Indian journal of public health
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Indian J Public Health · Oct 2009
Poisoning, stings and bites in children-- what is new? An experience from a tertiary care hospital in Kolkata.
Poisonings, stings and bites continue to be important cause of pediatric morbidity and hospitalization. The toxic product involved in the poisoning varies in different geographical areas and in same area over time. A retrospective study was conducted amongst the children of the age group up to 12 years admitted to a tertiary care hospital in Kolkata from January 2005 to December 2008. ⋯ Mosquito coil and refill liquid were the new additions to the list of poisons and their ingestion was cause for admission of 15 (3.33%) children. The number of admissions due to stings and bites was 108 (0.63% of all admissions) during the above period. Of all the cases, 9 (1.83%) cases of accidental poisoning and 4 (3.7%) cases of stings and bites died.
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Death certification is believed to be very poor and inaccurate in most of the health institutions in India. A hospital based study on assessing the accuracy in completing the medical certificates of cause of death was conducted in Regional Institute of Medical Sciences (RIMS), Imphal during September to December 2007. Medical Certification of Cause of Death (MCCD) from the Medical Record Section for the period from 1st January up to 31st December, 2006 were audited for errors committed in completing the certificates. ⋯ Major error was observed in 38.3% and minor error was observed in 77.6% of the MCCD. Mechanism of death was listed as the cause of death in 21.9% of the certificates. The most prevalent type of error was the absence of time intervals (65.3%).
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Health and human rights are inextricably linked. Factors that violate human rights are likely to result in deprivation and ill-health. ⋯ On the other hand DOTS strategy as exemplified by India's TB control programme serves to protect human rights by increasing political commitment, equitable access to quality services and enhancing accountability. By adequate treatment and cure of TB patient, it not only serves the individual but also community by preventing spread and emergence of resistance to available drugs.