Let’s talk about Asthma in Children

Today is 1st May, It’s celebrated as World Asthma Day everywhere across the globe. And it’s time to spread awareness and treatment for this with the prevalence growing every year specially in the urban children. It’s said that one out of three children have impaired lung in capital New Delhi.

India had 35 million asthmatic patients in 2016

The reason is simple the increase air pollution and global warming. Children are prone to get respiratory problems easily. Less than 5 years age children normally has a hyper-reactive airway. Other than that it’s airway inflammation and airway obstruction due to bronchospasm. Usually we doctors have seen that asthma generally improves with age as resolution take place after childhood.

In infants and children symptoms of asthma are:

•Wheezing (a whistling sound) while child is breathing
•Rapid breathing
•Labored breathing
•Complaints of chest hurting
•Reduced energy
•Feeling weak or tired

Having a clinical symptom of wheezing is not just the diagnosis for the asthma, as it takes at least 3 episodes of wheezing that are reversible to clinically diagnose.

Risk Factors of Asthma in Children:
•Family history of allergies and/or asthma
•Secondary smoking before and/or after birth
•Frequent respiratory infections
•Living in overcrowded areas like in cities
•Growing up in a low income, urban environment
•Low birth weight baby
•Recent Studies shows baby with Cesarean section induces

There are several things that triggers asthma that includes:
Allergens: Dander of pets like cats and dogs in the house, dust particles, mitesm pollen grains in environment, fungi etc.
Exercising or playing sports triggers the asthmatic attack,
Emotional changes can induce,
Changing in temperature: Either too cold or too hot,
Viral Infections like Rhino virus, Influenza,
It’s seen many of the child’s parents or family members who smoke in the room triggers,
and lastly some drugs like NSAIDs and beta blockers.

If you want to prevent your child from asthma attacks always remember:
Never ever smoke cigarette, hukka, bidi etc in front of child.
Don’t even use mosquito coil (kachhua chhap) or agabartti.
Don’t use perfumes.
Have allergy testing to get to know the status.
Keep away pets if the allergy is with danders.
Stay away from pollution prone areas.
Always remember to give an inhaler before child leave for school.

To get the confirm diagnosis the gold standard is PFT (Pulmonary Function Testing)

Other than PFT, Complete blood picture shows eosinopiliha (>4%) and Immunoglobulin test IgE levels comes elevated.

There are various types of inhalers in the pharma shops available nowadays. It’s easily controllable by taking puffs out of it as per the direction and suggestion of your physician to take control of the asthma attack.
For children 4 or less than that there is face-mask + Spacer + MDI (Metered Dose Inhaler)
For children 5-12 years age: Spacer + MDI
For children above 12 can take directly with MDI.

Sad asian child holds a mask vapor inhaler for treatment of asth
Image: Face-mask inhaler


OMG! This is the condition of health facilities in India

‘India spends less of its GDP on health than some of the world’s poorest countries.’

A single government hospital serves an estimated 61,000 people in India, with one bed for every 1833 people, new official data shows. In undivided Andhra Pradesh, every government hospital serves over 3 lakh patients while in Bihar, there is only one bed for every 8800 people.

Union Minister for Health J.P. Nadda released the National Health Profile 2015 prepared by the Central Bureau for Health Intelligence (CBHI) in September 2015 along with officials of the Ministry, the Directorate General of Health Services and the CBHI.

Every government allopathic doctor serves a population of over 11,000 people, with Bihar and Maharashtra having the worst ratios. The number of qualified allopathic doctors registered with medical councils fell in 2014 to 16,000, or less than half the previous year’s number; the data was however provisional, CBHI officials said.

India now has cumulatively 9.4 lakh allopathic doctors, 1.54 lakh dental surgeons, and 7.37 lakh AYUSH (Ayurvedic, Yoga, Unani, Siddha, Homeopathy) doctors of whom more than half are Ayurvedic doctors.
India’s 400 medical colleges admit an estimated 47,000 students annually.

According to World Health Organization, doctor patient ratio should be minimum one doctor for 1000 people. But in India there is only one doctor per 1,700 citizens which is increasing rapidly.
The Union Health Ministry figures claim that there are about 6-6.5 lakh doctors available, India would need about four lakh more by 2020—50,000 for PHCs; 0.8 lakh for community health centres (CHC); 1.1 lakh for 5,642 sub-centres and another 0.5 lakh for medical college hospitals.

Health expenditure per capita (in USD) of India is only $61 (around 4,000 INR) that is even less than poor countries like Haiti, Cambodia and Zambia.
World Health Organization statement that countries should spend 5 percent of national income on health care services. As per 2012 GDP India is only spending 1.3 per cent while developed countries like US and the UK spending 15 per cent and 8.5 per cent, respectively. Though as per the latest 12th Five-Year Plan India aims for 3 per cent till 2017.


The Centre’s share of total public expenditure on health has fallen over the last two years, and India spends less of its GDP on health than some of the world’s poorest countries. Among all States, undivided Andhra Pradesh had the highest public expenditure on health in 2012-13. Goa and the north-eastern States spent the most on health per capita while Bihar and Jharkhand spent the least.

Out-of-pocket private expenditure on health has risen steadily over the years, with the cost of medicines, followed by that of hospitalisation accounting for the largest share of the household expenditure. Absolute spending, as well as its share in total non-food expenditure, rises with income levels. Kerala spends the most privately on health.

India is having Human Development Index (HDI) of only 0.609 that is even worse than poor African countries like Guyana & Namibia. Best countries are Norway and Australia that having HDI of 0.944 and 0.935 respectively.

Source: The Hindu & Wikipedia

Five keys to safer food

According to World Heath Organisation (WHO) unsafe food is linked to the deaths of an estimated 2 million people annually – including many children. Food containing harmful bacteria, viruses, parasites or chemical substances is responsible for more than 200 diseases, ranging from diarrhea to cancers.
This year on World Heath Day, the new campaign is for food safety. This is a shared responsibility. It is important to work all along the food production chain – from farmers and manufacturers to vendors and consumers.
So here are the five keys to safer food offer practical guidance to vendors and consumers for handling and preparing food as per WHO:
Key 1: Keep it clean

It is always necessary to clean your hands before handling, preparing and cooking food. Wash your hands after using toilet, with a good antiseptic soap. Wash and sanitize all the surfaces and equipment used in preparation of meal. And make sure you are protecting your kitchen areas and food from insects, pests, and other birds and animals. All the things above will let dangerous infectious micro-organisms away from food that are found in soil, water, animals and people. It usually carries through hands, clothes, utensils and animals.
Key 2: Separate raw and cooked food
It is recommended to keep raw and cooked foods separate reduces the risk of cross contamination. Cross contamination is used to describe the transfer of bacteria from sources such as raw meat or poultry, food handlers, animals and refuse to a high risk food, e.g. cooked meat products, dairy products, egg dishes (high protein foods). Hence you must keep separate utensils and containers for raw and cooked food.
Key 3: Cook food thoroughly

Some cooked dishes contain ingredients that may have harmful bacteria. Cooking foods thoroughly will help to destroy these bacteria. It is important to check that meat, chicken, fish or egg dishes are cooked thoroughly. Always eat fresh food and make heat above 70*C while cooking to make safer for consumption. Also keep reheating thoroughly time after time.
Key 4: Keep food at safe temperatures

Never leave cooked food at room temperature for more than 2 hours. It is recommended to keep in refrigerator below 5*C promptly all cooked and perishable food as it avoid micro-organisms for further multiply; although some grows normally. But keep in mind storing food too long even in refrigerator is not safe. As we all know serving main course hot makes it tasty but it also it slow down or even stops the growth of micro-organisms. So keep it piping hot more than 60*C before serving it.

Key 5: Use safe water and raw materials

In modern world it become must to have a water purifier at home now. Reverse Osmosis (RO) purifier is one of the best in market as dangerous micro-organism and chemicals in water is getting more common. Besides water, choose foods processed for safety, such as pasteurized milk. Prefer farm fresh wholesome food over canned and supermarket. Toxic chemicals may be formed in damaged and mouldy foods. Always wash and peel before eating it raw. Do not use food beyond its expiry or best before date.


Hello, fellow readers. Welcome to my new official blog. It has been great pleasure that you are reading my articles. My name is Ujjawal C. Jain, 20 years old from Bhopal, Madhya Pradesh, India. I am a medical student pursuing Bachelor of Medicine and Bachelor of Surgery (MBBS) from People’s College of Medical Sciences & Research Centre, Bhopal.
Beside being around tough medical studies I like to keep my passionate hobbies too. I love to take photographs of people, patients, events like workshops, events, fests, conferences, parties, celebrations and street with different lenses of my DSLR camera. I am a gadget and social networking freak. I read and compile and a lot of gadgets and technology news. I am personally a vegetarian and animal lover. I love to cook different dishes when I am around my home. Also I love to make jokes, parodies, one liners and parodies in my free time.
My family is a doctor family. My father is MD Pediatrician and mother is home maker & hospital staff manager. In siblings I have only an elder brother, who is MD Pulmonary Medicine. And again I am the youngest future doctor in my family.

So, I guess enough introduction about me. Let me introduce about this blog. I have also written blogs before but those were very casual and informal. This one is my first official blog by my name itself Ujjawal Jain’s Blog. I will keep write my articles on topics of Health, Food, Photography, Medical Studies, Geography, Humanitarian, Astrophysics, Music, Fictional stories, TV Shows & Movies. I request you to keep following my articles. I will be really pleased if you do that.
Thank you! 🙂