Note4Students
From UPSC perspective, the following things are important :
Prelims level: GDP
Mains level: Paper 3- Need for overhaul of India's economic performance measurement framework
Context
It is then apparent that GDP growth matters to the average Indian only if it can generate good quality jobs and incomes for them.
Background
- Nobel laureate Simon Kuznets, who conceived of GDP as a measure of economic performance, never intended it to be the single-minded economic pursuit for a nation that it has now become, and warned repeatedly that it is not a measure of societal well-being.
- Irrefutably, GDP is an elegant and simple metric that is a good indicator of economic progress which can be compared across nations.
- But a compulsive chase for GDP growth at all costs can be counter-productive, since it is not a holistic but a misleading measure.
- The excessive obsession over GDP growth by policymakers and politicians can be unhealthy and dangerous in a democracy.
- If growth in GDP does not translate into equivalent economic prosperity for the average person, then in a one person-one vote democracy, exuberance over high GDP growth can backfire and trigger a backlash among the general public.
- Global phenomenon: Sri Lanka’s mass uprising and people’s revolution can partly be explained through this prism of the structural break between headline GDP growth and economic prosperity for the people.
- The U.S. today produces fewer new jobs for every percentage point of GDP growth than it did in the 1990s.
- China produces one-third the number of new jobs today than it did in the 1990s for every percentage of its GDP growth.
Employment intensity of economic growth
- Data of ‘employment in public and organised private sectors’ published by the Reserve Bank of India (RBI) shows that in the decade between 1980 and 1990, every one percentage point of GDP growth (nominal) generated roughly two lakh new jobs in the formal sector.
- In the subsequent decade from 1990 to 2000, every one percentage point of GDP growth yielded roughly one lakh new formal sector jobs, half of the previous decade.
- In the next decade between 2000 and 2010, one percentage point of GDP growth generated only 52,000 new jobs.
- The RBI stopped publishing this data from 2011-12.
- In essence, one percentage of GDP growth today yields less than one-fourth the number of good quality jobs that it did in the 1980s.
- It is amply clear that the correlation between formal sector jobs and GDP growth has weakened considerably.
Implications of decline in GDP growth’s contribution to job creation
- Irrelevant as a political measure: GDP growth may be an important economic measure, but it is becoming increasingly irrelevant as a political measure, since it impacts only a select few and not the vast majority.
- Indicates changed nature of economic development: This divorce of GDP growth and jobs is both a reflection of the changed nature of contemporary economic development with emphasis on capital-driven efficiency at the cost of labour and GDP being an inadequate measure.
- Political backlash: The perils of the obsession over GDP growth will be felt by politicians who have to answer voters on lack of jobs and incomes despite robust headline growth.
- Voter disenchantment over the economy not working for them is already rife in many democracies across the world that have catalysed agitations and social disharmony.
- Electoral outcomes in favour of extreme positions in mature democracies such as the U.S., the U.K., France and Germany in the last decade may partly be a reflection of voters’ sense of deception over economic gains.
Way forward
- It is time for India’s political leaders to not be drawn into argument over GDP growth every quarter and instead clamour for an overhaul of India’s economic performance measurement framework to reflect what truly matters to the common person.
Conclusion
GDP growth has turned into a misleading and dangerous indicator that portrays false economic promises, betrays people’s aspirations and hides deeper social problems.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: IBC
Mains level: Paper 3- Point of trigger for insolvency
Context
In the recent judgement the Supreme Court held that the National Company Law Tribunal (NCLT) cannot admit an insolvency application filed by a financial creditor merely because a financial debt exists and the corporate debtor has defaulted in its repayment.
Why the point of trigger is important in insolvency law
- A critical element for any corporate insolvency law is the point of trigger.
- The law must clearly provide the grounds on which an insolvency application against a corporate debtor should be admitted.
- If there is any confusion at this stage, precious time could be wasted in litigation.
- That would cause value destruction of the distressed business.
- On the other hand, if the law is clear and litigation can be minimised, the distressed business could be resolved faster.
- Its value could be preserved.
- And all stakeholders collectively would benefit.
- Evidently, objective legal criteria for admission are critical for an effective corporate insolvency law.
Determining insolvency and implications of the SC ruling
- The balance-sheet test is one method for determining insolvency at the point of trigger.
- This test, however, is vulnerable to the quality of accounting standards.
- That’s why the Bankruptcy Law Reforms Committee did not favour this test in the Indian context.
- Instead, it recommended that a filing creditor must only provide a record of the liability (debt), and evidence of default on payments by the corporate debtor.
- This twin-test was expected to provide a clear and objective trigger for insolvency resolution.
- The Supreme Court’s latest ruling is likely to radically alter these expectations.
Implications of the Supreme Court ruling
- Resisting the admission by debtor: Now due to the Supreme Court ruling, even if the NCLT is satisfied that a financial debt exists and that the corporate debtor has defaulted, it may not admit the case for resolution if the corporate debtor resists admission on any other grounds.
- Corporate debtors are likely to use this precedent to the fullest to resist admission into IBC.
- Risk of value destruction due to delay: The likely outcome would be more litigation and delay at the admission stage, enhancing the risks of value destruction in the underlying distressed business.
Conclusion
In all fairness, the Supreme Court has been extremely pragmatic in its interpretation and application of the IBC. Even in the recent ruling, the court has rightly cautioned that the NCLT should not exercise its discretionary power in an arbitrary or capricious manner. Yet, this decision may have opened a Pandora’s box. Policymakers would be well-advised to take note before history starts repeating itself.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: LEO
Mains level: Paper 3- 5G network with LEO satellites
Context
As terrestrial 5G mobile networks are being rolled out across countries, there is a renewed interest in integrating Non-Terrestrial Networks.
SatNets for 5G
- Satellites and terrestrial networks have always been considered two independent ecosystems, and their standardisation efforts have proceeded independent of each other.
- The primary non-terrestrial network that is being considered is the low latency Low Earth Orbit (LEO) satellite networks (SatNets), as a complement to terrestrial networks.
- Towards this, Starlink, operated by the Elon Musk-owned SpaceX, and OneWeb, promoted by Bharti Global, have launched about 2,500 and 648 LEO satellites respectively at an altitude of about 1,200 km with the objective of promoting global broadband connectivity.
- There are other players such as Reliance Jio in a joint venture with Luxembourg-based SES and Amazon’s Project Kuiper.
Benefits of using SatNets
- 1] Service continuity in emergency: service continuity to provide seamless transition between terrestrial networks and SatNets in case of public safety, disaster management and emergency situations;
- 2] Providing service in remote area: Service ubiquity to provide 5G services in unserved and underserved areas of the world, thereby bridging the digital divide;
- 3] Scalability: Service scalability that utilises the unique capabilities of SatNets in multicasting and broadcasting similar content over a large geographical area.
- 4] Service to in-motion user: The LEO SatNets can provide service not only to stationary but also to in-motion users.
- 5] Low latency over long distance: Wireless communications through LEO satellites over long distances is proven to be 1.47 times faster than communication over the same distance through terrestrial optic fibre. It is this advantage along with global coverage that provide a strong use case for LEO SatNets to complement terrestrial optic fibre networks.
- SatNet in standardisation: In view of the above advantages, standard-setting organisations such as the Third Generation Partnership project (3GPP), comprising telcos and equipment manufacturers around the world, started integrating SatNets in the standardisation process.
Measures by the government
- Realising the advantages, the Government, in its National Digital Communications Policy 2018, has indicated the development of an ecosystem for local manufacturing of satellite communication systems and promoting participation of private players for the strengthening of satellite communication infrastructure in the country.
- Accordingly, the New Space India Limited (NSIL), a public sector enterprise, was established in 2019 to re-orient space activities from a ‘supply driven’ model to a ‘demand driven’ model, thereby ensuring optimum utilisation of the space assets.
- The Department of Space also established in 2020 a new regulatory body named the Indian National Space Promotion and Authorisation Centre (IN-SPACe).
- IN-SPACe is intended to provide a level playing field for private companies to use Indian space infrastructure.
Issues and challenges
- Allocation of frequency: Issues will involve addressing issues around frequencies to be allocated for satellite broadband, the methodology of allocation, the relatively higher cost of consumer equipment and the placement and interconnections of SatNets with terrestrial public landline/ mobile networks at the ground stations
- Cost: The other major challenge in LEO SatNets is the cost of user terminal and access charges to the end users.
- A recent research analysing both Starlink and OneWeb concludes that the standalone LEO SatNets have a distinct cost advantage only if the density is less than 0.1 person per square km compared to terrestrial broadband networks.
- Hence it is to the advantage of LEO SatNet providers to integrate their networks with terrestrial 5G networks to improve the cost economies.
Conclusion
All these, along with the proposed revisions to the Satellite Communications Policy of the Government, will provide the required fillip to LEO SatNets to become an integral part of the communication infrastructure of the country.
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Back2Basics: LEO satellites
- LEO satellites orbit between 2,000 and 200 kilometers above the earth. LEO satellites are commonly used for communications, military reconnaissance, spying and other imaging applications.
- A low earth orbit (LEO) satellite is an object, generally a piece of electronic equipment, that circles around the earth at lower altitudes than geosynchronous satellites.
- Satellites made for communications benefit from the lower signal propagation delay to LEO.
- This lower propagation delay results in less latency.
- Being closer to the earth has an obvious benefit for many types of earth observational satellites by resolving smaller subjects with greater detail.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Recessions
Mains level: Global economic slowdown
Surging inflation and sharp slowdowns in the United States and China prompted the IMF to cut its outlook for the global economy this year and next, while warning that the situation could get much worse.
By one common definition, the major global economies are on the cusp of a recession.
What is Recession?
- A recession is a significant decline in economic activity that lasts for months or even years.
- Experts declare a recession when a nation’s economy experiences negative GDP, rising levels of unemployment, falling retail sales, and contracting measures of income and manufacturing for an extended period of time.
- Recessions are considered an unavoidable part of the business cycle—or the regular cadence of expansion and contraction that occurs in a nation’s economy.
What causes Recessions?
These phenomena are some of the main drivers of a recession:
- A sudden economic shock: An economic shock is a surprise problem that creates serious financial damage. The coronavirus outbreak, which shut down economies worldwide, is a more recent example of a sudden economic shock.
- Excessive debt: When individuals or businesses take on too much debt, the cost of servicing the debt can grow to the point where they can’t pay their bills. Growing debt defaults and bankruptcies then capsize the economy.
- Asset bubbles: When investing decisions are driven by emotion, bad economic outcomes aren’t far behind. Investors can become too optimistic during a strong economy.
- Too much inflation: Inflation is the steady, upward trend in prices over time. Inflation isn’t a bad thing per se, but excessive inflation is a dangerous phenomenon. Central banks control inflation by raising interest rates, and higher interest rates depress economic activity.
- Too much deflation: While runaway inflation can create a recession, deflation can be even worse. Deflation is when prices decline over time, which causes wages to contract, which further depresses prices. When a deflationary feedback loop gets out of hand, people and business stop spending, which undermines the economy.
- Technological change: New inventions increase productivity and help the economy over the long term, but there can be short-term periods of adjustment to technological breakthroughs. In the 19th century, there were waves of labour-saving technological improvements.
What’s the difference between Recession and Depression?
- Recessions and depressions have similar causes, but the overall impact of a depression is much, much worse.
- There are greater job losses, higher unemployment and steeper declines in GDP.
- Most of all, a depression lasts longer—years, not months—and it takes more time for the economy to recover.
- Economists do not have a set definition or fixed measurements to show what counts as a depression. Suffice to say, all the impacts of a depression are deeper and last longer.
- In the past century, the US has faced just one depression: The Great Depression.
The Great Depression
- The Great Depression started in 1929 and lasted through 1933, although the economy didn’t really recover until World War II, nearly a decade later.
- During the Great Depression, unemployment rose to 25% and the GDP fell by 30%.
- It was the most unprecedented economic collapse in modern US history.
- By way of comparison, the Great Recession was the worst recession since the Great Depression.
- During the Great Recession, unemployment peaked around 10% and the recession officially lasted from December 2007 to June 2009, about a year and a half.
- Some economists fear that the coronavirus recession could morph into a depression, depending how long it lasts.
How long do recessions last?
- Gulf War Recession (July 1990 to March 1991): At the start of the 1990s, the U.S. went through a short, eight-month recession, partly caused by spiking oil prices during the First Gulf War.
- The Great Recession (2008-2009): As mentioned, the Great Recession was caused in part by a bubble in the real estate market.
- Covid-19 Recession: The most recent recession began in February 2020 and lasted only two months, making it the shortest US recession in history.
Can we predict a recession?
Given that economic forecasting is uncertain, predicting future recessions is far from easy. However, the following warning signs can give you more time to figure out how to prepare for a recession before it happens:
- An inverted yield curve: The yield curve is a graph that plots the market value—or the yield—of a range. When long-term yields are lower than short-term yields, it shows that investors are worried about a recession. This phenomenon is known as a yield curve inversion, and it has predicted past recessions.
- Declines in consumer confidence: Consumer spending is the main driver of the US economy. If surveys show a sustained drop in consumer confidence, it could be a sign of impending trouble for the economy.
- Drop in the Leading Economic Index (LEI): Published monthly by the Conference Board, the LEI strives to predict future economic trends. It looks at factors like applications for unemployment insurance, new orders for manufacturing and stock market performance.
- Sudden stock market declines: A large, sudden decline in stock markets could be a sign of a recession coming on, since investors sell off parts and sometimes all of their holdings in anticipation of an economic slowdown.
- Rising unemployment: It goes without saying that if people are losing their jobs, it’s a bad sign for the economy.
How does a recession affect individuals?
- We may lose your job during a recession, as unemployment levels rise. It becomes much harder to find a job replacement since more people are out of work.
- People who keep their jobs may see cuts to pay and benefits, and struggle to negotiate future pay raises.
- Investments in stocks, bonds, real estate and other assets can lose money in a recession, reducing your savings and upsetting your plans for retirement.
- Business owners make fewer sales during a recession, and may even be forced into bankruptcy.
- With more people unable to pay their bills during a recession, lenders tighten standards for mortgages, car loans, and other types of financing.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: CPEC, BRI
Mains level: Read the attached story
India has severely criticized the reported move by both China and Pakistan for third-party participation in some projects on the China-Pakistan Economic Corridor (CPEC) that passes through Pakistan-occupied Kashmir (PoK).
China-Pakistan Economic Corridor (CPEC)
- The CPEC, one of the most ambitious components of Beijing’s Belt and Road Initiative (BRI), was announced to great fanfare in 2015.
- CPEC is a collection of infrastructure projects that are under construction throughout Pakistan beginning in 2013.
- Originally valued at $47 billion, the value of CPEC projects is worth $62 billion as of 2020.
- It is intended to rapidly upgrade Pakistan’s required infrastructure and strengthen its economy by the construction of modern transportation networks, numerous energy projects, and SEZs.
- On 13 November 2016, CPEC became partly operational when Chinese cargo was transported overland to Gwadar Port for onward maritime shipment to Africa and West Asia.
Why CPEC?
- CPEC has consistently been held up as a “gamechanger” for Pakistan’s economy.
- But the road to completion has proved long and winding. Reports indicate that the pace of CPEC projects has been slowing down in Pakistan in recent years.
- At the same time, China is the only country that is heavily investing in Pakistan.
Why in news?
- The lack of progress has led to numerous reports about CPEC being at a near standstill in the country.
- Gwadar, despite being the epicenter of multibillion-dollar projects, lacks basic necessities like reliable access to water and electricity, let alone other facilities.
- The baloch freedom movement is another impediment to the stalled project.
- There have been sporadic attacks in Gwadar and elsewhere in the province and the country to discourage Chinese investments in the province.
- China is also seeking to deploy its Army in the CPEC projects, to which Pakistan has contested.
India’s reservation
- The GoI, which shares tense relations with Pakistan, objects to the CPEC project as upgrade works to the Karakoram Highway are taking place in Gilgit-Baltistan.
- This is the territory illicitly occupied by Pakistan in 1947-48.
- During the visit of Indian PM Modi to China in 2015, the Indian FM, Sushma Swaraj reportedly told the Chinese.
- India did not object to the Chinese construction of the Karakoram Highway which was built between 1959 and 1979.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: International Space Station (ISS)
Mains level: Implications of Russia-Ukraine War
Russia will pull out of the International Space Station (ISS) after 2024 and focus on building its own orbiting outpost.
Why in news?
- Russia will end a symbolic two-decade orbital partnership between Moscow and the west.
International Space Station (ISS)
- The ISS was launched in 1998 as part of joint efforts by the U.S., Russia, Japan, Canada and Europe.
- The idea of a space station originated in the 1984 State of the Union address by former U.S. President Ronald Reagan.
- The space station was assembled over many years, and it operates in low-earth orbit.
- Since its inception, it has served as a laboratory suspended in space and has aided multiple scientific and technological developments.
- The ISS was originally built to operate for 15 years.
Why was ISS launched?
- A space station permits quantum leaps in research in science, communications, and in metals and lifesaving medicines which could be manufactured only in space.
- ISS has consistently maintained human presence for the past 21 years, providing astronauts with sophisticated technologies for scientific research.
What is Russia’s role in maintaining the ISS?
- The ISS is built with the cooperation of scientists from five international space agencies — NASA of the U.S., Roscosmos of Russia, JAXA of Japan, Canadian Space Agency and the European Space Agency.
- Each agency has a role to play and a share in the upkeep of the ISS.
- Both in terms of expense and effort, it is not a feat that a single country can support.
- Russia’s part in the collaboration is the module responsible for making course corrections to the orbit of the ISS.
- They also ferry astronauts to the ISS from the Earth and back.
- Until SpaceX’s dragon spacecraft came into the picture the Russian spacecraft was the only way of reaching the ISS and returning.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Ramsar wetlands in India
Mains level: Not Much
India has added five more Ramsar sites, or wetlands of international importance, bringing the number of such sites in the country to 54.
Newly added Ramsar Sites
- Karikili Bird Sanctuary, Pallikaranai Marsh Reserve Forest and Pichavaram Mangrove in Tamil Nadu,
- Sakhya Sagar in Madhya Pradesh
- Pala Wetlands in Mizoram
What are Wetlands?
- A wetland is a distinct ecosystem that is flooded by water, either permanently or seasonally, where oxygen-free processes prevail.
- The primary factor that distinguishes wetlands from other landforms or water bodies is the characteristic vegetation of aquatic plants, adapted to the unique hydric soil.
Significance of Wetlands
- Wetlands provide a wide range of important resources and ecosystem services such as food, water, fibre, groundwater recharge, water purification, flood moderation, erosion control, and climate regulation.
- They are, in fact, are a major source of water and our main supply of freshwater comes from an array of wetlands that help soak rainfall and recharge groundwater.
- They provide many societal benefits: food and habitat for fish and wildlife, including threatened and endangered species; water quality improvement; flood storage; shoreline erosion control; economically beneficial natural products for human use; and opportunities for recreation, education, and research, etc.
India and Ramsar Wetlands
- India’s Ramsar wetlands are spread over 11,000 sq.km — around 10% of the total wetland area in the country — across 18 States.
- No other South Asian country has as many sites, though this has much to do with India’s geographical breadth and tropical diversity.
- The UK (175) and Mexico (142) — smaller countries than India — have the most Ramsar sites, whereas Bolivia spans the largest area with 1,48,000 sq.km under the Convention protection.
- The National Wetland Inventory and Assessment compiled by the ISRO estimates India’s wetlands to span around 1,52,600 square kilometres.
What makes Ramsar designation significant?
- Being designated a Ramsar site does not necessarily invite extra international funds.
- Acquiring this label helps with a locale’s tourism potential and its international visibility.
Criteria for Ramsar site designation
To be Ramsar site a place must meet at least one of the criteria as defined by the Ramsar Convention of 1961, such:
- Supporting vulnerable, endangered, or critically endangered species or threatened ecological communities or,
- If it regularly supports 20,000 or more waterbirds or,
- Is an important source of food for fishes,
- Spawning ground,
- Nursery and/or migration path on which fish stocks are dependent upon.
- Static or flowing, fresh, brackish or salt, including areas of marine water the depth of which at low tide does not exceed six metres
- Does not include river channels, paddy fields, human-made water bodies/ tanks specifically constructed for drinking water purposes
Back2Basics: Ramsar Convention
- The Convention on Wetlands of International Importance (better known as the Ramsar Convention) is an international agreement promoting the conservation and wise use of wetlands.
- It is the only global treaty to focus on a single ecosystem.
- The convention was adopted in the Iranian city of Ramsar in 1971 and came into force in 1975.
- Traditionally viewed as a wasteland or breeding ground of disease, wetlands actually provide fresh water and food and serve as nature’s shock absorber.
- Wetlands, critical for biodiversity, are disappearing rapidly, with recent estimates showing that 64% or more of the world’s wetlands have vanished since 1900.
- Major changes in land use for agriculture and grazing, water diversion for dams and canals, and infrastructure development are considered to be some of the main causes of loss and degradation of wetlands.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Unique Disability IDs (UDIDs)
Mains level: Not Much
The generation of unique disability IDs (UDIDs) had increased from an average of 5,000 a day to an average of 7,000 to 9,000 daily during the 90-day Azadi Se Antodaya Tak campaign.
Why such a move?
- According to the 2011 Census, there were 2.68 crore people with disabilities.
What is Unique Disability IDs (UDIDs)?
- “Unique ID for Persons with Disabilities” project is being implemented with a view of creating a National Database for PwDs, and to issue a Unique Disability Identity Card to each person with disabilities.
- It functions under the Ministry of Social Justice and Empowerment.
- The project aims only to encourage transparency, efficiency and ease of delivering the government benefits to the person with disabilities, and ensure uniformity.
- The project will also help in stream-lining the tracking of physical and financial progress of beneficiary at all levels of hierarchy of implementation – from village level, block level, District level , State level and National level.
Types of disabilities covered
As per the Persons with Disabilities (Equal Opportunities, Protection of Rights & Full Participation) Act, 1995 – A person with a disability can be defined as one with one or more of disabilities falling under any of the below-mentioned categories :
- Blindness
- Leprosy-cured
- Cerebral Palsy: It means a group of non-progressive conditions of a person characterized by abnormal motor control posture resulting from brain insult or injuries occurring in the pre-natal, peri-natal or infant period of development.
- Low vision: It means a person with impairment of visual functioning even after treatment of standard refractive correction but who uses or is potentially capable of using vision for the planning or execution of a task with appropriate assistive device;
- Locomotor disability: It means disability of the bones, joints or muscles leading to substantial restriction of the movement of the limbs or nay form of cerebral palsy;
- Mental retardation: It means a conditions of arrested or incomplete development of mind of a person which is specially characterized by sub normality of intelligence;
- Mental illness: It means any mental disorder other than Mental retardation
- Hearing Impairment: It means loss of sixty decibels or more in the better ear in the conversational range of frequencies
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Monkeypox
Mains level: Paper 2-Challenges of zoonotic diseases
Context
Monkeypox was previously limited to the local spread in central and west Africa, close to tropical rainforests, but has recently been seen in various urban areas and now in more than 50 countries.
About monkeypox
- A virus belonging to the poxviruses family causes a rare contagious rash illness known as monkeypox.
- This zoonotic viral disease (a disease transmitted from animals to humans) has hosts that include rodents and primates.
- It is a self-limiting disease with symptoms lasting two to four weeks and a case fatality rate of 3-6 per cent.
- Symptoms: A skin rash on any part of the body could be the only presenting symptom.
- Swollen lymph nodes are another distinguishing feature. Aside from these, other symptoms of a viral illness include fever, chills, headache, muscle or back aches, and weakness.
- Mode of transmission: Touching skin lesions, bodily fluids, or clothing or linens that have been in contact with an infected person can result in transmission.
- It’s also worth noting that monkeypox does not spread from person to person through everyday activities like walking next to or having a casual conversation with an infected person.
- Treatment: Monkeypox is mostly treated by managing symptoms and preventing complications if it is diagnosed.
- In the minor proportion who are immunocompromised, complications can occur; pulmonary failure was the most common complication with a high mortality rate.
Containment Measures
- Because symptoms usually appear 5-21 days after exposure, people with rashes, sores in the mouth, rash, eye irritation or redness, or swollen lymph nodes should be monitored.
- When symptoms appear, it is critical to isolate the infected from other people and pets, cover their lesions, and contact the nearest healthcare provider.
- It is also critical to avoid close physical contact with others until instructed to do so by our healthcare provider.
- It is preferable to use home isolation whenever possible.
- Priority should be given to educating grassroots workers about symptoms, specimen collection, disease detection, acquiring sample collection equipment, and maintaining cold storage of specimens.
- Increased surveillance and detection of monkeypox cases are critical for controlling the disease’s spread and understanding the changing epidemiology of this resurging disease.
- Preventive health measures, such as avoiding infected animal or human contact and practising good hand hygiene, are the best option.
Vaccines and drugs
- In the US, pre exposure vaccination with JYNNEOS® is available to healthcare workers and lab workers exposed to this group of poxviruses.
- The smallpox vaccine is 85 percent effective against the disease.
- Another vaccine, ACAM2000, is a live vaccinia virus vaccine that is otherwise recommended for smallpox immunisation and can also be used for high-risk individuals during monkeypox outbreaks.
- In addition, Tecovirimat, an antiviral drug used to treat smallpox, is recommended for monkeypox.
- Challenges: Smallpox vaccination programmes have been discontinued for the past 50 years, resulting in a scarcity of effective vaccines.
- There are approved drugs and vaccines, but they are not widely available to scale up controlling monkeypox.
Why WHO declared it as international concern?
- The increase in monkeypox cases in a short span of time in many countries necessitated the declaration of public health emergency of international concern (PHEIC) and additional research studies.
- It is unclear whether the recent sudden outbreaks in multiple countries result from genotypic mutations that alter virus transmissibility. SARS-CoV-2 and monkeypox virus co-infection can alter infectivity patterns, severity, management, and response to vaccination against either or both diseases.
- As a result, there is a need to improve diagnostic test efficiency.
Way forward
- Plan for pandemic preparedness: This is not the last such difficulty we will face, as the world is still witnessing more such public health crises.
- Zoonotic diseases are caused by various factors, including unchecked deforestation, climate coupled with a failure to prioritise public health, poverty, and climate change.
- Instead, a robust plan for pandemic preparedness should be accelerated, guided by a single health agenda.
- The world is yet to recognise emerging and re-emerging infectious diseases as a genuine threat.
- The immediate priority is to strengthen the surveillance infrastructure, including hiring public health professionals and field workers who can participate in outbreak detection and response during many future PHEICs.
Conclusion
Without prioritising public health strengthening, the threat of new and re-emerging infectious diseases, as well as the enormous social and economic challenges that accompany them, is real and grave.
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