Ranchi doc performs 246 surgeries under Ayushman Bharat

Source: dailypioneer.com/

While the State Government is consistently seeking the support of doctors and hospitals in making the ambitious Ayushman Bharat Yojana a success in Jharkhand, a cardiac surgeon in Ranchi has gone out of his way to support Prime Minister Narendra Modi’s vision of providing accessibility of expensive medical facilities to the poor.

Meet 54-year-old Dr Kunal Hazari, MS, MCh, who has successfully completed as many as 246 open heart surgeries in less than a year under the Ayushman Bharat Yojana.

Hazari, the Vice Chairman of Medica Superspecialty Hospital near Booty More, believes that every doctor should be accountable for the health of people living in the country. 

“We are all accountable for the health of our citizens – the government, the hospitals and the doctors,” Hazari said. The 246 surgeries that he performed includes Bypass Grafting, Valve replacements, Tetrology under Ayushman Bharat till now, Dr. Hazari started operating cases under this scheme from October 2018. Since then the graph of patients getting treatment under this scheme has just gone up. Today, out of every 40 patients he operates monthly, at least 35 are covered under this programme.

The scheme provides a cover of Rs 5 lakh per family annually for 10 crore poor and vulnerable families.

The beneficiary under this programme can undertake cashless benefits from public and private hospitals across the country. While Private versus Public Hospitals spark an endless debate in terms of facilities and also the eligibility to cover Ayushman Bharat patients, all the hospitals in the nation are accountable to treat patients under this scheme,said Hazari.

“If you are to provide healthcare facility, all the government hospitals need to be strengthened and equipped. Healthcare of its people is the liability of the Government,”he said.

The system or the chain of procedures for getting covered under the scheme is simple and requires the patients to have a ration card which in turn is needed to generate golden cards —  a facility available at the hospitals.

“The procedure and paper work involved has become so systematic and mechanised that now as doctors we can really focus on treating the patients. It also saves time. Talking about cardiac surgeries, time loss is equivalent to muscle loss,” said Dr Hazari.

The golden cards can be generated within half an hour after producing the ration cards meanwhile the patients can be admitted and the treatment procedures can start, he said.

The hospitals are known to receive funds from the Government within the stipulated time.

“Ayushman Bharat is much simpler for both patients and hospitals compared to the earlier BPL healthcare programme. The simple paperwork, systematic checking of facts post treatment, clearing of payments have all cumulatively built trust among private hospitals and doctors. The trend shows that they are taking it up now,” told Dr Hazari on the current scenario of the programme in the State Capital.

The programme cannot be fully crowned as a success as it has its own set of lacunas. Regularised price slabs for a certain type of medical procedure is one of the major issues that has to be resolved.

“With patients the treatment gets customised according to their body response, one patient can take five days to get discharged while others may take up to 10 days and one price bar cannot accommodate both. We are constantly trying to find solution to this gap,” said Dr Hazari who is also a member of Ayushman Bharat board for the state of Jharkhand.

There is a motion to increase the flexibility of the amount by 10 to 15 per cent.

“The satisfaction I get after treating the needy patients is the prime incentive for being an active force in this scheme by the PM for a healthy nation. Finance always comes secondary,” said Hazari.

The enthusiasm of government, doctors and the public is required for this scheme to be a success, government’s feedback and check system being the major drivers of the movement, he added.

Jharkhand to pay Rs10-cr as ‘performance guarantee’ to anti-pollution body

Source: hindustantimes.com

Following the direction of National Green Tribual (NGT), the state government is set to pay Rs10 crore as performance guarantee to the central pollution control board (CPCB) with assurance of lowering down biochemical oxygen demand below 3mg/litre in seven rivers’ stretches in three years, officials said.

The NGT recently asked the state government to deposit the said amount to the central pollution board as performance guarantee so that the issue could be dealt with serious efforts in a time bound manner.

“Jharkhand is not alone. The performance guarantee was asked from all states having polluted river. The NGT has fixed the rate of guarantee on the basis of pollution level in rivers. Since Jharkhand has seven stretches of seven rivers, the state was asked to pay Rs 10 crore as performance guarantee,” said Jharkhand state pollution control board (JSPCB) chairman AK Rastogi. Rastogi, however, claims Jharkhand stands at four in the river pollution category, which means pollution level is less in rivers of the state.

The stretches of seven rivers Garga, Sankh, Subarnarekha, Damodaro, Jumar, Konar and Nalkari – would go under rejuvenation drive in next three years. The JSPCB has submitted its action plan to the CPCB suggesting ways to reduce pollution level in the stretches.

According to the action plan report, highest BOD level at 8.4mg/litre was found at 10-km stretch of Sankh river, while 6.2mg/litre was recorded at eight kilometre stretch of Garga river along Telmuchu. BOD level at 3.4mg/litre to 10mg/litre was found at 120-km stretch of Subarnarekha river, while 3.9mg/litre BOD found at on 12-km stretch of Damodar near Phusro, Bhandaridah and Dhanbad. Similarly, the BOD level from 3.3mg/litre to 3.8 mg/litre was found on stretches of Jumar, Konar and Nalkari. “We have been given three-year timeline to bring down the BOD level from the stretches below 3mg/litre,” said JSPCB member secretary Rajiv Lochan Bakshi.

Experts say BOD causes a serious threat to the aquatic life due to the depletion of dissolved oxygen. They blame large-scale mining operations in the state for river pollution.

A JSPCB official said about 130 million litres of industrial effluents and 65 million litres of untreated domestic water are released to Damodar drainage system.

The JSPCB suggested hordes of measures in its action plan to reduce the pollution in rivers.

The measures suggested for industries are setting up effluent treatment plants, adaption of zero liquid discharge concept by industries, tailing ponds management plans such as dewatering and drying, water recovery and re-use and discharge legislation compliance.

Pollution abatement measures at domestic source suggested under the action plan included sewerage systems to capture raw sewage flowing into the rivers though open drains and diverting them for treatment and setting up sewage treatment plants for treating diverted sewage.

Bihar to waive off 50 per cent taxes levied on e-rickshawas

Source: newindianexpress.com

PATNA: Alarmed at growing rate of  pollution, the state government’s seven departments have collectively prepared an integrated action plan to tame the menace of pollution in Patna and other cities.

According to a survey report of WHO, Bihar’s three cities namely Patna, Gaya and Muzaffarpur have been found to be among the most 20 polluted cities of world.

Speaking at a world environment day function on Wednesday evening, deputy chief minister of state Sushil Kumar Modi said that all possible steps are being taken to check the pollution in cities growing at an alarming rate.

“In a move to beat air pollution,the government has decided to waive 50% of total taxes levied on the purchase and running of battery-propelled e-rickshawas”, he said.

He further claimed that arrangements have been made to check the pollution emission from vehicles at over 500 fuel refilling centres in addition to run eco-friendly electric buses.

“On 45 fuel-refiling centres in Patna alone, arrangement has been made to issue online pollution check certificates in order to down the level of pollution”he said, adding that state government was committed to control the pollution through awarness among vehicle users and systems.


Bihar’s 1.48 crore power consumers to get smart prepaid meters by 2020

Source: newindianexpress.com

PATNA: Come August 2020 and Bihar’s 1.48 crore power consumers will get smart prepaid electricity bill measuring meters installed in their houses. 

After successful completion of the target, Bihar would become the first state in the country with all its power consumers availing facility of prepaid electricity meters.

Buoyed by recent Lok Sabha victory, the Nitish Kumar government has directed officials of Bihar State Power Holding Company Limited (BSPHCL) to achieve the target of complete installation of smart prepaid electricity bill measuring metres by August 2020, ahead of the state assembly elections in 2020.

CM Nitish Kumar has assigned the task of completing the installation to chairman-cum-chief managing director(CMD) of BSPHCL Pratay Amrit, who has played an effective role in ensuring the complete electrification of villages in record time in the state. 

In the last five years, Bihar has spent a whopping Rs 55,000 crore on electrification works and ensuring availability of power.
 
The CM while lauding the performances of electricity department at a function organised to inaugurate and kick-start various schemes worth Rs 697 crores on Tuesday, said that department should also achieve the target of installing the prepaid meters on top priority.

“Once the prepaid meters are installed, consumers will face not problems like inflated bills of which is major complaint by consumers”, Kumar said.
 
He also asked the power officials to replace all the old wires within the stipulated time frame and ensure separate power connection under the agriculture incentive plan to the farmers.

Deputy CM Sushil Kumar Modi, also present at the function, said that the number of power consumers in the state has increased from 37 lakh in 2012 to 1.48 crores in 2019.

“Thanks to the ample availability of power in even remotest parts, state government got a huge revenue of Rs 9,072 crores. The ample power availability has reduced the sales of inverters and gensets in the state to a great extent”, Modi said.

Pratay Amrit said that installation works of smart prepaid meters will start in July from Arwal and Sheohar districts of the state. He informed the government in his welcome speech that old wires in 28874 circuit km were replaced. “The number of power sub-stations has increased also from 95 to129 with a registered demand of power around 5389 megawatts in the state”, he said.