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An estimated one in 10 medical products circulating in low- and middle-income countries like India is either "substandard or falsified", says a new research report from the World Health Organisation (WHO).  38 and 90 per cent of the artemisinin medicines on the market were substandard or falsified. http://www.business-standard.com/article/current-affairs/one-out-of-10-medicines-in-india-fake-may-cause-severe-illness-who-117112801415_1.html

. The main reasons for this are the spread of classically ‘hospital’ strains, particularly resistant Klebseilla and E Coli, into the community and vice versa, and the repeated admissions of individuals to hospitals with long standing underlying diseases,” said Dr Sumit Ray, study’s author and vice chairman, department of critical care, Sir Ganga Ram Hospital. http://www.dnaindia.com/health/report-drug-resistant-germs-escape-hosps-2560728 what i have personally seen is that doctors in the OPD who examine patients with probes . DO NOT personally supervise the sterilisation of equipment used. The leave it to the lowest of the low ward boys. Who do not know anything about drug resistant or are least interested in thorough sterilisation of the equipment 

OPD Schedule Thurs:  10:30 am to 11:30 am Private Tue, Fri :  7:30 pm to 9:00 pm  Private Wed: 8:00 pm to 10:00 pm Private http://www.nanavatihospital.org/doctor/sanjay Found him good .