India faces the challenge of inappropriate use of antibiotics while Bharat copes with poor access to treatment, resulting in a policy conundrum and inaction. India was recently in the news for the wrong reasons. The serious threat posed by the newly discovered microbe, NDM-1 (New Delhi metallo--lactamase-1), resistant to many antibiotics, triggered alarm and panic. Predictions that the country will not meet the millennium development goal for child mortality caused dismay....

The rapid growth of global markets has not seen the parallel development of social and economic institutions to ensure balanced, inclusive and sustainable growth. Although we may not have yet reached “the end of history,” globalisation has brought us closer to “the end of geography” as we have known it. The compression of time and space triggered by the Third Industrial Revolution —roughly, since 1980 — has changed our interactions with...

NRHM needs to revitalise systems, monitor their functional performance and investigate their impact on the indices of health. The National Rural Health Mission (NRHM) was launched in 2005 to bring about a dramatic improvement in the health system and health status of people in rural India. It seeks to provide universal access to health care, which is affordable, equitable, and of good quality. It aims at making architectural corrections to basic...

The issues relating to the victims of endosulfan, sprayed in the plantations of Kasargod district in Kerala, have snowballed once again. “Earthworms emerged from the soil, and, subsequently, died. Then birds came to eat the earthworms and they died as well.”   “Some termites were killed in a cotton farm sprayed with endosulfan. A frog fed on the dead termites, and was immobilised a few minutes later. An owl which flew over...

All epidemiological data in Chhattisgarh are ‘guesstimates' Underestimation of malaria mortality figures Public hospitals ill-equipped to handle severe cases Last week, the medical journal Lancet published the results of a malaria survey undertaken by researchers as part of the Million Deaths Study, an ambitious programme that strives to document the causes of nearly one million deaths in India from the period 1998 to 2014. As per the survey 2,05,000 Indians die of malaria every...