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);
}
$message = '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.' $stackFrame = (int) 1 $trace = [ (int) 0 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php', 'line' => (int) 2421, 'function' => 'deprecationWarning', 'args' => [ (int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.' ] ], (int) 1 => [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 73, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) {}, 'type' => '->', 'args' => [ (int) 0 => 'catslug' ] ], (int) 2 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php', 'line' => (int) 610, 'function' => 'printArticle', 'class' => 'App\Controller\ArtileDetailController', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 3 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 120, 'function' => 'invokeAction', 'class' => 'Cake\Controller\Controller', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 4 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 94, 'function' => '_invoke', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(App\Controller\ArtileDetailController) {} ] ], (int) 5 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php', 'line' => (int) 235, 'function' => 'dispatch', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 6 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Http\BaseApplication', 'object' => object(App\Application) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 7 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php', 'line' => (int) 162, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 8 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\RoutingMiddleware', 'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 9 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php', 'line' => (int) 88, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 10 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\AssetMiddleware', 'object' => object(Cake\Routing\Middleware\AssetMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 11 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php', 'line' => (int) 96, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 12 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware', 'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 13 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 51, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 14 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php', 'line' => (int) 98, 'function' => 'run', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\MiddlewareQueue) {}, (int) 1 => object(Cake\Http\ServerRequest) {}, (int) 2 => object(Cake\Http\Response) {} ] ], (int) 15 => [ 'file' => '/home/brlfuser/public_html/webroot/index.php', 'line' => (int) 39, 'function' => 'run', 'class' => 'Cake\Http\Server', 'object' => object(Cake\Http\Server) {}, 'type' => '->', 'args' => [] ] ] $frame = [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 73, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) { trustProxy => false [protected] params => [ [maximum depth reached] ] [protected] data => [[maximum depth reached]] [protected] query => [[maximum depth reached]] [protected] cookies => [ [maximum depth reached] ] [protected] _environment => [ [maximum depth reached] ] [protected] url => 'latest-news-updates/the-cost-of-negligence-4675384/print' [protected] base => '' [protected] webroot => '/' [protected] here => '/latest-news-updates/the-cost-of-negligence-4675384/print' [protected] trustedProxies => [[maximum depth reached]] [protected] _input => null [protected] _detectors => [ [maximum depth reached] ] [protected] _detectorCache => [ [maximum depth reached] ] [protected] stream => object(Zend\Diactoros\PhpInputStream) {} [protected] uri => object(Zend\Diactoros\Uri) {} [protected] session => object(Cake\Http\Session) {} [protected] attributes => [[maximum depth reached]] [protected] emulatedAttributes => [ [maximum depth reached] ] [protected] uploadedFiles => [[maximum depth reached]] [protected] protocol => null [protected] requestTarget => null [private] deprecatedProperties => [ [maximum depth reached] ] }, 'type' => '->', 'args' => [ (int) 0 => 'catslug' ] ]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 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
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);
}
$message = '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.' $stackFrame = (int) 1 $trace = [ (int) 0 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php', 'line' => (int) 2421, 'function' => 'deprecationWarning', 'args' => [ (int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.' ] ], (int) 1 => [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 74, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) {}, 'type' => '->', 'args' => [ (int) 0 => 'artileslug' ] ], (int) 2 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php', 'line' => (int) 610, 'function' => 'printArticle', 'class' => 'App\Controller\ArtileDetailController', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 3 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 120, 'function' => 'invokeAction', 'class' => 'Cake\Controller\Controller', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 4 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 94, 'function' => '_invoke', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(App\Controller\ArtileDetailController) {} ] ], (int) 5 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php', 'line' => (int) 235, 'function' => 'dispatch', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 6 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Http\BaseApplication', 'object' => object(App\Application) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 7 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php', 'line' => (int) 162, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 8 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\RoutingMiddleware', 'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 9 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php', 'line' => (int) 88, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 10 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\AssetMiddleware', 'object' => object(Cake\Routing\Middleware\AssetMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 11 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php', 'line' => (int) 96, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 12 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware', 'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 13 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 51, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 14 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php', 'line' => (int) 98, 'function' => 'run', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\MiddlewareQueue) {}, (int) 1 => object(Cake\Http\ServerRequest) {}, (int) 2 => object(Cake\Http\Response) {} ] ], (int) 15 => [ 'file' => '/home/brlfuser/public_html/webroot/index.php', 'line' => (int) 39, 'function' => 'run', 'class' => 'Cake\Http\Server', 'object' => object(Cake\Http\Server) {}, 'type' => '->', 'args' => [] ] ] $frame = [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 74, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) { trustProxy => false [protected] params => [ [maximum depth reached] ] [protected] data => [[maximum depth reached]] [protected] query => [[maximum depth reached]] [protected] cookies => [ [maximum depth reached] ] [protected] _environment => [ [maximum depth reached] ] [protected] url => 'latest-news-updates/the-cost-of-negligence-4675384/print' [protected] base => '' [protected] webroot => '/' [protected] here => '/latest-news-updates/the-cost-of-negligence-4675384/print' [protected] trustedProxies => [[maximum depth reached]] [protected] _input => null [protected] _detectors => [ [maximum depth reached] ] [protected] _detectorCache => [ [maximum depth reached] ] [protected] stream => object(Zend\Diactoros\PhpInputStream) {} [protected] uri => object(Zend\Diactoros\Uri) {} [protected] session => object(Cake\Http\Session) {} [protected] attributes => [[maximum depth reached]] [protected] emulatedAttributes => [ [maximum depth reached] ] [protected] uploadedFiles => [[maximum depth reached]] [protected] protocol => null [protected] requestTarget => null [private] deprecatedProperties => [ [maximum depth reached] ] }, 'type' => '->', 'args' => [ (int) 0 => 'artileslug' ] ]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 Contextif (Configure::read('debug')) {
trigger_error($message, E_USER_WARNING);
} else {
$response = object(Cake\Http\Response) { 'status' => (int) 200, 'contentType' => 'text/html', 'headers' => [ 'Content-Type' => [ [maximum depth reached] ] ], 'file' => null, 'fileRange' => [], 'cookies' => object(Cake\Http\Cookie\CookieCollection) {}, 'cacheDirectives' => [], 'body' => '<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <link rel="canonical" href="https://im4change.in/<pre class="cake-error"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f5b1e6a3195-trace').style.display = (document.getElementById('cakeErr67f5b1e6a3195-trace').style.display == 'none' ? '' : 'none');"><b>Notice</b> (8)</a>: Undefined variable: urlPrefix [<b>APP/Template/Layout/printlayout.ctp</b>, line <b>8</b>]<div id="cakeErr67f5b1e6a3195-trace" class="cake-stack-trace" style="display: none;"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f5b1e6a3195-code').style.display = (document.getElementById('cakeErr67f5b1e6a3195-code').style.display == 'none' ? '' : 'none')">Code</a> <a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f5b1e6a3195-context').style.display = (document.getElementById('cakeErr67f5b1e6a3195-context').style.display == 'none' ? '' : 'none')">Context</a><pre id="cakeErr67f5b1e6a3195-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700"><</span><span style="color: #0000BB">head</span><span style="color: #007700">> </span></span></code> <span class="code-highlight"><code><span style="color: #000000"> <link rel="canonical" href="<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">); </span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">category</span><span style="color: #007700">-></span><span style="color: #0000BB">slug</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>/<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">seo_url</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>.html"/> </span></code></span> <code><span style="color: #000000"><span style="color: #0000BB"> </span><span style="color: #007700"><</span><span style="color: #0000BB">meta http</span><span style="color: #007700">-</span><span style="color: #0000BB">equiv</span><span style="color: #007700">=</span><span style="color: #DD0000">"Content-Type" </span><span style="color: #0000BB">content</span><span style="color: #007700">=</span><span style="color: #DD0000">"text/html; charset=utf-8"</span><span style="color: #007700">/> </span></span></code></pre><pre id="cakeErr67f5b1e6a3195-context" class="cake-context" style="display: none;">$viewFile = '/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp' $dataForView = [ 'article_current' => object(App\Model\Entity\Article) { 'id' => (int) 27333, 'title' => 'The cost of negligence', 'subheading' => '', 'description' => '<div align="justify"> -The Hindu </div> <p align="justify"> The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose and treat children suffering from diarrhoea and pneumonia, has had tragic consequences. These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired. </p> <p align="justify"> These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. But with only 10 months left to achieve the critical Millennium Development Goal No. 4 of 38 deaths per 1,000 live births among children under five, India can ill-afford to continue with its indifferent attitude to health care in rural areas. </p>', 'credit_writer' => 'The Hindu, 23 February, 2015, http://www.thehindu.com/opinion/editorial/the-cost-of-negligence/article6922442.ece?homepage=true', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'the-cost-of-negligence-4675384', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 4675384, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ [maximum depth reached] ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ [maximum depth reached] ], '[dirty]' => [[maximum depth reached]], '[original]' => [[maximum depth reached]], '[virtual]' => [[maximum depth reached]], '[hasErrors]' => false, '[errors]' => [[maximum depth reached]], '[invalid]' => [[maximum depth reached]], '[repository]' => 'Articles' }, 'articleid' => (int) 27333, 'metaTitle' => 'LATEST NEWS UPDATES | The cost of negligence', 'metaKeywords' => 'Child Mortality,healthcare,healthcare in india,Access to Health,Access to Healthcare,Access to Medicines,Public Health,Health', 'metaDesc' => ' -The Hindu The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose...', 'disp' => '<div align="justify">-The Hindu</div><p align="justify"> The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose and treat children suffering from diarrhoea and pneumonia, has had tragic consequences. These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired.</p><p align="justify">These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. But with only 10 months left to achieve the critical Millennium Development Goal No. 4 of 38 deaths per 1,000 live births among children under five, India can ill-afford to continue with its indifferent attitude to health care in rural areas. </p>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 27333, 'title' => 'The cost of negligence', 'subheading' => '', 'description' => '<div align="justify"> -The Hindu </div> <p align="justify"> The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose and treat children suffering from diarrhoea and pneumonia, has had tragic consequences. These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired. </p> <p align="justify"> These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. 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These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired.</p><p align="justify">These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. But with only 10 months left to achieve the critical Millennium Development Goal No. 4 of 38 deaths per 1,000 live births among children under five, India can ill-afford to continue with its indifferent attitude to health care in rural areas. </p>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 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</pre></div></pre>latest-news-updates/the-cost-of-negligence-4675384.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | The cost of negligence | Im4change.org</title> <meta name="description" content=" -The Hindu The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>The cost of negligence</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div align="justify">-The Hindu</div><p align="justify"> The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose and treat children suffering from diarrhoea and pneumonia, has had tragic consequences. These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired.</p><p align="justify">These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. But with only 10 months left to achieve the critical Millennium Development Goal No. 4 of 38 deaths per 1,000 live births among children under five, India can ill-afford to continue with its indifferent attitude to health care in rural areas. </p> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $maxBufferLength = (int) 8192 $file = '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php' $line = (int) 853 $message = 'Unable to emit headers. 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These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired. </p> <p align="justify"> These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. 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These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired.</p><p align="justify">These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. But with only 10 months left to achieve the critical Millennium Development Goal No. 4 of 38 deaths per 1,000 live births among children under five, India can ill-afford to continue with its indifferent attitude to health care in rural areas. </p>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 27333, 'title' => 'The cost of negligence', 'subheading' => '', 'description' => '<div align="justify"> -The Hindu </div> <p align="justify"> The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose and treat children suffering from diarrhoea and pneumonia, has had tragic consequences. These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired. </p> <p align="justify"> These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. 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These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired.</p><p align="justify">These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. But with only 10 months left to achieve the critical Millennium Development Goal No. 4 of 38 deaths per 1,000 live births among children under five, India can ill-afford to continue with its indifferent attitude to health care in rural areas. </p>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 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</pre></div></pre>latest-news-updates/the-cost-of-negligence-4675384.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | The cost of negligence | Im4change.org</title> <meta name="description" content=" -The Hindu The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>The cost of negligence</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div align="justify">-The Hindu</div><p align="justify"> The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose and treat children suffering from diarrhoea and pneumonia, has had tragic consequences. These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired.</p><p align="justify">These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. But with only 10 months left to achieve the critical Millennium Development Goal No. 4 of 38 deaths per 1,000 live births among children under five, India can ill-afford to continue with its indifferent attitude to health care in rural areas. </p> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $reasonPhrase = 'OK'header - [internal], line ?? 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These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired. </p> <p align="justify"> These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. 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These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired.</p><p align="justify">These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. But with only 10 months left to achieve the critical Millennium Development Goal No. 4 of 38 deaths per 1,000 live births among children under five, India can ill-afford to continue with its indifferent attitude to health care in rural areas. </p>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 27333, 'title' => 'The cost of negligence', 'subheading' => '', 'description' => '<div align="justify"> -The Hindu </div> <p align="justify"> The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose and treat children suffering from diarrhoea and pneumonia, has had tragic consequences. These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired. </p> <p align="justify"> These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. But with only 10 months left to achieve the critical Millennium Development Goal No. 4 of 38 deaths per 1,000 live births among children under five, India can ill-afford to continue with its indifferent attitude to health care in rural areas. </p>', 'credit_writer' => 'The Hindu, 23 February, 2015, http://www.thehindu.com/opinion/editorial/the-cost-of-negligence/article6922442.ece?homepage=true', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'the-cost-of-negligence-4675384', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 4675384, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ (int) 0 => object(Cake\ORM\Entity) {}, (int) 1 => object(Cake\ORM\Entity) {}, (int) 2 => object(Cake\ORM\Entity) {}, (int) 3 => object(Cake\ORM\Entity) {}, (int) 4 => object(Cake\ORM\Entity) {}, (int) 5 => object(Cake\ORM\Entity) {}, (int) 6 => object(Cake\ORM\Entity) {}, (int) 7 => object(Cake\ORM\Entity) {} ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ '*' => true, 'id' => false ], '[dirty]' => [], '[original]' => [], '[virtual]' => [], '[hasErrors]' => false, '[errors]' => [], '[invalid]' => [], '[repository]' => 'Articles' } $articleid = (int) 27333 $metaTitle = 'LATEST NEWS UPDATES | The cost of negligence' $metaKeywords = 'Child Mortality,healthcare,healthcare in india,Access to Health,Access to Healthcare,Access to Medicines,Public Health,Health' $metaDesc = ' -The Hindu The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose...' $disp = '<div align="justify">-The Hindu</div><p align="justify"> The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose and treat children suffering from diarrhoea and pneumonia, has had tragic consequences. These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired.</p><p align="justify">These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. But with only 10 months left to achieve the critical Millennium Development Goal No. 4 of 38 deaths per 1,000 live births among children under five, India can ill-afford to continue with its indifferent attitude to health care in rural areas. </p>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 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</pre></div></pre>latest-news-updates/the-cost-of-negligence-4675384.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | The cost of negligence | Im4change.org</title> <meta name="description" content=" -The Hindu The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>The cost of negligence</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div align="justify">-The Hindu</div><p align="justify"> The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose and treat children suffering from diarrhoea and pneumonia, has had tragic consequences. These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired.</p><p align="justify">These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. But with only 10 months left to achieve the critical Millennium Development Goal No. 4 of 38 deaths per 1,000 live births among children under five, India can ill-afford to continue with its indifferent attitude to health care in rural areas. </p> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $cookies = [] $values = [ (int) 0 => 'text/html; charset=UTF-8' ] $name = 'Content-Type' $first = true $value = 'text/html; charset=UTF-8'header - [internal], line ?? 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As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired. </p> <p align="justify"> These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. 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These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. 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In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. 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These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired.</p><p align="justify">These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. But with only 10 months left to achieve the critical Millennium Development Goal No. 4 of 38 deaths per 1,000 live births among children under five, India can ill-afford to continue with its indifferent attitude to health care in rural areas. </p>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'
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The cost of negligence |
-The Hindu The failure of successive governments in India, especially those in States that have the highest mortality rates among children younger than five years, to address the critical issue of training health-care providers in rural areas to correctly diagnose and treat children suffering from diarrhoea and pneumonia, has had tragic consequences. These ailments account for the maximum number of under-5 mortality incidence in the country. That the poor management of sick children by health care providers is a major causal factor for under-5 mortality has been brought out by a study carried out in rural Bihar. As other studies have shown, what is true for Bihar will be largely valid for other States as well. That the 340 health-care providers studied seldom practised what little they knew about treating children suffering from the two heath complications is a poignant reminder of the state of the health-care system in rural India. Only 3.5 per cent of the practitioners prescribed the correct treatment using life-saving oral rehydration salts (ORS) alone for children with simple, uncomplicated diarrhoea. Instead, nearly 69 per cent of them prescribed potentially dangerous drugs, including antibiotics, along with ORS; an equal percentage of them prescribed drugs without any ORS. The record was only slightly better in the case of pneumonia. The quality of diagnosis also left much to be desired. These findings explain why Bihar has the country's highest infant mortality rate of 55 per 1,000 live births. In 2010, the under-5 mortality in India from diarrhoea and pneumonia was over 600,000, the highest in the world in terms of absolute numbers. In the same year, India was one of the five countries that accounted for nearly 50 per cent of the deaths globally from diarrhoea and pneumonia in this age group. Hence, it is hard to fathom why India did next to nothing to train and equip health-care providers to diagnose and treat children. Bangladesh has not seen any drop in the incidence of acute diarrhoeal disease, but has reduced its under-5 mortality rate by 75 per cent between 1980 and 2011, largely by reducing mortality from the two diseases by means of better case management even in rural areas. In 2006-2007, as much as 76 per cent of children with diarrhoea in rural Bangladesh received ORS, a 2013 paper in The Lancet says. India has indeed done well in reducing under-5 mortality numbers from 2.5 million in 2001 to 1.5 million in 2011. But with only 10 months left to achieve the critical Millennium Development Goal No. 4 of 38 deaths per 1,000 live births among children under five, India can ill-afford to continue with its indifferent attitude to health care in rural areas. |