Public Health

Tayappa Dhangar, who is 41 and lives in Andheri, needs heart valve replacement surgery. He works as waste picker and is eligible for the indigent patient scheme under a charitable trust hospital. However, a well-known charitable trust hospital in South Mumbai has refused to perform the surgery free of cost.  The hospital provided a surgery cost estimate of around Rs 15 lakh, with assistance limited to only two lakh rupees. Tayappa, who earns a daily wage of Rs 300, does not know how to gather the remaining Rs 13 lakh for the surgery. Tayappa's situation is not unique. Many individuals…

Karnataka presently generates around 500 tonnes of biomedical waste per month. Over 70% of this ends up in landfills, contaminating soil, water and air. Part of this includes medicines, which has only increased with the COVID-19 pandemic. While hospitals and clinics account for the bulk generation of the waste, they are governed by the Hazardous and Biomedical Waste Management Rules 2016, set out for them. This ensures that many of them follow some basic guidelines on responsible disposal of bio-medical waste.However, at the household level, there appear to be glaring gaps in the manner in which medical waste generated is…

Nasreen and Minara (names changed) are both five months pregnant. The two women live in Bengaluru’s Kundalahalli slum colony with other migrant workers from West Bengal. Nasreen moved to the city around seven years ago. Minara is a recent arrival, having shifted with her husband shortly after their marriage eight months back. Now, Nasreen works as a cook for multiple houses in a residential complex. Nisara is a homemaker. The pandemic and its aftermath have seen little change for the better for pregnant mothers like Nasreen, expecting her third child and Minara, pregnant with her first. Nasreen told this writer…

As Bengaluru continues to record over 25,000 COVID cases per day, how well is the city prepared to deal with the third wave? Does the city have enough hospital beds? Is BBMP able to track and support patients in home isolation? Here's a roundup. In the current wave, a smaller percentage of patients seem to need hospitalisation compared to the second wave last year. However, BBMP Chief Commissioner Gaurav Gupta has emphasised that the rising case count can increase the absolute numbers of people who require hospitalisation, which can lead to a shortage of beds. A BBMP press release on…

2021 saw Bengaluru’s public healthcare systems totally collapsing in the face of the second wave of COVID-19. What could the city have done better? What needs to change? In this article, public health researcher Adithya Pradyumna puts out his wishlist for public healthcare in the city for the new year. Adithya is a co-author of the report ‘Health Care Equity in Urban India’, published this December. The report was based on a project undertaken this year by Adithya and his colleagues from Azim Premji University, which also included a case study of Bengaluru. Urban healthcare in India is generally messy.…

India has, over the years, seen several schemes that promised free or subsidised medicine. In 2008, the then UPA government proposed a Jan Aushadi scheme for nationwide subsidised supply of generic drugs. However, there were not many takers for the scheme at the time. While some chalked it up to poor supply chain management, others believe heavy pressure from the pharmaceutical industry was the reason the scheme failed to take off. Tamil Nadu had already established government stores in 1994 that provided certain drugs at reduced rates. But other states were slow to follow. Only some states like Rajasthan (2011)…

Festive rules revised On Thursday, many Ganesha Utsava Mandals held a protest with vehicle-mounted idols, at the BBMP head office. The BBMP’s order on just one public installation per ward was widely opposed. After outcry from pro-Hindu groups over restrictions in festivities, BBMP withdrew its guidelines and agreed to permit festivities over five days, not three as the police had advised earlier. Moreover, reversing the earlier ban, idols can now be immersed in some lakes where it’s customary. Only one public installation per ward is permitted, but temples and private religious institutions can install idols following COVID-appropriate behaviour. Organisers are…

“Healthcare in the city (BBMP) has been found wanting during the pandemic.” That was the first salvo fired by Deputy Chief Minister C.N Ashwath Narayan, who also heads the state’s COVID Task Force, to pin the entire blame for the failures in COVID management during the second wave on the Bruhat Bengaluru Mahanagara Palike (BBMP). The second salvo was the proposal to divest the BBMP of all its public health responsibilities, including COVID management, and create a separate Bengaluru Health Directorate under the Department of Health and Family Welfare. This exposes the confused thinking of the state government. Such a…

In normal times, the road to Sonipat, the Haryana town 45 kms from Delhi, gets so congested that it would make the distance seem double of what it is. Known initially only for the National Sports School located there, in the late 80s Sonipat also became known for exporting exotic horticultural produce to Delhi and Europe. A few years ago, the Ashoka University, with its focus on liberal arts and the ambition of giving a run to Ivy League schools abroad, made Sonipat its home. It was by no stretch of imagination a centre for healthcare, like Gurugram with its…

On May 17th, the ICMR convened COVID-19 National Task Force dropped convalescent plasma therapy from its virus treatment protocol. The decision, it said, was based on multiple studies that have found little to no use of convalescent plasma in treating COVID-19. This comes close on the heels of a recent World Health Organization (WHO) announcement that there is still no evidence to suggest that the antiviral drug Remdesivir is useful in treating hospitalised COVID-19 patients.  While many doctors treating COVID patients say these announcements are leading to confusion and constricting the already limited treatment options available to them, others believe…