Friday May 25, 2018

National Cancer Institute at Jhajjar: PMO pushes but ministry delays?

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New Delhi: The Rs 2,035 crore National Cancer Institute (NCI), touted as one of the biggest government-run health projects in the country, has got a nudge from the Prime Minister’s Office (PMO). The project was delayed by almost a year, but the PMO directed that it should be completed before September 2017 deadline. And there lies the catch — a key minister doesn’t have the time for it.

The institute is slated to come up at Jhajjar (Haryana campus) of the All India Institute of Medical Sciences (AIIMS) at about 60 km from Delhi. It will offer tertiary care facilities other than those that are meant for cancer.

However, AIIMS sources say the delays have mainly been because of the inability to hold a meeting of the Institute Body headed by Health Minister JP Nadda to award the tender for the construction work. Such important decisions are taken by the Institute Body that is the apex decision-making panel for AIIMS. The Institute Body also chooses the governing body members. However, after the Narendra Modi government assumed power last May, the new Institute Body has not even been appointed.

After a meeting chaired by principal secretary to the Prime Minister Nripendra Misra, on July 11, 2015, a decision was taken which stated, “The project of NCI should be viewed as a flagship health institute project and the construction should be completed six months before the deadline.” IANS has seen the document.

The meeting was attended by secretary of the union health ministry, the chief secretary of the Haryana government, the AIIMS director, the joint secretary in charge of AIIMS in the health ministry, the AIIMS deputy director (Administration), the chief of the Institute Rotary Cancer Hospital (IRCH) at AIIMS.

A senior health ministry official,  revealed, “The ministry had taken a decision to grant total autonomy to the new AIIMS. Greater powers in terms of administration and financial decisions should be given to the institute bodies. That is why a decision has been taken that the contract for the campus in Jhajjar should be granted by the institute body and not by the ministry. This will give them a sense of empowerment, responsibility and help in expediting the decision making in the long run. The AIIMS Institute Body is all set to be constituted within a fortnight and the contract for the construction will be granted immediately after that by the newly-appointed body. This would make the AIIMS’ project run more efficiently in a particular time frame.”

cancer-390322_640The parliamentary standing committee on health and family welfare, on August 11, had also observed that the development of AIIMS campus-II in Jhajjar, Haryana, was an ambitious project and would require not only massive allocation of funds but also sustained monitoring.

The committee wanted health ministry to ensure that development of the project was executed within the initial estimated project costs and time-frame to avoid any time-overruns and cost escalation.

The cabinet approved the project on December 26, 2013. About 300 acres has been earmarked; out of which 32 acre has been allotted for the National Cancer Institute (NCI), which has been assigned more than 700 beds.

But the question remains whether the project will be accomplished within the targeted date. The proposed date of the start of the project was January 1, 2014, and the duration of the project was 45 months. The target date of completion is September 2017.

“The award of work for the institute block at NCI should have been completed within nine months (September, 2014) of the start of the project (January 1, 2014) and the construction should have started in October, 2014. It’s been more than year-and-a-half now, but still the award of work has not been done. How is it possible to complete the work within the stipulated time-frame,” asked an AIIMS source.

The decision to award the tender to Shapoorji Pallonji & Company Limited was taken in the standing finance committee (SFC) meeting of AIIMS on May 26, but the approval had to come from the highest decision-making bodies of AIIMS. The Institute Body has to convene to constitute the Governing Body of AIIMS. The Institute Body meeting is now likely to take place in October.

“The award of work has been stalled for four months, even if it was decided in the last SFC meeting. The Institute Body meeting which was scheduled on August 6 was cancelled by Health Minister JP Nadda. By doing so, the project is getting delayed further,” the source added.

Reacting to this, the AIIMS deputy director (Administration), V Srinivas said, “Statutory clearances from the Ministry of Environment & Forests, National Board of Wildlife, State Board of Wildlife, Haryana, and the Departments of Town & Country Planning, Fire, Irrigation, Electricity Board, PHED and Labour in the government of Haryana for the National Cancer Institute have been received. All efforts are being made to ensure timely commencement of work and adherence to prescribed timeline.”

The other institutes proposed for the Jhajjar campus are National Cardiovascular Centre, General Purpose Hospital, National Transaction and Training Centre, National Centre for Child Health, Digestive Diseases Centre, National Institute of Geriatrics, Comprehensive Rehabilitation Centre and National Institute of Nursing Research.

(Sidhartha Dutta, IANS)

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Avoid Foods Full of Trans Fats if You Are Worried About High Cholesterol Levels

Fat is an important part of any balanced diet but the type of fat you eat matters the most particularly when it comes to cholesterol level so make sure you are avoiding the ones that is causing health problems.

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The World Health Organization said Friday that adults and children should limit their intake of saturated fat — found in foods such a meat — and trans fat — found in foods such as french fries.
representational image. VOA

Fat is an important part of any balanced diet but the type of fat you eat matters the most particularly when it comes to cholesterol level so make sure you are avoiding the ones that is causing health problems.

Manoj Acharya, Food Consultant at Zappfresh and Mehar Rajput, Nutritionist and Dietician at Fitpass tells us about the foods that are full of trans fats and are harmful to our health.

* Cakes, pies and cookies (especially with frosting) : Most cakes and cookies mixes list 0 gm of trans fat on the label. But there is a catch. Manufacturers can list 0 gm if the trans fat content is under 0.5gm. Those small amounts add up when you eat multiple serving of sweets that too with frosting. An average serving of frosting contains 2 gm of trans fats, plus the same amount of sugar.

Muffins, Pixabay

* Biscuits: This one surprises a lot of people. Biscuits contain 3.5gm of trans fats. It also contains over half of the daily recommendations of sodium.

* Margarine: Most margarine makers have removed trans fats from their ingredients. But you still must check. The few that still contains trans fats as high as 3gm per servings.

* French fries: You need to be cautious about where they fry your French fries in Vanaspati ghee or hydrogenated fat. Though certain food chains decided to turn healthier by becoming trans-fats free, you must care about it. But if you are cautious about health, you shouldn’t be having French fries.

Cholesterol -- a molecule normally linked with cardiovascular diseases -- may also play an important role in the onset and progression of Alzheimer's disease, researchers have found.
Junk Food is highly rich in Cholesterol, pixabay

* Fried chicken: Just like French fries you need to be sure that your fried chicken has not been fried in hydrogenated oil. Same goes for fried fish.

* Frozen foods: People who are perpetually busy tend to pick up frozen meals from the supermarket. They are most likely to have trans-fat in them as they need to be kept preserved for a longer time.

* Ice creams and Indian savouries: It contains 0.5 gm of trans fat per servings. But if you read the ingredients list, the listing of partially hydrogenated oil is missing. That may be because there are naturally occurring trans fats in fat-containing dairy products which are not as dangerous as the manufactured trans fats. These products are high in calories, so one should still keep a check on their intake. Besides this, all the India savouries like Gulab Jamun, Gujhia, Laddo and Kachouri.

Ice cream bouquet in NYC
Ice cream bouquet. pixabay

* Popcorns: There is a good way and bad way to eat popcorn. The snack itself is a healthy whole grain packed with fibre. It is the extra add-on that gives it that trans-fat flag. Plain popcorn is fine but when you add butter to it(which is not real butter ), it made it loaded with trans fats with no other health benefits in it.

* Non-dairy creamers: For coffee lovers, non-dairy creamers can become an integral part of their morning. Over time, however, they can also add trans-fat to your diet. One serving contains 0 gm trans-fat, yet, for some flavours, partially hydrogenated oils are the second or third ingredients listed, which can add up if you drink multiple servings in a day. So keep a check on the portion size.

Also Read: Low Carb and High Fat Diet May Help Maintain Eyesight

* Sandwich spreads: Think twice before next time when you go out to have your sandwich with spreads if you got cholesterol concern. Trans fat occur naturally in some food like meat and While it’s not as concerning as the artificial kind added through hydrogenated oil, it doesn’t do you much good, either. Those who have heart disease, it is recommended to choose lean meat as much as possible as well as low fat or fat-free dairy products. (IANS)