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  • Why are Indian soldiers in Maldives?

    maldives

    Introduction

    • With President Muizzu’s administration insisting on the withdrawal of Indian troops, a high-level core group has been set up to negotiate this process.
    • This situation raises questions about the reasons behind the presence of Indian troops and the factors fueling the ‘India Out’ campaign.

    Overview of the Current Situation

    • Official Statement: Maldives affirmed the policy of President Muizzu’s administration to remove Indian military personnel from the Maldives.
    • Negotiation Group: A core group, including Indian High Commissioner, met in Male to discuss the troop withdrawal, though the Indian government has not yet commented on these reports.

    Indian Military Presence in the Maldives

    • Troop Numbers: Contrary to the rhetoric of the ‘India Out’ campaign, only 88 Indian military personnel are stationed in the Maldives, primarily for training purposes.
    • Historical Context: Indian soldiers have been sent to the Maldives for training in combat, reconnaissance, and rescue-aid operations. The only time Indian troops were involved in active military operations was during the 1988 coup attempt, at the request of then-President Maumoon Abdul Gayoom.

    Factors behind the ‘India Out’ Campaign

    • Controversy over Helicopters: The gifting of two Dhruv Advanced Light Helicopters by India, used for humanitarian purposes, became a point of contention, portrayed as a military presence by certain political factions.
    • Perceived Lack of Transparency: The Solih government’s alleged opacity in dealings with India fueled suspicions.
    • Maritime Security Dependence: The Maldives relies on India for maritime security, collaborating to counter common threats.
    • Police Academy Speculations: The construction of a new police academy with Indian assistance led to rumours about its purpose and scale.
    • UTF Harbour Project Agreement: Speculations about the UTF (Uthuru Thila Falhu- Island) project being turned into an Indian naval base, despite official clarifications to the contrary.

    Conclusion

    • The insistence on the withdrawal of Indian troops from the Maldives and the ensuing ‘India Out’ campaign reflect a complex interplay of historical, political, and security factors.
    • While the Indian military presence has been primarily for training and humanitarian assistance, various internal and external elements have contributed to the current sentiment.
    • Understanding these nuances is crucial for comprehending the evolving relationship between India and the Maldives and the broader geopolitical implications in the region.
  • ICJ: Doing Justice without power

    Introduction

    About the International Court of Justice (ICJ)

    Details
    Role Principal judicial organ of the United Nations (UN).
    Establishment Established in June 1945 by the Charter of the United Nations, began work in April 1946.
    Predecessor Successor to the Permanent Court of International Justice (PCIJ) established by the League of Nations.
    Inaugural Sitting Held its first sitting at the Peace Palace in The Hague, Netherlands, in February 1922.
    Seat Located at the Peace Palace in The Hague, Netherlands.
    Jurisdiction ICJ’s jurisdiction requires consent from both parties involved in a dispute. Its judgment is final and binding.
    Judges Comprises 15 judges elected to nine-year terms by the UN General Assembly and Security Council.
    Official Languages  English and French.
    India’s Representation Four Indians have been members of the ICJ, including Justice Dalveer Bhandari, R S Pathak, Nagendra Singh, and Sir Benegal Rau.
    Notable Indian Cases at ICJ
    • Trial of Veer Savarkar (1910) for extradition to Britain from France at the Permanent Court of Arbitration (PCA)
    • Right of Passage over Indian Territory (Portugal v. India, culminated 1960).
    • Appeal Relating to the Jurisdiction of the ICAO Council (India v. Pakistan, culminated 1972).
    • Trial of Pakistani Prisoners of War (Pakistan v. India, culminated 1973).
    • Aerial Incident of 10 August 1999 (Pakistan v. India, culminated 2000).
    • Obligations concerning Negotiations relating to Cessation of the Nuclear Arms Race and to Nuclear Disarmament (Marshall Islands v. India, culminated 2016).
    • Kulbhushan Jadhav (India v. Pakistan, culminated 2019).

    Enforcement Challenges

    • Binding Rulings: ICJ decisions are legally binding, but they lack enforcement mechanisms, relying on the UN Security Council (UNSC) to enforce judgments.
    • Political Influence: Enforcement often falls victim to the politics of UNSC’s permanent members, as seen in potential vetoes by the US, Israel’s strong ally.

    Challenges to Efficacy

    • Non-Participation: Powerful states may refuse to participate in ICJ proceedings, making compliance difficult. For instance, Russia declined to submit to the court’s jurisdiction during Ukraine-Russia conflict hearings.
    • Bureaucratic Delays: The ICJ’s slow bureaucratic process leads to years-long trials and judgments, making justice delayed justice denied.

    ICJ’s Relevance

    • Expanding Jurisdiction: The ICJ now handles diverse international law areas, including human rights and environmental violations, furthering the participation of states through dispute settlement clauses.
    • Successful Reparations: The court’s rulings on reparations, such as Uganda’s payment to the Democratic Republic of the Congo, demonstrate its impact.
    • Advisory Role: The ICJ’s advisory opinions contribute to peaceful conflict resolution, as seen in its opinions on nuclear weapons and the Israeli-Palestinian wall.

    Niche Position

    • Amid New Courts: Despite the emergence of new international courts and tribunals, the ICJ maintains a unique place in international judicial adjudication.
    • Fragmentation Concerns: Coexisting courts raise concerns about potential contradictions in rulings and the fragmentation of international law.
    • Guardian of World Order: The ICJ serves as a last resort when diplomacy fails, safeguarding the interests of the World Court.

    Conclusion

    • The ICJ, with its rich history and evolving role in international law, faces challenges in enforcing its rulings and ensuring swift justice.
    • However, its expanding jurisdiction, successful reparations, and advisory role in peaceful conflict resolution demonstrate its continued relevance.
    • Striking a balance between centralization and decentralization in international judicial adjudication will be crucial to upholding the integrity of the World Court.
  • A Speaker’s flawed move to determine the real faction

    Uddhav Thackeray slams Maharashtra Speaker's verdict on 'real' Shiv Sena

    Central Idea:

    The article critiques the Speaker of the Maharashtra Assembly, Rahul Narwekar, for his flawed decision in handling the disqualification case of Shiv Sena Members of the Legislative Assembly (MLAs) led by Eknath Shinde. The author emphasizes the Speaker’s erroneous attempt to determine the real Shiv Sena faction and points out the jurisdictional issues and contradictions in the Speaker’s decision.

    Key Highlights:

    • The Speaker’s decision centered on whether the breakaway Shiv Sena MLAs, under Eknath Shinde’s leadership, voluntarily gave up their party membership by voting against the party whip, making them liable for disqualification under the anti-defection law.
    • The article highlights the Speaker’s attempt to prevent disqualification of the Shinde group, presenting a nearly 1,200-page judgment that is deeply flawed.
    • The Speaker erroneously tries to determine the real Shiv Sena faction, a decision beyond his jurisdiction, and quotes irrelevant Supreme Court directions.

    Key Challenges:

    • The Speaker’s decision raises questions about the misinterpretation of the Tenth Schedule and its provisions regarding defection and disqualification.
    • Attempting to determine the real party faction goes against the clear jurisdiction outlined by the Supreme Court and the Election Commission of India.
    • Contradictions in the Speaker’s decision, such as validating appointments by the Shinde group despite the Supreme Court’s findings, pose challenges to the integrity of the anti-defection law.

    Key Terms:

    • Anti-Defection Law: Provisions outlined in the Tenth Schedule of the Constitution that address defection by legislators and the resulting disqualification.
    • Jurisdiction: The official power to make legal decisions and judgments.

    Key Phrases:

    • “Flawed decision in handling the disqualification case.”
    • “Erroneous attempt to determine the real Shiv Sena faction.”
    • “Nearly 1,200-page judgment valiantly tried to avoid disqualification.”

    Key Quotes:

    • “The consequence of this is disqualification.”
    • “The Speaker’s decision is clearly without jurisdiction.”
    • “Parliament did not consider paragraph 15 of the Symbols order as a relevant factor.”

    Key Statements:

    • “The question of which faction is the real Shiv Sena can only be decided by the Election Commission of India.”
    • “The Speaker’s decision goes against the clear enunciation of law by the Supreme Court.”

    Key Examples and References:

    • The Subhash Desai judgment clarifies that the Shiv Sena led by Uddhav Thackeray is the original political party.
    • Parliament did not consider paragraph 15 of the Symbols order as a relevant factor.

    Key Facts and Data:

    • The Tenth Schedule originally allowed legislators to avoid disqualification in case of a split or merger; however, the split provision was omitted in 2003.
    • In Subhash Desai vs Principal Secretary, Governor of Maharashtra & Ors. (2023), the Supreme Court observes a split in the Shiv Sena party.

    Critical Analysis:

    The article critically analyzes the Speaker’s decision, pointing out flaws, contradictions, and the disregard for the clear jurisdiction outlined by the Supreme Court. It highlights the misinterpretation of the Tenth Schedule and its implications for anti-defection cases.

    Way Forward:

    • Emphasizes the need for adherence to the clear enunciation of law by the Supreme Court and the Election Commission.
    • Urges a more precise understanding and application of the Tenth Schedule to prevent future misinterpretations.
    • Advocates for a careful consideration of relevant factors and jurisdictional boundaries in disqualification cases to uphold the integrity of the anti-defection law.
  • Houthi Rebels and Regional Dynamics

    Houthi Rebels

    Introduction

    • The United States and the United Kingdom have initiated military strikes against Houthi groups in Yemen on January 11.
    • This action is a response to the Houthis’ continued aggression towards maritime vessels in the Red Sea, a crucial global trade route.

    Background of the Conflict

    • Houthi Attacks on Shipping: Since November 2023, Houthi forces have targeted ships in the Red Sea and Gulf of Aden, disrupting one of the world’s busiest maritime trade routes.
    • Israeli-Hamas Conflict: The Houthis’ actions are in response to the Israeli military’s bombardment of Gaza following an attack by Hamas on October 7, which resulted in significant casualties.

    Houthi Group and Regional Dynamics

    • Who Are the Houthis?: The Houthis are a Shia militant group engaged in the civil war in Yemen, controlling significant parts of the country, including the capital Sana’a.
    • Regional Rivalries: The conflict reflects long-standing regional rivalries, with Iran backing the Houthis and Saudi Arabia supporting the Yemeni government. The Houthis’ involvement in the Israel-Hamas war is also seen as part of these broader regional dynamics.

    Concerns for Global Trade

    • Impact on World Trade: Approximately 12% of global trade passes through the Red Sea and Suez Canal, making the security of this route critical.
    • Alternative Routes: Due to safety concerns, some ships have been rerouted around the Cape of Good Hope, leading to increased transit times and fuel costs.

    Implications for the Region

    • Operation Prosperity Guardian: Launched by the US, this coalition aims to ensure maritime security in the region, but partner countries have shown reluctance to contribute significantly.
    • Risks of Wider Conflict: There are concerns about the conflict spreading beyond Israel and Gaza, with the potential for unpredictable outcomes in the Middle East.
    • Impact on Yemeni Peace Negotiations: The strikes may affect ongoing peace negotiations in Yemen, mediated by Oman and the United Nations.
  • What happened in Bhutan’s elections?

    Introduction

    • In a significant political development, Tshering Tobgay and the People’s Democratic Party (PDP) emerged victorious in Bhutan’s recent runoff election, marking a pivotal moment in the country’s young democracy.
    • Bhutan’s election not only reflects the evolving political dynamics within but also has broader implications for the region, particularly in terms of Bhutan’s relations with India and China.

    Bhutan’s Democratic Evolution

    • Fair Elections: Unlike some neighbouring countries, Bhutan’s elections have been largely free from tampering or political violence.
    • Monarchy to Democracy: Since transitioning from a monarchy to a parliamentary democracy in 2008, Bhutan has seen its democratic processes evolve, with increased party participation and voter choice.
    • Challenges: Despite progress, concerns about media censorship and discrimination against minorities persist.

    Economic Context of the Elections

    • Economic Challenges: Bhutan faces economic difficulties, including a struggling tourism sector, high youth unemployment, and significant emigration for better opportunities.
    • Tobgay’s Economic Focus: Tobgay’s campaign centred on addressing these economic issues, promising investment and solutions to curb the emigration trend.

    India’s Role and Regional Implications

    • India-Bhutan Relations: India remains Bhutan’s largest donor and ally, playing a crucial role in Bhutan’s economic recovery and infrastructure development.
    • Hydroelectric Potential: Bhutan’s untapped hydroelectric resources present opportunities for energy trade with India.
    • China Factor: Recent years have seen heightened tensions between India and China over Bhutan, especially in the disputed Doklam region.
    • Tobgay’s Pro-India Stance: Tobgay is perceived as pro-India, which aligns with India’s strategic interests in the region. His election has been positively received by Indian Prime Minister Narendra Modi.

     Conclusion

    • Tshering Tobgay’s election victory in Bhutan is a testament to the country’s maturing democracy and its ability to navigate complex economic and geopolitical challenges.
    • As Bhutan continues to balance its relationships with major powers like India and China, Tobgay’s leadership will be pivotal in shaping the nation’s future trajectory, both domestically and in the broader South Asian context.
  • 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.
  • A case diary for the Indian police

    Is there any doubt that India is now a police state? Koi Shaq?

    Central Idea:

    The article by R.K. Raghavan discusses the state of policing in India, focusing on a recent conference in Jaipur attended by high-ranking police officers. It highlights the challenges faced by the police in terms of public trust, federal-state relations, and the need for a more inclusive and technology-driven approach. Raghavan emphasizes the growing importance of law enforcement in the country while acknowledging the persistent issues that hinder the improvement of the police force’s image.

    Key Highlights:

    • The three-day conference in Jaipur centered around contemporary issues in Information Technology for the police.
    • Prime Minister Narendra Modi’s interaction with police officers signals the increasing significance of law enforcement.
    • Despite honest intentions, the police struggle to gain the trust of the majority, and the public’s perception remains negative.
    • The article discusses the discord between the Centre and some Opposition-led States, especially regarding the Indian Police Service (IPS).
    • The author points out the need for a balance between federal governance and state autonomy, particularly concerning the Enforcement Directorate (ED).

    Key Challenges:

    • Lack of public trust and a negative image of the police force.
    • Growing discord between the Centre and Opposition-led States, especially regarding the IPS.
    • Unequal attention and glory given to IPS officers, limiting opportunities for lower-ranking personnel.
    • Politicization of the police force and the challenge of resisting illegal demands from grassroots politicians.

    Key Terms/Phrases:

    • Information Technology (IT)
    • Director General of Police (DGP)
    • Indian Police Service (IPS)
    • Enforcement Directorate (ED)
    • Federal Governance
    • Grassroots Politicians
    • Policing Hierarchy

    Key Quotes:

    • “The police have still to earn the trust and confidence of a majority of the populace.”
    • “The ‘New Delhi-conceived and managed’ Indian Police Service (IPS) is perceived to be ‘a permanent irritant’ to some States.”
    • “It is unfortunate that even seven decades after India’s Independence, citizens do not have a guardian organisation that will reach out to the poorest in the community.”

    Key Statements:

    • “The police force needs to balance federal governance and state autonomy to avoid conflicts.”
    • “The negative public image of the police hinders effective law enforcement.”
    • “There is a need for a major restructuring to bridge the gap between higher and lower ranks within the police force.”

    Key Examples and References:

    • Attacks on ED officers in some places in India pose a danger to relations between New Delhi and States.
    • The article mentions the lack of attention given to the constabulary, as IPS officers tend to hog all the glory.

    Key Facts/Data:

    • The three-day conference in Jaipur took place in the first week of January.
    • The article suggests that high unemployment rates in India drive many individuals to opt for a career in the police force.
    • The negative public perception of the police force persists even after seven decades of India’s Independence.

    Critical Analysis:

    • The article acknowledges the positive shift towards technology adoption within the police force but raises concerns about the unequal distribution of attention and opportunities among ranks.
    • The author highlights the persistent challenges in the relationship between the Centre and Opposition-led States, particularly in the context of federal policing.

    Way Forward:

    • The police force should focus on building trust through transparency and community engagement.
    • There is a need for a restructuring that ensures opportunities for lower-ranking personnel to prove themselves.
    • Policymakers should address the discord between the Centre and States to promote effective law enforcement.

    In summary, R.K. Raghavan’s article underscores the need for comprehensive reforms in India’s police force, considering issues of public trust, federal-state relations, and the need for a more inclusive and technology-driven approach. The author suggests that a balanced and transparent approach can contribute to a positive transformation of the police force in the country.

  • Swachh Survekshan Awards 2023: Surat, Indore are the cleanest cities

    Introduction

    • Surat in Gujarat and Indore in Madhya Pradesh have been jointly recognized as the cleanest cities in India at the Union Urban Affairs Ministry’s annual Clean City Awards 2023.

    About Swachh Survekshan

    • Swachh Survekshan, initiated by the Ministry of Housing and Urban Affairs (MoHUA) in 2016, serves as a competitive framework to promote urban sanitation improvements and citizen participation.
    • Over time, Swachh Survekshan has grown to become the world’s largest urban sanitation survey.
    • In the 2023 edition (SS 2023), emphasis is placed on source segregation of waste, increasing cities’ waste processing capacity, and reducing waste sent to dumpsites.
    • SS 2023 introduces new indicators with added importance, focusing on phased plastic reduction, enhanced plastic waste management, “waste to wonder” parks, and zero-waste events.
    • The ranking of wards within cities is encouraged through SS 2023.
    • The survey assesses cities on dedicated indicators addressing issues such as ‘Open Urination’ (Yellow Spots) and ‘Open Spitting’ (Red Spots).

    Highlights of the Clean City Awards 2023

    • Top Rankings: Surat and Indore shared the top spot, with Navi Mumbai securing the third position in the cleanest cities category.
    • Indore’s Continued Success: Remarkably, Indore has maintained its status as the cleanest city for the seventh consecutive year.
    • Other Top Cities: The list of the top 10 cleanest cities also includes Greater Visakhapatnam, Bhopal, Vijayawada, New Delhi, Tirupati, Greater Hyderabad, and Pune.

    State Rankings and Special Categories

    • Maharashtra Leads: In the state rankings, Maharashtra emerged as the top performer, followed by Madhya Pradesh and Chhattisgarh.
    • Smaller Cities and Cantonnement Boards: In cities with a population of less than one lakh, Sasvad and Lonavala in Maharashtra, and Patan in Chhattisgarh, were top performers. Mhow Cantonment Board in Madhya Pradesh was recognized as the cleanest cantonment board.
    • Cleanest Ganga Towns: Varanasi and Prayagraj in Uttar Pradesh won awards for being the cleanest towns along the Ganga river.

    Awards and Themes

    • Swachh Survekshan Awards: Initiated by the Ministry of Housing and Urban Affairs (MoHUA) in 2016, these awards have become the world’s largest urban sanitation survey.
    • Themes: The 2023 survey focused on the theme “Waste to Wealth,” while the upcoming 2024 survey will emphasize “Reduce, Reuse, and Recycle.”

    Indore’s Journey to the Top

    • Leap in Rankings: Indore’s remarkable journey from ranking 25th in 2016 to consistently holding the top position is noteworthy.
    • Key Factors for Success: The city’s success is attributed to a sustainable system of garbage collection, processing, and disposal, along with citizen participation and innovative sanitation measures.

    Indore’s Sanitation Initiatives

    • Waste Segregation and Disposal: Indore revamped its sanitation and waste collection system, involving NGOs and changing routes for garbage disposal vehicles.
    • Legacy Waste Management: The city efficiently cleared and treated large amounts of legacy waste at the Devguradiya ground.
    • Infrastructure Development: Funds were allocated for constructing transfer stations and treatment plants for waste management.
    • Community Engagement: Efforts were made to build sanitation habits among citizens, including the distribution of free dustbins and imposing fines for littering.
  • Eknath Shinde, the ‘real’ Shiv Sena and a new Maharashtra model

    Anti Defection Law - Civilsdaily

    Central Idea:

    The article criticizes the Speaker of the Maharashtra Legislative Assembly, Rahul Narwekar, for his decision to recognize Chief Minister Eknath Shinde, who left the Uddhav Thackeray-led Shiv Sena group, as the legitimate leader of the party. The author argues that the Speaker’s decision, influenced by political affiliations, undermines legislative procedures and regulations, creating legal inconsistencies and setting a concerning precedent for future political maneuvering.

    Key Highlights:

    • Speaker Narwekar’s decision favors Chief Minister Shinde, who defected from the Uddhav Thackeray-led group, causing a split in the Shiv Sena.
    • The article points out three major flaws in the Speaker’s decision, including the misinterpretation of majority support, violation of Supreme Court guidelines on the appointment of a whip, and contradictory handling of the Thackeray camp’s violation of the whip.
    • The Speaker’s political affiliation with the BJP raises concerns about impartiality and adherence to constitutional principles.

    Key Challenges:

    • The Speaker’s decision raises questions about the integrity of legislative procedures and the potential influence of political considerations on constitutional matters.
    • Legal inconsistencies, including the misinterpretation of majority support and the violation of Supreme Court guidelines, create challenges for maintaining the rule of law.
    • The article suggests that the decision might lead to prolonged legal battles and sets a precedent for party splits orchestrated by external political forces.

    Key Terms:

    • Defection: The act of switching allegiance from one political party to another.
    • Whip: An official in a political party responsible for ensuring party members vote in line with party decisions.
    • Constitutional Morality: Adherence to ethical and constitutional principles in decision-making.

    Key Phrases:

    • “Recognition of the split as a textbook example of disregard for legislative procedure.”
    • “Craters, not holes, in the Speaker’s order.”
    • “Political heavyweights absent during the crucial decision.”

    Key Quotes:

    • “To hold that it is the legislature party which appoints the whip would be to sever the figurative umbilical cord…”
    • “The Speaker’s decision is bound to trigger yet another legal battle.”
    • “The BJP has perfected the art of engineering defections.”

    Key Statements:

    • “Speaker Narwekar’s decision may be seen as a mockery of the Constitution.”
    • “The Speaker’s affiliation with the BJP adds to suspicions of bias.”
    • “Legal inconsistencies and violations of Supreme Court guidelines are evident in the decision.”

    Key Examples and References:

    • Chief Minister Shinde’s defection from Shiv Sena and the subsequent split.
    • The Speaker’s acceptance of a new whip in violation of Supreme Court guidelines.
    • The contradiction in handling the Thackeray camp’s violation of the whip.

    Key Facts and Data:

    • Speaker Rahul Narwekar is a member of the BJP.
    • Chief Minister Shinde initially had 16 out of 55 MLAs when he left Shiv Sena.
    • The BJP’s success in engineering defections in Maharashtra is highlighted as a concerning trend.

    Critical Analysis: The article criticizes the Speaker’s decision for favoring the ruling party, creating legal loopholes, and potentially setting a precedent for orchestrated party splits. It emphasizes the need for judicial intervention to uphold constitutional morality and address the flaws in the decision.

    Way Forward:

    • The judiciary should play a proactive role in addressing the legal inconsistencies and potential violations of constitutional principles.
    • Political leaders and legislative bodies should prioritize the adherence to established procedures and guidelines.
    • Public awareness and scrutiny can contribute to holding political figures accountable for decisions that may undermine democratic values.

    In conclusion, the article highlights the importance of upholding constitutional principles in the face of political maneuvering, urging judicial intervention and public vigilance to safeguard the integrity of legislative processes.

  • 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.