ABOUT EBOLA

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1 INTRODUCING MEDHEALTH CHECK. TURN TO PAGE 3 V-CARE your healthcare bulletin bola virus disease (EVD), E formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans. The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission. The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks. The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests, but the most recent outbreak in west Africa has involved major urban as well as rural areas. Early supportive care with rehydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralise the virus but a range of blood, immunological and drug therapies are under development. There are currently no licensed Ebola vaccines but 2 potential candidates are undergoing evaluation. The Ebola virus causes an acute, serious illness which is often fatal if untreated. EVD first appeared in 1976 in 2 simultaneous outbreaks, one in Nzara, Sudan, and the other in Yambuku, Democratic Republic of Congo. The latter occurred in a village near the Ebola River, from which the disease takes its name. The virus family Filoviridae includes 3 genera: Cuevavirus, Marburgvirus, and Ebolavirus. There are 5 species that have been identified: Zaire, Bundibugyo, Sudan, Reston and Taï Forest. The first 3, Bundibugyo ebolavirus, Zaire ebolavirus, and Sudan ebolavirus have ABOUT EBOLA been associated with large outbreaks in Africa. The virus causing the 2014 west African outbreak belongs to the Zaire species. TRANSMISSION It is thought that fruit bats of the are natural Ebola virus hosts. Ebola is introduced into the human population through close contact with the blood, secretions, organs or other bodily fluids of infected animals such as chimpanzees, gorillas, fruit bats, monkeys, forest antelope and porcupines found ill or dead or in the rainforest. Ebola then spreads through human -to-human transmission via direct contact (through broken skin or mucous membranes) with the blood, secretions, organs or other bodily fluids of infected people, and with surfaces and materials (e.g. bedding, clothing) contaminated with these fluids. Health-care workers have frequently been infected while treating patients with suspected or confirmed EVD. This has occurred through close contact with patients when infection control precautions are not strictly practiced. Burial ceremonies in which mourners have direct contact with the body of the deceased person can also play a role in the transmission of Ebola. People remain infectious as long as their blood and body fluids, including semen and breast milk, contain the virus. Men who have recovered from the disease can still transmit the virus through their semen for up to 7 weeks after recovery from illness. SYMPTOMS The incubation period, that is, the time interval from infection with the virus to onset of symptoms is 2 to 21 days. Humans are not infectious until they develop symptoms. First symptoms are the sudden onset of fever fatigue, muscle pain, headache and sore throat. This is followed by vomiting, diarrhoea, rash, symptoms of impaired kidney and liver function, and in some cases, both internal and external bleeding (e.g. oozing from the gums, blood in the stools). Laboratory findings include low white blood cell and platelet counts and elevated liver enzymes. DIAGNOSIS It can be difficult to distinguish EVD from other infectious diseases such as malaria, typhoid fever and meningitis. Confirmation that symptoms are caused by Ebola virus infection are made using the following investigations: antibody-capture enzymelinked immunosorbent assay (ELISA) antigen-capture detection tests serum neutralization test reverse transcriptase polymerase chain reaction assay electron microscopy virus isolation by cell culture. Samples from patients are an extreme biohazard risk; laboratory testing on non-inactivated samples should be conducted under maximum biological containment conditions. Issue 85 16th October, 2014 Inside this issue: BODY COMPOSITION & FLEXIBILITY 2 REFERENCE:

2 Page 2 V-CARE BODY COMPOSITION & FLEXIBILITY hese 2 areas help remind us that children are different from adults and T each other. It may seem ridiculous to speak about body composition and flexibility in kids because we all know they are mostly made of Play- Doh. However, it is important to discuss the general changes in body tissues that occur during growth and the various effects these changes have on exercise and sports participation. During the rapid growth of puberty, kids often become temporarily less flexible than they were prior to puberty... Girls and boys can play together until about the third grade. After this point, it is a good idea to start the transition of separating boys and girls in contact-type sports. This gives plenty of time for puberty to start and not have a 4'2", 70-pound boy playing against a 5'9", 130-pound girl. Remember, the average ages that puberty begins is much different for girls and boys. Even from early childhood, girls in general have more body fat than boys. That is just the way the cards are dealt. Differences in body fat stay throughout childhood and then increase in girls once they hit puberty. Boys have a more dramatic change in body composition because new levels of testosterone from puberty start to add muscle mass. Kids who are already overweight tend to remain overweight into adolescence and adulthood. The changes in body composition are important because they may have an effect on sports participation and performance, especially in sports in which center of gravity and weight are important like gymnastics, diving, figure skating, and wrestling. Puberty is a time of multiple adjustments that can have an effect on your child s participation in sports. Understanding the reality of the physical and chemical changes of puberty can enable you to support your active child during and through that period of development. Children are also more flexible than adults. Who do you think was the model for Gumby? It had to be a child. But as usual, many good things must come to an end or just slow down. During the rapid growth of puberty, kids often become temporarily less flexible than they were prior to puberty. Let me paint a visual for you here: Some children have a slow growth spurt, while others grow so fast they need a speeding ticket. Essentially, their bones are growing more quickly than their muscles and tendons can stretch to keep up. Most boys get more muscles and lose some body fat, but often lose flexibility. Girls can also become tighter during the rapid growth of puberty if they cannot stretch to keep up with their growth. However, the increase in estrogen usually allows girls to maintain or improve their flexibility once they slow down their speed of growth. Having good flexibility may help some athletes self-select into certain sports such as swimming, diving, gymnastics, tennis, figure skating, wrestling, or martial arts. Understanding these changes in body composition and flexibility can prepare you for their potential effect as you watch your child exercise, train, or compete while going through puberty. REFERENCE:

3 Issue 85 Page 3 MEDHEALTH CHECK THE MOST SIMPLE TO AVAIL PREVENTIVE HEALTH CHECK UP TURN OVERLEAF FOR TEST DETAILS

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5 Issue 85 Page 5 OUR OTHER SERVICES SECOND MEDICAL OPINION We provide a second medical opinion service from independent consultants on our empanelled list of qualified doctors. They provide an unbiased opinion of your current medical condition with treatments that are required to cure the illness. We request you to raise a query with us & upload/ attach your current medical diagnosis for us to get back to you with an opinion & the treatment required. Further, if the patient seeking opinion opts to go for a treatment in our network hospitals, other details can be provided. ELECTIVE SURGICAL PROCEDURES CareAsia brings to you a wide range of elective surgical procedures to choose from at an affordable cost & uncompromised quality. We have in our network the best hospitals & surgeons across country who indulge in best surgical practices keeping the quality & patient safety at forefront. CareAsia would assist you to select a hospital in the preferred location & would arrange for your travel & stay throughout the treatment as selected. We would request you to go through our package details for making the best choice for yourself. We also provide second medical opinion services to enable you to make informed decisions. We also offer customized packages for treatment in India. Apart from the medical treatment we also offer various value add-ons like customized tourism options & visa & immigration assistance. To avail our services please sign up & create your profile. WELLNESS PROGRAMME (COMPLETE HEALTH CHECK UP) Our wellness program offers one of the most comprehensive & thorough medical check up for assessing your health status. The 360 degree screening investigates your health & renders detailed consultations with specialists. The detailed examination will not only identify any ailment you may be suffering from, but also identifies any affliction you might suffer in the future & recommends remedial action for the same. There will be consultations after the tests with renowned consultants & guidance for future course of action if any required. ELECTRONIC MEDICAL RECORD MANAGEMENT The Electronic Medical Record Management system developed by CareAsia is best defined as Your Virtual Health Manager. Salient product features of EMRM are: DO YOU HAVE REVIEWS? WANT TO SUBMIT ARTICLES? DO YOU HAVE QUERIES? Do write to us with feedback, queries, articles on health be i t h u m o r o r educative&we will make sure they become a part of out Newsletter.. info@vipulmedcare.com 1. Unlimited Medical Record Storage of all types whether it be prescriptions, discharge summaries, digital scan images, imaging reports, or any pathological investigation report. 2. Digitization of Medical Records. The system picks out data from your scanned medical records & digitizes it so as to process your raw information to give you useful information. 3. Customized Reporting. All the reports submitted by users are processed & a summary/ detailed report is generated as per the user s needs. 4. Intelligent Alerts. Once you upload the data, the system processes it using our algorithms & generates alerts, reminders, warnings, etc to assist your healthcare needs through a very user friendly interface. For example, the CareAsia EMRM system immediately updates your records to show the reports that are out of bounds & what are the parameters that are off limits or it could update the user about a lab report that might be very old & would recommend a retest for the same

6 CORPORATE OFFICE VIPUL MEDCARE PRIVATE LIMITED 534, UDYOG VIHAR, PHASE V GURGAON, HARYANA EASI A.N ET CareAsia, a brand of Vipul MedCare Pvt. Ltd., promoted by Vipul Group of India is focused on providing supreme healthcare services to patients searching for quality healthcare options at affordable prices across the globe. It serves as the bridge between patients seeking consultation, treatments, surgeries & top quality hospitals that facilitate efficient healthcare for visiting patients from abroad. CareAsia intends to serve by providing value added services to its clients. It would serve patients beginning from the time the patient enquires from us to the time the patient gets his/her treatment performed & satisfactorily returns to the country of origin. CareAsia has a strong presence within India (tie ups with major internationally accredited, top quality hospitals), which is one of the top destinations for medical tourism. Also, it has an international presence with offices in the Middle East & South East Asia to be a truly global organization in this industry. We at Vipul MedCare strongly encourage patients to sign up with us over the web site or contact us to avail the best medical tourism options across the globe. With our 24/7 online support platform, helpdesk, dedicated trained staff, a strong network in the healthcare industry & our excellent IT systems which would act as your life long electronic medical record keeper, we are confident to provide the best services to serve our clients. DISCLAIMER All materials published by Vipul MedCare, including information contained on web site, undergoes review to ensure fair balance, objectivity independence & relevance. The editors of the material herein have consulted sources believed to be reliable in their efforts to provide information that is complete & in accord with standards at time of publication. In view of the possibility of human error by the authors, editors or publishers of the material contained herein, neither Vipul MedCare nor any other party involved in the preparation of this material warrants that the information contained herein is in every respect accurate or complete, & they are not responsible for any errors or omissions or for the results obtained from the use of such. Readers are encouraged to confirm the information contained with other sources. LOCATIONS OMAN Vipul BetterCare Management Services P.O. Box No. 1031, Muttrah, Sultanate of Oman Tel: DELHI (Registered Office) B-416 Ansal Chamber 1,Bhikaji Cama Place, New Delhi,Pin Code: Contact Person: Mr. Chanden Prasad Tel: , Fax No: COCHIN Mariam Tower Door No36/3120-b-3, Kaloor Kadavantham Road, Kathrikadavu, Cochin-17 Contact Person: Mr. Rajesh R ( ) Tel: , Fax No: FOR QUERIES HELPLINE NUMBERS info@vipulmedcare.com MUMBAI C/1, 2nd Floor Harganga Mahal, Khodadad Circle Dr. Ambedkar Road Dadar T.T.,Dadar(East)Mumbai,Pin Code : Contact Person: Mr. A.k.Sachdeva Tel: , , Fax No: CHENNAI New No.517, Old No.338, 2nd Floor,Anna Salai, Nandanam, Chennai, Tamil Nadu Contact Person: Mr. K. Rajshekaran ( ) Tel: / Fax No: KOLKATA 16/2, 2nd Floor Lord Sinha Road, Kolkata Pin Code: Contact Person: Mr. Dr.Arup Banerjee Tel: , Fax No: BANGALORE # 154, 2nd Floor, Mallige Complex,KHB Colony, 5th Block, Kormangala, Banglore Contact Person: Mr. NCS Rao Tel: , , Tele Fax No: HYDERABAD 408, 4th Floor,Navkethan complex, Opp to Clock Tower., S D RD, Secunderabad Contact Person: Dr. Srikanth Tel: Fax No: JAIPUR S-10, Shyam Nagar Ajmer Road, Jaipur Rajasthan Pin Code: Contact Person: Mr. Uma Shankar Tel: , , Tele Fax No: