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City Diary - Communities Doctors fall prey to TB By Akanksha Maker Posted On Saturday, June 28, 2008

The most common illness in the country, tuberculosis (TB), claims several victims among the lower middle class population in the city. However what has made TB so notorious among the medical fraternity is its highly contagious nature which makes those working around the patients susceptible to contracting the dreaded disease. Many city doctors attending to TB patients in government hospitals have been infected by this disease thanks to the hazardous working conditions in these hospitals. “Around 65 doctors in 2007 got affected by TB. Eighteen of these doctors were from King Edward Memorial (KEM) hospital. One of these doctors couldn’t survive viciousness of the disease,” says Dr Gunjan Kumar Sharma of KEM hospital. When asked the reasons for this rampant spread of the disease among doctors, he replied, “The working conditions at most of the government hospitals are miserable. The workload is four times of what it s hould be and a ward which should ideally have four to five residents (doctors) has to manage with just one.” “It is not that safety precautions are not practised. Masks are provided, but they are not resistant to the tuberculosis bacteria that can transmit through the masks as well,” says Dr Maunil Bhutta, a student of MBBS at KEM hospital. “It’s just that the stressful work schedules and unhealthy eating habits of doctors reduce their immunity tremendously making us more prone to the disease,” she added. Moreover, the patients that affect the doctors are usually diagnosed with MDR (Multi drug resistant) TB, which is an extremely virulent strain of the bacteria that is several times more lethal than the usual TB bacteria. Dr Mahesh Yeolaker, dean, KEM hospital, assures that the issue was being taken care of. “It is true that our residents (doctors) are at a high risk of contracting TB, but we are making sure that the conditions in our hospital improve. We have advised our doctors to increase their immunity by eating right,” he said. However some of the doctors feel that simply eating right to increase immunity will not keep TB at bay. Dr Ravikant Singh, a doctor at the hospital says, “The conditions of the hostels are so bad that there is a high proba bility of doctors contracting the infection. Even trivial issues like a bed bug problem can aggravate the problem.” Agrees Dr Balaji, senior AMO (Assistant Medical Officer), “Along with the conditions, the poor ventilation and over-crowding in the wards is worsening the scenario. Something needs to be done. And fast.” Other hospitals such as JJ Hospital and Sion Hospital too are facing the same crisis. Suleman Merchant, dean, Sion hospital agreed that the issue needs to be tackled and assured it was being done. “The hygiene conditions in our hospital are not up to the mark. A plan to upgrade them is what we have in mind right now,” he said. The dean of JJ hospital, Dr S.K Chand, also acknowledges this problem but feels helpless about it. “I won’t deny that the facilities in our hospital need improvement, but it is the lack of


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Akanksha maker articles by Akanksha Maker - Issuu