Media

Jan 2018: Served a scientist / eminent person on the expert panel for PHD- VIVA VOCE examination held in Sri Ramachandra University Porur

SEP 2017: Launched “Allergy education “web portal to educate the general public on allergy education and management of common allergy problems

Feb 2017: Attended a health committee meeting at the AHI center, T nagar to discuss the various issues pertaining to the health management of children attending the center for health issues.

Jan 2017: Selected as a panel doctor to serve on the board of Anjuman –E- Himayath- Islam, a professionally managed social, charitable and educational organization.

Dec 24 th2016: Faculty in the Industrial health program for factory medical officers at Sriramachandra medical college Porur. Covered topics on spirometry and occupational allergies.

July 2016: Published a patient education article on “asthma management “ at the Global Asthma Network

March 2016: Published an article on” Urticaria as a presenting symptoms of Hodgkin’s Lymphoma” In the Indian Journal of Allergy Asthma and Immunology

Feb23, 2016: Presented a unique case of “urticarial vasculitis “ at Mehta Medical Forum Dr. Mehta’s Hospitals Chennai

Jan 29, 2016 : Attended 49Th National Conference of Indian College of Allergy Asthma and applied Immunology at Saveetha University Chennai.

Jan 9, 2016: Presented a poster on” Analysis of Allergen sensitivity in Bronchial Asthma “ at an international workshop organized by CMC Vellore and International Asthma Services Denver Colarado.

Participant in the Allergy & Asthma workshop on February 14 th 2015 organized by International Asthma Services Denver Colarado USA

Article on " Allergic Rhinits " for public in a leading tamil daily

Free Asthma and Lung function test screening camp at Mehta Hospital Chetpet on November 2014

CME Talk for physicians on " Managing Bronchial Asthma" on September 27 2014

Article on " Food Allergies in Children" Parent Circle Magazine August 2014 http://issuu.com/shriharinimediapvtltd/docs/august_2014_teaser/5?e=0

WORLD ASTHMA DAY 2014

Free Asthma screening and spirometry in association with Indian Red cross society and cipla pharma om May 31 2014

WORLD ALLERGY WEEK 7 APRIL TO 13 APRIL 2014. increase awareness of Anaphylaxis - When Allergies Can Be Severe and Fatal.

http://www.worldallergy.org/anaphylaxis/

http://www.youtube.com/watch?v=fZoUb8u9m7I Evaluation of a case of Allergy talk by Dr. Zareen Mohamed in Indian Medical Association meeting

World Asthma Day 2013

http://www.vikatan.com/new/article.php?module=magazine&aid=32066- Awareness session on Asthma Inhalers by Dr Zareen Mohamed.

World Asthma Day 2012

Article on childhood wheezing in yokibu community network site

Is Early Treatment of Wheezing in children Essential?

Introduction

Wheezing is a varied problem in infants and young children. Most children have a remission in wheezing symptom by school age. However, it is believed that approximately 20% of them develop classical allergic asthma in mid childhood. Asthma is becoming increasingly common in the childhood population, the important factors contributing to this new epidemic being dietary changes, increased exposure to indoor and outdoor allergens, and indiscriminate use of antibiotics in childhood infections.

Symptom presentation

Wheezing is the commonest presentation in Asthma. But not all wheezing is asthma. So it is very important to differentiate between the groups of children who wheeze only with viral infection of the upper respiratory tract, infections from the wheezing associated with asthma. Appropriate diagnosis is paramount to maximize the early effect of medical treatment.

Another common presentation in children is cough. There is an entity mostly in children called the ‘cough variant asthma’. Cough variant asthma is responsive to asthma medication. Persistent cough in children which does not get better after multiple courses of antibiotics should raise the red flag on the possible diagnosis of asthma in the mind of the treating physician. Also, children with persistent cough are at increased risk from lung infections. The lungs of these children are also vulnerable to the effects of environmental factors such as passive smoking and air pollution.

The presence of allergy is an important determinant of outcome of asthma into early adult life. Allergy detection will make a big impact in the management of the wheezing child.

Treatment

Either in a child presenting with wheezing or persistent cough, evidence points that early introduction of treatment with inhaled medications helps protect the lungs from permanent damage. A definitive diagnosis of asthma is very difficult to establish in young children making the introduction of preventive inhaler therapy difficult. Many young children wheeze with viral infection in childhood due to the smaller size of the airways. Identifying the subset to be started on preventive inhalers is very crucial as asthma is a chronic inflammatory disease of the airways and anti-inflammatory medicines will prevent the long term damage to the airways. Early use of preventive inhalers reduces the hospitalization rates in children thus protecting them from high dose medications to control the acute attack. There are well established national and international guidelines to monitor the treatment response and the dose of inhaler therapy in children. Asthma guidelines recommend the early use of preventive inhaled medicines to control the symptoms followed by step down to the minimal treatment required to maintain control.

There is a lot of apprehension on the part of the parents about the potential side effects of inhaled steroids in growing children. Major studies in the United States and Europe have not found any permanent side effects from inhaled asthma medicines provided the dose is monitored and medically supervised. Another major concern on the part of parents is additive effects of inhalers. Asthma medicines need to step down or stepped up according to established protocols. In a child without any symptoms for a long period of time, the inhalers can even be weaned off. Public perception need to change on the concept of inhaled medicines. In the Western countries, people are aware of the minimal side effects and targeted drug delivery of inhaled medicines whereas in India, patients prefer to take oral tablets. Unfortunately, oral tablets or syrups result in more side effects compared to inhalers

Conclusion

Physicians need to spend considerable amount of their time to teach children and their parents on the correct inhaler technique for appropriate delivery of medicines. It is also very essential to identify the wheezing in allergic children by appropriate allergy tests. In the group of children with allergy, early environmental control to avoid allergens and prompt treatment with inhaled corticosteroids will protect the airways from damage. Despite great awareness of the disease and improved treatment, the management of asthma in early childhood remains a great challenge for the clinician.

Dr. Zareen Mohamed DAA., M Med., MBBS

Consultant – Allergy and Asthma, Dr. Mehta’s Hospitals

www.mehtahospital.com

World Asthma Day Activities 2011

http://www.ginasthma.org/wadcountry/655

Activities for Patients and the Public

Free Allergy and Asthma screening camp from May 3 to May 12, 2011.

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