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The empire's script-writer


Zareer Masani's book is enriched by its narration of the contrast between Macaulay's strong likes and dislikes in personal life and his libertarian streak in public affairs. R Rajagopalan reviews Macaulay.




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Addressing climate change, the Sikkim way


A new volume that outlines in detail the climate change issues, impact and adaptation strategies in Sikkim could also provide replicable models for other states, particularly in the Himalayan region. Seema Bhatt reviews the publication.




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The economics of a strong democracy


Holding trust brought forth by equality of individuals as a critical foundation for a strong democracy, Shankar Jaganathan discusses the postulates of two recent academic publications that add to the important discourse on the issue of inequality.




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The CAG memoirs: A committed crusader’s log


Reading former CAG Vinod Rai’s autobiography Not Just an Accountant, Himanshu Upadhyaya feels that it is less about the individual and more about a constitutionally-mandated authority’s sustained efforts to uphold transparency in the face of concerted attempts by the powerful to thwart the same.




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A paean to Chhattisgarh from an exiled lover


Dr Ilina Sen’s association with Chhattisgarh and her deep, empathetic understanding of its society and culture have come lyrically alive in Inside Chhattisgarh: A Political Memoir. Freny Manecksha reviews the book.




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A human gaze


Harsh Mander's new book Looking Away: Inequality, Prejudice and Indifference in New India talks about the growing inequality and the lack of compassion amongst the rich for the poor in India. Darryl D'Monte reviews the book which despite its candidness about the grim realities offers a message of hope and promise.




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Revisiting the mothers who protested AFSPA


A new book tracks down the women who stripped naked 12 years ago to protest against rape and rights abuses under AFSPA. Banamallika Choudhury reviews Mothers of Manipur.




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Churning our minds on India’s development


The bi-monthly book review journal Biblio celebrates its 20th anniversary this year. Its founder editors, Darryl D’Monte is one of its founder editors, were invited to the Chandigarh Literature Festival, which was held earlier this month. D’Monte talks about an interesting book discussion he chaired at the festival.




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Polio eradication programme stumbles


Administrative lapses and the fears of young parents keep a small percentage of infants outside the vaccine's reach, and this may be enough to keep the virus alive.




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The condom, the moon and the finger


For AIDS prevention education to be successful, powerful gender-sensitive messages must replace the nebulous 'moral framework', argues Anita Anand.




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Business with humanitarian goals


Kris Herbst profiles how David Green has propelled Aurolab into a model corporation that manufactures 'expensive' medical products at rock-bottom prices.




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Mental health, administrative disorder


The rape of a schizophrenic girl at NIMHANS reveals a wide gap between the rhetoric and reality of mental health care in India.




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Media for Medicine


A proactive media that could pressurise policy makers and educate the public for better medicare services. Malvika Karlekar profiles Delhi-based Professor Ranjit Roy Chaudhury's efforts.




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Hope abroad, despair at home


Even as AIDS spreads, cheaper generic medicines made in India are unavailable to sufferers within the country, as the Indian government is slow to tackle the crisis.




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Killing them slowly


The Nalgonda uranium project proposal in Andhra Pradesh has serious health concerns. Is it in the public interest for AP to grant a license to Nalgonda uranium project? Buddhi Kota Subbarao says no.




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Testing healthcare reforms in U.P.


Allegedly in the midst of a major reform effort, the Uttar Pradesh healthcare system shows itself to be woefully unprepared for an outbreak of dengue. Abhijit Das reports.




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India needs another freedom struggle!


This time for public health and hygiene. Ramesh Menon interviews Bindeswar Pathak, the founder of Sulabh International Social Service Organisation.




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Succumbing to stone-cutting


Gopal Krishna reports on the heavy price being paid by stone-cutters of the Lalkuan area of New Delhi.




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More substance, less fizz


The Joint Parliamentary Committee report on pesticides in colas reads like a charge-sheet on the functioning of many government ministries. Sudhirendar Sharma reports.




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Competitive but inaccessible


Even as many Indian hospitals invite a foreign clientele to world-class treatment facilities, the poor have to contend with a different and unregulated private sector, says Abhijit Das.




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The Gandhi at Gandhigram


Lalitha Sridhar talks to septuagenarian Dr. R. Kausalya Devi, head of the award winning Gandhigram Rural Hospital near Madurai.




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Blowing back the smoke


Reducing tobacco consumption is a multi-dimensional and complex challenge. Varupi Jain reports on an organisation that is lending its VOICE with strong efforts.




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Death knell for low cost medicines


Medicine prices nationwide are likely to go up soon, including at public hospitals and dispensaries. Domestic manufacturers will withdraw critical but cheaper medicines as India gets ready to fulfill WTO obligations. Devinder Sharma argues that this is the beginning of a scientific apartheid.




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Rural Health Mission has promising goals


Rural public health care is choked nationwide for a number of reasons. To name two, provisioning of services is very top heavy and many major programmes continue to be conceived and run uncoordinatedly. But Abhijit Das finds promising prospects in the formation of the National Rural Health Mission.




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Epilepsy: defogging the demon


Some studies estimate that roughly 10 million Indians may be suffering from epilepsy. But social stigma and economic barriers are keeping treatment out of reach for the majority. Unlike polio, which has a national eradication programme, epilepsy treatment has seen no such focus yet, finds Varupi Jain.




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Global leadership, empty stomachs


Newspaper and television reports leave us thinking that India is poised to become a superpower, but a more wholesome measure of where the country is will paint a different picture. The problems are still immense, and India lags far behind the world in many ways; it is important to note this and begin tackling them, says Abhijit Das.




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Mental health care needs help


The Indian experience in institutionalised mental help has not been civilising. The National Human Rights Commission had issued a condemnation of the state of mental hospitals as early as six years ago. Parul Sharma notes that misguided private counselling and the lack of richer case law have compounded victims' problems.




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Remote adivasis face health care chasm


Despite crores of rupees having been spent in name of tribal and other development programmes in one block of Palakkad district in Kerala, the region suffers from poor access to decent health care. 80 per cent of the adivasi population here are living in abject poverty. M Suchitra reports.




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Clubbing to combat HIV


In Andhra's Khammam district, awareness clubs are bringing conversations about AIDS into the open, and roping in the volunteer spirit of young people to hold the line against a potential epidemic. Usha Revelli reports that plans are afoot to expand the initiative.




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U.P. mismanaging encephalitis epidemic


Japanese Encephalitis, the deadly virus infection, is not new to Uttar Pradesh -- the first outbreak took place in 1978, and since then every year. But JE is predictable and self-limiting, giving health authorities clear opportunities to save lives. Still, the 2005 monsoon season has seen more chaotic management and more deaths, says Abhijit Das.




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Who cries when mothers die?


The probability of an Indian mother dying during childbirth is roughly 10 times that of her Chinese counterpart. Reducing the Maternal Mortality Ratio (MMR) by three-quarters in 10 years is now a Millennium Development Goal. Why is MMR in India so high and how far are we from the goal? Arati Rao unravels the many challenges to saving mothers' lives.




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Are we ready for the avian flu pandemic?


The WHO has warned that India would likely be hit if a bird-flu pandemic breaks out because India has large numbers of domestic ducks and the country is along major bird migratory routes originating in the East. Abhijit Das notes a few positive elements in India's readiness, but finds that much more is needed to avert disaster.




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A new plan for safe motherhood


It is certainly welcome that the government now recognises unsafe motherhood as a serious development concern. But the plans to tackle this are unimaginative, and ignore many realities of health care for women in rural areas, especially in the poorer states, writes Abhijit Das.




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Scientific interest surging in yellow magic


In India, we have known the magic of turmeric all along. An Indian kitchen without a can of turmeric is rare. The world today is discovering this member of the ginger family. Scientists worldwide as well as in India are validating the medicinal properties of the root, reports Ramesh Menon.




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White asbestos, a health time bomb


The Ministry of Mines and Minerals says it may lift the ban on asbestos mining. It is ignoring the views of exposure victims, informed recommendations of public sector medical experts, and mounting evidence of an asbestos disease epidemic emerging in developed countries. The rationale to permit mining is hollow, writes Gopal Krishna.




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Iodised salt: health or mere profiteering?


Recently, there has been renewed stress on compulsory iodisation, with the central government attempting to bring back a national ban on non-iodised salt. But the nature and comprehensiveness of research into iodine deficiency has never made a categorical case for a ban, finds Aparna Pallavi.




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Leprosy nearly eliminated, challenges remain


India has recently declared that it has achieved the tag of 'elimination' of leprosy as the number of cases is now just around one per 10,000 people. Still, a major challenge is to reach medicine to remote areas and tribal pockets which still battle with leprosy, and integrating the cured into society, says Ramesh Menon.




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Iodised salt: Health or mere profiteering? -- II


While it is nobody's case that iodised salt should be pushed out of the Indian market, what concerns many people's groups is the one-sided way in which iodisation is being imposed on the people of India. Aparna Pallavi concludes a two-part series into New Delhi's interest in banning non-iodised salt.




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Universal care - still miles to go


Public expenditure on health care today is a dismal 0.9% of GDP; the overwhelming majority of health costs are paid by patients out of pocket. For many, even minor illnesses can cause big financial setbacks, and hospitalisation is out of the question. As a result, the promise of the Bhore Committee's vision is in shambles, writes Arati Rao.




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Making menopause easier


As the world marks World Menopause Day on 18 October, millions of Indian women over 45 are finding it difficult to smile through it - thanks to the lack of information and misunderstanding among them about this rather rough phase of life. Neeta Lal reports on the Delhi-based Indian Menopause Society.




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An opportunity to end health care slumber


The HIV epidemic has brought into focus multiple public health issues facing rural India today. In this respect, it presents us with an opportunity to deal with issues that have been neglected and even been actively ignored for too long, writes Supriya Kumar.




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Will the Public Health Foundation be meaningful?


The proposed Public Health Foundation of India (PHFI), likely to be instituted soon, will establish five 'world class' institutes to train 1000 public health professionals every year. But just where will these new public health experts be employed? Padma Prakash on the unaddressed issues.




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In UP, the war on polio stumbles


In India's most populous state, with its low levels of sanitation, and high malnutrition rates, polio has made a dangerous comeback. The world is now looking at India to stem the spread as fears of the disease spreading to other parts of the world have come true. Ramesh Menon reports.




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Paying a steep price for motherhood


Even as New Delhi says maternal mortality numbers are falling, tribal women in Madhya Pradesh are facing a negligent, cruel and corrupt healthcare system and dying during childbirth. When the conduct of hospital staff is questioned, they face retaliation instead of accountability. Sachin Jain reports.




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Condom Ads: missed messages


India's attitude to condoms and contraception is worrisome at a time when promiscuity has a stamp of approval. Condom manufacturers are pitching pleasure enhancement in their ads, instead of being direct about the protection against AIDS. Charumathi Supraja reports.




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Sorrow and distress, thy home is Jajjal


The elections in Punjab have unseated the Congress and ushered in the Akali-BJP. But will this change the fortunes of hundreds of cancer-impacted families in the Malwa region? Village after village is plagued by pesticide-linked cancer and rising debt. Umendra Dutt writes about Jajjal, one of them.




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Claiming the right to health care


India is notorious for its abysmal health services leading to very high infant and maternal mortality rates. Ila Pathak provides a glimpse of how much effort it takes to get official health functionaries to perform their assigned duties with a minimal degree of seriousness.




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Death of new-borns and the Kerala model


38 babies died in one hospital in Thiruvananthapuram over the past four months, shocking a state which boasts of the lowest infant mortality rate in the country. The much discussed and extolled Kerala model of health development is ailing, reports P N Venugopal.




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Laureates meet: reminder to shackled Indian sciences


In July, 18 Nobel laureates met with over 500 young scientists from around the world in Germany. India sent 22 researchers. The meeting threw up many questions pertaining to the practice of scientific research in India. Varupi Jain has more.




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HIV: Looking beyond numbers


Debates on HIV estimates often take time away from the real issues - those that can only be shared by people infected and affected by the infection. The issue that is truly critical and demands everyone's attention is that of the stigma and discrimination associated with HIV/AIDS, writes Syed Mohammad Afsar, on World AIDS Day.