In India and countries with poor infrastructure, community healthcare workers, nurses, midwives and chemist not trained to clinically examine, use knowledge of disease are allowed to diagnose illnesses and prescribe drugs. In the U.K., Health in secretary licenced nurses and chemist to triage and work as a doctor in emergency care and family practice.

Ministers claimed this move would give patients quicker access to medicine. Unfortunately, this callous action has humiliated our profession and increased abuse of antibiotics in the U.K. We opposed offering healthcare based on algorithms and protocols are not safe. The British General Medical Council (GMC), and British Medical Association claiming to protect patient care, and defend doctors has been unable to prevent the implementation of this unethical and unsafe system, which brings more shame upon our profession.

Maya (Medical Advice You Access) was initially created to help receptionists and nurses working in nurse-led clinics, walk-in-clinics and emergency out-of-hours services. We aimed to help them differentiate well from un-well patients. Our mission was to reduce clinical errors, delay in diagnosis and reduce complications and even death.

By integrating this innovation, we have created software, and an Application (App) called Dr Maya. Using advances in information technology, we offer a simple solution to avert a major crisis that will bring us to our knee. Using advances in technology, we can identify a cluster of the infected individual (at home, hospitals, community, and country), and help isolate them to protect humanity.

We offer a simple, cost-effective solution to help the Department of public health to implement and monitor so that we can avert an epidemic and not struggle to cope after hundreds or thousands of people die.

We begged members of my profession, politicians to shun their ego, share knowledge and information, communicate and join hands with us to help us stop the crisis that is now threatening our profession and our very existence. If we don’t soon we will start seeing hospitals and healthcare centres become the breeding ground of bugs that will wipe out a generation in a decade.

MAYA (Medical Advice You Access) was created initially to help receptionists and nurses working in nurse-led clinics, walk-in-clinics and emergency out of hours services to differentiate well from unwell patients and then refer sick patients to doctors or hospital if required.

The names of doctors, nurses, chemist, alternative healthcare providers register at www.dr121.com. The registered Doctor's name along with the contact details will appear in the list of local doctors. Patients living in an area can choose their local Doctor or register with a different doctor. Patients will be able to get the information provided by that Doctor, communicate 24/7, 365 days, send/receive letters or prescriptions and also book appointments.

Dr MAYA can be linked to the hospitals' management system, or we can offer help to digitalize and systemize healthcare in hospitals, clinics and Department of health. Doctors can also provide video consultation, share notes via email and text message and even send prescriptions via email. Doctors can forward referral letters, sick notes and also search for information using the Internet while speaking to a patient.

This App will help doctors to prevent the spread of dangerously contagious diseases among patients. Patients with infections such as chickenpox, the MRSA infections, flu, Ebola and other emerging infections, can quickly be identified and the patients advised to visit health centres or hospitals thus helping to stop epidemics andpandemics in the future.

Registered Doctor can log in as a doctor and share information of symptoms, add news, videos, pictures and also personal video messages that patients can watch. Doctors can create a database in their language; add a telephone number of pharmacies, emergency services and other doctors working in hospitals or Health Centers in their area.

Doctors must advise your patients to download Dr MAYA, register, login and choose you as their Doctor. Once they are registered, they will be able to enter three symptoms, get your advice and communicate with you as required.

This is a simple tool created by a doctor with a passion for helping other doctors offer their services to protect their fellow human beings and alleviate pain and suffering all over the world. Doctors can update their profile, post pictures, list price to offer telephone consultation, book appointment to consult.

Department of Health, Hospitals, Airlines, Healthcare Service providers, embassies and doctors can create their portal and offer services to registered users. This tool will reduce the number of receptionists, booking clerks, nurses and even junior doctors (Casualty Medical Officers).

Delay in registration, waiting in hospitals and clinics, medical errors and cost of providing care 24/7, 365 days will be reduced by 2/3. The most important benefit is to avoid infected patients entering Trauma or Accident centres resulting in the death of staff and patients in waiting.

We offer the integrated innovation that is Dr MAYA, initially to help identify infected patients and isolate them to protect healthcare workers and thus humanity in general.

HOW DOES THIS WORK

We expect doctors, specialists, hospitals, companies, universities and institutions, government healthcare providers, medical colleges and education departments to download our Dr MAYA and create their databases. Foreign nationals, diplomats and other visitors living in London or the U.K. will be able to get healthcare advice from doctors based in their own country. The NHS would no longer have to claim that they are losing money because of treating immigrants and other foreign nationals.

Patients download Dr MAYA and then add the name of a local doctor with that Doctor's email and telephone number. Once our server receives the contact details of the new Doctor, they will receive a confirmation notification. If a patient logs in and their symptoms suggest an acute, contagious, infection, that patient can be quickly isolated, and their Doctor informed.

Doctors can use Dr MAYA to add symptoms, change the ranking colour of symptoms, insert video, pictures and also create an information sheet which patients can download. Doctors will advise patients to download Dr MAYA and ask them to choose him/her as their Doctor. The patient will then be linked to their own doctors 24/7, 365 days.

Before booking an appointment, the patient will log on and enter their symptoms. This is similar to calling a medical receptionist to explain why they need an appointment. Dr MAYA evaluates the symptoms and advises the patient based on knowledge and experience. It does not give an ad hoc answer like many receptionists will, but will provide a response based on the Doctor's intelligence.

Patients will not be able to call a doctor if the Dr MAYA system has suggested the patient should go to a pharmacist or Nurse or directly to a hospital. This reduces time-wasting consultations for non-threatening reasons like "I have a fever," headache or wart, etc.

Dr MAYA will also stop patients abusing healthcare staff because of misdiagnoses or other problems: Dr MAYA's recommendations are always more accurate and related directly to the patient's questions.

Only patients who require clinical examination or specific tests will be advised to book an appointment. This will reduce emergency appointments by 80% because doctors will only see patients requiring face-to-face consultations.

Patients will be advised to call the 999 numbers if their symptoms are severe. If their symptoms indicate a less threatening illness, the patient will be encouraged to call the NHS 111 number. This will reduce the number of people dying because they have called 111 when they should have called 999.

The features we have provided are simple and provide clear options for both doctors and patients. Dr MAYA provides a common-sense, practical solution to a significant threat to humanity. Using Maya Dr and Dr MAYA will stop medical staff in isolation units from dressing up like an astronaut!

The Health Secretaries and Departments of Health in every country need seriously to think about the care they provide. If a state does not offer primary healthcare to people, Dr MAYA can.We must act now to prevent and control an uncontrollable tsunami of bacteria and viruses that could wipe out a generation. 7i think this is the only method we can use until scientists and pharmaceutical companies develop a new miracle cure to fight infections in the future.

The only immediately available alternative to treatment is the Maya system. Millions if not Billions will die if we continue to ignore this threat to humanity until scientists and pharmaceutical companies develop one new antibiotic or think of alternate methods.

WHY IS DR MAYA IMPORTANT?

The backbone of India has been the farmers, without the billions of people will starve and die. Unfortunately, the leaders elected by them did not give much importance to their health and well-being. The time has come when spreading infection, reducing water supply and increasing cost threaten their profession and life.

Listing out all of the problems they are plagued with is next to impossible. The bureaucrat and red tape make their life a living hell. Times of India published an article in Dec 2018, listing ten reasons farmers are in distress. Health has not been recognized as an essential factor. This may not have been identified in the past, but future health will be a significant problem that affects not only lives but also productivity.

One of the significant threat to this community soon is emerging and treatment-resistant infections. In the U.K., I have started seeing patients present with a rash on their hands that were treated as eczema using emollients and steroid cream by the family physician. As the outbreak was getting worse, the patient came to the Urgent Care Centre. When I listened to his story, I was convinced the fungus colonized in his leather glow was the cause.

Farmers and gardeners using glow or not will get infections that will be difficult to get rid of. This occupational hazard will result in making the farmer stop working, will reduce productivity that will affect us.

Encouraging organic vegetable, fruit and wine production, claiming this is in the interest of the environment and health, is one that I am concerned about. I want to believe this, but cannot because the compost and manure used as fertilizer are now colonized with superbugs.

In a study, bacteria isolated from local breeds of different bovine animal have shown potential to be used as plant growth-promoting bacteria. Further studies highlight the disadvantage of unmonitored use of manure and its microbiota which may contain antibiotic-resistant bacteria and potential unexplored plant pathogens. We must explore the bovine manure flora to determine the efficacy of waste treatment practices (composting, anaerobic digestion, lime stabilization) in eliminating antibiotic resistance determinants of concern from manures or human waste.

One paper explores health and safety issues in organic farming, particularly among small farmers in central New Mexico. The sample consisted of a young, educated, low experienced population that may differ from conventional farmers. Both producers and workers seemed to be aware of the health risks involved in small-scale farming. Producers presented mixed attitudes toward health and safety, while the opinions of workers were more systematically negative.

Perception of risk was generally lower among workers compared to producers. Although health and safety training were not specifically mentioned, most participants seemed to understand the relevance of the work environment for health and safety.

Regarding ergonomics, the physical demands of working for long hours and the necessity to perform a multitude of tasks that contribute to physical stress were issues of concern.

There are not many exploring health and safety among farmers, particularly organic farmers. The study identified relevant intrapersonal and behavioural factors that may increase or reduce the risk of disease and injury. Results of an investigation, point to the need for research that focuses on the psychosocial and contextual factors that may contribute to injury and illness among organic farmers.

BENEFIT FOR FARMERS

The reason I believe "Dr Maya", can help the farming community in India is based on my personal experience. As a medical student, I lived on a farm outside Bangalore. Villagers who saw me go to medical school with my white coat assumed I am a doctor and came to ask my help when the farmers or their children were unwell.

Majority of these farmers had sustained an injury or developed infections. Majority of these sick people developed septicaemia and died because they could not afford to buy antibiotics. Staphylococcus aureus, was the common bacteria that was sensitive to medicines got better, but now in "The Post-Antibiotic Era", the same bacteria will not.

Knowing these bacteria are now colonized in soil, water, humans and animals, we must develop a strategy to help farmers differentiate common infections that require emergency treatment from the ones that do not require treatment.

This method will prevent them from developing septicaemia and die. Visiting hospitals or consulting a doctor with common infections involves travel, increase cost, time and risk cross infections. This will help not only the farmer but also his family, friends and the community.

DR MAYA OFFER

We offer webinars to train health visitors, nurses, community care workers and nurses to provide healthcare diagnosis and management. This will help reduce farmers waste time on travel, cost and cross infections brought into the village more significant issue is if the Indian farmer is destined to live in poverty and die in debt?

This is the situation after 70 years of country's progress post-independence. In the same period, other countries have achieved a revolutionary increase in farm and agricultural productivity.

To illustrate, in India, 50 per cent of the people do farming that barely produces enough for themselves and another half of the population. In a country like the U.S., barely 2 per cent of the community provides enough not only for the remaining 98 per cent of its people but also a massive surplus for exports. Are we taking care of them as they contribute to our family, community and country?