Tuesday, February 03, 2009

Revised BCG vaccination guidelines for infants at risk for HIV infection

Following a review of relevant data, the Global Advisory Committee on Vaccine Safety (GACVS) has revised its previous recommendations concerning bacille Calmette1 Guerin (BCG) vaccination of children infected with the human immunodeficiency virus (HIV).
WHO had previously recommended that in countries with a high burden of tuberculosis (TB), a single dose of BCG vaccine should be given to all healthy infants as soon as possible after birth, unless the child presented with symptomatic HIV infection. However, recent evidence shows that children who were HIV-infected when vaccinated with BCG at birth, and who later developed AIDS, were at increased risk of developing disseminated BCG disease. Among these children, the benefits of potentially preventing severe TB are outweighed by the risks associated with the use of BCG vaccine. GACVS therefore advised WHO to change its recommendation such that children who are known to be HIV-infected, even if asymptomatic, should no longer be immunized with BCG vaccine.

CV Dr Diwakar Tejaswi

PROFILE OF DR DIWAKAR TEJASWI

PERSONAL
NAME: Dr Diwakar Tejaswi
DATE OF BIRTH: 18 August 1968
GENDER: Male
MARITAL STATUS: Married
CITIZENSHIP: Indian
FATHER’S NAME: Dr K K Sharan, ENT Consultant
MOTHER’S NAME: Dr (Mrs) Kiran Sharan, Child Specialist
WIFE: Dr Dipika Tejaswi, MBBS, PGDMCH
DAUGHTER: Diwakshi Tejaswi, Class 5, Notre Dame Academy
BROTHERS: Sudhakar Tapaswi: B.Tech (IIT Kanpur); MBA (Melbourne Business School) presently working at Sydney, Australia
Vibhakar Yashaswi: B.Tech (IIT Delhi); MBA (Florida State University) presently working at Miami, USA.
MAILING ADDRESS: MIG -161, Lohianagar, Kankarbagh, Patna-800 020, Bihar, India
Phone- 00- 91- 612- 2354219 / 2351771/ 9835078298, 9431829397
E.Mail- Diwakartejaswi@yahoo.com, Dtejaswi@ihousa.org


PERMANENT ADDRESS: GRAM- Bir Oriyara, THANA- Dhanarua, Masaurhi, DIST: PATNA
PASSPORT NO: B 0266231


PRESENT APPOINTMENT
Medical Director, Regional AIDS Training Center and Network In India (RATNEI) and Ex-Officio Medical Director, International Health Organization, (IHO), Boston, USA.
B-33, Indirapuri Colony, Patna 800 014, Bihar, India. (Phone: 0612-2586788)

ACADEMIC QUALIFICATIONS
Ph.D. - Ph.D. Awarded for the research work titled “Comparative Achievement of Health for All by Different Developing Countries with special reference to Maternal and Child Health”, under the guidance of Dr (Prof) Surya Bhushan, Head of the Dept. of Preventive and Social Medicine cum Dean, Faculty of Medicine, Patna Medical College, Patna University, India. (1999)
MASTER OF COMMUNITY HEALTH (MCH) - from Center for Social Medicine and Community Health, Jawaharlal Nehru University, Delhi (1995).
M.B.B.S - from Nalanda Medical College and Hospital (Magadh University), Patna, India (1992)
FELLOWSHIP: Conducting Health Outcomes Research (July – August 2000) at University of Minnesota School of Public Health, Minneapolis, USA.
CERTIFICATE COURSE on Management Development Program, Sponsored by GOI conducted By IIHMR, Jaipur, India (December 23- December 28, 2002)
RNTCP MODULAR TRAINING at LRS Instt. of Tuberculosis and Allied Diseases, GOI, New Delhi (27.10.2003- 8.11.2003)

CME/ OTHERS:
RUSH UNIVERSITY, USA: 2 credit CME on HIV Tropism, July 2007

JOHNS HOPKINS UNIVERSITY, SCHOOL OF MEDICINE, USA: CME on Managing Cardiovascular Risk Factors, May 2008

ROYAL COLLEGE ACCREDITED COURSE SERIES, UK: Distance based learning programme on Advance Course in Hypertension, June 2008.

HARVARD MEDICAL SCHOOL: Ongoing course in Advanced Imaging / Radiology in Tuberculosis.
ACHIEVEMENTS

Stood second in Patna District in Matriculation Examination, securing 84.55% marks. position In State’s Merit List. (1983)
Obtained distinction in all the core subjects (Physics, Chemistry, Biology) in Intermediate of Science Examination, securing 82% (1985)
Stood First in the University in M.B.B.S. Examination, Securing Honours in seven medical subjects, breaking the record of last fifteen years. (74.4% Marks) 1992
Qualified National Eligibility Test for Lectureship/ Junior Research Fellowship Examination conducted By University Grants Commission, India (1994/1995) in the subject ‘Social Medicine And Community Health’.
Honoured with Vishisht Chikitsa Medal (Outstanding Health and Medical Award) for rendering Health Services to the public. (July 1997)
Received State Merit Scholarship throughout studies.
International Health Professional of the year 2005 Award for Outstanding Contribution in the field of Medicine by International Biographical Center of Cambridge, UK
Awarded jointly by 15 NGO’s for Outstanding Work in HIV AIDS (Led by Gramin Vikas Samiti – August 2007)
National Buddha Peace Award 2006 from the then Honorable Governor of Bihar, Dr R S Gavai.
Outstanding Rotarian of the Year Award (2007- 2008)
Nominated for Prestigious Jonathan Mann Award 2007 in Public Health by Global Health Council, USA





WORK EXPERIENCE

SENIOR MEDICAL OFFICER, WHO sponsored Revised National Tuberculosis Control Program, State Tuberculosis Office, Agamkuan, Patna, Bihar, India (July 2002- September 30, 2005)
CONSULTANT, UNFPA (Part time) for its Reproductive and Sexual Health Project, Bawal Block, Rewari District, Haryana. (June 2003-September 2003)
HEAD & A/DEAN , Department of Health Officer & A/Dean, Faculty of Health Sciences, Alemaya University, Ethiopia, under UNDP’s Project Higher Education, Ministry of Education, Ethiopia.( February 1998 To July 2002)
RESEARCH COORDINATOR, Faculty of Health Sciences, Alemaya University. (1999-July2002
RESOURCE PERSON, JANANI, an NGO, affiliated To DKT International, USA, working in the area of Reproductive Health in the Rural and Backward Areas of Bihar State, India. (1997)
ASSISTANT PROFESSOR, Department of Community Medicine, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun, Uttar Pradesh, India (1996-97)
LECTURER CUM CONSULTANT, Department of Community Medicine, Dayanand Medical College, Ludhiana, Punjab, India (1996)
RESEARCH OFFICER, Indian Institute of Health Management Research, Jaipur, Rajasthan, India (1995-96)
JUNIOR RESEARCH FELLOW, Center of Social Medicine and Community Health, JNU, Delhi (1994-95)







CONFERENCE & RESEARCH PAPERS: (AVAILABLE ON GOOGLE/ YAHOO SEARCH FOR DIWAKAR TEJASWI.)
Attended International AIDS Meet 2008 at Mexico City in the capacity of Technical Review Committee Member of Prestigious Red Ribbon Award, August 2008.
Attended UN General Assembly special session & High Level Meet on Global TB Leaders and HIV AIDS, June 9-11, 2008 at UN Headquarters, New York, USA
Research Paper on “Home Based Treatment of HIV Kalazar Co Infection”, submitted to HIV 9 Conference, Glasgow, UK (Scheduled in November 2008)
Poster Presentation on RATNEI as a Model for HIV AIDS Capacity Building Programme in South East Asia. (August 2008, Mexico City)
Research Papers on Comparative Study of Most Commonly Used Highly Active Anti Retroviral Treatment (HAART) in Bihar was published at International AIDS Society Meet Abstracts, Sydney (July 22- 25, 2007) and Poster Presentation at Asia Pacific AIDS Meet, Colombo, Sri Lanka (August 19- 23, 2007)
Research paper titled “Issues Related to People Living With HIV-AIDS” presented in The Scientific Programme of Yuva Federation of Obstetric and Gynaecological Societies of India- East Zone, Annual Meet, Patna (December 3-4, 2005)
Presentation titled “The Story of The Family of an AIDS Victim In India” had been accepted for Special Session in The International Conference “AIDS in Culture II”, Papantla, Mexico, December 2005.
Paper titled “Ethical Considerations in AIDS Vaccine Development” accepted for Poster Presentation at National Bioethics Conference, Ethical Challenges In Health Care: Global Context, Indian Reality, November 25, 26 And 27, 2005, YMCA International, Mumbai Central, Mumbai, Maharashtra, India
“MEDICAL ETHICS AND PATIENTS RIGHT”, published in the Patna Journal of Medicine, Vol.79, No. 6, August 2005.
Research Paper related to RNTCP and DOTS Strategy in Curing Tuberculosis Patients presented orally as Lecture Presentation (with Bursary Award) at International Conference of American Academy of Family Physicians (Orlando, Florida, USA October 13-17, 2004) and another paper at an International Meet of American Society of Tropical Medicine & Hygiene (Miami, USA November 7-11, 2004) where I also chaired the session on Respiratory Infection.
Paper Presentation titled “Global, National & Regional Scenario of HIV-AIDS” organized by Inner Wheel Club, Patna, JIGYASA Program, October 27, 2002.
“Critical Evaluation of Recent Malarial Outbreaks In India”, Journal of the International Association of Agricultural Medicine & Rural Health, Japan, IAAMRH Journal, Vol. 23, No. 1, Spring 2000.
Paper titled “Need Of Continuing Medical Education In Developing Countries” had been accepted for presentation in the Annual Conference of The Association of Medical Education in Europe (AMEE), Beer Sheva, Israel: 27-30 August, 2000.
“Health and Development in Africa” published in the Alemayan, July 2000.
Research paper titled “Association of Acute Childhood Diarrhoea with Water Handling Practices” – Accepted for Lecture Presentation by the Scientific Committee of The International Multidisciplinary Conference on Environmental Medicine, Sept.9, 1999, at University of Graz, Austria.
“Epidemiological Features of Malaria”- Presented at the Symposium organized by Indian Medical Association, Academy of Medical Specialty, Dehradun Branch, India.(May 1997)

FIELDWORK/ COMMUNITY SERVICE EXPERIENCES
In the Tribal Dominated District (Shahdol), Madhya Pradesh, India, Regarding Health Care Delivery System and the Health Status of the Community. (March/April 1995)
In the slums Of Delhi (JJ Colony), where Hepatitis A outbreak was reported. (August 1995)
In Muzaffarpur District of Bihar, where Japanese Encephalitis outbreak was reported. (May-June 1995)
As a Member of Indian Instt. of Health Management Research Team in the end of Project Evaluation of UNFPA assisted Area Development Project in Tonk and Banswara Districts, Rajasthan, India.
Participated in Different Community Health Programs organized by Rotary Club of Patliputra (Including immunization and school health prog.)
Participated in the organization of Swasthya Mela (Health Mela) for school children, organized by Inner Wheel Club Of Patliputra.
We were conducting Family Welfare and School Health Prog. in collaboration with Rural Development Institute, Himalayan Instt. Hospital Trust, Jolly Grant, Dehradun, UP, India.
With an NGO JANANI, in the rural and backward area of Bihar.
In addition to field based assignments, as a part of my course work at CSMCH, JNU, I wrote term papers on several critical public health issues.
Several in house Presentations on Community Health Issues.
At IIHMR, I had developed a broad outline proposal for the Maternal and Child Health Surveillance System for a District.

RESEARCH ACTIVITIES/ RESEARCH PROJECTS
Reviewer of papers on HIV AIDS Research submitted for acceptance at American Public Health Association for three consecutive years 2006, 2007 & 2008.
Mentor for Junior Researchers who planned to present Research Papers at International AIDS Conference, Mexico 2008.
KAP study about HIV-AIDS among ALEMAYA HIGH SCHOOL students.
Study about the Family Planning Methods Awareness and Acceptance among the married women (15-44 yrs age) in Alemaya Town.
Hygienic Status of the Food and Eating Establishment in Alemaya Town.
Mortality and morbidity profile of Alemaya District (based on secondary source of health center register.)
Childhood morbidity pattern in Dire Dawa, Ethiopia.
Immunization coverage in Alemaya District, Ethiopia.
Factors associated with low utilization of and coverage of Health Services in Alemaya Town.
Recent trend of Malarial outbreaks in Dire Dawa autonomous region, Ethiopia.
Prevalence of anaemia in pregnant women, a health center based case control study.
Chief resource person, SIDA community health project development for Alemaya University.
Chief resource person, Faculty of Health Sciences project proposal for Larenstein funding.
Chief resource person, Unicef and Women’s affairs bureau, Somali National Regional State funded comprehensive reproductive Health Project, Alemaya University, Ethiopia.
PROFESSIONAL MEMBERSHIPS
American Academy of Family Physicians, USA.
International AIDS Society
Australasian Society of HIV Medicine, Australia
Royal College of General Practitioners, London
Association of Physicians of India
National Medical Organisation, India
Ethiopian Public Health Association
American Public Health Association
Indian Association of Preventive and Social Medicine
Active Contributor in AIDS India Forum, AIDS Beyond Borders, Global AIDS Action
Rotary International, District Chairman AIDS Awareness (2008-09) Rotary District 3250.
REFERENCES
1. Padmashree Dr C P Thakur
MP, Rajya Sabha, Patna, Bihar
Ph. 9334707915

2. Padmashree Dr S N Arya
Noted Physician, Patna
Ph 9431021698

3. Padmashree Dr Gopal Prasad Sinha
Noted Physician Bihar
Ph 9431020459

4. Padmashree Ms Sudha Vergese
Danapur Patna
Ph 9431025201