Herd immunity is a form of indirect immunity from infectious disease when a large percentage of population in a society is immune or protective.This immunity can be attained through active immunization by vaccination or passively by getting natural immunity after infection hence building a new response though development of antibody.Herd immunity shutters the spread of disease and contributes to disruption of spread.The percentage of people that must have required immunity to slow or stop spread of disease is called herd threshold.Natural immunity develops when one get immune after contracting disease therefore resisting it naturally vide antibodies against the organism on re-exposure.It develops when so many people in a community becomes immune to infectious disease causing epidemic break.Such massive level of protection from re infection or disease spread is called herd immunity.Sometimes a disease spread through the community unnoticed and wean off itself creating herd immunity.Thus herd immunity is the protection from a contagious infection when population at large is immune to it either through previous vaccination or through previous infection.The process of becoming immune for future includes the production of antibodies specific to the virus.This production of antibodies can be after a person develops symptom or even when it do not develop symptoms or irrespective of the symptom.A symptomless exposure develops immune response developing antibodies against the virus and thus becomes naturally protected.When large population is immune virus has the hardest time to affect and infect middle of the herd who are unprotected thus the spread dies off as no further transmission to community can be appreciated due to natural resistance in surrounding thus slowing the spread as well as social infectivity.The pivotal role of herd immunity is that if people are not vaccinated or even the vaccine could not trigger response to disease in terms of provisioning immunity yet still people who are immune would act as a buffer between infected and other.R (o) is a basic reproductive ratio of herd immunity and is define as the average person an infected individual gives disease to.It remains fairly constant to variant disease and the R (o) for corona virus is between 2 or 3.By herd immunity we reduced the basic infective reproductive ratio to effective reproductive ratio of 1.As such when R (o) remains 1 disease do not grow above and remain stable.Now if we suppose that we have a herd immunity of any kind within the community we can reduced the number and spread of disease to the major extent.Since the pattern of disease spread has Reproductive ration R (o) 3 the spread could be curtailed best by exposing and enhancing the herd immunity thereby reducing the R (o) and creating buffer of spread by people themselves.In My opinion best way to control this epidemic was to create immunity, especially in Pakistan, was through the herd immunity not vide vaccination but by exposing maximum to the epidemic so that maximum number of cases of passive immunization could have a better natural resistance .Here it must be noted that China model of theme and theory of epidemic control has demographic cum environmental based differences where as its population has a limitless level of more than 1.5 billion people of variant statistical date and data as far as age, habit and habitat are concerned.It is true that out of blues if 1 percent of the Chinese population could have been brought in to death counter the inflicted number shall have risen to 15 million people at a stretch which is a large number to pay for herd immunity.So naturally and very rightly; Chinese decision to go for city and intra / intercity lock down was justified.But this decision to go for lock down in major cities of Pakistan is somewhat immature for the population here is fivefold less than china as well the norms culture habits and politico-religious affairs at extremes of distance apart.Intercity lock down would have been a better option where as intra-city affairs should have strict partial self quarantine/ forced strict policy.Being a doctor and very well aware of the fact and figures and of course the pattern from prodromal to aftereffects of any disease that take the flight of outbreak; I under no means take this non tech. and unprofessional dealing of the so called outbreak as liquid diet to be assimilated as such and as per dictated assorted theology and assault of the functionaries.As per available data and the run of the disease in terms of course and gravity; there is no second thought but the belief that progression of disease has a mild course of influence on majority and no more than few though are still controversial takes the full blown course of critical.Stats of quarantine throughout and in special centers have not a single case being reported to the peak of no return.And yes test being conducted as part of pre -assessment tool have false positive element and even positivity does not necessarily necessitate seriousness to the level of Zombie’s catch as if some on who is a threat to the community.In my opinion functionaries must redress and redefine their policies regarding Covid-19 outbreak keeping their demographic outline and conditional requirement as deemed necessary keeping masses at large and social economical factors as foremost mandatory asylum of strategy.In my opinion as per available data and defined past drives thru course and cases, a strategy to encompass herd immunity should be considered by exposing people and developing herd immunity and not through lock down and curfews.Up till now my conclusive remarks as per critical observation and inference we as nation have a better protection and prognostic cordon and as such it is needless to put state in to affairs of social and economical misbalanceIn my personnel opinion we have an innate immunity against the virus and even if a little chance to progress as per suspicion our strategic move should be developing herd immunity before we jump in to means of other protective mechanisms like lock down or curfew vaccination etc (Dr Raza Haider )
Why not define these term once for all in its real sense of pleasure as decend
2. Donillah / Indallah
Undoubtedly meaning elaborated by you or else have different text of version than my comprehending and understanding as a layman and illiterate.
This is in my opinion an outright deviated translation of moslem scholars and it deceives majority simple masses in to distracted understanding and misconception.
Ghair allah has a simple meaning and that is those unmarked men & masses whom have not been declared by the (Mighty) as belonging to him or those whom are not being called upon on (His) (Allah) behest and behalf as his men of honor, may you call them other than “The Aliaans) or in English in a lighter mood the (Aliens).
The term Ghair Allah is not about Allah but people whom have not been declared by God as his successor in the universe.
Conversely if we will use this term in the context and meaning as of and as has been phrased in translation as “Allah”, the meaning would take the aya away and beyond along with thinking mechanics of the reader as well and calling and recalling and praising any “Marked man” of designated prophetic aptitude or a similar pride of the lions club or Messenger for help, waseela, tawassul or intercession would always remain and become shirk and will be treated as shirk just because the term has been wrongly or deliberately and deviatedly defined as Ghairallah means other than allah (rather should have been define as those not as successors or waliallah)
2.Indillah /Donillah is again from the same clan and craft yet the term again has been used menacely & mercilessly rather irrationally where as donillah is again about the people other than the God and not (God) where as indillah is from the God and not as (God) again where as minallah is from the God as (Minjanib Allah) and not Allah.
The central idea of the version of debate is what holds our scholar to elaborate their content and their meaning to be disbursed and prayed may people like or dislike.
قرآن اپنی تکمیل کے اعلان کے بعد کیوں کر اپنے
مخاطب کو اندھیروں کی اس منزل پر چھوڑ جائے
گا، جہاں اسکی اپنی آیاتیں مطالب اور انسانی
سوچ اور اسلوب کے مسلکی الفاظ کی روش پر
چڑھ دوڑیں،گویا آیتوں میں چھپا متن اک نورتن کی
مانند ہر مسلکی رنگ میں، اک نئی ترنگ لئے ترجمے کا
نیا متن بن جائے
کیسے ممکن ھے کہ تکمیل اپنے حسنِ کمال پر ھو اور
کامل یقین شکوک لئے واللہُ عالم کہ ،شبہات پر کیا
یہ عجب نھی کہ جس شاہکار کا آغاز لوحِ قرآنی کے
خوبصورت لفظوں سے ابتدا لےوہ انتہاِ عروج پر
اپنی ھی منطق کی علمی معراج سے محروم ھو۔
عجب نھی یہ واللہُ عالم ھو کا فلسفہ نہ جانے کیوں
کر انسانی شعور سے دور ھے جو بلا شبہ معبود اور
عبد میں فاصلے کی اک واضح اظہار ھے، ایسے کہ
خالی جگہ پر کی جائے ۔ بہرحال حق یہ ھے کہ
آپ وھی سوچیں جس کی اجازت آپ کا شعور
دے اور میں وہ جن کی منزلت میرا شعور سمجھے
بس میں نے آیتوں کے سمندر کو الفاظ کے کوزے
میں بند کر دیا ، گویا الف لام میم کو رب کا اظہار
سمجھا اور ذالکل کتاب کی ابتدا کو اس کوزے میں
چھپے علم کا خلاصہ
اب یہ ضروری تو نھی کہ میں خلاصہ پڑھوں یا اسمِ
الہی کے وہ با برکت لفظ جو کمالِ خلق کی صورت
الف لام میم کی مانند ھو
برسوں بیت گئے ان سے ملاقات ھوئی
آج بھی صدیاں سمیٹے ھیں یہ لمحے میرے
وقت کا کام گزرنا ھے،گزر جائے گا
زخم اب بھی ھے ہرا رھنے دو بھر جائے گا
وقت اب اتنا کہاں پھر سے اسے یاد کروں
ٹہر کچھ دیر کہ یہ وقت بھی ٹل جائے گا
دکھا دوں گر یہ تماشہ ستم گری کا اگر
ھر اک دن تیرا رسوا لگے گا روزِ حشر
میں تیری راہ میں بیشک بھٹک گیا تھا مگر
سفر ابھی بھی میرا تیری جستجو کو لئے
جو کر رھا ھوں میں سجدہ تیری اطاعت میں
ھے ڈر خدا کا فقط میری اس عبادت میں
Novel Corona Covid-19
The aim is to upraise clinician in particular and masses in general particularly regarding basics strategy as line of management while dealing SARS-Cor-2 pandemic as guide line and basic info.
Public health authorities – Clinician – Nurses – CHW and volunteers along with People of geographic area not yet affected.
In order to fight and contain unseen enemy clinician n
eed to understand following heads regarding virus and pandemic.
Joint working strategy
Knowledge to response and treatment cum management
History and severity of NCP Covid -19
Community response in terms of measures in variant situation of high spread (Community) moderate spread (Cluster) or low spread (Sporadic).
Here is a little summarization of events during episode of virus spread from endemic to epidemic and pandemic.
On 30 Dec 2019 a cluster of pneumonia cases were reported in Wuhan Hubei china.
Samples from bronchoalveolar lavage taken and were tagged pneumonia of unknown etiology from Wuhan Jinyintan hospital China.
Real time (RTPCR) assay done and found Pan Beta corona Virus.
Genomic sequence of the virus was isolated and was found to be from family of corona with lineage 2b.
Closest relationship and resemblance on genomic alignment (96%) was similar to SARS like strain BatCov RaTG 13 virus.
COVID-19 virus has a genome identity of 96% to a bat SARS-like corona virus and 86%-92% to a pangolin SARS-like corona virus, an animal source for COVID-19 is highly likely.
Crown like Virus isolated with cytopathic effect from human epithelial airway cells after approx. 96 hrs (5 Days) after first inoculation with negative staining (In this technique, the background is stained, leaving the actual specimen untouched, and thus visible).
Transgenic animal mice and rhesus monkey were challenged and isolated Covid-19 virus was detected in lungs and interstitial tissues of the said animal. .
Histological Examination Histological examination of subjected lung revealed.
Bilateral diffuse alveolar damage with cellular fibromyxoid exudates.
Evident desquamation of pneumocytes and hyaline membrane formation, indicating acute respiratory distress syndrome (ARDS) with secondary pulmonary Edema.
Interstitial mono nuclear inflammatory infiltrates with dominated lymphocytes bilaterally.
Incubation period is the time between catching the virus and beginning to have symptoms. The Incubation period of the Covid- 19 is 1 to 14 days and mostly around 05 days till update.
Carrier Case division and distribution.
Suspected carrier can readily be assessed and manage by following criterion as the carrier/disease can run a course in variant manner.
No of Days Since Exposure
Asymptomatic since presentation
Symptomatic while in observation
Clinically diagnosed (By Symptoms)
Confirmed by Lab Test (Laboratory)
Exposure. Following checklist are essential after exposure for managing patient.
First Reporting date
Time of onset of symptom from exposure
Span between presentation and aggravation of symptom
Specific test/investigation when symptomatic. Confirmation and progression or recovery of disease and its course from mild to normal or critical.
Recovery with negative virus lodging
Expected Passive immunity with future antibodies against virus.
Statistical data can be obtained from various sources and resources as well as demographically in due course of time; since the virus has involve almost globally but at present not much is available in the contest of accurate sign and sin.
However whatever we have in terms of favor and firm is from the ever supporting deal and dealt being faced and treated by great Chinese patriotic defenders HCW and their super humane work.
In my opinion it is right time to start every case as per data or log in the name of ailing humanity for future safe guard.
Cases pertaining to suspicion as a novel Corona (Covid -19) bearer must go through following 05 assumptive checks of observation during protective quarantine not like unethical zombie’s catch, an act of forced quarantine before an ethical Medical decision of isolation is initiated.
No of days (since exposure). This is important because most Corona suspects remains potential carrier with no sign or acute symptoms or recovering as mild disease.
Asymptomatic (since presentation). Most carriers remain asymptomatic for 96 hrs or 5 days before appearance of first symptom.
Symptomatic (while in observation). First symptom to appear takes few days approximately 05 days and have first sign as listed. Following are date, data and demographic based percentage and have statistical value in terms of sign and symptoms however ratio of presentation has more or less same pandemic stat.
Fever in 80%
Dry cough 38%
Productive cough 34%
Shortness of breath(SOB) 19%
Sore throat 14%
Myalgia & arthralgia 15%
Nausea vomiting 5 %
Clinically diagnosed (by symptoms).
This is as per symptoms that guide diagnosis towards virus bearing and further investigation for confirmation of disease and its course.
Confirmed by lab test (laboratory).
An essential tool to settle course of treatment focusing disease in terms of management
Current available Data and ratio among groups. Current available data suggest.
Median age – 51 years
Major age group – 30 to 69 with a percentage of approx. 78%
Male 52% approx.
Intercity variation in data has been observed with variant occupational presentation.
There is generally low attack on individual under 18 years with a percentage of 2.5 % over all.
Children have rare incidence till now.
Age below 18 has little ratio of 2.5%
High risk cases and Co- morbid. People at high risk cases are.
People above 60
Origin of Virus:
- Zoonotic origin
- Bat as reservoir
- Intermediate host unidentified
- Multiple areas of zoonotic origin are yet to be address and isolated.
Route of transmission
- By infector to infectee
- Unprotected contact from droplet to foamites.
- Air borne not yet reported and yet to be ascertained however can be envisage with aerosol agent if in vicinity and the same in recent studies have become weighty.
- By aerosol, particulate matter larger than 0.5 micrometer but smaller than droplet.
- Fecal shedding has been demonstrated and viable virus has been reported in many cases however its role is yet to be determined.
Transmission & Spread:
- Person to person
- House hold close contact
- Person to person mostly occurring in families
- 80 % of clusters are from families being isolated and checked after exposure.
- Contact tracing (In Case of endemic Spread)\
- Contact tracing is an important tool for containing spread.
- Effective and meticulous contact tracing can contain disease hence 1 to 5% of the cases can be isolated and confirmed by contact tracing.
- To upraise China has been very strict in contact tracing and as such 1800 team of more than 9000 epidemiologist were reported to be working in Wuhan only during it epidemic.
Strategy for holding transmission.
Principle of early identification, early isolation, early diagnosis and early treatment securely manages the spread of virus.
Early identification of suspect cases is critical to containment efforts and occurs via a process of temperature screening and questioning at entrances
to many institutions, communities, travel venues (airports, train stations) and hospitals.
Many hospitals have fever clinics that were established and maintained since the SARS outbreak.
In my opinion method of observation to hold transmission shall have few basic criterion approaches scooping from observation alone and shall run as basic guide line for managing such cases.
Quarantine to isolation shall have a criterion of observation to symptom and any suspicion shall be followed by laboratory confirmation whose management shall have history of travel from start to exposure and social contacts hence presentation from asymptomatic to symptomatic with brief of sign to symptoms or recovery to aggravation.
Any suspect as patient should be proceeded in meticulous well-mannered ethical way of model medical treatment that is a rationale of medical behavior and ethics.
Shamefully current means and manner is no more than crime as if handling criminals explaining non-technical handling by masses on duty at their own or on irrational order of functionaries as law implementer obviously presenting as mal and manhandling of people or suspects patient.
Let me say that today masses of corona Suspects are fictional images of zombies whom are being treated as one from perhaps other planets.
Why is there so much of panic for no reason.
They are patient and need a handful of gestures and we all must understand that the treatment of any such infected case start with a decent handling moving towards a stage quarantine followed by reversion to normal life or aggravation to symptomatic excursion.
Novel should be treated by nobles only.
Every disease has infective phase and the precaution is to stay away during its infective period known to us as incubation period.
All such cases of influenza, H1N1, Bird Flu, Measles, Diphtheria, Mumps, chickenpox, TB, typhoid or many viral infections we name it that all once bears such contagious bearing yet we have gradually adapted and tolerated its phasic infective similar quarantine tenure in which people are refrain to stay away normally.
And yes some infection have more vigor presentation in terms of infectivity as contagious disease so do this Corona Covid-19 for being new and no previous exposure or presentation or debate and of course in more virulence being without vaccination.
Regardless, selection of patient as suspect carrier with or without symptoms of novel corona, a clinician or agencies or CHW volunteer looking after subject patient – suspects shall assimilate and understand the core theme of pre- instruction protocol as has been counseled in next paras.
Please follow the guideline for eventual effective patient-public compliance for any nontechnical, unethical and irrational handling of cases would put undue loads of unwanted share on working clinicians and of course on functionaries, hospitals, doctors and paramedics as well as volunteer.
We must understand that all suspects are your and our probable patient and not criminals to be awarded punishment or be treated like a runaway absconder as if insane.
As such our duty is to look after our brethren in calamity whom have been infected and inflicted upon somehow due to a bad day of fate.
Protocol to handle a Suspected Corona Patient.
Here is few notified drag down workstation so to move each and every case accordingly and effectively.
Get a history. A Corona virus carrier Suspect (Patient) Must have a,
Close Family history
Symptoms based Presentation
Silent carrier at accidental check
Pre Medical Protective Quarantine, Medical Isolation & Management.
Get him isolated keeping doctrine and norms of medical ethics not like an aggressive lay man with mercenary approach.
Cautiously Counsel patient and explain details in relation after taking necessary precautions as safety for the patient or the clinician and yourself.
Maintain necessary distance and precautionary safeguards with reference to provisional diagnosis from touch to toe.
Explain Concept of Protective Pre Medical Quarantine (Self isolation) to the patient as well as to the people in surround by explaining the seriousness of disease and its spread, if at all bypassed or non compliant.
Elaborate condition that necessitate Medical Isolation for the purpose of Observation necessity, if in case symptoms appear during Premedical protective Quarantine.
Explain concept of necessary Medical Isolation which is necessary for observation, treatment ,management in case of progression and the course of disease that may affect patient in stages in case of noncompliance thus a course that shall hangs all along as levels from mild to moderate and severe to critical and fatal.
Here it must be under stood that people are unaware of this Quarantine terminology and it will take time to make them understand the requirement of treatment in terms of managing a case of Corona infections hence quarantine as part of medical treatment and management.
Quarantine Criterion. It has now become necessary and mandatory to define quarantine in to stages, for best possible Public-patient compliance as well as better understanding of clinician focus & focal treatment.
- Protective Pre Medical Quarantine (Self Isolation):
- Protective Medical Isolation (for Observation and progression of disease).
Protective Pre- Medical Quarantine / Self Isolation).
It is a self Medical Requirement & is the first essential mandatory immutable Recommendation).
Priority place: Home
Non Compliance: Quarantine center or Hospital
Intensity of disease: Mild or moderate without SOB (shortness of breath or major uncontrolled compromising ailments).
To be taken by both patient and family members at home.
Separate utensils ideally disposable with separate washroom and belongings.
It’s a pre medical complete protective self-isolation that necessitates watch on patient during incubation period from Asymptomatic to symptomatic.
Symptoms usually appears after 96 hrs or 05 days after first exposure (Annex i)
Protective Medical Isolation (for Observation and progression of disease)
It’s a Medical requirement and shall be a mandatory asylum of management in post exposure stages of management and is highly Recommended and immutable syllabi. It is sometime known and tagged in the contest of forced quarantine or isolation.
Place: Well-equipped Quarantine center or Hospital.
Intensity of disease: All Uncooperative suspect, cooperative Mild cases with aggravating symptoms, Moderate aggravating symptom.
Precautions: To be taken by both patient and family members.
Wearing Mask /Gloves and disposable Gown (If Possible)
Wash Hand with soap or sanitizer with 70% isopropyl alcohol.
Separate utensils ideally disposable and separate washroom and belongings.
Complete protective self-isolation.
Watch for symptoms that usually develop after 96 hrs or 05 days after first exposure.
Here it must be realized that Not necessarily all patient enter in to the stage of irreversible compromise with very low viral fatality rate.
Observation / Inference during Quarantine (Self) & Forced Quarantine (Isolation)/ Incubation period.
All patients in Quarantine /Isolation should have a regular watch for recovery versus aggravation or progressive deterioration.
To utmost they should be observed with inference trailing their condition from normal to mild and moderate to severe therefore to take decision in case of severity as critical or critically fatal.
Best circadian watch for management is to check for development of any symptom vide whole day monitoring schedule.
We must understand 80 percent of positive symptomatic cases does not cross moderate phase hence return to normal with effective antibodies and immunity with readily available passive immunization for future.
Just a few percent of cases been seen till now that crosses over in the name of virus fatality and is of course associated with multi factorial clauses and causes as co morbid.
Stats from Chinese viral statistic have revealed lower incidence of progressive move of disease towards fatality as such progression from moderate has following percentage of aggression ratio.
- Severe Disease 14%
- Critical 6%
Again it must be noted that Crude fatality ratio is different for all patients and is conditional with co- morbid and age etc.
Course & stages of disease vide symptom.
Technically course of disease can be monitored and tailed in to 4 basic stages during Quarantine cum Isolation.
- Non-Symptomatic stage: (Monitored by daily observation and monitoring).
- Symptomatic stage: (monitored and observed by symptoms).
- Suspect: (at clinical findings with presentation and aggravation of sign and symptoms).
- Confirm case: (only by lab test).
- Non-symptomatic: (Confirm case can be a Silent carrier and without Frank symptom).
- Symptomatic:(Confirm case can have multiple stages as below).
(Suspect is a potential patient on monitoring and observation. It is meticulously necessary to watch symptom for aggravation, progression or reversion as recovery in such cases).
(Course varies and most cases do not develop full blown disease though may traverse course from mild to critical).
Clinical cum differential Diagnosis of potential Carrier:
- By symptom & sign
- Routine check for other problem
- Contact history
- Travel history
- Family history
- Symptom based
- Confirmed by lab
Disease and Assessment based Decisions:
Initial phase of the disease has concealed element with no display for at least 96 hours or 05 days.
Patients have different response and different symptom in incubatory time line.
Following schedule can be an easy line of management.
- If A-symptomatic:
Just protective quarantine till no symptom or till incubation period (14 days).
- If Becomes Symptomatic.
Medical isolation with symptomatic treatment.
With Aggravation in sign and symptom. if at home shall be hospitalize. if in hospital specific test investigation for confirmation.
Progression to severity with derange inter milieu in severe and Critical Cases. It must be noted that 14 % have severe disease with Dyspnea, respiratory frequency≥30/minute, blood oxygen saturation ≤93%, PaO2/ FiO2 ratio <300, and/or lung infiltrates >50% of the lung field within 24-48 hours).
Whereas 6% are critical culminating in to (respiratory failure, septic shock or multiple organ dysfunction failure.
Management and observation:
While in protective Pre Medical quarantine observation, a doctor/ CHW attendant shall have pin point inference of understanding and that is, what to do next in case a suspect carrier turn in to patient with symptoms. As such;
- For mild (cases at Home quarantine). just observe and treat symptomatically.
- For Moderate (Home-Hospital quarantine). Symptoms dependent (if no breathing insufficiency, intractable cough or sign of respiratory failure)
- For Severe. Hospital (ICU)
- For Critical. ICU (Ventilator)
Surveillance and monitoring.
Specifically all monitoring, follow up, observation and testing to treatment of Covid- 19 shall get their start from presenting symptoms from clinic like from fever clinic or ERE.
Susceptibility to infection should be ascertained through all parameters of criteria like age, co-morbid, chronic ailments etc.
Humans on first exposure are prone to virus therefore have no immunity.
Transmissions dynamic are inherently contextual and seemingly there are 4 major types of transmission dynamic.
Acquired infection from zoonotic sources.
Human to human transmission
Implementation of control measure can halt disease progression with factors like.
Quarantine & Isolation
Social distancing and less movement
Contact tracing by comprehensive set of intervention aggressive case and contact information.
Isolation management and extreme social distancing of known or unknown case have proved beneficial in case transmission.
Spread and transmission Factors
Episodes of transmission in china epidemic has shown that most cases of transmission were exportation as Wuhan, Hubay whereas locally generated were from clustered in families.
Clustered nature has high ratio count whereas quarantine and social distancing have low.
Reported instances of transmission have been seen in custody in cells and prison.
Mode of spread is not understood and the same has not yet produced remarkable share.
Transmission in HCW noscomial infection and infection reported from all infected areas among HCW in early cases have little share.
In the later phase of spread it was noted that infection among HCW initially was due to lack of essential accessories which were not up to the mark initially.
Screening in later part of epidemic suggested most infection among HCW was due to house hold and were traced back to house hold.
There has been report of transmission in hospital closed setting like prison due to close person to person contact and less social distancing.
Asymptomatic cases are rare however cannot be over ruled.
Sign symptoms with disease progression and severity:
Up till now there is no specific trail of pattern of progression and can roll back or roll over from asymptomatic presentation to pneumonia and death or recovery.
Typical sign and symptoms include;
- Fever – 88% -5/6 days
- Dry cough – 68 % 5/6 days
- Fatigue – 38%
- Sputum production 34%
- SOB 19 %
- Sore throat 14 %
- Headache 14%
- Myalgia arthralgia 15%
- Chills 11%
- Nausea vomiting 5%
- Nasal congestion 5 %
- Diarrhea 4 %
- Haemoptysis 1 %
- Conjunctiva congestion 1 %
Crude fatality rate (CFR).
Patient with co- morbid has different CFR.
Crude fatality ratio is related with intensity and location.
It increases with underlying disease.
Standard of care is the one important fact in decreasing crude mortality rate.
It particularly increases with underlying pulmonary disease.
Mortality increase with age with CFR 22 % in people above age 80.
Male has CFR %age of 4.7 whereas female has 2.8 percent.
Retirees have the highest CFR 9% .
Patients aged over 80 years had a CFR of 14.8%.
Patient without co -morbid has CFR 1.5 percent.
Factors containing disease progression:
These factors can decrease progression of disease.
- Earlier case detection
- Contact identification
- Early treatment
- Less median time from symptom to laboratory
As per statistical data early recognition and treatment is the basic criteria for safe management against progression of disease.
Such pandemic needs movement from control approach to control measure.
Controlling epidemic shall go side by side with safe guarding social and economic guarding.
All such controlling should be step wise guided and phasic.
Modules to control virus Spread:
Most important modules of controlling virus Spread are:
- Preventing importation
- Preventing exportation
- Controlling spreading source Identifying spreading source
- Blocking transmission
- Preventing spread
- Structuring treatment
- Monitoring & surveillance
- Epidemiological investigation
- Managing close contacts of patient
- Laboratory testing
- Conducting Investigations
- Developing Focal Diagnostic kits
- Cordoning wild life and livings
- Supervising and controlling animal markets
- Reducing intensity of epidemic and slowing down increase in cases.
- Actively treating patient
- Reducing death ratio
- Closing wild lives breeding facilities
- Markets quarantine
- Defining Protocol for diagnosis, treatment and prevention.
- Improved isolation standards
- Extension of festivals/ holiday
- Controlling transportation
- Reducing movement of people
- Stopping mass gathering activities.
- Information about the epidemic prevention control measures.
- Health education
- Coordinate medical supplies
- Building or transforming hospitals in the wake of requirement.
- Stable supply of commodities and their prices to ensure the smooth operation of society.
- Reducing clusters of cases.
- Striking a balance between epidemic prevention and control.
- Sustainable economic and social development.
- Unified command
- Standardized guidance
- Scientific evidence-based policy implementation.
- Improve Pre-school preparation
- Resuming back to work in phases
- Continue Health and welfare services
- Normal social operations being restored in a stepwise fashion.
- Mean Incubation period. Mean incubation period is 5 to 6 days where as it Ranges between 1 to 14.
- Time of onset of disease to clinical recovery
- Median time for in mild cases is 02 weeks.
Median time for critical and severe disease is 03 to 06 week.
- Preliminary data suggests that the time period from onset to the development of severe disease, including hypoxia, is 1 week.
Among patients who have died, the time from symptom onset to outcome ranges from 2-8 weeks.
Myth behind Chinese strategy:
The Chinese reacted with conviction and dedication in a patriotic display with methodology of same global management executing old theology of;
- Hand washing
- Monitoring of symptom
- Social distancing
- Suspension of gathering
- Inter and intra city lock down
- Meticulous screening for contact tracing
- Quarantine & isolation
Where as to the utmost they all reacted sincerely may they be a community mobilizer or a governor.
Their bold and gallantry retaliation as approach could be understand by the available statistic which showed 2500 approx cases in first week of epidemic whereas after two weeks whereas after 02 weeks reported cases were just 409.
Strategic Advisory for countries under threat of imported cases with likely outbreaks of COVID-19:
Prepare yourself for the highest level of national Response.
Execute Containment of COVID-19 preferably with non-pharmaceutical public health measures.
Vigorous and meticulous testing quarantine /isolation strategy, contact tracing.
Educating public at large regarding seriousness of disease and its prevention.
Expanding surveillance to detect and cut off transmission chain as rapid detection is crucial in containing spread.
Testing all patient of Atypical Pneumonia.
Screening patient with upper respiratory illness or influenza like symptoms.
Screening suspect with recent exposure to Covid-19.
Deployment of more stringent measures to interrupt transmission chains.
Suspension f suspension of large-scale gatherings and the closure of schools and workplaces.
Engage clinical expert on the subject to communicate with the people through media.
Distribute national health promotion materials and create online or electronic activities for awareness.
To aware people that COVID-19 is a new and concerning disease, but that outbreaks can be manage with the right response and that the vast majority of infected people will recover.
To adopt practicing the most important preventive measures for COVID-19 by frequent hand washing and covering mouth and nose when sneezing or coughing.
Issue of health declaration card system for entry and exit into cities.
Electronic registration of health declaration during quarantine with day wise symptom reporting.
Strict monitoring of the temperature in entering and exiting passengers.
To update oneself especially on COVID-19 and its signs and symptoms because the strategies and response activities will constantly improve as new information on this disease is accumulating every day.
To pay attention on social distancing and being ready to look after old people and needy.
Role of International Community:
Whereas International community at the twilight of this catastrophe must help each other with solidarity believing necessity of time for virus has no restriction of boundaries and enemies of none single.
They must share information with each other as required under the International Health Regulations.
They must continually monitor outbreak trends and control capacities.
Continually reassess any additional health measures’ that significantly interfere with international travel and trade.
Present and future strategy to cope Disaster.
Strategy for Make shift and designated Hospitals.
Makeshift hospital places should be designated according to conditional requirement and must be equipped accordingly with facility to transfer without hassle in to more equipped unit as per disease course or depending upon the requirement.
Theses hospital shall have a slot distribution of cases depending upon conditional severity but separately.
There must be blogs for each affairs of stage with Moderate to critically ill patient so that a focus management can be promptly executed.
It must be noted that all suspected cases should be isolated in normal pressure single rooms and wear normal surgical mask.
Staff looking after suspect usually wears a cap, eye protection, N-95 masks, gown and gloves with Special Boots (single use only).
Staffs are expected to wear PPE continuously, changing it only when they leave the place.
It is emphasized that the designated hospitals must strategically be made or placed with at least one per district.
Trial Drugs and supportive line of treatment:
At the moment there are no specific antiviral or immune modulating agents proven (or recommended) to improve outcomes in patient.
The guidelines include supportive care by clinical and course category (mild, moderate, severe and critical).
No of drugs have been used in china outbreak as investigational treatments such as:
- Chloroquine (China)
- Hydroxy Chloroquine (USA)
- Phosphate (China)
- Lopinavir (China)
- Ritonavir (China)
- Alpha interferon (China)
- Ribavirin (China)
- Actemra Tocilizumab (Italy)
- Remdesivir (I/V) (USA)
- Ivermectin (Australia)(FDA Approved)
There are no US approved FDA drugs except Ivermectin at the moment.
There are no currently available data from randomized clinical trials (RCT’s) to inform clinical guidance on the use, dosing or duration of theses drug as yet.
The clinical management include is infection prevention and control measure with supportive care including supplementary oxygen and mechanical ventilator support.
(It is said that Chloroquine could block a virus from penetrating a cell if administered before exposure whereas if tissue has been already infected it inhibits the virus.)
Currently, the application of intubation, invasive, ventilation and ECMO in critically ill patients can improve survival.
Patients should be monitored by regular pulse oximeter.
Frequent Hand Wash
Mask (in case of cough and sneeze, they are only effective in combination with hand wash, its disposal should be proper).
Sanitizer with at least 70% Isopropyl alcohol.
Avoid touching nose, eyes and mouth.
Respiratory hygiene like Coughing in to the bend of your elbow staying home when sick.
Precautions while in Quarantine / Isolation. Patients with COVID-19 are not permitted with visitors.
Staff shall use coveralls, masks, eye cover, and gloves, removing PPE only when they leave the ward.
If you are at the super market you shall assume that all surfaces are being touched by sick including packaged food.
As per New England journal of medicine virus stays for 72 hrs on Stainless Steel and 24 hrs on cardboard.
The risk at super market increases to twice and is the reason to stay at least 06 feet apart all the time.
It does not mean that we should give up buying but precisely need extra care for anything we touch is probably being handled by other or coughed or sneezed.
Face mask is good in public places where it is difficult to maintain 6 feet distance
Covid-19 Hospital Discharge Criteria:
Patients are discharged after clinical recovery with following check criteria.
A-febrile >3 days.
Resolution of symptoms and radiologic improvement.
02 negative PCR tests taken 24 hours apart.
Patient at discharge are asked to minimize family and social contact and to wear a mask.
Virus Shedding(Period of Infectivity)
Virus shedding is the length of time the virus can be transmitted from someone infected.
In one instance it was found 37 days where as the median duration is 20 days.
However current recommendation for isolation is 02 weeks that shall not go beyond (Lancet).
It is observed that corona virus lingers in patient for more than a month making it a possibility to transfer virus for long.
Death Rituals & Protocols for burial. There is no evidence so far of transmission of SARS-Cov-2 through the handling of bodies of deceased person. The potential risk is considered low and is related to;
- Direct contact with remains or body fluid lodged with virus.
- Direct contact with foamites.
It is postulated that SARS- Cov -2 may persist on surfaces for 07 days hence there is a possibility on body.
During standard handling the risk is low where as conversely during postmortem or aerosol generating procedures transmission carries high risk.
However there have been reports regarding workers working in funeral companies being infected while working for preparation.
As such hospitals have adopted stringent rules while handling the dead and are straight away placed in coffin boxes without being clothed as per ritual due to the suspected risk of infection posed by their bodies.
Iran being a Muslim country washed their corpses with soap and water before burial yet some cases in the outbreak do hamper observing traditional Islamic guidelines.
It is said that corpses that who are confirmed cases lodging disease at the time of death are treated with calcium oxide to prevent them from contaminating soil once buried.
Environmental stability on in animate object:
The environmental stability of virus varies in different objects and atmosphere (Dormalen et al).
- 04 hrs on copper
- 24 hrs on card board
- 2-3 days on plastic
- 7 days on stainless steel
Test conduction facility shall have a Bio safety level 2 precautions.
Bio containment Precautions:
A set of bio containment precautions required to isolate dangerous biological agents in laboratory facility.
There are four bio safety levels are
Risks that determine levels of containment are;
- Severity of disease,
- Nature of the work
Specimens for which there is limited information, it is judicious to take a cautious approach to specimen management
- Barrier protections must be applied like (gloves, gowns, eye protection)
- Basic containment – Bio safety Level 2 practices and procedures should be the minimum requirement for handling specimens.
- Transport of all such specimens should follow national and/or international rules and regulations.
Determining Risk of handling
- Medical data on the patient
- Epidemiological data (morbidity and mortality data
- Suspected route of transmission
- Outbreak investigation data
- Information on the geographical origin of the specimen
- In the case of outbreaks of disease of unknown etiology, appropriate ad hoc guidelines by national competent authorities or WHO on the World Wide Web
Lab Restrictions and criteria:
- Permissible to only authorized persons
- Laboratory doors should be kept closed.
- Children should not be or allowed
- No one should be admitted other than those involved in the work of the laboratory.
Precautions & Personal protection Equipment (PPE)
- Laboratory coveralls
- Gowns or uniforms must be worn at all times
- Appropriate gloves must be worn for all procedures that may involve direct or accidental contact with blood, body fluids and other potentially infectious materials or infected animals
- After use, gloves should be removed aseptically and hands must then be washed.
- Person must wash their hands after handling infectious materials and animals, and before they leave the laboratory working areas.
- Bio hazard warning sign for laboratory shall be marked on doors
- Safety glasses, face shields (visors) or other protective devices must be worn when it is necessary to protect the eyes and face from splashes, impacting objects and sources of artificial ultraviolet radiation.
- It is prohibited to wear protective laboratory clothing outside the laboratory, e.g. in canteens, coffee rooms, offices, libraries, staff rooms and toilets.
- Open-toed footwear must not be worn in laboratories.
- Eating, drinking, smoking, applying cosmetics and handling contact lenses is prohibited in the laboratory working areas.
- Storing human foods or drinks anywhere in the laboratory working areas is prohibited.
- Protective laboratory clothing that has been used in the laboratory must not be stored in the same lockers or cupboards as street clothing.
Sample Bio hazard warning Sign
(BIO HAZARD ADMITTANCE TO AUTHORIZED PERSONNEL ONLY)
- Bio safety Level:_________________________
- Responsible Investigator: ___________________
- In case of emergency call: _________________
- Daytime phone: __________________
- Home phone: _____________________
Waste (Decontamination and disposal)
Waste is anything that is to be discarded.
Principally all infectious materials should be decontaminated, autoclaved or incinerated within the laboratory.
The principal questions to be asked before discharge of any objects or materials from laboratories that deal with potentially infectious microorganisms or animal tissues are:
- Have the objects or materials been effectively decontaminated or disinfected by an approved procedure?
- Have they been packaged in an approved manner for immediate on-site incineration or transfer to another facility with incineration capacity?
- Does the disposal of the decontaminated objects or materials involve any additional potential hazards, biological or otherwise, to those who carry out the immediate disposal procedures or who might come into contact with discarded items outside the facility?
LABORATORY BIO SAFETY MANUAL:
Decontamination Steam autoclaving is the preferred method for all decontamination processes.
Materials for decontamination and disposal should be placed in containers, e.g. autoclavable plastic color coded bags with clear instruction to be autoclave or incinerate.
Identification and separation system for infectious materials and their containers should be adopted.
National and international regulations must be followed.
Waste Disposal Categories
- Non-contaminated (non-infectious)
(Waste that can be reused or recycled or disposed of as general, “household” waste)
- Contaminated (infectious)
(“Sharps” – hypodermic needles, scalpels, knives and broken glass are all collected in puncture-proof containers fitted with covers and treated as infectious)
- Contaminated material (Reusable )
(They can be decontaminated by autoclaving washing and reuse after recycling procedures.)
- Contaminated material with necessary autoclaving before disposal
- Contaminated material for direct incineration.
Necessary Precautions for disposal:
- Sharps After use, hypodermic needles should not be recapped, clipped or removed from disposable syringes and the complete assembly should be placed in a sharps disposal container.
- Disposable syringes, used alone or with needles, should be placed in sharps disposal containers and incinerated, with prior autoclaving if required.
- Sharps disposal containers must be puncture-proof/-resistant and must not be filled to capacity and when they are three-quarters full they should be placed in “infectious waste” containers and incinerated with prior autoclaving if laboratory practice requires it.
- Sharps disposal containers must not be discarded in landfills.
- No pre-cleaning should be attempted of any contaminated (potentially infectious) materials to be autoclaved and reused.
- Any necessary cleaning or repair must be done only after autoclaving or disinfection.
- All contaminated (potentially infectious) materials should be autoclaved in leak proof containers, e.g. autoclavable, color-coded plastic bags, before disposal.
- Materials deriving from healthcare activities should not be discarded in landfills even after decontamination.
- If incinerator is available at the laboratory site, autoclaving may be omitted and the contaminated waste should be placed in designated containers directly to the incinerator.
- Reusable transfer containers should be leak proof and have tight-fitting covers.
- They should be disinfected and cleaned before they are returned to the laboratory for further use.
- Discard containers, pans or jars, preferably unbreakable (e.g. plastic), should be placed at every work station.
- Waste materials should remain in intimate contact with the disinfectant for the appropriate time, according to the disinfectant used
- The discard containers should be decontaminated and washed before reuse.
Incineration of contaminated waste must meet with the approval of the public health and air pollution authorities, as well as per laboratory biosafety manual.
Preparedness Plan for Handling Dead and corpses:
Practices for caring the deceased vary according to local believe culture and religious context and must be consulted with stake holders and religious reps that shall be acceptable as norms or standard.
There must be adequately trained staff, transportation physical structure or mortuary till cremation and burial.
There should be minimum delay between time of death and burial.
Risk of transmission shall be minimizing keeping all essentials of physical deterrence particularly mask gloves and PPE and long sleeves water proof goggle & gowns.
Disinfection is recommended with 0.1 % sodium hypochlorite or house hold bleach 5% whereas alternative to sodium hypochlorite is 70% ethanol.
In general care after death shall have general precautions of recommended PPE with minimum handling /exposure and crematory affairs.
Many people can spread virus with hundreds of unreported cases.
It is believed that dying from the disease has ratio from 0.5% to 1%.
Death Rates are higher in patient with co morbid and unwell with 10 times higher in age group above 80 and lower in age group under 40. However it’s not just age that determines the risk of infection and there are instances that young people have landed in to severe disease on the contrary old people had mild (Imperial College London).
Due to unavailability and registration of confirm cases death rates are actually miscalculated for dividing death rate in registered confirm cases would be higher as compared to when unconfirmed cases are included as well.
Death rates are directly proportional to health care system and can go down or up depending upon health care facility available.
It has been observed that corona virus lingers in patient for more than a month making it a possibility to transfer virus for long.
There are possibilities that high temperature and humidity can slow down virus virulence and spread.
Some people are able to spread virus without showing symptom.
Virus could witness a second wave of infection that could be more aggressive in china or else.
There is widespread use of Traditional Chinese Medicines (TCM), for which the affects must be fully evaluated.
Specimens from both the upper respiratory tract (URT; nasopharyngeal and oropharyngeal) and lower respiratory tract (LRT expectorated sputum, endotracheal aspirate, or boronchoalveolar lavage) are collected for COVID-19 testing by PCR.
COVID-19 virus has been detected in respiratory, fecal and blood specimens.
According to preliminary data virus can initially be detected in upper respiratory samples 1-2 days prior to symptom onset and persist for 7-12 days in moderate cases and up to 2 weeks in severe cases.
Viral RNA has been detected in feces in up to 30% of patients from day 5 following onset of symptoms and has been noted for up to 4-5 weeks in moderate cases. However, it is not clear whether this correlates with the presence of infectious virus.
While live virus has been cultured from stool in some cases, the role of fecal-oral transmission is not yet well understood.
COVID-19 has been isolated from the clinical specimens using human airway epithelial cells, Vero E6 and Huh-7 cell lines.
A variety of re-proposed drugs and investigational drugs have been identified as well as other interventions are planned or underway.
In Italy they are using drug tocilizumab for inflammation at Pascale Cancer institute in Naples. It is said that the drug recovers respiratory function.
The development of a safe and effective vaccine for this highly communicable respiratory virus is an important epidemic control measure and at the moment multiple multinational companies and states are in the run to introduce first ever vaccine.
Recombinant protein, MRNA, DNA, inactivated whole virus and recombinant adenovirus vaccines are being developed and some are now entering animal studies and more in to first phase of human trail.
Jennifer haller is a 43 years old female from Seattle is the first person to have been injected with a dose of experimental Covid -19 vaccines at Kaiser Permanente Washington research institute.
The ideal animal model for studying routes of virus transmission, pathogenesis, antiviral therapy, vaccine and immune responses has yet to be found.
There is a global rush for masks; hand hygiene products and other personal protective equipment. The relative importance of non-pharmaceutical control measures including use of masks, hand hygiene, and social distancing require further research to quantify their impact.
There are distinct patterns of intra-familial transmission of COVID-19. It is unclear whether or not there are host factors, including genetic factors that influence susceptibility in disease course.
COVID-19 has a varied clinical course and a precise description of stages and course is still not available.
STRATEGIC CONTIGENCY PLAN FOR :
(i) ESTABLISHING (50 BEDDED OR ABOVE )TERTIARY CARE / nCOVID -19 MAKE SHIFT HOSPITAL
(ii) DETAIL ORGANOGRAM AS PROTOCOL TO RECEIVE SUSPECTED AND CONFIRMED PATIENT
STAGE MANAGEMENT OF PROGRESSIVE DISEASE OF nCovid-19 AND THEIR DISPOSAL.
محبت کا بہترین پہلو یہ ھے کہ جس سے محبت کی جاتی ھے، اُس سے منسلک ہر شہ سے سے محبت ہو جایا کرتی ھے. یوں گھر ھو تو قبلہ اور قبلہ ھو تو کعبہ، گویا طواف عبادت لئے اور عبادت دیدار سے منسلک ، یوں دین دید کے حصارمیں اور حصار بصیرت کی آغوش میں!
نہی تو جانتا، ھے بس خدا ہی جانتا ھے
کلامِ مصطفیٰ ھے یہ قرآن،کیا مانتا ھے
نہ دیکھا کون اُترا اِس زمین پر،اُس مکان پہ
جنہیں تو کفر میں ہی مانتا ھے
بتا اجداد میں تیرے کہاھے، کون سے اسلاف
جنہیں تو اپنا مرشد، مانتا ھے
قبیلہ تیرا ھے یوں کفر میں ڈوبا طریقہ
بتا ھے دین سے ملتا، تیرا ھے کیا سلیقہ
تیرے کعبہ میں کتنے بت ،تیرے اجداد کے تھے
جنہیں توڑا علی نے ،بول یہ کیا مانتا ھے
بڑاآیا محمد کے گھرانے کے مقابل
تو نسلوں سے ھے کافر، کفر میں،نہی کیا جانتا ھے
امیرِ لشکرِ مومن، علی بعدِ محمد
میں کیوں کیا کہ رھا ھوں،خوب سب تو جانتا ھے
میں نہ اوّل،نہ دوئم، اور سوئم
تیری لکھی ھوئی، یہ نظم پوئم
سخن گفتن تیرا حرفِ ذدن
یہ سب بکواس ھے،کیا مانتا ھے
Aurr Khaana-e-Kaaba Aur KSA k baray mein kia khayal hai.
Waha bhee to corona say hifazat ka koi aasra nahee.
Itnee piari aur paak sir zameen aur Kaaba tulla bund kerna pera
Zaireen ko nikaalna aur KSA ki lock down kerna perha jub k kainaat ki her shey ka qibla ibrahim ka ghar yani kaba aur ibrahim Muhammed -o- aley muhammed ka baap dada.
Phir aisa kertay hai k saray corona walo ko Macca madina bhaij detay hai waha to aaap ki post k mutabiq Khuda shifa dey ga .
Us mareez k baray mein kia khayal hai joe bawajood dua aur dawa k sehutyab nahee hota aur marajata hai jub k us ki dua mazar per nahee hua kerty.
Fitrat aur qudrat doe alug taqazay hain
Fitrat per qudrat hawi nahee hua kerty magar us waqt jub moajaza muqadder ho aur taqaza mazhar ho.
Her wajood per sher aur her sher per aser uss say panah ki soorat hai goya taqaza dua hua kerty hai qabooliat nahee.
Subha shaam shaitan say panah mangnay walay insaan ko phir bhee panah nahee milpaati aur bilkul ishee terha A-oozo bay rab innaas aur falaq kehnay walay ko insani sher say panah nahee milpati.
Sabit hua dua haq- e- wajood- e -basher hai aur shifa muntaq -e- ata- e- elahi.
Dena na dena ikhtiyar -e- perwerdegar hua kerta hai aur maangna izhar- e- zaroorat mund.
Markaz -e- ibadaat qibla hua kerta hai jahan qibla rukh hua jaata hai upnee ibadaat aur zarooriat ko lee-aey
Qabooliat- e- dua ata say juri hai aur ata denay walay ki merzi say
Joe Khuda ko nahee maantay ata un ka bhee hasil hai aur joe Khuda ko kubhee bander, saanp aur gaa-aey mein talash kertay hai zarooriat un ki bhee poori hua kerty hain.
Ub agar duahmani ahl -e- bait say ho to dushmani k zaviaey her shaitan ki itaut kernay walay k paas bayshumar hua kertay hain.(Dr Raza)
🌹یہ رسول اﷲﷺ کا دن ہے آٸیے حضرت رسول اﷲ ﷺکی یہ زیارت پڑھیں.🌹
میں گواہی دیتا ہوں کہ اللہ کے سوا کوئی معبود نہیں جو یکتا ہے کوئی اس کا شریک نہیں اور گواہی دیتا ہوں کہ آپ اسکے رسول(ص) ہیں اور آپ اور آپ ہی محمدﷺ ابن عبداللہ (ع) ہیں اور گواہی دیتا ہوں کہ آپ نے اپنے پروردگار کے احکام پہنچائے اپنی امت کو وعظ ونصیحت کی اور آپ نے دانشمندی اور موعظہ حسنہ کے ساتھ خدا کی راہ میں جہاد کیا اور حق کے بارے میں آپ نے اپنا فرض ادا کیا ہے اور بے شک آپ مومنوں کیلئے مہربان اور کافروں کے لیے سخت تھے آپ نے اللہ کی پر خلوص عبادت کی یہاں تک کہ آپ کا وقت وفات آگیا پس خدا نے آپ کہ بزرگواروں میں سب سے بلند مقام پر پہنچایا حمد ہے اس خدا کیلئے جس نے آپ کے ذریعے ہمیں شرک اور گمراہی سے نجات دی معبود! حضرت محمدﷺ اور ان کی آل (ع)پر رحمت فرما اور اپنا درود اور اپنے ملائکہ اپنے انبیاء و مرسلین اپنے نیکوکار بندوں آسمانوں اور زمینوں میں رہنے والوں اے عالمین کے رب اولین وآخرین میں سے جو تیری تسبیح کرنے والے ہیں ان سب کا درود محمدﷺکیلئے قرار دے جو تیرے بندے تیرے رسول(ص) تیرے نبی(ص) تیرے امین تیرے نجیب تیرے حبیب تیرے برگزیدہ تیرے پاک کردہ تیرے خاص تیرے خالص اور تیری مخلوق میں سے بہترین ہیں خدایا! ان کو فضل و فضیلت اور وسیلہ بخش اور بلند درجہ عطا فرما انہیں مقام محمود پر فائز فرما کہ جس کیلئے اگلے اور پچھلے سبھی ان پر ر شک کریں اے معبود! بے شک تو نے فرمایا کہ ﴿اے رسولﷺ﴾اگر یہ لوگ اس وقت جب انہوں نے اپنے اوپر ظلم کیا تھا تمہارے پاس آتے اور اللہ سے بخشش طلب کرتے اور اس کا رسول(ص) بھی ان کیلئے مغفرت طلب کرتا تو ضرور یہ خدا کو تو بہ قبول کرنے والا مہربان پاتے۔ میرے معبود!میں اپنے گناہوں کی معافی مانگتے اور توبہ کرتے ہوئے تیرے نبی(ص) کے حضور آیا ہوں پس محمد ﷺ و آل محمد(ع) پر رحمت فرما اور میرے گناہ بخش دے اے مولا (ع)!میں آپ کے اور آپ کے اہلبیت(ع) کے ذریعے خدا کی طرف متوجہ ہوا ہوں جو آپ کا اور میرا پروردگار ہے تاکہ مجھے بخش دے گا۔ پھر تین مرتبہ کہیں بے شک ہم خدا کے لیے ہیں اور یقینا اسی کی طرف پلٹنے والے ہیں سوگوار ہیں ہم آپ کیلئے اے ہمارے دلی محبوب ، یہ کتنی بڑی مصیبت ہے کہ اب ہم میں وحی کا سلسلہ کٹ گیا ہے اور ہم آپکے ظا ہری وجود سے محروم ہیں اور بے شک ہم اللہ کیلئے ہیں اور یقینا اسی کیطرف پلٹنے والے ہیں اے ہمارے سردار اے اللہ کے رسول(ص): آپ پر خدا کی رحمتیں ہو اور آپ کے اہل خاندان پر جو پاک ہیں آج ہفتہ کا دن ہے اور یہی آپ کا دن ہے اور آج میں آپ کا مہمان اور آپ کی پناہ میں ہوں پس میری میزبانی فرما یئے اور پناہ دیجیے کہ بے شک آپ سخی اور مہمان نواز ہیں اور پناہ دینے پر مامور بھی ہیں پس مجھے مہمان کیجیے اور بہترین ضیافت کیجیے مجھے پناہ دیجیے جو بہترین پناہ ہو آپ کو واسطہ ہے خدا کی اس منزلت کا جو وہ آپکے اور آپکے اہلبیت (ع) کے نزدیک رکھتا ہے اور جو منزلت ان کی خدا کے ہاں ہے اور اس علم کا واسطہ کہ جو اس نے آپ حضرات کو عطا کیا ہے کہ وہ کریموں میں سب سے بڑا کریم ہے۔
ASA ,Dear sir this is again an episode from the series of absurd questionaire to tease and torture now and than for no reason.
But sometimes embarassment is worth than to miss an opportunity that may go away if not taken care.
Iam very much concerned to appear in declared interview as per advertisement for the position of administrator and the same unconcerned bits and pieces of someone’s desire shall have caused a handfull of botheration and irritibility at your end, possibly.
Please bear, tear and excuse to grant a minute to reward schedule of interview if it has reached the end as ripe or rip.
Iam still waiting for the call.
First they name virus
Than they alter its genome .
Symbiotic commensals becomes pathogenic residents.
They expose it to a host in vivo and in vitro changing its virility.
Exposure creates rift against antigen and host and reexposure creates antibodies .
Choice of host as ghost depends on human compatibility with human ultimate host.
Antibodies becomes the prima trail of vaccines.
Efficacy of vaccine needs trial from cadaver to human.
A global breakout exposes millions and the created vaccine gets million along with validated certification of human testing & trial.
Prophylaxis becomes the need of unexposed populace and created vaccines becomes the mainstay of financial monetary for next decade.
Strange what needs decades of trial & approval for presentation becomes the treatment of choice in just days and month.
Viruses are not born , they are created.(Dr Raza)
Baaat yeh hai k tareekh k punno say kon nahee waqif magar murrawat k libado mein ahtraam k taqazay hua kertay hain
Haq ko ayan aur batil ko bayan kernay ki zaroorat nahee hua kerty
khaas ker us waqt jub haq haqdar say jura ho aur batil budkar say
Tum un k jhootay Khudaon ko gali na do kaheen woh palut ker tumharay suchay Khuda ko gali na dey daalay
Ibtida mein to sub aik he deen per thay per yeh baad k anaey walon ki upnee zidd, anad aur dushmani nay deen k tukray tukray kerdeaey.
Bilshuba fitna qital say budter hai.
Yeh dor -e-hazir k fitnay say kum nahee joe yaqeenun aisay aghaz ki taruf hai jis ka anjam aghaz ko dekh ker hee unjam ko akhuz kerdeta hai.
Haq -e-Fatima a.s (SAL) to hamara jusv-e- deen hai aisay hi jaisay iqrar-e-wilayat- e- Ali a.s.
Mumkin nahee k yazeediat ko hussainiat per foqiat ho us deen mein jis mein hussainiat hee deen -e- kamil ho
Meri nazar mein fitna ibtida say hee groh bundi k zair -e- asr woh anser hai jis k jamal mein qital faqat pehla aur akhri manzer ho
Algherz ub woh jamul ka kaarzar ho ya karbala ka maidan qitaaal bayherhaal tey hai.
Kia aaj is qom mein koi merd -e- mujahid aisa nahee joe imamat ki us manzil per faiz ho jahan Zainab jul mernay ya jaan bachanay ki ijazat talab keray.
Kia yeh ajab nahee k zoaf say jurri zaat -e-zun say uthnay wala yeh fishaar ub reet, riwayat aur dustoor goya rusm-o-riwaaj k uss door say guzray ga jisay manazira kehtay hai yoon fazilat- o-manzilat say jurray Aliyan ko aik baar phir shaitan ki siffat -e- daaghdar k mud -e- muqabil lakurra keray ga jo bilashuba haysiat -o-munsab mein islaaf , usloob, siffat, kayfiat goya nisbat -o- itrat- o- fitrat k arz aur areezo say yani khulq aur khulqat k qareeno say bhee door paey jaatay ho aisay k taharat aur nijasat ki alug alug raho per.
Meri nazar mein Mohtarma safi Ali khan ko is fitnay ko hawa na denay ka mushwara hai aur logo ko qol- e- Mola – e- kainat say jurra woh mushwara hai k halat- e- fitna mein oont k uss 2 saala buchay ki manind hojao jis per na sawri kj jasukay na doodh jana jasukay. (Dr Raza)
الَّذِينَ آمَنُوا وَتَطْمَئِنُّ قُلُوبُهُم بِذِكْرِ اللَّـهِ ۗ أَلَا بِذِكْرِ اللَّـهِ تَطْمَئِنُّ الْقُلُوبُ ﴿٢٨﴾
[13:28] ابوالاعلی مودودی
ایسے ہی لوگ ہیں وہ جنہوں نے (اِس نبی کی دعوت کو) مان لیا اور اُن کے دلوں کو اللہ کی یاد سے اطمینان نصیب ہوتا ہے خبردار رہو! اللہ کی یاد ہی وہ چیز ہے جس سے دلوں کو اطمینان نصیب ہوا کرتا ہے
Yaad ghayb ki nahee wajood ki hua kerti hai
zahir mein batin ar batin k zahoor ki hua kerti hai
zikr yaad say jurra hai aur yaad mulaqqt say
mulaqaat wajood say hua kerty hai zaat say nahee
wajood zahir mein deed aur batin mein reet say jurra hai
reet zahir mein deen aur batin mein shaoor dastoor -e-deen goya zaat paaat ravi riwayat isajood ibadat say jurra hai
yahee torr tarreqay atwaar yaad ki soorat zikr aur zikr pichlo ka uglo per sehar
zikr qaloob ka skoon aur sakoon faqat yaad un ki jin k rusto per chulnay ka hukum.
bus yahee rustay sureh hamd ka tareeqa aur yahee momino ka saleeqa
yad zikr say jurri hai aur zikr loagon ka hua kerta hai aisay k humay un k rustay chula (Dr Raza)
Bus yeh hussaini raastay per chulnay walay loag hain joe gahey bagahey upna lahoo dey ker hamaray khoon ko germa ya kertay hain.
shukr hai paalnay walay ka joe her yazeed per hussainiat ko laa khera kerta hai .
kia yeh ajab nahee k ub tum aik hussaini maartay ho aur phir kainiat shok e shahadt mein yazeediat k khilaaf mutaharik hojaya kerty hai
bus mein samjh gaya k hussussiat khoon -e-nahaq ka naam hai joe haq per jaan dey dey aur yazeediat uss taghooti batil ka joe hussainiat ki jaan laylay .(Dr raza)
ہر اِک لمحہ رہا کچھ ایسا بھاری
فقط تھی جھوٹ پر یہ عمر ساری
سمیٹا کرتا تھا حالات اپنے
کی یا کرتا فقط تھا آہ وہ زاری
اِطاعتوں میں یہ سجدے تیری خوشی کے لیے
جلا دیاھے خودی کو تیری خودی کیلیے
میں جل رھا ھوں کہ روشن تیری صبح کو کروں
نہ پوچھ مجھ سے سزا یہ کیوں، بندگی کے لیے
14 Tuesday Apr 2009
Posted by Dr RazaHaider in constitution and pakistan, constitution of pakistan,sight and scenes of politics i, Islam, medical and surgical corridor, Medical corridor, Medical tips, Sights and scenes of politics in Pakistan, Uncategorized
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“While nothing is easier than to denounce the evildoer, nothing is more difficult than to understand him.” – Fyodor Dostoevsky
What motivates terrorists and how they differ from you and me?
How these ideas or doctrines develop?
Can psychology and behavioral science, tell us what motivates terrorists and how they differ from you and me in terms of behavior?
Evaluation and Observation (Abstracts)
Scientifically, it’s a tough task, since “terrorists don’t volunteer for psychological studies”.
Terrorism experts differ in their understanding of this motivation.
If I put a glance at different perspectives of visions by global experts; so to delineate the real means of transformation of human in to bomb; I have no reservation but to tag their work as insanely, bias and misdirected towards self presumptive belief keeping observation under complete misdirection.
This opinion is because almost every Harry and George taking origin to resolve this issue revolves and evolves around one perspective scope and that is; to assemble thought from the chapter of Islamic practice of belief as martyrdom and judgment day.
This is perhaps the reason of multiple opinions as thoughts which are still acting under the suspicion of supposed ideas.
It is a very well known fact as observation that “when you start your discussion in a preconceived format of assessment; logically, results would be felt as per your intended ideas”.
“You strive for what you desire” therefore; “you move in direction where your mind desire at subconscious level”; for ultimate “intended resultant”.
My point is “if you have intention to drag Islam and Muslims behind this idea of suicide bombing as preconceived idea”; you would delineate your thought as per your subconscious backup as “bias” thereby deceiving the resultant and the exact cause behind.
This is the main reason why this discovery to delineate “mind set of suicide bomber;” is still a matter of speculation as assumptions.
Though there are many who have logically tried; setting aside the realm of attachments of this obstinate behavior as bias but their “restricted knowledge over the subject of reality of belief and its practice as Islam” could not support their version of indictment.
Hence by all means this subject in terms of “mentality of suicide bomber” has “yet to become the verdict as validated book”.
Almost every research that has been conducted up till know since evolution; the contribution of the researcher was always seen under dominant share but since “this topic being a definite fate as death” no one has yet extended his horizon to “feel the realm of reality what a suicide bomber can feel” by putting himself under the threat.
This is another hilarious reason why “behavior of suicide bomber” is still a matter as “undocumented”.
This is also true that since “suicide bombers are invincible or invisible like supernatural”; “appearing all of a sudden and only when death as panic cordon surrounds” therefore; it limits period that could match so to predict a little about the “mood as attitude”.
Once again! Putting the subject under the platform of assumption and presumption as “hypothesis of belief;”
Under the extreme of “unavailability of proper and calculated data as evidence” modes to route this peril as threat is a real menace.
But still people at their verge are striving to dig the real theme of this “manufactured breed of bomb.”
There are many formats as belief that suicide bombers would be the “most irrational, unethical and distracted person with disturbed behavior.”
But contrary to this belief researches have proved that “these bombers and their handlers are all as similar to the lot as existing as normal.”
Hence proving that “terrorist has no abnormal behavior” and is as normal as we are.
Observations predict that any one giving an “exclusive situation” would behave in same pattern as been intended or provided.
There is a great deal of evidence to suggest that “given the right set of circumstances, almost everyone, irrespective of personality or background, will behave in a group in ways they never would when alone”.
In 1971, psychologist Philip Zambardo’s famously showed how easy it is to “turn ordinary people into monsters.”
He recruited students to imitate prison guards and inmates, and put them together in a mocked-up prison at Stanford University to observe their behavior.
The experiment was aborted after six days because the “guards” had pushed many of the “prisoners” to emotional breakdown.
Since then, many other experiments and real-life observations have reinforced the conclusion that “in a group environment for example a football crowds, a battlefield, a rioting mob; a person’s behavior is dictated far more by what is happening around them than by their own psychological temper”.
It seems we have “evolved to encourage group cohesion and co-operation.”
Suicide bombing is a classic—though extreme—example.
There is virtually no recorded case of a suicide bomber acting alone.
The “bomber is always recruited and guided by a group with specific political or ideological aims, and the bombers tend to adopt a brotherhood mentality” towards each other, “encouraged by their common cause”, their “loyalty to the group” and the “secrecy of their mission”.
To use a battlefield as symbol “they go over the top together.”
For 30 years, Rona Fields, a Washington, D.C. psychologist, has been psychologically testing terrorists and paramilitaries from Northern Ireland, Israel, the West Bank, Lebanon, Southeast Asia, and Africa.
She thinks today’s “suicide terrorists share the still-born moral and emotional development she saw in the Khmer Rouge, who created a bloodbath in Cambodia during the late 1970s.”
“Their definition of right and wrong is very black-and-white, and is directed by an authoritative director,” says Fields.
“There is a “total limitation of the capacity to think for them selves.”
“A terrorist develops gradually from a young age”, Fields says.
The boys (typically aged 10 to 16) who are easiest to recruit for suicide terrorism are “at the stage of development of moral judgment called retributive justice or vendetta.”
“This “an eye for an eye” stage of emotional development as was described by the Swiss psychologist Jean Piaget, She adds.
In “societies where there’s been intergenerational, intercommunal war,” Fields says, “many adults never outgrow the vendetta, and are trapped in righteous indignation,” which Fields found among; examined.
“They believe there’s a difference between right and wrong, but when they do something in the name of the cause, it’s justified.”
“These true believers”, she adds, “are angry, but they don’t feel guilty about their anger.”
“They are rational, they are not insane,” says Richard Pearlstein, associate professor of political science at Southeastern Oklahoma State University.
“They have goals and they are moving towards those goals.”
“Not only are terrorists; not crazy, but they don’t share a personality type”, wrote David Long, former assistant director of the State Department’s Office of Counter Terrorism.
“No comparative work on terrorist psychology has ever succeeded in revealing a particular psychological type or uniform terrorist mindset” still.
Long wrote that terrorists tend to have “low self-esteem, are attracted to groups with charismatic leaders, and, not surprisingly, enjoy risk oddly”.
Long! Concluded that many terrorists are; “ambivalent about violence and guns”
History has revealed that terrorists are capable of carrying out “bold and destructive acts” that at first glance appear to be unexplainable.
What kind of person would sacrifice his or her own life in order to kill innocent people?
What could possibly motivate a young person to become a suicide bomber?
Research shows “no indication that terrorists are crazy or psychopathic or that they lack moral feelings.”
Most “terrorists are not psychologically deviant” and do not operate outside the “normal rules of behavior”, but are instead “ordinary people from unremarkable backgrounds”.
In fact, research indicates that “terrorists tend to have considerable insight into their own actions and are aware of how others view them.”
“They believe that their violent actions, while somewhat regrettable, are justified and noble.”
Moreover, “their emotional commitment to their cause and comrades is indicative of normal human psychology.”
Often “their actions do not ultimately stem from hatred” but rather “from love of their own group and culture that they believe is threatened and requires protection.”
Human being by nature have “built-in trait” as characteristic termed the “Ego”. (Writer contd….)
The phrase of claim as “Mine” is an expression of egoistic attitude explaining the theme behind; that the person “owns his feels as features” in terms of “absolute relation” under “constrained fashion.”
Though at one end this attitude is egoistic but at other perspective it does explain that such “own as claim” can “litigate as rift”, if at all “means as maneuvering” could be put as conflict.
My Point is; “claiming legitimacy” as “Mine” or “own” would and shall counter and “retaliate as behavior”.
This is especially over grown; if at all “situations as conflicts” are created under the rule of pin point controversy as emotional attachments. (Writer)
It is important to note at the outset that the use of the term ‘suicide’ to characterize these attacks reflects an outsider’s view.
Those who commit or advocate such attacks do not regard them as acts of suicide, but rather as acts of martyrdom.
While suicide is associated with hopelessness and depression, the actions of the bombers are seen as a matter of heroism and honor.
Many theorists focus on ideology in their attempt to understand what motivates suicide bombers.
Randy Borum (2003) focuses on “terrorist ideology and the process of how these ideas or doctrines develop”.
He identifies a four-stage process whereby individuals develop extremist beliefs.
A ‘group’ or ‘individual’ first “identifies some sort of undesirable state of affairs”; then “frames that event or condition as unjust”; then “blames the injustice on a target policy, person, or nation;” and then “vilifies or demonizes the responsible party” so that aggression seems justified.
Those suffering from adverse conditions do not regard themselves as “bad” or “evil” but only as the ‘victims of injustice.’
This makes aggression against the “evildoers” to justify psychologically.
Terrorists tend to have an “apocalyptic” revelation perspective of worldview as vision” and to see the world as precariously balanced between “good and evil”.
They believe that through their actions, they can “uphold their values of family, religion, ethnicity, and nationality and bring about the triumph of the good”.
Other theorists stress the idea that “becoming a terrorist or suicide bomber is largely a matter of socialization”.
In some cases, “those personally frustrated by their life circumstances may become angry with those they view as the source of their problems”.
According to Jessica Stern (2003), terrorists are often “individuals who feel deeply humiliated and confused about their future path, or are frustrated about the political climate in which they live”.
Humiliation, poverty, and hopelessness often give rise to a sense of outrage and desperation, which can be harnessed by extremist leaders to create support for a terrorist movement.
For individuals who feel deeply alienated or desperate, ‘death provides the ultimate escape from life’s dilemmas.’
In other cases, ‘individuals become angry about the frustrations and insults experienced by their ethnic, cultural, or religious group, though they do not experience this insult at a personal level.’
This makes sense of the fact that ‘many terrorists are middle-class individuals who have fairly wide options and some degree of educational background’.
Their strong group identification and anger over group insult helps to explain their ‘willingness to sacrifice their own lives.’
Those who feel frustrated and angry may join ‘terrorist organizations, which provide a variety of emotional, social, and economic benefits.’
Individuals who have a sense of uncertainty about their future may find that ‘terrorist groups provide the sense of identity, structure, and guidance that they crave’.
“Identification with the cause and other group members” may satisfy individuals’ needs for meaning and justice and afford them an opportunity to bolster their self-esteem.
Belonging to a terrorist group may also satisfy desires for adventure, “glamour,” and ‘social connections’.
Once they join the group, ‘individuals may feel strong and powerful and believe they have a clearer purpose in life’.
Many terrorist organizations also offer economic incentives to persuade individuals that ‘it is rational to sacrifice their lives for the good of the cause’.
For those who believe they lack options, cannot find a job, and have few social safety nets in place to assist them, suicide bombing may seem like a relatively reasonable option.
Families of suicide bombers often receive money and are treated as heroes.
Once individuals join ‘organizations that share their frustrations,’ they may undergo a ‘process of indoctrination’ whereby their “beliefs and behaviors are made to confirm the group’s basic principles”.
Within these tight-knit communities, individuals’ fear of letting down their comrades becomes greater than their fear of dying.
Many come to believe that by sacrificing their own lives for the sake of the cause, those lives can take on a broader meaning.
Various grievances and social stressors can contribute to the formation of terrorist groups.
For example, poverty, unemployment, epidemics, and criminality often lead to social instability, which provides fertile ground for terrorist activity.
Over-population, socioeconomic struggle, and a lack of professional opportunities can also produce a sense of rage, powerlessness, and resentment among the populace.
Disaffected individuals and or groups may perceive the world as treating them harshly and unjustly.
In some cases, there are indeed genuine causes for grievance and a sense of group persecution.
The move from being a disaffected individual to a violent extremist is usually facilitated by some catalyst event.
In most cases it is an act of extreme violence committed against the individual, family or friends by those in authorities or by some rival group.
Research findings indicate that “most suicide bombers have had at least one of their loved ones killed or severely harmed at the hands of their enemies.”
Many of them join terrorist groups in an angry and vengeful state of mind with the intent to take part in aggressive acts.
In fact, many suicide bombers may view themselves as soldiers engaged in a war.
Casualties are then seen as the regrettable but inevitable consequence of fighting for one’s just cause.
It is not that they are bloodthirsty or that they enjoy killing civilians, but rather that they believe these missions are the only way to fight for their cause.
Although the realization that terrorists view themselves as soldiers engaged in a just war does not legitimize their cause or methods, it does provide some insight into their psychology and motivation.
It suggests that their psychology is similar to that displayed by combatants in other conflicts, and that suicide bombers view themselves as soldiers or warriors reacting to the provocative abuses and injustices of others.
According to this line of thinking, suicide bombing is a matter of fighting against unjust political or economic policies, authoritarian governments, and structural violence.
Some argue that the global economic order contributes to groups’ sense “that they have been mistreated.”
Michael Stevens (2002), for example, argues that “globalization contributes to the creation of socio cultural and psychosocial conditions from which terrorism is more likely to emerge”.
The West has exported its economic, political, and cultural systems with little regard as to how they might be received.
While globalization has no doubt generated wealth, it has also produced economic inequality, threats to language and community, and support for oppressive regimes.
Many believe that it has also contributed to the uprooting of traditional values and customs.
1990s to present: Private organizations, like the Osama bin Laden network, operate internationally as what some call “professional terrorists.”
Unlike predecessors, they often use suicide bombers, and do not gather hostages to negotiate for concessions.
Although they kill to make a political point, they seldom claim responsibility for their acts.
The motivation of terrorists may have changed along with their targets and methods.
“First-generation terrorists,” Pearlstein says, “joined for a variety of reasons: social, psychological, and political.”
There is evidence that these people suffered “narcissistic injuries” — massive and lasting damage to self-image and self-esteem which may be severe enough to force the discredited self to seek a new, positive identity.
“They represented the kind of human raw material that a recruiter for some terrorist organization would find it easy to prey upon,” Pearlstein says.
“All had a lack of other satisfying career options.
‘All had no compunctions against the use of violence”.
While these psychological factors were “quite significant” among first generation terrorists, and to some extent, the second generation, Pearlstein says “they do not apply to today’s suicide bombers.”
“The individual psychological factors are not as important as they were even 15 years ago.”
“These folks are motivated overwhelmingly by religious beliefs or at least, their interpretation of religious faith”.
“Indeed, their audience seems to be Allah, not the office workers in New York, Kenya or Tanzania, where their bombs have detonated”.
John Horgan, a psychologist at University College Cork (Ireland) echoes Fields by saying,
“One of the major appeals of fundamentalism is the remarkable ability to see the world in black and white terms.”
‘Fundamentalist terrorist groups’, Horgan adds! ‘Offer persuasive inducements to would-be bombers.
“We shouldn’t underestimate the lures of joining these groups.’
‘Some have specific ideas of what the afterlife involves.’
“Allah will forgive the sins of both the suicide bomber and his family.”
“Suicide bombers’, he adds, “are often “seen as heroes in the Palestinian struggle.”
“You can see the pictures of martyrs plastered on walls.”
“The families are praised… and the families of the bombers usually receive some financial reward.”
One goal of analyzing terrorists in psychological terms, obviously, “is to deter or prevent attacks,” but the present situation is not encouraging.
“There are not just people ready to die, but people who want to die,” Horgan notes.
Rather than analyze terrorism in terms of psychopathology, Horgan and others prefer to see it in the context of culture, politics and religion.
Terrorism, he says, “is a product of its own time and place.”
عجب ھے بغض کہ، کھینچوں زمیں پر اُس کی میں لاش
چڑھا دوں اُس کو میں سولی پہ، کہ رھا ھے وہ کاش؟
حُسین سے ھوں مُقابل یزید زیرِ اثر
میں ھی ھوں آج کا منصف یزیدیت کا مظہر
ھَے غرض مجھ کو فقط مسندِ زمین و زر
نہی ھے ھوش مگر بس فقط ھے سر پہ نظر
حصولِ تخت میں شمرِ لعیں سے کم تو نھی
فجورِ فسخ میں ثانی یزید,کم تو نہی
یزیدیت کی ھے مُنشا حسین ھی کا سر
حسینیت کی سزا بس فقط حسین کا سر
Her roz ki terha mein aaj bhe upnay muqarrara raaasto per tehulta hua jaraha tha
Abhi kuch door he chula tha k raastay mein ussay pera dekha
Ikk khayal aya k uthaaloo ussay magar phir khayal aya k chooro mera kia lena dena
Mein ussay waheen chorr ker chula gaya
Wapsi ka safar hua toe un hi raasto per raat ki tarreki mein waheen say guzra
Meray wehm -o -guman mein bhee yeh khayal na tha k woh ub bhee waha moujood hoga
Bus baydehani mein uss per mera hee payr pera aur mein girtay girtay bucha
Mein ruka aur phir upnay payro say mein nay uss kailay k chilkay ko raastay say hataya
Mei sochnay luga k mein nay akhir kio ussay pehlay na hataya
Yeh zaroori to nahee k joe hamaray raastay ki rukawat na ho woh kisi aur ki afut na ho.
Doorundeshi door k undesho ko door kerdenay ka naam hai
Aankhay undhi nahee hua kerty yeh dil undeh hua kertay hain
Aql hosh -o- hawas mein woh idraak hai joe ghayb ko waqoo-aey say pehlay aya’n kerdey yoon joe nahee hua ussay baya’n kerdey
Fehm- o- irfa’n upnee manzilat-aala mein akhir ko izhar aur batin ko akhbar banadea kerti hai yoon guman ko yaqeen ki kayfiat dey ker yaqeen ko mehkum jaan ker guman ko hee lagaam deydea kerty hai yoon raastay baykhter hojaya kertay hain aur chulnay walay mehfooz hojaya kertay hai .
Yeh aankhay hua kerty hai joe kaheen yaaddasht bunti hain aur kaheen yaaddasht say woh hissar khainchtee hai jis per loag inhisar kerkay nisar hojayakertay hai.
Kubhi ka guman kaheen ka yaqeen hua kerta hai
Yahee wajah hai joe jo guman ko mitaya kertay hai woh yaqeen ko dikhaya kertay hain
Yaqeen ki manzil aitmaad k raasto per hee hua kerty hai joe bilashuba fehm- o- idarak leeaey irfan say jurri hai
Yahee irfan ilm lee-aey woh muarfat hai joe hawas -e- khumsa say baher doorundeshi leeaey woh idrak joe purkhuter raasto mein baykhuter safar ka zamin .
“Ahdinus siratul mutaqeem , Sirat ul lazeena unumta ale him”(Dr Raza)
Afkaar aur atwaar ki zaroorat ba-kirdar merd ko hua kerti hai .
Jahan kirdar havis ka ghulam ho waha nafs shohwat ka payrokar hua kerta hai.
Tabiatey baghi hua kerti hain kayfiato mein toe tabiyato ki jhalak khuwahish k zair -e- asar pasand na pasad say jhulka kerty hain.
Jism aurat ki fitree sakht ka aik qudrati taqaza hai jis ka siffaat say qatun koi taalluq nahee
Beraks , merd ki ravish; muarfat aur taqat ko leaey her us shey ko ghair ahum aur haqeer jaanti hai jis shey per uss ka mukummal ikhtiyar ho
Yahee wajah hai joe merd muarfat, ikhtiyar aur taqat k aangaun mein naa-payd shey dhoonda kerta hai hai jisay aangun ka phool banaker upnay sukht daman-e -hisar mein nuram gosha dikha sukay yoon upneey sukht aur doorundesh muaarfat bheri siffat mein khuwahish ko ujager ker k sukht zameen mein chuphay nerm gosha-e-zurf ko ujager kersukay.
Yeh kayfiatey merd ki fitrat nahee bulkay tabiyato ki qos-o -qaza ka ikk rung hai jisay mosoof munto sahib merdana khuslat samajh baithay(Dr Raza)
Tareeqo ka mohtaj woh hua kerta hai jis tak phonchnay ka raasta simt rukhay.
Ibadat tareeqo ki mohtaj nahee simt ki mohtaj hua kerti hai.
Sinmt raastay ki qaid say azad hua kerta hai .
Raasta simt ka mohtaj hua kerra hai .
Jahan raastay waqt k mohtaj hon waha rishto mein faaslay lazmi anser hai .
Abd aur Mabood mein taqaza yaad ka hua kerta hai aur yaad zikr say jurri hoti hai .
Yad waqt aur manzil say bayperwa aur zikr simt aur maqam say azad hua kerta hai .
Sajdo mein sajdegah maqam- e- qayam hai maqam -e -itaut nahee .
Itaaut aml say jurri hai maqam aur sajdegah say nahee.
Zikr amal , maqam, simt aur manzil say bayperwah hua kerta hai
Zikr kayfiat say juřa hai aur amal tabiyat say
Tabiyat kayfiat k taabey hai aur kayfiat dil -o -deemgh k aser mein
Dil ki rahat zikr mein hai aur deemgh ka sakoon dil ki rahat mein
Bayher haal amal ibtida- e- ishq hai daleel- e- ishq nahee
Zikr he woh kayfiato mein dhulle tabiyat hai joe tabiyato ki kayfiat ko zuban ata kerti hai
Tu tareeqo mein Khuda dhoond
Mein ghafil he sahi (Dr Raza)
Tasweer ki qeemat hua kerty hai mussavir ki nahee.
Yeh is leeaey k tusweer saanchay mein dhula woh tasuwwer hai jisay hisar dey ker mehsoor ker dea jata hai yoon hud dey ker mehdood ker dea jata hai.
Jub k mussawir woh azad shah sawar hai jis ka safar manzil say bayperwah aur soch hudood aur waqt say mustushna hua kerti hai yoon amud faqat manzil leaye qayam aur qayam k goya faqat ikk rukn- e- salaat.
Baat yeh hai k manzil hisar e soch mein kamil tasweer hua kerty goya aik mukummal sancha.
Yahee mukummal sancha akser zair -e- baseerat, hudood- e- soch mein , tasuwwur-e- zeenat bunjata hai ikk mukummal tasweer ki manind kubhi mussavir ki nazar mein ya kubhi mudubbir ki baseerat mein.
Yoon dono soorton mein qeemat tasweer ki hoti hai soch ki nahee goya maqam- e- kayfiat ki hua kerti hai nigah -e- baseerat ki nahee.(Dr Raza)
Her us tassuwwer ki qeemat hai jisay mussavir dobara tasweer dey sukay (Dr Raza)
Pehun saka na libada munfiqut ka joe mein
Khaloos -o -zerf -o- siffut nay kaheen ka na chorra(Dr Raza)
Rehm- o- karam ki ilahi siffut nay nay jurm aur zulm ko ghaibana taqweat dee yoon jin ki tabahi un ka muqaddar thee un ka haal un k upnay haatho bud haal hua .
Chord deta hoo mein khud upnay karam ki khatir
Who samjhta hai k kumzoar hai qanoon mera (Dr Raza)
Mein seyh chuka hoon jisay bus izhaar baqi hai
Ajab hai haal k bus iztarar baqi hai
na tu samjh yeh halao haraam ki mudmein
yeh iztirab hai mera eman baqi hai (Dr Raza)
Bheek ki lazzat jan nee ho to ashiq say pooxho
Waqt agar qurbat na paida kersukay to dosti mein khaloos napayd hua kerta hai
Ajab nahee hai kia k;
joe khud khulqat ka moujid -o-khaliq ho who daleel-e-wajood- e – tukhleeq- e- basheriat mein khud ko muzukkar aur tushbeeh –e- wajood-e-niswa ki zaroorat ko leeaey wajood –e-niswa ko moinnus say munshoor ker dey
[6:101] ابوالاعلی مودودی
وہ تو آسمانوں اور زمین کا موجد ہے اس کا کوئی بیٹا کیسے ہوسکتا ہے جبکہ کوئی اس کی شریک زندگی ہی نہیں ہے اس نے ہر چیز کو پیدا کیا ہے اور وہ ہر چیز کا علم رکھتا ہے
Yoon shikum-e-madar aur wajood-e-aurat ko ufzaish-e-nusl-e-basheriat mein juzv qarar dey dey goya shert banadey ufzaish-e-nusl –e-insaa mein niswa aur nutfay ka hona.
Yeh aisay k wajood ka moujood na hona khud ikk daleel bunjai wahdaniyat ki (Dr Raza)
Aik aur baar zindagi hee sahi
Kia yeh ajeeb nahee k:
Uss muaashray mein jahan aik moatabir, muddabbir, hakim roshan kitab jis k her lufz mein kayfiat-e-zahoor aur mairaj-e-ilm -o -huner mein dooba mutan ho, aisay k aser leeay mizaj-e-shaoor –o-lashaoor ka ratun leeaey, izhar -e- payker-o- mazhar; k awwal ta akhir asool per, hayatiat, nibatiaat –o-haywanaat –wa- bashariat k kamil manshoor per, goya ghaibana aur shairana aster leay, nazool asmani mein asool rehmani aur amal insani k fehm –o-farasat per, goya hidayat-e- rabbani k amar per yanivdastoor –e-malaik –o-malak k mimber per, manind kayfiat-e-basher leaey, mursaleen k asr –o-nazar per, rehberi k der per, aik unperh, gawaar, bayzoak- o- budmizaaj, jahalat mein paywust –o-pust, muaashray per, wajood leay zahir –o-batin say lay ker mizaaj-e-munkiri –o-kufr per utray loag goya, uss per joe naa- balad ho kisi bhee lisani, asmani ya nisabi kayfiat-e-kalam- o- ilm say, goya ilham – o- salam-o- wahi say.
Zara sochiaey(Dr Raza)
Dekhta rehta nigaho ko meri
Khud woh nazro say chupha rehta ha(Dr Raza)
Kia bigurta hai joe qurbat mein nahee loag teray
Aik Kafi Hai gawah teri risalat k leeaey
Aey Muhammed(SAWAW) hai yeh dawat zil-e-asheer zaroor
Saath teray hai Khuda teri hifazat k le-aey (Dr Raza)
اے محمدؐ! ہم نے تم کو لوگوں کے لیے رسول بنا کر بھیجا ہے اوراس پر خدا کی گواہی کافی ہے
[4:79] ابوالاعلی مودودی
*Like a hope that heals misery*
*like a life that enrolls living*
*Like a feel that envoy emotion*
*Its your charisma that ignites my feel*
*A conception that fights feel*
*A desire that creates necessity*
*A necessity that demands availibilty*
*A dire that burns as dire*
*Out of blues and in reality*
*A scoop of serenity*
*In a shell like a shelf as if vanity*
*Undoubtedly a desire that creates insanity*
*A marvellous design of its kind*
*A seasoned craft as master piece in humanity*
*A sprinkled piece of divinity*
*An immaculate virginity*
*Just an amazing thief of heart*
*A women with whom can not
live without loving her* *(Dr Raza)*
*Wajood mein hai khudai amal hai izn lee-aey*
*Dikha raha hai woh qoowat nizam- e -qadr lee-aey*
*Yaqeen akhri manzil yaqeen -e- kamil ho*
*Ho zoar aisa amal khud hee fail- e- adil ho*
*Dikha raha hai khudaii khuda ki khuwahish per*
*Hai kon aaj khuda kon hai numaish per*
*Ajab hai bazo -e- haider k siffato’n mein khurra*
*Yeh kon nurgha-aey auda’a mein aaj phir hai ghira*
*Hai aaj phir wohee firou’n , wohee yazeed khura*
*Hai in k saamnay ikk bar phir hussain khurra*
*Hai dastan- e -haram daastan -e- runj -o- alum*
*Loe aaj phir say wohee kurb aur woh karbo bala.* *(Dr Raza)*
*Tajuliuo k nazaro mein kia chupa hai Khuda*
*K goe hisaar mein teray; behuq raha hoo magar* *(Dr Raza)*
Tajuliuo k nazaro kia chupa hai Khuda
K goe hisaar mein teray; beheq raha hoo magar (Dr Raza)
Ghurri jis faash hotay hain!
Ayan jub raaz hotay hain !
Sub hee berbaad hotay hain
Bani adam mein sub he kunba- e- adam bani adam
Farishta kon hota hai
Subhee k raaz hotay hain(Dr Raza)
Qabl is k ko woh hee aa
Uss ki amud ka ahtimam kero (Dr Raza)
Kia yeh ajeeb nahee k us muaashray mein jahan aik moatabir, mudabbir, hakim, roshan kitab jis k her lufz mein kayfiat-e-zahoor aur mairaj-e-ilm o huner mein dooba mutan aisay k aser leeay mizaj-e-shaoor –o-lashaoor ka ratun leeaey, izhar -e- payker-o- mazhar k awwal ta akhir asool per, hayatiat- nibatiat –o-haywanaat –o- bashariat k kamil manshoor per goya ghaibana ,shairana aster leay nazool asmani, asool rehmani aur amal insani k fehm –o-farasat per hidayat rabbani k amar per aur dastoor –e-malaik –o-malak k mimber per manind kayfiat-e-basher leaey mursaleen k asr –o-nazar per rehberi k der per aik unperh gawar bayzoak o mizaaj, jahalat mein paywust –o-pust muaasray per wajood lay zahir –o-batin say lay ker mizaaj-e-munkiri –o-kufr per utray goya uss per joe naa- bald ho kisi bhee lisani, asmani ya nisabi kayfiat-e-kalam o ilm say goya ilham – o -salam- o -wahi say. Zara sochiaey(Dr Raza)
Muhabbat ka beyhtareen pehloo yeh hai k jis say muhabbat ki jaati hai us say munsalik her shey say muhabbat hojaya kerti hai yoon ghar ho to Qibla aur Qibla ho to Kaaba goya tawaf ibadat leeaey aur ibadat deedar say munsalik yoon deen deed k hisar mein aur hisar baseerat ki aghosh mein k.(Dr Raza)
Teri abroo k Derr nay
Mujhay Derrbadar phiraya
Teri sherm aur haya nay
Mujhay phir na werghalaya
Go k manzil- e- rafaqat
Teri ulfat -o- nazakat
Go hisar- e-Mey- o- khumaar mein
Mein hoo kurb mein teray piar mein
Teray ishq -e- lazawal mein
Teray husn- e- bakamal mein
Mein yoonhee chula ikk khayal mein
Meri justaju teri bayrukhi k wabal mein
Teray qurb mein na mein rehsuka
Tera yeh zulm mein na seyh suka
Sub hee gaya is piar mein
K hoon ub yahan bayhaal mein
Teray piar k izhar mein (Dr Raza)
Awwal wajood e khulq mein nutfa nisab hai
Akhir libas e khaak lee-aey phir hayat hai
Merna teri saza to nahee ik hisab hai
Hai aql kio ba-eed, yeh zinda kitab hai (DrRaza)
نہریں بہہ رہی ہوں گی ایسی شراب کی جو پینے والوں کے لیے لذیذ ہوگی،
[47:15] ابوالاعلی مودودی
Suna hai tu bhee waha ikk nisab rukhta hai
Chulo hai accha k tu bhee sharab rukhta hai
Hamaray jaisay ghareebo ka bhee thikana hai
Yeh baat laiq- e- sajada sharab khana hai(Dr Raza)
Aur phir woh meray saath chulpara.
Goe k umr mein woh ziada aur fehm mein bayherhaal mujh say kum tha magar such yeh hai k is ka huner mera aitmaad aur us ka ilm mera aitiqad tha .
Mein nikul khurra hua us k saath aik musullam yaqeen leeay k agar kuch hua to yeh moujood hai joe her bigaar ka sawar aur her sawal ka jawab.
Jee haan yeh koi jung- o -jadal ya ilm- o- adab- o- farasat lee-aey amr- e- sharaii say jurra maqam -e – pullay sirat k manazil tey kernay ka amal -o-amr ka payker nahee tha bulkay tufreehat -o- zarroorita per mubnee dunyavi saman say munsalik faqat ikk juzvi amr -e -zarrorat k waqt ikk nufs tha jis ko ungrezi zuban mein electrician ya automobile electrical engineer kehtay hain.
Mein sochnay luga k yaqeen ho to faqat khoaf say bayperwah aur aitmaad ho to manzil per phonchnay ka nahee bulkay saath chulnay walay per goya manzil say bayperwah aur safar say baygherz.
Bus aik baar phir mujhay Ali (A.S) yaad aya joe meri her manzil ka mola aur her safar ka humsafar k khoaf naimulbadal khutrat mein kood janay ka aur amal nataeejon say baygherz k na jaanat ka shok aur na dozakh ka khoaf aisay k yaqeen haq per aur eman uss zaat say jurra jis ki rahdari ki kunji naam -e -Ali (Dr Raza)
Sawal kaheen bayadabi hua kerti hai aur kaheen kumilmi, kaheen tunz ko leaey kayfiat-e-gharoor aur kaheen baytukkulafi leay chuppha manshoor.
Qabooliyat ki manzil sawalat say azad hua kerti hai.
Sawal shak ki woh shakal hai joe yaqeen say door guman per sawar kayfiat-e- iztirab mein dooba khoaf jo yaqeen mutazulzul kerdey aur guman ko agli manzil kerdey. (Dr Raza)
Aqeeda derasl insani shaoor say jurree woh hudood hai jaha us ka wajood khud say bayperwah hoker undekhi zaat say jurr ja ya kerta hai yoon moujood khud k wajood mein baykhoaf -o- khatur her uzr aur aser say baher faqt tabiyat k aser mein zaat k niaz-o-nazar mein sir-e-tasleem leeaey sirba sajood hua kerta hai .
Bus yahee manzil-e-mairaj -e-nufs-e-mutmainna hai jahan wajood dhaal bunjai muhafiz ki manind us zaat ka, jo lashaoori torr per us ka shaoor ho yani faqt us ki tabiyat mein moujood -o- zahir -o-zahoor ho.
Tabiyaton ka aser amr -e- Khuda wanda hai jo baqol- e -Quran, hamari hee siffat-o-amr-e-tukhleeq hai .
Bus jub dekho k kaheen koi siffat-e-hussain qayam ki soorat upnee tabiyat per yazeediat k khilaf moujood ho to samjh lena k khoon-e-Hussain ki terbiat per tabiyat perwan churrhee hai goya aise ghurri hai k karbala phir aik baar khurri haiyeh aisay k ;
K Roaz roaz hai ashoor karbala ko leeay
Hai aaj phir shab-e-Ashoor uss fughaa’n ko leeay
Hussain phir say hai bay gor aur kafun k baghair
Zara see dair tehr phir say Karbala ko leeay (Dr Raza)
Raat nay din per undehray ki chader phainki to ahsas hua ki tareeqi kisay kehtay hain
Mein samjha tha k yeh deed hua kertay hai deedar k peechay magar phir pata chula k undehro mein bhataknay walo ko deed say nahee deedar say mehroom kia jata hai
Deedar ka deed say nahee roshni say taaaluq hua kerta hai
Yoon koi shey mukhfi nahe faqat undehro ki chader hai joe deedar say mehroom rukhti hai
Mein samajh gaya k suleman per tukht -e- bilqees ko kaisay palak jhapaknay per alqa kea asif bin berkha nay
Bus maloom chul gaya k faqat tareeqi ki chader kafi hua kerty hai hidayat ki roshni ko door kernay k leeaey.(Dr Raza)
Woh ibadat mein mushghoool tha k aik unjana shaks kuch raqam aur rozmurrah ka samaa-n lay ker aya aur us k qareeb rukh gaya
Woh Ibadat say farigh hua toe mein nay dekha k woh aik baar phir sajda raiz hua aur luga Khuda ka shukar bajalanay aisay ka goya ata kernay wala yeh wajood nahee bulkay woh zaat ho
Mein sochnay luga k Khuda kon tha woh jis nay zaroorat poori ki ya woh jis ki ibadat mein woh mushghool
Goya woh jis ka shukr bajalaya ya woh joe baygherz ata kergaya
Kia yeh ajeeb nahee k ata ki manzil itaut say juda hua kerti hai
Denay wala hamesha taabey hua kerta hai ata kernay walay k
Biljul aisay k woh kehta hai aur woh kerdera hai
Tubhi to shukar kisi ka hota hai aur ata kisi ki goya amal kisi ka hota hai aur amr kisi ka (Dr Raza)
Baykhoaf raasto pey safar kerrahey hain hum
Kirdar bun raha hai amar ker rahey hain hum
Hai mout ger zawal le-aey ikhtitam- e- jaa
Her rah per ushee k amal ker rahey hain hum(Dr Raza)
ضروری تو نہیں کہ لفظ ہی رشتوں کا ساماں ہوں
محبت گر ارادوں میں ، تعلق ہو ہی جاتا ہے
ڈاکٹر رضا حیدر
Sun raha hoo hai dikhraha hai mujhay
Bus yey hee saath ki zaroorart hai(Dr Raza)
[20:46] ابوالاعلی مودودی
فرمایا ” ڈرو مت، میں تمہارے ساتھ ہوں، سب کچھ سُن رہا ہوں اور دیکھ رہا ہوں
Tabiyato’n mein jalal hota hai
Joe samajhtay, khayal hota hai
Ho zaroorat izhar hota hai
Jub kubhi ahtimaal hota hai
Ger ho nasiyat mizaj –e-moosa say
Qol mein bhee sawal hota hai (Dr Raza)
[20:44] ابوالاعلی مودودی
اس سے نرمی کے ساتھ بات کرنا، شاید کہ وہ نصیحت قبول کرے یا ڈر جائے