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A poor and unhealthy nation


India is languishing in the Human Development Index recently released by the UNDP. Bangladesh has overtaken India in some vital parameters. What does this imply in terms of actual numbers? Are the Millennium Development Goals and those laid down by the Planning Commission achievable? Pavan Nair takes a look.




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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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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.




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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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Positive blip on HIV radar


A new Indo-Canadian study has found a one-third decline in new HIV infections in the worst-hit regions of the country - Tamilnadu, Andhra Pradesh and Karnataka and Maharashtra. Researchers say that prevention efforts seem to be paying off, but warn that the battle is far from over. Nitin Jugran Bahuguna reports.




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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.




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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.




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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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When all joy leaks out


Women's gynaecological and urological organs share a close relationship, and disorders affecting one may give rise to symptoms in the other. Better care and knowledge can reduce the incidence of these problems, however, and many of the conditions are treatable. Fehmida Zakeer reports.




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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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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.




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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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TB: gravest danger to India


Tuberculosis has emerged as the greatest danger to India threatening the health of millions. More than 4,500 people die everyday unable to battle the disease. It is not AIDS that will be India's greatest threat, as most of us believe, warns Ramesh Menon.




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TB: gravest danger to India - II


In the last 20 years, the Human Immunodeficiency Virus (HIV) has emerged as an accelerator to Tuberculosis. It helps TB spread rapidly as the HIV patient's immune system is already weak. HIV's ability to fast forward TB has frightening implications, says Ramesh Menon.




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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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In the line of fire


The Jharia mines in Jharkhand's Dhanbad district produce the best quality coking coal (used in blast furnaces) in India. However, the area, mostly inhabited by tribals, has been smouldering with underground mine fires for several decades now. Kalpana Pradhan reports on the health impact.




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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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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.




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Still suffering, five years after


Five years have passed after the riots, five years in which saplings have become trees and blueprints have taken the shape of buildings. But time seems to have stopped for many families and children who suffered or witnessed atrocities during the 2002 riots, altering their dreams and hopes in unlikely, distressing ways. Deepa A has more.




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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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The forgotten Saharias of Sheopur


In a number of villages in Sheopur district, Madhya Pradesh, children have been dying since 2006 because of chronic malnutrition, prompting Supreme Court commissioners to call the region one of the world's malnutrition hotspots. Running schools, nutritious food, and health camps are all a rarity here, reports Sachin Jain.




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The younger side of AIDS


There are an estimated 200,000 children with HIV who are under 15 years old in the country, while some 50,000 to 60,000 children are born with HIV each year, according to NACO estimates, despite the fact that drugs now exist to immunize such children from the threat of contamination from their mothers. Darryl D'Monte 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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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.




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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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Will open defecation end by 2012?


The short answer appears to be no. Some 4,959 villages have bagged the Nirmal Gram Puraskar (clean village prize) so far, for having flush toilets in every household and school. But there is a flip side of this otherwise incredible script. Sudhirendar Sharma probes the reality.




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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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Attitudes to sex need healthy injection of science


Why would the Government of India deny a job to an individual who carries a mutation in the DNA? There is prejudice in the Indian society against individual perceived as "sexual anomalies". Vaijayanti Gupta initiates an educational discussion on the biology of sex and sexual orientations.




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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.




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When it comes to HIV, all women are at risk


The expression 'women at risk' can no longer be used to describe only those engaged in sex work, and that strategies to address women's vulnerability to HIV must therefore take into account their varied risks, writes Sumita Thapar.




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Fit to drive


The Indian Epilepsy Association has been working to ensure revisions in various laws to reflect advances in the management of epilepsy, and also our improved knowledge of its risks. Varupi Jain reports on the progress made so far in protecting the rights of epilepsy patients.




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Study: India sitting on tobacco epidemic


Within in the next two years, around 10 lakh people will die because of smoking in India alone, says one of the most comprehensive studies on the habit in the country. India is on the threshold of a tobacco-unleashed epidemic, says Ramesh Menon.




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The ability debates


Quite a few debates are currently raging in the disability rights movement. Special schools or inclusive education, community based rehabilitation or institutionalised rehabilitation, job reservations or none - Prasanna Kumar Pincha discusses these and other questions.




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Not quite on the DOT


The Directly Observed Treatment strategy to combat tuberculosis was introduced to ensure that every TB patient completes the full six-month course of treatment. But most poor patients find that its benefits are out of their reach, both economically and physically. Neha Singh reports.




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This monsoon, Assam takes on malaria


The heavy rains of the south-west monsoon are a few weeks away and malaria usually follows, in Assam. The state has 20 per cent of malaria deaths in India, but this time, doctors say they have taken substantive measures. Ratna Bharali Talukdar reports.




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Aravind Eye: Infinite vision


The Aravind Eye Hospitals in south India have contributed signficantly to preventing debilitating blindness. Aravind was recently awarded the $1 million Gates Award. It all began with late Dr Govindappa Venkataswamy's dream. Ramesh Menon tracks down the pioneer.




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Dismal breastfeeding rates hampering infant health


Statistics are staggeringly in favour of breastfeeding, and surprising as it may be, breastfeeding rates in India are dismal. Krithika Ramalingam digs deeper into the factors at play.




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Eye donations remain rare, amidst low awareness


Nearly 20 per cent of the world's blind are in India. Only donation of eyes after death can bring light into the lives of the needy. Ramesh Menon surveys the landscape of eye donations and finds much that still needs to be done.




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Using popular culture to mainstream AIDS


A new anthology AIDS Sutra has 16 renowned literary figures writing about the AIDS epidemic in India and how different communities across the country are grappling with it. Sumita Thapar has more.




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In Kurukshetra, a new victory


The villages of Khanpur Kholiya, Masana and Sawla in Haryana have received the central government's Nirmal Gram Puruskar for ensuring that no one, not even a child, defecates in the open. Darryl D'Monte reports.




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Clamping down on second-hand smoke


A clear focus on protecting the interests of non-smokers has led to worldwide efforts to ban smoking in all public places, and strongly curtail any exceptions. India too has joined this trend, writes Ramesh Menon.




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The Jurassic auto and idea park


The U.S. auto giants are an example of how things work in the age of unbridled corporate power. Of how the collapse of restraint on that power fractures economy and society, writes P Sainath.