Link to InteractiveTutorial on Swine Flu published by Patient Education Institute at Medline Plus

http://www.nlm.nih.gov/medlineplus/tutorials/h1n1flu/htm/index.htm
Dr Marwah

Admissibility / Entitlement for traveling by Shatabadl Express

Admissibility / Entitlement for traveling by Shatabadl Express

No.19030/3/2008-E.IV
Government of India
Ministry of Finance
Department of Expenditure
.........
NewDelhi,Dated 29th June,2009.

OFFICE MEMORANDUM

Subject:- Admissibility / entitlement for traveling by Shatabadl Express.

.........

The undersigned is directed to refer to para 2 A of Annexure to this Department's OM of even number dilled 23.9.2008 and to clarify that for the purpose of journeys on tour, officers drawing Grade Pay of Rs.7600 and above are entitled to travel by Executive Class in Shatabadi trains and AC First Class In Rajdhani trains.
--
Dr Marwah

Fwd: CENTRAL GOVERNMENT EMPLOYEES NEWS

---------- Forwarded message ----------
From: CENTRAL GOVERNMENT EMPLOYEES NEWS <ushanandhinite@gmail.com>
Date: 2009/7/25
Subject: CENTRAL GOVERNMENT EMPLOYEES NEWS
To: gomarwah@gmail.com

CENTRAL GOVERNMENT EMPLOYEES NEWS

---

Enhancement of Child Adoption Leave from 135 days to 180 days and extension of the facility of Paternity Leave to adoptive fathers Posted: 24 Jul 2009 07:31 PM PDT No. 13018/1/2009-Estt.(L) GOVERNMENT OF INDIA Ministry of Personnel, Public Grievances & Pensions (Department of Pension & Pensioners'Welfare) Lok Nayak Bhawan,New Delhi-110003 dated the 22nd July, 2009 OFFICE MEMORANDUM Sub: Enhancement of Child Adoption Leave from 135 days to 180 days and extension of the facility of Paternity Leave to adoptive fathers. The undersigned is directed to refer to this Department's O.M. No.13018/4/2004-Estt.(L) dated 31st March, 2006 regarding grant of Child Adoption Leave for 135 days to female Government servant on adoption of a child upto the age of one year, on the lines of maternity leave admissible to natural mothers. After implementation of the Sixth Central Pay Commission recommendations, the period of maternity leave was enhanced from 135 days to 180 days. Subsequently, this Department has received representations requesting for enhancement of the period of Child Adoption Leave from 135 days to 180 days in line with the maternity leave. The matter has been examined in this Department and it has been decided to enhance the period of Child Adoption Leave from 135 days to 180 days. 2. A female Government servant in whose case the period of 135 days of Child Adoption Leave has not expired on the date of issue of these orders shall also be eligible for Child Adoption Leave of 180 days. 3. It has also been decided that a male Government servant (including an apprentice) with less than two surviving children, on valid adoption of a child below the age of one year, may be sanctioned Paternity Leave for a period of 15 days within a period of six months from the date of valid adoption. 4. These orders shall take effect from the date of issue. 5. In so far as persons serving in the Indian Audit and Accounts Department are conceded, these orders issue in consultation with the Comptroller and Auditor General of India. this is a test message

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--
Dr Marwah

Vitamer EA is benfotiamine a dietary supplement

https://www.benfotiamine.net/ShoppingCart.aspx?Category=0

Vitamer EA is benfotiamine a dietary supplement 
 

1. WHAT IS BENFOTIAMINE?

2. IS BENFOTIAMINE SAFE?

3. HAVE THERE BEEN RECENT CLINICAL TRIALS USING BENFOTIAMINE?

4. HOW ABOUT INTERACTIONS WITH OTHER MEDICATIONS?

5. WHAT TYPE OF CONDITIONS MAY RESPOND WELL TO BENFOTIAMINE?

6. HOW MUCH BENFOTIAMINE SHOULD I USE DAILY?

7. WHAT IS THE FDA POSITION ON BENFOTIAMINE?

8. WHY HAVEN'T I HEARD OF BENFOTIAMINE BEFORE?

9. WHAT DOES "PHARMACEUTICAL GRADE" MEAN?

10. HAVE YOU RECEIVED ANY TESTIMONIALS?

11. WHERE CAN I BUY BENFOTIAMINE? 

1.  WHAT IS BENFOTIAMINE?

Benfotiamine is a lipid-soluble form of thiamine (vitamin B-1).  It is perhaps the most effective of the allithiamine group of naturally occurring, thiamine-derived compounds, found in trace quantities in roasted crushed garlic and other vegetables from the Allium genus (such as onions, shallots, and leeks).  The best description of benfotiamine I have found was assembled by AOR, a Canadian nutriceutical company:  Abstracts & Summary Description of Benfotiamine.  If you are interested in the benfotiamine molecule, you may view it here:  Benfotiamine Molecule.  You may also view the original U.S. patent for benfotiamine here:  Adobe Version of Benfotiamine Patent.

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2.  IS BENFOTIAMINE SAFE?

Though benfotiamine is lipid-soluble, it metabolizes quickly, producing high levels of thiamine pyrophosphate (TPP, the active form of thiamine), which then continues to metabolize in the body as usual.  Benfotiamine itself does not accumulate in the body.  The original patent filed in the United States on benfotiamine, Adobe Version of Benfotiamine Patent, included data from LD-50 tests on lab mice (Table III) indicating that benfotiamine is significantly less toxic than common vitamin B-1 (typically, thiamine hydrochloride).  Thiamine hydrochloride has been the subject of much research.  To quote from the European Commission Health and Consumer Protection Directorate General study on the tolerable upper intake level of vitamin B-1, paragraph 3. Hazard Identification:

"3.1. Evidence of adverse effects in humans. Orally ingested vitamin B1 has a long history of use as an oral supplement without reported adverse effects. Due to its therapeutic action in some frequently observed clinical syndromes, thiamine hydrochloride has been advised and used over a long period of time. There are no reports of adverse effects of oral thiamine, even at dosages of several hundred milligrams a day (SCOGS, 1978; DHEW, 1979; Marks, 1989)."

The entire EC study is available at:  Tolerability of Thiamine (Vitamin B-1).  Again, vitamin-B-1 has proven safe after decades of public use and benfotiamine has been found to be significantly more tolerable than common vitamin B-1.  Also, there are no known negative interactions between benfotiamine and other supplements or medications.  However, there is information published by Ohio State University in 1996 and by the European Journal of Biochemistry in 2001 indicating thiamine supplementation should be carefully considered in patients undergoing therapy for tumorous forms of CANCER.  These articles address thiamine in general (not specifically benfotiamine) but I find them relevant since benfotiamine is essentially a very effective form of thiamine.  You may access that information here:  OSU Article, EJB Abstract.

Otherwise, I believe there is minimal to nil downside in trying benfotiamine and the individual results have the potential to be quite significant.  Still, it is wise and prudent to consult your health care provider before beginning a benfotiamine regimen.  Also, if you have a known sensitivity to thiamine, you should check with your health care provider before using benfotiamine.

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3.  HAVE THERE BEEN RECENT CLINICAL TRIALS USING BENFOTIAMINE?

Yes, in the past couple of years interest in this compound has grown significantly.  You may link to some of the recent clinical trial abstracts here: Clinical Trials.

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4.  HOW ABOUT INTERACTIONS WITH OTHER MEDICATIONS?

Benfotiamine has no known negative interactions with any medications.  In fact, the use of some medications may cause a thiamine deficiency which benfotiamine would likely correct:  Interactions.

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5.  WHAT TYPE OF CONDITIONS MAY RESPOND WELL TO BENFOTIAMINE?

While the recent clinical trials have concentrated on conditions such as neuropathy, retinopathy and nephropathy, there is an expectation among those studying this compound that its beneficial effects may be far more wide-ranging, to include:  sciatica, vascular health, general nerve health, improved blood pressure, general cellular protection, anti-aging, fibromyalgia, prevention of lactic acidosis, and treatment for Alzheimer's disease.  A most informative link on this topic is:  Abstracts & Summary Description of Benfotiamine.

Benfotiamine is not just for diabetics.  Any condition that is the result of a thiamine deficiency will likely respond quite well to benfotiamine.  Of course, any bodily function that is improved by a therapeutic level of thiamine would most likely be enhanced by benfotiamine, since benfotiamine is perhaps the most effective form of thiamine.  Some interesting facts regarding thiamine can be found at this link:  Thiamine Facts.   More on thiamine can be found here:  More Thiamine Facts.

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6.  HOW MUCH BENFOTIAMINE SHOULD I USE DAILY?

Though the body cannot use more than about 10mg. of common, water-soluble vitamin B-1 per day, benfotiamine is lipid-soluble and can safely be used at much higher levels than common vitamin B-1.

Most people get excellent results in 14-21 days time using two 150mg. capsules twice per day (two in the morning and two in the evening). Benfotiamine need not be taken with meals. Some people get better results increasing the dosage to 900mg. or 1200mg. per day after the first two weeks. The point here is that benfotiamine is safe at any reasonable daily usage level. An individual should merely find the level that produces the maximum beneficial effect without reaching a point of diminishing return beyond which the excess amount is wasted.

Dr. Brownlee participated in a clinical trial using 600mg./day:  Clinical Trial Using 600mg. Daily. As for me, I noted dramatic results after increasing daily usage to 600mg.  My neuropathy symptoms ceased progression and began to reverse and I experienced a complete cessation of sciatica episodes.  Also, my average blood pressure dropped from a persistent 145/90 to 120/80, without the use of other blood pressure medications.  I now take two capsules in the morning and two in the evening, everyday. 

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7. WHAT IS THE FDA POSITION ON BENFOTIAMINE?

At first I was curious as to whether benfotiamine is considered a drug or a supplement.  I have established to my satisfaction (and based on the expert opinion of others in the industry) that benfotiamine, a synthetic derivative of vitamin B-1, is a dietary supplement under the Dietary Supplement Health and Education Act (DSHEA) of 1994.  During 2003 I have successfully imported to the U.S. both bottled tablets as well as bulk benfotiamine, with full disclosure and full FDA and U.S. Customs review and approval at the respective U.S. ports of entry.  Let me emphasize that.  The FDA did a hands-on review and inspection of my imported benfotiamine, with full disclosure as to contents by both name and chemical formula, and approved all items for import.  Benfotiamine may be imported under Tariff Number:  2936.22.00.00, (thiamine and its derivatives).   

For those curious as to the current FDA stance on dietary supplements, I offer the following quote from their website:

"Under DSHEA, a firm is responsible for determining that the dietary supplements it manufactures or distributes are safe and that any representations or claims made about them are substantiated by adequate evidence to show that they are not false or misleading. This means that dietary supplements do not need approval from FDA before they are marketed."  See:  http://www.cfsan.fda.gov/~dms/ds-oview.html.   As to the safety of benfotiamine, please see the data provided above in this document. 

Back To Top 

8. WHY HAVEN'T I HEARD OF BENFOTIAMINE BEFORE?

Though attempts were made by the Japanese pharmaceutical manufacturer Sankyo to market benfotiamine in the U.S. decades ago, there was little interest until the recent article published in the U.S. by Dr. Brownlee.  Since that time, interest in benfotiamine has increased dramatically.  I have heard some speculation that since the patent on benfotiamine expired years ago, no large company is interested in investing in its promotion.  I personally remain mystified as to why this very beneficial compound has languished in obscurity in this country until now.

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9. WHAT DOES "PHARMACEUTICAL GRADE" MEAN?

"Pharmaceutical grade" means that the product has been manufactured under GMP conditions and is safe, pure and effective.  Under GMP (Good Manufacturing Practices) every step of the process is documented by using established SOPs (Standard Operating Procedures).  This includes training, equipment, raw materials, facilities, and final release criteria.  Everything can be traced back to the date, time, person, lot number, and piece of equipment used.

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10.  HAVE YOU RECEIVED ANY TESTIMONIALS?

Yes, I am very gratified that, like me, many others are getting good results with benfotiamine.  You may read the testimonials I have received to date at this link:  TESTIMONIALS.

Back To Top 

11.  WHERE CAN I BUY BENFOTIAMINE?

Please follow THIS LINK to be redirected to a website where you may order benfotiamine.

Back To Top 

Note:  If you have other questions you would like to see answered here, please email us at:  info@benfotiamine.org.

Back To Top

(Note:  Since benfotiamine is classified as a dietary supplement and not a drug, the U.S. FDA has not evaluated its effectiveness.  Benfotiamine therefore cannot be represented to diagnose, treat, cure or prevent any disease.  Also, the information above was assembled by a lay-person, not a medical professional nor practitioner.  For medical advice, please consult your health care professional.)

--
Dr Marwah

General cancer information, including causes and screening ( www.cancerbackup.org.uk)

Cancerbackup merged with Macmillan Cancer Support in April 2008. It provide the same high quality, expertly developed information about cancer, and now it can make it available to everyone who needs it. The vision is for all people affected by cancer to have the information they want, when they want it - find out more on the main Macmillan website.
www.cancerbackup.org.uk/QAs/TreatmentsQAs/ChemotherapyQAs/All

News on Central Government Health Scheme in Indian Express 17 07 09

IN a bid to make the Central Government Health Scheme more accessible to Central Government employees, the Ministry of Health and Family Welfare is ready with a slew of measures to revamp the scheme. The Government has not only proposed that sample collection services for various tests be available at the doorsteps of the beneficiaries but that reports may also be viewed online. "Hindustan Lever Limited will provide sample collection services. Along with their card numbers, the beneficiaries will be given a password which will help them in viewing their reports online sitting at home," said Dr S Bhattacharjee, Additional Director, CGHS.
The ministry has also recently got the nod from the Cabinet to empanel any state of-the-art hospitals located outside the cities covered by CGHS. "The Ministry is soon going to float another tender to empanel more hospitals.
The last tender was floated in 2006. There are no specialized hospitals for diseases like cancer, which will be taken care of this time even if they are outside the CGHS cities," Health Secretary, Naresh Dayal told The Indian Express.
The Government is also planning to do away with the time-consuming "referral letter" system where the patient is required to obtain a referral letter from the Chief Medical Officer (CMO) before being able to avail of services at CGHS-empanelled hospitals.
The alarming rise in lifestyle diseases has prompted the Ministry into looking at introducing free prevention health check-ups for all the beneficiaries aged 40 years and above.
The dispensaries will also be equipped with dialysis units, ultrasound machines and X-ray machines. "We are entering into a Public Private Partnership (PPP) with Apollo hospitals which will provide instruments for dialysis. The dialysis will be done at as low a rate as Rs 1500," added Dr Bhattacharjee.
Moreover, since CGHS dispensaries are currently restricted to 25 cities, the Government has begun work on a health insurance scheme for Central Government employees after the Sixth Pay Commission recommendation last year. While, the Union Health ministry says that it is practically not possible to provide CGHS dispensaries in other cities, keeping in view the shortage of infrastructure, it has decided to make available the option of health insurance for government employees in non-CGHS areas. About 12 private companies have already sent their Expressions of Interest for the scheme.

Dietary Supplements YOUNG AGE TABLETS Idebenone, which is an analog of CoQ10

YOUNG AGE TABLETS Each film coated tablet contains :
Idebenone 45 mg
colour erythrosine lake


The next generation in anti-aging for the brain!

Idebenone, which is an analog of CoQ10, is a potent cerebral stimulant that can dramatically increase brain energy. Like CoQ10, Idebenone protects the heart and is a powerful antioxidant. Idebenone also enhances brain levels of serotonin, norepinephrine, and increases brain levels of nerve growth factor. Idebenone also protects the brain's myelin sheath and prevents damage to mitochondria. Idebenone has no known contraindications or side effects. Although less well known by the public, Idebenone is regarded as an important and protective anti-aging supplement.

Recommended dosage: one capsule, twice daily

These products are being offered as dietary supplements only and not as a substitute for medical care.

Central Government Health Scheme

Central Government Health Scheme
Some of the recent initiatives are listed below:

(1)Extension of CGHS: CGHS today covers 24 cities, apart from Delhi. Dehradun, Ranchi, Bhubaneshwar and Jammu are the cities where CGHS was extended during the last four years. (2) Computerization: To keep pace with the modern times, a massive computerisation work has been taken up under CGHS in collaboration with the National Informatics Centre. Computerization of the CGHS will result in lesser waiting period for beneficiaries at the dispensaries; on-line placement of indents on local chemists; availability of patient profiles; availability of medicines / drugs usage pattern, which will enable the CGHS to prepare a realistic list of formulary drugs; reduction in use of paper; removal of jurisdictional restriction (as regards the dispensary) for the beneficiaries, etc.

(3) Introduction of Plastic Cards: As part of the computerisation process, it has been decided to issue plastic cards individually to each beneficiary of the CGHS. This will enable beneficiaries to avail CGHS facility in any city should they happen to be in that city either on official work or on leave. Inter-city treatment will be possible after all cities are computerised and networked.

(4) Accreditation of labs with National Accreditation Board for Testing and Calibration Laboratories (NABL) : With a view to providing better quality treatment to CGHS beneficiaries, it was decided that only those private hospitals and diagnostic centres would be empanelled under the CGHS, as have been cleared by the Quality Council of India after it carried out inspection of the facilities available at these hospitals and diagnostic centres. It has also been decided that all the laboratories on the panel of CGHS have to get certificate issued by the NABL under the Quality Council of India.

(5) Medical Audit of Hospital Bills is an important exercise to assess the quality of services offered and expenditure incurred. In order to be sure that the bills raised by private empanelled hospitals are genuine and that the beneficiaries were required to undergo only that treatment as was required and that the hospital has not forced the beneficiary to undergo unnecessary tests / treatment at the hospital. The job of medical audit of Hospital bills has been outsourced to TPAs.

(6) Holding of Claims Adalats: Complaints were received in the CGHS and in the Ministry that old cases of reimbursement of medical expenses incurred by pensioners were pending for settlement for long time. It was decided that claims adalats be held in each Zonal office of CGHS, Delhi, under the chairmanship of the Additional Directors of the respective zones. Claims adalats were held annually, in each zone (East, Central, South and North Zones) in Delhi, during 2007 and 2008 and over 95% of the claims were settled in those adalats.

(7) Local Advisory Committees: Local Advisory Committee meetings are held in each CGHS dispensary on second Saturday of the month, which is attended by Area Welfare Officer appointed by the Chief Welfare Officer, Department of Personnel & Training, representatives from pensioners’ association, local chemist to resolve problems at dispensary level.

(8) Decentralisation and delegation of powers: Ministries / Departments have been delegated powers to handle all cases of reimbursement claims if no relaxation of rules was involved. Earlier they had powers to handle requests upto Rupees two lakhs and beyond that amount, the cases were referred to CGHS.

(9) Insulin: Orders have been issued to permit issue of Analogue (Insulin Vial/Cartridge) to CGHS beneficiaries and the extra cost would be borne by the CGHS. The beneficiaries would have to purchase the pen for utilization the analogue insulin.

(10) Outsourcing of cleaning process of dispensaries: As there were shortage of Class IV Staff in a large number of dispensaries in Delhi, it was decided to relocate Class IV staff from a few deficient dispensaries to other deficient dispensaries. To overcome the vacuum so created in some dispensaries, it was decided to outsource cleaning work for mechanised cleaning. The agency has been handling this work for the last five months, and the work done by them has been appreciated by all.

(11) Rate contract for purchase of drugs: It has been decided to run a pilot project under which dispensaries in Delhi will be permitted to place indents directly on the manufacturers on rate contract basis. If the proposal proves to be a success, then it may be extended to cover the entire CGHS. The benefit of this arrangement is that dispensaries / CGHS do not have to carry huge inventory of medicines and indents can be placed on a monthly basis depending on the need.

The Sixth Central Pay Commission recommended the introduction of health insurance scheme for Central Government employees and pensioners. It had recommended that for existing employees and pensioners, the scheme should be available on the voluntary basis, subject to their paying prescribed contribution. It has also recommended that the health insurance scheme should be compulsory for new Government employees who would be joining service after the introduction of the scheme. Similarly, it had recommended that new retirees, after the introduction of the insurance would be covered under the scheme.

An expression of interest has been floated by the Ministry of Health & Family Welfare inviting suggestions from insurance companies providing health insurance and health consultants on the structure, feasibility and viability of such a scheme.

This information was given by Shri Ghulam Nabi Azad, Union Minister for Health & Family Welfare in a written reply to a question in the Lok Sabha today. Source:PIB

Manage Time Better at Work

http://www.ehow.com/how_5094038_manage-time-better-work.html

[Message sent by gomarwah@gmail.com via AddThis.com.]

Invitation from Govind Marwah to check out a link to dLife.com

Dear Govind's Blog:

Govind Marwah has sent you the following link from dLife.com:

7 Self-Care Behaviors for helpful tips, videos and articles to help you manage your diabetes! Dr Marwah

dLife — For Your Diabetes Life is the number-one consumer resource that empowers millions of diabetes patients and those that care for them to live well with diabetes. dLife is your place to go for all aspects of your diabetes life — to find information, inspiration, and connection with others who share your challenges and concerns. Visit dLife.com today.

Regards,

The dLife Team

Diabetes In Control

Insulin Delivery Devices

Insulin Delivery Devices

CDC H1N1 Flu | Interim Guidance for Infection Control for Care of Patients with Confirmed or Suspected Swine Influenza A (H1N1) Virus Infection in a Healthcare Setting

The following link found at the Centers for Disease Control and Prevention (http://www.cdc.gov) has been sent by gomarwah@gmail.com.

CDC H1N1 Flu | Interim Guidance for Infection Control for Care of Patients with Confirmed or Suspected Swine Influenza A (H1N1) Virus Infection in a Healthcare Setting
http://www.cdc.gov/h1n1flu/guidelines_infection_control.htm

CENTRAL GOVERNMENT EMPLOYEES’ WELFARE COORDINATION COMMITTEES

STAFF WELFARE:

The Central Government being the largest single employer in the country, bears the major responsibility of looking after the welfare of a large number of employees spread all over the country. This Ministry recognizing that welfare of employees is one of the prime tasks of personnel management, provides and aids a large network of staff welfare programmes, thereby underlining the fact that improvement in the working and living conditions of the employees and their families, leads to efficiency and high morale amongst them.
A brief account of the various welfare programmes/organizations under this Ministry is given below:

CENTRAL GOVERNMENT EMPLOYEES' WELFARE COORDINATION COMMITTEES :
Outside Delhi, at a place where there are at least 5 Central Government Offices and the total number of Central Government employees is not less than 1,000, the Central Government; Employees Welfare Coordination Committee has been formed. These Committees are responsible for coordinating the welfare activities of the Central Government employees serving within their jurisdictions. At present, there are 41 such Coordination Committees located in different parts of the country. Senior most officer in the station is the Chairman of the Committee.

RESIDENTS WELFARE ASSOCIATIONS:
In order to foster a spirit of mutual help and goodwill among the residents of government colonies and to promote amongst them social, cultural and recreational activities, Resident Welfare Associations have been recognized in Delhi and in other parts of the country. At present, there are 66 such Associations. The members of Management Committee of these Associations are elected by holding elections every two years under the provisions of the Model Constitution framed by this Department.

GRANTS TO RESIDENT WELFARE ASSOCIATIONS AND CENTRAL GOVERNMENT EMPLOYEES' WELFARE COORDINATION COMMITTEES:
This Ministry has been providing grants to the recognized Residents Welfare Associations and the CGEWCCs as under:
i) Residents Welfare Associations
A maximum of Rs.4500/- per annum
ii) Central Government Employees Welfare Coordination Committee
A maximum of Rs.18750/- per annum for cultural activities and indoor games plus a maximum of Rs.9000/- per annum for Secretarial Assistance. The grants amount is determined on the basis of the staff strength.

AREA WELFARE OFFICERS:
Area Welfare Officers (AWOs) are appointed in residential colonies having a large number of Central Government employees. The AWOs serve as a link between the Government and residents in matters relating to the welfare of Government employees living in various colonies. They also work as field officers coordinating and maintaining liaison with the agencies of Government concerned in matters relating to provision of various civic amenities to the residents, such as CPWD, CGHS, Horticulture, Police, Transport and others. There are at present 64 AWOs' in Delhi and 25 at places outside Delhi.

BENEVOLENT FUND:
To provide financial assistance to the Central Government employees in the event of their prolonged illness, premature retirement, death etc. Benevolent Funds have been in operation in the Central Government Departments. In this Ministry, employees who are members of this Fund, have to contribute Rs.20 each per annum. The Government's contribution to this Fund is Re.1/- per sanctioned staff, per annum.

RECREATION HALLS/CLUBS IN MINISTRIES/DEPARTMENTS:
Clubs have been set up in the Ministries/Departments with the object of organising various welfare activities
For further details, following officers may be contacted :-
Shri Suresh Pal
Director & Chief Welfare Officer,
Phone No.2462 5562
Shri B.K.Chugh,
Deputy Secretary (Welfare),
Phone No.24624722
--
Section Officer (Welfare),
Phone No.2469 4349

OTHER STAFF – WELFARE PROGRAMMES/AGENCIES:
Central Civil Services Cultural and Sports Board, CSOI, Grih Kalyan Kendra and the Kendriya Bhandar represent other staff welfare activities operating under the aegis of this Ministry. The running of Departmental canteens is another important welfare measure.
Dr Marwah

WHO Declares Flu Pandemic

WHO Director-General Dr. Margaret Chan said at a press briefing

Thursday that "the scientific criteria for an influenza pandemic have been

met," and that she was raising the alert level from 5 to 6 — the highest level

(denoting widespread community transmission on two continents).

"We do not expect to see a sudden and dramatic jump in the number

of severe or fatal infections," she said, but she also warned that "the virus

writes the rules."

--
Dr Marwah

New CGHS site

New CGHS site has been launched.

Fwd: CENTRAL GOVERNMENT EMPLOYEES NEWS

CENTRAL GOVERNMENT EMPLOYEES NEWS

Revision of rates of subscription under Central Government Health Scheme due to revision of pay and allowance of CG employees Posted: 01 Jun 2009 05:33 PM PDT Revision of rates of subscription under Central Government Health Scheme due to revision of pay and allowance of CG employees and revision of Pension / Family Pension on account of implementation of recommendations of the 6th Central Pay Commission. Monthly Contributions for availing CGHS facility: S.No. Grade Pay drawn by the officer Contribution (Rupees per month) 1 Upto Rs.1,650/- per month 50/- 2 Rs.1,800/-, Rs.1,900/-, Rs.2,000/-, Rs.2,400/-, and Rs.2,800/- per month 125/- 3 Rs.4,200/- per month 225/- 4 Rs.4,600/-, Rs.4,800/-, Rs.5,400/- and Rs.6,600 per month 325 5 Rs.7,600 and above per month 500/- Entitlements of Wards in private hospitals empanelled under CGHS: S.No. Ward Entitlement Pay drawn in Pay Band 1 General Ward : Upto Rs.13,950/- 2 Semi-Private Ward : Rs.13,960/- to Rs. 19,530/- 3 Private Ward : Rs. 19,540/- and above Monetary Ceiling for Free Diet:The monetary ceiling for free diet for CGHS beneficiaries is revised to Pay / Pension / Family Pension of Rs. 7,450/- per month. Monetray ceiling for free diet for beneficiaries suffering from TB or Mental Disease:The monetry ceiling for free diet in case of beneficiary suffering from TB or Mental Disease is revised to pay / pension / family pension of Rs. 11,160/- per month. Pay slab for determining the entitlement of Nursing Home facilities in Central Government / State Government / Municipal Hospitals:The monetary ceiling for determining the entitlement of nursing home faicilities in Central Government / State Government / Municipal Hospitals is revised to Pay / pension / family pension Rs. 13,950/- per month and above. Monetary ceiling for direct consultation with Specialists in Central Government / State Government / Municipal Hospitals:The monetary ceiling for determining the entitlement for direct consultation with Specialists in Central Government / State Government / Municipal Hospitals is revised to pay / pension / family pension of Rs. 33,480/- per month and above.Hospitals Pay slab for determining the entitlement of accomodation in AIIMS, New Delhi: S.No. Pay (in the pay band)/ Pension / Family Pension drawn per month Ward Entitlement 1 Upto Rs.19,530/- General Ward 2 From Rs.19,540/- to Rs. 25,110/- Private Ward 3 : Rs. 25,120/- and above Private Ward / Deluxe Ward It is clarified that the reference to pay in this order relates to the pay drawn in the pay band. Pensioners have an option to get their CGHS pensioners card made by either making CGHS contribution on an annual basis (Twelve months) or by making contribution for 10 (ten) years [120 (one hundred and twenty) months] for getting a pensioners CGHS card with life-time validity.

Dr Marwah

CGHS Helpline

A good news for all beneficiaries of Central Government Health Scheme (CGHS), Ministry of Health & Family Welfare, Government of India has launched a new helpline number wherein you can drop your complaints and feedback.

Tel. 011-66667777
e-mail- helpline-cghs@nic.in

Beneficiaries can contact the Helpline by phone or e-mail for

• any information about CGHS including Medical Reimbursement Claims
• any Grievance or Complaint

CGHS Helpline operates on all working days from 9:30 A.M. to 5:30 PM.

--
Dr Marwah

May Is Osteoporosis Awareness and Prevention Month

May Is Osteoporosis Awareness and Prevention Month
Osteoporosis is a condition characterized by the loss of the normal density of bone, resulting in fragile bone
three-pronged approach to osteoporosis.
Step one: Bone scans
Step two: Osteoporosis education and treatment.
Step three: Fall prevention

Bone scans using dual X-ray absorptiometry (the gold standard for bone density tests) to the following patients:
    * All patients over age 50 with a history of fragility fractures (fractures not due to trauma)
    * All women over age 65
    * All men over age 70
    * All patients on high doses of corticosteroids and certain other drugs

--
Dr Marwah

Clinical Guidance on Swine Flu

Swine Flu: CDC Offers Clinical Guidance, WHO Raises Alert Level Again

The CDC has released a series of flu-related interim clinical guidance documents. They include one on the care of infected children and pregnant women, another for emergency medical services, and a case-definition document.

With regard to infected children, the advisory says the signs of severe disease include apnea, tachypnea, dyspnea, cyanosis, dehydration, altered mental status, and extreme irritability. Pregnant women suspected of being infected "should receive empiric antiviral treatment."

The CDC clarified case-definition terms as follows:

• An acute febrile respiratory illness is characterized by a temperature of 100.4 degrees or higher and recent onset of one of the following: rhinorrhea, nasal congestion, sore throat, or cough.
• Cases are "confirmed" only by PCR or viral culture.
• "Probable" cases include those with acute febrile respiratory illness, positive for influenza A, but negative for H1 and H3 by PCR.
• "Suspected" cases include symptomatic patients with recent (within 7 days) travel to infected areas or contact with a known case.

WHO raised its pandemic alert level from 4 to 5 (on a 6-level scale), reflecting confirmed person-to-person spread and the imminence of the threat. Earlier on Wednesday, the CDC confirmed the first death in the U.S.

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Dr Marwah

Swine influenza

Swine influenza (also swine flu) refers to influenza caused by any strain of the influenza virus endemic in pigs (swine). Strains endemic in swine are called swine influenza virus (SIV).

Swine flu is common in swine and rare in humans. People who work with swine, especially people with intense exposures, are at risk of catching swine influenza if the swine carry a strain able to infect humans. However, these strains rarely are able to pass from human to human. Rarely, SIV mutates into a form able to pass easily from human to human. The strain responsible for the 2009 swine flu outbreak is believed to have undergone such a mutation.This virus is named swine flu because one of its surface proteins is similar to viruses that usually infect pigs however this strain is spreading in people and it is unknown if it infects pigs.

In humans, the symptoms of swine flu are similar to those of influenza and of influenza-like illness in general, namely chills, fever, sore throat, muscle pains, severe headache, coughing, weakness and general discomfort. The strain responsible for the 2009 swine flu outbreak in most cases causes only mild symptoms and the infected person recovers fully in a few days.

Of the three genera of human flu, two are endemic also in swine: Influenzavirus A (common) and Influenzavirus C (rare). Influenzavirus B has not been reported in swine. Within Influenzavirus A and Influenzavirus C, the strains endemic to swine and humans are largely distinct.

The CDC recommends the use of Tamiflu (oseltamivir) or Relenza (zanamivir) for the treatment and/or prevention of infection with swine influenza viruses. The virus isolates that have been tested from the US and Mexico are however resistant to amantadine and rimantadine. If a person gets sick, antiviral drugs can make the illness milder and make the patient feel better faster. They may also prevent serious flu complications. For treatment, antiviral drugs work best if started soon after getting sick (within 2 days of symptoms).

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Dr Marwah

Diagnostic Centers have been empaneled under CGHS 25/02/2009

The following Diagnostic Centers have been empaneled under CGHS with effect from 1^st November, 2006, and thereafter, for the purposes specified:-

Delhi: (25/02/2009)

Diagnostic Centers

	Central Delhi Diagnostic & Research Centre, New Delhi	laboratory services [Laboratory services depanelled w.e.f. 24.09.2008].
	Chetna's Pathlab, M-26, Basement, Chitranjan Park, New Delhi	laboratory services [Laboratory services depanelled w.e.f. 24.09.2008].
	City X ray and scan clinic (P) Ltd., Tilak Nagar, New Delhi	Laboratory services, CT scan, USG/Colour Doppler, Bone Densitometry, ECG, TMT, X-ray and mammography (Not recognised for MRI).
	City X ray and scan clinic (P) Ltd., Vikas Puri, New Delhi	Laboratory services, CT scan, mammography, USG/Colour Doppler and X-Ray.
	Delhi Heart Hospital, 176, Jagriti Enclave, Vikas Marg Extn., Delhi	Laboratory services and cardiological investigation (colour Doppler, echo cardiography, TMT, Holter and PFT).
	Delhi Institute for Functional Imaging, K-16, South Ex., Part –I, New Delhi	Diagnostic centre for nuclear medicine
	Delhi MRI and CT scan Centre, Aashlok Hospital, 25-A, Block AB, Community Center, Safdarjung Enclave, New Delhi [Now known as Piramal Diagnostic Services – Delhi MR & CT Aashlok Hospital, 25 A Block AB, Community Centre, Safdarjung Enclave, New Delhi 110 029]	CT scan and Ultrasonography only.
	Delhi MRI Scan Centre, M-2, Hauz Khas, New Delhi [Now known as Piramal Diagnostic Services – Delhi MRI, M 2 Hauz Khas, Aurobindo Marg, Near ABN Amro Bank, New Delhi 110 016].	MRI, X-ray, Bone Densitometry, USG / Colour Doppler.
	Dewan Chand Satypal Aggarwal Imaging & Research Centre, 10-B, K.G. Marg, New Delhi (Tel: 2332 9887; 2321 6327)	Radiological diagnosis and imaging services (MRI, CT scan, Mammography, USG/Colour Doppler, X-ray, Bone Densitometry).
	Dr. A Lal Chandani Pathology Laboratories, J-36, Lajpat Nagar-II, New Delhi	Laboratory services
	Dr. Anand Imaging & Neurological Research Centre, G-14, Preet Vihar, Vikas Marg, Delhi – 92	Imaging services including MRI, CT scan, Ultrasonography / Colour Doppler, X ray and mammography. .
	Dr. Handa X-ray & Imaging Centre, B-87, Diffence Colony, New Delhi	USG services only.
	Dr. M.L Aggarwal X-Ray & Ultrasound Clinic, A-1/150, Safdarjang Enclave, New Delhi.	X-ray, Ultrasonography and colour Doppler imaging services
	Dr. Mittal Diagnostic centre, Madhuban Chowk, Main Outer Ring Road, 611/C-8, Sector-VIII, Rohini, Delhi	Laboratory services, USG/Colour Doppler and X-ray. [Laboratory services depanelled w.e.f. 24.09.2008].
	Dr. P. Bhasin Path Labs (P) Ltd., S-13, Greater Kailash, Part-I, New Delhi	Diagnostic procedures in Laboratory services
	Dr. S.S. Doda's Ultrasound Centre, 23-B, Pusa Road, New Delhi, Delhi	CT, Mammography, USG/Colour Doppler, X-ray.
	Dr. Savita Jain's Arun Imaging Centre, D-29, Vivek Vihar, Delhi	Diagnostic centre for USG / colour Doppler, Echo mammography, Bone densitometry, X-Ray, ECG, TMT and Holter
	Faridabad CT Scan Centre at Escort Hospital & Research Centre, Neelam Chowk, Faridabad	CT scan and EEG.
	Final Diagnosis Centre, C-1/2, Sector-31, Noida.	Laboratory services, Ultrasonography and Mammography.
	First Dwarka Lab, 185, Sector-6, Pocket-I, Dwarka, New Delhi	Laboratory services
	Focus Imaging and Research Centre, C-10, Green Park Extn., New Delhi	USG / Colour Doppler, CT scan, Mammography, Bone densitometry and X-Ray
	Focus Imaging and Research Centre, 47/1-2, Yusuf Sarai Market, Aurobindo Marg, New Delhi	Diagnostic services in MRI
	Ganesh Diagnostic and Imaging Centre Pvt. Ltd., Pocket-A-1, Plot No.109, Sector-8, Rohini, New Delhi	Laboratory services and Imaging- MRI, CT scan, USG/Colour Doppler and X-ray.
	GMR Institute of Imaging Research, A-13, Green Park Main, Aurbindo Marg, New Delhi	MRI, CT scan, USG / Colour Doppler, X-ray, Bone densitometry and Mammography. [Referrals to the Institute stopped]
	Goyal MRI and Diagnostic Centre, B-1/12, Safdarjung Enclave, New Delhi	Laboratory services and imaging services in MRI and USG/ Colour Doppler.
	Green Park Diagnostics, (1st Floor), G-43, Green Park, Main Market, New Delhi	Laboratory services
	India IVF Centre and Research Institute, 17-A, Lajpat Nagar-IV, New Delhi	Diagnostic centre for USG / colour Doppler, ECG, TMT and Holter.
	Janta X-ray and Clinical Lab, WZ-4, Raja Garden, Delhi	Laboratory services and imaging viz CT scan, mammography, USG/ Colour Doppler. [Laboratory services depanelled w.e.f. 24.09.2008].
	JDAR Pathology Lab, 2/6, Shanti Niketan, New Delhi	Clinical pathology and Clinical Biochemistry.
	Krystal Scan and Diagnostic Centre, 1, Paschimi Enclave, Rohtak Road, Peeragarhi Crossing, New Delhi.	Laboratory services, MRI, CT scan, USG and X-ray. [Laboratory services depanelled w.e.f. 24.09.2008].
	Life Line Laboratory, H-11, Green Park Extention, New Delhi	Laboratory services
	M/S Janta Diagnostic Centre, Sunder Vihar, 12/404, Sunder Vihar Paschim Vihar, New Delhi	Laboratory services, CT, mammography, USG/Colour Doppler, ECG, ECHO [Laboratory services depanelled w.e.f. 24.09.2008].
	Mahajan Imaging Centre, K-18, Hauz Khas Enclave, New Delhi	MRI, CT scan, USG/Colour Doppler, mammography, X-ray and Bone Densitometry.
	Mahajan Imaging Centre (Jaipur Golden Hospital), 2, Institutional Area, Sector-3, Rohini, Delhi	CT scan, Bone Densitometry and USG
	Mahajan Nuclear Medicine and Bone Densitometry (Sir Ganga Ram Hospital), Delhi	Diagnostic Imaging Services (Bone densitometry and nuclear medicine)
	Modern Diagnostic & Research Center, 363/4, New Railway Road, Gurgaon	Laboratory services, CT scan, mammography, colour Doppler / USG, X-ray and Bone densitometry
	National CT Scan & Diagnostic Centre, 17, NWA, Club Road, Punjabi Bagh, New Delhi	Laboratory services, USG, Bone densitometry, X-ray and CT scan.
	NMC Imaging Centre (VIMHANS), 1, Institutional Area, Nehru Nagar, New Delhi	Laboratory services, MRI, CT scan and X-ray [Laboratory services depanelled w.e.f. 24.09.2008].
	Noble Diagnostic Centre, WZ-409-C, Janak Park, Opp. DDU Hospital, Hari Nagar, New Delhi	X-ray and Ultrasonography.
	North MR Scan Research Institute (Sir Ganga Ram Hospital) Old Rajinder Nagar, New Delhi	MRI
	Organ Imaging Research Centre, A-23, Green Park, New Delhi	MRI, CT scan, X-ray and Bone densitometry.
	Pathlab, D-87-A, East of Kailash, New Delhi	Laboratory services [[Laboratory services depanelled w.e.f. 24.09.2008].
	Saral Advanced Diagnostic Pvt. Ltd., E-1073, Saraswati Vihar, Pitam Pura, Delhi	Laboratory services, USG / colour Doppler, Mammography, CT scan, X-Ray, Bone Densitometry, Nuclear Medicine and diagnostic centre (MRI).
	South Delhi Ultrasound & X-Ray Clinic, A-44, Hauz Khas, New Delhi.	Ultrasound /Colour Doppler, OPG and Mammography
	Star Imaging and Path Lab, 4B/4, Tilak Nagar, New Delhi	Laboratory services, CT scan, Ultrasonography/ colour Doppler, X-ray and Bone densitometry.
	Sun Imaging Centre, 15, Hargovind Enclave, Vikas Marg Extn., Delhi	MRI, CT scan, USG/ Colour Doppler and Bone densitometry
	Suvidha Diagnostic Center, C-105, Mandwali, Patpar Ganj Society Complex, Opp. I.P. Extn. Delhi.	Laboratory services, X-ray and USG/Colour Doppler. [Laboratory services depanelled w.e.f. 24.09.2008].
	The Apollo Clinic, Krishna Bhawan, 7-8, A-3, Shopping Center, Near St. Marg School, Janakpuri, New Delhi	Laboratory services (in Clinical Pathology and Clinical Biochemistry) and Ultrasonography. [Laboratory services depanelled w.e.f. 24.09.2008].
	The Apollo Clinic, B-4, Sector-16, NOIDA	Laboratory services, USG/Colour Doppler [Empanelment cancelled w.e.f. 24.09.2008].
	The Clinical Laboratory, E-13/9, Vasant Vihar, New Delhi	Laboratory services
	Vasant Vision Ultrasound with Colour Doppler & X-Ray Clinic, F-9/4, Vasant Vihar, New Delhi	Ultrasonography and X-ray.
	VGS Imaging and Diagnostics, (Escort Hospital & Research Centre), Neelam Bata Chowk, Faridabad.	Bone densitometry and Mammography.
	Vrinda Diagnostic Centre, IIIrd, 3-9, Nehru Nagar, Ghaziabad	Laboratory services, CT, USG/Colour Doppler, Bone densitometry and X-Ray (Not recognised for MRI). [Laboratory services depanelled w.e.f. 24.09.2008].
	Pathnet India Pvt. Ltd., Plot 31, Sector 18, Udyog Nagar, Gurgoan	Laboratory services(w.e.f 3rd November 2006)
	Dr. Lal Path Labs Pvt. Ltd., Eskay House, 54 Hanuman Road, New Delhi	Laboratory (Clinical pathology, Biochemistry and Microbiology)
56	Batra Hospital & Medical Research Centre, 1 Tughlakabad Institutional Area, Mehrauli Badarpur Road, New Delhi 110 062.	Diagnostic services (Laboratory, X-Ray, CT Scan, USG, Colour Doppler, MRI). [Empanelment of the hospital cancelled w.e.f. 16.01.2009].
57	Apollo Clinic [licensee Bharti Medicare (P) Ltd.], C 70, Major Sudesh Kumar Marg, Opp. Madhav Park, New Delhi.	Diagnostic services (Laboratory, USG / Colour Doppler, X-Ray, TMT, FFT, ECG and Echo). (AERB approval for X-Ray is not available.)
58.	Dr. Khanna's Pathcare Pvt. Ltd., A 43 Hauz Khas, New Delhi.	Laboratory (Clinical pathology, Biochemistry and Microbiology)
59.	Focus Imaging & Research Centre, IHBAS Complex, Dilshad Garden, Delhi.	Diagnostic centre (MRI)
60.	Nanda Diagnostic Centre, ED 9A, Madhuban Chowk, Pitampura, Delhi	Laboratory (Clinical pathology and Biochemistry), USG/Colour Doppler, X-Ray, Bone Densitometry. [[Laboratory services depanelled w.e.f. 24.09.2008].
61	Dr. S. B. Gandhi Diagnostic Centre, A 2/ 152 Janakpuri, New Delhi 110 058	Diagnostic services (USG / Colour Doppler).
62	Star Imaging & Path Lab., 4 B / 4 Tilak Nagar, New Delhi 110 018	Diagnostic Centre (MRI).
63	Dr. Makashir's Diagnostic Medical Lab Pvt. Ltd., 1/4 Vikram Vihar, Lajpat Nagar IV, [Opp. Haldiram] New Delhi 110 024 [Tel: 011 – 2622 2458 / 2646 3080]	Diagnostic centre [Clinical Pathology; Biochemistry & Microbiology]
64	Unipath Diagnostic, G-49, Lajpat Nagar II, New Delhi 110 024 [Tel: 93122 77338]	Diagnostic Centre [Clinical Pathology, Biochemistry, Microbiology and USG / Colour Doppler].
65	Focus Imaging & Research Centre Pvt. Ltd., H 10 Green Park Extension, New Delhi 110016 [Tel: 011 – 4219 9993]	Diagnostic purposes [MRI, CT, EEG, EMG and NCV].
66	Clinical Diagnostic Centre, 69 Hargovind Enclave, Karkardooma, Delhi 110 092	Diagnostic purposes [Laboratory, CT, USG / Colour Doppler and X – Ray]].
67	Srivastava MRI & Imaging Centre, Shop Nos. 1, 2, 3, & 6, Purvanchal Plaza, Pocket B, LSC Market, Mayur Vihar Phase 2, Delhi 110 091	MRI and USG / Colour Doppler.
68	Dr. P. Bhasin Pathlabs Pvt. Ltd., S 13, Greater Kailash Part I, New Delhi.	Diagnostic centre [USG / Colour Doppler, Bone Densitometry, Echocardiography, TMT, PFT and Uroflowmetry].

Dr Marwah