KING EDWARD MEMORIAL HOSPITAL

Background History

Department of Chest Medicine and Environmental Pollution Research Centre ( E.P.R.C )

Department of Chest Medicine and E.P.R.C

The Department of Chest Medicine offers diagnostic facilities & treatment services for pulmonary disorders. Environmental Pollution Research Centre (EPRC : respiratory morbidity health survey unit) has a unique community outreach service to detect impact of environmental factors on lung health. The Department has a 5-bedded Intensive Care Unit with 3 step down beds, with a total of 30-bedded indoor facility. Diagnostic & treatment services are offered to patients with various lung diseases like Bronchial Asthma, COPD, Interstitial Lung Diseases, occupational lung disorders, lung cancer, Tuberculosis, Pneumonias , sleep disordered breathing and acute and chronic respiratory failure .

The department also provides various diagnostic facilities like Lung Functions, Diffusion studies arterial blood gas study, diagnostic & therapeutic Bronchoscopies, Sleep studies and Skin prick and ELISA based tests for diagnosing allergies.

 

DOTS PLUS Services (unit at GTB Hospital) & RNTCP OPD at KEM under Revised National TB Control programme is looked after by this department. The EPRC team has been actively involved in various community outreach activities like asthma education, health surveys & assessment of respiratory morbidity due to air pollution.

Staff

Faculty

Teaching:

Name	Designation	Qualification	Contact info	Teaching experience	Activities/ interests	Photograph
Dr. Amita U. Athavale	Professor & Head	MD (TB and Chest)	Room no.17, ground floor , CVTC buiding, KEMH , amitaathavale@ rediffmail.com	23 years	Environmental Pollution related clinical research, asthma, COPD, ILD, lung cancer
Dr, Vijay S. Khatri	Associate Professor	MD (TB and Chest)	Room no.19, ground floor , CVTC buiding, KEMH , kempulmo@ rediffmail.com	20 years	Tuberculosis, PFT, Asthma, ILD.
Dr.Sonal Karpe	Assistant  Prof.	MD (Pulmonary Medicine)	Room no.19, ground floor , CVTC buiding, KEMH , sonalkarpe@ yahoo.co.in	2 years	Critical care, Interventional pulmonology, COPD.
Dr. Mahesh Jansari	Assistant  Prof.	MD (Pulmonary Medicine)	Room no.19, ground floor , CVTC buiding, KEMH xangpongmak@ gmail.com	1 year	Critical care, Interventional pulmonology, COPD, Asthma

 

Non teaching:

Name	Designation
Mr.Harish Kanparia	Head Clerk
Mr.Prashant Akotkar	Clerk
Dr. Laxmi Menon	Senior Scientific Officer
Dr. Sadhna Sakalkar	Junior Scientific Officer
Mrs. Rajni Pawar	Junior Scientific Officer
Mrs. Hansa Vora	Senior Technician
Mrs. Mahananda Wydande	Senior Technician
Mr. Manohar Pawar	Technician
Mrs. Leena Shardul	Technician
Mr. Pramod Lad	Technician
Mr. Umesh Karbhari	Technician
Mr.Husnuddin Sheikh	Technician
Mr.Ramdev Yadav
Mr. Omvir Parcha
Mr. Umesh
Mr. Deepak

 

Speciality Medical Officers

Name	Designation
Dr.Hariharan Iyer	Speciality Medical Officer
Dr.Prakash Salve	Speciality Medical Officer

 

Residents:

Name	Year
Dr.Manjit Tendolkar	3rd year
Dr.Rahul Kendre	3rd year
Dr.Anurag Deshpande	3rd year
Dr.Rajwardhan Ghatge	3nd year
Dr.Aditi Punwani	2nd year
Dr. Bhavya Baldwa	2nd year
Dr.Owais Tisekar	2nd year
Dr.Srikant Shelkikar	2nd year
Dr.Mihir Gangakhedkar	1st year
Dr.Prabodh Garg	1st year
Dr.Reshma	1st year
Dr.Amol Shembatwad	1st year

Studies done at Environmental Pollution Research Centre, Seth G.S.Medical College & K.E.M.Hospital (Reported and published in Environmental Status Report by Municipal Corporation from the year 2002- to 2014.)

1. Antop Hill Health Survey – April 2001.
2. Health Survey at Prathmesh Complex, Andheri (Stone crushing and quarry units) – Sept. 2001.
3. Health Survey at Municipal Printing Press, Byculla – October 2001.
4. Respiratory morbidity Health survey of workers at Waste Water Treatment Plant & Chlorination
   Plant namely at Colaba, Love Grove,  Bhandup complex and Pise Panjrapol.
5. Tata Mill compound : Star Masala Mill  Related health morbidity survey.  Year 2002-2003.
6. Sutar Chawl Residents – Health Survey – Respiratory morbidity due to gold workers.
7. Traffic Police Health morbidity study (Worli Naka, Pydhuni, Matunga, Tardeo & Dharavi) –
   May 2002. Traffic Police pollutant exposure to vehicular pollution at heavy traffic junction Vs. Moderate & low traffic areas.
8. Chembur – Maravali Village 2002-03, Residents health study (Total subjects 728) (Based on air quality results Maravali has high levels of suspended particulates).
9. Study conducted to study effects of Biomass fuel on health of women in collaboration with Indian Women Scientists Association

Study Population :

1) Maveshi Village, Bhandardara, Taluka Akola, Dist. Ahmednagar

2) Eksar Village, Karjat.

10. Asthma Education & Respiratory morbidity survey at Kumbharli Village, Dombivali – February 2002.

2003-2004

11. Project funded by MOEF/WHO National Environmental Health Profile 6 areas in Mumbai City.

(Worli, Bhandup, Khar (W), Andheri (W), Maravali, Borivali (control area)

2004-2005

12. Bhuleshwar area (C-Ward) – Respiratory morbidity study in a residential area
13. Study of Respiratory health in traffic policemen exposed to vehicular pollution.
14. Gorai Dumping ground residential area – Respiratory health morbidity study (site near solid Waste dumping ground facility).

2005-2006

15. New Era fabric Mill area health morbidity study.
16. Reserve Bank of India employees – To study effects of different modes of transport on Respiratory  health.

2006-2007

17. Asthma Prevalence study in 8^th and 9^th std. School children.
18. Incidence of silicosis in flour mill workers.

2007-2008

19. Bhakti Park, Wadala – Respiratory morbidity related to cement plants around residential Complex.

20. Asthma Prevalence study.

2008-2009

21. Respiratory morbidity amongst college students (Smokers Vs Non smokers – HP College.
22. Shantinagar Colony (slum residents) – Study of health effects near Deonar Dumping ground(Nov. 2008).
23. Sudha Park (Chembur) – Health morbidity study (Feb. 2009)
24. Mumbai Police Health Survey (Nov-Dec. 2008).

2009-2010

25. Problems reported by Residents of Chheda Nagar around Deonar Dumping Ground
26. Health effects due to ongoing construction work and cement plan in Kurla area
27. Asthma Prevalence study in 8^th & 9^th std. School Children continued

2010-2011

28. Asthma Prevalence in 8^th & 9^th Std. School children – completed.
29. Allergen Testing with ELISA amongst allergic rhinitis and asthma patients to identify trigger factors.

2011-2012

30. Zarina Park (Mankhurd) area health morbidity survey (cancer prevalence).
31. Asalpha Village, Ghatkopar – Air Pollution related respiratory morbidity.
32. Shivdi Police Line & Koli Samaj Shivadi – Exposure to coal dust & traffic related morbidity.
33. Gautam Nagar – Deonar BMC Colony, Deonar (control area) respiratory morbidity.
34. Initiated project funded by NEERI to study environmental factors responsible for asthma in Mumbai city.

35. Longitudinal study of Health Morbidity in subjects exposed to :

Waste water treatment plant (MCGM)

Chlorination plant workers (MCGM)

Areas studied :  Love grove (Worli)/Colaba Pumping stations – waste water exposure

related health effects on workers.

Chlorination plant workers – Pise Panjrapol & Bhandup.

2012-2013

36. NEERI Project : Study of determining prevalence of Asthma and environmental factors

2013-2014

37. Chereshwar CHS Mahul- Air Pollution related respiratory morbidity
38.    Yewai Chemical Plant
39.    Ambapada Gavthan, Vishnu Nagar, Anik Gaon, Shankar Deul and Gavanpada, Chembur
40. Bhandup Chlorination Plant

 2014-2015

41. Uttam Society, Chereshwar society (Mahul) Chembur.
42. Chlorination plant workers PisePanjra-pol
43. Versova Sewage Treatment plant
44. F-South Solid Waste Management workers

RESEARCH PUBLICATIONS & ARTICLES IN SCIENTIFIC JOURNALS:

1. Research Analysis Report – A Clinical trial of efficacy and safety of Montelukast as  Monotherapy in patients with chronic stable bronchial asthma.    Athavale, G.A.D’souza, Awasthy, N.P.Singh et al. JIMA, 102; Feb.2004.  Pg.109-211.
2. Beta(2)-adrenergic receptor polymorphisms and response to salbutamol among                                                                                                   Indian asthmatics. Pharmacogenomics 2005 June ;6(4);399-410 16004558. Ritushree Kukreti, Pallav Bhatnagar, Chandrika B.Rao, Simone Gupta, Babita       Madan, Chinmoyee Das, Randeep Guleria, Amita Umesh Athavale, Samir Kumar Brahmachari, Balaram Ghosh.
3. Once daily ciclesonide delivered via pMDI is effective and safe for the treatment of mild-to-moderate persistent asthma. V.Singh, S.S.Salvi, B.B.Brashier, A.U.Athavale, V.B.Murali Mohan, P.S.Bhttacharya, P.M.Gokhale, P.A.Mahadik, J.A.Gogtay (Jaipur, Pune, Mumbai, Banglore, Mumbai Central, India). Eur.Respir.J. 2006; 28: suppl. 50, 208s.
4. Bronchoscopy in Pulmonary Hydatidosis Retrospective Analysis, Journal of Bronchology & Interventional Pulmonology [Vol:16,No.:3, July 2009, Pg:172-175] Association of sleep disordered breathing with systemic hypertension. The Indian Perspective, The Indian Journal of Sleep Medicine[Vol:3,Issue:4, 2008]
5. Incremental yield in sputum smear positivity by examining a second early morning sputum specimen in follow up patients on DOTS:7 year analysis of RNTCP laboratory Register, Indian Journal of Tuberculosis[Vol:5,No.:2, April 2011,Pg:60-65]
6. Incidence of silicosis in flourmill workers, Indian Journal of Occupational & Environmental Medicine [Vol: 15, Issue: 3, December 2011, Pg: 104-108}]
7. Mycobacterium tuberculosis triggers Autoimmunity.Dr.A.U.Athavale Ind.J.Tuberculosis01/2012:59(1)49-51
8. Serial Lobar Lung Lavage in Pulmonary Alveolar Proteinosis. Baldi MM, Nair J, Athavale A, Gavali V,Sarkar M, Divate S, Shah U. J Bronchology Interv Pulmonol.2013; 20(4); 333-7
9. Specimen collection from chest tubes: A novel method. Milind Baldi, Varun Giri, Jairaj Nair, Amita Athavale. Lung India 2013; 111:272-4
10. Disseminated Cryptococcossis with Caverno-Oesophageal Fistula in a Case of Idiopathic CD4+ T-Lymphocytopenia. Jairaj P. Nair, Amita U Athavale, Sonal Gawande, Unmil Shah, Milind Baldi, Vishal Gupta, Varun Gavali. Journal of the Association of Physicians of India; 2014 January: Vol 62; 54-56

11. Hydrogen Peroxide in Exhaled Breath Condensate in Common Colds – Amey Paranjape, Jairaj P. Nair, Amita U. Athavale, Shishir Singh in IJSR Vol 3 Issue 10, October 2014.
12. Lung Adenocarcinoma Presenting as Diffuse Alveolar Haemorrhage in a Young Adult – Jeenam Shah, Milind Baldi, Jairaj Nair, Amita Athavale.
13. Hereditary hemorrhagic telangiectasia with hemothorax in pregnancy. Sagar Raiya, Amita Athavale, Jairaj Nair, Hemant Desmukh. Case report accepted for publication in Lung India

 Research and Projects:

Ongoing Projects

• Pattern of Drug Resistance among Extra Pulmonary Tuberculosis
• Study of CD4 cell count in HIV negative patients with Tuberculosis
• Retrospective study of lung functions in Chlorination plant workers
• Analysis of pH of Exhaled Breath Condensate and co-relate pH of Exhaled Breath Condensate to severity of COPD

CME programmes

1. A C.M.E on” Asthma and Allergic Disorders” was held on 5^th February 2011.
2. Continuing Medical Education Programme held on “Tackling Drug Resistant Tuberculosis” on 25^th January 2012.
3. International Continuing Medical Education Programme on “Air Quality, Asthma and Allergy” on 4^th April 2012.
4. Continuing Medical Education Programme held on “Tuberculosis Control in Mumbai-A way forward” on 22^nd March 2013.
5. 16^th November 2014, CME on “Asthma & Allergic Disorders”
6.  Friday, 21^st October, 2016 – CME: ALLERGY and IMMUNOLOGICAL DISORDERS.