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GS Paper: GS2-13.Issues relating to development and management of Social Sector/Services relating to Health, Education, Human Resources.

  • Global Surgery: Why access to essential Surgery is important?

    Global Surgery

    Introduction

    • Global surgery, despite its critical importance, often remains in the shadows of global health initiatives.
    • This is particularly evident in South Asia, where the world’s largest population lacking access to essential surgery resides.

    Why discuss this?

    • Global surgery aims to address this disparity by focusing on equitable access to emergency and essential surgical care, encompassing a range of procedures.
    • While 2015 marked a turning point in recognizing the significance of global surgery, this field’s history goes back several decades.

    What is Global Surgery?

    • Equitable Access: Global surgery prioritizes providing equitable access to emergency and essential surgical care, predominantly in low- and middle-income countries (LMICs), but also in under-served populations within high-income countries (HICs).
    • Scope of Surgery: It encompasses essential and emergency surgeries, including surgery, obstetrics, trauma, and anaesthesia (SOTA).

    Emergence of Global Surgery

    • Annus Mirabilis of 2015: This year marked a pivotal moment in recognizing the global significance of surgical care.
    • Influential Reports: The Disease Control Priorities Network (DCPN) report sponsored by the World Bank and The Lancet Commission on Global Surgery (LCoGS) played key roles.
    • WHO Resolution 68.15: The World Health Organization Declaration on Safe Surgery highlighted the essential role of surgical systems in achieving universal health coverage.

    Magnitude of the Problem

    • Access Disparities: Over 70% of the global population, around five billion people, lack timely access to safe and affordable surgical care.
    • Regional Disparities: Access gaps are most severe in low- and lower-middle-income countries (LLMICs), with 99% and 96% of people facing disparities, compared to 24% in HICs.
    • South Asia’s Challenge: Over 1.6 billion people, over 98% of South Asia’s population, lack access to safe and affordable SOTA care.
    • Disease Burden: In 2010, surgically treatable conditions caused around 17 million deaths, surpassing the combined mortality burden of HIV/AIDS, tuberculosis, and malaria.
    • Economic Impact: The cumulative projected loss to global GDP due to insufficient surgical care could reach $20.7 trillion by 2030.

    Current Efforts and Neglect

    • Neglect in Policies: Surgical care often receives little attention in international and national policies.
    • Limited Research Focus: Research in global surgery is underrepresented compared to global health.
    • Funding Neglect: Funding for surgery is significantly lower than for other health sectors.
    • Research Funding Disparity: Research funding for surgery-related projects is scarce compared to other health fields.

    Way Forward

    • Cost-Effectiveness: Global surgery has demonstrated that emergency and essential surgical care is cost-effective and cost-beneficial.
    • Policy Commitment: Many countries have initiated National Surgical, Obstetrics, and Anaesthesia Plans (NSOAPs), demonstrating political and policy commitment.
    • Positive Initiatives: Several South Asian countries have launched initiatives to expand surgical access.
    • Research and Innovation: Prioritizing research, policy support, and sustainable financing are key to addressing global surgery challenges.

  • Kerala’s Operation AMRITH to combat Antimicrobial Resistance

    Introduction

    • The Kerala Drug Control Department launched Operation Amrith (Antimicrobial Resistance Intervention For Total Health), a significant initiative to curb the overuse of antibiotics in the state.

    Operation AMRITH

    • Objective: The initiative aims to optimize antibiotic use by preventing over-the-counter (OTC) sales and ensuring compliance with prescription requirements.
    • Pharmacy Regulations: Pharmacies are required to maintain accurate records of antibiotic sales and display notices stating that antibiotics will not be sold without a doctor’s prescription.
    • Public Participation: The initiative encourages public involvement by allowing individuals to report pharmacies that sell antibiotics without a prescription.

    Enforcement and Compliance

    • Surprise Raids: The program includes conducting surprise checks in retail medical shops to detect OTC sales of antibiotics.
    • Toll-Free Complaint Number: A toll-free number (18004253182) is provided for the public to lodge complaints against medical shops violating the rules.
    • Immediate Action: Complaints are swiftly transferred to relevant zonal offices for verification, followed by immediate departmental action upon confirmation of violations.

    Background and Context

    • Kerala’s AMR Strategy: Kerala was the first state in India to develop a state action plan on AMR, the Kerala Anti-Microbial Resistance Strategic Action Plan (KARSAP), in 2018.
    • Multi-Sectoral Approach: The plan, aligned with India’s National Action Plan on AMR, addresses human, animal, and environmental aspects of AMR containment.
    • Support and Collaboration: The plan was developed with contributions from the Centre for Science and Environment and involves various state departments in its implementation.
    • Surveillance Networks: The Kerala Antimicrobial Resistance Surveillance Network (KARS-NET) monitors AMR in humans, while an integrated plan covers non-human sector surveillance.
    • AMR Laboratory: The Kerala State Pollution Control Board (KSPCB) inaugurated an AMR laboratory for environmental surveillance in August 2023.
    • PROUD Initiative: The Programme on Removal of Unused Drugs (PROUD) is a drug take-back program piloted in Thiruvananthapuram for the proper disposal of unused antibiotics.

  • Are antibiotics over-prescribed in India?

    Current accounts of antimicrobial resistance: stabilisation, individualisation and antibiotics as infrastructure | Humanities and Social Sciences Communications

    Central Idea:

    The National Centre for Disease Control (NCDC) conducted a study revealing that over half of the surveyed hospital patients in India were given antibiotics preventively rather than for treatment. This overuse of antibiotics poses a significant risk as India already faces a high burden of drug-resistant pathogens, contributing to antimicrobial resistance (AMR). Experts Sumit Ray and Abdul Ghafur discuss the causes, consequences, and potential solutions to this issue, emphasizing the need for judicious antibiotic use and addressing systemic challenges.

    Key Highlights:

    • Antimicrobial Resistance (AMR): AMR refers to microorganisms becoming resistant to antibiotics. India is grappling with high levels of drug-resistant bacteria, impacting patient outcomes negatively.
    • Factors Leading to AMR: Inappropriate antibiotic use, lack of rapid diagnostics, insufficient training, inadequate monitoring, and pharmaceutical industry incentives contribute to the rise of AMR.
    • NCDC Survey Findings: The survey showed that 55% of patients received antibiotics as a preventive measure, indicating a potential over-prescription issue.
    • Root Causes of Over-Prescription: Overcrowded hospitals, limited access to rapid diagnostics, and economic factors drive doctors to opt for antibiotics as a quicker and cheaper alternative.
    • Immediate Threat: The immediate danger is evident in the survey’s findings, with a significant percentage of patients exhibiting resistance to various generations of antibiotics, leading to poor health outcomes.
    • AMR as a Complex Challenge: AMR is not solely a medical issue but a complex challenge involving socio-economic, political, and infrastructural factors.

    Key Challenges:

    • Over-Prescription: Doctors tend to prescribe antibiotics unnecessarily due to factors like overcrowded hospitals, limited time for examinations, and inadequate diagnostic facilities.
    • Lack of Rapid Diagnostics: The absence of quick and affordable diagnostic tools contributes to the inappropriate use of antibiotics.
    • Systemic Issues: Weak governance, inadequate sanitation, poverty, and limited access to clean water are interconnected factors contributing to AMR.
    • Implementation Gap: Existing guidelines for antibiotic use exist, but there is a gap in their implementation, leading to over-prescription.
    • Incentivization in Pharma Industry: The pharmaceutical industry’s encouragement of certain prescribing practices exacerbates the problem.

    Key Terms/Phrases:

    • Antimicrobial Resistance (AMR): Microorganisms becoming resistant to antibiotics.
    • Over-the-Counter Antibiotics: Antibiotics available without a prescription.
    • H1 Rule: Regulation prohibiting certain antibiotics without a prescription.
    • Colistin: A potent antibiotic, banned for growth promotion in poultry farming.
    • Third/Fourth-Generation Antibiotics: Antibiotics of advanced generations, facing resistance in bacterial strains.

    Key Quotes:

    • “I treat infections in cancer patients, who are the most immuno-compromised patients you can come across. Patients are losing their lives because of AMR.” – Abdul Ghafur
    • “What is essential is the linking of labs to all levels of clinical setups and the fast transmission of infection-related data between the lab and the clinician.” – Sumit Ray

    Key Examples and References:

    • National Centre for Disease Control (NCDC) survey on antibiotic use in Indian hospitals.
    • Indian government’s 2019 ban on colistin use in poultry farming.

    Critical Analysis:

    • Overcrowded hospitals and limited diagnostic access drive over-prescription.
    • Addressing AMR requires a holistic approach, considering socio-economic factors.

    Way Forward:

    • Restrict access to reserve antibiotics to reduce resistance.
    • Improve public health systems, delivery, and sanitation to curb AMR.
    • Enforce existing laws, such as the ban on over-the-counter antibiotic sales.

    In conclusion, addressing the overuse of antibiotics in India requires a multifaceted approach, involving improvements in healthcare infrastructure, diagnostic capabilities, and enforcement of regulations. The goal is to mitigate the immediate threat of AMR and ensure the judicious use of antibiotics for effective treatment.

  • The need to examine the examination system

    The key reforms under India's new education policy | Mint

    Central Idea:

    The article discusses the challenges and inadequacies in the current examination systems of educational institutions in India. It emphasizes the need for transparency, oversight, and credibility in assessments to ensure that degrees and certificates truly reflect students’ learning achievements.

    Key Highlights:

    • Credibility of the examination system is crucial for maintaining educational standards.
    • Decentralized systems in India with numerous universities and boards face challenges in maintaining transparency and standardization.
    • The article criticizes the focus on memory-based testing, inflation of marks, and a lack of emphasis on higher-order thinking skills.
    • Employers often rely on their own assessments rather than institutional certifications.
    • The article suggests the use of technology, external audits, and adherence to minimum standards to improve assessment processes.

    Key Challenges:

    • Lack of transparency and oversight in examination processes.
    • Inconsistency and inadequacies in syllabi and teaching methods.
    • Confidentiality leading to malpractices and scandals in examinations.
    • The need for balancing autonomy with proper oversight in educational institutions.
    • Negligence, fraud, and quality issues in assessment processes.

    Key Terms:

    • Decentralized system
    • Transparency
    • Oversight
    • Standardization
    • Higher-order thinking
    • Autonomy
    • External audit
    • Credibility
    • Minimum standards
    • Technology in assessment

    Key Phrases:

    • “Credibility of assessment and standard of education can be ensured only through transparency in teaching and assessment.”
    • “Inconsistency of the examination system is cause for concern.”
    • “Confidentiality is also a cause for scandals in examinations.”
    • “Transparency and proper oversight take lead roles in the examination systems.”

    Key Quotes:

    • “A credible examination system is one of the key ways to improve the standard of education.”
    • “The employability of a graduate depends on higher order learning, while examination boards do not certify students on those skills.”
    • “The higher education regulator truly believes in decentralization through autonomous institutions without oversight.”

    Key Examples and References:

    • Instances of question papers with language errors, conceptualization issues, and irrelevant questions.
    • Employers disregarding institutional certifications in favor of their own assessments.
    • The coaching market for competitive examinations and skilling due to a lack of faith in institutional certifications.

    Key Facts:

    • India has over 1,100 universities, 50,000 affiliated colleges, and 60 school boards.
    • Total enrollment in higher education is 40.15 million students.
    • Employers conduct rigorous assessments of candidates’ academic achievements and suitability for employment.

    Critical Analysis:

    The article provides a critical examination of the challenges in the current education system, emphasizing the need for transparency, oversight, and credibility. It highlights the disconnect between institutional certifications and actual learning outcomes, calling for a shift towards higher-order thinking skills.

    Way Forward:

    • Emphasize transparency in teaching and assessment processes.
    • Implement external audits of assessment systems to ensure reliability and consistency.
    • Balance autonomy with proper oversight in educational institutions.
    • Use technology to standardize question paper setting and evaluation processes.
    • Codify and address issues of negligence, fraud, and academic inadequacies in assessments.
    • Release audit reports regularly to assess examination boards in terms of transparency, reliability, and consistency.

  • Why is Upskilling necessary for the Rural Youth?

    upskill

    Introduction

    • Trend of Urbanization: Despite the UN’s projection that nearly 50% of India’s population will reside in urban areas by 2047, many rural youths express a preference to stay in their villages.
    • Life Skills Collaborative Discussion: A group discussion revealed that rural youth aspire to remain in their villages, highlighting the need to focus on those who choose not to migrate to urban areas.

    Rural Income Sources and Occupational Shifts

    • Primary Livelihood: Farming is the predominant source of income in rural areas, often supplemented by children working on family farms.
    • Agrarian Crisis Indicators: A significant shift from agriculture to non-farming jobs is occurring, with National Sample Survey Office data showing 34 million farmers moving to other sectors between 2004-05 and 2011-12.

    Strategies to Control Migration

    • Vocational Training: Providing vocational training in rural areas is key to controlling migration. This training should focus on skills relevant to rural life, allowing youth to secure livelihoods within their communities.
    • Educational Aspirations: Most rural students’ aspirations are limited to opportunities within their village vicinity. Upskilling initiatives like Delhi’s ‘Skills On Wheel’ should be made accessible in rural areas.

    Current State of Vocational Education in Rural India

    • Industrial Training Institutes: While these institutes aim to upskill rural populations, they often lack placement opportunities.
    • Lack of Skill Development Focus: Rural education currently does not emphasize skill development, which is crucial for the majority of youth who depend on schools for life skills.
    • LSC Voices 2023 Survey Findings: The survey revealed that two-thirds of youth aged 19-22 had never taken any vocational training, with only 5% enrolled in such courses.

    Improving Rural Education

    • Tailored Education: Rural education should integrate technical and life skills, making them accessible through formal education.
    • International Examples: Mexico’s tele-schools and Bhutan’s well-being-infused curriculum offer valuable models. Tele-schools provide value-based education, improving attitudes and aspirations, which can benefit the local economy.
    • Indian Initiatives: Organizations like NIIT Foundation and Pratham Institute are providing upskilling opportunities in rural areas. Hybrid life skilling programs are offered, focusing on industry-specific skills and life skills.

    Conclusion

    • Empowering Rural Youth: By offering skills in areas like agricultural mechanisation, pollution monitoring, nursing, and digital technologies, rural India can enhance employability in both traditional and non-traditional trades.
    • Creating a Dynamic Economy: Effective vocational training and education reforms can lead to a vibrant rural economy, where the aspirations of staying in villages are supported by sustainable livelihood opportunities.

  • The blood management system needs a fresh infusion

    In defence of Syed Ahmad Afzal's 'Laal Rang' – Cafe Dissensus Everyday

    Central Idea:

    The article emphasizes the importance of addressing global disparities in blood collection and management for a resilient health system. It highlights the need for public-private partnerships, dispelling myths around blood donation, and implementing innovative models like the hub and spoke system to ensure equitable access to safe blood and its products.

     

    Key Highlights:

    • Global disparities in blood collection pose a challenge to healthcare systems worldwide.
    • Shortages in blood units impact critical healthcare services, risking lives and affecting surgeries and transplants.
    • The hub and spoke model, involving high-volume blood banks and smaller centers, can optimize blood distribution and reduce wastage.

    Seeing red: Randeep Hooda is out for blood in Laal Rang

    Case study to fetch good marks 

    “Lal Rang,” starring Randeep Hooda, unfolds the life-threatening impact of blood shortages in a small town, where individuals resort to illegal blood trade out of desperation. The movie underscores the urgent need for systemic improvements, showcasing the potential role of public-private partnerships and awareness campaigns.

    Key Challenges:

    • Global inequities in blood collection, with low-income countries receiving a disproportionately small share.
    • Persistent shortage of blood units in countries like India, affecting healthcare services and putting lives at risk.
    • Misconceptions around voluntary blood donation hinder efforts to address shortages.

    Key Terms:

    • Public-Private Partnerships (PPP)
    • Hub and Spoke Model
    • Blood Management Ecosystem
    • Voluntary Blood Donation
    • Global Disparities

     

    Key Phrases:

    • “Innovative models for blood collection and distribution.”
    • “Optimizing utilization through the hub and spoke model.”
    • “Dispelling myths around voluntary blood donation.”

     

    Key Quotes:

    • “The hub and spoke model is one such innovative method where high-volume blood banks act as a hub for smaller blood centers.”
    • “Over the course of three years, a surplus of 30 lakh blood units and related products were discarded due to expiration, degradation, and infections.”

     

    Key Examples and References:

    • The World Health Organization’s report on global disparities in blood collection.
    • Data points in Parliament revealing the discard of blood units over three years.
    • The study by Savitribai Phule Pune University highlighting the impact of blood shortages on accident victims.

     

    Key Statements:

    • “As we leave the COVID-19 pandemic behind us, the health paradigm must be prepared accordingly, with a focus on blood management.”
    • “Proactive engagement from the industry and active citizen participation are pivotal aspects of this concerted effort.”

     

    Key Facts:

    • India faced a shortage of over six lakh blood units in 2019-20 despite improvements in the blood management ecosystem.
    • The hub and spoke model can address critical gaps in blood availability, especially in resource-constrained settings.
    • A surplus of 30 lakh blood units and related products were discarded over three years due to various reasons.

     

    Critical Analysis:

    The article critically examines the global disparities in blood collection and the impact of shortages on healthcare services. It emphasizes the need for innovative solutions like the hub and spoke model while addressing misconceptions around voluntary blood donation.

     

    Way Forward:

    • Strengthen public-private partnerships to improve blood collection and distribution.
    • Implement the hub and spoke model to optimize blood utilization and reduce wastage.
    • Conduct targeted awareness campaigns to dispel myths and encourage voluntary blood donation.

  • Responding to the new COVID-19 sub-variants

    Insights into SARS-CoV-2 genome, structure, evolution, pathogenesis and therapies: Structural genomics approach - ScienceDirect

    Central idea 

    Dr. Chandrakant Lahariya discusses the emergence of the JN.1 sub-variant of SARS-CoV-2, highlighting its classification as a Variant of Interest (VoI). He emphasizes the need for ongoing genomic sequencing and data tracking while reassuring that, as of now, there’s no evidence of increased severity or immune escape. The central idea is to approach COVID-19 like any respiratory illness, maintaining standard preventive measures and avoiding unnecessary concerns.

    Key Highlights:

    • Dr. Chandrakant Lahariya, a medical doctor with extensive WHO experience, addresses the emergence of the JN.1 sub-variant of the Omicron variant of SARS-CoV-2.
    • Over 1,000 subvariants have been reported since the novel coronavirus outbreak in 2019.
    • The designation of JN.1 as a Variant of Interest (VoI) prompts increased genomic sequencing for monitoring.

    Key Challenges:

    • Continuous tracking of virus variants is challenging due to the unpredictable nature of genetic changes.
    • Distinguishing between inconsequential and significant genetic alterations requires careful assessment by international agencies and experts.

    Key Terms:

    • SARS-CoV-2: Severe Acute Respiratory Syndrome Coronavirus-2.
    • VoI: Variant of Interest.
    • VoC: Variant of Concern.
    • Hybrid Immunity: Combined immunity from natural infection and vaccination.

    Key Phrases:

    • “Silent wave”: JN.1 circulated without causing a significant increase in reported or clinical cases.
    • “Genetic material changes”: Variants and subvariants result from alterations in the virus’s genetic structure.

    Key Quotes:

    • “Designating a variant as VoI does not automatically mean there is a reason to worry.”
    • “JN.1 is not a new virus but a sub-variant of BA.2.86, itself a subvariant of Omicron.”
    • “There is no scientific evidence to support having a fourth shot of COVID-19 vaccines.”

    Key Statements:

    • WHO declared the end of the COVID-19 pandemic in May 2023 but emphasized the need for ongoing virus and variant tracking.
    • JN.1, as a VoI, requires heightened genomic sequencing and data tracking but doesn’t indicate an immediate cause for concern.

    Key Examples and References:

    • JN.1 is a subvariant of BA.2.86, part of the Omicron variant of SARS-CoV-2.
    • Waste-water surveillance in some Indian cities suggested JN.1 circulated widely without a significant increase in reported cases.

    Key Facts:

    • Since 2019, more than 1,000 subvariants and recombinant sub-lineages of SARS-CoV-2 have been reported.
    • Immunologically, current evidence supports continued protection from COVID-19 vaccines against subvariants.

    Key Data:

    • Average daily deaths due to respiratory diseases and tuberculosis in India are 50 to 60 times higher than COVID-19 deaths.

    Critical Analysis:

    • Dr. Lahariya emphasizes the need for nuanced government responses, responsible citizen behavior, and clear science communication.
    • The spike in COVID-19 cases may be due to increased testing, and deaths attributed to COVID-19 might be incidental in already sick individuals.

    Way Forward:

    • Handle SARS-CoV-2 like any other respiratory illness, focusing on standard public health measures.
    • Individual and community levels should maintain routine activities, and school closure should not be considered in response to a COVID-19 case surge.
    • Continuous surveillance, waste-water monitoring, and improved health facility services are essential for effective response.

  • Evolution of Genomic Medicine: Research to Mainstream Healthcare

    genomic medicine

    Central Idea

    • Over the past two decades, genomics and the use of genetic information in healthcare have undergone significant transformations.
    • Once limited to major research centers, personal genome sequencing has become widely accessible, empowering individuals with detailed knowledge of their genetic makeup.

    What is genome sequencing?

    • Genome sequencing is the process of determining the complete DNA sequence of an organism’s genome.
    • The genome is the entire set of genetic material (DNA in the case of most organisms) that provides the instructions for building, maintaining, and functioning of the organism.
    • Genome sequencing involves identifying the order of nucleotides (adenine, thymine, cytosine, and guanine) in an organism’s DNA.

    Applications of Personal Genome Sequencing

    • Disease Risk Assessment: Personal genome sequencing can identify genetic variants associated with an increased risk of certain diseases, such as cardiovascular conditions, cancer, and neurodegenerative disorders.
    • Pharmacogenomics: Personal genome sequencing helps predict how an individual will respond to specific medications, allowing for the customization of drug prescriptions based on genetic factors.
    • Cancer Genomics: Personal genome sequencing of cancer cells helps identify specific mutations driving tumor growth.
    • Rare Genetic Disorders: Personal genome sequencing is a powerful tool for diagnosing rare genetic disorders, particularly in cases where traditional diagnostic methods may be inconclusive.
    • Reproductive Health: Couples planning to have children can undergo personal genome sequencing to assess the risk of passing on genetic conditions to their offspring.
    • Forensic Identification: Personal genome sequencing can be used in forensics for human identification and the resolution of criminal investigations.
    • Research and Scientific Discovery: Aggregated personal genomic data from large populations contribute to ongoing research, advancing our understanding of the genetic basis of diseases and human biology.

    Case Study: Iceland’s Genetics Research

    • Iceland’s Unique Demographics: Iceland’s historical demographic isolation and early initiation of population-level genome sequencing have made it a focal point in genetics research.
    • Research on Lifespan and Genetic Variants: A study in Iceland suggested that actionable incidental genetic variants could potentially improve lifespan, with significant findings related to cancer-related genotypes.

    Future of Genome Sequencing and Healthcare

    • Increasing Accessibility: As genome sequencing becomes more accessible and affordable, regular population-scale sequencing and newborn sequencing initiatives are becoming more feasible.
    • Benefits for Population Health: Widespread implementation of these programs could provide medically actionable insights, enabling proactive and effective disease treatment and prevention.
    • Advancements in Technology: Current genome sequencing technologies, often referred to as second-generation sequencing, have limitations in handling repetitive sequences and resolving structural variations. Third-generation sequencing technologies, such as single-molecule sequencing, are expected to overcome these challenges and provide longer read lengths, improving the accuracy and completeness of genome sequences.

    Conclusion

    • The advancements in genomics are paving the way for a more proactive and personalized approach to healthcare, with significant potential for disease prevention and management.

  • Proposed Health Tax on Sugar and High-Calorie Foods in India

    Central Idea

    • Public health researchers recommend a health tax of 20% to 30% on sugar, sugar-sweetened beverages (SSBs), and high-fat, salt, and sugar (HFSS) products, in addition to the existing GST.
    • The recommendation stems from a UNICEF-funded project, aiming to influence policies to reduce sugar consumption.

    Study Insights and Recommendations

    • Targeting Bulk Consumers: The study suggests taxing bulk consumers like confectionery manufacturers, rather than household sugar purchases.
    • Definition of Sugar: The study includes all forms of refined, unrefined sugar, and gur (brown cane sugar) used by manufacturers.
    • Impact on Manufacturers: Manufacturers, who buy up to 55% of India’s annual sugar production, are expected to be more price-sensitive than households.

    Tax Implications and Demand Reduction

    • Niti Aayog’s Interest: Niti Aayog is exploring the impact of health taxes and warning labels on food products to promote healthy eating in India.
    • Current and Proposed Tax Rates: Sugar is currently taxed at 18% GST. The proposed additional tax could raise the total tax to 38-48%.
    • Price Elasticity Metric: The study uses ‘Price Elasticity’ to estimate demand reduction. A 10% price increase could lead to a 2% demand reduction for households and a 13-18% reduction for manufacturers.
    • Health Tax on Beverages and HFSS Products: A 10-30% health tax on SSBs could decrease demand by 7-30%, while a similar tax on HFSS products might lead to a 5-24% decline.

    Government Revenue and Public Health Impact

    • Increase in Tax Revenues: Additional taxes could boost government revenues by 12-200% across different scenarios.
    • Current Tax Rates on Products: Sugar attracts 18% GST, SSBs 28% GST plus 12% cess, and HFSS products 12% GST.
    • Public Health Benefits: Higher taxes on unhealthy foods could reduce obesity, diabetes, cardiovascular diseases, and certain cancers.

    India’s Sugar Consumption and Health Risks

    • India’s Sugar Intake: India is the world’s largest sugar consumer, with an average consumption of 25 kg per person per year, exceeding WHO recommendations.
    • Rise in Sugar-Related Health Issues: There has been a significant increase in the sale of aerated drinks and HFSS food products, contributing to obesity and diabetes.

    Taxation and Reformulation

    • Encouraging Product Reformulation: The proposed tax rate is linked to sugar volume, encouraging manufacturers to reduce sugar content in products.
    • Taxing Sugar Replacements: The study also recommends taxing artificial sweeteners to prevent manufacturers from switching to cheaper, unhealthy alternatives.

    Global Precedents and Outcomes

    • Health Tax Implementation Worldwide: Over 70 countries, including Mexico, Chile, and South Africa, have implemented health taxes on sugar and related products.
    • Positive Outcomes in Mexico: In Mexico, the taxation on SSBs led to decreased consumption of taxed beverages and a reduction in mean BMI among younger age groups.

    Conclusion

    • Potential for Health Improvement: Imposing a health tax on sugar and related products could significantly contribute to public health improvement in India.
    • Consideration of Economic Factors: The success of such a policy will depend on balancing health benefits with economic impacts on consumers and manufacturers.

  • In news: Maulana Azad National Fellowship

    Central Idea

    • Research students have raised concerns about the disparity in scholarship amounts under the Maulana Azad National Fellowship (MANF) compared to other research fellowships.

    About Maulana Azad National Fellowship

    Details
    Objective To support students from minority communities in pursuing M.Phil. and Ph.D.
    Launch Launched by the Ministry of Minority Affairs, Government of India
    Eligibility Students from minority communities (Muslims, Sikhs, Christians, Buddhists, Zoroastrians, Jains) who have cleared CBSE/NTA-UGC NET or CSIR NET
    Financial Assistance Covers university fee, maintenance allowance, and other necessary allowances; granted for up to 5 years
    Administration Managed by the Ministry of Minority Affairs; University Grants Commission (UGC) as the nodal agency
    Selection Process JRF-NET (Junior Research Fellow- National Eligibility Test) examination
    Purpose and Impact Encourages higher studies and research in various fields; aims at educational and socio-economic development of minority communities

    Recent Developments and Concerns

    • Discontinuation of MANF: Union Minority Affairs Minister announced the discontinuation of MANF, citing overlaps with similar scholarships.
    • Research Community’s Reaction: The research community, represented by the All India Research Scholars Association (AIRSA), has expressed disappointment, emphasizing the role of research in socio-economic development and the importance of MANF for financially constrained minority students.

    Comparison with Other Fellowships

    • Last Revision in 2019: The last increase in MANF scholarship amounts was in 2019, while other scholarships have seen recent revisions.
    • Current Fellowship Amounts: UGC-approved schemes now offer ₹37,000 for junior researchers and ₹42,000 for senior researchers, a significant increase from previous amounts.

    Also read:

    Scholarship Schemes for Religious Minorities: Reality Check