Feature
Hookworms suck 22 litres blood from 14-year-old boys body
New Delhi : In a rare case, a 14-year-old boy, whose 22 litres of blood was sucked by hookworms in his small intestine since the last two years, was cured through a deworming therapy at a city hospital here.
The diagnosis was possible only after hospital recommended the rarely-used vitamin capsule-size endoscopy.
According to doctors, the boy was referred to Sir Ganga Ram Hospital (SRGH) in August last year with complaints of passage of blood in his stool.
“The child was suffering from iron deficiency anaemia for the last two years. He was being managed with repeated blood transfusions and received 50 units (22 litres) of blood transfusions in the last two years,” said Anil Arora, Chairperson of Gasreroenterology Department at SRGH.
Arora said the patient’s diagnosis could not be established despite various repeated tests including esophagogastroduodenoscopy (EGD), colonoscopy and radiographic studies of the intestine.
The patient’s haemoglobin was low at 5.86. As the problem persisted and there was gastrointestinal bleeding, the doctor decided to go for the rarely-used Capsule endoscopy.
Capsule endoscopy is a procedure that uses a tiny wireless camera to take pictures of the digestive tract. A capsule endoscopy camera sits inside a vitamin-size capsule that the patient has to swallow.
Calling the findings “shocking”, Arora said: “We could see multiple hookworms buried in small intestine and were seen actively sucking blood with dancing movements.
“Sucked blood could be seen in the cavity of hookworms, giving red colour to them. White coloured hookworms who had not yet sucked blood were seen lying quiet in the small bowel.”
“After treatment the child recovered and his haemoglobin increased to 11 gm/dl,” said Arora, describing the health condition of the patient.
The rare medical case has been published in the latest edition of Journal of Infectious Diseases and Therapy.
“Conventionally, hookworm infestation is found commonly in Asian population. Manifestation of hookworms can be prevented by avoiding barefoot walking and maintenance of food hygiene,” he said.
Entertainment
Meghalaya Reserves Legalized Gambling and Sports Betting for Tourists
The State Scores Extra High on Gaming-Friendly Industry Index
Meghalaya scored 92.85 out of 100 possible points in a Gaming Industry Index and proved to be India’s most gaming-friendly state following its recent profound legislation changes over the field allowing land-based and online gaming, including games of chance, under a licensing regime.
The index by the UK India Business Council (UKIBC) uses a scale of 0 to 100 to measure the level of legalisation on gambling and betting achieved by a state based on the scores over a set of seven different games – lottery, horse racing, betting on sports, poker, rummy, casino and fantasy sports
Starting from February last year, Meghalaya became the third state in India’s northeast to legalise gambling and betting after Sikkim and Nagaland. After consultations with the UKIBC, the state proceeded with the adoption of the Meghalaya Regulation of Gaming Act, 2021 and the nullification of the Meghalaya Prevention of Gambling Act, 1970. Subsequently in December, the Meghalaya Regulation of Gaming Rules, 2021 were notified and came into force.
All for the Tourists
The move to legalise and license various forms of offline and online betting and gambling in Meghalaya is aimed at boosting tourism and creating jobs, and altogether raising taxation revenues for the northeastern state. At the same time, the opportunities to bet and gamble legally will be reserved only for tourists and visitors.
“We came out with a Gaming Act and subsequently framed the Regulation of Gaming Rules, 2021. The government will accordingly issue licenses to operate games of skill and chance, both online and offline,” said James P. K. Sangma, Meghalaya State Law and Taxation Minister speaking in the capital city of Shillong. “But the legalized gambling and gaming will only be for tourists and not residents of Meghalaya,” he continued.
To be allowed to play, tourists and people visiting the state for work or business purposes will have to prove their non-resident status by presenting appropriate documents, in a process similar to a bank KYC (Know Your Customer) procedure.
Meghalaya Reaches Out to a Vast Market
With 140 millions of people in India estimated to bet regularly on sports, and a total of 370 million desi bettors around prominent sporting events, as per data from one of the latest reports by Esse N Videri, Meghalaya is set to reach out and take a piece of a vast market.
Estimates on the financial value of India’s sports betting market, combined across all types of offline channels and online sports and cricket predictions and betting platforms, speak about amounts between $130 and $150 billion (roughly between ₹9.7 and ₹11.5 lakh crore).
Andhra Pradesh, Telangana and Delhi are shown to deliver the highest number of bettors and Meghalaya can count on substantial tourists flow from their betting circles. The sports betting communities of Karnataka, Maharashtra, Uttar Pradesh and Haryana are also not to be underestimated.
Among the sports, cricket is most popular, registering 68 percent of the total bet count analyzed by Esse N Videri. Football takes second position with 11 percent of the bets, followed by betting on FIFA at 7 percent and on eCricket at 5 percent. The last position in the Top 5 of popular sports for betting in India is taken by tennis with 3 percent of the bet count.
Local Citizens will Still have Their Teer Betting
Meghalaya residents will still be permitted to participate in teer betting over arrow-shooting results. Teer is a traditional method of gambling, somewhat similar to a lottery draw, and held under the rules of the Meghalaya Regulation of the Game of Arrow Shooting and the Sale of Teer Tickets Act, 2018.
Teer includes bettors wagering on the number of arrows that reach the target which is placed about 50 meters away from a team of 20 archers positioned in a semicircle.
The archers shoot volleys of arrows at the target for ten minutes, and players place their bets choosing a number between 0 and 99 trying to guess the last two digits of the number of arrows that successfully pierce the target.
If, for example, the number of hits is 256, anyone who has bet on 56 wins an amount eight times bigger than their wager.