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1.I expect to pass through this world but once; any good therefore that I can do, or any kindness that I can show to any fellow creature, let me do it now; let me not defer or neglect it, for I shall not pass this way again"..
2.When a slave adopts humility (tawaadhu i.e. I am nothing) for the sake of Allah Ta’aalaa, He elevates him, and when the slave lets pride (kibr i.e. I am something) overtake him, Allah Ta’aalaa disgraces him."
3."I wish that mankind would learn this knowledge - meaning his knowledge - without even one letter of it being attributed to me” – Imaam ash-Shaafi'ee4.. Never do I argue with a man with a desire to hear him say what is wrong, or to expose him and win victory over him. Whenever I face an opponent in debate I silently pray - O Lord, help him so that truth may flow from his heart and on his tongue, and so that if truth is on my side, he may follow me; and if truth be on his side, I may follow him. [Imam Al-Shafi'i]

Friday, August 3, 2018

Adulterated food, spurious medicine



Adulterated food, spurious medicine

MATTER OF CONCERN
What else do we need to spoil our health? So much is written and reported about the menace, why does Publish Date: Jan 18 2011 12:00PM

Did you eat breakfast today? Milk, fresh fruit, vegetables, tea, coffee, even honey. Find out why it's important.? You can’t eat your way to health in our city. All that we naturally reach for as healthy foods are potentially disease breeders. Access to pure, nutritious food, free from any type of adulteration is the genuine expectation of every citizen. Despite improvement in production, processing and packaging, more adulterated food  and spurious Medicine is  entering our market. I  haven't yet met someone in valley  who can say that he/she is not a victim of rampant food or Medicine adulteration.  Everyone complains, but no one is willing to do anything. Somehow, we have accepted it as in inevitable reality, howsoever damaging it may be for our family, that we have no option but to live with.The issue is identified as a problem only when the level exceeds certain tolerance limits each individual sets according to circumstances. And our authorities react and swing into action ,only when mass death occurs do and start haphazardly banning items and articles. Adulteration thrives both in  Srinagar city as well as in  rural outskirts , branded as well as non-branded  items  both are targeted.  In my childhood, the biggest grouse of concerned mothers was the adulteration of milk with water by the local milkman. Today, watered milk would be almost noble. Now milk is faked with urea, detergents, caustic soda, white paint and oil. A serious health hazard, toxic synthetic milk causes terrible ailments, including cancer. 
The milk  may be full of hormones - mostly oxytocin, a banned drug given to cattle to increase lactation  which once seeps into human body may lead to hormone imbalance and miscarriage, newborn eye problems , heart  and neurological complications. What will you feed your child then, for strong bones and healthy growth? Fresh fruit  or  green vegetables, and lots of calcium-rich spinach,? Sorry dear, but most of our  “fresh” fruits and vegetables are also flush with chemicals. People say they are  injected generously into most gourds, including pumpkins, cucumbers, spinach, watermelons, bananas and mangoes  to  make them  brighter, plumper, bigger and more attractive to consumers but dangerous for health. Fruits and veggies  also contain several times the permitted levels of pesticides,necessary for a good crop, but  pesticides can cause serious health problems, such as birth defects, nerve damage, cancer, and other effects that might occur over a long period of time.  However, these effects depend on how toxic the pesticide is and how much of it is consumed. Can we  go for fish and meat?.Well, fish often have high levels of pesticides and heavy metals too — since they are routinely bred in contaminated water, thank God  the water of river Jehlum and Dal lake has not been declared contaminated yet despite getting polluted with all sorts of wastes. And meats are rich in hormones, antibiotics and drugs that the animal was fed to fatten it for the slaughter. In fact, we ingest much more antibiotics and hormones from meats and poultry than we could ever do from honey. Maybe we could drink lots of water to flush out these toxins? You could, with fingers crossed. A recent ICMR report showed 51 per cent of foods in India were contaminated with pesticides, of which 20 per cent had levels exceeding the Maximum Tolerance Limits (MTL).
Adding secretly colouring agents to” wazawaan”  by our" cooks (waza)" is no surprise  to a Kashmiri consumer, but  many  non-permissible and banned colors unfortunately are  used  to  decorate sweets and other edible items causing  serious health hazards like cancer in the long run. Adding any other powder (like sawdust) to tea/coffee/tamarind/coriander/chilli powder, mixing low quality or other cheaper varieties of grains/oils to food grains/edible oils and so on are some of the adulteration methods usually objected to by the consumer. Food adulteration has become rampant—same way  if I continue to enumerate the list, I am sure people will lose appetite, intention here  is simply to raise awareness  of an unfortunate  reality which may not be happening  in our valley in big magnitude but foods and beverages  coming from outside the state may contain any of these harmful substances.
According to WHO 35% of the world’s spurious drugs are produced in India. Though there are laws to check this menace, yet the consumers are required to play pro-active role in protecting themselves and to help in reporting about various forms of fake/counterfeit drugs and other unwholesome regulated products available in market. These include drugs with no active ingredient(s) or drugs containing only lactose or even chalk in tablets or olive oil in capsules. Others are drugs with insufficient active ingredients such as  xxxx  tablets containing 50 mg of the active ingredient instead of 200mg,others are drugs with active ingredient(s) that are different from what is stated on the package such as Paracetamol tablets packaged and labeled as xxxxx, yyyyy and zzzzz combination. 
There are also cloned drugs with the same quantity of active ingredients as the original drug. Cloning is hiding behind a fast moving registered product to rake up profits without the associated liabilities and it is solely driven by financial motives. What these fraudsters fail to understand is that minimal effective blood concentration, which determines the efficacy of the drug, is not only dependent on the quantity of active ingredient, but also on the quality, excipients, and formulation techniques. The big question, however, is who takes responsibility when there are adverse effects of a cloned drug? Unfortunately doctor is the target. Fast moving cosmetics, food and drinks are also massively cloned.Others are drugs without the full name and address of the manufacturer, expired drugs or drugs without expiry dates, toxic herbal preparations mixed with orthodox medicine, and contaminated infusions and injectables. Other forms of substandard/unwholesome products include syringes with poor calibrations or blunt to semi-blunt tips, contaminated and/or pyrogenic syringes, needles, surgical blades, blood bags and infusion sets, non-sterile gloves, sutures and condoms, expired products and those products without expiry dates or best before dates, or relabelled with the intention of extending their shelf life, and contaminated chemicals. Still others include food and drinks contaminated with bacteria, heavy metals, trace metals, radioactive materials, and banned chemicals, or those containing unapproved sweeteners, colours, flavours and other additives, or others with poor quality or internationally unacceptable packaging.
 It is difficult to ascertain a precise effect of a spurious drug on health of a person for the following reasons: a) It is not known at the time of consumption of medicine that it is a spurious drug. Therefore, if the drug is not effective a patient usually thinks that the diagnosis is wrong and either he consults another physician or ends up having a series of diagnostic tests including blood,x-rays, ultra sound,Ctscan, MRI etc resulting in an increased medical expenses, mental agony and absence from work or studies.b.) If there are certain toxic effects of the medicine then it is usually assigned to an allergic reaction of the medicine and the physician might change the medicine. The toxic medicine is then completely forgotten and is not pursued any futher.c). If the medicine is fatal then usually the death is assigned to the disease or the negligence of a doctor or the hospital Even when spurious drugs do not endanger life they can leave the patient seriously ill and those with inadequate potency can induce drug resistant bacteria i.e, they will not respond even when right medicine in right dosage is given.
All people deserve safe food and medicine.We toil day and night for what? For that two morsel of wholesome nutritive food and safe Health. And if at the end of the day we are not sure of what we eat as food and Medicine , than what are we toiling for? What can be done to check?: The only way to protect yourself and your child from this social evil and health hazard  is by getting proper safety regulations for food, medicine and beverages in place and raising public awareness.
https://www.greaterkashmir.com/news/gk-magazine/adulterated-food-spurious-medicine/88061.html
(Dr FiFiaz Fazili is an International Member of Quality improvement and Patient Safety Committee.)ews/gk-magazine/adulterated-food-spurious-medicine/88061.html