hi avinash
is there any legislation regarding soft copy of medical record like
block letters?

On 10/23/15, amritpal singh <amritpa...@gmail.com> wrote:
> A few days ago, I saw the name of the medicine written on a packet/carton in
> uncontracted Braille which was a pleasant surprise for me.
>
> -----Original Message-----
> From: AccessIndia [mailto:accessindia-boun...@accessindia.org.in] On Behalf
> Of avinash shahi
> Sent: 23 October 2015 11:57
> To: AccessIndia: a list for discussing accessibility and issues concerning
> the disabled.
> Subject: Re: [AI] Attention: Special Read: Farma Companies–packaging
> innovations:braille labelling for the visually impaired
>
> Some of the hospitals have begun providing soft copies of all details
> about tests/and prescribed medication. My mother is being treated at
> Tata Memorial Cancer Hospital Mumbai and we were given CD containing
> all details. But yes if not Braille labeling  we should have info in
> soft copies.
> On 10/23/15, Asudani, Rajesh <rajeshasud...@rbi.org.in> wrote:
>> forget braille on packaging.
>>
>> Here, doctors are not writing prescription in block letters as mandated
>> lately by MCA.
>> No medical records are given in soft copy either.
>>
>>
>>
>> सादर / With thanks & Regards
>> राजेश आसुदानी Rajesh Asudani
>> सहायक महाप्रबन्धक AGM
>> बाजार आसूचना ईकाई MIU
>> भारतीय रिजर्व बैंक Reserve Bank of India
>> नागपुर Nagpur
>>
>> 0712 2806846
>>
>> President
>> VIBEWA
>> Co-Moderator
>> VIB-India
>>
>> A-pilll = Action coupled with Positivity, Interest, Love, Logic and
>> laughter.
>>
>>
>> -----Original Message-----
>> From: AccessIndia [mailto:accessindia-boun...@accessindia.org.in] On
>> Behalf
>> Of avinash shahi
>> Sent: Friday, October 23, 2015 11:38 AM
>> To: accessindia; jnuvision; sayeverything
>> Cc: mukesh.harvard
>> Subject: [AI] Attention: Special Read: Farma Companies–packaging
>> innovations:braille labelling for the visually impaired
>>
>> I feel this is the real accessibility concern of blind people? I wish
>> our disability advocates take this up straightaway. The RPD Bill is
>> still amended and we have a great chance to see what the European
>> Union formulated in 2005. Please forward this cover story to the
>> officials of the department of Disability Affairs and lobby for the
>> braille labeling.
>> http://www.financialexpress.com/article/pharma/cover-story/packaging-with-a-purpose/153949/
>>
>>
>> Globally, pharma companies are incorporating new generation packaging
>> innovations like braille labelling for the visually impaired and smart
>> blister packs for elderly patients. When will the trend catch on in
>> India? By Usha Sharma
>>
>> Though pharmaceutical companies in India are always on the lookout for
>> innovative packaging of medicines in terms of convenience and patient
>> friendliness, they are still lagging behind when catering to certain
>> segment like the visually impaired. The elderly segment is also
>> neglected when it comes to senior citizen-friendly packaging.
>>
>> Globally, several pharma companies have introduced advanced technology
>> in their blister packaging which helps in monitoring the use of
>> medication and patient compliance as well. There have been innovations
>> in the pharma blister packaging where ‘smart’ blister packs
>> incorporate moving colour advertisements with sound for partially
>> sighted patients.
>>
>> 20151031ep02
>> Ajit Kanetkar
>> If the world is adopting newer packaging methods and technologies, why
>> are Indian pharma companies lagging behind? Is the visually impaired
>> population too small to be a significant market in India? This is not
>> so. Ajit Kanetkar, Head – Technical Cell, ACG TechnoVersity informs,
>> “As per available statistics, India accounts for a staggering 20 per
>> cent of the world’s blind population, which is approximately 7.8
>> million. The visually impaired population, globally, is 285 million.
>> Of these, 39 million are blind and 246 million have weak vision.
>> Nearly 90 per cent of the visually impaired population lives in
>> developing countries.”
>>
>> No legislation = no initiative
>>
>> The European Union (EU) issued a directive in 2005 for pharma and
>> packaging companies realising the urgent need for braille script on
>> medicine packs for visually impaired people. The legislation (Article
>> 56 (a) of council directive 2001/83/EC) requires that the product
>> name, strength, and dosage appear in braille script on all pharma
>> packaging.
>>
>> 20151031ep05
>>
>> Kanetkar says, “The EU regulation has been the guiding factor for
>> pharma companies to introduce braille for any medical product for
>> human use. The EU directive defines this ‘as any substance or
>> combination of substances presented as having properties for treating
>> or preventing disease in human beings.’ This regulation has since led
>> the way for other countries who are quickly following suit. All EU
>> legislation relating to pharma products is covered under the EE-A
>> Agreement and so the EEA areas (Iceland, Liechtenstein and Norway)
>> have also implemented this directive. Even countries like Brazil, the
>> US and Canada have implemented a mandate for braille labelling on all
>> pharma packaging. The export markets like the EU and North America
>> have braille-compliant pharma packaging, in line with the EU mandate
>> (2005) and Can-Am Braille (2009).”
>>
>> Though the EU directive for pharma packaging mandates the use of
>> braille script and many countries have already implemented it, pharma
>> companies in India have not followed suit.
>>
>> 20151031ep03
>> Chakravarthi AVPS
>> Pointing out the key reason, Chakravarthi AVPS, Chief Executive
>> Officer, Managing Director, Ecobliss India and Governing Board Member,
>> Indian Institute of Packaging and Asian Packaging Federation stresses,
>> “There is no legislation in India that braille has to be incorporated
>> on the pharma packs. Obviously, companies see no big advantage and
>> they are not pushing for it. It’s no wonder braille implementation
>> takes a back seat in India in the absence of a legislation.”
>>
>> Kanetkar further says, “There are very few pharma companies that are
>> looking at adopting this technology. Braille on pharma packaging is
>> not a government mandate in India. The Indian government is taking
>> many gradual steps towards introducing braille script on pharma
>> packaging through government and non-government bodies. In India very
>> few blind people can actually read braille. But since the braille
>> script on pharma packaging is not a mandate in India, the technology
>> advancement as well as education of the visually impaired in braille
>> in this sector has been minimal.”
>>
>> A pricey option
>>
>> 20151031ep04
>> MK Banerjee
>> Besides lack of regulations, cost also plays an important role.
>> Replying to a query raised on whether Indian companies are running far
>> behind in adopting advanced pharma packaging technologies, MK
>> Banerjee, Director, C&I (Global), Essel Propack apprises, “I believe
>> Indian companies are aware of the technology gap and new technological
>> requirements to produce new generation pharma packaging material.
>> However, drug ‘price control’ regulations are hampering investments in
>> new plant and machinery to produce advanced pharma packaging material.
>> Cost of new technology has to be plugged-in to fall within ‘price
>> control’ formula.”
>>
>> Since, there are limited pharma companies practicing in India, it also
>> requires updated technical assistance. Kanetkar says, “Challenges for
>> braille or pharma packaging are three-fold. Firstly, there is an
>> additional cost in upgrading the packaging machinery and be braille
>> compliant. Secondly, braille dots need to be high enough to be easily
>> read, but not too high that it perforates the packaging. The
>> manufacturer must ensure that braille dots are not malformed or
>> missing, while ensuring accurate spacing. And lastly, quality control
>> is extremely critical in braille pharma packaging, for one misplaced
>> dot could lead to costly lawsuits, high product recalls and tarnish
>> the brand image.”
>>
>> Braille printing methods
>>
>> While informing about current printing practices against the braille
>> script requirements, Banerjee says, “In order to print braille script
>> (user instructions) print machinery has to be modified with in-line
>> screen print units so that higher deposition of ink or varnish is
>> possible. Most of the primary and secondary packaging for pharma
>> products are printed with either rotogravure or offset printing
>> technology. Both these print technologies cannot deposit higher
>> grammage of ink and varnish that are required to create braille dots.”
>>
>> Kanetkar suggests, “Marburg medium should be used as the preferred
>> braille font for pharma packaging, as recommended by the European
>> Commission and other agencies worldwide. Also, specifying dot
>> diameter, dot spacing, character and line spacing makes it easier for
>> manufacturers of vision inspection systems to develop readers that
>> automatically interpret the dots. The Indian government can set a
>> global example by leading the introduction of expiry dates in braille,
>> something that is not mandated anywhere else in the world.”
>>
>> Additionally speaking about the implementation of braille on pharma
>> packs in India, he says, “Although the braille script technology is
>> gaining widespread usage in developed countries, it still remains to
>> be seen how it will develop in a highly vision-impaired population
>> country like India. We also have to wait for some mandate for braille
>> on pharma packaging. Once there is a directive from the government,
>> the technology will develop further, making it easily accessible and
>> cost effective. If the government is able to put in place, some
>> regulations for implementation followed by education of the visually
>> impaired in the braille script through multiple agencies, government
>> and NGOs, then this situation may become the necessity that will drive
>> the implementation.”
>>
>> Looking beyond
>>
>> With the United Nations designating October 1 as ‘International Day of
>> Older Persons’, it is apparent that global concerns for a rapidly
>> ageing population are only set to increase.
>>
>> Indian pharma manufacturers also need to look into developing
>> solutions for the geriatric population. In the last two to three
>> decades, life expectancy cycle in India has been increasing which
>> means the graph of the elderly population will certainly move upwards.
>> So are we ready to tap this market?
>>
>> Chakravarthi says, “India will see a rise in elderly population. But
>> if one looks into the statistics, the number is far less than Europe
>> and other developed countries. However, we need to seriously give a
>> thought on compliance packs, and packs which are very user friendly.
>> One has to really think of how effectively dose packs can be used by
>> elders. We also need to focus on self administered drugs.”
>>
>> Essel Propack is one of the companies which is an early mover when it
>> come to developing senior friendly products. Banerjee informs, “As we
>> have been learning from the West and also Far Eastern countries, to
>> cater to the demand of vast and growing elderly population, packaging
>> designs have to be ‘senior citizen friendly’ so that one can open
>> and/or dispense the unit dose conveniently by themselves. We have
>> developed ‘easy squeeze’ senior citizen friendly pharma tubes. We also
>> have patented technology for ‘pill dispenser’ that facilitates the
>> senior citizen dispensing of individual pill simply by tilting
>> slightly downward and shaking the container. Likewise, we have
>> patented as dispenser for controlling (prescribed) dosage of liquid
>> drugs (syrup). These basic innovations help senior citizens greatly
>> and the inventors earn their blessings anonymously.”
>>
>> It may take a long time to bring global technologies to the India
>> market. However, our manufacturers can identify areas where
>> alternative methods can be used to cater to the needs of each section
>> of society. This could act as a differentiator as well as open up new
>> market segments.
>>
>> u.sha...@expresssindia.com
>>
>> --
>> Avinash Shahi
>> Doctoral student at Centre for Law and Governance JNU
>>
>>
>>
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>
>
> --
> Avinash Shahi
> Doctoral student at Centre for Law and Governance JNU
>
>
>
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-- 
Thanks and Regards,
Mohit Gupta.
Rajasthan.



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