What is to be done in the next five years?

What is to be done in the next five years?
Rahul Pandey

The United Progressive Alliance (UPA) government has been re-elected with near majority. With the country facing a host of social, economic and political problems, its plate is full. Most sectors and people are reeling under the economic recession. At the same time the prices of some of the basic essentials like food products have been high. The poor – small farmers and landless people in villages and low skilled workers and small informal (unorganized) sector entrepreneurs in urban areas – are the worst hit. Myriad environmental problems – both local and global – stare us rudely in the face. Communal divisions and related threat of terrorism have made people insecure. The government simply does not have the luxury of a honeymoon period. It must tighten its belt and begin to act.

But before we talk about what is to be done, let us briefly look at what made the people elect the Congress and what explains the rout of the BJP and the Left? This will give us insight into what people of India want.

In the past five years Manmohan Singh and Sonia Gandhi have steered the Congress in two different directions. Instead of conflicting politically, these efforts somehow appeared to satisfy two different but major segments of our society. This was in spite of the usual corruption and other flaws that characterize the Congress culture. Of course there were regional factors too, but here we touch upon only the main country-wide initiatives.

The well-off, urban people have grown to become enamoured of Dr. Singh. His image of an honest and intelligent person has only been reinforced in these five years. The only serious allegation, that he was a weak PM and a puppet to the Congress president, was thwarted by some of his actions like his passionate pursuit of the Indo-US nuclear deal. Although the latter meant compromising India’s neutrality and commitment to peace, it did show he was a strong willed person, unwilling to budge under pressure from heavyweights in his own party. This enhanced his credibility among the people, especially the educated middle class.

Sonia Gandhi, on her part, earnestly backed and saw through the fruition of two very important Acts – Right to Information Act (RTI) and National Rural Employment Guarantee Act (NREGA). To do so, on the one hand she involved several eminent social activists to help design and draft the Acts. On the other hand, she cleverly dealt with the opposition to these Acts from vested but influential interests within her own party and outside. These Acts have strong checks built in them. Hence, despite corruption and leakage, their implementation has been reasonably well received. In many districts, several local NGOs and activist groups supported them and got engaged in their monitoring at the ground. While RTI itself has significantly increased common people’s access to governmental schemes and information, NREGA together with RTI has made perceptible improvement in rural employment and wage for the poor and curtailed distress seasonal migrations in several regions. Now many agree that these Acts constitute major institutional reform and progress, and need to be given more teeth. Such schemes helped enlist the support of the masses.

The BJP, on the other hand, had barely any positive alternatives to offer. Its personal allegations against Manmohan Singh backfired and brazenly linking terrorism to a community sounded too crude and shallow. The Left, with its disastrous pursuit of industrialization in Nandigram and Singur without any rehabilitation plan for the displaced, stood utterly discredited among the people. It appeared stripped of its own core principle.

What should be done now by the UPA government? Economic recession, poverty and unemployment, environmental problems, and terrorism loom large over India’s social-political horizon. An innovative policy response will be one that attempts to address all these problems in a synergistic stroke. Trying out a way that solves one problem while worsening another is something we have done many times in the past and will not work this time too.

Many economists and planners agree that a key solution to recession is to increase government or public spending. This would directly pump money in the economy and create jobs in public works. The money that thus reaches the hands of consumers will eventually boost consumer spending. The banks must simultaneously ease up credit schemes so that people can borrow at low interest rate, which again boosts spending and investment in the economy.

The tricky policy question is: For which kind of activities should the government increase spending and the banks offer easy credit? How much and for how long? Answer to these questions will determine the success of our economic revival. It will also determine what kind of capabilities India would acquire in the process, for instance, in technologies and management systems in agriculture, industrial, infrastructure, energy and environmental fields. More crucially, it will also determine the extent to which we will solve our social problems like poverty, unemployment and wide economic disparity.

To identify the right policy direction for India it is important to recognize certain dominant global trends. First, globalization is rapidly increasing the access of people, especially those connected with the modern economy, to information from everywhere. People are becoming more aware of the critical issues of politics, economies, development, environment and human rights in different parts of the world. Second, as the forces of globalization are also unleashing repression of ordinary communities by big capital intensive projects, the opposition of people to such forces is becoming louder. At more and more places local people are getting organized and raising voices against unjust development projects that displace them from local resource base and do not offer much in return. And more and more such people’s groups are getting networked. This is leading to greater demands for a more democratic and just society. Third, the same forces of development have caused grave environmental damage, both locally in polluted cities, rivers, lakes, forests and industrial sites, and globally in form of changing climate. These problems too have mobilized scores of NGOs, policy makers and people everywhere to lobby for environment and people friendly policies. Fourth, as organizations worldwide are under increasing pressure to offer innovative products and services that are both customer and environment friendly, these dimensions are becoming important bases of competition in more and more marketplaces.

All these are irreversible trends which are strengthening and spreading widely. The policy prescriptions that directly address India’s internal social-economic-environmental problems and are, at the same time, in sync with these global trends will be the most robust ones.

To begin with, a drastically enhanced government spending is required on rural infrastructure and environment – roads, wells, water supply, electricity supply, upgraded primary and higher schools, schools for women, training centers in useful employable skills, community centers, planting trees, etc. All such works must be linked with NREGA. This will simultaneously create many productive jobs and build useful infrastructure. Given the current state of such infrastructure, these works can consume most of NREGA’s budget for years.

In order to be environment friendly and sustainable, rural infrastructures like water harvesting and electricity supply must be small and based, as far as possible, on locally available and renewable resources. Fortunately, different parts of India are enriched with at least one renewable resource like solar energy, wind, water, and several types of biomass. Agricultural practices must be based on modern but organic and low energy intensive methods as much as possible. Industries must be energy efficient and source energy first from renewable resources. All waste must be recycled.

Once set up, the facilities for water, electricity/energy, agriculture, education, waste handling, etc. will offer a lot of employment opportunities to operate and maintain them. Hence the newly established training centers must provide training in these and a host of other skills useful for local youth and women to start various entrepreneurial activities relevant for the local society.

Most crucially, for all these initiatives to be useful to local economy, be environment-friendly, and reach all communities and people, they must be governed and monitored locally in the most democratic manner. This can be done only by local bodies that constitute representation from all communities, are democratically elected, and linked with other decentralized institutions of governance. This, in turn, requires that the local institutions of governance are strengthened and made fully decentralized and democratized. This will ensure that local people are the ones who have maximum say in the decisions of fund allocation, selection and monitoring of works, and choice of infrastructures, skills and economic activities. Any large industrial or infrastructure project that impacts local resource base and livelihoods, along with necessary rehabilitation scheme, too must be approved by the local governing bodies.

What about the urban areas? Their design too must change to eco-friendly and people friendly one in which people do not commute much to work, roads are neither congested not polluted, there is high enough capacity of public transport systems, there are many parks and community places for children and adults to enjoy, trees are abundant, houses and buildings are fitted with renewable systems of electricity and water supply, most of the waste is collected and recycled, and there are no slums as all low income people live in proper houses with proper sanitation facilities provided by the government. A lot of urban poor can be engaged and employed in the process of such transformation of urban landscape.

And what about the modern industries? They must be forced through regulation to acquire new technological innovation and management capabilities to become highly energy efficient, environment friendly, and customer friendly. Besides benefiting the society and the environment around them, such capabilities will enable industries to become globally competitive. This is a huge challenge for the Indian industry and will require change in mindset and a lot of work. The surplus manpower in current times of recession can be usefully trained and engaged to build the new systems and capabilities required in this process.

The government must enhance spending and the banks must offer easy credit to directly support the activities that lie within the ambit of strategies proposed above. This will enable the Indian society to transit to a new development path that entails people-driven decentralized governance systems, sustainable and environment friendly infrastructure, agriculture and industrial systems in rural areas, eco-friendly cities, and modern industries with energy efficient and environmental innovation capabilities. The support must be offered until such a transition is achieved. As for terrorism, it will be rendered a secondary concern if we set out seriously on the task of building a prosperous, sustainable and just society.

Rahul Pandey

(The author is a former faculty member of Indian Institute of Technology (IIT) Bombay and Indian Institute of Management (IIM) Lucknow. He is currently a founder member of a start up venture that develops mathematical models for planning and policy analysis. He can be contacted at rahulanjula@gmail.com)

Call for International Action to Combat Epidemic of Non-communicable Diseases

Call for International Action to Combat Epidemic of Non-communicable Diseases

The International Diabetes Federation (IDF), International Union Against Cancer (UICC) and World Heart Federation (WHF) issued a joint statement on 19 May 2009 that calls on the international community to address urgently the epidemic of non-communicable diseases (NCDs), responsible for 35 million deaths a year. The statement demands a substantial increase in funding for NCDs and greater availability of essential medicines, among other urgent responses, in a way to accelerate achievement of the health Millennium Development Goals.

Public health experts are concerned about the impact of the global economic crisis and warn that the emerging epidemic of NCDs is threatening to overwhelm healthcare systems worldwide unless action is taken. Cardiovascular disease, diabetes, cancer and chronic respiratory diseases cause 60% of all deaths worldwide, with four in every five of these deaths occurring in low- and middle-income countries. NCDs are an under-appreciated cause of poverty and now present a serious barrier to economic development. They are estimated to reduce gross domestic product (GDP) by up to 5% in many low- and middle-income countries, dealing a double blow to fragile economies struggling in the global recession.

Professor Pekka Puska, President of the World Heart Federation states: "We can no longer ignore the burden that cardiovascular disease, together with the other NCDs including diabetes, cancer and chronic respiratory diseases, is placing on countries that are least equipped to deal with them. We urgently call on the international community to ensure that the funding models applied to infectious diseases, such as HIV/AIDS, TB and malaria are expanded to stop the spiralling death rates from NCDs before the most vulnerable are pushed further into the poverty trap.”

NCDs impact on the world
IDF, WHF and UICC are united by their concern with the consequences of physical inactivity, tobacco use and poor diet, three avoidable risk factors that contribute significantly to the NCDs responsible for 60% of global mortality.

Diabetes is a leading cause of blindness, kidney failure, heart attack, stroke and amputation. The number of people living with diabetes has increased considerably over the past 30 years. In 1985, an estimated 30 million people worldwide had diabetes. A little over a decade later, the figure had risen to over 150 million. Today, according to IDF figures, it exceeds 250 million. A further 300 million are at high risk of developing diabetes. Unless action is taken to implement effective prevention and control programmes, IDF predicts that the total number of people with diabetes will reach 380 million by 2025.

Cardiovascular disease (CVD) is the leading cause of death worldwide. An estimated 17.2 million people die from CVD each year, and that toll could increase to almost 20 million by 2015. The incidence of deaths attributable to CVD continues to rise sharply, accounting for 30% of all deaths globally. Around 80% of these deaths and 87% of related disabilities occur in low- and middle-income countries. Cardiovascular disease affects the heart or blood vessels and includes heart disease, stroke and high blood pressure.

Cancer is the second leading cause of death worldwide. More than 11 million new cases are diagnosed each year, and about 8 million people die from cancer – over 70% of them in low- and middle-income countries. On current trends, 15.5 million people will be diagnosed with cancer in 2030, and about 12 million people will die from the disease. Yet, we have more knowledge than ever before on how to bring cancer under control. About one-third (30-40%) of all cancers can be prevented, a further third can be cured (given early diagnosis and treatment), and effective palliative care can be provided to patients.

In its 2009-2013 Action Plan for the Global Strategy for the Prevention and Control of Noncommunicable Diseases, the World Health Organization identifies international partnerships as paramount in the global struggle against NCDS. WHO calls for concerted action on a global scale and identifies a key role for non-governmental organizations. IDF, WHF and UICC have taken up this call. Combined, the three organizations represent the interests of 730 member organizations in over 170 countries. They have joined forces to create a powerful voice for change and urge the international community to take action in the face of the NCD epidemic.

Professor David Hill, President of the International Union against Cancer states: “Now, more than ever, we need to join efforts to give cancer and the other NCDs the priority they deserve. The advantages that stand to be gained from the strength of strategic international partnerships, such as the one between our three organizations, will contribute towards a more effective global response to NCDs.”

Call for Action
The joint statement issued today in Geneva was timed to coincide with the meeting of the World Health Assembly. The organizations highlighted their support for the WHO Action Plan and call for the international community to:

1. Ensure the availability of essential medicines for people living with NCDs in low- and middle- income countries

2. Immediately and substantially increase financing for NCDs

3. Integrate NCD prevention into national health systems and the global development agenda

4. Create a Special Envoy of the UN Secretary-General for NCDs

5. Support a UN General Assembly Special Session on NCDs

WHO has shown that simple, cost-effective solutions exist to take on the burgeoning epidemic of NCDs. If the international community acts now, hundreds of millions of lives could be saved and the quality of life improved for millions more. Such action would bring the international community closer to achieving the UN Millennium Development Goals. Failure to act will have a detrimental effect on healthcare systems and economies worldwide. Governments who invest in prevention now will be spared the overwhelming costs of chronic care later.

Professor Martin Silink, President of the International Diabetes Federation explains: “the world has not previously had to cope with an epidemic of NCDs. Health systems will need to adapt fast to mobilize new and existing resources to tackle the epidemic through prevention and education. The majority of people with non-communicable diseases like diabetes, cardiovascular disease and cancer are responsible for most of their own care most of the time. Health systems will need to support the role of people with NCDs and see them as part of the solution.”

Cigarette tax increase will decrease number of smokers

Cigarette tax increase will decrease number of smokers


Prof. Prakit Vathesatogkit, Executive Secretary of Action on Smoking and Health Foundation welcomed the government policy of increasing cigarette tax. He believes that the tax increase will greatly benefit smokers in Thailand. This is due to the fact that the higher cigarette prices will result in people smoking less or quit completely, especially in the lower income group.

A country-wide research conducted in 2006 to evaluate the impact of tobacco tax increase, from 75% to 79% which led to 15% increase in price, found that 58% of smokers smoked less while 10% had shifted to cheaper brands of cigarettes. Furthermore, 23% purchased only single sticks and 9% switched to hand-roll cigarettes. The number of people who quit smoking completely was an impressive 10%.

Dr. Prakit said “ from 1993 through to 2007, the government of Thailand has increased tax 8 times in total. This gradually increased the price of Krongtip ( the most popular brand of cigarette) from 15 Baht per pack to 45 Baht per pack (while the latest increase leads to 56 Baht). The impact was most evident in the lower income group in Thailand, in which the smoking prevalence has declined from 42% in 1991 to only 20.7% in 2007. The household income which this group spent on cigarettes also reduced from 16.30% in 1991 to 8% in 2007.

According to the World Bank, the tobacco tax should be two-third or three- fourth (66-80%) of the retail price in order to have desirable impact in reducing tobacco use. The current tax burden on cigarette is now 69% of the retail price (or 85% of factory price plus 7% VA, 2% health tax, 1.5% Public television tax and 0.5% local tax). World Bank has recommended all governments to use Tobacco tax increase as one way to fight poverty. The obvious reason is that money saved from buying cigarettes, either by quitting or by reducing number of cigarettes, can then be spent on the improvement of healthier life-style as well as be used to support their families.



Jittima Jantanamalaka, Citizen News Service (CNS)


Protests against painting of historical Vidhan Sabha

Protests against painting of historical Vidhan Sabha
[इसको हिन्दी में पढने के लिए यहाँ पर क्लिक कीजिये]

Civil society has lodged a written complaint against the painting of a part of the 85 years old Vidhan Sabha building (state council house) by the Estate Department of the Mayawati-led government in Uttar Pradesh (UP) state in India.

Magsaysay Awardee (2002) Dr Sandeep Pandey was part of the delegation to the UP state Governor TV Rajeshwar. Dr Pandey is also a member of the national presidium to Lok Rajniti Manch (People's Politics Front - PPF). He submitted a memorandum to the state Governor signed by social activist Naveen Tiwari, retired Director-General of Police Ishwar Chandra Dwivedi, retired Inspector-General of Police SR Darapuri (Lok Rajniti Manch candidate from Lucknow parliamentary constituency 2009), retired IAS SN Shukla, and retired Justice Kamleshwar Nath.

The painted portion stands on the left of the main building facing Bapu Bhawan. The portion, say historians, is as old as the main building and it was always painted peach to match the stones of the former.

"We, the citizens of Lucknow, would like to register our protest with the way in which the exterior of Vidhan Sabha building is being shamelessly altered. It is a threat to the historic building as well as it is destroying the asthetic beauty of this building" said the memorandum delivered by Dr Sandeep Pandey to the state Governor TV Rajeshwar.

"The State Government is already indulging in arbitrary acts of construction of various monuments, after demolishing other constructions – old and new – and felling green trees, which have become illegal after the repeal of Dr. B.R. Ambedkar Samajik Parivartan Sthal Act, 2007, by the Vidhan Sabha itself. This act of painting the Vidhan Sabha building is part of the larger sinister plan to change the landscape of the city for no valid reason" said the memorandum further.

"We request you to bring this madness to a stop and preserve the cultural heritage of the city as well as save scarce resources of public exchequer which ought to be spent on things more pressing" appealed the citizens' memorandum to the Governor.

In another news published in The Indian Express, historian Yogesh Pravin said "Lucknowites are hurt by the action of the government". The blueprint of the building, he said, was prepared in the early 1920s by well-known architect Swinton Jacob in the Roman-cum-Gothic style. The foundation of the building was laid by Sir Harcourt Butler in 1922 and it was built by the end-1920s. "It is the face of Lucknow and I have never heard of, read about or seen any portion of it being painted white. This is as good as killing the beauty of the structure," Pravin added (source: The Indian Express).

The UP State President of the Indian National Congress, Rita Bahuguna Joshi, who is also contesting the Lok Sabha seat from the prestigious Lucknow parliamentary constituency this year, has waged a campaign to protect the historical Vidhan Sabha building. She also led a delegation to the state Governor of which Dr Sandeep Pandey was a part of.

World Diabetes Day campaign kicked off

World Diabetes Day campaign kicked off

The International Diabetes Federation (IDF) launched its World Diabetes Day campaign under the slogan “Understand diabetes and take control.”


Celebrated every year on November 14, World Diabetes Day is a campaign led by the International Diabetes Federation and its member associations. It was created in 1991 by IDF and the World Health Organization (WHO) in response to growing concerns about the escalating threat of diabetes worldwide. World Diabetes Day became an official United Nations Day in 2007. This year sees the first of a five-year campaign that will address the growing need for diabetes education and prevention programmes.

“Many people fail to acknowledge the serious threat that diabetes poses to individuals, families and communities,” said Phil Riley, IDF’s World Diabetes Day Campaign Manager. “The World Diabetes Day campaign calls on everyone to understand diabetes and take control.”

For people with diabetes, the campaign slogan is a message about empowerment through education. For governments, it is a call to implement effective strategies and policies for the prevention and management of diabetes. For healthcare professionals, it is a call to improve knowledge so that evidence-based recommendations are put into practice. For the general public, it is a call to understand the serious impact of diabetes and know, where possible, how to avoid or delay diabetes and its complications.

The need for diabetes education
Diabetes can be difficult. The disease imposes life-long demands on the 250 million people now living with diabetes and their families. People with diabetes have to make a multitude of decisions related to managing their diabetes. They need to monitor their blood glucose, take medication, exercise regularly and adjust their eating habits. Furthermore, they may have to face issues related to living with the complications of diabetes and may be required to make considerable psychological adjustments. The future health of people with diabetes is largely based on the decisions they take. Because people with diabetes must deliver 95% of their own care, it is of paramount importance that they receive ongoing, high-quality diabetes education that is tailored to their needs and delivered by skilled health professionals. The World Diabetes Day campaign aims to establish access to diabetes education as a right for all people with diabetes.

The need for prevention
At present, type 1 diabetes cannot be prevented. The environmental triggers that are thought to generate the process that results in the destruction of the body’s insulin-producing cells are still under investigation. Type 2 diabetes, however, can be prevented in many cases by helping and encouraging those at risk to maintain a healthy weight and take regular exercise. World Diabetes Day will promote greater awareness of the risk factors for diabetes and encourage best-practice sharing in diabetes prevention. The campaign will ask diabetes stakeholders to call on UN Member States to follow through on the promise of UN Resolution 61/225 on diabetes and develop national policies for the prevention, treatment and care of diabetes in line with the sustainable development of their healthcare systems.

Under Resolution 61/225, the UN has invited all Member States, relevant organizations of the United Nations system and other international organizations, as well as civil society, including non-governmental organizations and the private sector, to observe World Diabetes Day in an appropriate manner, in order to raise public awareness of diabetes and related complications, as well as its prevention and care, including through education and the mass media.

Growing demand to release Binayak Sen, repeal draconian Law

Growing demand to release Binayak Sen, repeal draconian Law
[To read in Hindi language, click here]

Across the country, citizens have taken to the streets on 14 May 2009 demanding the release of 'Jonathan Mann Awardee for Global Health and Human Rights' (2008) Dr Binayak Sen, who is a well-known paediatrician and human rights defender in Chhattisgarh, and has completed two years of imprisonment on 14 May 2009 in a Raipur prison on false charges of abetting Maoist activity in Chhattisgarh, sedition, and waging war against the State.


In Lucknow, India, a candle light vigil is being held in the nerve centre Hazratganj to further up the pressure in favour of Dr Binayak Sen. Many civil society organizations including Uttar Pradesh Voluntary Health Association (UPVHA), Vatsalya, Sahayog, Health-Watch, Samadhan, Asha Parivar, National Alliance of People's Movements (NAPM), Lok Rajniti Manch (People's Politics Front - PPF) have jointly called for the release of Dr Sen.

This committed advocate of civil liberties has spent over three decades in the service of some of the poorest and most underserved communities and raised his voice relentlessly against atrocities in the State of Chhattisgarh. The imprisonment of Dr Binayak Sen is symbolic of gross injustice and violation of democratic values by the State and the suppression of the voices of human rights defenders.

Last year, twenty-two Nobel laureates from around the world had appealed to the Indian government to allow Dr Binayak Sen to receive the 2008 Jonathan Mann Award for Global Health and Human Rights in person at the end of May 2008. But Indian government denied the permission and Dr Sen's wife had received the coveted global health award on his behalf.

Dr Binayak Sen of Raipur, Chhattisgarh, India, who has helped establish a hospital serving poor mine workers in the region, founded a health and human rights organization that supports community health workers in 20 villages, and is the general secretary of the People's Union for Civil Liberties (PUCL), has been imprisoned in Raipur for two years now without trial as a result of unproven allegations that he was a naxal courier. Not only Dr Sen denies committing any crime, but his lifetime contribution to strengthen democracy and fight for the most underserved communities defies such accusations.

The PUCL-Chhattisgarh Unit, with Dr. Binayak Sen's active leadership as its General Secretary, had exposed the government sponsored so-called campaign Salwa-Judum in Chhattisgarh which legitimizes extra-constitutional violence and pits adivasis against adivasis.

The activists demand:
- immediate grant of bail to Dr Binayak Sen because there is no concrete evidence which state has been able to produce against him in past two years. No witness has testified against him or incriminated him in the alleged charges.
- that the draconian Chhattisgarh Special Public Security Act should be repealed in the undercover of which grotesque human rights violations take place in the state.
- the winding up of Salwa Judum

Hope the citizen's voice reaches their own representatives in the power corridors.

- Bobby Ramakant

Justice where art thou? Two years of Dr Binayak Sen's imprisonment

Justice where art thou?
Two years of Dr Binayak Sen's imprisonment


Jonathan Mann awardee (2008) Dr Binayak Sen, who is a well-known paediatrician and human rights defender, will complete two years on 14 May 2009 in a Raipur prison on false charges of abetting Maoist activity in Chhattisgarh, sedition, and waging war against the State. This committed advocate of civil liberties has spent over three decades in the service of some of the poorest and most underserved communities and raised his voice relentlessly against atrocities in the State of Chhattisgarh. The imprisonment of Dr Binayak Sen is symbolic of gross injustice and violation of democratic values by the State and the suppression of the voices of human rights defenders.

Not only in India, but in countries around the world the pressure is mounting for the release of Dr Sen.

Last year, twenty-two Nobel laureates from around the world had appealed to the Indian government to allow Dr Binayak Sen to receive the 2008 Jonathan Mann Award for Global Health and Human Rights in person at the end of May 2008. But Indian government denied the permission and Dr Sen's wife had received the coveted global health award on his behalf.

Dr Binayak Sen of Raipur, Chhattisgarh, India, who has helped establish a hospital serving poor mine workers in the region, founded a health and human rights organization that supports community health workers in 20 villages, and is the general secretary of the People's Union for Civil Liberties (PUCL), has been imprisoned in Raipur for more than a year now without trial as a result of allegations that he violated state antiterrorism laws. Not only Dr Sen denies committing any crime, but his lifetime contribution to strengthen democracy and fight for the most underserved communities defies such accusations.

The PUCL-Chhattisgarh Unit, with Dr. Binayak Sen's active leadership as its General Secretary, had exposed the government sponsored so-called campaign Salwa-Judum in Chhattisgarh which legitimizes extra-constitutional violence and pits adivasis against adivasis.

Activists like Dr Sandeep Pandey, Magsaysay Awardee (2002) and member, National Presidium, Lok Rajniti Manch (People's Politics Front - PPF) are leading a candle light vigil in Lucknow, India, to mark the completion of 2 years of Dr Sen's imprisonment and demand his release. Similar protests and demands for his release are being echoed from communities across the country. Let's hope these voices reach the corridors of power.

- Bobby Ramakant

Sardar Sarovar: Corruption in rehabilitation

Sardar Sarovar: Corruption in rehabilitation

The Order of the Supreme Court dated 11-05-2009 and the Jabalpur High Court Order are part of a series of orders that have been issued from time to time by the Courts in the matter of rampant corruption in virtually every aspect of rehabilitation of the Sardar Sarovar project affected persons. It is well-known that Justice Shravan Shankar Jha Commission of Inquiry which was constituted by the Order of the Jabalpur High Court dated 21-08-2008 is carrying on its investigation into the hundreds of fake registries and corruption at the resettlement sites. Now the Supreme Court has, while hearing an appeal filed by the Government of Madhya Pradesh, stayed and modified the Order of the Jabalpur High Court dated 24-04-2009 in which the High Court had issued a stay on the cash and cheque disbursement of livelihood grant owing to corruption and a Bench comprising Chief Justice of India Shri K.G. Balakrishnan, Justice P.
Sathasivam and Justice B.S Chauhan has now ruled that " hitherto no rehabilitation grant - whether by cash or cheque-based shall be given without the scrutiny of the Justice Jha Commission.

In the ongoing case on corruption, Narmada Bachao Andolan had, till May 12th, 2009 placed before the High Court additional documents on record and more concrete examples of ongoing corruption in various aspects including house plot allotment to PAFs, false claims of rehabilitation entitlement and irregularities in the alternative livelihood grant disbursement for the landless. The GoMP and the Narmada Valley Development Authority had filed some response. Giving a prompt oral response in the Court itself, NBA affirmed that, "the High Court itself has categorically recognized in its earlier order that corruption in rehabilitation is infact leading to violation of the right to life of the PAFs. The same is true of all areas of corruption". The Government, on the other hand, is continuing with its approach of siding with the corrupt
and the guilty and infact intimidating those who are genuinely exposing corruption. The Narmada Control Authority, which is an independent statutory monitoring and regulatory authority has, till date, not filed any response / affidavit in the case which is going on for almost 2 years, while the Government is trying to debunk the evidences of corruption being exposed by
NBA.

Pronouncing yet another interim order, the High Court Bench comprising Chief Justice A.K. Patnaik and Justice Ajit Singh directed that", Justice S.S. Jha Commission shall, according to the directions of the Supreme Court, keep up its role of monitoring and scrutiny in the disbursal of every kind of rehabilitation grant and shall immediately begin investigation and take appropriate action on all the cases of irregularities and corruption pointed out by NBA to this Court. All the Respondents including the Government of Madhya Pradesh and the Narmada Valley Development Authority shall file their responses to all the Interim Applications filed by the NBA in detail and the Narmada Control Authority shall file a separate affidavit and response".

Medha Patkar pleaded before the Court on behalf of the Narmada Bachao Andolan, assisted by Advocate Abhijit Bhowmik and Ashish Mandloi. Counsel Shekhar Bhargav pleaded on behalf of the State agencies. The matter has been posted for 19-06-2009.

Medha Patkar/ Narmada Bachao Andolan (NBA)

The girl child victim of acid attack gets support

The girl child victim of acid attack gets support

Lucknow, INDIA: The case of Baby Bitta, the youngest acid attack victim came up for hearing at the Child Welfare Committee (CWC), Lucknow, Uttar Pradesh, on 12 May 2009 at the Government Children’s Home (Infants) at Prag Narain Road.

The case was presented in the children’s court by Saaksham Foundation, an NGO working to address violations of Child Rights who has been working on Bitta’s case for police action against the culprits and financial aid to help in treatment of the child. Financial relief to be provided for the child’s treatment which will be on for the next 15 years has been requested as the child’s parents will not be able to bear, which will affect the quality of life of the child in the future and deny her her rights to live a normal life with dignity.

A letter in this regard was already sent off by Saaksham Foundation to the Welfare Society at Chhatrapati Shahuji Maharaj Medical University (CSMMU) seeking financial relief for treatment of the child on 2 May 2009 (Copy of the said letter available with Lucknow Childline).

The child was operated on April 17 at the CSMMU Dept of Plastic Surgery, and as per the report given by Dr AK Singh, Head of the Plastic Surgery Department, which has also been forwarded to the Chairman, Welfare Society, CSMMU DR Saroj Chooramani who also is the Vice Chancellor of the Medical University.

As per Dr Singh’s report, “Bitta was admitted with neck contracture, scarring of face and deformity of eyes, nose and mouth. The patient will require further multiple surgeries in due course of time. The appropriate treatment will be Rs 1 lakh.”

While the case is still pending at the Chairman, Welfare Society’s office, the CWC on hearing the case presented in the children’s court on May 12 2009 has send a letter to the Chairman strongly recommending the consideration of the case of the child and grant financial relief in the interest of the Care and Protection of the child which is her right granted under Juvenile Justice Act.

Dr Brigeetha VV, Chairperson of the CWC said, “It is extremely disgusting to hear that children are being attacked like this. Such instances were only heard when adults got into altercations, but it is unfortunate that even children as young as 3 months are not being spared now. I also feel that such decisions to be made on children’s rights must be done by independent bodies which should be created by the state and they should have a say in departmental functioning on matters like how to allocate funds and use for cases in distress similar to that of Bitta. This way there will be transparency in dealing with request that come for financial aid and they can get help in time too.”

Sadhana Mehrotra, Member, CWC said,”Not only financial aid but also timely police action against the culprits should made mandatory so that in such cases the relief and help can be given in shortest possible time and the culprits apprehended without delay. This way an example should be set which will discourage such heinous crimes against children in the future.”

The child’s family was also present before the members of CWC and put there case across.

If Mom Is The World For You, Do Not Let Her Words Be Mum

If Mom Is The World For You, Do Not Let Her Words Be Mum

The tinsel dust over Mother’s Day celebrations has yet to settle down. The past few days saw most newspapers vying with each other in printing stories of ‘special mothers’ of ‘very special progenies.’ Bollywood stars, cricket icons, business tycoons, political bigwigs, renowned musicians, - all the successful men and women acknowledge the role of their mothers in shaping their fortunes. Here are some of the golden quotes uttered by famous personalities and their mothers:

‘She is a patient mother. We share the need of a cool room, a warm blanket and an afternoon siesta. Everytime I am with her it is special. I feel 12 again’ - Vishvanathan Anand on his mother Susheela.

‘She is a very undemanding mother, who has given me and Yusuf, unconditional love. There are very few relationships like the mother – son bond and I am very lucky to have a sweet mother’ - Irfan Pathan, the sultan of swing. His mother Shamimbano ensures that the dinner table is laden with both her sons’ favourite dishes whenever they are at home.

‘From my mum, I have learned to be my own person and that I think is the biggest lesson in life.’ - Priyanka Chopra, the famous Bollywood star.

Cricketer Yuvraj Singh confesses - ‘I am a mama’s boy. I just love her food. I can’t think of doing anything major in my life without her advice.’

Every rising son has a mother behind him . Sonia and Maneka somewhere dominate the political thinking of Rahul and Varun. It seems that Kokilaben Ambani has a great influence on her sons Mukesh and Anil. Rama Pilot, mother of Sachin Pilot, campaigned for her son in Ajmer . In business, Kumarmangalam Birla follows his mother, Rajshree Birla’s vision of ‘commitment, passion and speed. Sachin Tendulkar’s doting mother Rajani, has played a stellar role in what he is today --- right from fetching him his cricket coaching during his early days, to watching his feats on television now.

For Kareena Begum, her world revolves around her son A.R.Rehman and the latter never forgets to mention and credit his mother for all his achievements so far. She feels, ‘Today being a mother is a big challenge. But I feel I am blessed to be Rahman’s mother. He won the Oscars, and I am happy, but on mother’s day, I am happy to be called his mother. He is simply the best son.’

But what about the average Indian mother of an average Indian child, especially a female child?

The average Indian mother has little control over her womb, let alone her child. Her biological needs of motherhood are controlled by the male members of society. Apart from a handful of emotionally independent women, many are forced to either abort the girl child in the foetus, or sometimes abandon her due to social and economic pressures.

As a mother she is expected to take care of the needs of her children and other family members. She may also be a money earner, but rarely has control over her finances.

She is expected to take the brickbats for the failure of her children in any field, whereas their laurels are credited in the father’s account.

While mother’s day celebrations were in full swing, the following story was ironically placed in some middle page corners of news papers:

‘Yet another girl was found abandoned in the city on 8th May. The infant, around 7 months old, was reportedly left under a tree by her ‘stone hearted mother’. Health personnel of the Civil Hospital (where the baby was rushed for treatment of diarrhea) said, ‘the mother would be surely a stone hearted mother, otherwise no one can desert such a sweet baby’. So far this year 10 abandoned babies have been found in the city of Lucknow , of which 6 are girls. Last year, the number was 30, out of which 25 were girls.’

Is this the case of a stone hearted society or a stone hearted mother? But we are so prone to be judgmental, especially if it is a woman who is at the receiving end.

In the words of Mother Teresa, ‘mothers are special because they think of their child before anything else in the world’. It is probably for the same reason that selfless mothers forget their own selves and neglect their health. Several doctors are of the opinion that, be it diabetes, anemia, hypertension, excessive bleeding or menopausal complications, mothers continue to bear the disease till they can. At times the ignorance continues even after that. Take the example of cancer. Over 40% of all cancers are treatable if identified in primary stages. Despite this, cancer of cervix and of the breast kills thousands of Indian women every year because of delay in medical intervention.

Dr Harjeet singh, a psychiatrist at CSMMU feels that, ‘nature has made mothers this way… they simply can’t divert their attention from their child. It is therefore the duty of the people around her to ensure that she is in good health.’

There is enough statistics to prove that the maternal health of our country is in a shamble, mainly because of an uncaring society which traditionally insists that the mother eats last and the least, and sacrifices her own wellbeing at the cost of caring for her children.

The modern Mother’s Day holiday was created in 1907 by Anna Jarvis (who was never a mother herself ,in the biological sense), a Philadelphia school teacher in honour of her मदर. It was purported to be a day for each family to honor its mother.

Nine years after the first official Mother's Day, commercialization of the U.S. holiday became so rampant that Anna Jarvis herself became a major opponent of what the holiday had become and spent all her inheritance and the rest of her life fighting what she saw as an abuse of the celebration. She criticized the practice of purchasing greeting cards, which she saw as a sign of being too lazy to write a personal letter, and finally said that she "wished she would have never started the day because it became so out of control.’’

Yet, this is exactly what we are doing—exploiting this idea to suit our personal gains.

Mother land, mother tongue, mother earth, mother board, --- we love to pout a whole lot of mother things. The mother figure is everywhere --- in every Bollywood movie, in T.Vserials, in every temple, in many commercial ads, and in so many aspects of our daily life. We worship the mother goddess by fasting for nine days during the ‘Navratras’. But we do not hesitate to kill the mother (either physically or emotionally) in the name of family honour --- for not bringing enough dowry, or for begetting a girl child, or for daring to raise her voice against gender inequalities. Merely celebrating one day or nine days does not change the hard ground reality. Every day there is increasing violence against women.. Let us ask ourselves how we treat our women, how we relate to our mothers, what are their needs and what rights do they have. Let us start to make motherhood respectful and meaningful, rather than just worshipful.

Today the urban women are often forced to choose between the demanding career clock and the ever ticking biological clock. Most city women are expected to juggle corporate and family life. Surprisingly few complain about walking this tight rope. While it often calls for compromises, few are balking at the task, and rightly so. Until a few years ago, only a few girls left college with the intention of getting a job. Nowadays it is the default code that girls look out for jobs once out of college. This is progress. At the same time, the rise in urban divorce rates, coupled with redefined gender rules has transformed modern day motherhood from a biological obligation to a 24 hour job. Unwed, single, scared and yet brave --- the new age urban mother is daring to embrace motherhoods of all kinds.

The dynamics of the mother and child equation may change, but there is one thing that has not - Mother is still the emotional punching bag for all children.

So if you want to be a Mom who can do it all --- handle home and hearth and kids and work, then stay fit in mind, body and spirit. And remember to:

M: Take your Multivitamins.
O: Not Over-work yourself in your zeal to be a good mother.
T: Not be a Trash can for leftovers from your child’s plate.
H: Have some Hobby to focus on.
E: Not sacrifice your Entertainment while tending to your children’s needs.
R: Have some Relaxation time for your self.

Then only will you be a MOTHER in the true spirit of freedom.

Shobha Shukla

(The author is the Editor of Citizen News Service (CNS) and also teaches Physics at India's prestigious Loreto Convent. Email: shobha@citizen-news.org, website: www.citizen-news.org)

Call to stop misuse of media in elections

Call to stop misuse of media in elections
[To sign the petition, click here]

Lucknow, INDIA: Citizens expressed their deep concern about the blatant misuse of print and electronic media by parties and candidates contesting the Lok Sabha elections in 2009 and about the media allowing itself to be abused. "This constitutes a gross breach of trust with the reader/viewer who expects unbiased and fair news coverage during elections" said Dr Sandeep Pandey, Magsaysay Awardee (2002) and member, National Presidium, Lok Rajniti Manch (People's Politics Front - PPF).

Moreover, the media, violating the Press Council of India’s Guidelines of Election Reporting -1996, stands discredited so far as its role as fourth pillar of the democracy is concerned, said the assembled citizens.

Shri Ishwar Chandra Dwivedi, former Director General of Police (DGP), Uttar Pradesh (UP), Shri Naveen Tiwari, UP Election Watch, Dr Ramesh Dixit who represents Nationalist Congress Party (NCP), were among the other key discussants.

The distinction between news, views and political campaigning (read advertising) is no longer clear. The use of 'advt' or 'marketing media initiative' tag in small font-size printed is not sufficient to inform the reader whether the content is news, views or paid advertising by an election candidate. Some newspapers don’t even care to put this small print.

Broadly speaking, the influence of marketing heads is growing over the influence of editors within media houses in decision-making related to the content. The person who collects advertisements for media and acts as a correspondent, is often the same in smaller districts and sub-district places. These people enjoy due media accreditation and often promote those who issue advertisements (and block those who don't).

The amount which is spent on paid advertising, advertorials and other manners like 'marketing media initiative' and likes, to solicit earned and paid media coverage of a candidate during elections, often crosses the spending cap of Rs 25 lakhs. Hence, media is colluding with parties and candidates in violating the model code of conduct during elections. Moreover, the transactions for advertisements in the garb of news items are not even shown in the records. Newspapers are not required to file financial statements to their regulatory authorities as a result of which it is difficult to know their exact incomes or the sources on this account. They should be required to do so partywise & candidatewise so that the figures given by the candidates may be cross-checked.

"There is a need to enact a law to regulate political parties. The ceiling should be all inclusive covering expenditure by friends & relatives also which is not included at present and is used to flout the ceiling. Also the penalty on violating the spending cap in elections should be more severe and applicable on the current election cycle as well. Presently the action taken on violating the spending cap is applicable to next election cycle only, which is clearly not a deterrent" said Dr Sandeep Pandey.

The electronic media must also have an equivalent of a Press Council to govern their conduct.

"We also support the growing demand for all newspapers to appoint an ombudsman to inquire into complaints against them" further added Dr Pandey.

"But, fundamentally, we would like to see the media go back to its non-partisan role of being the watchdog of democracy. It should not compromise its independent position for the sake of commercial interests" stressed Dr Pandey.

When people are losing faith in the democratic institutions of the country the media should not accelerate the degeneration. It is expected to play a role in restoring people’s confidence in democracy.


An online and print signature petition campaign was also launched at this meeting today. The online signature petition campaign is available online at: www.citizen-news.org

- Bobby Ramakant, Citizen News Service (CNS)

[To sign the petition, click here]

IDF calls for government focus and spending on non-communicable diseases like diabetes

IDF calls for government focus and spending on non-communicable diseases like diabetes

BRUSSELS, Belgium, May 11, 2009 – The International Diabetes Federation (IDF) today announced that its President, Professor Martin Silink has called on governments worldwide to recognize the severe impact of diabetes and other non-communicable diseases and take immediate action to ameliorate the threat.

Speaking today at the ECOSOC Annual Ministerial Review Regional Ministerial Meeting on NonCommunicable Diseases in Doha, Qatar on May 10-11, Professor Silink urged governments, the United Nations (UN) and the World Health Organization (WHO) to recognize the impact of non-communicable diseases including diabetes on global health, and to include them in the United Nations Millennium Development Goals (MDGs) and development aid programs.

President Silink stated that non-communicable diseases such as diabetes, cardiovascular diseases, cancers, and chronic respiratory diseases account for 60% of all deaths worldwide, with the majority of these deaths occurring in low-and middle-income countries[1]. Non-communicable diseases are a major and growing economic burden to individuals and their families and impose a heavy toll on healthcare systems and society. Despite the growing disease burden of non-communicable diseases, they have not been included in the MDGs.

“The global epidemic of diabetes and other non-communicable diseases is hitting the poorest hardest. Four in five deaths from NCDs now occur in low and middle-income countries. The low-cost solutions to prevent many of these deaths are yet to be implemented. Without decisive action, the NCD burden threatens to undermine the benefits of improving standards of living, education and economic growth in many countries,” said Silink.

“The global diabetes community,” Silink added “is waiting for UN Member States to follow through on the promise of the UN Resolution on diabetes.”

In 2006 the United Nations passed UN Resolution 61/225: World Diabetes Day, which recognized that “diabetes is a chronic, debilitating and costly disease associated with severe complications, which poses severe risks for families, Member States and the entire world and serious challenges to the achievement of internationally agreed development goals, including the Millennium Development Goals.”

Diabetes in the Gulf
The invitation to the International Diabetes Federation’s President recognizes the growing concern about diabetes worldwide and particularly the staggering impact the disease is having in the Gulf Region, where the picture is especially alarming. Of the top 10 countries with the highest prevalence of diabetes, five are in the Gulf. In 2007, the diabetes prevalence rate in Qatar was 15.2%, 15.2% in Bahrain, 19.5% in the United Arab Emirates, 15.7% in Saudi Arabia, 14.4% in Kuwait and 13.1% in Oman. By 2025, these rates will rise respectively to 16.9%, 17%, 21.9%, 18.4%, 16.4% and 14.7%.[2]

Recognizing the impact of diabetes in the Region, IDF will hold its 21st World Diabetes Congress in Dubai, United Arab Emirates in 2011. The IDF Congress is organized every two years through seven world regions and is one the world’s largest health conferences. The Federation has committed to Dubai because progressive urbanization, increased life expectancy and economic development associated with a shift to unhealthy lifestyle have resulted in a huge explosion in type 2 diabetes in the Middle East and North Africa over the last 30 years.

IDF’s Commitment to Addressing Non-Communicable Diseases
The Federation is working to raise awareness of the growing diabetes burden and catalyse political action to reverse the epidemic. The Federation is also working closely with other NGOs concerned with NCDs.

The International Diabetes Federation will co-host a meeting on May 19 in parallel to the World Health Assembly to highlight the impact of NCDs on development. IDF is hosting this meeting with the World Heart Federation and the International Union Against Cancer to ensure that the NCD message is heard.

According to the WHO, the global burden of non-communicable diseases continues to grow; tackling it constitutes one of the major challenges for development in the 21st century[3].

“It is time to act,” said Professor Silink. “It is time for the world to provide essential medicines for non-communicable diseases like diabetes in the same way as it has addressed the need to provide essential medicines and vaccines for communicable diseases like HIV/AIDS, tuberculosis and malaria.”

Role of media in elections

Role of media in elections
[To read this statement in Hindi language, click here]

[To sign the petition, click here]


We, the citizens, are deeply concerned about the blatant misuse of print and electronic media by parties and candidates contesting the Lok Sabha elections in 2009 and about the media allowing itself to be abused. This constitutes a gross breach of trust with the reader/viewer who expects unbiased and fair news coverage during elections. Moreover, the media, blatantly violating the Press Council of India’s Guidelines of Election Reporting -1996, stands discredited so far as its role as fourth pillar of the democracy is concerned.


The distinction between news, views and political campaigning (read advertising) is no longer clear. The use of 'advt' or 'marketing media initiative' tag in small font-size printed is not sufficient to inform the reader whether the content is news, views or paid advertising by an election candidate. Some newspapers don’t even care to put this small print.

Broadly speaking, the influence of marketing heads is growing over the influence of editors within media houses in decision-making related to the content. The person who collects advertisements for media and acts as a correspondent, is often the same in smaller districts and sub-district places. These people enjoy due media accreditation and often promote those who issue advertisements (and block those who don't).

The amount which is spent on paid advertising, advertorials and other manners like 'marketing media initiative' and likes, to solicit earned and paid media coverage of a candidate during elections, often crosses the spending cap of Rs 25 lakhs. Hence, media is colluding with parties and candidates in violating the model code of conduct during elections. Moreover, the transactions for advertisements in the garb of news items are not even shown in the records. Newspapers are not required to file financial statements to their regulatory authorities as a result of which it is difficult to know their exact incomes or the sources on this account. They should be required to do so partywise & candidatewise so that the figures given by the candidates may be cross-checked.

There is a need to enact a law to regulate political parties. The ceiling should be all inclusive covering expenditure by friends & relatives also which is not included at present and is used to flout the ceiling. Also the penalty on violating the spending cap in elections should be more severe and applicable on the current election cycle as well. Presently the action taken on violating the spending cap is applicable to next election cycle only, which is clearly not a deterrent.

The electronic media must also have an equivalent of a Press Council to govern their conduct.

We also support the growing demand for all newspapers to appoint an ombudsman to inquire into complaints against them.

But, fundamentally, we would like to see the media go back to its non-partisan role of being the watchdog of democracy. It should not compromise its independent position for the sake of commercial interests. When people are losing faith in the democratic institutions of the country the media should not accelerate the degeneration. It is expected to play a role in restoring people’s confidence in democracy.

- This is a statement produced by some citizens after reviewing the Press Council of India's Guidelines for election reporting (1996), BBC guidelines for election reporting, the Press Act of India, and other such documents, and newspaper coverage during 15th Lok Sabha elections in India.

[To sign the petition, click here]

Press Does a Reality Check On Swine Flu

Press Does a Reality Check On Swine Flu
Anjali Singh

Lucknow: It was a much needed briefing and it sure caught the media's attention. But then owing to the hype and scare over swine flu the session that was organised for media person's at the Lucknow Press Club was one that was long over due not to mention a very welcome one as well.


While it is customary to reserve one hour every fortnight on the second and fourth Friday of every month for children issues to be discussed with the press, under the Media for Children Hour, this time the organisers of the event UNICEF and Media Nest decided they would make an exception.

So the H1N1 virus was discussed threadbare instead and how!

The main message Dr Abner Daniel, Health Specialist, UNICEF Lucknow had for the press who turned up for the presentation was-Do not panic, but be prepared.

"The H1N1 flu virus that has caused grave concern all over the world as a highly contagious disease, what makes it even more formidable is that there is no vaccine yet for the disease though work is going on to develop one," informed Dr Daniel.

Responding to queries Dr Daniel further stressed that there was no cause for alarm in India yet as not a single case of the virus has been reported. "Fortunately the hot and humid weather conditions of India are not friendly to this virus and that is why no cases have been reported in the country. The virus is just like cold causing virus so it needs a cold climate to survive. Nevertheless the best way of preventing the H1N1 virus from spreading is to be fully informed about it. There is very little known about it so far, therefore it is necessary to take adequate precautions just as it is done when we contract the common flu Special attention must be paid to hand hygiene etc."

So why is India panicking?

To which he answered "The government is taking adequate measures of checking anyone with the signs of cough and cold from entering the country and that is the right way of blocking the virus. The virus is in the fifth stage of a pandemic, so what is being done is required. But one thing must be clear that it does not spread from animal to human but human to human. The virus is made up of avian virus and swine virus which cannot be transmitted to humans. What is spreading now is doing so from human to human and not animal to human," explained Dr Abner.

He further added that the virus cannot spread by eating pork and he also cleared doubts when asked if every case of cold and fever must be checked and looked upon with upon with suspicion, "Though the symptoms do resemble that of common cold, until proper examination is done it cannot be ruled out. I feel it's in the interest of society that such precautions, no matter how inconvenient, must be taken.This is for the safety of the people themselves and they should not obstruct such work, but willingly surrender to such checks,” he advised.

But making it quite clear that while those in the age group of 18-40 are at risk of contracting the virus more as they travel around a lot, he also cautioned that since the virus attacks the immunity of the person, senior citizens and children are specially susceptible. "But in India we not panic as not a single case has yet been reported," he added.
According to Augustine Veliath, Communication Specialist and co-host of the media nest the interaction cum discussion on the swine flu was both vital and topical.

"As a new type of influenza virus that has spread in 24 countries and caused 42 deaths, with 2371 confirmed cases reported so far. It is thus important to know about this virus. I am Hopeful that it will truly add meaning to the phrase “prevention is better than cure.”

Kulsum Talha, General Secretary, Media Nest, described the situation as a ‘public health emergency,” and said that subject chosen for sensitizing journalists this fortnight is not only topical but of vital interest to the society.

Well no doubt about that!

Anjali Singh
- Special Correspondent, Citizen News Service (CNS)
- Director, Saaksham Foundation
Email: anjali@citizen-news.org, website: www.citizen-news.org

The Asthma Drug Facility brings down cost of drugs

The Asthma Drug Facility brings down cost of drugs

El Salvador, Benin and other low- and middle-income countries have a special reason to celebrate World Asthma Day on Tuesday, 5 May, this year. A purchasing mechanism run by the Paris-based International Union Against Tuberculosis and Lung Disease (The Union) is making it possible for these countries to obtain quality-assured essential asthma medicines at affordable prices for the first time.

Late last month El Salvador became the first country to take advantage of The
Union’s Asthma Drug Facility (ADF), which uses pooled procurement and other purchasing strategies to obtain greatly reduced prices from approved suppliers.

It then passes these substantial savings on to patients and public health
systems. The El Salvador Ministry of Public Health placed an order for asthma inhalers for its Asthma Management Project, which aims to improve and expand the standardised management of asthma in the country’s general health services.

Benin will be the second country to benefit from the ADF’s services. Its National
Tuberculosis Programme placed an order on 4 May. A number of other countries in Africa, Asia and Latin America have also expressed interest after consulting ADF’s prices for the non-CFC medicines it has recently approved.

Worldwide some 300 million people suffer from the asthma, a chronic lung
condition. Once predominantly found in industrialised countries, asthma has become increasingly prevalent in low- and middle-income countries over the last 20 years. Research conducted by The Union has found that the high cost of asthma drugs is a major stumbling block to effective treatment in these countries.

The ADF was established by The Union to make quality-assured essential
asthma medicines accessible and affordable. To guarantee the quality of the drugs provided and the best possible prices, the ADF has selected the inhalers through a qualification process that is based on the World Health Organization norms and standards, followed by a limited competitive bidding process.

Through the ADF, a country can buy one year of treatment with Beclometasone
and Salbutamol for a patient with severe asthma for less than 40 euros.

Standard case management of asthma is also critically important, and the ADF seeks to promote both the correct use of the medicines and quality standardised care. ADF clients are provided with training materials and an electronic information system for monitoring and evaluating patient care based on the recommendations outlined in The Union’s Management of Asthma: a
guide to the essentials of good clinical practice.

“We are delighted to celebrate World Asthma Day by receiving the first orders
for the ADF,” says Dr Nils E Billo, Executive Director of The Union. “We hope to see the ADF make a valuable difference in the lives of people with asthma in low- and middle-income countries around the world”.

Published in:
Citizen News Service (CNS)
Banderas News, Mexico
Op-Ed News (OEN), USA
The Seoul Times, Seoul, South Korea
Assam Times, Guwahati, Assam
Bihar and Jharkhand News Service (BJNS)
Pakistan Christian Post, Pakistan
Two Circles.net

Government Leaders Inaugurate New Tuberculosis Vaccine Manufacturing Facility

Government Leaders Inaugurate New Tuberculosis Vaccine Manufacturing Facility

Aeras Global TB Vaccine Foundation Opens its BSL-2 Vaccine Manufacturing Plant, Applying 21st Century Solutions to a Centuries Old Disease-on-the-rise

Congressman Chris Van Hollen of Maryland, Montgomery County Executive Isiah Leggett and Rockville Mayor, Susan R. Hoffmann, inaugurated a state-of-the-art tuberculosis vaccine manufacturing facility capable of producing 200 million doses of a new TB vaccine at the headquarters of the Aeras Global TB Vaccine Foundation today. Aeras is a non-profit research organization – funded by the Bill & Melinda Gates Foundation, the government of the Netherlands and others – that is developing new TB vaccines to help stop the global TB epidemic.


"I am proud that such an important scientific and humanitarian mission is being undertaken here in Montgomery County, which is home to world-class biomedical innovation. Aeras’ work to develop effective, affordable tuberculosis vaccine regimens will help fight and ultimately conquer this disease worldwide,” said Congressman Chris Van Hollen.

TB is becoming increasingly severe and complex due to the development of drug resistant forms of TB and the deadly relationship between TB and HIV. Today, TB kills 1.8 million people annually, and there are more than 9 million new cases of TB disease every year. There is an urgent need for new tools to combat the TB epidemic. Aeras, a global leader in the quest for a new TB vaccine, is pioneering aerosol delivery of TB vaccines directly into the lung where the disease primarily strikes, as well as other innovations in TB vaccine technology.

“TB is a terrible disease. Health experts say it will take 1,000 years to stop it using currently available methods of treatment and prevention,” said Jerald C. Sadoff, MD, President and Chief Executive Officer of the Aeras Global TB Vaccine Foundation. “TB will not be eliminated without a new vaccine. With the new facility, Aeras can pursue aerosol formulations and manufacture vaccines faster to prevent delay in getting them to the men, women and children around the world that need them.”

The new manufacturing facility, a multi-million dollar investment that will lead to new high-tech jobs in Montgomery County during the economic downturn, will bring efficiencies and cost savings to the TB vaccine development and manufacturing process. Ultimately, the new facility will enable Aeras to keep the cost of future TB vaccines affordable to those who need them most in countries hardest hit by TB.

“We are proud that Montgomery County is home to the Aeras Global TB Vaccine Foundation,” said Isiah Leggett, County Executive of Montgomery County, Maryland. “Aeras’ growth in the past six years has been tremendous. In a time of economic downturn, we are pleased that this project provided employment to over 130 people involved in the design and construction of the new manufacturing facility that we are here to inaugurate today. The innovation taking place in this state-of-the-art facility will be vital to accomplishing Aeras’ humanitarian mission: eliminating tuberculosis worldwide.”

Aeras has assembled the broadest TB vaccine product pipeline in the world. Four vaccine candidates in Aeras’ pipeline are currently undergoing testing in clinical trials, including one candidate that advanced to the proof-of-concept stage last month in South Africa.

The new TB vaccine manufacturing facility is a BioSafety Level-2 facility, built to handle infectious agents that can cause disease in humans but whose potential for transmission is limited. It has the capacity to fill 5,000 vials of vaccine per run and produce up to 200 million bulk doses of a new TB vaccine, which is enough to meet the worldwide need.

Alarm on watering down of Pictorial warnings on tobacco products

Alarm on watering down of Pictorial warnings on tobacco products
GoM counting tobacco votes over tobacco deaths

The intervention to put pictorial health warnings on all tobacco products has again been further diluted. India’s former Union Health and Family Welfare Minister, Dr Anbumani Ramadoss had expressed his apprehension on 2 May 2009 that “The minutes of that meeting [Group of Ministers (GoM) February 3, 2009] seems to be changed after I quit the government”.

Such a hasty decision by the GoM and the consequent notification by the Ministry of Health is a serious concern for the Government of India and the Election Commission of India should take notice of this politically motivated move and initiate immediate corrective action to uphold the democratic ethos and practices of the country and save an important public health measure from being needlessly diluted.

The Advocacy Forum for Tobacco Control (AFTC), of which we are a founding member of, had already voiced this concern when the GoM sought to meet earlier on April 8, 2009, though it seems the Election Commission did not grant the permission for the GoM to convene. But no one would have ever imagined that the GoM could go back and alter the minutes of its February 3 meeting, probably to oblige the tobacco industry and to influence the voters in their tobacco dependent constituencies.

It is unfortunate that the GoM since its constitution, in early 2007, has already delayed the implementation of the pictorial warnings for two years and during this time diluted stronger warnings for milder ones, reduced size of the warnings from 50% of the principal display area to 40% besides exempting large packs from the purview of the packaging labeling rules. As if all this was not sufficient in itself to negate the efficacy of the pictorial warnings, the GoM on Sunday (May 3, 2009) cast a death blow to the warnings by making them appear only on one side of the pack - thereby scaling them down to 20% of the principal display area which is below the minimum standard set (30% of the principal display areas) by the global tobacco treaty (World Health Organization Framework Convention on Tobacco Control – WHO FCTC) – of which India is a party to. Also pictorial warnings are only for the tobacco packages meant for retail sales.

Studies point that forewarning tobacco users of the ill-effects of tobacco use through pictorial health warnings is one of the most effective measures to contain tobacco use and the consequent death, disease and disability. Evidence from countries having pictorial health warnings have revealed that larger, comprehensive warnings on tobacco packages are more likely to be noticed and rated as effective by tobacco users and contribute to reduction in tobacco use, since more people are willing to quit tobacco after repeatedly seeing the warnings.

However, it seems politics has overtaken scientific evidence and abandoned public health commitments, to sound a retreat from the implementation of a tested measure against a known pandemic. The GoM, mostly comprising of the prominent candidates contesting in the general elections for the 15th Lok Sabha, in the absence of the former Health Minister and allegedly under pressure from the tobacco industry – there is no reason to believe otherwise – has disregarded all scientific evidence, undermined an international treaty (WHO FCTC) obligation and transgressed the Model Code of Conduct during general elections to derail an important public health measure.

- Bobby Ramakant