation thing in English & programmes,
French. We must give everything in Hindi & English.(As given in this book.)
Typhoid vaccines WHO position paper These updated recommendations were endorsed by SAGE in November 2007.2 In view the continued high burden of typhoid fever and increasing antibiotic resistances, and given the safety, efficacy, feasibility and affordability of 2 licenced vaccines (Vi and Ty21a), countries should consider the programmatic use of typhoid vaccines for controlling endemic disease.
INDIAN ACADEMY OF PAEDIATRICS SAYS Routine immunization should be done preferably in all children above 2 years with Vi polysaccharide vaccine and in the community during an outbreak in between the age of 2 and 19 years for containment of the epidemic.
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General Childcare 5
Requests to every parent, doctors, Childrens T shirt & other clothes manufacturers.
Respected Sir & Madam Please be father and mother to all children who wear T shirts & all the clothes you make. Please note following. Tell it to all. 1. Childrens T-shirts need deeper neck holes for their head. We are working as child specialists for last 25 years. We have to examine children. So I ask parents to remove their children clothes. When they remove T-shirts, their ears and nose get Pulled every time. More healthy the baby bigger is the Head and severe is the injury. Children cry with pain. Our heart cries with them. Please make deeper necks for T-shirts so that children can Remove them without hurting their ears. How big? Following figures will tell you.
Child is God
Have bigger hole in T shirt
Open shirts better than T shirts
This table also shows that Age Indian children American children 1.The big Indian and Head size Head size big american child has same head Small Big small big circumference at 10 th 90 th 5 th 95 th Centile centile centile centile birth.i.e, 39 cms. 2. At 2 years brain At birth 32cms. 39 cms 36.1cms 39cms. growth & head cirAt 1 year 43.5cms 46.5cms 44.5cms 49 cms. cumference of InAt 2 years 45.5cms 49cms. 46.5 cms 51 cms. At 3 years 46.8 cms 50.3 cms. 47 cms 52cms. dian children is 2 cms, less than that of At 5 years. 48.1cms 51.5cms American children. Adult head size is nearly reached at 5 -6 years. Reason? Faulty Note: 1. Above figures are taken from standard weaning with liquid foods.
Table showing head size (Circumference) At different ages of Indian & American children.
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Child is God
Measuring head circumference of baby

Childcare text books. Children are growing bigger and bigger every year. Please make deeper neck holes in your t shirts so that big child with big head & ears & nose can easily wear it. . Second request; Stitch pockets in every shirt and pant made for children. Write words like Battery, Power house, snack filled pockets etc. on them to encourage them to put snacks in them. Reason. Children are hungry all the time. They need snacks in their pockets, to eat when ever they want. If they get food they grow all the time. If they do not get food they starve and get stunted. Please make pockets in every dress. Make Pockets a new fashion. Write words like Battery, Power house, snack filled pockets etc. on them to encourage them to put snacks in 102 Them. Give this information on a leaflet in many languages and along with our clothes. This will make all children stronger, taller, more intelligent. They will live longer and buy more of your clothes. 3 rd request: Stitch pocket in every womens dress. Pockets make dresses more useful. Currently in many countries womens dresses do not have pockets. So women travelers hold their tickets, handkerchiefs and money in hand. Very inconvenient. 4th request: Write your every label consumers languages. Road to customers heart is in his mother tongue. These ideas will bring a useful change immediately. Do publish this request in your magazine/ newsletter. Thanks.
General Childcare 6
+Maternity leave from conception to babys first Birthday.
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Working mothers undergo lot of Physical and mental stress. Many times they do not get enough food and rest. Result. Working pregnant women have a very high number of abortions. They also have very high rates of pre term deliveries. Many of those who complete term have small seized babies due to intra uterine growth retardation caused by job induced starvation, stress, sleeplessness etc. Many of the pre term and IUGR babies are handicapped in some way or the other. Some of them have delayed milestones, learning disabilities, deafness, visual
problems, fits, etc.To care for such handicapped babies many women resign and stay home. Had they taken adequate rest and food during pregnancy, these problems might have never occurred. Lesson: For those who can, the mothers must be asked to go on leave on becoming pregnant. She should join back after the child is born and is one year old, or at least six months old. All should be informed about the benefits of a pregnant mothers staying home.
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General Childcare 7
Education in mother tongue makes better Child is God doctors,nurses,health workers,engineers,citizen country & the world
Malaria tells us how Difficult Latin Greek English makes it difficult to understand and practice medicine. One of the reasons why doctors do not use primaquine is that they did not learn malaria well in English. Medical English is difficult English. It is LATIN GREEK ENGLISH. Many do not understand it. Malaria is the best example. To study malaria the medical students has know that there are merozytes and metamerozytes. Preerythrocytic Erythrocytic, extraerythrocytic, phases, schizonts, schizogony etc. The relapse is not called as relapse it is recrudescence. The temporary cure is called clinical cure & complete cure is called radical cure. The non English medical students get lost in the terminology and do not understand, remember or treat malaria properly. This happened with me. Many do not know that they do not know. They think malaria means chloroquine. So malaria can not be eradicated. By insisting to teach in English we create second class doctors engineers,and slow down progress of the country and the world. Every one learns at jet speed in own language and crawls in a foreign language. We must invest in teaching medicine and every thing inn our languages to make firs class doctors. Then Malaria will be eradicated. Health for all. This can be achieved faster by teaching medicine in our languages. Same is true for Engineers,Architects and for all education. Developing countries & the world will progress faster if the teach every thing in their own language. Try this. Share with all.
Honour those who enrich our language in child care knowledge. Photo shows authors(seen on right side) honouring medical writers Dr. Ulhas & Dr. Varsha Kolhatkar(seen on left) who write in Marathi.Dr. Vithal Prabhu in centre.
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General Childcare 8
Make your countrys language official languge Child is of each society in your country along with other God languages like English/French/Spanish/Portugueses
Survey: A sample survey of 30 members of Indian Academy of Paediatrics, Maharashtra India showed that 80% of them had their school education in Marathi, and their thinking language was Marathi, their mother tongue. Similar situation would be true in all countries. In our mother tongue, and in the language we think, we communicate, learn and retain knowledge in JET speed. In any other language we crawl. King of Iran ordered teaching medicine in their language. They made all text books of medicine in their language in three years. It should be done by all countries to make better doctors and improve child and adult survival.
We bring out Arogya Dnyaneshwari one volume every year for last 14 years in our language Marathi, that carries current useful medical informaion .
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General Childcare 9
Triumph of our mother tongues We will ensure. We take oath.

France ruled England for 140 years up to 1204.English was backword VERNACULARLANGUAGE THEN. FRENCH WAS OFFICAL LANGUAGE of state. Law, Judiciary, everything was in French. Englishmen then enriched their language. Some thing we must do for our mother tongues. Following is from ATAL BIHARI BAJPEYIS SPEECH IN INDIAN Parliament in December 1967. He quoted from a book TRIUMPH OF ENGLISH LANGUAGE written by Richard Foster Jones. It is as follows.
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PAGE 7: English is not eloquent language. It is heavy.
Page 11. 16th century author George Skelton says. French is superior. Bible is translated in French (not English).He added, Bible must be translated in English. (We say we must make
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encyclopaedia of child care in our own mother tongue.)In a poem he says, There are no good words in English to say nice things. Latin has(We say we have not enough good words to teach child care in our languages.) Remember Englishman Sir Isaac Newton wrote his research & book in Latin and not English. Bajpeyi said, Our todays state reminds me of England of 1650. The French & Latin were popular languages, not English. Laws were in French. Latin was medium of higher education. People would give reasons on how they were better languages and how English could not replace them. (Just as we say how medicine can not be taught in our languages.) In 1647 Laternberg, a member of British parliament made a presentation .He wrote, French had defeated us. French, their language is the sign of our slavery. People do not know French. Yet all our laws are made in French, and we run our government in French. This is new slavery of our independent country. Hence all laws must be immediately written in our mother tongue.(In our case,all laws must be immediately made in our languages.) ON 22.11.1650 British Parliament decided, From1.1.1651 ALL LAWS WILL BE MADE IN ENGLISH.ALL JUDGEMENTS WILL BE GIVEN IN ENGLISH.( In our country let us ensure that all laws are made in our language and all judgements are given in
the language of the state. Let us make states language official language of our pediatric Child is society.. In Maharashtra state of God India, Marathi the language of the state is official language of the pediatric society, (Indian Academy of Paediatrics, Maharashtra State branch. IAP brach did this. (It passed our resolution making this change ,unanimously.) Those days people argued that if medical education was given in English, people will die. English was not fit to become language of education and law. In 1651 Self respecting English people decided to establish English and developed it so well. Our todays state is like 1650 England. We too must enrich empower our languages. We must write all our knowledge in our languages and encourage every one to do the same.
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General Childcare 10
Child friendly Architecture in homes & hospitals .

Each family has one or more children. Children make 40 % of Indias population. Understand their problems & solutions. 1. When they return from school. They cannot enter home. As the door bell is beyond their reach. Solutions. 1. Keep one more door bell at low level say 2 foot above ground. 2. The bell should ring on tapping any where on the door Problem no.2.Hard floor: Children get injured due to hard floor tiles. Solution Make soft flooring. Use something like rubber mat flooring so that even if children fall, they do not injure their head, or break their bones. This soft carpet or rubber
matting on floor
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will reduce fractures in elders too. Problem No. 3: Children cannot use Children can not use Indian toilet Big Adult Indianfor elders. Toilet. squatting made
Solution Make a long V shaped Indian toilet. The children will sit at the small end of the V Adult will use large end of the V Problem No. 4 in urinal: The urine pot is too high.
big leg gap for elders to squatt.
small leg gap for kids to squatt.
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corner. Keep water and food there, with in the reach of the children, so that children can help Child is themselves. God
Wash basin should slide down on a rod for a child
Solution1. : Have one at low height 2. Put the urine pot on a rod on which it can slide up and down as needed. Problem 2: When they are hungry, /thirsty they can not reach food & water kept on the table. Solution: Give one corner of the house to children. Call it child water food
Experience of 1000 + villages in Maharashtra is very good. Children eat round the clock and grow well.
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Teach safe use of kerosene

Kerosene accidents kill more than 100 000 women and children annually in India alone.Use this to save them.
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KEROSENE POISONING CAUSES MAXIMUM CHILDHOOD POISOING HOSPITAL ADMISSIONS IN INDIA
Replace pressure stove by wick stove AIM: Reducing child and woman morbidity and mortality due to accidents caused by Kerosene Methods: We studied data about burns and accidental morbidity and mortality in India. Results: About 1 lakh women & children die of Burns due to kerosene stoves in India annually.
Conclusion: Educate safe use of Kerosene & save millions of women and children. 1. Make Kitchen Table / platform. Always put stove and kerosene containers on the table / platform. The stove kept on floor causes maximum burns. Children crash in them. 2. Ban pressure stoves. They explode and cause maximum accidental deaths. Promote wick stove. 3. Do not lift vessel with cloth you are wearing. It catches fire. 4. Avoid polyester in kitchen. As it catches fire, it clings to the skin and causes more severe burns. 5. Avoid loose clothes 6. Children mouth all utensils. Never take out kerosene in cups, glasses or bottles. Children can mouth & drink it,presuming it to be water. This isthe commonest poisoning of India. 7 Teach this to all
Ban pressure stoves.
Promote wick stoves
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Road Accident Death FreeWorld

Dr. Hemant JoshiDr. Archana Joshi If you do not want to die in a road accident, read this article and act. Our right to live is more fundamental and important than and over rides other peoples right to drive vehicles fast.
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We can not send our small children to school walking. Reason? Speeding vehicles. Make speed breakers. Cut their speed. Our children have a right to live & walk down to school. Around our houses, in our villages, towns & cities let us make speed breakers after every 100 meters, these accident deaths will go down.In 2004 American journal of Public Health published a study. It showed that speed breakers made on every 100 meters reduced the speed of vehicles and reduced accidents. Indian experience is similar. Delhi I.I.T. has a campus of 250 acres. Wise people live and work there. They
Every 5 minutes one Indian dies in road accident. In 2007, 1,14,000 people died in road accidents. Highest in Andhra and Maharashtra. We are number one in the world. Maximum people who died were not the vehicle drivers, but innocent people walking on the road. We could be one of them any day. London has 6 rimes more vehicles than Delhi. Delhi has 3 times more accidents than London. Speed breakers will reduce them.
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used to have one accident every week. They made speed breakers. Accidents reduced by 90 %. This was told by IIT Delhis Prof Dinesh Mohan who is expert in this subject. When Mumbais Saaki Naka to Powai road was made broad and excellent, road accidents increased. Speed breakers were made at 2 strategic locations. Then accidents reduced. This was told by responsible concerned officers, in a program organized by Mumbai Grahak Panchayat and CUTS, the NGO from Jaipur working on this subject of road safety. Speeding Vehicles are killers About 15 years ago railway accidents increased after increasing the speed of trains. Reducing their speed reduced them. Studies by experts show that , as the speed increases by 5 % the chance of accident increases by 10 % The speed of the vehicle should be up to 30 kilometers per hour in villages, towns & cities. At this speed vehicle can be stopped quickly and accidents can be avoided.Even if accidents happen, people do not die. If the speed is above 50 kilo meters per hour, the accidents become serious and people can die. If the speed is above 70 kilometers, accidents increase & deaths almost always take place. Speed breakers alone reduce the speed, accidents & deaths,& allow us the right to live. May our roads be for us. Today they are ruled by speeding vehicles. They are ruled
by few crore vehicles, and 120 crore people have to walk miserably in the remaining space Child is on the road, purely at the mercy God of these vehicles. The country and the roads belong to 120 crore Indians, pedestrians and not to the few crore vehicles. Vote for those who make roads
for the pedestrians, and make this agenda of their election campaign. 40,000 accidental deaths are avoided by the illegal speed breakers made by people all over India. People above 60 years have fragile bones and fragile bodies. Their injuries do not heal soon. They die with small injuries. Let us save them. Democracy means our rule in our town. village & city. Write a letter to prime minister as follows. Dear prime minister Save our lives. Stop road accident deaths. Make speed breakers every 100 meters in all towns, cities & villages. Make necessary law. Thanks.
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Signature & address ( Primee ministers address: Prime ministers office, New Delhi ) Any one easily gets driving license in India. Most drivers do not know all the road signs and rules. This includes our near & dear ones. So accidents occur. Dr. Pasricha has written excellent books. Ask every one who drives a vehicle to read them. Mumbais Study: How people go for work? 7 % by car 7% by cycle 15% by bus & there after walking 18% by train and there after walking 44 % walking Thus 77% go walking. Any vehicle can hit them. To ensure that they come home daily, make speed breakers. Englands Lady Diana, Our Shrikant Jichkar,Rajesh Pilot and many more, traveling in expensive safe cars died in car accidents. Mr. Nitn Gadkari survived a car accident. Main causes of accidents. 1. Over Speeding 2 Over taking, 3 Late night driving (11pm to 5 a.m.) and 4 drunk driving causes maximum accidents. Put a sticker on steering wheel, telling driver not to do them. 2. 75 % accidents occur on highways.&
3. 75% occur at night. 4. So ask drivers to be extra careful on Highways. Child is

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Protect yourself as follows 1.Colour cycles yellow for better visibility and not black. Put radium reflector on cycle in front and on back. Tie a radium band to your hand while walking on roads, especially highways. . Children have a right to walk or cycle to school. Make roads safe with speed breakers.
Share this with all. Reach to 115 crore Indians with help of media. This article is based on the knowledge gained at a program organized by Mumbai Grahak Panchayat and CUTS,the NGO from Jaipur working on this subject of road safety.
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Mothers enjoy child birth in Child is God sitting / standing position. This also improves maternal and neonatal survival.
To clean the blocked nose we sit. Use gravity.It is difficult to do it with out the help of gravity.
Our friend Viji Sheshadris first baby was born by Caesarian secion. She suffered a lot. Next time, learning from her maid, a mother of 4 children, she delivered at home in sitting posture. I enjoyed the child birth she wrote to us. Giving birth to a child is said to be the most painful event in life. Not so if a woman sits to deliver. Women actually enjoy child birth if they sit to deliver the baby.Vijis experience suggests. When a woman sits or stands while giving birth to a child, gravity helps. Womans muscle power plus gravitation force ensure quicker delivery. The baby comes out by own weight. If this woman lies down, the gravity is eliminated. Now she has to bring out the baby with own muscle power. This can prolong labour. This can be disasterous to baby and the mother. Can you sneeze and clear your nose while you are sleeping? No. You have to sit and then sneeze. If your nose is blocked when you are sleeping, you have to sit to clear your nose. You have to sit to remove one gram of nose secretions. When you sit or stand, gravity helps you to remove the nose secretions. You need that help. If you can not remove tiny nose secretions from the nose without help of gravity, how can a pregnant mother remove a baby from her womb while lying down? She must sit or stand. If you have pass urine or motions you can not do it lying down, you have to sit.
Similarly to bring out the 3 kilogram baby mother must sit or stand. Then gravity will help and bring out the baby and all mothers will enjoy child birth. This reduces delivery time. It minimizes pains, suffering and deaths of babies and mothers. At zero cost. This is the way world does it. Search child birth on Google / internet and you will learn that all over the world, in America, Europe, Africa, Australia women sit or stand to give birth to a child. See child birth videos on YouTube on internet. You will see that elephants, all wild animals stand and give birth to baby.
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Orang Utan monkey, our predecessor sits and give birth to baby.
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Sand laden truck is made vertical to empty. The sand flows down due to gravity. In India majority of deliveries occur at home. In most cases women sit and deliver. In Kolhapur region, of western Maharashtra in India they tie a rope from the ceiling. The woman holds it and sits to deliver. In Nandurbar district of Northern Maharashtra women sit in water in pond or river and give birth. Orang utan monkey with baby In Orissa state in India they fix a pole in the ground. The lady sits, holding this pole and delivers.
The Hen sits & lay eggs with help of the gravity.
In Africa women stands. She holds a creeper or tree by one hand and receives the baby by another hand as she delivers.
Newtons apple tree
In Germany you get a stool or a chair for delivery. They have au shaped seat. The lady sits on it. A rope hangs in front. She can hold it. Else she can sit on a doctors delivery table. This table has a back rest. Or she can sit on a soft leather ball. Or she can sit in water filled tub. Or she can stand holding the rope. The assisting nurse and the husband stand next to her and help.
Fruit reaches ground also with the help of gravity.
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Half the women prefer to sit on the doctors table. Rest takes one of the other choices. Dr. Prabodh Joshi of Shirdi Maharashtra, India
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A woman standing and delivering.
Studied 2000 cases of sitting deliveries over 5 years and published a book. In his opinion, sitting deliveries reduce delivery time and suffering of babies and mothers. It also reduces deaths amongst babies and mothers. It reduces need for caesarian section. India has worlds highest maternal and neonatal mortality rate. This may reduce by sitting deliveries.
These 4 women of India had all their deliveries in sitting posture.They said that all women in their area delivers in sitting posture.Primies delivr in few hours and multies deliver in 2 to 3 hours.
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Photos from the internet of sitting & standing delivery.
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Delivering in water tub.
Standing delivery/
Cutting the cord.
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Lady stands Uses a swing & relaxes.
Lady sits on a leather ball & delivers
~miVnU C`mZo
Lady stands holding a rope
Lady sits in a tub & delivers
Lady sits on Doctors table & delivers
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Common salt (Sodium Chloride) eradicates cord sepsis and helps reduce caries teeth .
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Ahmedabad India. They validated our work with similar results. Normally umbilical cord of a newborn is cut with aseptic precautions. It dries and falls off. Some people apply spirit, some apply antiseptic powder. Some apply nothing. Neonatal sepsis & neonatal tetanus are major a problem and cause of many neonatal deaths in many places. First there is cord sepsis. Then there is tetanus or neonatal sepsis. If there is no cord sepsis there will be no tetanus. No neonatal septicaemea deaths either. In India it is reported that many calves of buffalos die with cord sepsis. They too will be benefitted.
Dead sea.Its excess salt doesnot allow life.

Need: If cord sepsis is your problem, this is for you. Where cord sepsis is a problem, appying common salt to the cord will eliminate cord sepsis. You can do your own study. We have done this work about 2 decades ago. Our work was repeated at civil hospital and medical college Ahmadabad India with similar results. It was done under guidance of Dr. Shashi Wani. Prof. & Head of dept. of Paediatrics. A thesis was written for M.D. on this work. It can be seen at pediatrics dept. at civil hospital and medical college
On application of common salt to the umbilical cord, the cord dehydrates and dries earlier. Common salt acts as preservative and prevents cord sepsis. Safety & effectiveness: We tested this in more than 500 newborns. Common salt was liberally sprinkled on the umbilical cord of newborns few times a day. None of them got cord sepsis. There were no local problems. The cords actually dried earlier. We did serial serum sodium and chloride levels in about a dozen babies over a week. They were not elevated. This showed that common salt application was safe for newborns.
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In fact microbiology describes bacteria as halophobic and halophilic. Halophobic die with Child is excess salt and halophobic survive God with salt. OUR PATHOGENS HALOPHOBIC BACTERIA. ARE
To confirm this we saturated Microbiological culture plates with sodium chloride and plated various bacteria. Nothing grew in them. To see what else salt kills we mixed fresh human semen with serially diluted samples of salt solution. We observed that sperms are active in semen got immobilised immediately when the salt concentration rose to 1 %.( Normal saline has 0.9% sodium chloride)We were amazed to read that Ayurveda recommended a post coital salt water wash as contraceptive for females. Lesson:1. Streptococci cauese caries teeth. And they are halophobic. Means common salt ( sodium chloride ) kills them So saline gargles or cleaning teeth with common salt should reduce caries tteeth. Adding a pich of common salt to the tooth paste should also help. Try it. Share your experience with all.
Salt preserves salted fish& pickle.

Background information: In Africa they apply honey to cut umbilical cord. Honey probably dehydrates it and prevents growth of bacteria. Just as we use sugar as preservative to preserve fruits. Hypertonic salt solution is used for abortions. Dead Sea is called as Dead Sea as it has high salt concentration and nothing survives in that. All use common salt to preserve fish and meat and pickles. Medicos use saturated salt solution to preserve viscera. This fact led to the hypothesis that common salt will also preserve umbilical cord.
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Bacteria causing cord sepsis die with common table salt sodium chloride
gram negative bacteria: e.coli
streptococcuss
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staphylococcus
Some possible uses: 1.Oneayurveda book describers a post coital salt water wash as contraceptive for females.This needs to be studied. Salt is cheap & available in each home. Adding excess of salt to the water in the suction machine will keep it sterile.
tetanus bacteria
Adding excess of salt to water in oxygen humidifying bottle will not allow any growth in them. Add excess of salt to any excreta or waste and it should get disinfected. This will help to reduce nosocomial infection at minimum cost. This needs to be studied further.
See excess of salt at the base of oxygen humidifying bottle.

See excess of salt at base of suction machine bottle. New Ideas for Better Global Child Survival & Child Health : Dr. Hemant & Dr. Archana Joshi
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116 years of life : LIVE Happy Sickness free .

Indians expect 116 years of fruitful,happy active able life. First 24 years to learn, next 48 yers to perform, and remaining years to advice.These tips improve survival of children & adults,and give all a happy long able life. 1. Sleep Well................... 2. Eat Well....................... 3. Exercise well.............. 4. Live Well.................... 5. Sing and Dance well. 6. Marry & be happy... 7. Tell this to all and be happy and live long.
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1.Sleep Well: People daily sleeping for less than four and half hours live less, People daily sleeping for more than nine hours live less. If you sleep 1 hour less than what you need you get one hours of sleep debt. Sleep debt reduces life span and makes life unhappy. Have complete sleep daily. Light, noise, t.v. all disturb sleep. Have no light at night. Use mosquito nets. Ask neighbours to ensure that noise of their tele vision sets, radios does not come out of their homes. Many high school students in India sleep 1 hour less daily. It affects their studies performance & life as well..
You should get up fresh and not need tea or coffee after a good sleep. If you need one,you are sick.You have sleep debt,the worst debt. You need more sleep and not tea or coffee. Avoid caffeine drinks after noon. 2.Eat Well. For fully grown ups: 1. Eat half of your usual need every time.. [ unless you are not likely to get another food.] You should be hungry after lunch. Make a habit of taking 1 small serving of anything you eat. This is best to avoid gaining unwanted weight. Weight once gained is almost never lost. Obesity is worlds biggest problem. Just as we force none to breath more air, force none to eat more. Eat simple. Fruits, Salads , and simply cooked Rice, wheat, dal ,fish mutton, chicken [in moderation] keep you healthily for decades. Complicated, more processed food is harmful. If you eat more than you need, your belly is seen. People with big bellies live less. If your
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belly is seen, take liquids whenever you are hungry, and increase exercise. Drink more and eat less. Move more and sit less. If your cheeks are sunken or a mirror tells you that you are weak, you are not eating enough energy and food. Oil and ghee give double energy than other food per gram consumed. So add oil or ghee or oilseeds or dry fruits [they have oil ] to every thing you eat, and eat frequently. You can ear every 2 3 hours. Keep your pocket filled with snacks, and keep munching. Eat more & drink less. You will grow daily. Stop this excess when the cheeks are no more sunken.
one hour daily. Dance is the best happy exercise. Put on the T.V. and Learn Dance from every dance sequence Child is and every dancer. Indian Dancer Hema God Malinis daughters are heroines. Hema Malini looks more beautiful than them. She has remained beautiful because of dancing. Indian dance guru Birju Maharaj is in 80s and is fit than most doctors. It keeps the body and the mind fit , happy, and young for ever. Learn yoga for mind & body control & staying young . Yoga keeps you young for ever. Yoga keeps you fit like a fiddle. It delays ageing and ageing related illnesses like joint pain, backache, memory loss, heart ailments, and many more illnesses.( More in Yoga article)
Lead a fruitful life. When ever you eat, Eat plenty of fresh fruits. Fruits wipe up injurious elements called free oxygen radicals from our body, provide instant energy, vitamins and mineral and water. We are FRUITERIANS like our predecessor money.(more in next article on fruits.) Use this information for children also. 3. Exercise well: Jog, run, walk briskly to your office, reach children to school, dance, do rope skipping. These all are exercises. Do it for half to
Learn to meditate: Sit for 5 minutes quietly in front of God twice daily in morning & in evening. Breathe comfortably. Take in and take out slow comfortable long breaths.Learn to stop comfortably for amoment before and after taking a breath.Gradually the time needed for each of these 4 acts, breathing in,breathing out, and the two stops between them increase, and we become quieter. Think on how you spent previous 12 hours. Decide to correct your errors and better all good things you did. See
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if you can look & concentrate on tip of your nose. We always talk to ourselves in our mind .Try to quieten your mind. Gradually increase the time. Decide to forgive all for their errors and say sorry when you are wrong. 4. Live Well. Illnesses kill. They make life short and miserable.Vaccines prevent illnesses at minimum cost. Take all vaccines needed at your age.Ensure you have no illness by meeting a doctor and dentist on every birthday.
You get wet when you go in rain. You get heated when you go out in hot summer. Child is You get illness when God 1. When you come across a sick person. So always remain 2 arms away from a sick person. Every one has some illness. So it is a wise policy to keep every one at a safe distance of 2 arms from every one. 2. When you go to a crowded place. When ever, possible avoid over crowded places like cinema hall. 3. When you eat food given or handled by a sick person. A million illness causing germs can sit on the tip of a needle. When a sick person gives you food, you get these germs as bonus. So do not eat at the hands of a sick person. And every person has some illness. So the best policy is not to eat outside your home. Swayam Pak means self cooked food. Always take the food you have cooked or take food is from your home.. Live Peacefully: Calamities do occur. Always there are problems like 1] tensions of daily living, or 2.]death in family, or 3.]natural calamities like floods, earth quake, or 4.] national calamities like riots, war too. Yet at the end of day every day one must be able to prey to god and sing a song or play an instrument and relax with the family peacefully. Live without vices. All bad habits reduce life. Give up smoking, drugs etc. [If you feel bad when you can not see a perticular t.v. serial, it means you are habituated to seeing t.v. serial. Bad.] .
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6.Marry & be happy:
Aim Zero claim

for life insurance companies. Teach these to the people taking life insurance and reduce claims. Try it.
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Married people live longer. Loneliness itself is an illness. It leads to drugs, alcoholism and other vices. Man is a social animal and needs loving caring friends for a happy long life. Family satisfies this need. If a married person falls sick, the spouse cares for the sick person. If a person living
Tips created form experience of people alive at 110 years, from the studies at Institutes of ageing all over the world and from teachings of modern medicine and Ayurveda. Tell/email/write these to everyone. This will improve nations health. It is a great national service.[when did you serve this nation
to 1.16 billion Indians and to everyone all over the world we have repaid our debt. Let us reach it to all by gossip,phone,sms email letter,talks,speeches in 15 languages & with help of news papers, radio, t.v. & internet.
alone falls sick, there is no one to care for the single person. 7. Tell this to all and be happy and live long. When India became Independent an average person lived 35 years. Today an average person lives 68 years. Our independent motherland has doubled every ones life span. This must be true in all countries. Our half life, half breath , half of every rupee and penny we earn belongs to out country and should be spent for it. As we follow these tips, live healthy for many many years and reach them
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Yoga for better survival and life for children & adults at zero cost.
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Yoga is the right way living healthy happy able & illness free for 116 years. Yoga is Indian art & science of mind control , psychology & psychiatry. It is 5000 years old Indian art & science of right living. Learn it from internet, books & one who knows. It has 8 principles as follows.. 1.They are rules for happy living with all. It is called as YAM 2.They are rules for self regulation for a good life. It is called as Niyam 3.Third is Exercises for remaining fit & young for 116 years They delay aging and illnesses that come with aging, like memory loss, joint pain back pain etc. They are called as ASANAS. They are from YOG. So they are called YOGASANS
4 Fourth is Praanayam: You learn to control breathing. It leads to mind control taught in next steps o called PRYTYAHAAR,DHYAN DHARANA & SAMADHI. They make us Superman. & Super woman. It is said that they give you 23 super human abilities, like reading & controlling mind of others which ordinary persons like us do not have. Benefits of YOGA & YOGASAN 1.You succeed in all you do. You Become smart & beautiful & pleasant. You bubble with energy all the time. You no more become angry. All become your friends & fans and help you in everything. This ensures that you succeed in every thing. The brains blood circulation improves so brain works better. You get better memory. Mental power increases. All Indian world champions use yoga techniques. Their guru Bhishmaraj Bam teaches them. 2. You become healthy. Your illnesses reduce. You get following benefits. Stress reduces. Illness caused by stress like heart attack, ulcer, back ache reduce. Weight reduces, waistline shrinks. Back ache, joint pain reduces with yoga.
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Every fourth Indian has some psychological problem. This reduces with yoga. Asthma, Heart attacks, reduce with yoga. Dr. Pukhraj Bafna got Ph.D. from Raipur University in 2009. He showed that Yoga reduces asthma in adolescents. Acidity, Urinary problems all decline with yoga. The eye sight improves. Need for spects reduces.Women have normal deliveries, less menstruation problems, prolapse uterus etc. Benefits of yoga have to be experienced. Experience it & tell all. Yoga improves survival and life for children & adults at zero cost. Ambika Yogashram Thane India teaches yoga free. 32000 Indians did their 3 months course. Following number of people reposted benefit from the course. Asthma, allergic rhinitis 4800 persons Back ache 4000 persons Diabetes 3800 persons Hypertension 3840 persons Acidity etc. 8000 persons Unhappy 1980 persons Depression 1600 persons (Reference Arogya Dnyaneshwari Marathi health annual 2007.) It has 8 divisions Astha means eight. So it is also known as Ashtangyog. Saint named Patanjali wrote them. So it is also called as Patanjali yoga. Yogi Arvind, Mahesh Yogi are some well know YOGIS who practiced and preached Yoga.They made it popular all over the world. 8 arms of yog are as follows. 1). Yam ( happy social life rules)
1.Hurt none. Physically or by words, or by thinking bad about a person in your mind. Child is 2 Always speak the truth. God 3.Steal nothing. Take nothing that is not yours. 4 Avoid excess of sex ( We call it SEXESS ) 5.Forgive all for their errors. Beg for pardon when wrong. 6 Courage. Have the courage to do the right things. 7 Be kind to all. 8 Always be polite & courteous 9Eat less every time.10 Cleanliness. 2.)NIYAM (Happy personal life rules) 1. Simple living. 2.Be happy with what you have. Be not greedy 3 Stay clean. 4 Do your studies daily. 5 God resides in all .Care for all. 3.) ASAN : Exercises to remain able bodies for 116 years. 4. Pranayam.: Art & Science of regulating your breathing. That gives you mind control. 5 Pratyahar 6 Dharana : Concentrating and focusing your mind an attention on something is called as dharana.One cn focus on tip of his nose for example. Dhyan: Maintaining that concentration for a long time is called as dhyaan. Samadhi: Forgetting your existance during dhyaan is called as Samaadhi. Yoga is Indian art & science of mind control , psychology & psychiatry. Yoga has to be experienced. Experience it & share your experience with all.
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Child is God
Section 8: Story Therapy

Best to Entertain educate & improve child survival.
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Story Therapy 1
From care to Advocacy

4 useful stories:true & amazing
1st story: Told by the hero himself. In pre independance India, Before 1947, there was a poor man named Mr. Kolhatkar. He was working in a private insurance company at Satara. When he was 55 years old, one day his company made retirement age 55 years & retired him. Now for survival, he had to get another job. But he wanted to do advocacy. He wanted to write Sanskrit PATANJALI YOG SUTRA in Marathi so that people could benefit from it. But this was a full time job. And a non paying one. He did not take another job. He started working on Patanjali sutra. To cut costs, he & his wife skipped dinner forever. He writes I was weak since childhood. With small problems, I would get Palpitation and throbbing in my heart. But with Yoga this all disappeared. I had poor vision & spects. My vision improved, spects were no more needed. Twice I had injuries. Each time my nail came out, but new nails came in 11 days. He lived healthy 93 years. Very few doctors live so long. He worked 4 am to 11 pm for 5 years. With in 15 days of finishing this work, this SSC pass man got D. Lit. His book, PATANJALI YOGA.
Child is God
Text book of Indian Science of Psychology, Psychiatry & Mind Control. Every one should read it. It will improve our child care. It will improve our personality and life. All must learn Yoga. All Currently popular Yogas are born out of Patanjali Yoga. It has 8 arms. So it is also called as Ashtangayoga. Yogasan is one of them. Yogya means right. YOGA is right way of living YOGA makes you superman & superwoman. You have to experience it. This story has 3 lessons : 1. Learn Yoga .Live long healthy & happy. 2.Give time,money,life for the issues close to our heart. 3..Do child care advocacy.
Photo shows Nikam Guruji: His Numerous yoga students,all ordinay citizen live happy,bubbling with joy & energy all the time.
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2nd story: In Pre Independence days young Tilak & Agarkar wanted to do some thing for the country. Thyey did advocacy. They started newspapers Kesari & Maratha. Nehru & Gandhi also started News papers. The mass awakening led to Independence of India . We still have to win over illnesses, Ignorance, Poverty etc. To win over them we need to do advocacy. All good we know we all should share with all with help of media i.e. Newspapers, TV, Radio, Internet & in Gapshap(Gossip) & Speeches in all languages.. For example ,in Lokmanya Tilak 1947 in pre independance days, average Indian lived 35 years. Today he lives 68 years. Our Independent Motherland has doubled our life. We can
repay this debt by educating all with all good we know.
Rousseau
Child is 3rd story God French man Jean-Jacques Rousseau wanted to advocate the cause of democracy. He wrote a book named Of the Social Contract, Principles of Political Right . That gave birth to Democracy. German man Karl Marx wanted to advocate the cause of exploited labour.He wrote Das Capital. That gave birth to communism. So that is power of books, & words. Write your good ideas & reach them to all. A great Karl Marx thinker, writer is hidden inside you. Bring the thinker out. You will supercede Rousseou, Marx ,Vyas, Valmiki or Harry Potters author J.K.Rowling. The world is waiting with garlands for you. SO RISE WRITE & SPEAK Make people wiser. In YOUR own Harry Potters mother author J.K.Rowling. tongue & all international languages.
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4th story: How to write an article? Story of Confucius:The Chinese guru(, This is Wisdom of great authors. 551 B.C.E. 479 B.C.E ) Share this with your children, friends, Child is In his times he was not happy about ther staff, everyone. Translate in your mother God things happening in the society.(Like all of tongue & tell all. 1.Have Patience. Rome was not built in a us.) SO HE WENT TO THE KING AND day. 2. Write something daily. Practice makes a SUGGESTED SOLUTINS & man perfect. REFORMS. King did not listen. 3. Start with writing diary That time China was made of 36 daily. states.One after another he went 4. KISS Keep It Simple to 36 kings. None listened to Sir him. Finally he went to the 5. Do not be tempted with big words & phrases. forest. 250 disciples went with 6. Do not wait for a great him. He made an ashram. He idea or a great kick start. A river lived, preached is small in beginning. and died there. 7. No one has time for a big When ever these kings had article. Which is the best article, problems they remembered Confucius paragraph, sentence, word? teachings of Confucius,& were The smallest. benefitted. Gradually what confucius said Between 2 words, choose simpler word. became social norm.It is followed even today Avoid repetition. 8. You should have something to say. in China, Korean, Japan and Vietnam. Write each idea on the topic in a separate His useful famous teaching is treat others paragraph on a separate sheet. as you want them to treat you. When all ideas are written arrange them Better safe than sorry logically. Words are like arrows. You can not take The whole article should be like a nice story. them back. So use them carefully. Say them This is more easily done on a computer. to your self in mind,and filter unnecessary A good draft undergoes corrections few words before speaking out anyone. times. Some times there is difference in what After completing sleep over it overnight. Many times new ideas come up overnight. you wanted to communicate and what the Do a spell check. journalist understood. Ask a colleague to read and to help in To avoid this, request the journalist friend improving it. to possibly show you the copy before sending Ask a language professor or teacher to read it to press. it. Give a written copy of what you want to 9. Any time is good time for writing. tell, so that there are no errors in However in mornings creativity is highest. See if communication. you can rise early & write. ] 10. The moment the draft is ready, send it for publication. 11. Tell all & tell us your experience. 12 Use Internet.T.V. Radio,news papers.
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Story therapy: 2 Best to educate & improve child survival.
Jungles Race.
Children listen to this interesting story as it happened in the remote jungles of our country many years ago. The king of this jungle had announced a running race between kids of all the animals. On the day of competition the whole of jungle wore a competitive look. Banners of slogans to cheer these kids were put all over and motivational songs were heard in the air. As the King sat on his throne every participant took their respective positions. The spectators enjoyed the race as it was interesting. A chubby rabbit who was very active won the race leaving everyone else far behind. But suddenly everybody was attracted towards two chickens who were seen crying loudly. The King got down from his throne and moved towards them. He asked the two chickens the reason for their sadness. To which both of them replied that they were unhappy because they could not even complete the race, forget about winning it. The organizers of the race interrupted both the chicks were too weak to complete the race. Hearing it the king ordered the organizers to look into the matter. Acting on the orders the organisors wolf and fox took the chicks to a shop which had various eatables.
Dr. Hemant Joshi / Dr. Archana Joshi. Translated by Chitra Sawant
Child is God
The shop was owned by a nanny who new tricks of making children grow strong. But when the organisors reached Nannys shop. The shop was guarded by Nannys favourite parrot while she was not to be seen. The wolf said to the chicks, You can have these lovely chocolates. Television advertisements show that children grow strong after eating chocolates. They look delicious as well. Meanwhile, one rabbit came forward and said, Chocolates or sugar based toffees are injurious to health. Let me explain the rabbit said while narrating an interesting story of a Chocolate Demon who lived several years ago. The Demon was very cruel and loved to eat meat & bones of children but failed to get it everyday. So he thought of an idea to make childrens meat available to him daily. He started manufacturing attractive chocolates and toffees. Children loved eating these chocolates and started eating them daily. But in the bargain these children destroyed their teeth. As these children had no teeth they could not eat their food. Subsequently these children died of hunger and various illnesses. The demon was happy to feast on these dead childrens bones and meat.
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Meanwhile, while selling these accepted the gift and took the chocolate the demon started eating them. horse inside the city. After celebrating their victory Child is He also lost his teeth and he too died of hunger. Thus rests of the children were the army of Troy slept at night. At God this moment the Greek soldiers spared from the cruelty of the demon. But unfortunately, even today kids eat who were hiding inside the horse moved chocolates daily and damage their teeth. out and killed the entire army of Troy. A line of caution, Stop gifting children They took their princess back home to chocolates, toffees, as they have no Greece. Germs, Worms & harmful bacteria nutritional value and can cause enter our stomach when we eat roadside destruction, warned the rabbit. food like burgers etc, Hearing this story, the which are kept in open. wolf latter suggested These harmful germs eating vada pav or are responsible for burgers, pizzas, etc, for many diseases including growing strong. jaundice, typhoid, Meanwhile, a horse who malaria, dysentery etc. was hearing the Have you ever thought conversation interrupted. when we eat food kept Dont think of eating in the open we often such high calorie snacks suffer from illnesses like sold outside. These are vomiting, diarrhea, like the enemies hiding in typhoid, cholera, the Trojan horse, said Trogan Horse jaundice etc. the horse adding further, Every one agreed I will narrate a story of with the fact that food kept in open is the Trojan horse. There was a city of Troy on the harmful and kids should avoid it. The fox shores of Mediterranean Sea in Turkey. further said that movie actors are seen Helen, the beautiful princess of Greece on Television advertisements doing was abducted by the prince of Troy. The amazing stunts after drinking soft drinks. Greek soldiers followed their Princess A deer came forward and said these soft Helen to the kingdom of Troy. They drinks are expensive and contain no surrounded the kingdom of Troy. The war nutritional value. In fact these drinks are between the two countries continued for plain water with added colour & ten long years. But nobody won; the chemicals. These drinks are responsible Greek soldiers accepted their defeat and for spreading of many diseases like returned home. While going home they cough, cold, pneumonia, measles & gifted one Trojan horse to the people of mumps in children. They also destroy Troy. It was a huge horse made of wood. teeth. It moved on wheels. People of Troy
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You can watch it by putting a broken tooth in any of these cola drinks. You can watch these tooth melts within minutes. All this while the two chicks were listening carefully what the elders had to say. Fine, said the fox adding further no soft drinks, no food kept in open, no chocolates then can we have milk drink? They say milk is nutritious. Hearing this conversation Nanny who was inside joined them. Who said milk is nutritious? In fact milk is injurious to health. Milk contains more water and less food. Milk or any food in the liquid form destroys health of children. Children remain hungry if they eat liquid food. Milk kills hunger. Parents add expensive supplements so to make their children drink milk. Milk is expensive and it affects the monthly budget, the same money can be used for buying nutritional food. For example if one liter of milk costs 1 dollar. In that 1 dollar you actually get about 100 gm food and 900 ml. water. Cows milk is made of about 90% water and 10 % food. Thus for getting one kg food from milk you have to buy 10 liters of milk, it will cost you 10 dollars. All other food items are much cheaper than milk. Thus Milk is one of the most expensive foods. Milk should not be consumed with any other food item. Milk lacks Iron and it absorbs iron from other food we consume. If children are deprived of Iron it affects development of their brain and causes anaemia in them.
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A little squirrel came forward pushing aside others, Nanny why these famous sportsperson and Child is actors lie in TV commercials. God Simple because they get lot of money and fame yelled everyone. Nanny was against feeding children with wrong types of food. She said children should not follow advertisements blindly. Companies blatantly lie, make false claims to sell their products. I will narrate a story to you said nanny, One man who was hungry for several days was caught while stealing bread. The king pardoned him for this crime and offered him a job. The next day one of the Kings minister was caught red handed while Chocolates misappropriating funds. The King ordered to hang him. The poor man was hungry. It was my duty to give him job and food. But minister was well paid. Still he misappropriated funds. So I ordered to hang him. Many advertisements are full of lies, are misleading and should not be taken seriously. These famous and influential people should not mislead people. The two chickens said, What should we eat. Keep munching almonds, peanuts and other oil seeds like Sesame, soya beans, coconut, they are good source of oil, said the parrot. Oil or ghee can be added in every food item and it will help children grow strong. One chicken said I come from a poor family my parents wont afford such things. Nanny said you can eat any kind of food
like puffed rice, raw rice, grams, these are easily available. The wolf who had not spoken for long said, How about the term an apple a day keeps the doctor away. Lets us put these chickens on diet consisting of expensive fruits like apple and grapes. Parrot said, I eat guavas daily and grow healthy and strong. Eat any fruit. You have so many choices, like papaya, chickoos, amla, bananas but have at least one fruit in a day. How about delicious non-vegetarian food said the fox they said it helps you to make strong. Look at me roared the elephant I dont eat non-veg but all of you envy my health. You see friends the World Health Organisation in its technical report series no 724 said that you get the best of proteins in two bowls of rice and one bowl of pulses. The chicks worriedly asked eating rice and cereals throughout the day would be difficult. No problem said Nanny raising her head. Just think of puffed rice and roasted grams are nothing but rice and cereals. Keep munching throughout the day you will grow strong and healthy. Have a heavy breakfast and keep munching snacks you will gain weight. But remember dont include liquid based food. It kills hunger and makes you weak. If you wish to grow healthy and strong you should eat food regularly and continuously. You should not wait for lunch or dinner but should consume food as soon as and when hungry. Fruits, vegetables healthy snacks like peanuts, grams, puffed rice, almonds,
raisins are good for health. Along with this to complete the diet, add a bowl of salad of sprouts, green Child is vegetables and tomatoes. God Nanny yelled, Listen kids, One more important thing. Your so called high proteins tonics are not sure way of reaching daily requirement of protein. And even if it does suffice the protein requirement then in absence of carbohydrate and fats it will be useless. These proteins do not replace requirement of fats and carbohydrate. Parrot cried for attention as he wanted to focus on important issue. Listen friends many suffers from tooth decay. Food particles stick to our teeth. Bacteria called Streptococcus thrive on them causing tooth decay. It can lead to acidity in future. Common salt kills bacteria which cause tooth decay. Use common salt for cleaning teeth immediately after meals and after getting up in the morning. Nanny said, You children must be bored by now. Lets sing these rhymes Everyone came together to follow nannys advice. They sang loudly. Ringa Ringa Roses Pocket full of snacks Eat all, all the time & all grow well. Eat while you play Play while you eat That is the way To be happy and gay
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At six months of age Humpty Dumpty was chubbiest of all Then his weight had a great fall. And all the worlds tonics Could not make Humpty Dumpty chubby again Then Dr. Joshi said Close the food gap Stop liquid food Wean with solid home food. Fill pockets with snacks. That made Humpty Dumpty chubby again. Everyone thanked Nanny for her advice and then returned to their homes. This entire conversation was heard by some fat youngsters from the city who had come to the jungle on a picnic. Nanny we have a problem one of them said. We eat junk food and have grown so fat, we are not able to play and feel very lazy. Nanny looked at them and said immediately change your life-style. Eat less & drink more. Sit less, sleep less and move more. Run, dance and play more. Walk, run, or cycle to school. Avoid bus scooter to go to school. Take more liquids and fewer solids. Take lime juice, etc. Take more Fruits & salads and less cooked food
Reduce Oil & ghee & fried food. One should remain always active. Use staircases avoid elevators. Child is Eat betel leaf with lime stone after God meals. It reduces food intake. Return home from play by 7 pm Go to bed early. Rise early in the morning. Perform yoga; soorya-namaskar and other exercises every morning. Revise your studies daily. Learn poems, formulas, tables by heart in morning. Every morning read in advance all that they will be taught in school. Revise it at night before sleeping again. Pray to God daily for 5 minute twice a day. Meditate and on how to reduce mistakes. Have breakfast consisting of fruits and nuts. Increase good deeds. And that will make you supermen and superwomen. Children who followed her advice became super human beings. Let us all tell this story to all and make all children super human beings.
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Story Therapy 3
Alexanders Story: Give amnesty to hospitals,doctors & nurses
Child is God
Alexander the great

Once Alexander the great was sick.
But no doctor wanted to touch him. They were scared that if they treated and Alexander died, The doctor would be killed. Alexander learned this. He gave amnesty to doctors. He assured them in writing that even if he died no one will blame them or hurt them. Only then doctors treated him and he recovered. Daily media gives us reports of angry mob attacking doctors, nurses and hospitals when someone dies. This creates following problems: 1] When hospitals are destroyed other sick people will not get care. 2] No one wants to treat serious patients. You can destroy hospitals but
you can not force them to treat. So serious patients are sent by ambulance to betters centres. From village hospital to district hospital & from district hospital to Capitals hospital. Many times patients go bad on the way. Some die. To avoid this, have faith in your doctor. Tell him so. Request them to treat if they can and transfer only if patient needs and not out of fear. Give this in writing. GIVE AMNESTY/ PARDON TO HOSPITALS, DOCTORS, & NURSES. 3] The powerful must do this first and at once other wise who will touch and treat them when they need it most? This is best for the patients people society and doctors. Tell this to all by gossip/sms/email/talk and with help of Internet, Television, Radio and Newspapers.
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Story Therapy:Indian Mythological story of Lord Child Krishna
Use Krishnakatha, improve practice & child survival
Child is God
Use Krishnakatha to reduce neonatal and childhood morbidity, mortality and malnutrition. Use krishnakatha to improve baby care at birth, to transfer babies, promote breast milk, burn bottles in holi, keep water and food on ground within the reach of children, keep pockets filled with snacks, promote exercise, dance, chivalry, friendship and good moral values, making all children into very good human beings.
Make your child like child lord Krishna. In Maharashtra and in many states of India, at the time of marriage, an idol of child Lord Krishna is given to bride,hoping that her son will be like lord Krishna. Vaishnav is a cult in India. They worship lord Krishna. Vaishnavs begin and end their day saying Jai Srikrishna. When they meet anyone they greet saying Jai Srikrishna. Many classical dances in India are based on Krishnakatha and Krishna is a popular God. Krishnakatha is liked by all and is a very good tool to teach child care. The story is as follows. 7 girls born before Krishna were killed by maternal uncle Kans.But 8th child Krishna survived.This incidence has following lessons. 1.A history of death of previous babies at birth, is called as bad obstetric history.It worries every one whether next baby too will die. Tell this story and give them hope. 2.Lord Krishna survived because his father was present at birth to transfer him to the safe place called Gokul.(His maternal uncle Kans wanted to kill him at birth.) In any delivery there can be risk to the life of the mother and the baby. Today
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in India about 1000 women die during child birth/abortion.Many more all over the world. So the father and the head of the family must be present at the time of delivery to help & consent for emergency procedures like caesarian section, or transfer of baby or at the time of birth. Tell this story to ensure presence of father /head of the family at the time of delivery. 3. Lord Krishna was born at midnight. He had risk of life. Studies show that quality of services at midnight is not the best, increasing the morbidity & mortality of babies born late in the night. Extra efforts are needed to change this scene. 4.Lord Krishnas story also draws
attention to the fact that even today neonatal mortality is many times Child is God more than maternal mortality. Neonatal mortality about 50, & maternal mortality 5 per 1000 live births. Obstetricians fear neonatal morbidity & mortality most. In the labour roomNeonates deserve at least as much if not more care, attention, space and resources, than the mother. Those assisting delivery need as much good training in care of newborn as they get for care of mother. 5. Lord Krishna was born at midnight.It was a dark night.It was raining heavily, River Yamuna was in full spate. But Maternal Uncle Kans would have killed lord Krishna next day. So Krishnas father shifted him across the river to a safe place at midnight. He did not wait for sunrise. The baby was transferred immediately and safely. When a newborn with risk of life needs transfer to another place tell this story. Ensure safe transfer.Stabilize the baby, prevent hypoglycaemia, hypothermia, shock,infection during transport. Use a transport incubator. Ensure that every ambulance in your area has a transport incubator & functional oxygen cylinder.
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Child Lord Krishna killing Putana Aunty
When sophisticated transport incubator is not available noted neonatologist Dr. S.R. Daga recommends use of thermocol box as a transport incubator. 6.Krishnas mother Devaki was in Jail. He was reared by Yashoda & Nand. He grew on Yashodas breast milk. Use this story to give milk of one mother to baby of another mother with less milk. Use it to promote wet nursing and breast milk banking. 7. Nand had numerous cows. But Krishna did not grow on cow milk. He was not bottle fed either. Putana was a demon who tried to kill Krishna with poisoned milk. Milk feeding bottle is a modern demon ,say Putana aunty, that causes diarrhea, infections & kills babies.
For educating masses, Indian Medical Association at Virar Child is Maharashtra & at Gandhidham God Gujarat publicly put feeding bottle in HOLI (fire) in the holi festival. You too should do the same and educate people. A custom of SOYAR was observed. SOYAR AVOIDS SOOTAK Soot in Sanskrit means Son. The grief of death of a son is called Sootak . To avoid Sootak, they followed Soyar. Soyare means relatives. Soyar means keeping all relatives away from the baby & the mother for 45 days. This is important even today as India's maximum child deaths today occur in first month of life.Many of them occur due to infections like diarrhea, pneumonia. Most infections are unknowingly given by relatives who come to see the baby and carry the germs. Isolating the mother and baby from flood of visitors will help mother & baby. All maternity homes should have a board saying No entry to sick people near baby & mother
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Kardhani (Waist Thread) Good qualitative growth monitor
marker for growth monitoring. This is important as Growth monitoring is not done, height weight Child is are not measured & growth charts God are not used for most of children of rthe world. This thread around the waist can help us fight syndrome X, Worlds biggest forthcoming epidemic. Every one should wear a thread around the waist. Neither too tight, nor too loose. If one gets central obesity ,the abdomen grows and the thread around the waist becomes tight and warns to reduce food intake and increase exercise. Thus thread around the waist is a good "whilstle blower" that we all should have lifetime.
On 5th day of life they tied a thread around the waist of baby Krishna. It is called as Waist Thread or Kardhani, kardoda etc. Even today this thread can be used as a good growth monitoring tool. Teach parents that as a baby grows the thread becomes tight and needs change. If baby becomes weak, it becomes loose. If the thread ever becomes loose they should consult doctor as the child is getting malnourished. He is either starving or sick or both. All including illiterate grand mother notice this change. Thus it is a very good qualitative
Child lord krishna with sweet snack ball ( laddoo ):Give each child a laddoo round the clock.He will eat & grow healthy. India will become malnutrition free.
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Krishnakatha helps us to fight malnutrition as follows. Annaprashanam sanskar at 6 months. Annaprashanam sanskar is a Sanskrut word.Sanskrut & Latin are world's old languges. "San" means good. Karya is work. Sanskar means good work. There are 16 sanskars. Marriage is one. Annaprashanam is another. Like all children, child Lord Krishna had Annaprashanam Sanskar at 6 months. Annaprashanam is a Sansksrit word. Anna means food. Prashanam means eating. At the age of 6 months soft mashed home food like sheera ( Sheera is a soft sweet dish made of wheat flour,sugar & ghee(fat)),sooji halwa or soft rice,dal with ghee or oil,mashed fruit, is fed ceremonially for the first time to a baby. This is called annaprashanam. There after every time the baby is hungry, before breastfeed, he is fed soft mashed home food a little,and then baby is breastfed. Adding little breastmilk to every spoon of this food makes it more tasty and acceptable to the babies. Acceptance of breast milk added medicines also is always better. Gradually the amount of home food increases, the need of breastmilk reduces. Like a relay race, the child gradually shifts from breast milk to solid home made food and learns to
eat ALL FAMILY FOOD. Tell this story and introduce home made solid food at 6 Child is God months. Ensure that every child is fed homemade food like Sheera,rice dal etc before each breastfeed. Some oil or ghee must be added to each feed. A hungry baby may taste sheera or any home made solid food. A fully breastfed and satisfied baby may not open mouth to taste anything. Since many years we give sheera to every child who comes to our hospital or clinic. In our clinic, we do public function of annaprashanam & give sheera to every baby at 6 months of age. This has significantly reduced malnutrition in our practice. The growth failure that occurs in second half of infancy is avoided by this practice. Annaprashanam is vaccine against growth failure in second half of infancy. We must promote annaprashanam so that people know and improve introduction of home foods, and reduce malnutrition. In Satyanarahan puja (worship of god TRUTH) idol of child lord Krishna is worshipped,Prasad of sheera is made.In every home, the child in family is true lord Krishna of the family. Ask parents to make sheera daily and feed it to the baby before every breast feed.
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Give him/her sheera daily,as many times as he/she wants, say 6-8 times a day till 18 years of age. Children like variety. So different dishes can be made in place of sheera. This is good complimentary feeding. Lord Jagganath(Child lord Krishna),Balaram & subhadra of
1 Krishna & Sudama ate poha Learn from this story. Have a Child is God pocket to each dress of every child. Keep it filled with poha (puffed rice), roasted grams (chana), roasted groundnuts, or any available snack round the clock. If there is nothing else keep rice, roasted, sweetened or just raw. Our. experience shows that children eat raw rice well,digest it well and have no problem, no stomach pain. A gap between food & children causes malnutrition. Close the food gap with food corner & food /snack filled pockets Food / snack filled pocket is treatment of malnutrition. Food / snack filled pocket is vaccine against malnutrition.
Jagganath Puri.(seen in photo) 2Lord Jagannath is given food 6 times daily.56 tasty dishes are made for him every day.If we ask everyone to do this for our children,malnutrition will disappear.
Photo showing Lord Krishna ,the King lovingly receiving pufed rice (poha) which poor friend Sudama brought as a gift.
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Lord Krishna ate Butter (Makkhan). This has 2 lessons. Lesson 1 This story helps us to increase oil & fat consumption in weak,malnourished babies.Tell parents as follows. Lord child Krishna ate makkhan.Your child is your lord Krishna, give makkhan or add oil or ghee to everything he eats. Parents happily listen to you & add a spoon of oil to each weaning feed that a baby takes. Lord Krishna is called as Makhan chor. He & his friends had to steal
Krishna & friends make human pyramid to steal & eat butter kept in a pot hanged on ceiling.
Makkhan. Mumbais biggest festival of Dahi handi is celebrated on Janmashtami, the birthday of Child is God lord Krishna. It reflects the sad shocking unbelievable truth that Lord Krishna, Kings son, God Himself had to steal food. This explains why 85% of Indian Children are malnourished.Same is true universally. It reflects the sad truth that in most of our houses the food and the water are beyond the reach of our children. They do not get food and water ad lib,i.e.at liberty,i.e.,when they want. They have to depend on others. And any one who has to depend on others, fails & suffers. In our homes, the children are on the ground, and the food is on the table. Drinking water is on the table, butter (Makkhan)is in fridge. We keep food & water, beyond the reach of children.Let us keep food and water with in the reach of children in all houses. Fortunately children are not required to ask for air. They take air as they want. So there is no malnutrition of air in children. Like air if food and water are made liberally available to the children with in their reach malnutrition & diarrhoea/sunstroke deaths will decline.
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InSatyanarayan pooja (Worship of God of Truth: photo shows it.) )
In India idol of child lord Krishna is worshipped.The idol is kept say in one corner of a room. All fruits,Prasad of Sheera (also called sooji halwa) & water etc are kept in front of the idol.The child in the home is true child Krishna of that family.For him, the family should keep a corner of the house.Name the corner as baby corner or Krishna corner. The family should always keep snacks,
fruits, water etc. which the child can reach & take independently, Child is ad lib.and can feed him self. God This may spoil the floor. But it is good to have good children in a spoiled house than having spoiled children in good house. In Gujarat every house terrace has a corner on terrace. It is called as CHABUTARO.It has food and water kept for birds. We need similar kid food corner on the floor in every house. This kid food corner eliminates hunger,thirst and malnutrition and majority of child deaths in 2 ways. Chicken in poultry farm live in bondage. But are free to eat at liberty.They grow 1 kg.per month.Children are born free but are not free to eat at liberty.They have to eat what parents give, when parents give.This is one reason for malnutrition. Make a child corner in each house & eliminate malnutrition. Children,like chicken should eat round the clock. When a child gets free access to food, he feeds himself. If he does not get food, he remains hungry. He starves & then gets malnourished. Give free access to food to children. This eliminates hunger, starvation and malnutrition. If a dogs or cats baby gets thirsty it goes to the water hole and
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drinks water. If it is more thirsty in summer or due to diarrhoea, it has the option of drinking more water. This eliminates dehydration. Each house should have a waterhole or a water bottle on the ground which a thirsty child can access independently at lib. When a child gets diarrhea, he loses water, and becomes thirsty. If he gets enough water to drink he does not get dehydrated. A diarrhoea child gets thirsty first, dehydrated next and dies last. Keep water within reach of a child. If he is thirsty he will drink water himself. Thus if thirst is eliminated, dehydration and diarrhoea deaths are reduced.Water kept in the baby corner/Krishna corner does this job. In summer children get dehydration fever & heat stroke.If water is available with in reach,they will drink it and sunstroke & dehydrataion fever will decline. In India Dr.Babasaheb Ambedkar said each village should have one water source accessible to every one . We want one water source for a child in every house within the reach of children. Use Krishnakatha to promote exercise & dance : Krishna & Balram did wrestling,exercise and went to gymnasium. Promote exercise that we & children sadly miss Dance is the best exercise. Our dances are based on Krishna katha.
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T.V.is the best dance teacher available in every house. Lord Shankar ,Lord Krishna, Lord Child is God Ganesh are all DANCING GODS Use Krishnakatha to teach music: Krishnas flute is famousUse it to teach music and instruments to children. Promote adoption with
Krishnakatha: Krishnas parent were in jail.He was adopted by Yashoda & Nand.So he survived.Indias census 2001 shows that every 7th family has no baby. On one hand childless families live miserably. On the other hand babies in orphanages live miserably and many die. Let us use Krishnakatha and promote adoption. Let us Make adoption laws simpler.Let us Make give baby take baby club / Krishna club & promote
adoption. Indian mythological figures Krishna & Karna both were adopted at birth. So they survived. Use this example for early adoption ,as soon after the birth as possible, because risk of death is highest in unwanted babies. Learn Chivalry from Krishna Krishna liberated 10108 women from jails of Narakasur. He helped Draupadi.This should teach chivalry .He helped his friend Arjun. May every one help his friend in need. Learn Evidence based medicine from Krishnakatha: Krishna's famous dialogue, This is Sun and this is Jayadratha reminds us to show evidance and thn act.That is evidence based medicine. It reminds us to get necessary evidence with tests like cultures while treating patients. Learn saving patients from Krishna: We battle to save every serious patient.We should follow Krishna's advice given in Geeta, Do your best, not worring about the results,or returns. Like Krishna become Puroshottam, the best man. May every one become Purushottam like him. He told Geeta and taught principles of living. Gandhiji, Lokmanya Tilakji, Vinoba Bhave etc. lived Geeta. May each one of us understand and live Geeta.
Krishna lifted mountain Gowardhan. (see photo ) We have to lift the Gowardhan of childcare taking each ones help. Reach Krishna katha to all in all languages of the help sms /email story telling t.v., radio, newspapers and improve child health.
Child is God
Lord child Krishnas photo with Bal Devobhava written below it is the logo of our hospital.
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150 + New Ideas To Improve Global Child Survival &amp Child Car

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150 + New Ideas To Improve Global Child Survival &amp Child Car

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150 + New Ideas for Better Global Child Survival and Child Health

THIS BOOK IS DEDICATED TO YOU.

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The Idol of Lord Ganesh

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Tell people about health, accidents & illnesses.

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15. 16. 17. 18. 19.

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22. 23. 24. 25. 26. 27.

Section 2: New tips for Happy Vaccination

Section 3: New Ideas In Clinic

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Section 4: New Ideas In Hospitals

Section 5: New Ideas In Newborn Care

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Section 6 : New ideas in Asthma.

129 132 137 138

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Section 1: 27 New Ideas for Better Global Child Survival

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Global Child Survival No. 1: Nutrition: Breast Feeding.

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Global Child Survival No. 2 : Nutrition: Breast Feeding.

Idea To Reduce Decline In Lactation In Malnourished Mothers.

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Global Child Survival No. 3 : Nutrition

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Global Child Survival No. 4 : Infant Feeding

Table showing head size (Circumference) At different ages

Above figures are taken from standard childcare text books.

MEASURE HEAD CIRCUMFERENCE TO MONITOR BRAIN GROWTH FIR 3 YEARS

Global Child Survival No. 5 : Nutrition

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Global Child Survival No. 6 : Nutrition

First solid food feeding public ceremony:

ANNA PRASHANAM Eleliminates Malnutrition Makes Win Win Weaning

A father feeding a child who was on animal milk earlier.

Global Child Survival No. 7 : Nutrition

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Supine feeding can kill baby. Avoid it completely. Tell all.

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Global Child Survival No. 8 : Nutrition

Constipation Free CHILD World

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Global Child Survival No. 9 : Nutrition

Flat uMbilicus due to water in abdomen

Puffy eyes best seen on crying

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P.E.M. = Puffy Eyes, Edema Feet Flat uMbilicus.

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Global Child Survival No. 10 : Nutrition

Malnutrition is a wrong diagnosis Call starvation as starvation

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Global Child Survival No. 11 : Nutrition

3 vaccines & treatments of Malnutrition & Constipation in children

Snack filled pocket, Akshaypatra, Baby Snack Corner

1.Snack filled pocket, is treatment & vaccine of malnutrition.

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3.Child snack corner is treatment & vaccine of malnutrition.