c

Wash your spinach, twice


Research finds evidence of heavy metal contamination of vegetables in Delhi.




c

The need for ethical debate


Direct Electro-Convulsive Therapy, banned in the west and some Indian states as a form of medical torture, is finding new advocates. Ethical psychiatrists must strongly disavow the practice, says Bhargavi Davar.




c

How can I help you?


The greatest of good intentions have a way of reminding me of the very things I wish not to remember, says Ashwin Mahesh.




c

Success in rural sanitation


Shipra Saxena on Midnapore's strides in implementing a government and UNICEF sponsored rural sanitation scheme, in West Bengal.




c

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.




c

Parents of special children


Care-providing facilities for disabled children are important social investments. Building and running affordable facilities must a priority for society, says Lakshmi K.




c

A juicy opportunity


As soft drinks manufacturers wage a public relations battle to counter accusations of poisoning consumers, fruit juice sellers sieze an unexpected boon. Ranjit Devraj reports.




c

Two children, countless wrongs


Simply suspending the human rights of poor women cannot improve a suddenly over-anxious system. Abhijit Das warns against adopting reactionary population policies, and urges more investment in health instead.




c

Public services, private anguish


The poor never follow the rules of good health, we often hear. But the rules, in fact, are no guarantee of safe health in a system that is poorly regulated and unaccountable to its users.




c

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.




c

Succumbing to stone-cutting


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




c

Reaching out with valuable technology


This IIT Kharagpur professor's vision is to remove the digital divide between the visually impaired and the sighted world. Rasika Dhavse profiles Anupam Basu and his innovation, Sparsha.




c

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.




c

Understanding Schizophrenia


Dr.Judith Jaeger, an expert on psychiatric disorders was recently in Chennai. She spoke to Lalitha Sridhar on schizophrenia and the current state of knowledge in the world about the illness.




c

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.




c

Elections and Health


What plans and promises on 'health for all' have the NDA and the Congress offered to the electorate this election cycle? Abhijit Das takes a closer look.




c

Including the excluded


The intimacy and inclusiveness provided by community media needs to be embraced, and will be a valuable asset in serving the disabled, who are often at the margins of public attention, says Ashish Sen.




c

New govt's population control thrust


Abhijit Das expresses concerns on the United Progressive Alliance's misplaced stress on population control targeting, taking the case of Uttar Pradesh.




c

Crippling delivery to the disabled


Are tax-payer funded programmes for the empowerment of the disabled working? Until very recently, New Delhi has not even had reliable data to plan its programmes. Himanshu Upadhyaya digs into the 2004 Comptroller and Auditor General report.




c

The Census revelations


N P Chekkutty reports on several marked trends in the latest Census data.




c

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.




c

The pressure for health care


These National Human Rights Commission's hearings on the Right to Healthcare are bringing out hundreds of poor citizens' experiences of being refused public health care. Gone are the days when citizens endured this with a fatalism born out of years of hopelessness, writes Abhijit Das.




c

The ABC's of fighting AIDS


The main message that is going out to the masses is: use condoms. But this overlooks a fundamental reality about the values contained in that message, says Mirra Savara.




c

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.




c

Clean hands, not soap sales


Who can object to washing hands regularly to improve hygiene? In Kerala, the World Bank found out that it isn't enough to promote sensible messages; it's also important that the messages do not appear to be based on ulterior motives, like sales for MNC products. Darryl D'Monte reports.




c

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.




c

Snuffed out on screen


Smoking in the movies fosters a culture that encourages young people to smoke, whereas what is needed is that we actively develop antipathy to smoking! More than the health effects alone, it is this battle that has been engaged by the government's move to ban tobacco on screen, says Pankaj Chaturvedi.




c

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.




c

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.




c

Wake up call for HIV/AIDS in U.P.


Official statistics are putting Uttar Pradesh firmly as one of India's low prevalence states for HIV/AIDS, even though stories from village after village show the disease making its way in. Abhijit Das finds holes in surveillance and reports that state authorities are not yet taking the penetration threat of HIV/AIDS seriously.




c

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.




c

Cancer: The long fight


The citation for the 2005 Ramon Magsaysay award speaks of her "untiring leadership of the Cancer Institute as a centre for excellence and compassion for the study and treatment of cancer". Ambujam Anantharaman speaks with V Shanta, whose 50-year career is a glitterring record of progress against cancer in India.




c

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.




c

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.




c

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.




c

The silence around sex work


Planning Commission member Syeda Hameed and her colleagues made a presentation before Prime Minister Manmohan Singh a few months back on the HIV/AIDS pandemic. Health interventions for sex workers and homosexuals would progress if they were not regarded as criminals and accorded dignity and rights, they stressed.




c

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.




c

The doctor keeps away


Stressful apprenticeship in a system that is not geared to meet the medical needs of the majority makes junior doctors very different from the counterparts in other professions. Their strikes over questions of merit and reservation should not divert attention from this more important issue, says Abhijit Das.




c

Iodised salt: The lesser known facts


The central government wants to ban the sale of non-iodised salt on grounds of rising iodine deficiency. However, states with notable rise in deficiency are those where a ban has already been in force for the past two decades – the north-eastern states and Uttar Pradesh. P Venu, an Assistant Salt Commissioner in Gujarat, connects the dots.




c

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.




c

Fiery debate back, but standards scuttled


Once again, a study by the New Delhi-based Centre for Science and Environment found alarming levels of pesticide residues in soft drinks and stirred up a public debate. However, the larger issue of how pesticides have invaded the ground water and gotten into the food chain must not be missed, notes Ramesh Menon.




c

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.




c

Playing politics with AIDS


The Goan government wants to make HIV testing mandatory for marrying couples. But mandatory testing will drive some people, who are already sceptical about the health care system, further away from it. It is also unlikely to cause the changes in behaviour necessary to prevent the spread of HIV, writes Neerja Vaidya-Yadav.




c

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.




c

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.




c

Healthcare as a broad public challenge


The mounting cost of hospital care, increasing out-of-pocket expenditure, and its catastrophic impact on family finances demand an innovative and flexible risk-pooling mechanism to provide a security net for the poor. Merely transfering the costs to the public exchequer will land the nation in a no-win situation, writes Jayaprakash Narayan.




c

Struck by fluorosis


Of 62 million Indians suffering from fluorosis, more than six million are children and young people. Among these young, nearly 20,000 are in Assam alone, and in Karbi Anglong, well known for its scenic beauty and thick forests, a tenth of the population is afflicted with dental or skeletal fluorosis. Nava Thakuria reports.




c

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.




c

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.




c

Goa's health care challenges


Recent data on health indicators suggest that while health care in Goa remains far ahead of the national average, there are many cracks in the system. Indeed, on many counts the state appears to be losing the ground gained earlier, even as new challenges loom. Rupa Chinai reports.