Category: Discussions
Testing a low-cost approach to giving eRIG for…
Ethical concerns in using a lower dose of equine rabies immune globulin (eRIG) to irrigate wounds from dog bites to prevent rabies are discussed. A lower dose of eRIG was used because of a general shortage of eRIG and the high market cost in the Himachal Pradesh state of India. The cost and ava...
Exemplary operational research on an important public health…
Rabies is a fatal disease once contracted, and a serious public health problem. Immunisation was unaffordable and inaccessible for most affected people in India. Omesh Bharti’s operational research allows us to reduce the unit dose needed for life saving rabies immunoglobulin (RIG) for class 3 ra...
Whither Cochrane?

The ouster of Professor Peter Gotzsche who headed the Nordic Cochrane Centre, from Cochrane, a respected international research organisation, has provoked a crisis of confidence in the organisation's future. Disputant and bystander reactions on this issue are presented, as well as concerns reg...

Authors’ response to commentaries on “Emergency care in…
We are grateful to Kattula and Jain, Patil and Phutke for their comments on our article on rural emergency medical care and our real problems in rural practice, their management and the threat to our survival. We agree with most of their points and the solutions they have advocated.
Response to Jain et al on emergency healthcare…
"Sustaining for-profit emergency healthcare services in low resource areas" by Jain et al is an excellent reply to the Bawaskars. Clearly, the state must prevent both patients from going bankrupt and practitioners from running into negative balances.
The crisis in Cochrane: Evidence Debased Medicine
The mission of the Cochrane Collaboration, established in 1993, was to systematically review medical evidence with a view to producing the best quality and trustworthy evidence. Twenty-five years later, it is in a crisis that centres on the dismissal one of its founders and the question of access...
Storm in a teacup? General implications of the…
The crisis that has emerged around the expulsion of Peter Gøtzsche from the Cochrane Board seems at first sight to be the outcome of a typical power play. However, the structural issues that have led to the crisis have emerged in a more technical criticism. These include lack of transparency, lac...
Sustaining for-profit emergency healthcare services in low resource…
The Bawaskars in their Comment "Emergency care in rural settings: Can doctors be ethical and survive?" raise a context-specific question about the sustainability of emergency care in rural, low resource areas. This could be broadened to "What efforts are needed to sustain emergency care systems r...
Emergency care in rural settings: no easy solutions
Bawaskar and Bawaskar in their paper titled "Emergency care in rural settings: Can doctors be ethical and survive?" in this journal have presented a very real problem faced by small private healthcare facilities in rural areas. They raise the important question of whether doctors can be true to e...
Emergency care in rural settings: Can doctors be…
We describe below the pressures of running a small private hospital in an underserved rural area, while providing emergency healthcare for victims of poisonous stings, accidents, and other acute health conditions. Both ethics and law demand that payment is not asked for upfront in emergency cases...
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