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Classify Cancer as a notifiable disease to succeed in fighting it: Dr. Dattatreyudu Nori

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Classify Cancer as a notifiable disease to succeed in fighting it: Dr. Dattatreyudu Nori


Dr. Dattatreyudu Nori, who has been appointed as AP Government Advisor (Cancer care) speaking to The Hindu in Vijayawada on Tuesday.
| Photo Credit: KVS GIRI

Dr. Dattatreyudu Nori, who has been appointed as AP Government Advisor (Cancer care) speaking to The Hindu in Vijayawada.

Dr. Dattatreyudu Nori, who has been appointed as AP Government Advisor (Cancer care) speaking to The Hindu in Vijayawada.
| Photo Credit:
KVS GIRI

There are reports that the incidence of cancer in India is on the rise. How do you look at the emerging trends?

The cancer incidence is growing in India primarily for two reasons. The first factor is that the older population is increasing even though there is a significant number of middle-aged groups.  Secondly, there is an increased awareness about cancer. On the diagnostic side, there are more facilities. Everyone feels cancer numbers are going up. It is true to some extent but the awareness has also improved among the public.

Except for the M.N.J. Institute of Oncology and Regional Cancer Centre, there is no other government-dedicated hospital to treat cancer in Andhra Pradesh and Telangana states. What is your suggestion?

MNJ Hospital is a Regional Cancer Centre started with the approval and funds given by the Union government. Serving not only A.P. and Telangana but the entire southern region because care is free. The government is strengthening it. Such Regional Cancer Centres help a group of patients who cannot afford to go to private hospitals. What I suggest to the governments is that they should strengthen their government hospitals with the latest technologies and treatments. Everything that a corporate hospital can deliver should be available for deliverance in government hospitals.

The first order of duty is to identify deficiencies in government hospitals and strengthen them. That way you will serve more people, who cannot afford cancer treatment. The governments should see that treatment is accessible by free transport from anywhere to anywhere within the State; providing accommodation to the patient’s family. All these are crucial if you want to provide optimal care for underprivileged people.

Do you feel that there is a need for sub-regional cancer centres?

I will tour all the hospitals in Andhra Pradesh. I am from A.P., and I studied in Kurnool, I know in and out of every hospital. I will study and report to Chief Minister N. Chandrababu Naidu on what can be done immediately, short-term, intermediate and long-range plans. That is the first order of my responsibility to present the information to the Chief Minister.

The report should be ready in three months probably but for data available with the government.

Do you advocate the PPP model as the governments are not in a position to invest more in cancer hospitals?

First, we find deficiencies and find funding. I have to know what the deficiencies are. Then funding can be accommodated automatically. Either requesting the Central government or institutions like Tata Trusts which has hospitals in places like Visakhapatnam and Tirupati. The A.P. government already has a tie-up with Tata Trusts. We will ask them to establish centres where there is a deficiency.

Government hospitals are not fully equipped yet. Corporate hospitals have taken over cancer care.  The problem is that middle and low-income classes cannot afford cancer treatment despite Aaryogyasri and other schemes. There are about 1.4 to 1.5 million cancer cases every year. We need more cancer centres but not at the corporate level because cancer treatments are very expensive.

You are meeting Prime Minister Narendra Modi. What do you have to suggest to him to address cancer-related issues? 

The government has to classify Cancer as a notifiable disease. India should adopt a strategy akin to fighting COVID-19. District and State-level data for the entire country has to be prepared, and thus prepare a Cancer Atlas. The establishment of a cancer command and control (CCC) centre in India is necessary. The cancer department has to be a single entity not a sub-division of the health department. The government should adopt a five-point solution, which we call Panchamrit, to address the cancer crisis in India. There is a need to declare cancer a notifiable disease, subsidise cancer screening and establish a command-and-control centre. We should get accurate cancer incidence and prevalence data. This will help in identifying high-density areas and how to allot resources.

In the backdrop of a lot of opposition and conspiracy theories to the HPV vaccine in India, what’s your take on the vaccination? What is the scenario in other countries regarding the vaccine?

Western countries have proved that the HPV vaccine is successful. The Government of India is also encouraging. Remember that 200 women die every day due to cervical cancer.  Social media writes all kinds of nonsense. You should write the truth about cervical cancer and spread awareness about the HPV vaccine.

What is your suggestion to governments to fight cancer?

To address the crisis in India and A.P., it has to be a two-pronged strategy. Apart from treating the existing patients, it is also important to focus on creating awareness, health education, prevention screening and early detection. If you want to succeed in the cancer fight you have to give a balanced approach to both.

How do you look at traditional medicine and various kinds of treatments for cancer?

All medicines are available. Immunotherapy medicines are available and the government and pharma companies are subscribing to them. Some traditional medicines may work, but they don’t have time to do research. I am not against traditional medicines, but it has to be proven with data.

It is said that cancer is a genetic disease. How far is it true?

90% of cancer cases are due to somatic mutations, and the remaining 10% are genetic. If one changes their lifestyle by quitting smoking and alcohol, and eating nutritious food, cancer can be prevented.

What about the research centre at Basava Tarakam Hospital?

A research centre is coming up with ₹10 crore in Hyderabad. The building has been identified. We are buying new equipment.  Research teams are ready. Actually, this is not new, we are moving from the old building to the new one.



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Experts warn against overuse of last line antibiotics

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Experts warn against overuse of last line antibiotics


Image for representation only.
| Photo Credit: Getty Images/iStockphoto

Infectious diseases experts have flagged the overuse of a potent antibiotic leading to it losing its efficacy, and drug resistance. The Drugs Controller General of India has been urged to lay down strict pathways for these newer antibiotics, so that they are not misused by practitioners.

Abdul Ghafur, infectious diseases specialist, and founder of the AMR Declaration Trust, has written to Rajeev Singh Raghuvanshi, DCGI, about ceftazidime-avibactam. “One of the most potent antibiotics currently available in our armamentarium is rapidly losing its efficacy due to extensive, irrational, and uncontrolled use.”

The drug which was initially registered with the U.S. FDA in 2015 and after three years it was approved in India, is a last-line antibiotic. It is to be used as targeted therapy for certain carbapenem-resistant gram-negative infections and not prescribed as a general antibiotic.

Dr. Ghafur however claims it is already being misused in the community. “To overcome this resistance, aztreonam is often added to ceftazidime-avibactam, unfortunately, resistance has now emerged even to this combination, due to irrational use.”

The problem, he explains, is that while the DCGI has licenced the drug, it has only provided indications for use. There are no clear-cut pathways laid out, and nothing to deter mis-prescriptions.

This trend could erode the huge gains secured in India primarily with the ban on use of colistin as a growth promotion drug amongst poultry, in recent times. This ‘bold and meaningful action’ from the government resulted in a significant drop in prevalence of colistin-resistant bacteria in hospitals in India, he adds.

Rational use

There are two new very powerful antibiotics that are about to enter the Indian market, Cefierocol and Cefepime-zidebactam. Dr. Ghafur urges the DCGI to kick in with antibiotics stewardship: “We need these drugs in India. However, their use must be restricted strictly to infections where no other effective alternatives exist. Education alone is not enough; we need a clear regulatory pathway to ensure the rational use of these molecules from the moment they are licensed.”

“If we do not act now, we risk losing the few therapeutic options left. Antimicrobial resistance (AMR)is already a serious crisis in our country. Without urgent and strong action, it may escalate to an unmanageable level. We cannot change the past — but we still have time to act for the immediate future,” he says.



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When it comes to edible oil, finding the right balance is key

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When it comes to edible oil, finding the right balance is key


The debate on how much edible oil, and what kind of oil, is good or bad for health seems never-ending. But the trick here is finding the right balance as moderation is key, say experts.

Importance of fats in a balanced diet

Meenakshi Bajaj, dietician, Tamil Nadu Government Multi Super Speciality Hospital, said it is essential to understand that all three macronutrients (carbohydrates, fats, and proteins) play a crucial role in an individual’s health. “Fat is an indispensable component of a balanced diet, necessary for the absorption of fat-soluble vitamins, synthesis of hormones, as well as several vital physiological and metabolic functions in the body. Dietary fat comprises both visible and invisible sources. Visible sources include fats and oils, ghee, vanaspati and butter used for cooking. Invisible sources encompass whole eggs, milk and milk products, nuts and oilseeds, meat, poultry, and fish,” she said.

Edible fats and oils have benefits and drawbacks, she said, adding: “There are three types of fatty acids present in our diet: saturated fatty acids (SFA), monounsaturated fatty acids (MUFA), and polyunsaturated fatty acids (PUFA). A healthy diet should incorporate varied sources of fats and oils, maintaining an ideal ratio of healthy fats (mono and polyunsaturated fats) to unhealthy fats (saturated fat).”

Choosing and using oils wisely

Daphnee Lovesley, chief clinical dietitian, Apollo Hospitals, Chennai, points out, “Oils are essential in our diet as they provide essential fatty acids that the body cannot produce. Like everything else, moderation is key. Oils are calorie-dense, providing about 9 calories per milliliter, and in Indian cooking, there is often a tendency to use them generously, particularly in fried foods. Reducing oil intake by four to five teaspoons per person per day can make a big difference. Nuts like almonds, walnuts, or peanuts can be enjoyed in moderation—a handful a day is sufficient.”

The National Institute of Nutrition (NIN) suggests incorporating a diverse variety of oil seeds, nuts, and whole grains, Ms. Bajaj pointed out. “Studies indicate that consuming nuts like almonds and cashews can improve lipid profiles and reduce blood pressure in individuals with type 2 diabetes. However, moderation is key,” she said.

Blending oils to achieve a balance of fatty acids and antioxidants is beneficial, she said, noting: “NIN advises combining oils such as groundnut, sesame, rice bran, and mustard oils, which have been shown to reduce the risk of type 2 diabetes and metabolic syndrome.”

Health risks associated with reheated oils and trans fat

Ms. Lovesley further adds. “Oils rich in monounsaturated fats—such as sesame oil, groundnut oil, and rice bran oil—are good options and are readily available locally. Using a blend of oils is often considered a safer and more balanced approach.”

However, reusing oil is harmful, she adds. “Repeated heating at high temperatures causes chemical changes that lead to the formation of polycyclic aromatic hydrocarbons, which are carcinogenic. Reheated oils have been linked to an increased risk of cancer, cardiovascular diseases, and elevated cholesterol and blood pressure levels. When consuming food outside, it is difficult to know how many times the oil has been reheated—this could contribute to inflammation and, subsequently, obesity.”

Ms. Bajaj emphaised that trans fats from reheated oil, bakery items (such as cakes, pizza, puffs, pastries, biscuits, cookies, doughnuts), and partially hydrogenated edible fats in packaged and processed snacks increase triglycerides and LDL cholesterol (bad cholesterol), lower HDL cholesterol (good cholesterol), and heighten the risk of cancers and cardiovascular diseases. Check food labels on ready-to-eat foods for partially hydrogenated fats (unhealthy fats), she added .

The impact of cooking methods on the nutritional quality of oils should be considered. “Oils exposed to high temperatures for extended periods can lose antioxidants and generate toxic compounds and trans fats. Repeated heating of cooking oils produces harmful compounds and should be avoided. On a household level, vegetable oil once used for frying should be filtered and reused for sautéing purposes within the next 24 hours. Remove food particles from oil during frying before they turn black. Oils repeatedly heated should not be mixed with fresh oil but can be used for seasoning,” she said.

Healthy eating as preventive care

With obesity being a major public health concern, it’s important to recognise the key contributing factors: poor dietary habits, a sedentary lifestyle, and inadequate sleep. Stress can also play a role in some individuals. “However, we should focus on what we can control—eating balanced meals, staying physically active, and maintaining good sleep hygiene—to prevent obesity. Childhood obesity is growing too, making it crucial to encourage healthy habits early in life,” Ms. Lovesley said.

Ms. Bajaj reiterates that intake of oils and fats should be moderated. “It’s not about restriction; it’s about smart and healthy choices for improved metabolic health. By making informed choices regarding the types and quantities of fats in our diets, we can promote better health and well-being for ourselves and our families,” she said.



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Autism Spectrum Disorder and the importance of early diagnosis and support

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Autism Spectrum Disorder and the importance of early diagnosis and support


By acquiring a comprehensive understanding of ASD and utilising appropriate resources, families can effectively navigate this journey. | Image used for representational purpose only
| Photo Credit: Getty Images/iStockphoto

Autism Spectrum Disorder (ASD) is a developmental condition that impacts communication, behaviour, and social interactions. For many families, receiving an autism diagnosis can be a moment of confusion and concern. However, with the right guidance and support, there is also hope for growth and progress. By understanding ASD and accessing appropriate resources, families can navigate this journey with strength and resilience, fostering a supportive environment that allows individuals with autism to thrive.

Early signs to watch for

Most children show signs of autism before the age of three. Some children may experience delayed speech or language development, along with limited eye contact or fewer facial expressions. They might find it difficult to understand social cues or recognise emotions in others. Repetitive behaviors or a strong attachment to routines are also common. In some cases, certain sounds, textures, or lights can trigger strong sensory reactions. Adapting to school environments may present additional challenges. It’s important to remember that autism is a spectrum, meaning the signs and their intensity can vary greatly from one child to another.

Why early diagnosis matters

With early intervention, many children with autism can make great strides in their development. Therapies started at a young age are often more effective because the brain is still growing and learning quickly.

If you notice signs, do not delay in seeking an evaluation. Paediatricians, child psychologists, and developmental specialists can guide you through the process.

Understanding the impact on families

Having a child with autism can bring emotional and practical challenges. Families may feel overwhelmed, unsure of what to do next, or even isolated. It’s important to know: you are not alone, and support is available.

Understanding your child’s needs is the first step. Ask questions, read reliable sources, and talk to specialists. The more you know, the better you can support your child.

Every child has unique talents- some are musically gifted, others are great at puzzles or drawings. Celebrate their strengths while helping them improve areas they find difficult. Children with autism thrive on structure. A predictable daily schedule can reduce anxiety and improve behaviour.

Speech therapy, occupational therapy, and behavioural therapy are often recommended. These therapies focus on improving communication, motor skills, and daily living skills. It also aims at helping  helping them become more independent in their day-to-day activities.

Even if your child is non-verbal, they can still communicate. Tools like picture cards, sign language, or assistive devices can help.

Progress may be slow, but small victories matter. Celebrate every new word, every new skill, and every smile.

Support systems for families

Many parents ask, “Is there anyone who can help us through this?” The answer is yes. Talking to other families going through similar experiences can be reassuring and informative. Schools now offer inclusive education and support for children with autism. Several organisations provide therapy, counselling, and vocational training for children and young adults with autism.

Hope for the future

While autism cannot be “cured,” it can be understood and managed. With early help, many children grow up to lead independent and meaningful lives. Some may need more support than others, but every child deserves the chance to reach their full potential.

There are incredible growth that’s possible with the right mix of therapy, family support, and community awareness. What matters most is not changing the child—but changing the way we understand and support them.

With love, patience, and the right care, children with autism can thrive. The journey may be different, but it can be beautiful in its own way.

(Dr. Pushpakala is consultant paediatrician at Kauvery Hospital, Alwarpet. She can be reached at lakshmisundararajan@gmail.com)



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