CPSP President Elections 1992

Dear Mr. Shaukat Ali Jawaid,

After having read your very detailed review of on Reflections, the chapter of the CPSP 1992 Elections was finally closed! Obviously, I was mistaken!

In a recent issue of Pulse International of May 15-30, 2020 there is a detailed account of the same by no less an authority than Gen Mahmud Ahmed Akhtar who was at that time the Surgeon General Army DG M.S. (I.S.) and fully involved in the process. He has accurately described eliminating any controversy or debate, the series of events as they occurred .Quite honestly the several gaps and missing links in the story were unknown even to me, till now! Beside other details it clarifies the reason and conditions which prompted me not to get entangled in legal mires and dirty politics, and stick to my own sworn professional ethics.

This is only to thank you and General Mahmud Akhtar Sahab for your generous comment; and now that the final nail has been struck in the coffin of this dead affair it should be finally engraved permanently as a forgiven/forgotten past.
With renewed and confirmed prayers for you and your family’s health.

Dr Khwaja Saadiq Husain

Protecting Health workers, 
in Covid-19, in Pakistan

Dear Editor,

Kudos, for projecting the plight of health professionals, published in Pulse international, 1st June issue. You have correctly pointed, that situation is getting worse as people are not serious about the risk of developing disease and government continuously ignores the advice of the doctors. Till fall of 2019, probably nobody knew the extent of a biological cyclone, which was brewing in Wuhan city of China, except Dr. Li Wenliang, who warned authorities of deadly virus infection outbreak.

China, slightly delayed its action and hardly contained COVID-19, the costs for this in terms of health workers on 03.04.2020, were, lives of 22 doctors including Dr. Li, and confirmed active infection of 3,300 health workers. (Lancet, vol395, March21, 2020). Sooner as predicted by Dr. Li, for Covid-19, Europe and USA became the epicenters for the pandemic. Worldwide, millions of people were confined to homes, whereas health workers were required to do exactly the opposite, putting them at high risk from virus infection of little known properties. Large number of health workers was infected and substantial lives were lost. Health workers efforts for fighting on front line with unknown pathogen were eulogized by the people; food outlets sent them free meals, shopkeepers gave them gifts, Governments and philanthropists provided them protective equipment and moral support in most countries of the world. Health workers are at high risk of contracting the infection, which puts them and their families in jeopardy, especially who look after elderly parents and young children in their homes in lockdowns.

Hazards in Pakistan for health workers include escalated exposure to the pathogen, poor working conditions, and inadequate supply of supportive and protective equipment. In addition to above, probably due to confused policy for lockdown and skepticism of people regarding Covid-19, Physical and psychological violence has increased against the health workers. Many incidences of rampage were recently reported in public sector hospital with physical, verbal and psychological abuse of health workers. Due to high risk of infection in health workers throughout world, WHO has called for respecting the right of health workers to decent working conditions, provision and correct use of the PPE. It is the responsibility of Government to protect health and economy, most important, the lives of people in general and those of health workers in particular. According to WHO report,(2016), Pakistan has health professional density of only14.1 per 10,000, against required 44.5 per 10,000,being one of the lowest in EMRO, region. Death and disability due to disease, psychological and physical abuse of Health workers by the people will further deepen the crises in health system in Pakistan. Till June 12th, 2020 as per PMA communication, Covid-19, claimed 38 lives of doctors, three paramedics. Thousands of people are testing positive daily. The data related to infection rate is limited; however, protection of HCWs should be prioritized who are fighting with virus in difficult conditions. They must be provided with adequate, protective equipment, extra allowances, free transport, food and other facilities during duty. Doctor’s opinion on health issues should be preferred over pure political consideration. As short term measures, all who get infected must be provided treatment at the expense of the government, who have laid their lives; in the line of duty, their families must be given the compensation for the loss of their productive years. Their families should be provided with suitable jobs/ services according to their qualification minor children must be provided education in good institutes with scholarships.

 Prof. Ghulam Asghar Channa
Former VC, SMBBMU 
Larkana. Pakistan.
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Proceedings of PSIM Conference

This refers to the detailed proceedings of Pakistan Society of Internal Medicine Conference in Pulse in the May 1, 2020 issue of “Pulse International”. There is a spelling mistake.

On page 03 where there is Photograph of our world renowned cardiologist and former President of World Association of Cardiologists a statement in my name is also published in which term “Broken Heart Syndrome” or “Taka Yasu Syndrome is written”. Actually I spoke of “Broken Heart Syndrome” also called “TAKO—TSUBO Syndrome. This has been wrongly typed as “Taka Yasu Sydrome”. Kindly make the necessary correction and oblige

 Prof. Eice Muhammad.
Islam Medical College,
Sialkot, Pakistan.

Difference between
Few and a Few

Dear Editor,

Few people know the difference it makes while writing these words. Hence it is for the information of your readers and contributors. Hopefully it will help them.

FEW = virtually none.

A FEW = Not very many.

THE FEW = those in very small numbers {i.e. an exception}.

FEW in place of A FEW is virtually the monopoly of Pakistani writers. It is as strong a proof of your being a Pakistani as your NADRA Passport.

Herewith an example:  “FEW of us are aware of the difference between FEW and A FEW.  THE FEW who know the difference are FEW in numbers”.   

 Dr. Alaf Khan,
Texas, USA. 

Dr. Wajih Rizvi’
struggle appreciated

Dear Editor,

I would like to appreciate the struggle of Dr. Wajih Rizvi Founder of NEST program in USA. I came to know about this after reading a write-up in Pulse International of February 1, 2020. His statements about the hardships he underwent to sustain himself in America by working as post sorter or ICU attendant appear as legendary and fabulous tales.

After above jobs, he joined the residency program. He did not forget that ordeal and established “NEST” to help the doctors who come to USA in quest of training or job. I pray for his long life and health. The story of his effort is a tale of passion and love for patients and also for servants of ailing humanity i.e. doctors. His narrative reminds me of early phase of my life after I became doctor. For many months when I was doing house job, I did not receive any salary and many a times I did not eat anything for five or six days. My weight dropped drastically. However, I continued to take care of my patients with full zeal.

This starvation was experienced by many of my colleagues. This was one of the reasons, I always joined movements of doctors for better service conditions and ultimately we formed Pakistan Doctors Organization (PDO) for better working conditions for doctors of Pakistan.

 Prof. Eice Mohammad FCPS
Islam Medical College,
Sialkot, Pakistan.

Pakistan Dismemberment 
– East Pakistan

Dear Editor,

I read the ‘View Point’ written by Lt Gen Prof Mahmud Ahmad Akhtar on “Pakistan Dismemberment – East Pakistan” published in PULSE Vol.21, No.11, 1 – 14 June, 2020. The whole view of “Dhaka Fall”, retreat of Pak Army and emergence of Bangladesh wandered in my thoughts and my eyes got wet and my neurons were numb for a while. At the time of “Independence” from British and Hindus, Bengalis were more patriots and overwhelmingly voted for Pakistan. Their population in East Pakistan was more than in West Pakistan and the literacy rate was remarkably high. They were more awakened politically. Their leadership was of high caliber and innumerous contributions and sacrifices of Mr. Huseyn Shaheed Suherwardy, Khawaja Nazimuddin, Fazle Haq, Maulvi Tamizuddin Khan and many others are part of the history. No country or piece of earth is broken or split in a moment or blinking of an eye. There are countless underpinning reasons for separation of a family or people or a country. In my opinion, after the death of Mohammad Ali Jinnah, Quaid-e-Azam, the power hungry bureaucrats, orthodox Waderas/ Sardars, opportunist politicians and authoritative dictators made a web not to nurture True and Pure Democracy as per dream of great Quaid. They did social injustices and humiliation to people of Bengal. No due share of power (in proportion to population or literacy rate) in job, services, business, social reforms, development, honour, dignity and attitudes was provided by these power groups to citizens of East Pakistan. Due to deprivation, the radical elements arose and cunning India got full advantage of the situation and left no stone unturned to dismember our homeland which was created on ideological basis.

Rigging of presidential election of Mohtarma Fatima Jinnah (The great Quaid’s sister) by the President M. Ayub Khan through Basic Democracy System (BDS) paved the pathway for lack of transparency and maneuvering in the subsequent elections of the country. Subsequently, non-compliance and denial of the great majority of the 1970 General Elections of the legislative seats by the Awami League of East Pakistan was “injustice” and this became the root-cause for Pakistan dismemberment.

There is a famous saying “The lesson of the history is that it is never learnt”. Even today, social injustice, ridiculing, disgrace, favoritism, foul language, victimization and humiliation is order of the day which causes dissatisfaction and feelings of deprivation of provinces and amongst social, political and religious groups. This particular aspect needs to be taken care of as it breeds hatred which could, unfortunately, burst into a chaos. The flood starts from a very pin-hole. So, the pin-hole gap needs to be bridged to prevent flooding. No or little concrete work is being done in the Pakistan Society for “Oneness or Building the Nation”. The government functionary, educationists, scholars, rulers, philosophers and literacy circles can take a lead to inculcate social justice and harmony in our setting/ culture, not by words but by the deeds to keep unification of our homeland.

 Maj. Gen. Prof. M. Aslam (Retd)
Founder VC, Shifa Tameer-e-Millat University, Islamabad
Former VC, UHS, Lahore
Former Pro-VC, NUMS, Rawalpindi
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