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  • [11th September 2024] The Hindu Op-ed: A panoramic view of the 2024 China-Africa summit

    [11th September 2024] The Hindu Op-ed: A panoramic view of the 2024 China-Africa summit

    PYQ Relevance:

    Q Increasing interest of India in Africa has its pro and cons. Critically Examine. (UPSC IAS/2015)

    Q “If the last few decades were of Asia’s growth story, the next few are expected to be of Africa’s.” In the light of this statement, examine India’s influence in Africa in recent years. (UPSC IAS/2021)

    Prelims:
    Consider the following statements:  (UPSC IAS/2016)
    The India-Africa Summit held in 2015:
    1.  was the third such Summit
    2. was actually initiated by Jawaharlal Nehru in 1951
    Which of the statements given above is/are correct?
    (a) 1 only
    (b) 2 only
    (c) Both 1 and 2
    (d) Neither 1 nor 2

    Mentor comment: Africa is a vital source of raw materials and energy that China needs to sustain its industrial growth. The continent’s potential for economic development aligns with China’s goals for resource acquisition and market expansion. Many African countries are part of China’s BRI, which aims to enhance infrastructure and connectivity, facilitating trade and investment opportunities that benefit both sides.

    During the past 24 years, the Forum on China-Africa Cooperation (FOCAC) has emerged as an all-encompassing and effective platform for dialogue, interaction and planning between the two sides. African countries, despite their reservations and grievances, have found it useful to enhance their proximity to China.

    _

    Let’s learn!

    Why in the News?

    Due to the ongoing regulatory challenges, the Health Ministry has established a National Task Force to address healthcare challenges. 

    • The stagnation in reforms and public policy efforts could hinder the government’s ability to manage current and future public health challenges effectively.

    What are the main outcomes of the 9th Ministerial Conference of FOCAC?

    • Strengthening China-Africa Partnership: Both sides reaffirmed their commitment to the China-Africa community with a shared future and elevating their comprehensive strategic and cooperative partnership to new heights.
    • Adopted the Beijing Action Plan (2025-2027): The Beijing Declaration on Jointly Building an All-Weather China-Africa Community with a Shared Future for the New Era was adopted, outlining the vision and blueprint for future China-Africa relations.
    • Enhancing Cooperation Mechanisms: It further provided the improving mechanisms like Bi-national Commissions, intergovernmental commissions, strategic dialogues, and foreign ministers’ political consultations to substantiate and institutionalize FOCAC.
    • It was decided to hold the 10th FOCAC Ministerial Conference in the Republic of the Congo in 2027.
    • Expanding Cooperation Areas: Both of them expanded their plans in Africa’s industrialization, agricultural modernization, and talent development for common development and prosperity.

    How will the 9th Ministerial Conference impact China-Africa trade relations?

    • Increased Trade Commitments: China has committed to importing $300 billion worth of goods from Africa, along with financial support to improve the quality of African exports and facilitate small- and medium-sized enterprises’ access to Chinese markets.
    • Focus on Industrialization and Resource Access: The conference will likely lead to better access to Africa’s lithium and cobalt, while providing African nations with investment opportunities and technological support.
    • Strengthening Bilateral Agreements: African nations are expected to negotiate more favorable terms, which could enhance local job creation and economic benefits for African countries.

    What are the key takeaways for India from FOCAC Summit?

    • Consistent Engagement: India must prioritize high-level political engagement with Africa, resuming its conference diplomacy after a nearly decade-long pause since the last India-Africa Forum Summit in 2015.
    • Financial Commitment: Historical ties and rhetoric need to be supported by substantial financial resources to enhance India-Africa cooperation effectively.
    • Reassessing Diplomatic Priorities: Africa’s significance in India’s foreign policy should be elevated, necessitating a proactive approach from Indian policymakers to align with this priority.
    • Need for Political Will: Stronger political will is essential to implement the practical policy choices proposed by Indian Africans for deeper engagement with the continent.

    Conclusion: The Ninth FOCAC Ministerial Conference consolidated China’s strategic partnership with Africa, while highlighting the need for India to reengage the continent with consistent high-level engagement, financial commitment, and stronger political will.

    https://www.thehindu.com/opinion/lead/a-panoramic-view-of-the-2024-china-africa-summit/article68626792.ece

  • UAE-India ties are rooted in affnity, trust, and respect

    Why in the News?

    During Sheikh Khaled’s recent visit, new cooperation agreements were signed, including those related to civil nuclear technology and renewable energy, showcasing the commitment to collaborative advancements in critical sectors.

    Evolving Bilateral Relations:

    • In 1972:  India and the UAE bilateral relationship has been formalized since the establishment of diplomatic relations in 1972, gaining momentum with high-level visits and agreements over the years.
    • In 2015: The greater push was achieved when the visit of India’s PM to the UAE in August 2015 marked the beginning of a new Strategic partnership.
    • In 2017: The relationship was elevated to a Comprehensive Strategic Partnership in 2017, during the visit of the Crown Prince of Abu Dhabi to India in January 2017 as the chief guest at India’s Republic Day.
      • The UAE is India’s third-largest trading partner and a significant source of investment.
    • Today, the UAE hosts over 3.5 million Indian expatriates, which strengthens cultural ties and economic collaboration.

    Present Scenario of Strategic Development

    • Trade and Investment Growth: Bilateral trade reached approximately USD 85 billion in 2022-23, with goals to increase it to USD 100 billion by 2030.
      • The UAE has become a significant investor in India, with FDI from the UAE surging to USD 3.35 billion in FY23.
    • Comprehensive Economic Partnership Agreement (CEPA): India and the UAE signed a CEPA in February 2022, with India being the first country to secure such a deal with the UAE. This agreement led to a 15% rise in bilateral trade within its first year of operation.
    • Regional Ties: India and the UAE are actively engaged in various regional groupings and initiatives such as the I2U2 and the India-Middle East-Europe Economic Corridor (IMEC), reflecting shared interests and strategic alignment.
    • Energy Ties: The UAE plays a crucial role in India’s energy security, with strategic oil reserves stored in India.
    • Fintech Ties: Since August 2019, the RuPay card, India’s domestic card payment network, has been accepted at 21 businesses and 5,000 ATMs across the UAE. This makes the UAE the first Gulf nation to adopt the Indian payment system.
    • Cultural Ties: India participated as the Guest of Honour Country in Abu Dhabi International Book Fair 2019. Indian cinema/TV/radio channels are easily available and have good viewership.
      • The inauguration of the Indian Institute of Technology (IIT) Delhi’s Abu Dhabi campus marks a significant milestone, representing India’s growing educational influence in the UAE.

    Challenges in India-UAE Relations

    • Labor Rights and Kafala System: Concerns regarding the treatment of Indian expatriates under the Kafala labor system necessitate diplomatic engagement to improve labor rights and welfare.
    • Geopolitical Balancing: As India strengthens its ties with the UAE, it must navigate its relationships with other Gulf nations and maintain a balanced approach to regional conflicts, such as the Chinese market dominance and the Israel-Palestine issue.
    • Economic Diversification: While trade is growing, there is a need to diversify economic cooperation beyond traditional sectors like energy and real estate to include technology and innovation.

    Way forward: 

    • Strengthen Labor Rights Cooperation: India and the UAE should engage in continuous diplomatic dialogues to reform labor practices, improving the welfare and rights of Indian expatriates under the Kafala system, and ensuring a more humane and fair working environment.
    • Diversify Economic and Strategic Cooperation: Both countries should focus on expanding collaboration into emerging sectors such as technology, innovation, and renewable energy while maintaining geopolitical neutrality and balancing relations with other Gulf nations.

    Mains PYQ:

    Q How will I2U2 (India, Israel, UAE and USA) grouping transform India’s position in global politics?  (UPSC IAS/2016)

  • The grave threat from AMR

    Why in the News?

    Ahead of the UN General Assembly High-Level Meeting on antimicrobial resistance, WHO published its first-ever guidance on Antibiotic pollution from manufacturing.

    Common Pathogens Found in India

    The three most common pathogens associated with antimicrobial resistance (AMR) in India, as reported by the Indian Council of Medical Research (ICMR), are:

    • Escherichia coli (E. coli): Known for causing gut infections, E. coli has shown a significant decrease in susceptibility to antibiotics, particularly carbapenems, from 81.4% in 2017 to 62.7% in 2023.
    • Klebsiella pneumoniae: This pathogen can lead to pneumonia and urinary tract infections. Its susceptibility to carbapenem-class antibiotics has also declined, with rates dropping from 58.5% to 35.6% and from 48% to 37.6% between 2017 and 2023.
    • Acinetobacter baumannii: Primarily associated with hospital-acquired infections, this pathogen has a high resistance rate to carbapenems, standing at 88% in 2023.

    What is Antimicrobial Resistance (AMR) and Why is it a Cause for Concern?

    • Antimicrobial resistance (AMR) occurs when pathogens evolve to survive despite the presence of antimicrobial drugs, rendering standard treatments ineffective. This situation arises mainly due to the misuse and overuse of antibiotics, leading to the development of resistant strains or “superbugs.” 
    • According to the WHO, emergence and spread of AMR could significantly undermine the effectiveness of antibiotics globally, impacting healthcare outcomes, especially for patients with multiple diseases.

    Why is AMR Increasing?

    Several factors contribute to the increasing rates of AMR in India:

    • Self-medication: Many individuals self-prescribe antibiotics for conditions like fever without proper medical consultation, often for viral infections where antibiotics are ineffective.
    • Prescribing habits: A significant percentage of antibiotics are prescribed not for treating infections but for prevention. Doctors often resort to broad-spectrum antibiotics without conducting necessary diagnostic tests, leading to inappropriate usage.
    • Lack of regulation: The management of pharmaceutical waste from antibiotic manufacturing is largely unregulated, contributing to environmental pollution and the spread of resistant bacteria.

    What needs to be done?

    • Prevention of Infections: Implementing better hygiene practices, improving sanitation, and promoting vaccinations can help reduce the incidence of infections, thereby decreasing the reliance on antibiotics.
    • Education for Healthcare Providers: Train doctors to prescribe antibiotics judiciously, reserve stronger antibiotics for hospital patients, and emphasise the importance of diagnostic testing, which can help ensure appropriate antibiotic use.
    • Regulatory Improvements: Strengthening regulations around antibiotic manufacturing and waste management is crucial for controlling antibiotic pollution and preventing the emergence of resistant strains.

    Mains PYQ:

    Q Can overuse and free availability of antibiotics without Doctor’s prescription, be contributors to the emergence of drug-resistant diseases in India? What are the available mechanisms for monitoring and control? Critically discuss the various issues involved.  (UPSC IAS/2016)

  • On ANI’s defamation suit against Wikipedia

    Why in the News?

    The news agency ANI filed a defamation lawsuit against the Wikimedia Foundation, over a description on the site that portrayed the agency as a promoter of government propaganda.

    Why has the news agency ANI filed a lawsuit against the Wikimedia Foundation?

    • ANI has filed a defamation lawsuit against the Wikimedia Foundation over the description of the agency on Wikipedia. The page accused ANI of being a “propaganda tool” for the Indian government, citing sources like The Diplomat, EU DisinfoLab, and The Caravan magazine.
    • ANI claims that these descriptions are defamatory and is seeking ₹2 crore in damages from the Wikimedia Foundation.
    • Wikipedia’s policies emphasize neutrality and reliable sourcing, though it’s often accused of liberal bias. OpIndia claims the site propagates liberal “propaganda” and has criticised the site’s description of the riots for allegedly downplaying attacks by Muslim rioters.
    • Wikipedia has faced government criticism for vandalism, such as on Arshdeep Singh’s page. It lacks a blocking procedure under Indian law, unlike social media platforms.

    What has the Delhi High Court asked the Foundation to reveal?

    • The Delhi High Court ordered the Wikimedia Foundation to provide details about the users who edited ANI’s Wikipedia page. Specifically, the court asks for information about three users involved in the contentious edits.
    • The suit invokes provisions of the Information Technology Act, particularly Section 79, which outlines the responsibilities of intermediaries like Wikipedia.
      • Section 79 provides a framework for the exemption from liability for intermediaries in India regarding third-party content.
    • Justice Navin Chawla has issued a notice to Wikipedia and scheduled the next hearing for August 20, 2024. The court has acknowledged the right of Wikipedia to express opinions but will examine whether the claims made about ANI are backed by facts.

    Will Wikipedia be blocked in India?

    • During the case hearing, the Delhi High Court judge verbally threatened to order the Indian government to block Wikipedia if the Wikimedia Foundation did not comply with its request for user information.
    • Although Wikipedia has faced censorship in countries like China and partial censorship in Russia, it has not yet been blocked in India. However, the current legal proceedings could lead to a similar action if compliance is not met.

    Conclusion: The Indian government should ensure that any legal actions respect user privacy rights while compelling platforms like Wikimedia to cooperate with legitimate legal requests for information, balancing transparency with data protection laws.

  • What is Wallace Line?

    Wallace Line

    Why in the news?

    The Wallace Line, a distinct transition zone between Asia and Australia, has long fascinated researchers due to its unique characteristics.

    What is Wallace Line?

    Details
    What is it?
    • A bio-geographical boundary separating the eco-zones of Asia and Australia.
    • It was identified by British explorer Alfred Russel Wallace in 1863 during his explorations.
    • It is an imaginary line that intersects the Lombok Strait between the Indonesian islands of Bali and Lombok to the south, and extends north through the Makassar Strait between Kalimantan (Borneo) and Sulawesi.
    Unique Features
    • Divides species with distinct evolutionary histories.
    • Asiatic species (tigers, elephants) are found to the west; Australian fauna (kangaroos, marsupials) dominate the east.
    • Despite their geographical proximity, these species evolved separately.
    Impact on Wildlife
    • Birds and mammals are particularly influenced, with few species crossing the line.
    • Flora is less affected, though species like Eucalyptus stay on the Australian side.
    Impact on Marine Species
    • While the Wallace Line is a barrier for terrestrial species, it doesn’t stop marine life. 
    • The area between the Wallace Line and the Sahul Shelf (near Australia) is known as the Coral Triangle, the most biodiverse marine environment on Earth.
    Formation
    • Result of Australia’s drift from Antarctica and subsequent collision with Asia around 35 million years ago.
    • Climate shifts led to cooler, drier Australia and tropical Asia.
    • This collision created a deep-water channel that still acts as a natural barrier for species migration.
    Pleistocene Epoch Influence
    • During the Pleistocene epoch, lower sea levels exposed land bridges.
    • Deep waters between Asia and Australia prevented species migration, maintaining the boundary.

     

    Note: 

    Weber Line more accurately defines the balance point where the influence of Asian and Australian species is nearly equal, whereas the Wallace Line marks a sharper divide.

  • Elongated Tortoise (Indotestudo elongata) spotted in Aravallis

    Why in the News?

    The elongated tortoise (Indotestudo elongata), a critically endangered species, was recently spotted in Haryana’s Damdama area during a research survey in the Aravalli hills.

    About Elongated Tortoise:

    Details
    Physical Features
    • Medium-sized body with a yellowish-brown or olive-colored shell
    • Black blotches at the center of each scute
    • Pink ring around nostrils during breeding season
    Habitat
    • Found in Sal deciduous and hilly evergreen forests
    • Distribution includes Southeast Asia, northern India, Nepal, Bhutan, Bangladesh, and other regions
    Indian Range Present in the Chhota Nagpur plateau and Himalayan foothills at elevations up to 1,000 meters
    Threats
    • Human exploitation for food and traditional medicine
    • Hunting, often with the help of dogs
    • Habitat degradation and illegal wildlife trade
    Ecological Role Significant species in its ecosystems but highly vulnerable to environmental changes and anthropogenic pressures
    Population Decline Significant population decline due to hunting, habitat degradation, and illegal wildlife trade, despite its wide distribution
    Conservation Status
    • Critically Endangered on the IUCN Red List
    • Appendix II under the CITES

     

    PYQ:

    [2013] Consider the following:

    1. Star tortoise

    2. Monitor lizard

    3. Pygmy hog

    4. Spider monkey

    Which of the above are naturally found in India?

    (a) 1, 2 and 3 only

    (b) 2 and 3 only

    (c) 1 and 4 only

    (d) 1, 2 and 3 and 4

  • Shabd Portal provides technical terms in 22 Indian languages

    Why in the News?

    The Commission for Scientific and Technical Terminology (CSTT), under the Union Education Ministry, has launched a unique website, shabd.education.gov.in, providing technical terms in all 22 official Indian languages.

    About Commission for Scientific and Technical Terminology (CSTT)

    • The Union Education Ministry established the CSTT in December 1960 to develop scientific and technical terminology in Hindi and other Indian languages.
    • It works to evolve, define, and standardize scientific and technical terms in Hindi and other Indian languages.
    • It publishes textbooks, monographs, and glossaries, and releases quarterly journals like Vigyan Garima Sindhu and Gyan Garima Sindhu.
    • It has developed over 450 glossaries, creating more than 3 million standardized words in Indian languages.
    • It prepares administrative glossaries for government departments and institutions to ensure consistent terminology in official documents.

    About the Shabd Portal

    • The portal aims to serve as a central repository for technical terminologies across Indian languages, hosting glossaries from CSTT as well as other institutions and agencies.
    • The portal currently hosts 450 dictionaries comprising 3 million words, making it a vast resource for users seeking scientific and technical terms in Indian languages.
    • Search Features:
      • Users can search for equivalent terms by language, subject, dictionary type, or language pairs.
      • Specific searches can also be made within a particular glossary or across the entire collection.
      • The platform also allows users to provide feedback on the terms prepared by the CSTT.

    Significance of the Portal

    • The launch comes amid efforts to promote technical education in Indian languages, including fields like medicine and engineering.
    • The portal is an essential step in ensuring accessibility of scientific and technical education in regional languages, supporting the vision of multilingual education.

    PYQ:

    [2014] Consider the following languages:

    1. Gujarati

    2. Kannada

    3. Telugu

    Which of the above has/have been declared as ‘Classical Language / Languages’ by the Government?

    (a) 1 and 2 only

    (b) 3 only

    (c) 2 and 3 only

    (d) 1, 2 and 3

  • Polaris Dawn: SpaceX’s Mission for First private Spacewalk

    SpaceX launched its Polaris Dawn Mission sending a four-person crew of civilians on a first-ever commercial spacewalk into Earth's Van Allen radiation belts.

    Why in the News?

    SpaceX launched its Polaris Dawn Mission sending a four-person crew of civilians on a first-ever commercial spacewalk into Earth’s Van Allen radiation belts.

    What is Polaris Dawn Mission?

    • It is a privately-funded space mission led by billionaire entrepreneur Jared Isaacman, in collaboration with SpaceX.
    • It is set to be the first non-government mission to conduct a spacewalk.
    • This 700km altitude will surpass the current record held by NASA’s Gemini 11 mission in 1966.
    • The mission will test new spacesuits designed by SpaceX to protect astronauts from high radiation levels encountered in the Van Allen Belts.

    What are the Van Allen Belts?

    • The Van Allen Belts are two zones of charged particles that surround Earth, held in the magnetosphere.
    • These belts were discovered in 1958 by American physicist James Van Allen.

    Why are the Van Allen Belts dangerous for Humans?

    • The Van Allen Belts are dangerous for humans because they contain high levels of radiation that can pose significant health risks to astronauts.
    • The belts are filled with charged particles that can cause radiation sickness, damage human tissues, and increase the risk of cancer. 

     

    PYQ:

    [2011] What is the difference between asteroids and comets?

    1. Asteroids are small rocky planetoids, while comets are formed of frozen gases held together by rocky and metallic material.
    2. Asteroids are found mostly between the orbits of Jupiter and Mars, while comets are found mostly between Venus and Mercury.
    3. Comets show a perceptible glowing tail, while asteroids do not.

    Which of the statements given above is/are correct?

    (a) 1 and 2 only
    (b) 1 and 3 only
    (c) 3 only
    (d) 1, 2 and 3

  • Ovarian Cancer: Understanding the Silent Killer

    Why in the News?

    • In India, Ovarian Cancer ranks among top three cancers affecting women, accounting for 6.6% of all female cancer cases.
      • In 2022, India alone reported 47,333 new ovarian cancer cases and 32,978 deaths, emphasizing the critical need for awareness, early detection, and effective treatment.

    What is Ovarian Cancer?

    Details
    About Referred to as the “silent killer” due to its subtle symptoms like bloating, pelvic pain, loss of appetite, and frequent urination. Late diagnosis is common.
    Common Symptoms • Bloating
    • Pelvic/abdominal pain
    • Loss of appetite
    • Frequent urination
    • Indigestion, back pain, fatigue, and weight loss
    Cancer Subtypes • Type I tumours: Less common, early diagnosis, better prognosis
    • Type II tumours: More common, aggressive, diagnosed at advanced stages
    Screening • No effective screening tests available
    • CA125 blood test used post-diagnosis but not recommended for routine screening due to limited specificity
    Genetic Risk Factors • Linked to mutations in BRCA1/BRCA2 genes, increasing risk by up to 50%
    • Genetic testing aids in personalized risk management
    Endometriosis • Associated with a higher risk of certain ovarian cancers, though overall risk remains low
    Lifestyle Factors • Mixed evidence regarding talcum powder usage and its potential link to ovarian cancer
    • Hair products (dyes, straighteners) may increase risk, though further research is required
    HRT & Genetic Counselling • Hormone replacement therapy (HRT) is linked to a higher risk of ovarian cancer
    • Genetic counselling helps at-risk individuals with preventive measures
  • [10th September 2024] The Hindu Op-ed: Regulatory reform stuck in a loop in Health Ministry

    [10th September 2024] The Hindu Op-ed: Regulatory reform stuck in a loop in Health Ministry

    PYQ Relevance:

    Q Bringing out the circumstances in 2005 which forced amendment to the section 3(d) in Indian Patent Law, 1970, discuss how it has been utilized by the Supreme Court in its judgement in rejecting Novartis’ patent application for ‘Glivec’. Discuss briefly the pros and cons of the decision. (UPSC IAS/2013)

    Q What do you understand by Fixed Dose drug Combinations (FDCs)? Discuss their merits and demerits. (UPSC IAS/2013)

    Mentor comment: Today’s editorial highlights ongoing challenges within India’s Health Ministry regarding the implementation of necessary regulatory reforms. This topic is significant due to the critical need for effective healthcare governance, especially in light of recent public health emergencies, such as the emergence of Mpox (monkeypox) cases in India.

    Following the Mpox case, the Union Health Ministry issued advisories urging states to enhance screening and contact tracing efforts. This reflects the urgent need for a robust regulatory framework to manage public health threats effectively.

    The article discusses how regulatory reforms are essential for improving the responsiveness and efficiency of the health sector, particularly in crises. 

    _

    Let’s learn!

    Why in the News?

    Due to the ongoing regulatory challenges, the Health Ministry has established a National Task Force to address healthcare challenges. 

    • The stagnation in reforms and public policy efforts could hinder the government’s ability to manage current and future public health challenges effectively.
    The Drugs Controller General of India (DCGI) introduced new policy initiatives in April 2024, which aimed at enhancing public health through recall guidelines, good distribution practices, and regulations against similar brand names.
    However, these measures are criticized for lacking legal enforcement and being poorly conceived, perpetuating a cycle of ineffective reforms.

    Key highlights by the 59th Report Parliamentary Standing Committee (PSC):

    • Storage Standards: The issue of lack of proper standards for storage of drugs, especially during transportation was raised by the Supreme Court in Swantraj & Ors vs State Of Maharashtra (1974).
    • Confusing Brand Names: The issue of similar brand names for different drugs leading to prescription errors was flagged by the Court in Cadila Healthcare Limited vs Cadila Pharmaceuticals Limited (2001).
    • Stagnation in Reforms: Despite over a decade of discussion, these issues remain unresolved due to bureaucratic inertia. 
    • Lack of Guidelines: Drugs ordered to be withdrawn in one State due to quality concerns were being sold in a neighboring state.
    • Non-Binding Guidelines: Recent drug recall guidelines lack legal enforcement, perpetuating ineffective reforms.

    What are the challenges around Procedural implementation?

    • Lack of Consensus: After the PSC report, a proposal to adopt good distribution practices guidelines formulated by the WHO came up for discussion in 2013.
      • The distribution practices and guidelines were to be made legally binding but it faced opposition from DCC because it was difficult to implement across the estimated six lakh retail outlets in the country.
    • Ineffective Laws and Procedures: After receiving a rap on its knuckles from the Delhi High Court in 2019, the ministry created a rule requiring pharmaceutical companies to provide a self-declaration that their proposed brand name was not similar to any of the existing brand names in the market.
      • In most other countries, it is the duty of the regulator to vet the brand name, to ensure that it is not confusing or misleading from a public health perspective.
      • When trademark applications are filed, the Registrar of Trade Marks conducts a perfunctory “confusion analysis” that does not include a public health perspective.
    • Enforcement issues: In practical, the DCGI lacks the legal power to make rules that are binding and have the force of law. Only the Ministry of Health has that power under the Constitution.

    Need to break the procedural loop:

    • With every newly appointed joint secretary, files go through with repeated consultations with stakeholders in the pharmaceutical industry.
    • In each of these consultations, the trade associations of pharmacies and pharmaceutical companies use every trick to stall the concrete action.
    • Hence, regulatory governance needs to be consistent and avoid the higher political interference.