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Time of India
a day ago
- Health
- Time of India
AI-assisted diagnostic drive starts to make Nagpur TB-free
1 2 Nagpur: Indira Gandhi Govt Medical College and Hospital (IGGMC), with support from chief minister Devendra Fadnavis, launched a pilot project — NIIDAN-TB (Nagpur-IGGMC Initiative for Diagnosis, Active Case-Finding, and Notification of TB) — for the elimination of the disease in line with the national mission. As per the city TB office, Nagpur currently has 4,075 notified cases, with 3,625 of them under treatment. A total of 71 TB patients have died this year so far. The mortality and cases seem to have come down in the last few years, and the IGGMC has undertaken the massive exercise to make Nagpur TB-free. This project aims to combat tuberculosis (TB) through advanced diagnostics, active case-finding, and preventive measures, targeting 1,00,000 high-risk individuals, with an initial focus on 25,000 presumptive TB cases across five tuberculosis units (TUs). The five TUs are at IGGMCH, NMC's Indira Gandhi Rugnalaya, Govt Ayurvedic College, GMCH, and Mahal. These units cover 25 urban primary health centres in Nagpur, including Hudkeshwar, Manewada, and Mominpura. The initiative integrates cutting-edge technology with rigorous field interventions. A mobile TB van equipped with AI-assisted chest X-ray technology enables rapid on-site screening in high-risk areas. An advanced mycobacteriology laboratory at IGGMC's microbiology department facilitates molecular diagnostics, testing sputum for TB and resistance to first-line drugs like isoniazid and rifampicin. Door-to-door screening by field coordinators, supported by ASHA workers, will identify presumptive cases using a symptom-based questionnaire focusing on cough lasting over two weeks, hemoptysis, fever, and weight loss. High-risk groups, including diabetics, the elderly, PL-HIV, alcoholics, smokers, TB contacts, and slum residents, are prioritised. Presumptive cases will undergo chest X-rays in the mobile van, with AI providing immediate results to guide further testing. Sputum samples from positive or suspicious cases are sent to IGGMC's NAAT lab for advanced diagnostics. Confirmed TB patients will be linked to nearby health centres, registered on the Nikshay app, and provided free treatment under the National TB Elimination Programme (NTEP). They will also receive ₹1,000 monthly via Nikshay Poshan Yojana for nutritional support, alongside counselling on treatment adherence, infection control, and stigma reduction. The project will screen household contacts for latent TB infection (LTBI) using the Cy-TB test, offering TB preventive therapy (TPT) to prevent future disease. Under the guidance of Dr Ravi Chauhan, dean, IGGMC, the supervising team is led by Dr Radha Munje, professor and head, department of respiratory medicine, IGGMC Nagpur. Core team members include Dr Gopal Agrawal, Dr Gyanshankar Mishra, Dr Dilip Gedam, Dr Sanjeev Chaudhary, Dr Sagar Pande, Dr Bhavana Sonavne, and Dr Sadaf Khateeb. Honorary members supporting the project include Dr Deepak Selokar, medical health officer, Nagpur Municipal Corporation (NMC), and Dr Shilpa Jichkar, city TB officer, Nagpur. The mobile TB unit was flagged off during the inauguration, attended by MLA Pravin Datke, MLA Dr Ashish Deshmukh, and collector Vipin Itankar. The public is urged to cooperate, especially those with TB symptoms, to help Nagpur achieve India's goal of TB elimination.
Time of India
03-05-2025
- Health
- Time of India
Relatives turn Mayo's surgical wards into dumping yard
1 2 3 Nagpur: Apathetic family members and relatives of patients admitted to IGGMC's posh surgical wards have literally turned the corridors and waiting areas into littered spots, with heaps of trash seen dumped everywhere. Food waste and plastic litter the area, attracting stray dogs that roam inside the wards. The unhygienic conditions raise serious concerns about safety of patients despite the hospital's modern facilities. This comes amidst the administration cracking down on violators and collecting a fine of Rs 17,000 for spitting and littering, besides confiscating kharra pouches. TOI visited the complex on Saturday and found relatives throwing food leftovers, plastic wrappers, and even soiled material all over the ward floors. When asked, they blamed the hospital administration, saying it provides only one small dustbin in many areas, which quickly overflows and is not emptied periodically. Shockingly, used gloves likely discarded by hospital staff were also found tossed below the ramp near the entrance of the complex. These are medical-grade gloves that can carry infections if not disposed of properly. "It's extremely dangerous to leave such bio waste out in the open, especially in a hospital where patients with low immunity are being treated," said a visitor. The poor hygiene and sanitation have also resulted in the locking of toilets on the floors for visitors. "Toilets inside the wards are good and well maintained. But visitors or relatives waiting outside have to go out of the main gate to relieve themselves," said a woman. The toilet area too has been turned into a dumping site. Making matters worse, stray dogs too were spotted roaming inside the complex. Not only are the strays freely roaming the corridors, but they've also been seen defecating on the floors. Though many relatives complained about the poor state of cleanliness in the hospital, some of them appreciated the immaculate interiors of the wards. IGGMCH dean Dr Ravi Chauhan admitted there's a shortage of manpower, which makes it difficult to manage cleanliness round the clock. "A new contractor would soon be appointed. But we're taking action regularly to curb the menace. We've already fined several people for littering and collected a total fine of Rs 17,800 so far," he said, adding the administration will continue collecting penalties from offenders. Nagpur: Apathetic family members and relatives of patients admitted to IGGMC's posh surgical wards have literally turned the corridors and waiting areas into littered spots, with heaps of trash seen dumped everywhere. Food waste and plastic litter the area, attracting stray dogs that roam inside the wards. The unhygienic conditions raise serious concerns about safety of patients despite the hospital's modern facilities. This comes amidst the administration cracking down on violators and collecting a fine of Rs 17,000 for spitting and littering, besides confiscating kharra pouches. TOI visited the complex on Saturday and found relatives throwing food leftovers, plastic wrappers, and even soiled material all over the ward floors. When asked, they blamed the hospital administration, saying it provides only one small dustbin in many areas, which quickly overflows and is not emptied periodically. Shockingly, used gloves likely discarded by hospital staff were also found tossed below the ramp near the entrance of the complex. These are medical-grade gloves that can carry infections if not disposed of properly. "It's extremely dangerous to leave such bio waste out in the open, especially in a hospital where patients with low immunity are being treated," said a visitor. The poor hygiene and sanitation have also resulted in the locking of toilets on the floors for visitors. "Toilets inside the wards are good and well maintained. But visitors or relatives waiting outside have to go out of the main gate to relieve themselves," said a woman. The toilet area too has been turned into a dumping site. Making matters worse, stray dogs too were spotted roaming inside the complex. Not only are the strays freely roaming the corridors, but they've also been seen defecating on the floors. Though many relatives complained about the poor state of cleanliness in the hospital, some of them appreciated the immaculate interiors of the wards. IGGMCH dean Dr Ravi Chauhan admitted there's a shortage of manpower, which makes it difficult to manage cleanliness round the clock. "A new contractor would soon be appointed. But we're taking action regularly to curb the menace. We've already fined several people for littering and collected a total fine of Rs 17,800 so far," he said, adding the administration will continue collecting penalties from offenders.
