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HEALTH




 The worst thing in the world    metabolic changes. Currently approved   ing was most common among them.   but poorly addressed.”

      treatments for insomnia and excessive
                                          Dr SSK Heranganahally from Aus-
                                                                           “In India the situation has taken an
                                       tralia President SEAASM Said 10 to 15 per  alarming turn as 93 per cent of its popu-
      sleepiness have suboptimal risk: ben-
 is to try to sleep and not to  efit ratios; thus, opportunities exist for   cent of Total road accidents are due to   lation was found to be sleep deprived
      improved beneficial approaches in the
                                       sleepiness or driver fatigue. Furthermore  but only 2 per cent Indian discuss and
      treatment of sleep/wake disorders.
                                                                         share their sleep issues with physicians.
                                       by 2020 the number of people killed
        Prof. David White (Harvard Medi-
      cal School), President of the American   in motor vehicle crashes is expected to   Unfortunately no adequate training and
                                       double to 2.3 million deaths worldwide,
                                                                         counseling facilities are available for this
 Milind Sovani (UK), Dr. David Cunning-  Academy of Sleep Medicine, Chairing   of which approximately 2.3 to 3.45 lacs   huge population of the South-East Asian
 Almost entire country is suffering from sleep disorders but   ton, Dr SSK Heranganahally (Australia),   the Task Force to write the research plan  will be due to sleepiness or fatigue.  countries, to overcome such a stressful
                                          Dr. David Cunnington from Australia
 policymakers have not given a serious thought to this grave menace   Dr Mahesh Babu (Singapore), Dr. Farhan   addressing sleep and its disorders for   said “Insomnia is the most common   situation,” said Dr. B.P. Singh, a Respirato-
 Shah (Sweden), Dr. Anoria (Sri Lanka), Dr.
                                                                         ry Medicine professional in Lucknow and
      the National Institutes of Health who
 likely to take a shape of epidemic causing a huge loss to productivity,   Ramesh Chokhani and Dr. Milesh Saja-  has been recognised for his principle re-  sleep disorder, with some insomnia   organizing secretary of the conference.
 writes MUDIT MATHUR  pati (Nepal).   search interest for the pathophysiology   problems near the past year reported by   “Prevalence of Obstructive Sleep ap-
 Medical disorders relating to sleep   of disorders of breathing during sleep   30 per cent of adults.  nea, characterized by respiratory insuf-
 ur Constitution guarantees   hours putting them at high risk, not only  are not new but its diagnostics and treat-  about which he has published over 200   Dr Mahesh Babu from Singapore Gen-  ficiency during sleep is also high with
 right to life and liberty to   to sleep disorders but also various seri-  ment in India is just in its infancy stage as   original papers. Prof. David, who is an   eral Hospital Singapore said, “One to 6   estimates of 9-21 per cent in women and
 every  person  whosoever   ous syndromes such as cardiovascular   no priority is accorded to this grave con-  authority in the field, told “Tehelka” that   per cent of general pediatric population   24 to 31 per cent in Men. USA is associat-
 resides in Indian subcon-  complications including stroke, Hyper-  cern which impaired quality of human   in USA some medicines are under trial   is suffering from insomnia. It is noticed   ed with cardiovascular event like stroke,
 O tinent. This precious fun-  tension, Ischemic Heart disease, poor   life as insufficient sleep led to fatigue and   those may remove various equipment of  that up to 25 per cent of children with se-  HT, ischemic heart disease, poor diabetes
 damental right has been magnified and   diabetes and Blood Pressure Control. It   sleepiness during working hours and   respiratory support. He found in one of   vere sleep problem in infancy with later   and BP control etc. Risk of Vehicular and
 decorated with other inextricably blend   has enhanced the risk of vehicular and   sometimes even speakers on the dais   his studies that the pattern in children is  quality for a diagnosis of attention deficit  industrial accidents, with increased risk
 ancillary rights such as humane, healthy   industrial accidents, with never ending   seen taking nap during important meet-  no different than the adults as they suffer  hyperactivity disorders. Various sleep   of death,” he added.
 conditions of living including right to   trails of untimely deaths.   ings causing huge embarrassment to au-  same and similar types of ailment. Study-  problems in pediatric age group like enu-  Dr Pratibha Dogra from Artemis Hos-
 sound sleep. Despite this constitutional   This unequivocal anxiety of experts   dience and dignitary himself.   ing the way to sleep of 24000 kids snor-  resis, sleep terror etc. are quite common   pital Gurgaon said, “A decline in sleep du-
 philosophy and mandate to achieve   emerged at 4th International conference   Sleep is necessary but it functions,
 goals set therein our people spend on   Physiology and Pathophysiology have
 third of their precious life in sleep even   been envisioned with the explosion
 during working hours. Entire country   Insomnia is the   of knowledge. Its research opened the
 is suffering from disorders of sleep but   doors to the field of sleep medicine as we
 policy makers have not given a serious   most common sleep   know today. It has achieved incredible
 thought to this grave menace likely to   disorder, with ‘some   advancements in research and clinical
 take a shape of epidemic causing a huge   experiences and sleep medicine edu-
 loss to productivity in the south-eastern   insomnia problems   cation. Eminent International and Na-
 region of the world.  over the past year’   tional faculty on this subject assembled
 Insomnia is the most common sleep   to interact about advancements in the
 disorder, with ‘some insomnia prob-  reported by 30 per   field. Internationally, sleep disorders are
 lems over the past year’ reported by 30   cent of adults, and   classified in six major categories: Insom-
 per cent of adults, and chronic insomnia   nia, Sleep related breathing disorders,
 by 10 per cent.Prevalence of obstruc-  chronic insomnia by   Hypersomnias, Circadian rhythm sleep
 tive sleep apnoea, characterized by res-  disorder, Parasomnia, Obstructive Sleep
 piratory difficulties during sleep, is also   10 per cent  Apnea Syndromes (ADULT & pediatric),
 high with estimates of 9–21 per cent   Restless Legs Syndrome etc.
 in women and 24–31 per cent in men.   In his inaugural address, Director
 Problem in India multiplied many times  of South-East Asian Academy of Sleep   AIIMS Delhi, Dr Guleria said that at -
 following the use of electronic devices   Medicine (ICSD-2018) held in Lucknow   tempts to medicinally induce sufficient
 and smart phone addiction prevalent   on October 13-14, 2018, where more than  amounts of sleep have occurred since
 in even the small kids making them   500 Physicians and Chest Physicians,   the advent of the medical arts, but the
 vulnerable to sleep disorders. Blue light   Neurologist, Psychiatrist, Dentist, Pedia-  health implications of failing to main-
 screens, i-phones, electronic gadgets   tricians and ENT surgeons participated   tain a correct balance of sleep/wake has
 not only impaired vision but stop sleep.   in deliberations. Director of AIIMS Delhi,  only recently become widely appreciated
 Most important is when you eat. Undue   Prof Dr Randeep Guleria inaugurated the  both in the medical arena and among the
 work pressure and unrealistic targets   conference with the imminent presence  general public. Inappropriate amounts
 of  employment  conditions,  without   of Prof David White (Harvard), Dr Meeta  of sleep have been linked to cognitive
 proper sound sleep of minimum eight   Singh, Ms Toni, Ms Lata Casturi (USA), Dr.  impairment, immune suppression and



 TEHELKA / 31 OCTOBER 2018  56  WWW.TEHELKA.COM  TEHELKA / 31 OCTOBER 2018  57  WWW.TEHELKA.COM


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