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Subject: Governance

Important aspects of Society

  • All Cantonments to be disbanded: Centre

    cantonment

    Central Idea: The Union government has kicked off a plan to abolish the 62 cantonments around the country as “archaic colonial legacies”. The first cantonment to be renamed a military station is Yol in Himachal Pradesh.

    What is the plan?

    • The plan is to carve out the military areas in all cantonments and convert them into “exclusive military stations” with the Army exercising “absolute control” over them.
    • The civilian areas, in turn, will be merged with the local municipalities, which will be responsible for their maintenance among other things.
    • The Army moved away from the concept of cantonments after independence, mainly due to the friction between military and civilian authorities.
    • But some major cantonments continued to exist. Ex. Pune Cantonment, Agra Cantonment etc.

    What are Cantonments?

    • Cantonments in India are permanent military stations where a group of military personnel are stationed for administrative purposes.
    • These cantonments are governed by the Cantonments Act, 2006 which provides for municipal administration and control of these areas.
    • There are 62 cantonments in India which are located in various states across the country.
    • These areas are maintained by the Defence Estates Organization (DEO) under the Ministry of Defence, and are distinct from military bases or barracks which are temporary locations for military personnel.
    • Cantonments are generally considered to be areas with better infrastructure and facilities compared to other parts of the country.

    Their features

    • Cantonment Boards are democratic bodies comprising elected and nominated members.
    • In terms of Entry 3 of the Union List (Schedule VII) of the Constitution of India, Urban Self Governance of the Cantonments and the Housing Accommodation therein is the subject matter of the Union.
    • The Station Commander of the Cantonment is the ex-officio President of the Board, and an officer of the IDES or Defence Estates Organisation is the Chief Executive Officer who is also the Member-Secretary of the Board.
    • They have equal representation of elected and nominated/ex-officio members to balance official representation with democratic composition.
    • They maintain ecological balance while providing better civic facilities to the residents.

    History of establishments

    • The Cantonments Act, 1924 was enacted by the British to regulate the municipal administration of Cantonments.
    • After India’s independence, the Cantonments Act, 1924, was modified to suit the democratic setup of the country.
    • The Cantonments Act, 2006, replaced the Cantonments Act, 1924, and aims to provide greater autonomy and accountability to the Cantonment Boards.

    Categories

    There are four categories of Cantonments, depending on the size of the population residing inside a Cantonment:

    1. Category I: Cantonments having a population of more than 50,000.
    2. Category II: Cantonments having a population of 10,000 to 50,000.
    3. Category III: Cantonments having a population of less than 10,000.
    4. Category IV: Industrial or training Cantonments, irrespective of their population size.

  • Govt. to release Manual for Organ Donation & Transplantation

    organ

    Central Idea: The National Organ and Tissue Transplant Organisation (NOTTO) is working on a transplant manual as a step-by-step guide for the implementation of organ donation and transplantation programmes in hospitals and a standard course for training transplant coordinators.

    Organ transplant in India: Key statistics

    • According to data accessed from the Health Ministry, the number of organ transplants has increased by over three times from 4,990 in 2013 to 15,561 in 2022.
    • Of the 15,561 transplants, a majority — 12,791 (82%) — are from live donors and 2,765 (18%) are from cadavers (the dead).
    • Up to 11,423 of the 15,561 organ transplants are for the kidney, followed by liver (766), heart (250), lung (138), pancreas (24) and small bowel transplants (3).
    • Most of these transplants occur in private hospitals, the numbers in government hospitals are relatively lower.

    About National Organ Transplant Programme (NOTP)

    • In 2019, the GoI implemented the NOTP for promoting deceased organ donation.
    • Organ donation in India is regulated by the Transplantation of Human Organs and Tissues Act, 1994.

    Types of Organ Donations

    • The law allows both deceased and living donors to donate their organs.
    • It also identifies brain death as a form of death.
    • Living donors must be over 18 years of age and are limited to donating only to their immediate blood relatives or, in some special cases, out of affection and attachment towards the recipient.

    (1) Deceased donors:

    • They may donate six life-saving organs: kidneys, liver, heart, lungs, pancreas, and intestine.
    • Uterus transplant is also performed, but it is not regarded as a life-saving organ.
    • Organs and tissues from a person declared legally dead can be donated after consent from the family has been obtained.
    • Brainstem death is also recognized as a form of death in India, as in many other countries.
    • After a natural cardiac death, organs that can be donated are cornea, bone, skin, and blood vessels, whereas after brainstem death about 37 different organs and tissues can be donated, including the above six life-saving organs

    (2) Living donors:

    They are permitted to donate the following:

    • one of their kidneys
    • portion of pancreas
    • part of the liver

    Features of the NOTP

    • Under the NOTP a National Level Tissue Bank (Biomaterial Centre) for storing tissues has been established at National Organ and Tissue Transplant Organization (NOTTO), New Delhi.
    • Further, under the NOTP, a provision has also been made for providing financial support to the States for setting up of Bio-material centre.
    • As of now a Regional Bio-material centre has been established at Regional Organ and Tissue Transplant Organization (ROTTO), Chennai, Tamil Nadu.

    More moves for facilitation:  Green Corridors

    • Studies have suggested that the chances of transplantation being successful are enhanced by reducing the time delay between harvest and transplant of the organ.
    • Therefore, the transportation of the organ is a critical factor. For this purpose, “green corridors” have been created in many parts of India.
    • A “green corridor” refers to a route that is cleared out for an ambulance carrying the harvested organs to ensure its delivery at the destination in the shortest time possible.

    Recent amendments

    (1) No Age Bar

    • Now an individual of any age can register for organ transplant.
    • People beyond 65 years in need of an organ donation will also be eligible to get one.
    • The government has decided to do away with a clause in the National Organ and Tissue Transplant Organisation (NOTTO) guidelines as the clause violates the Right to Life.

    (2) Doing away with domicile compulsion

    • Earlier an organ recipient could register for a prospective transplant in domicile State.
    • States like Gujarat had made it mandatory for registered patients to furnish a domicile certificate to be eligible for a transplant.
    • In November last year, the Gujarat High Court quashed the discriminatory policy of the State government.

    About NOTTO

    National Organ and Tissue Transplant Organization (NOTTO) is a national level organization set up under the Directorate General of Health Services, Ministry of Health and Family Welfare.

    1. National Human Organ and Tissue Removal and Storage Network
    2. National Biomaterial Centre (National Tissue Bank)

    [I] National Human Organ and Tissue Removal and Storage Network

    • This has been mandated as per the Transplantation of Human Organs (Amendment) Act 2011.
    • The network will be established initially for Delhi and gradually expanded to include other States and Regions of the country.
    • Thus, this division of the NOTTO is the nodal networking agency for Delhi and shall network for Procurement Allocation and Distribution of Organs and Tissues in Delhi.
    • It functions as apex centre for All India activities of coordination and networking for procurement and distribution of Organs and Tissues and registry of Organs and Tissues Donation and Transplantation in the country.

    [II] National Biomaterial Centre (National Tissue Bank)

    • The Transplantation of Human Organs (Amendment) Act 2011 has included the component of tissue donation and registration of tissue Banks.
    • It becomes imperative under the changed circumstances to establish National level Tissue Bank to fulfill the demands of tissue transplantation including activities for procurement, storage and fulfil distribution of biomaterials.
    • The main thrust & objective of establishing the centre is to fill up the gap between ‘Demand’ and ‘Supply’ as well as ‘Quality Assurance’ in the availability of various tissues.

    The centre will take care of the following Tissue allografts:

    1. Bone and bone products
    2. Skin graft
    3. Cornea
    4. Heart valves and vessels

    Various issues involved

    • Lack of awareness: Lack of awareness leads to myths and misconceptions about organ donation, which further discourages people from donating organs.
    • Religious and cultural beliefs: Some religious and cultural beliefs view organ donation as a desecration of the body, which hinders organ donation.
    • Lack of infrastructure: India faces a shortage of medical infrastructure and facilities for organ donation.
    • Legal and regulatory challenges: India’s organ donation system is heavily regulated by the Transplantation of Human Organs and Tissues Act, 1994.
    • Socioeconomic factors: Poverty and lack of education can lead to reduced access to information and medical services, making it difficult for people to donate organs.
    • Organized crime: Organized criminal networks involved in organ trafficking and commercialization also create challenges for organ donation in India.
    • Stigma and Discrimination: Stigma against organ recipients, particularly those who receive transplants from other communities or castes, is also a challenge in promoting organ donation in India.

    Way forward

    • Developing a National Organ and Tissue Donation Registry: The registry could maintain a database of donors and recipients, along with their medical history and compatibility information.
    • Setting up Mobile Organ Donation Units: These units could be equipped with medical personnel and equipment to conduct donation procedures in remote areas.
    • Crowdfunding for Organ Transplant Surgeries: This could be used as a means to raise funds for organ transplant surgeries, especially for underprivileged individuals who cannot afford the cost of treatment.
    • Promoting Living Donor Transplants: Living donor transplants can help increase the number of organs available for transplantation.
    • Incentivizing for Organ Donation: Incentives could be introduced to encourage more people to donate organs. This could include tax breaks, priority access to medical treatment, and other benefits.
    • Leveraging Technology: Technology could be used to develop better donor and recipient matching algorithms, create virtual waiting lists, and streamline the donation and transplantation process.
    • International Collaboration: India could collaborate with other countries to share best practices, leverage technology, and develop new approaches to organ donation and transplantation.

     

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  • A Troubling Statistic in India’s Nutritional Landscape

    nutrition

    Central Idea

    • A troubling statistic in the fifth National Family Health Survey (NFHS-5) data, conducted in 2019-21, is not well-known. Going without food for an entire day at this critical period of a child’s development raises serious concerns related to severe food insecurity.

    Statistics from the NFHS-5 data

    • Zero-food: Among mothers with a child between ages 6-23 months, 18% reported that their child did not eat any food whatsoever (“zero-food”) in the 24 hours preceding the survey. The zero-food prevalence was 30% for infants aged 6-11 months, 13% among 12-17 months old, and 8% among 18-23 months old.
    • Zero-protein: More than 80% of children in the age group of 6-23 months had not consumed any protein-rich foods for an entire day (“zero-protein”). Close to 40% of children in the age group of 6-23 months did not eat any grains (roti, rice, etc.) for an entire day.
    • Zero-milk: Six out of 10 children in the age group of 6-23 months do not consume milk or dairy of any form every day (“zero-milk”).

    The current measures for undernutrition

    • Stunting: It is a measure of chronic malnutrition, where children are too short for their age. It is determined by comparing a child’s height with the World Health Organization (WHO) child growth standards.
    • Wasting: It is a measure of acute malnutrition, where children have a low weight for their height. It is determined by comparing a child’s weight with the WHO child growth standards.
    • Underweight: It is a measure of both chronic and acute malnutrition, where children have a low weight for their age. It is determined by comparing a child’s weight with the WHO child growth standards.

    Limitations of current measures of undernutrition

    • Anthropometric measures: The assessment of the extent of nutritional deprivation among young children in India has relied on measures of anthropometric failure such as the percentage of children short for their age (stunting) or weighing less given their height (wasting), compared to a reference population. These measures are, at best, proxies suggesting plausible overall deficiencies in the child’s environment, without any guidance on the specific nature of the deficiencies. They do not provide insight into the specific food groups that are lacking in the child’s diet.
    • Multifactorial nature: Given the multifactorial nature of what causes stunting or wasting among children, it is challenging for any single ministry or department of the Government of India to take responsibility for designing, implementing and monitoring policies to reduce undernutrition among children.
    • Sensitivity: The sensitivity of the stunting prevalence to what population reference is being used makes it problematic as a policy metric for creating and evaluating the effectiveness of current programs and interventions.
    • Lack of data: The fact that we do not know what India eats highlights a core deficiency in data related to food and dietary consumption. This limits the ability to design effective policies and programs to improve nutritional security among Indians.

    Facts for prelims

    Initiative

    Description
    NFHS-5 Conducted in 2019-21, it revealed that 18% of mothers with a child between ages 6-23 months reported zero-food intake.
    Mission Poshan 2.0 A flagship programme aimed at achieving SDG 2 “zero hunger” and focuses on food-based initiatives.
    Swachh Bharat Mission (SBM) Increased access to improved toilets among Indian households from 48% to 70% between 2016 and 2021.
    Zero Food Metric A food-based metric that provides a good start to monitor and assess the performance of Poshan 2.0.
    White House initiative on hunger, nutrition and health Launched by the US to end hunger by 2030.

    Calorie intake recommendations by WHO

    • According to the World Health Organisation, at six months of age, 33 per cent of the daily calorie intake is expected to come from food. This proportion increases to 61 per cent at 12 months of age.
    • The recommended calorie percentages mentioned here are the minimum amount that should come from food.
    • It is presumed that the child obtains the remaining calories through on-demand breastfeeding, meaning the child is breastfed whenever they need it throughout the day and night, and not solely when the mother is able to provide it.
    • Consequently, the percentage of food-sourced calories only increases further when a child cannot receive breast milk when needed.

    What is the need for Poshan 2.0?

    • Achieving SDG 2: Poshan 2.0 is a flagship program that aims to achieve SDG 2, which aims to end hunger and ensure year-round access to safe, nutritious, and sufficient food by 2030.
    • Targeting maternal and child nutrition: Poshan 2.0 focuses on food-based initiatives, including its flagship supplementary nutrition program service as mandated by the 2013 National Food Security Act, to target maternal and child nutrition.
    • Developing food-based metrics: To effectively monitor and assess the performance of Poshan 2.0, there is an immediate need to develop appropriate food-based metrics to measure the extent of food insecurity among Indian households.
    • Improving nutritional security: The goal of Poshan 2.0 is to ensure affordable access to sufficient quantity and quality of nutritionally diverse food, with a special and immediate focus on India’s youngest children to improve nutritional security among Indians.
    • Establishing routine dietary and nutritional assessments: A national effort to establish routine dietary and nutritional assessments for the entire population is the need of the hour to measure the availability, accessibility, and affordability of nutritious food, especially for disadvantaged and vulnerable populations such as young children, and constitute the foundation for any evidence-based policy to end hunger and improve nutritional security among Indians.

    Way ahead

    • Elevating food intake among young children to be of primary importance, as opposed to being referred to as “complementary” in policies and guidelines related to maternal, infant and young child nutrition.
    • Extending the 24-hour recall questions on consumption of various food items to the population of children under five years to better understand food security for all populations in India.
    • Developing appropriate food-based metrics to effectively monitor and assess the performance of Mission Poshan 2.0.
    • Establishing routine dietary and nutritional assessments for the entire population to measure the availability, accessibility and affordability of nutritious food, especially for disadvantaged and vulnerable populations such as young children.
    • Consider a strategic initiative led by the Prime Minister’s Office aimed at eliminating food insecurity in India and ensuring affordable access to sufficient quantity and quality of nutritionally diverse food, with a special and immediate focus on India’s youngest children.

    Conclusion

    • Given the urgency of the situation and the critical need for prompt action to address the issue of hunger and malnutrition among Indians, it is recommended that India takes inspiration from the United States. Recently, the US launched a high-level initiative aimed at ending hunger by 2030, which could offer valuable insights and guidance to India’s efforts in this direction.

    Mains Question

    Q. Statistic in the fifth National Family Health Survey (NFHS-5) data on hunger and malnutrition is troubling. In this backdrop discuss the need for Poshan 2.0 for India.

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    Also Read:

    A reality check on Nutrition programs

     

  • Psychedelics and its uses to treat Depression

    Central idea: The context of the article is about the use of psychedelic drugs for both recreational and medicinal purposes.

    What are Psychedelics?

    • Psychedelics are a class of drugs that alter an individual’s perception, mood, and thought processing while still allowing the individual to remain conscious and with unimpaired insight.
    • They are non-addictive and non-toxic, and cause less harm to the end user compared to illicit drugs.
    • The two most commonly used psychedelics are LSD (Lysergic acid diethylamide) and psilocybin. Researchers have also developed synthetic psychedelics.
    • In India, the Narcotic Drugs and Psychotropic Substances Act 1985 prohibits the use of psychedelic substances, except for ketamine which is used under strict medical supervision.

    History of psychedelics

    • Humans have used psilocybin and mescaline for ceremonial, healing, and spiritual rituals for millennia.
    • The modern-day use of psychedelics is commonly associated with the German chemist Arthur Heffter isolating mescaline from the peyote cactus in 1897.
    • In 1938, Swiss chemist Albert Hofmann first synthesized LSD while investigating compounds related to ergotamine.
    • LSD was widely used as a therapeutic catalyst in psychotherapy between 1947 and 1967, until it was criminalized in the US due to medical concerns and the Vietnam War.

    Experience of using psychedelic substances

    • Users of psychedelic substances report changes in perception, somatic experience, mood, thought-processing, and entheogenic experiences.
    • Perceptual distortions most commonly include the visual domain.
    • Somatic experiences may include the visceral, tactile, and interoceptive domains.
    • Mood changes may include elation, euphoria, anxiety, and paranoia.
    • Entheogenic experiences include transcendental and ineffable spiritual experiences.

    How do they work inside the body?

    • Classical psychedelics boost brain serotonin levels.
    • Psilocybin’s therapeutic effects require a ‘trip’ that is mediated by the activation of serotonin receptors.
    • Modern neuroimaging suggests that psychedelics increase the cross-talk between different brain networks, and this correlates with the subjective effects of psychedelics.

    Can psychedelic substances cause any harm?

    • Death due to direct toxicity of LSD, psilocybin, or mescaline has not been reported in the literature despite 50-plus years of recreational use.
    • Synthetic psychedelics have been associated with acute cardiac, central nervous system, and limb ischemia, as well as serotonin syndrome.

    What is Psychedelic-Assisted Psychotherapy?

    • Psychedelic-assisted psychotherapy has three types of sessions: preparatory, medication, and integration.
    • In the medication session, the patient is accompanied by a male-female co-therapist dyad and a psychedelic drug is administered in a comfortable and well-appointed room.
    • Over the next 6-8 hours, the therapists listen to the patient while maintaining a neutral therapeutic stance.
    • In the integration session, the therapists work with the patient to interpret the contents of their psychedelic experience into meaningful long-term change, based on their thoughts and ideas.

    Uses to treat Neuropsychiatric Disorders

    • Research has shown that psychedelic substances have potential therapeutic benefits in treating neuropsychiatric disorders such as treatment-resistant depression and post-traumatic stress disorder (PTSD).
    • In recent trials, a single dose of psilocybin or MDMA-assisted therapy has been shown to reduce depression scores and improve symptoms of PTSD in participants.

    Back2Basics: Narcotic Drugs and Psychotropic Substances Act, 1985

    Details
    Purpose Combat drug abuse and trafficking in India
    Scope Consolidates and amends the existing legal framework related to narcotics and psychotropic substances
    Regulations Strictly regulates and controls the production, manufacture, sale, transport, possession, and consumption of narcotic drugs and psychotropic substances
    Special Courts Establishment of special courts and appointment of special public prosecutors to handle cases related to drug trafficking and abuse
    Covered Substances Opium, heroin, cannabis, cocaine, synthetic drugs such as LSD and ecstasy
    Classification Substances classified into different schedules based on their potential for abuse and medical use
    Punishment Imposes different levels of punishment for offenses related to each schedule
    Enforcement Narcotics Control Bureau (NCB), Central Bureau of Narcotics (CBN), and state-level drug enforcement agencies
    Functions Prevention of drug abuse and trafficking, investigation and prosecution of drug offenses, rehabilitation and treatment of drug addicts

     

     

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  • May Day and the Challenge of Regulating Working Hours

    May Day

    Central Idea

    • May 1st commemorates the historic Haymarket Square affair and is celebrated globally as International Labour Day or May Day. The day holds immense significance as it signifies the struggle of workers to secure their rights. However, the idea of reducing working hours to improve social welfare is still a dream for many in India, despite it being adopted by several countries. Instead, we see a growing trend of increasing working hours, especially in the garment and electronic industries, in the name of increasing productivity.

    Significances of International Labour Day

    • Honouring the labour movement: International Labour Day is an occasion to pay tribute to the labour movement and honour the contributions of workers worldwide.
    • Celebrating the rights of workers: The day is an opportunity to celebrate the hard-won rights of workers, including the right to fair wages, safe working conditions, and the right to form unions.
    • Advocating for workers’ rights: International Labour Day is also a platform to raise awareness about the need to protect and advocate for workers’ rights, particularly in countries where labour laws are weak or not enforced.
    • Recognizing the role of labour unions: Labour unions have played a significant role in securing better working conditions and benefits for workers. On International Labour Day, the contributions of labour unions are recognized and celebrated.
    • Promoting social justice: The day promotes social justice by advocating for fair treatment of workers, regardless of their gender, race, or other factors that may lead to discrimination or exploitation.
    • Remembrance of struggles: International Labour Day is also an opportunity to remember the struggles of workers in the past and the sacrifices made by those who fought for workers’ rights.
    • Building solidarity among workers: The day fosters a sense of solidarity among workers, encouraging them to come together to promote their rights and advocate for better working conditions.

    May Day

    What are the reasons behind growing trend of increasing working hours?

    • Global competition: Companies feel pressure to work longer hours to keep up with international competition and maintain their market share.
    • Cost-cutting: Employers may increase working hours to cut costs and boost productivity, rather than hiring more workers.
    • Increased demand: As demand for goods and services grows, companies may feel the need to work longer hours to meet that demand.
    • Technology: Advances in technology have made it easier to work remotely, leading to an expectation of being available and connected 24/7.
    • Flexibility: Employers may offer more flexible schedules, but with the expectation of working longer hours to complete tasks.
    • Emphasis on economic growth: Mainstream economists prioritize economic growth, even if it is at the expense of labor rights and human rights. They believe that working longer hours and increasing exports will lead to economic growth.
    • Subsidies and exemptions: Regional governments offer subsidies and exemptions to attract global and domestic capital, and employers may prefer weaker unions in exchange for these incentives.

    May Day

    Facts for prelims

    International Labour Day

    • International Labour Day, also known as May Day, originated in the United States in the late 19th century when labor unions and socialist movements organized demonstrations and strikes calling for better working conditions, higher wages, and an eight-hour workday.
    • On May 1, 1886, workers in Chicago organized a massive protest rally, and the following days were marked by violent clashes between police and protesters.
    • In 1889, the International Socialist Conference declared May 1 as International Workers’ Day to commemorate the Chicago protests and honor workers around the world. Since then, May Day has been celebrated globally as a day to recognize the contributions of workers and to advocate for their rights and fair treatment.

    Maharashtra day

    • May 1 is celebrated as Maharashtra Day to commemorate the formation of the state of Maharashtra.
    • On May 1, 1960, the Bombay Reorganization Act came into effect, and the state of Maharashtra and Gujarat were formed. Hence, May 1 is celebrated as Maharashtra Day in Maharashtra, India.
    • It is a public holiday in the state, and various cultural events and parades are held to mark the occasion.

    What are the concerns over increasing working hours?

    • Adversely Affecting Health: Extending working hours can lead to physical and mental fatigue, stress, and burnout, which can affect the health of the workers. This, in turn, can lead to an increase in absenteeism, accidents, and medical costs.
    • Diminishing Marginal Productivity: As the hours of work increase, the efficiency and productivity of the worker may decrease, leading to a decline in the quality of output. It can also lead to a decrease in the quality of life of the workers, as they have less time for family and leisure activities.
    • Violation of Labour Rights: Increasing working hours can be a violation of the fundamental rights of the workers, as it denies them the right to rest and leisure, which are essential for the physical and mental well-being of the workers.
    • Job Insecurity: Increasing working hours can lead to job insecurity as employers may replace workers with automation or outsourcing to cut costs. It can also lead to a decline in wages, as employers may argue that they are paying for more working hours.
    • Adverse Impact on Women Workers: Increasing working hours can disproportionately affect women workers, who may be responsible for domestic chores and childcare. Long working hours can lead to a decline in their physical and mental health and an increase in their workload, which can have an adverse impact on their family life.

    May Day

    Why it is necessary to regulate working hours?

    • Protecting workers’ health: Working long hours can have adverse effects on workers’ physical and mental health. It can lead to fatigue, stress, sleep disorders, and other health issues.
    • Ensuring safety at the workplace: Workers who are overworked may become fatigued, which can increase the risk of accidents and injuries at the workplace. Regulating working hours can help ensure a safe and healthy work environment.
    • Promoting work-life balance: Long working hours can negatively impact workers’ personal lives, reducing their time with family and friends, and limiting their ability to engage in other activities outside of work. Regulating working hours can help promote a healthy work-life balance.
    • Enhancing productivity: Research has shown that working long hours can lead to a decline in productivity and an increase in errors and accidents. By regulating working hours, employers can ensure that workers are well-rested and productive.
    • Protecting workers’ rights: Regulating working hours is an essential component of protecting workers’ rights. It helps to prevent exploitation and ensures that workers are compensated fairly for their time and labor.

    Conclusion

    • May Day serves as a reminder of the struggle of workers for their rights. In this context, India must prioritize the welfare of its labour force and regulate working hours to improve their social welfare. The government must ensure that labour laws are not weakened, and trade unions must unite to ensure that the rights of workers are protected. Multinational corporations must be held accountable for skilling their workers and not exploiting the cheap labour offered by developing countries. Only then can India move towards inclusive and sustainable development.

    Mains Question

    Q. There is a growing trend of increasing working hours, especially in the garment and electronic industries, in the name of increasing productivity. Discuss the reasons and discuss why it is necessary to regulate working hours?

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    Also read:

    Why May 1 is observed as Labour Day?

  • Link between poor Solid Waste Management and Stray Dog Attacks

    stray dog

    Central idea: Several incidents of stray dog attacks in Indian cities have shed light on the link between urban solid waste management and the issue of stray dogs.

    Stray Dog Attacks in India

    • Cities have witnessed a sharp increase in the stray dog population, which as per the official 2019 livestock census stood at 1.5 crore.
    • However, independent estimates peg the number to be around 6.2 crore.
    • The number of dog bites has simultaneously doubled between 2012 and 2020.
    • Experts agree there may be a correlation between urbanisation and solid waste production, made visible due to the mismanagement of waste disposal.
    • Tepid animal birth control programmes and insufficient rescue centres, in conjunction with poor waste management, result in a proliferation of street animals in India.

    Reasons behind

    • Poor waste management: Inadequate waste disposal facilities and the mismanagement of solid waste often lead to the congregation of stray dogs around garbage dumps and landfills, where they scavenge for food.
    • Unplanned urbanization: The population boom in Indian cities has led to a sharp increase in the stray dog population. Rapid urbanization has led to the creation of slums and unmanaged solid waste, which attract dogs.
    • Lack of food and shelter: The availability of food and shelter determines the carrying capacity of a city. In the absence of these facilities, free-ranging dogs become scavengers that forage around for food, eventually gravitating towards exposed garbage dumping sites.
    • Territoriality: Stray dogs often become territorial and aggressive about public spaces where they are fed, leading to increased attacks on humans.
    • Improper sterilization and rescue centres: Tepid animal birth control programmes and insufficient rescue centres, in conjunction with poor waste management, result in a proliferation of street animals in India.

    Food wastage in India

    • A population boom in Indian cities has contributed to a staggering rise in solid waste production. Indian cities generate more than 150000 metric tonnes of urban solid waste every day.
    • According to a 2021 UNEP report, an estimated 931 million tonnes of food available to consumers ended up in households, restaurants, vendors and other food service retailers’ bins in 2019.
    • Indian homes on average also generated 50 kg of food waste per person.
    • The presence of free-roaming dogs in urban areas is determined by the “carrying capacity” of a city, which is the availability of food and shelter.

    Urban Stray Dogs and Waste Disposal

    • Food and shelter: The wastage food often serves as a source of food for hunger-stricken, free-roaming dogs that move towards densely-populated areas in cities, such as urban slums which are usually located next to dumping sites.
    • Sanitation assists food hunt: In the absence of proper sanitation and waste disposal facilities, stray dogs become scavengers that forage for food around exposed garbage dumping sites.

    Impact of Unplanned and Unregulated Urban Development

    • ABC Program: Under Animal Birth Control (ABC) program, municipal bodies trap, sterilize, and release dogs to slow down the dog population. This approach aims to control the number of strays while avoiding the inhumane practice of killing them.
    • Rabies Control Measures: Another anchor of India’s response is rabies control measures, including vaccination drives. Rabies is a fatal disease that can be transmitted to humans through dog bites. Thus, preventing rabies is essential in addressing the issue of stray dogs.
    • Informal Measures: These include mass killing of dogs in states like Kerala, which is a controversial practice as it is often inhumane and does not address the root causes of the issue. Other measures include imposing bans on the entry of stray dogs in colonies or feeding them in public.

    Why address stray dog attacks issue?

    • Adds Vulnerability to the poor: The disproportionate burden of dog bites may also fall on people in urban slums, which are usually located in close proximity to dumping sites.
    • Exposes harsher realities: The rise in such attacks speak to core issues of lack of serviced affordable urban housing for all, lack of safe livelihood options and improper solid waste management”.

    Empathizing the strays

    • Abandoned, not strayed: Stray dogs are sentient social beings capable of feeling pain, fear, and joy. Urban living patterns have largely impacted their abandonment.
    • Subjected to abuse: They are often victims of neglect, abuse, and abandonment, and are forced to survive in harsh conditions on the streets.
    • Neglected community guardians: Stray dogs can serve as community guardians by alerting us to potential dangers and can also provide emotional support to humans.

    Way forward

    • Improve waste management: Efficient management of solid waste can help reduce the availability of food for stray dogs and limit their population growth.
    • Increase vaccination and sterilization: ABC and vaccination programs should be implemented in a more organized and efficient manner to control the stray dog population and the spread of rabies.
    • Encourage responsible feeding practices: Regulating feeding around bakeries and restaurants and improving waste management in public spaces can reduce the carrying capacity of the environment for stray dogs and minimize the congregation of dogs in certain areas.
    • Develop national policy: There is a need for a comprehensive national policy that addresses the issue of stray dogs and their management in a more systematic and humane manner.
    • Stop gruesome brutality: Stopping brutality towards dogs is a crucial step towards creating a more compassionate and just management of stray dogs menace.

     

    Also read:

    Prevention of Cruelty to Animals (Amendment) Bill, 2022. Why is it needed?

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  • India’s One Health Approach to Tackle Future Pandemics

    One Health

    Central Idea

    • The Covid-19 pandemic exposed weaknesses in the world’s health systems, including countries ranked high in the Global Health Security Index. It has also provided an opportunity to build stronger health systems to prevent and respond to future pandemics. India’s One Health approach aims to address the health of people, animals, and ecosystems together in order to prevent, prepare, and respond to pandemics.

    One Health

    What is PM Ayushman Bharat Health Infrastructure Mission (PM ABHIM)? 

    • PM ABHIM is being rolled out as India’s largest scheme to scale up health infrastructure.
    • It is aimed at ensuring a robust public health infrastructure in both urban and rural areas, capable of responding to public health emergencies or disease outbreaks.
    • Key features:
    • Health and Wellness Centres: In a bid to increase accessibility it will provide support to 17,788 rural HWC in 10 ‘high focus’ states and establish 11,024 urban HWC across the country.
    • Exclusive Critical Care Hospital Blocks: It will ensure access to critical care services in all districts of the country with over five lakh population through ‘Exclusive Critical Care Hospital Blocks’.
    • Integrated public health labs: It will also be set up in all districts, giving people access to “a full range of diagnostic services” through a network of laboratories across the country.
    • Disease surveillance system: The mission also aims to establish an IT-enabled disease surveillance system through a network of surveillance laboratories at block, district, regional and national levels.
    • Integrated Health Information Portal: All the public health labs will be connected through this Portal, which will be expanded to all states and UTs, the PMO said.

    Facts for prelims

    What is Global Health Security Index?

    • The Global Health Security Index is a tool developed to assess a country’s preparedness and ability to respond to outbreaks, pandemics, and other public health emergencies.
    • It was developed by the Nuclear Threat Initiative (NTI) and the Johns Hopkins Center for Health Security, in collaboration with The Economist Intelligence Unit (EIU).
    • The Index ranks 195 countries based on their level of preparedness across six categories: 1. Prevention, 2. Detection and reporting, 3. Rapid response, 4. Health system, 5. Compliance with international norms, and 6. Risk environment.
    • The Index aims to identify gaps in preparedness and encourage countries to take action to strengthen their health security systems, particularly in the face of global health threats such as pandemics.
    • The first edition of the Index was published in 2019, and it has since been updated to reflect the evolving global health landscape.
    • Global Health Security Index 2021: India ranked 66th.

    One Health

    What is mean by One health?

    • One Health is an interdisciplinary approach that recognizes the interconnectedness of human, animal, and environmental health.
    • It emphasizes the need for collaboration between various sectors, including public health, veterinary medicine, environmental science, and others, to achieve optimal health outcomes for all.

    key components of India’s One Health approach

    • Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM): The flagship program launched in October 2021 aims to prevent, prepare, and respond to pandemics. It seeks to fill the gaps in health systems at the national and state levels.
    • National Institute for One Health: The foundation for the institute was laid recently in Nagpur. It will identify hotspots for endemic and emerging zoonotic diseases to contain their spread early on.
    • Creation of a network of institutions for genomic surveillance: During the COVID-19 pandemic, India created a formidable network of institutions that can identify new pathogens. This can now be complemented with wider testing of wastewater and samples from incoming ships and aircraft.
    • Coordination between ministries: Several ministries, including health, animal husbandry, forests, and biotechnology, have been brought under the Principal Scientific Advisor to address overlapping mandates and improve coordination.
    • Expansion of research laboratories: India is expanding its network of research laboratories, which primarily focused on influenza, to cover all respiratory viruses of unknown origin.
    • Partnerships between research bodies and manufacturers: Indian manufacturers produced vaccines, test kits, therapeutics, masks and other items at very competitive prices, both for India and other countries. The partnerships between research bodies and manufacturers will need to be sustained and enhanced to make India a global hub in the biopharma sector.
    • Clinical trial network: The clinical trial network set up under the National Biopharma Mission is a positive step toward improving access to affordable new vaccines and drugs in India and around the world.
    • Ayushman Bharat Digital Health Mission: The mission can facilitate the bringing of private hospitals and clinics under a common platform and placing data in the public domain to augment surveillance in vulnerable areas.
    • Municipal corporations mandated to provide early alerts: Municipal corporations have been mandated to identify the most vulnerable areas and provide early alerts. For this to be successful, strong partnerships with communities, dairy cooperatives, and the poultry industry will be needed to identify new infections.

    What are the potential advantages of the One Health approach?

    • Holistic approach: The One Health approach looks at the interconnectedness of human, animal, and environmental health. By taking a holistic approach, it enables a better understanding of the complex interconnections between human, animal, and environmental health, and can lead to more effective interventions and solutions
    • Early disease detection: The One Health approach emphasizes the importance of early disease detection in animals, which can serve as an early warning system for potential human outbreaks. This approach can help prevent the spread of diseases and reduce the risk of pandemics.
    • Better disease surveillance: The One Health approach facilitates better disease surveillance by enabling the sharing of information and resources between different sectors, including human health, animal health, and environmental health.
    • More effective responses: The One Health approach can lead to more effective responses to outbreaks by facilitating collaboration between different sectors and stakeholders, and ensuring a coordinated response.
    • Improved animal health: The One Health approach recognizes the importance of animal health and welfare, and can lead to improved animal health through better disease control and prevention measures.
    • Better environmental management: The One Health approach also recognizes the importance of environmental management and conservation, and can lead to more sustainable environmental practices that benefit both human and animal health.

    One Health

    Conclusion

    • India’s One Health approach is a positive step towards addressing the health of people, animals, and ecosystems together. The country’s efforts to tackle future pandemics are commendable, and the success of these efforts will be critical. The rise of new pathogens, zoonotic diseases, and antibiotic resistance highlights the need for a comprehensive approach to prevent future pandemics. India’s efforts to build stronger health systems, prevent pandemics, and respond to outbreaks will help protect its citizens and set an example for the world.

    Mains Question

    Q. What do you understand by mean One Health? Discuss the advantages of One health approach the efforts of India in this direction.

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  • Bharat Tap Rating System for Water Fixtures

    bharat tap

    Central idea: The Centre is in the process of bringing in a star rating system for water fixtures similar to the ratings of electrical appliances.

    Bharat Tap Rating

    • The star rating system would come under one umbrella called Bharat Tap, which was formulated under AMRUT 2.0 to drive water efficiency.
    • The initiative aims to promote and adopt water-efficient fixtures.
    • It would have 3, 4, and 5-star water fixtures based on their water efficiency.
    • This would help consumers make informed decisions while purchasing sanitary equipment.

    Collaborators of the initiative

    • The Indian Plumbing Association and all manufacturers have been roped in to adopt and promote the new standards for water-efficient fixtures.

    Why such move?

    • Data derived from this initiative showed that on average over 30% of water can be saved.
    • However, there was not enough data available to consumers to assist them in making informed decisions when purchasing sanitary fixtures.

    Back2Basics: AMRUT 2.O

    • Water management: It will build upon the progress of AMRUT to address water needs, rejuvenate water bodies, better manage aquifers, reuse treated wastewater, thereby promoting circular economy of water.
    • Water supply: It would provide100% coverage of water supply to all households in around 4,700 ULBs.
    • Sewerage: It will provide 100% coverage of sewerage and septage in 500 AMRUT cities.
    • Rejuvenation of water bodies and urban aquifer management: It will be undertaken to augment sustainable fresh water supply.
    • Recycle and reuse of treated wastewater: It is expected to cater to 20% of total water needs of the cities and 40% of industrial demand.
    • Pey Jal Survekshan: It will be conducted in cities to ascertain equitable distribution of water, reuse of wastewater and mapping of water bodies.

     

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  • Latest National Health Account figures on India’s Healthcare Sector

    national health

    Central idea: The National Health Account Estimates 2019-20 report shows an increase in government spending and a decline in out-of-pocket expenditure on healthcare.

    About National Health Account (NHA) estimates

    • The NHA estimates for India 2019-20 is the seventh consecutive report prepared by the National Health Systems Resource Centre (NHSRC).
    • NHSRC was designated as National Health Accounts Technical Secretariat (NHATS) in 2014 by the Union Health Ministry.
    • The NHA estimates use an accounting framework based on the internationally accepted standard of System of Health Accounts, 2011 developed by the WHO.
    • India now has a continuous series of NHA estimates from 2013-14 to 2019-20, making the estimates comparable internationally.
    • The estimates enable policymakers to monitor progress in different health financing indicators of the country.

    health

    Key highlights

    Description
    Government spending as % of GDP
    • Increased from 1.13% (FY 2015) to 1.35% (FY 2020)
    • Per capita health spending of the government has also increased from Rs 1,108 in FY 2015 to Rs 2,014 in FY 2020.
    • Govt share in total healthcare spending has increased from 29% in 2015 to 41.4% in 2020
    Declining out-of-pocket expenditure
    • Proportion of total healthcare spending that comes from people’s pockets has decreased from 62.6% in 2015 to 47.1% in 2020
    • Govt aims to further reduce out-of-pocket expenditure by investing in public health and insurance
    • To reduce the financial burden of healthcare on individuals and increase the utilization of healthcare services
    Government spending on primary healthcare
    • Increased from 51.3% in 2015 to 55.9% in 2020.
    • Govt. invested in creating 1.5 lakh health and wellness centres that can screen people for cancers, diabetes, and eye disease.
    Increase in social security expenditure
    • Increased from 5.7% of total healthcare spending in 2015 to 9.3% in 2020.
    • Suggests that the government is investing more in social welfare programs.
    Increase in spending on insurance
    • Privately purchased health insurance increased from 3.9% of total health expenditure in 2015 to 7.72% in 2020
    • Govt. financed health insurance spending also went up from 3.8% in 2015 to 6.37% in 2020
    Health spending by states
    • Only two big states and three smaller ones have crossed the target of 8% of their budget going towards healthcare as set by the National Health Policy 2017.

     

    Key issues

    • Marginal increase: Activists are concerned about the marginal increase in government spending.
    • Global laggard: This increase in government health expenditure as a percentage of GDP also takes into account capital spending, which puts India in 164th place out of 184 countries in terms of government health spending.
    • No proportional increase: Total spending on health as a proportion of GDP has been going down, from 3.9% in 2015 to 3.3% in 2020, indicating a decline in consumption of healthcare services.

    Conclusion

    • Overall, the report shows that government spending on healthcare has been increasing, while out-of-pocket expenditure has been declining.
    • There is a need to invest in public health and insurance and increase the contribution of states towards healthcare.

     

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  • Malaria soon to be a notifiable disease across India

    malaria

    Malaria is all set to become a notifiable disease across India, which will require cases to be reported to government authorities by law.

    About Malaria

    Description
    Definition A potentially life-threatening disease caused by parasites that are transmitted through the bite of infected female Anopheles mosquitoes
    Causes Four species of plasmodium parasites, namely plasmodium vivax, plasmodium falciparum, plasmodium malariae, and plasmodium ovale
    Spread Bite of infected female Anopheles mosquitoes
    Symptoms Fever, chills, headache, muscle pain, fatigue, nausea, vomiting
    Diagnosis Blood test
    Treatment Antimalarial drugs
    Prevention Insecticide-treated bed nets, indoor residual spraying, wearing protective clothing, using mosquito repellent, avoiding mosquito bites
    Vaccine RTS,S/AS01 (Mosquirix)

     

    Why in news?

    • The move is part of India’s vision to become malaria-free by 2027 and to eliminate the disease by 2030.

    Menace of malaria in India

    • In India, 80% of malaria cases occur among 20% of its population living in the 200 high-risk districts of Andhra Pradesh, Chhattisgarh, Gujarat, Jharkhand, Karnataka, Madhya Pradesh, Maharashtra, Odisha, West Bengal and the seven north-eastern states.
    • With only fewer than half of those infected reaching a clinic or hospital, the cases and deaths are much higher than recorded.

    What is Notifiable Disease?

    • A notifiable disease is a disease that is required by law to be reported to government authorities.
    • In India, the Ministry of Health and Family Welfare maintains a list of notifiable diseases under the National Health Mission.
    • This is done to track the spread of the disease and to take necessary measures to control and prevent its spread.
    • Reporting notifiable diseases is important for public health surveillance and response to outbreaks.

    Malaria as a Notifiable Disease

    • Malaria is currently a notifiable disease in 33 states and Union Territories in India.
    • Bihar, Andaman and Nicobar Islands, and Meghalaya are in the process of putting malaria in the notifiable disease category.

    Other measures to curb malaria

    • Malaria Elimination Programme: The government has launched the National Framework for Malaria Elimination in India 2016-2030 to eliminate malaria from the country by 2030.
    • Joint Action Plan: The Health Ministry has initiated a joint action plan with the Ministry of Tribal Affairs for malaria elimination in tribal areas. This plan aims to bring down malaria cases to zero in tribal areas, which are among the most vulnerable to the disease.
    • HIP-Malaria Portal: The Ministry has ensured the availability of near-real-time data monitoring through an integrated health information platform and periodic regional review meetings to keep a check on malaria growth across India.

    Vaccines developed so far

    • The WHO has approved the rollout of two first-generation malaria vaccines, RTS,S and R21, in high-transmission African countries.
    • Bharat Biotech, an Indian company, has been licensed to manufacture the RTS,S vaccine, with adjuvant provided by GSK.
    • The R21 vaccine, developed by scientists at Oxford University, has shown promising results in phase 2 clinical studies and has been approved by regulatory authorities in Ghana and Nigeria.
    • Scientists at the International Centre for Genetic Engineering and Biotechnology (ICGEB) in New Delhi have developed and produced two experimental blood-stage malaria vaccines, with Phase I clinical trials completed for one of them.

     

     

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