Archive for July, 2007

Indian healthcare needs over $200 bn investment: FICCI

July 24, 2007

New Delhi, July 22 (IANS) Access to quality healthcare in India is gradually diminishing, and to solve the crisis the sector would need an investment of about $202.75 billion over the next five years, says an industry body.

India’s healthcare situation requires a much faster growth rate as it would require about 2.2 million beds and the investment needed for that is almost $77.9 billion, the Federation of Indian Chambers of Commerce and Industry (FICCI) said in a presentation to the government.

 

FICCI has suggested a five-pronged PPP (public-private-partnership) model to bridge this huge deficit.

 

‘Unfortunately, at present there is a lack of regulatory framework and the sector attracts sub-standard private healthcare providers and quacks, there is slow implementation of the accreditation process that impacts the quality of healthcare, penetration of health insurance to larger population, shortage of adequately trained healthcare professionals leading to poor quality of service delivery,’ FICCI said.

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Elevated leukaemia rates near nuclear facilities

July 19, 2007

Press Release, EurekAlert

Leukaemia rates in children and young people are elevated near nuclear facilities, but no clear explanation exists to explain the rise, according to a research review published in the July issue of European Journal of Cancer Care.

Researchers at the Medical University of South Carolina carried out a sophisticated meta-analysis of 17 research papers covering 136 nuclear sites in the UK, Canada, France, the USA, Germany, Japan and Spain.

They found that death rates for children up to the age of nine were elevated by between five and 24 per cent, depending on their proximity to nuclear facilities, and by two to 18 per cent in children and young people up to the age of 25.

Incidence rates were increased by 14 to 21 per cent in zero to nine year olds and seven to ten percent in zero to 25 year-olds.

“Childhood leukaemia is a rare disease and nuclear sites are commonly found in rural areas, which means that sample sizes tend to be small” says lead author Dr Peter J Baker.

“The advantage of carrying out a meta-analysis is that it enables us to draw together a number of studies that have employed common methods and draw wider conclusions.”

Eight separate analyses were performed – including unadjusted, random and fixed effect models – and the figures they produced showed considerable consistency.

But the authors point out that dose-response studies they looked at – which describe how an organism is affected by different levels of exposure – did not show excess rates near nuclear facilities.

“Several difficulties arise when conducting dose-response studies in an epidemiological setting as they rely on a wide range of factors that are often hard to quantify” explains Dr Baker. “It is also possible that there are environmental issues involved that we don’t yet understand.

“If the amount of exposure were too low to cause the excess risk, we would expect leukaemia rates to remain consistent before and after the start-up of a nuclear facility. However, our meta-analysis, consistently showed elevated illness and death rates for children and young people living near nuclear facilities.”

The research review looked at studies carried out between 1984 and 1999, focusing on research that provided statistics for individual sites on children and young people aged from zero to 25.

Four studies covered the UK, with a further three covering just Scotland. Three covered France, two looked at Canada and there was one study each from the USA, Japan, Spain, the former East Germany and the former West Germany.

“Although our meta-analysis found consistently elevated rates of leukaemia near nuclear facilities, it is important to note that there are still many questions to be answered, not least about why these rates increase” concludes Dr Baker.

“Several hypotheses have been proposed to explain the excess of childhood leukaemia in the vicinity of nuclear facilities, including environmental exposure and parental exposure. Professor Kinlen from Oxford University has also put forward a hypothesis that viral transmission, caused by mixing populations in a new rural location, could be responsible.

“It is clear that further research is needed into this important subject.”

 Source: American Association for the Advancement of Science

Cuba enjoys publicity from Moore’s “SiCKO”

July 18, 2007

By Anthony Boadle

HAVANA (Reuters) – Michael Moore’s new documentary film “SiCKO” has given Cuba’s free health system its best publicity since Fidel Castro’s 1959 revolution, a Cuban doctor who hosted the filmmaker’s visit said on Monday.

Moore took eight Americans sickened after volunteering for the September 11, 2001, rescue efforts for free treatment in Cuba in March in order to extol the Communist state’s universal care in his film, which attacks the U.S. health system for being driven by profits and leaving millions uninsured.

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Plastic Bottles Plus Sun Rays = Potable Water

July 14, 2007

By Richel Langit-Dursin

JAKARTA, Inter Press Service

Used plastic bottles and sun rays are all that the impoverished residents of Bintaro, South Jakarta, need for their families to have clean potable water.

The residents, mostly scavengers living near a dump site on Jalan Bintaro Permai in Pesanggrahan, simply make use of disposed plastic bottles and the scorching heat of the sun to purify water, which they pump up from underground.

“We don’t have to spend money anymore to have clean drinking water,” said Dewi, a 29-year-old housewife and mother of three.

Just like her neighbours, Dewi used to sterilise contaminated water by boiling it, spending Rp 45,000 (five US dollars) to buy 15 litres of heavily subsidised kerosene per month. While the amount may not sound big, it means a lot for Dewi whose scavenger husband earns only Rp 10,000 (one dollar) per day.

One litre of kerosene costs Rp 3,000 (three cents) and in many parts of Jakarta, it has become scarce after the state-owned oil company Pertamina decreased supply as part of the government’s effort to promote the use of liquefied petroleum gas.

For the past two months Dewi has been using the cheap method of sterilising water by leaving it under the sun, and since then she has been able to save money on kerosene. Unlike before, Dewi now buys only six litres of kerosene a month for cooking. The money that she is able to save goes for the schooling of her 12-year-old daughter.

The affordable method, which is also known as solar water disinfection process, makes the residents save money on medication, too. According to the residents their children now seldom suffer from diarrhoea. One male resident believes that water treated through solar disinfection cured his diabetes.

“It’s like drinking bottled water,” said 40-year-old village head Mulyani, who was at first sceptical and scared to drink the water that she sterilised under the sun.

The 52 poor families of Bintaro Permai learnt about the energy-saving method from Emmanuel Foundation, a non-government organisation established by Emmanuel Laumonier, a former student of Jakarta International School (JIS) who first rejected the idea of getting involved in community service projects, but after working in an orphanage he decided to devote his life to helping others.

“Solar water disinfection process is not complicated,” said Mindy Weimer, also a former JIS student and the Water Programme director of Emmanuel Foundation. Promoting access to clean water is just one of the projects of the foundation. The organisation also provides education and health services to orphaned children.

To purify water, all that the residents have to do is clean out transparent plastic water bottles, fill them up with water, tighten their lids and leave them under the sun for six hours. The bottles should be full to the brim because air can deflect the sun’s ultraviolet rays and prevent them from killing bacteria in the water.

If the bottles are laid on a piece of black cloth, the water will absorb heat faster. However, due to their poor living conditions, the residents just place the bottles on the roofs of their shacks.

When the residents learnt about solar water disinfection process, they were amazed that the sun’s rays can kill a variety of bacteria which cause common water-borne diseases such as diarrhoea, typhoid, cholera and dysentery.

However, one of their problems is lack of plastic bottles since they also sell them to earn money. Dewi, for example, only makes use of three plastic bottles, but her family consumes about four bottles of water a day.

“If we’re really thirsty, we just drink groundwater directly,” Dewi pointed out.

Data from the health ministry showed about 80 percent of Indonesia’s population gets water from contaminated sources. The data also revealed that groundwater in Indonesia is contaminated with faecal coliform as many residents do not have septic tanks.

The contamination is also due to rusty pipes, many of which are as old as 80 years — installed during the Dutch colonial period.

The data also showed that more than 100 million Indonesians do not have access to safe water. Water companies in Indonesia, the world’s fourth most populous country, only serve about 40 percent of urban households. The rest depend on other sources such as wells or water vendors. In rural areas, water firms only serve 10 percent of households.

Indonesians who do not have access to piped water buy water for Rp 25,000 (2.7 dollars) per cu m.

Due to poor sanitation, about 100,000 toddlers die of diarrhoea every year, making diarrhoea the second leading killer of children in Indonesia.

Aside from solar purification, Indonesians boil, use ceramic filter systems, or buy liquid sodium hypochlorite to treat contaminated water. Of all the different methods of treating contaminated water, boiling is the most popular method, with more than 90 percent of the country’s population doing it everyday, according to the health ministry.

However, boiling water causes air pollution, according to Zainal Nampira, head of the sub-division water sanitation directorate of the health ministry.

“The smoke from burning kerosene or firewood causes eye irritation and lung problems,” Nampira said, adding that disease-causing organisms will not be killed if water is not boiled properly. To make it safe to drink, water should be allowed to boil for one minute.

Although it is cost-effective, solar purification is currently practiced by a few communities only. Well-to-do Indonesians simply buy a gallon of ‘mineral’ water, which costs a little over a dollar.

Outside of Jakarta, the simple method is used by some residents of the earthquake-stricken Yogyakarta, and in East Lombok province.

One of the reasons for people’s reluctance to use solar purification is its long disinfection period. During sunny days, people have to wait for six hours for the water to be disinfected. However, if the weather is cloudy, they have to expose their plastic bottles for two days.

“We cannot rely on the weather. Sometimes, it’s not sunny,” Syarief, a resident of Tanjung Priok lamented.

In Indonesia, the rainy season starts in November and ends in March. However, residents of Jakarta still experience rain until July.

The other reason for the small number of people using solar purification method is that Indonesians, particularly Javanese, prefer to drink hot tea over just plain water. Thus, the Javanese resort to boiling water.

“Another reason why people don’t like solar disinfection is that they think the method is only for the poor,” said Arum Wulandari, public health engineer of Emmanuel Foundation.

For health reasons, the organisation does not recommend water treated through solar purification for children aged below two and people with HIV/AIDS because they have weak immune systems. Not enough research has been done to confirm that solar water disinfection process is effective against polio.

“Exposing water to solar radiation does not kill all kinds of bacteria,” Wulandari said. She advises people using the solar water disinfection process to wash the plastic bottles before filling them up with water.

The organisation discovered that some residents in Tanjung Priok have been using plastic bottles for a long time without cleaning them.

To promote the use of solar disinfection, the Emmanuel Foundation distributes comic books to school children, particularly those living in slum areas. “We believe that children can influence their parents to treat water through solar disinfection,” said Mita Sirait, public health promoter of the foundation.

The comic books advocating the use of solar disinfection feature a girl jogging in a public park with her father. After getting exhausted from exercising, the girl, named Ani, asks her father to buy bottled water. The father is about to throw away the plastic bottle when he is stopped by Ani.

“We can use this plastic bottle to make unsafe water safe to drink,” Ani states.

After that she explains the process of solar water disinfection and the negative effects of drinking contaminated water, based on what she has learnt from her teacher.

“If we don’t have a brush to clean the plastic bottle, we can just make use of a bamboo stick or wood and tie a piece of cloth on one end,” she says. The story ends with Ani’s family happy and enjoying good health.

Source: http://www.asiawaterwire.net/node/545

What drove a doctor to become a suicide bomber?

July 13, 2007

World Socialist Web SIte

The detention of at least seven medics in connection with the failed terror attacks in Britain has added to the public’s sense of shock. All the more so since the alleged perpetrators of the attacks were both initially identified as doctors working at Glasgow’s Royal Alexandra Hospital.

These were, after all, men said to have driven two Mercedes packed with petrol, gas cylinders and nails and parked them in London’s West End, one of them outside a crowded nightclub on Ladies Night, and then driven back to Scotland to carry out a suicide attack on Glasgow Airport. Only chance prevented terrible carnage. The driver of the explosives-loaded Jeep in Glasgow is in critical condition after dousing himself with petrol and suffering burns to 90 percent of his body.

It has since been revealed that only the Jeep passenger, Bilal Talal Samad Abdullah, is a doctor. The driver, Kafeel Ahmed, a 27-year-old from Bangalore, India, is a highly qualified aeronautical engineer with a PhD. Even so, the participation of two highly educated men in such an outrage—and the possible involvement of many others from the medical profession—is a deeply troubling aspect of an already appalling chain of events. It has prompted many to ask how someone who in his professional life is dedicated to saving lives could even contemplate taking the lives of so many innocent people.

See more at…… http://www.wsws.org/articles/2007/jul2007/terr-j12_prn.shtml