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At least 100 children die of lychee-linked encephalitis in India


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11 hours ago, Under_Score said:

Bcoz it shows the mentality of the person who is troll voting another poster while disregarding the seriousness of the post, that's why I mentioned the report of the heartless moron Justice Rangnath Misra. 

Well...you have the 'Super' mod power to delete posts which don't suit you & your pet posters who suck up to you. I'm not surprised a bit. 

It is you who was derailing a thread that is about children dying .

You want to discuss that report,start another thread .

 

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11 hours ago, Stan AF said:

 

Ayushman Bharat. Do they anyone who ayushman Bharat won't die? Ayushman Bharat just ensures treatment but people can die even after treatment. Also people will talk about who died, wont talk 100s who are saved. Regarding govt, Nitish is CM. So, people will talk about him. It's up to CM and concerned health minister to tackle it. It's also up to parents whether they bring their kids for timely treatment or not. 

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On 6/19/2019 at 11:45 AM, rkt.india said:

yeah.  max temp, this season here has been around 41 degrees.

 

dehradun max temp can goto 41 ? :woot: 

coimbatores altitude is 400-500m , max recorded temperature is 40.4 Celsius 

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1 hour ago, Under_Score said:

I did not derail the thread, it's just that when someone goes on a troll vote mission...that person should have basic common sense regarding the threads he should avoid, you are a super mod & you failed to notice this...you should've mentioned this to him instead of justifying your decision.

Now you expect the mods to keep a track of troll votes given to posters ?:facepalm:

 

How about getting a thicker skin and not letting something silly like a troll vote effect you so much ...

 

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Bihar encephalitis deaths and riddle of Ayushman Bharat

A total of 648 hospitals are on the panel of the government under the Ayushman Bharat scheme in Bihar. In Muzaffarpur, 28 hospitals are empanelled under Ayushman Bharat.

 
 
Bihar encephalitis deaths and riddle of Ayushman Bharat
 
More than 140 children have lost their lives in June and over 600 others. (Image: PTI)

HIGHLIGHTS

  • In Muzaffarpur, 28 hospitals are empanelled under Ayushman Bharat
  • In Bihar, more than 16 lakh people have enrolled under the Ayushman Bharat scheme
  • Large number of those affected by brain fever in Bihar do not know how to avail Ayushman Bharat scheme
 

Brain fever -- caused by acute encephalitis syndrome (AES) or Japanese encephalitis -- scourge is still not under control in Bihar. According to the Bihar health department, brain fever or Chamki as it is called locally has spread to 16 of 38 districts of the state.

More than 140 children have lost their lives in June and over 600 others are reported suffering from AES/Japanese encephalitis. Muzaffarpur is bearing the brunt with around 120 deaths due to brain fever.

 

Most of the victims have been from the poor socio-economic background for the benefit of whom the previous Narendra Modi government had launched its ambitious medical insurance scheme, Ayushman Bharat last year.

Under the Ayushman Bharat scheme, the beneficiaries are entitled to cashless medical care in government or private hospital up to Rs 5 lakh. In his address to the joint session of Parliament, President Ram Nath Kovind on Thursday said 26 lakh people have availed treatment under Ayushman Bharat.

 

But reports from Bihar suggest that not more than 35 children suffering from brain fever availed treatment under Ayushman Bharat health insurance scheme. This is despite the National Health Authority (NHA), which oversees implementation of Ayushman Bharat, writing to Bihar government ensuring that those suffering from brain fever should be provided insurance coverage.

The reason as to why Ayushman Bharat has so low coverage among encephalitis sufferers in Bihar remains unexplained. The answer may lie in the eligibility criteria and pre-treatment verification process.

 

Functioning of Ayushman Bharat

Households identified in the 2011 socio-economic caste census (SECC) living in a two-room pucca house, owning a two-wheeler or a refrigerator and even a landline phone are disqualified for benefit under Ayushman Bharat in rural areas. However, scheduled caste and scheduled tribe households are eligible under the Ayushman Bharat scheme.

In urban areas, a household with monthly income of more than Rs 10,000 is not qualified to claim coverage under Ayushman Bharat.

If a family is eligible under the Ayushman Bharat scheme, the beneficiary, in the time of need, is required to visit an empanelled hospital and meet Ayushman Mitra, an official who works as bridge between the patient and hospital.

Ayushman Mitra will check eligibility of the patient's family and enrolment under the scheme. The beneficiary will be given a letter with QR code that will be scanned and go through a demographic verification through Aadhaar or similar means.

 

Ayushman Bharat in Bihar

A total of 648 hospitals are on the panel of the government under the Ayushman Bharat scheme in Bihar. In Muzaffarpur, 28 hospitals are empanelled under Ayushman Bharat.

According to the NHA figures, more than 3.74 crore Ayushman Bharat e-card has been issued and more than 29 lakh patients have been admitted to avail treatment under the scheme.

In Bihar, more than 16 lakh people have enrolled under the Ayushman Bharat scheme and around 45,000 have availed treatment under the scheme.

The problem in Bihar, particularly in Muzaffarpur, is that a large number of those affected by brain fever do not know how to go about Ayushman Bharat scheme. There has been confusion among the target population about how to get Ayushman Bharat e-card.

The fact that anyone having a BPL card in accordance with 2011 socio-economic caste census is eligible for treatment under the Ayushman Bharat is not known, as reports suggest.

 

https://www.indiatoday.in/india/story/bihar-encephalitis-deaths-ayushman-bharat-1553951-2019-06-22

 

The deplorable state of health infrastructure and services led the National Human Rights Commission issue notices to the Centre and all the states underlining loss of lives of children in Muzaffarpur. The NHRC identified Bihar, Uttar Pradesh, Haryana and Punjab as "vulnerable" in health facilities. All these states have implemented Ayushman Bharat scheme.

Edited by Stan AF
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Why Modi’s Ayushman Bharat failed in Nitish Kumar’s Bihar as encephalitis killed over 120 kids

Bihar is poor and lacks a network of good private hospitals. This is a severe disadvantage in the books of Ayushman Bharat.

Dilip Mandal Updated: 22 June, 2019 1:08 pm IST

 

2019_3img03_Mar_2019_PTI3_3_2019_000056B

File photo of Prime Minister Narendra Modi with Bihar Chief Minister Nitish Kumar during Sankalp Rally at Gandhi Maidan in Patna | PTI

 

 

Deaths of more than 120 children in Bihar from Acute Encephalitis Syndrome should be a matter of shame for a nearly $3 trillion economy. The outbreak of Chamki Bukhar, as the disease is known in Bihar, is yet another incident exposing India’s poor healthcare system to the world.

 

But the outbreak in Bihar’s Muzaffarpur district has also laid bare the limitations of the Narendra Modi government’s pet project – the Ayushman Bharat Yojana. Hailed as the world’s ‘largest publicly funded health insurance scheme’, Ayushman Bharat promises to provide financial coverage for secondary and tertiary care to poor patients in private hospitals.

 

However, with the number of children dying from Acute Encephalitis Syndrome (AES) rising with each passing day, the focus is back on the capacity of government hospitals to tackle such health emergencies. Contrary to what Modi’s Ayushman Bharat scheme promises, all the patient load in Bihar has fallen on its woefully inadequate government hospitals.

In times of Modicare

Ayushman Bharat Yojana, also popularised as Modicare, was launched by the Modi government in September 2018. The scheme provides for cashless treatment for eligible beneficiaries at empanelled hospitals. The Modi government says its scheme provides a health coverage up to Rs 5 lakh per family per year to around 10.74 crore poor and vulnerable families, or a population of approximately 50 crore.


Also read: Litchis aren’t giving encephalitis to Bihar’s kids, it’s malnourishment


But the catch here is that the ratio of contribution towards the premium/cost of treatment of the beneficiary between the Centre and the state is 60:40. So, at the level of implementation, states with sufficient money in their coffers are better placed to make use of the scheme since they will be able to provide their share of the grant. The Modi government earmarked Rs 6,400 crore in its interim budget (2019-20) for Ayushman Bharat scheme. But only those states that pay the 40 per cent share can avail this fund.

 

That is where Bihar has missed the bus. Because it does not have the capacity and the infrastructure to absorb and benefit from the scheme. 

Bihar’s share in Modicare

Data for the implementation of the Ayushman Bharat scheme until 16 June 2019 is an eye-opener. Against a total of 23.26 lakh claims, Rs 3,077 crore has been disbursed. Gujarat leads the pack by securing Rs 641 crore. Other states with considerable share include Chhattisgarh (Rs 379 crore), Karnataka (Rs 368 crore) and Tamil Nadu (Rs 349 crore).


Also read: Indian TV reporters who were supporting doctors in Bengal are now harassing them in Bihar


Bihar, with the second largest number of below poverty line (BPL) families in the country (after Uttar Pradesh), has been one of the worst performers in terms using the Modi government’s fund for Ayushman Bharat. Under the scheme, the state could raise only 39,943 claims, and the amount disbursed is an abysmal Rs 34.58 crore. Uttar Pradesh with 1.05 lakh claims managed to get Rs 117 crore. Another laggard state is West Bengal, with merely 14,000 claims and Rs 14.14 crore disbursed to it under the scheme.

 

States like Bihar bound to suffer

The Ayushman Bharat scheme, which claims to provide healthcare to “the poor and vulnerable families based on deprivation”, does not reach the poorest parts of India. Bihar and Uttar Pradesh that top the list of states with most BPL families are also the worst positioned to avail the benefits of Modicare.

 

First, these states lack a network of good private hospitals where the poor can easily go to avail free tertiary care. As concluded in a research paper, going by the current spatial distribution of the private health sector in India, its growth in response to the Ayushman Bharat-National Health Protection Scheme (AB–NHPS) is likely to be patchy and concentrated in geographical pockets. States like Bihar, Uttar Pradesh and West Bengal have to do a lot of groundwork, and only then can the Ayushman Bharat scheme reach the poor population in these states.


Also read: Encephalitis deaths: Political opportunism trumping governance in Nitish Kumar’s Bihar?


 

Second, poor states do not have the requisite administrative infrastructure to enrol their underprivileged for the scheme. There are lots of logistical issues involved.

And finally, these states cannot provide for their share of funds (40 per cent of the total expenditure), which keeps them deprived of the money allocated by the Union government. States with concentration of private hospitals, good administrative infrastructure and with deep pockets will be the beneficiaries of Ayushman Bharat scheme.

That is bad news for the poor children of Bihar, who are in dire need of healthcare facilities as well as financial support.

 

https://theprint.in/opinion/why-modis-ayushman-bharat-failed-in-nitish-kumars-bihar-as-encephalitis-killed-over-120-kids/253152/

 

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Is it so hard to understand for people here that a flagship healthcare program meant to be addressed to the vulnerable poor failed in its promise because of

 

a) it has been designed poorly.

b) expecting poor states to foot 40% of the bill.

c) not enough educational outreach programs to create awareness among the Below poverty line recipients so that they will react faster and at-least could have reduced the number of deaths in this case. Mainly this.

 

I'm not saying this program alone is the main reason but if this was implemented properly we could have seen fewer deaths. That is all.

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^ Again! In UP, average count of death was over 500. Now its lesst than 10 for same epidemic.

 

When news reporters and politicians bring in something else than actual issue just to cricise government, Its called doing shameless politics over dead. 

Not everyone will buy this shamelessness. Mahagathbandhan and it crony writters did it throughout last 5 years. Result was shown to them on May 23. So if you want to reach people like me, come with real argument 

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8 hours ago, velu said:

i am not a doctor , but i really cant believe a deadly disease is linked to lychee ..

i did google about this encephalitis and lychee , but there is no solid proof linking both 

Encephalitis has been misused here.  Children have died due to lychee-induced hypoglycemia and not encephalitis.  

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On 6/23/2019 at 4:20 PM, Stan AF said:

Is it so hard to understand for people here that a flagship healthcare program meant to be addressed to the vulnerable poor failed in its promise because of

 

a) it has been designed poorly.

b) expecting poor states to foot 40% of the bill.

c) not enough educational outreach programs to create awareness among the Below poverty line recipients so that they will react faster and at-least could have reduced the number of deaths in this case. Mainly this.

 

I'm not saying this program alone is the main reason but if this was implemented properly we could have seen fewer deaths. That is all.

Is it so hard to understand for that Ayushman Bharat can only ensure treatment? Ayushman itself is not a treatment.  Failure could have been if people did not get treatment under Ayushman Bharat.  Did this happen? Ayush man bharat is a scheme to get free treatment.  This program does not ensure fewer deaths.  This program just ensures treatment and treatment alone does not ensure fewer deaths.  Timely treatment does.  Most kids are brought to the hospitals when there is no hope.  What could any doctor or hospital do in that situation?  It is not the first time that kids died in Mizaffarpur due to this problem.  They die every year.  They died before Ayushman Bharat as well.  In 2012 and 2013, 200-300 kids died.  Ayushman Bharat is not the reason kids died.  

 

Also, why do you think there are not enough awareness programs? Just because the report says so.  Go to the ground and see.  I have worked in Ayushman program and we have setup camps, even on last Sunday we had an Ayushman card camp.  Also, it was everywhere on TV.  Everyone watches TV.  Local authorities, Panchayats also had done announcements through loudspeakers on road and colonies about Ayushman Bharat card.  

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