Hi Jose,

Thank you much for your very studied responses.  I read them carefully.  I 
noticed the shift in your standards as I proceeded reading along.  First you 
claimed that references are needed for everything, including oral presentation 
(by your medical students).  On questions about YOUR teaching presentations, 
you claim needing references only on PUBLISHED material.

I reviewed YOUR web site TGF.  Under "Advisory" about travel to Goa, I read the 
following which is "cut and paste".  I reproduced only the medical information, 
since this was WRITTEN BY YOU, with your name and degree at the bottom.  I 
noticed there were NO REFERENCES in the body of the text, NOR a listing of 
references at the end of the presentation. 

Do I presume that the following statements are ALL YOUR PERSONAL "research and 
original findings?"  Some are recommendations - by whom?  Are your opinions and 
conclusions in / on Goa backed by any studies? Should you not be providing a 
list of references (credit the sources) for the many definitive statements and 
scientific recommendation?  Or is this one standard for you and another for 
other supurlo Goenkars like me?  Or would you say that the TGF web site is not 
"published material"?  

And if you credit the source, according to Santosh, you can 'plagiarize'.  But 
how does one know, if the source / reference is not given?  Perhaps now we know 
why some 'insist' to others on references, while not doing it themselves.:=))  
And if one provides the reference, is this reference the original source, who 
deserves the credit? 

I am not claiming this presentation on your web blog is wrong or the 
information is fraudulent. I think it is helpful.  It is just that you are not 
following what you so righteously insist others should do. Are you a 
self-righteous moralist preaching to others?  I hope this can be my last post 
on this tet-a-tet.  On this Saturday while I am on call, I enjoyed doing some 
research on your research, which was researching somebody else's research.:=)) 
:=))
Kind Regards, GL


>From TGF WEB SITE - travel advisory to Goa
  
12. Inoculations : Assuming that all the immunizations of childhood are 
completed, immunization is recommended against Tetanus, Polio, Hepatitis A&B. 
Vaccination should also be considered against Japanese Encephalitis, Typhoid, 
Cholera and  Meningococcal infections.  If a stop-over is planned in Africa, 
the yellow fever vaccine is recommended. 

Typhoid fever : is transmitted usually through contaminated food and water 
(watch the pani-puri). This disease is common and the risk of contracting 
infection can be lowered by following the food and water precautions listed 
above. There are two vaccines currently available for the prevention of typhoid 
fever. The oral vaccine is available in the form of a capsule to be taken every 
other day for 4 doses. A booster is required every 5 years. The injectable 
vaccine ViCPS is administered once every two years. It is important to note 
that the efficacy of the vaccine is not 100% and that the precautions should be 
followed meticulously. 

Cholera : a severe diarrhoeal disease transmitted mainly through contaminated 
water and food. The strike rate for Goa at this moment is low and once food and 
water safety precautions are followed,  vaccination against cholera becomes 
'very optional' unless a trip to the Ganges area is planned. 

Hepatitis A : is a viral infection usually transmitted through uncooked food, 
water, shellfish and ice. The risk for this infection is high. For short-term 
protection, a dose of  Immunoglobulin ( IG ) is recommended. But for a 
prolonged stay, it is advisable to avail of the vaccination against this 
disease. There are two vaccines currently recommended : Havrix and Vaqta. 
Please contact your local physician and seek advice about what is available in 
your country and what dosage is recommended. 

Hepatitis B : is mainly transmitted through sexual activity and upon receiving 
inadequately screened blood. The incidence of Hepatitis B in India is high and 
vaccination is strongly recommended. The vaccination schedule should be 
commenced at least 6 months before the planned departure to India in order to 
complete the full schedule of immunization. It is important to remember that 
contact with infected individuals who have open skin lesions, also may result 
in infection. 

Hepatitis E: Like Hepatitis A, this virus is spread through contaminated food 
or water. It appears to affect adults more than it affects children, and 
recovery without chronic liver disease is the norm. Fatalities are rare except 
in women who contract the infection during pregnancy. This infection is endemic 
in India, though significant infections were not reported in Goa prior to this 
2003 outbreak. At this moment, no vaccine is available for prevention of 
Hepatitis E. 

Meningococcal disease : causes a severe infection of the brain. Vaccination is 
advised particularly if the port of entry is New Delhi. This disease which is 
more prevalent in the Northern part of India, occurs year around. 

Japanese Encephalitis : is more common in rural rice-field areas and occurs 
mainly during the monsoon season. It causes a severe swelling of the brain 
called encephalitis. While there is no drug to treat the disease a vaccine 
JE-VAX is available for the prevention of this disease. There has recently been 
a serious outbreak of this disease in North Central India. Travelers are 
advised to either be vaccinated against this disease or avoid the region 
altogether. At this moment, the risk of contracting this disease in Goa is 
small. 

Vaccination should be seriously considered for individuals planning to reside 
in the rural areas especially during the monsoon season. The vaccine is 
administered in 3 doses. Pregnant women and individuals with a history of 
multiple allergies should not be administered this vaccine. 

Leptospirosis:  is a bacterial disease associated with wild and domestic 
animals. It causes severe  symptoms including  fever, headache, chills, muscle 
aches, vomiting, jaundice and  a rash. It is easily treatable with antibiotics 
like Penicillin and Doxycycline. It  is primarily an occupational disease that 
affects those whose occupation involves contact with animals, especially rats. 
Individuals who walk barefoot through infected puddles ( as after monsoon 
flooding ) are at risk.  This condition is found all over the world and 
visitors to Goa are NOT at special risk of contracting this disease.

13. Paedophilia : Of late, Goa has received some attention, albeit unwelcome, 
relating to this totally abhorrent crime by tourists against children.  Almost 
every single paedophile identified so far, has been from Europe. If you are a 
paedophile, please do not practice it in Goa or on Goans. They are  virulently 
opposed to it and have been sensitized to this offence.  

Goa is one of the most beautiful places in the world. There are several 
magnificent churches, temples, waterfalls, beaches, mosques and historical 
places of interest. However, the part of Goa you will enjoy the most is its 
people, food and music. No place on earth can truly duplicate the experience of 
Goa - not now - not ever.

Have a safe flight...a good trip and do let us know, how your trip was. 

J.Colaço, MD

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