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Subject: Social Justice

  • [30th March 2026] The Hindu OpED: A missed opportunity to guarantee minimum wages

    PYQ Relevance[UPSC 2024] Discuss the merits and demerits of the four ‘Labour Codes’ in the context of labour market reforms in India. What has been the progress so far in this regard?Linkage: The PYQ examines labour reforms and wage regulation, directly linking to issues of minimum wages, labour protection, and state role highlighted in MGNREGA wage suppression. It helps analyse how policy design and implementation gaps can weaken labour welfare outcomes.

    Mentor’s Comment

    The debate on how wages are fixed under MGNREGA has grown with the proposed VB-GRAM Act, which still keeps wage control with the Centre despite clear problems in the system. For the first time, MGNREGA wages are lower than the legal minimum wages in most states, going against its aim of providing basic livelihood security. Wages have remained almost stagnant in real terms since 2009, while gaps and leakages have increased, showing a serious policy failure affecting labour rights and the rural economy.

    Why are wage rates central to employment guarantee schemes?

    1. Wage Incentive: Determines worker participation; higher wages boosted early MGNREGA success.
    2. Cost Control Tool: Enables governments to restrict programme expansion via suppressed wages.
    3. Programme Sustainability: Directly influences rural demand and labour market tightening.

    How has wage determination evolved under MGNREGA?

    1. Section 6(1) Centralisation: Empowers Centre to notify wages; states marginalised.
    2. Initial State Autonomy (Pre-2009): State minimum wages applied; higher rural wages ensured popularity.
    3. Shift in 2009: Centre notified ₹100/day wage; marked beginning of wage moderation.
    4. Indexation Limitation: Wages linked to CPI-AL but not aligned with actual minimum wages.

    What are the consequences of the real-wage freeze since 2009?

    1. Real Wage Decline: Wages frozen in real terms post-2009; growth only inflation-adjusted.
    2. Below Minimum Wage Levels: By 2025-26, MGNREGA wages are often lower than agricultural minimum wages.
    3. Labour Market Distortion: Weakens rural bargaining power; reduces scheme attractiveness.
    4. Gender Wage Gap Evidence: MGNREGA wages ~60% (men) and ~75% (women) of agricultural wages (2014 Labour Bureau data).

    How has wage suppression affected implementation and outcomes?

    1. Delayed Payments: Frequent delays due to Aadhaar-based Payment System and NMMS issues.
    2. Non-payment Instances: Technical failures leading to unpaid wages.
    3. Discouragement Effect: Workers lose interest; participation declines.
    4. Leakages Increase: Gap between official and actual employment reflects corruption rise.

    Why is the gap between official data and ground reality significant?

    1. Data Discrepancy: Official employment data shows stability; surveys indicate decline.
    2. PLFS Evidence: Suggests lower employment levels compared to early implementation years.
    3. Leakage Indicator: Growth gap reflects systemic inefficiencies and corruption.

    What are the key concerns associated with the VB-GRAM Act?

    1. No Structural Reform: Lacks provisions for timely wage payments or anti-corruption mechanisms.
    2. Central Control Retained: Continues Centre’s power to fix wages under Section 10.
    3. Contradiction with Federal Logic: Wage burden shared 60:40, but states lack control.
    4. Non-obstante Clause Issue: Allows overriding Minimum Wages Act, enabling sub-minimum wages.

    What reforms are suggested to correct wage distortions?

    1. Minimum Wage Alignment: Ensures wages ≥ state minimum wages.
    2. Decentralised Wage Setting: Transfers power to states.
    3. Legal Consistency: Removes non-obstante clause overriding Minimum Wages Act.
    4. Automatic Revision Mechanism: Introduces transparent wage revision formula.

    Conclusion

    MGNREGA’s credibility as a rights-based welfare programme is weakening due to persistently low wages, delayed payments, and excessive central control. Without aligning wages to statutory minimum levels, restoring state autonomy, and ensuring timely and transparent payments, the scheme risks becoming ineffective. Strengthening its design is essential to uphold labour dignity, rural livelihoods, and inclusive growth.

  • Antibiotic Resistance Fuels 87 Percent of India’s Typhoid Economic Burden

    Why in News

    A study published in The Lancet Regional Health Southeast Asia (2026) found that antibiotic resistant typhoid infections accounted for 87 percent of India’s typhoid economic burden in 2023.

    Key Findings

    • Total economic burden of typhoid in India: ₹123 billion
    • Antibiotic resistant typhoid share: 87 percent
    • Children under 10 years contributed to over 50 percent of costs
    • Households bore 91 percent of total expenses
    • Around 70,000 families faced catastrophic health expenditure

    High Burden States

    • Five states accounted for 51 percent of national burden
    • Maharashtra, Uttar Pradesh, Andhra Pradesh including Telangana, Tamil Nadu, and West Bengal

    What is Typhoid

    • Bacterial infectious disease
    • Caused by Salmonella Typhi
    • Spread through contaminated food and water
    • Linked to poor sanitation and unsafe drinking water

    What is Antibiotic Resistance

    • Bacteria develop resistance to antibiotics
    • Medicines become less effective
    • Treatment becomes longer and more expensive
    • Higher risk of complications

    [2019] Which of the following are the reasons for the occurrence of multi-drug resistance in microbial pathogens in India? 1 Genetic predisposition of some people. 2 Taking incorrect doses of antibiotics to cure diseases. 3 Using antibiotics in livestock farming. 4 Multiple chronic diseases in some people. Select the correct answer using the code given below: (a) 1 and 2 (b) 2 and 3 only (c) 1, 3 and 4 (d) 2, 3 and 4
  • [24th March 2026] The Hindu OpED: A decade of building India’s TB Championship movement

    PYQ Relevance[UPSC 2020] COVID-19 pandemic has caused unprecedented devastation worldwide. However, technological advancements are being availed readily to win over the crisis. Give an account of how technology was sought to aid management to the pandemic.Linkage: This PYQ tests application of technology in public health crises, focusing on diagnostics, digital tools, and governance outcomes in disease management. The same COVID-driven technological shift (AI, rapid diagnostics, decentralisation) is now being institutionalised in TB control to address early detection gaps and improve accessibility.

    Mentor’s Comment

    India’s fight against tuberculosis (TB) is entering a decisive phase. On the occasion of World TB Day (March 24), the focus has shifted from treatment expansion to a more critical bottleneck, early and accurate diagnosis.

    What is TB Diagnosis?

    Tuberculosis (TB) diagnosis involves identifying TB bacteria through sputum tests (smear microscopy, culture, or rapid molecular tests like GeneXpert), chest X-rays, and TB infection tests (skin test or IGRA blood test). Active TB, which causes symptoms like cough and fever, requires sputum analysis, while latent TB is detected by immune response tests

    Why is TB diagnosis emerging as the central challenge in India’s TB elimination strategy?

    1. High Burden Reality: India contributes the largest share of global TB cases, making early detection a critical bottleneck.
    2. Diagnostic Delay: Delays in diagnosis increase transmission, worsen outcomes, and raise mortality.
    3. Asymptomatic Prevalence: National TB Survey shows ~50% of TB cases are asymptomatic, making symptom-based screening insufficient.
    4. Low Sensitivity Tools: Traditional sputum smear microscopy fails to detect drug resistance and has low sensitivity.

    How has the TB diagnostic landscape evolved in the last decade?

    1. Technological Transition: Shift from sputum smear microscopy,  molecular diagnostics (CBNAAT, TrueNat).
    2. Indigenous Innovation: TrueNat (2020) enabled decentralized molecular testing at primary care level.
    3. AI Integration: AI-enabled portable chest X-rays allow rapid screening and interpretation.
    4. Programmatic Expansion: NTEP deployed hundreds of portable X-ray machines under community screening drives.
    5. Non-Sputum Methods: Use of tongue swabs and alternative samples improves accessibility for vulnerable populations.

    What structural gaps continue to limit the effectiveness of TB diagnostics?

    1. Access Inequality: Limited availability of molecular testing in rural and hard-to-reach areas.
    2. Human Resource Constraints: Dependence on trained radiologists and technicians restricts scaling.
    3. Turnaround Delays: Delayed reporting reduces treatment initiation efficiency.
    4. Pediatric TB Challenge: Children often lack sputum; diagnosis remains difficult due to low bacillary load.
    5. Extra-Pulmonary TB (EPTB): Accounts for ~25% of TB burden; diagnosis remains complex and expensive.

    Why is a comprehensive diagnostic toolbox necessary for TB elimination?

    1. Diverse Disease Manifestation: TB presents in multiple forms (pulmonary, extra-pulmonary, asymptomatic).
    2. Population Diversity: Requires tools adaptable for children, elderly, and immunocompromised individuals.
    3. Drug Resistance Detection: Molecular tools enable early identification of resistant strains.
    4. Precision Targeting: AI and biomarkers help identify high-risk individuals for preventive therapy (TPT).

    What role do innovation and research play in strengthening TB diagnostics?

    1. Evidence-Based Procurement: Technologies evaluated by ICMR before scale-up.
    2. Cost-Effectiveness Focus: Need for affordable and scalable diagnostic tools.
    3. Biomarker Development: Enables prediction of disease progression and targeted interventions.
    4. AI-Based Solutions: Portable ultrasound and AI-driven screening tools under development.
    5. Real-World Validation: Need for field-based studies to assess performance in low-resource settings.

    How do community-led initiatives like TB Champions strengthen the TB response?

    1. Peer Advocacy: TB survivors act as communicators, reducing stigma and improving awareness.
    2. Behavioural Change: Community engagement improves treatment adherence and early reporting.
    3. The National Tuberculosis Elimination Programme (NTEP) Integration: Survivor-led model formally adopted under National TB Elimination Programme.
    4. Social Inclusion: Targets vulnerable groups, urban poor, tribal populations, socially marginalized.
    5. Anti-Stigma Impact: Increased confidence among patients; improved care-seeking behaviour. 

    Conclusion

    India’s TB elimination strategy is increasingly dependent on diagnostic transformation rather than treatment expansion. While technological innovation and community participation have improved detection capacity, systemic gaps in accessibility, inclusivity, and real-world implementation persist. A comprehensive, evidence-based, and decentralized diagnostic ecosystem is essential to accelerate progress toward TB elimination.

  • SC Strikes Down 3-Month Cap on Maternity Leave for Adoptive Mothers

    Why in the News

    • The Supreme Court of India (March 2026) struck down the 3-month age cap for maternity leave for adoptive mothers under:
      • Maternity Benefit Act, 1961
      • Code of Social Security, 2020

    What the Law Earlier Said

    • 12 weeks maternity leave was allowed only if child < 3 months at adoption
    • Result: Most adoptive mothers could not qualify

    Supreme Court Ruling

    • Adoptive mothers: Entitled to 12 weeks maternity leave regardless of child’s age
    • Held: “Motherhood cannot depend on child’s age”

    Why SC Struck Down the Cap

    1. Violation of Equality (Article 14)

    • Article 14 of the Indian Constitution
    • Court said: Distinction between mothers based on child’s age is: Artificial and unreasonable
    • Same caregiving responsibilities: Infant (2 months) vs child (4 months)

    2. Violation of Right to Life & Dignity (Article 21)

    • Article 21 of the Indian Constitution
    • Includes:
      • Reproductive autonomy
      • Right to form a family (including adoption)

    3. Law was “Illusory” in Practice

    • Adoption process (under Juvenile Justice Act, 2015):
      • Mandatory waiting periods
      • Legal procedures
    • Result: Child rarely available below 3 months

    4. Importance of Child Bonding

    • Maternity leave ensures: Emotional bonding and Child’s adjustment in new family
    • Applies equally to: Adoptive mothers (even more critical)

    5. Rejection of Government Argument

    • Govt suggested: Use crèche facilities
    • Court response:
      • Not universal (only for ≥50 employees)
      • Cannot replace maternal care
    [2019] With reference to the Maternity Benefit Amendment Act, 2017, consider the following statements: Pregnant women are entitled for three months pre-delivery and three months post-delivery paid leave. This act applies to all organisations with 20 or more employees. It has made it mandatory for every organisation with 100 or more employees to have a crèche. Which of the statements given above is/are correct? (a) 1 and 2 only (b) 2 only (c) 3 only (d) 1, 2 and 3
  • India’s Progress in Reducing Child Mortality: UN Report (2025)

    Why in the News

    • The Levels and Trends in Child Mortality by the United Nations Inter-agency Group for Child Mortality Estimation highlights:
      • Global slowdown in reducing child deaths
      • India’s steady improvement in child and neonatal mortality

    Global Scenario

    • 4.9 million children died before age 5 (2024)
      • Includes 2.3 million newborns
    • Under-5 mortality:
      • ↓ More than 50% since 2000
      • BUT progress slowed by >60% since 2015
    • 2.1 million deaths (age 5–24 years)
    • Regional Distribution
    • Sub-Saharan Africa: Accounts for 58% of global under-5 deaths

    India’s Performance

    1. Neonatal Mortality Rate (NMR)

    • 1990: 57 per 1000 live births
    • 2024: 17 per 1000

    2. Under-5 Mortality Rate (U5MR)

    • 1990: 127 per 1000
    • 2024: 27 per 1000

    3. Key Drivers of Improvement

    • Expanded immunisation coverage
    • Increase in institutional deliveries
    • Strengthening of public health systems
    • Targeted interventions:
      • Maternal & child healthcare
      • Nutrition programs

    Key Observations

    • India is a major contributor to mortality reduction in South Asia
    • Demonstrates that: Low-cost interventions can significantly reduce deaths

    Challenges Ahead

    • Slowing global progress
    • Persistent: Malnutrition and Infectious diseases
    • High neonatal share: Nearly half of under-5 deaths
    [2023] Consider the following statements in relation to Janani Suraksha Yojna: 
    1. It is a safe motherhood intervention of the State Health Departments. 
    2. Its objective is to reduce maternal and neonatal mortality among poor pregnant women.
    3. It aims to promote institutional delivery among poor pregnant women. 
    4. Its objective includes providing public health facilities to sick infants up to one year of age. 
    How many of the statements given above are correct? 
    (a) Only one (b) Only two (c) Only three (d) All four
  • Why Transgender Protection (Amendment) Bill 2026 has attracted criticism

    Why in the News?

    Transgender Protection (Amendment) Bill, 2026 was introduced in Lok Sabha in March 2026.  The Bill seeks to amend the Transgender Persons (Protection of Rights) Act, 2019.  The Act provides for rights of transgender persons and their welfare. The Amendment Bill proposes major changes to India’s transgender rights framework, drawing criticism for moving away from the rights-based approach recognised by the Supreme Court in NALSA judgement (2014) and partially reflected in the 2019 Act. The controversy is sharp because the proposed law is seen as replacing self-identification with medical and bureaucratic control, while also narrowing the definition of who qualifies for protection

    What does the Transgender Persons (Protection of Rights) Act, 2019 currently recognise?

    1. Assigned Gender at Birth: The 2019 Act defines a transgender person as one whose gender does not match the gender assigned at birth.
    2. Recognised Categories: The law includes trans men, trans women, persons with intersex variations, genderqueer persons, and persons with socio-cultural identities such as kinnar, hijra, aravani, and jogta.
    3. Broad Coverage: The definition extends protection across both gender identity and socio-cultural community-based identities.
    4. Policy Basis: The law emerged in the backdrop of the Supreme Court’s recognition of gender identity as a matter of dignity, autonomy, and constitutional protection.

    How did the NALSA judgment shape transgender rights in India?

    The 2014 NALSA v. Union of India judgment revolutionized transgender rights in India by legally recognizing “third gender” identities, affirming self-identified gender without medical intervention, and extending fundamental rights protections.

    1. Self-Identification: The Supreme Court in NALSA (2014) upheld the fundamental right of transgender persons to identify as male, female, or third gender.
    2. Constitutional Protection: The judgment located transgender rights within equality, dignity, freedom, and non-discrimination under the Constitution.
    3. State Obligation: The Court directed governments to frame legal recognition measures and welfare safeguards for the transgender community.
    4. Recognition Principle: The judgment treated gender identity primarily as a matter of self-identification, not medical certification.
    5. Normative Shift: The decision marked a shift from welfare-based tokenism to a rights-based constitutional framework.

    How did the Transgender Persons (Protection of Rights) Act, 2019 depart from the NALSA principle?

    1. Reduced Scope of Identity: The 2019 Act provided formal recognition but did not fully preserve the autonomy-based spirit of NALSA.
    2. Administrative Regulation: It introduced a process that made legal recognition dependent on official certification mechanisms.
    3. Partial Inclusion: The law included a wider set of identities, including socio-cultural communities, but remained contested for not fully adopting unconditional self-identification.
    4. Continuing Debate: The Act became a compromise framework rather than a complete implementation of the Supreme Court’s vision.

    What definitional changes does the Transgender Persons (Protection of Rights) Amendment Bill, 2026 propose?

    1. Trans Person Definition: The 2019 Act defines a transgender person as a person whose gender does not match with the gender assigned at birth, and specifies certain persons who are included.  The 2026 Bill removes this definition.  It instead lists categories of persons to be included.  The Bill also states that it will not include or will never have included persons with different sexual orientations and self-perceived sexual identities.
      1. The 2019 Act includes: (i) a person with socio-cultural identity such as kinner, hijra, aravani, or jogta (ii) a person with variations at birth in characteristics such as primary sexual characteristics, external genitalia, chromosomes, or hormones from the normative standard of male or female body.  The 2026 Bill retains these categories. 
      2. The 2026 Bill removes the following categories included in the 2019 Act:
        1. a trans-man or trans-woman, irrespective of whether such a person has undergone sex reassignment surgery, hormone therapy, laser therapy, or such other therapy
        2. Genderqueer.
    2. Narrowed Coverage: Introduces a separate category for individuals forcibly made to assume a transgender identity through practices such as mutilation, emasculation, castration, surgical procedures, or hormonal intervention.
    3. Exclusion of Self-Perception: The proposal reportedly removes the explanation in Section 2(4) of the 2019 Act that linked gender identity to self-perceived gender identity.
    4. Removal of NALSA Influence: The Bill deletes the 2019 provision that reflected the self-identification principle.
    5. Socio-Cultural Impact: Activists argue that excluding persons from recognised socio-cultural transgender communities would weaken protection for historically marginalised groups.

    Why is the medical certification requirement controversial?

    Under the 2019 Act, a transgender person may apply to the District Magistrate for issuing a certificate of identity as a transgender person. But the 2026 Bill includes the following:

    1. District Magistrate Certification: Under the Bill, a person can be recognised as transgender and receive an identity card only after the District Magistrate receives a certificate from the designated medical board. The board will be headed by a Chief Medical Officer or a Deputy Chief Medical Officer. The District Magistrate may take assistance from other medical experts. 
    2. Medical Examination: The DM must satisfy himself that the board’s recommendation was issued after medical experts were relevantly consulted before granting a certificate of identity.
    3. Bureaucratic Control: The process shifts recognition from self-identification to medical verification plus administrative approval.
    4. Privacy Concerns: The model raises concerns regarding clinical gatekeeping, invasive examination, and possible disclosure of intimate personal information.
    5. Departure from Dignity Framework: The requirement reverses the principle that gender identity is fundamentally self-determined, not State-certified.

    What new punishments does the Bill introduce?

    1. Existing Offences (2019 Act): Covers acts such as forced or bonded labour, denial of access to public places, forced eviction from residence, and physical, sexual, verbal, emotional, or financial abuse; punishable with imprisonment of 6 months to 2 years and fine.
    2. Enhanced Penal Framework: Retains earlier offences but supplements them with graded and stricter punishments for aggravated forms of coercion and violence.
    3. Kidnapping and Grievous Harm: Criminalises kidnapping or causing grievous hurt to force a person to assume a transgender identity; prescribes 10 years to life imprisonment with minimum ₹2 lakh fine for adults, and life imprisonment with minimum ₹5 lakh fine for children.
    4. Identity Compulsion for Exploitation: Penalises forcing a person to present as transgender and engage in begging, servitude, or bonded labour; punishment includes 5-10 years imprisonment with minimum ₹1 lakh fine for adults, and 10-14 years imprisonment with minimum ₹3 lakh fine for children.
    5. Forced Identity Violation: Introduces punishment for forcing a person to act against their sex/gender identity, recognising identity-based coercion as a punishable offence.
    6. Child Protection Dimension: Establishes higher penalties where victims are children, reflecting aggravated vulnerability and need for stricter deterrence.
    7. Expanded Penal Reach: Shifts from general protection to specific criminalisation of identity-based coercion, organised exploitation, and violence.
    8. Implementation Constraint: Raises concerns regarding over-reliance on punitive measures without parallel safeguards such as rehabilitation, livelihood support, and social integration mechanisms.

    What are the criticisms of the 2026 Bill?

    1. Violation of Human Rights: Trans persons and activists argue that the amendment violates the right to individual self-determination of gender identity.
    2. Identity Concern: Activists state that gender identity cannot be reduced to medical approval or official certification.
    3. Continuity with Qualification: The Bill retains recognition of socio-cultural identities such as kinnar and hijra, but alters the definitional framework and recognition process, raising concerns about effective access to rights.
    4. Risk of Exploitation: Activists argue that for many trans persons, especially from marginalised backgrounds, dependence on coercive systems may itself be a form of exploitation.
    5. Conflict with Constitutional Morality: The Bill is seen as inconsistent with constitutional values of dignity, autonomy, equality, and privacy.

    Does the Bill strengthen protection or dilute rights?

    1. Protective Intent: The penal clauses seek to address abuse, coercion, forced presentation, prostitution, bonded labour, and denial of access.
    2. Rights Dilution: The definitional narrowing and medical certification requirements are seen as diluting the rights framework.
    3. Institutional Contradiction: The Bill combines stronger punishment with weaker recognition rights.
    4. Policy Tension: It reflects a tension between protective criminal law and autonomy-based civil recognition.
    5. Net Effect: The criticism arises because the Bill may expand state control while narrowing community inclusion.

    What constitutional and policy issues emerge from the debate?

    1. Equality: Differential treatment through medical certification may undermine substantive equality.
    2. Dignity: State scrutiny over gender identity affects dignity and personal autonomy.
    3. Privacy: Mandatory medical processes raise concerns regarding bodily privacy and informational privacy.
    4. Freedom of Expression: Gender expression forms part of personal liberty and identity.
    5. Welfare Access: Restrictive recognition can affect access to welfare entitlements, documentation, healthcare, and social justice measures.
    6. Administrative Justice: District-level certification may produce delays, discretion, exclusion, and uneven implementation.

    Conclusion

    The Bill reflects a shift from a rights-based framework of self-identification to a more regulated, certification-driven approach, raising concerns over autonomy and dignity. While it strengthens penal provisions against exploitation, its procedural constraints may limit effective access to rights. A balanced approach must align legal safeguards with constitutional principles of equality, privacy, and individual agency.

    PYQ Relevance

    [UPSC 2023] Explain the constitutional perspectives of Gender Justice with the help of relevant Constitutional Provisions and case laws.

    Linkage: This question directly applies to transgender rights as gender justice extends beyond binary identities, supported by Articles 14, 15, 19, and 21 and cases like NALSA (2014) and Navtej Johar (2018). It helps analyse how the Bill’s shift from self-identification to medical certification may conflict with constitutional morality, dignity, and privacy jurisprudence.

  • Growing Concern Over Nicotine Pouches in India

    Why in the News

    Health experts and anti-tobacco activists are demanding stricter regulation or a ban on nicotine pouches, which are increasingly being sold online in India. Tamil Nadu’s Directorate of Drugs Control has issued alerts and notices against their illegal sale.

    What are Nicotine Pouches?

    • Small microfiber pouches containing nicotine powder, flavourings and additives.
    • Placed between the gum and lip, where nicotine is absorbed through the mouth lining.
    • Do not contain tobacco, but still deliver nicotine directly to the bloodstream.

    According to the Centers for Disease Control and Prevention, nicotine pouches dissolve in the mouth and do not require spitting.

    Why Experts Are Concerned

    • Highly Addictive: Nicotine is a highly addictive chemical, especially harmful for youth and pregnant women.
    • Not Approved for Smoking Cessation: Neither the U.S. Food and Drug Administration nor Indian authorities approve nicotine pouches as a quitting aid.
    • Health Risks: Possible effects include:
      • Cardiovascular problems
      • Gum disease and oral health issues
      • Increased overall nicotine intake
    • Some pouches reportedly contain up to 50 mg nicotine, far higher than standard nicotine replacement products.
    [2020] Which of the following are the reasons/factors for exposure to benzene pollution? Automobile exhaust Tobacco smoke Wood burning Using varnished wooden furniture Using products made of polyurethane Select the correct answer using the code given below: (a) 1, 2 and 3 only (b) 2 and 4 only (c) 1, 3 and 4 only (d) 1, 2, 3, 4 and 5
  • HPV Vaccine Policy: India-made Cervavac Yet to Enter National Programme

    Why in the News

    India has launched a large-scale HPV vaccination campaign for adolescent girls using Gardasil, while the India-made vaccine Cervavac has not yet been included in the national immunisation programme due to ongoing research on its single-dose effectiveness.

    HPV Vaccine Campaign in India

    • India plans to vaccinate 1.15 crore girls aged 14 years.
    • The campaign currently uses Gardasil-4, developed by Merck.
    • Vaccination is supported by funding from Gavi.

    About the Indigenous Vaccine: Cervavac

    • Developed through collaboration between:
      • Department of Biotechnology
      • BIRAC
      • Bill and Melinda Gates Foundation
      • Serum Institute of India
    • Officially launched in 2022.
    • Estimated price if procured by government: ₹200–400 per dose (much cheaper than global vaccines).

    Why Cervavac is Not Yet in the Programme

    • Ongoing ICMR Study: The Indian Council of Medical Research is studying whether one dose of Cervavac produces enough long-lasting antibodies. Results expected by 2027.
    • WHO Recommendation Change: The World Health Organization now allows single-dose HPV vaccination in national programmes. Gardasil already has WHO prequalification for single-dose use, while Cervavac does not yet.
    • Free Vaccine Supply: India received GAVI support providing limited “free” HPV vaccine doses, encouraging the use of Gardasil initially.

    Two-Dose vs Single-Dose Debate

    • Earlier recommendation: 2 doses for girls aged 9–15 (6 months apart).
    • New WHO guidance (2022): Countries may use single-dose schedules to improve coverage and reduce costs.
    • Single-dose programmes are easier to implement because adolescent girls may not return for the second dose.

    Burden of Cervical Cancer in India

    • Second most common cancer among Indian women.
    • About 80,000 new cases annually.
    • Around 42,000 deaths each year.
    • India accounts for about 20% of global cervical cancer cases.

    About HPV (Human Papillomavirus)

    • A group of viruses spread mainly through sexual contact.
    • Certain strains such as HPV-16 and HPV-18 cause most cervical cancers.
    • Vaccination significantly reduces risk.
    [2022] In the context of vaccines manufactured to prevent COVID-19 pandemic, consider the following statements: The Serum Institute of India produced COVID-19 vaccine named Covishield using mRNA platform. Sputnik V vaccine is manufactured using vector-based platform. COVAXIN is an inactivated pathogen-based vaccine. Which of the statements given above are correct? (a) 1 and 2 only (b) 2 and 3 only (c) 1 and 3 only (d) 1, 2 and 3
  • India Ranks Second Globally in Childhood Obesity

    Why in the News

    The World Obesity Atlas 2026, released by the World Obesity Federation on World Obesity Day (March 4), reported that India ranks second globally in childhood obesity, after China.

    Key Findings

    Scale of Childhood Obesity in India (2025)

    • Children aged 5–9: ~15 million overweight or obese
    • Children aged 10–19: ~26 million overweight or obese

    High BMI figures among children:

    • China: 62 million
    • India: 41 million
    • United States: 27 million
    • India therefore ranks second globally in number of children with high BMI.

    Global Trend

    • 20.7% of children worldwide (ages 5–19) are overweight or obese.
    • This increased from 14.6% in 2010.
    • By 2040, about 507 million children globally may be overweight or obese.

    Major Risk Factors Identified in India

    • Low Physical Activity: 74% of adolescents (11–17 years) do not meet recommended physical activity levels.
    • Poor Nutrition: Increased consumption of sugary beverages among children.
    • Inadequate School Nutrition: Only 35.5% of school-age children receive school meals.
    • Sub-optimal Breastfeeding: 32.6% of infants (1–5 months) do not receive optimal breastfeeding.

    Health Risks Linked to High BMI

    By 2040, India may see rising cases of:

    • Hypertension
    • Hyperglycaemia
    • High triglycerides
    • Metabolic dysfunction-associated steatotic liver disease (MASLD)
      • These conditions increase the risk of diabetes and cardiovascular diseases later in life.

    Recommended Policy Actions

    • Introduce taxes on sugar-sweetened beverages.
    • Restrict junk food marketing targeting children.
    • Promote healthy school meals and physical activity.
    • Strengthen nutrition and breastfeeding programmes.

    Prelims Pointers

    • BMI (Body Mass Index) = weight (kg) á height² (m²).
    • World Obesity Day is observed on March 4.
    • Childhood obesity increases risk of Type 2 diabetes and cardiovascular diseases.
    • MASLD refers to Metabolic Dysfunction-Associated Steatotic Liver Disease.
    [2016] Which of the following is/are the indicator/ indicators used by IFPRI to compute the Global Hunger Index Report? Undernourishment Child stunting Child mortality Select the correct answer using the code given below. (a) 1 only (b) 2 and 3 only (c) 1, 2 and 3 (d) 1 and 3 only

  • India to Launch Free HPV Vaccination for Adolescent Girls

    Why in the News

    India will roll out a nationwide free Human Papillomavirus vaccination programme for adolescent girls in 2026 to prevent cervical cancer, according to Health Ministry sources.

    Key Features of the Programme

    • Target group: 14 year old girls
    • Voluntary and free of cost
    • Administered at:
      • Ayushman Arogya Mandirs
      • Community Health Centres
      • District hospitals
      • Government medical colleges
    • Supervised by trained medical officers
    • Post vaccination observation systems in place
    • India joins over 160 countries that have introduced HPV vaccination.

    Disease Burden in India

    • Cervical cancer is the second most common cancer among women in India.
    • Around 80,000 new cases annually.
    • Over 42,000 deaths each year.
    • Persistent HPV infection, especially types 16 and 18, causes over 80 percent of cases.

    About HPV

    • Human Papillomavirus is a group of viruses transmitted through close contact.
    • Most infections resolve naturally.
    • Persistent high risk infection can cause cervical cancer over time.

    Why Target Age 14?

    • Vaccine is most effective before exposure to the virus.
    • Provides long lasting immunity.
    • Prevents infection before onset of sexual activity.
    • The World Health Organization and its Strategic Advisory Group of Experts on Immunization have recognised that a single dose schedule can provide comparable protection to two dose regimens in many cases.
    • Immunocompromised individuals may require two or three doses.
    [2022] In the context of vaccines manufactured to prevent COVID-19 pandemic, consider the following statements: The Serum Institute of India produced COVID-19 vaccine named Covishield using mRNA platform. Sputnik V vaccine is manufactured using vector based platform. COVAXIN is an inactivated pathogen based vaccine. Which of the statements given above are correct? 

    (a) 1 and 2 only 

    (b) 2 and 3 only 

    (c) 1 and 3 only 

    (d) 1, 2 and 3