Dr S S Rawat's Blog

Optimize your Health & Immunity Covid19 is gradually moving from a Pandemic to Endemic state. Increasingly it is becoming apparent that 'Covid Zero' is no longer an achievable public health target. Accordingly, public health strategy needs move towards optimizing population level health in order to minimize the impact of this virus which it now appears is here to stay. The adjusted target now would be to prevent healthcare systems getting overwhelmed and allowing the economy to function as normal in the presence of sustained community transmission of SARS-COV2 virus. This can only be achieved when vast majority of infections are asymptomatic or minimally symptomatic not requiring hospital admission.  Introduction of novel early out patient therapies such as Monoclonal Antibodies and Oral Antivirals should further assist in an effort to 'normalize' the effects of this virus. The best defence against Covid19 complications remains Vaccination. To put it in lay terms, a...

Cancer Screening & Adult Vaccination in Ontario Ontario Health (Cancer Care Ontario) runs province-wide organized screening programs for 4 types of cancer: lung, breast, cervical and colorectal (commonly called “colon cancer” or “bowel cancer”). Cervical Cancer Screening Programme: Females age 21 to 69 upon initiation of sexual activity every three years. Regular Pap tests can detect changes in the cells of the cervix before they become cancerous. Catching these changes early (and treating them, if necessary) can prevent cervical cancer. Colorectal Cancer Screening Programme: Age 50 to 74 Colorectal cancer screening increases the chance of finding cancer early when it is more likely to be cured.  When colorectal cancer is caught early, 9 out of 10 people can be cured. The kind of screening test you get depends on whether you are at average risk of getting colorectal cancer or at increased risk of getting colorectal cancer. Someone is at  average risk  if they are 50 ...

Cholesterol Management through Diet & Lifestyle There are 2 main types of fat: saturated and unsaturated. Eating too many foods high in saturated fat can raise the level of cholesterol in your blood. Foods high in saturated fat include: meat pies sausages and fatty cuts of meat butter, ghee and lard cream hard cheeses cakes and biscuits foods containing coconut or palm oil Eating foods that contain unsaturated fat instead of saturated fat can actually help reduce cholesterol levels. Try to replace foods containing saturated fats with small amounts of foods high in unsaturated fats, such as: oily fish – such as mackerel, salmon, rainbow trout and tuna nuts – such as walnuts, almonds and cashews seeds – such as sunflower and pumpkin seeds avocados vegetable oils and spreads – such as grapeseed, safflower, olive, avocado and walnut oils Becel Proactiv is a spread fortified with plant stanols and sterols which has been shown to reduce total cholesterol leve...

Childhood Immunization & Vaccine Preventable Diseases in Ontario   Ontario's Routine Immunization Schedule https://www.health.gov.on.ca/en/public/programs/immunization/static/immunization_tool.html   Parents are encouranged to keep an online record of vaccinations using either Canimmunize App  https://www.canimmunize.ca/en/home or Toronto Public Health online portal https://tph.icon.ehealthontario.ca/#!/welcome   Rotavirus (Rot-1) vaccine – given at 2 and 4 months Rotavirus is a common infection that causes vomiting and diarrhea in infants and children. Pneumococcal conjugate (Pneu-C-13) vaccine – given at 2 months, 4 months and 12 months The pneumococcal conjugate vaccine protects children against invasive pneumococcal infections such as pneumonia, bacteraemia (infection of the blood) and meningitis (infection of the brain).  DTaP-IPV-Hib vaccine – given at 2 months, 4 months, 6 months and 18 months protects children against five diseases ― diphtheria, tet...

  Intensive lifestyle modification has been shown to effectively delay or prevent diabetes.         Medical Nutrition Therapy delivered by a registered dietitian is associated with hemoglobin A 1c (HbA 1c ) reduction Weight loss Weight reduction is beneficial in:lowering insulin resistance by lowering hepatic glucose production lowering cardiovascular morbidity in part by producing a more favourable lipoprotein profile - decreased LDL and VLDL levels and increased HDL levels Encourage people to: increase their consumption of foods that are high in fibre, such as wholegrain bread and cereals, beans and lentils, vegetables and fruit choose foods that are lower in fat and saturated fat, for example, by replacing products high in saturated fat (such as butter, ghee, some margarines, or coconut oil) with versions made with vegetable oils that are high in mono-unsaturated fat choose skimmed or semi-skimmed milk and low-fat yoghurts, instead ...