Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 73
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 73
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
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Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 74
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 74
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
Code Context
            if (Configure::read('debug')) {

                trigger_error($message, E_USER_WARNING);

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-The Indian Express&lt;br /&gt;
&lt;em&gt;&lt;br /&gt;
Gorakhpur was only the acute manifestation of the chronic malady that ails our health system &lt;/em&gt;&lt;br /&gt;
&lt;br /&gt;
Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.&lt;br /&gt;
&lt;br /&gt;
The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.&lt;br /&gt;
&lt;br /&gt;
Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.&lt;br /&gt;
&lt;br /&gt;
What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.&lt;br /&gt;
&lt;br /&gt;
We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &amp;mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.&lt;br /&gt;
&lt;br /&gt;
Please &lt;a href=&quot;http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&quot;&gt;click here&lt;/a&gt; to access.&lt;br /&gt;
&lt;/div&gt;&#039;,
		&#039;credit_writer&#039; =&gt; &#039;The Indian Express, 17 August, 2017, http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&#039;,
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-The Indian Express

Gorakhpur was only the acute manifestation of the chronic malady that ails our health system 

Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is...&#039;,
	&#039;disp&#039; =&gt; &#039;&lt;div align=&quot;justify&quot;&gt;-The Indian Express&lt;br /&gt;&lt;em&gt;&lt;br /&gt;Gorakhpur was only the acute manifestation of the chronic malady that ails our health system &lt;/em&gt;&lt;br /&gt;&lt;br /&gt;Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.&lt;br /&gt;&lt;br /&gt;The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.&lt;br /&gt;&lt;br /&gt;Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.&lt;br /&gt;&lt;br /&gt;What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.&lt;br /&gt;&lt;br /&gt;We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &amp;mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.&lt;br /&gt;&lt;br /&gt;Please &lt;a href=&quot;http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&quot; title=&quot;http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&quot;&gt;click here&lt;/a&gt; to access.&lt;br /&gt;&lt;/div&gt;&#039;,
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-The Indian Express&lt;br /&gt;
&lt;em&gt;&lt;br /&gt;
Gorakhpur was only the acute manifestation of the chronic malady that ails our health system &lt;/em&gt;&lt;br /&gt;
&lt;br /&gt;
Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.&lt;br /&gt;
&lt;br /&gt;
The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.&lt;br /&gt;
&lt;br /&gt;
Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.&lt;br /&gt;
&lt;br /&gt;
What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.&lt;br /&gt;
&lt;br /&gt;
We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &amp;mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.&lt;br /&gt;
&lt;br /&gt;
Please &lt;a href=&quot;http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&quot;&gt;click here&lt;/a&gt; to access.&lt;br /&gt;
&lt;/div&gt;&#039;,
	&#039;credit_writer&#039; =&gt; &#039;The Indian Express, 17 August, 2017, http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&#039;,
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-The Indian Express

Gorakhpur was only the acute manifestation of the chronic malady that ails our health system 

Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is...&#039;
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-The Indian Express

Gorakhpur was only the acute manifestation of the chronic malady that ails our health system 

Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is..."/>
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                <strong>Beyond the lament -K Srinath Reddy</strong></h1>
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                <div align="justify">-The Indian Express<br /><em><br />Gorakhpur was only the acute manifestation of the chronic malady that ails our health system </em><br /><br />Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.<br /><br />The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.<br /><br />Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.<br /><br />What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.<br /><br />We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.<br /><br />Please <a href="http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/" title="http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/">click here</a> to access.<br /></div>               </font>
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-The Indian Express&lt;br /&gt;
&lt;em&gt;&lt;br /&gt;
Gorakhpur was only the acute manifestation of the chronic malady that ails our health system &lt;/em&gt;&lt;br /&gt;
&lt;br /&gt;
Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.&lt;br /&gt;
&lt;br /&gt;
The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.&lt;br /&gt;
&lt;br /&gt;
Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.&lt;br /&gt;
&lt;br /&gt;
What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.&lt;br /&gt;
&lt;br /&gt;
We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &amp;mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.&lt;br /&gt;
&lt;br /&gt;
Please &lt;a href=&quot;http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&quot;&gt;click here&lt;/a&gt; to access.&lt;br /&gt;
&lt;/div&gt;&#039;,
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-The Indian Express

Gorakhpur was only the acute manifestation of the chronic malady that ails our health system 

Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is...&#039;,
	&#039;disp&#039; =&gt; &#039;&lt;div align=&quot;justify&quot;&gt;-The Indian Express&lt;br /&gt;&lt;em&gt;&lt;br /&gt;Gorakhpur was only the acute manifestation of the chronic malady that ails our health system &lt;/em&gt;&lt;br /&gt;&lt;br /&gt;Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.&lt;br /&gt;&lt;br /&gt;The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.&lt;br /&gt;&lt;br /&gt;Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.&lt;br /&gt;&lt;br /&gt;What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.&lt;br /&gt;&lt;br /&gt;We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &amp;mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.&lt;br /&gt;&lt;br /&gt;Please &lt;a href=&quot;http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&quot; title=&quot;http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&quot;&gt;click here&lt;/a&gt; to access.&lt;br /&gt;&lt;/div&gt;&#039;,
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-The Indian Express&lt;br /&gt;
&lt;em&gt;&lt;br /&gt;
Gorakhpur was only the acute manifestation of the chronic malady that ails our health system &lt;/em&gt;&lt;br /&gt;
&lt;br /&gt;
Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.&lt;br /&gt;
&lt;br /&gt;
The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.&lt;br /&gt;
&lt;br /&gt;
Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.&lt;br /&gt;
&lt;br /&gt;
What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.&lt;br /&gt;
&lt;br /&gt;
We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &amp;mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.&lt;br /&gt;
&lt;br /&gt;
Please &lt;a href=&quot;http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&quot;&gt;click here&lt;/a&gt; to access.&lt;br /&gt;
&lt;/div&gt;&#039;,
	&#039;credit_writer&#039; =&gt; &#039;The Indian Express, 17 August, 2017, http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&#039;,
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-The Indian Express

Gorakhpur was only the acute manifestation of the chronic malady that ails our health system 

Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is...&#039;
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-The Indian Express

Gorakhpur was only the acute manifestation of the chronic malady that ails our health system 

Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is..."/>
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                <strong>Beyond the lament -K Srinath Reddy</strong></h1>
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                <div align="justify">-The Indian Express<br /><em><br />Gorakhpur was only the acute manifestation of the chronic malady that ails our health system </em><br /><br />Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.<br /><br />The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.<br /><br />Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.<br /><br />What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.<br /><br />We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.<br /><br />Please <a href="http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/" title="http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/">click here</a> to access.<br /></div>               </font>
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-The Indian Express&lt;br /&gt;
&lt;em&gt;&lt;br /&gt;
Gorakhpur was only the acute manifestation of the chronic malady that ails our health system &lt;/em&gt;&lt;br /&gt;
&lt;br /&gt;
Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.&lt;br /&gt;
&lt;br /&gt;
The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.&lt;br /&gt;
&lt;br /&gt;
Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.&lt;br /&gt;
&lt;br /&gt;
What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.&lt;br /&gt;
&lt;br /&gt;
We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &amp;mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.&lt;br /&gt;
&lt;br /&gt;
Please &lt;a href=&quot;http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&quot;&gt;click here&lt;/a&gt; to access.&lt;br /&gt;
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Gorakhpur was only the acute manifestation of the chronic malady that ails our health system 

Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is...&#039;,
	&#039;disp&#039; =&gt; &#039;&lt;div align=&quot;justify&quot;&gt;-The Indian Express&lt;br /&gt;&lt;em&gt;&lt;br /&gt;Gorakhpur was only the acute manifestation of the chronic malady that ails our health system &lt;/em&gt;&lt;br /&gt;&lt;br /&gt;Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.&lt;br /&gt;&lt;br /&gt;The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.&lt;br /&gt;&lt;br /&gt;Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.&lt;br /&gt;&lt;br /&gt;What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.&lt;br /&gt;&lt;br /&gt;We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &amp;mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.&lt;br /&gt;&lt;br /&gt;Please &lt;a href=&quot;http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&quot; title=&quot;http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&quot;&gt;click here&lt;/a&gt; to access.&lt;br /&gt;&lt;/div&gt;&#039;,
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-The Indian Express&lt;br /&gt;
&lt;em&gt;&lt;br /&gt;
Gorakhpur was only the acute manifestation of the chronic malady that ails our health system &lt;/em&gt;&lt;br /&gt;
&lt;br /&gt;
Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.&lt;br /&gt;
&lt;br /&gt;
The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.&lt;br /&gt;
&lt;br /&gt;
Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.&lt;br /&gt;
&lt;br /&gt;
What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.&lt;br /&gt;
&lt;br /&gt;
We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &amp;mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.&lt;br /&gt;
&lt;br /&gt;
Please &lt;a href=&quot;http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/&quot;&gt;click here&lt;/a&gt; to access.&lt;br /&gt;
&lt;/div&gt;&#039;,
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-The Indian Express

Gorakhpur was only the acute manifestation of the chronic malady that ails our health system 

Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is...&#039;
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Gorakhpur was only the acute manifestation of the chronic malady that ails our health system 

Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is..."/>
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                <strong>Beyond the lament -K Srinath Reddy</strong></h1>
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                <div align="justify">-The Indian Express<br /><em><br />Gorakhpur was only the acute manifestation of the chronic malady that ails our health system </em><br /><br />Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.<br /><br />The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.<br /><br />Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.<br /><br />What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.<br /><br />We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.<br /><br />Please <a href="http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/" title="http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/">click here</a> to access.<br /></div>               </font>
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-The Indian Express<br />
<em><br />
Gorakhpur was only the acute manifestation of the chronic malady that ails our health system </em><br />
<br />
Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.<br />
<br />
The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.<br />
<br />
Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.<br />
<br />
What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.<br />
<br />
We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.<br />
<br />
Please <a href="http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/">click here</a> to access.<br />
</div>',
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	'metaTitle' => 'LATEST NEWS UPDATES | Beyond the lament -K Srinath Reddy',
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-The Indian Express

Gorakhpur was only the acute manifestation of the chronic malady that ails our health system 

Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is...',
	'disp' => '<div align="justify">-The Indian Express<br /><em><br />Gorakhpur was only the acute manifestation of the chronic malady that ails our health system </em><br /><br />Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.<br /><br />The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.<br /><br />Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.<br /><br />What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.<br /><br />We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.<br /><br />Please <a href="http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/" title="http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/">click here</a> to access.<br /></div>',
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	'title' => 'Beyond the lament -K Srinath Reddy',
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-The Indian Express<br />
<em><br />
Gorakhpur was only the acute manifestation of the chronic malady that ails our health system </em><br />
<br />
Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.<br />
<br />
The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.<br />
<br />
Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.<br />
<br />
What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.<br />
<br />
We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.<br />
<br />
Please <a href="http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/">click here</a> to access.<br />
</div>',
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-The Indian Express

Gorakhpur was only the acute manifestation of the chronic malady that ails our health system 

Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is...'
$disp = '<div align="justify">-The Indian Express<br /><em><br />Gorakhpur was only the acute manifestation of the chronic malady that ails our health system </em><br /><br />Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions.<br /><br />The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country.<br /><br />Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels.<br /><br />What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again.<br /><br />We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections &mdash; this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system.<br /><br />Please <a href="http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/" title="http://indianexpress.com/article/opinion/columns/gorakhpur-hospital-tragedy-health-of-children-in-india-beyond-the-lament-4799968/">click here</a> to access.<br /></div>'
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Beyond the lament -K Srinath Reddy

-The Indian Express Gorakhpur was only the acute manifestation of the chronic malady that ails our health system Outrage is a natural reaction to the terrible tragedy that cruelly crushed the lives of many innocent children in Gorakhpur. However, outrage is a wasted emotion if it is not accompanied by honest introspection to identify all contributory causes and followed by a cluster of corrective actions. The deaths of these children were caused by the cumulative effect of multiple failures of the public health system and skewed developmental processes that inflict innumerable injuries of economic and social inequity on the poor. Life-threatening illness is created by social conditions that make children vulnerable to the assault of infectious agents that thrive in insanitary conditions. When they reach the overcrowded hospital in a desperately ill condition, an uncaring system fails to provide the critical care they need. These causes are not listed on a death certificate but are indeed the unnamed assassins that routinely and remorselessly kill children in large numbers in the underdeveloped and poorly served regions of our country. Why does eastern Uttar Pradesh have very high levels of infant mortality, low birth weight and stunting compared to the national average? Why is Gorakhpur ranked so low in comparative rankings of urban cleanliness? Why are both the medical college and a large hospital managed by the same doctor who also has to sign off on bills of payment? Why are government doctors allowed to run private clinics? Why is there no electronic inventory of drugs and essential supplies to permit real time monitoring and prevent unforeseen stock-outs? How transparent or opaque is the procurement process? Why were numerous complaints from the vendor unheeded? These questions call for review and reform of a system ridden with faults at multiple levels. What erupted as a breaking media story on August 11 was only the acute manifestation of the chronic malady that ails our health system. It is not a one-off event that resulted from a callous cut-off of oxygen supply by a rogue supplier. Even that despicable act is now shrouded in conflicting claims of who is to blame and contestation of whether or not the interruption of oxygen supply was a cause of death. The underlying disease is always the recorded primary cause of death but lack of respiratory support in a critically ill state can decrease the chance of recovery and hasten death. It is a contributory cause, just as inexcusable as non-availability of blood for life-saving transfusion when a road trauma victim reaches a hospital. If we now deviously dispute whether oxygen is even essential for the intensive care of comatose children with encephalitis or severe pneumonia, we will fail to ensure that such stock-outs will not happen ever again. We do, however, need to look beyond the oxygen story. Early marriage and motherhood of an undernourished adolescent, leading to a low birth weight baby that suffers further malnutrition and falls easy prey to infections — this is the tale that plays out as the backdrop for sick children in hospitals in Gorakhpur and neighbouring districts. As mosquitos breed in paddy fields and pigs gorge on garbage piles near human dwellings, conditions are ripe for animal to human transmission of viruses through insect vectors. Bacteria, too, abound in unhygienic surroundings and easily invade the ill-nourished bodies of poor children. It requires an all-round development effort to alleviate poverty, ameliorate child nutrition and obliterate squalor. Even as we do this, we need to fix our dysfunctional health system. Please click here to access.