Commentary

Find our newspaper columns, blogs, and other commentary pieces in this section. Our research focuses on Advanced Biology, High-Tech Geopolitics, Strategic Studies, Indo-Pacific Studies & Economic Policy

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Can India Take Cues From Kenya's GMO Ban Lift to Meet Climate Change Challenge?

By Shambhavi Naik

In early October 2022, Kenya lifted a decade-long ban on importing Genetically Modified Organisms or GMOs as a source of food and feed. This follows Kenya's approval to GM cotton in response to the ongoing drought conditions.

Parts of Africa are experiencing unprecendented drought and nearly four million people in Kenya are facing hunger issues. Kenya’s move to adopt GMOs to improve food security comes on the recommendation of a task force which was set up to examine the safety and viability of using GMOs.  

While this move may mitigate some of Kenya’s food concerns, the shift to GMOs in the middle of an ongoing disaster will take time and effort. With this backdrop, it is time for India to also revisit its de facto ban on GMOs and invest in this technology now.

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Malnutrition: Is Public Nutrition the Best Approach?

By Harshit Kukreja

In India, with the initiation of schemes like POSHAN 2.0, nutrition is gradually gaining importance as an important aspect of health. With an increase in our understanding of health and nutrition, we are now able to test and prescribe individualised nutritional recommendations. Now, instead of population level recommended dietary allowance (RDA), it is possible to get personalised nutrition guidance based on comorbidities, genetic makeup and family history. As we just observed POSHAN maah (month) in September, let us talk about malnutrition.

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Wastewater surveillance programmes for India: A call for action

By Shambhavi Naik

New York Governor Kathy Hochul declared a disaster emergency on September 9 2022, to ramp up efforts to vaccinate residents against polio after the virus was detected in wastewater samples in four counties. While wastewater surveillance is an effective tool for monitoring community health, there has been no concerted governmental effort in India to include it in the broader public health strategy.Such a programme could better predict the emergence of diseases, help prepare mitigation measures and improve public health outcomes

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India@75: How India’s Health Report Since Independence Has Been Creditworthy

By Harshit Kukreja and Mahek Nankani

We are now in the third decade of the 21st century, seventy-five years after India gained Independence. In these years, the country has progressed in more sectors than one. The improvements across several health indicators are tremendous. These stories have been a result of conscious efforts towards achieving the goal of “Health for all”. As India heads towards becoming a superpower, it is important to look at the advancements we have made in the health sector.

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In Fight Against Monkeypox, Covid, Indoor Ventilation is a Key Tool in Reducing Risk of Infection

By Harshit Kukreja

We are facing an ever increasing caseload of Covid-19, which has reached 20,000 new cases every day. There is also an additional threat of monkeypox, which has been detected in India and has been declared a Global Health Emergency. Countries such as India and the UK have even advised airborne precautions pointing towards a risk of easy spread through respiratory droplets. Although, not as easily as Covid-19.

Masks, social distancing and vaccinations are existing tools, which are helping us fight Covid-19 and monkeypox. One important tool that we as a country have not used is indoor ventilation. Indoor ventilation means putting outdoor air inside and removing indoor air to reduce the risk of infection.

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Why Most Indians Not Using Public Health Facilities is a Matter of Concern

By Harshit Kukreja and Mahek Nankani

To facilitate and enhance the ongoing mass vaccination campaign for Covid-19, the government has made booster doses free for citizens above 18 years of age for 75 days, starting July 15. This announcement has come amidst the rise of Covid-19 cases across India. The decision is not only bold, but also smart. This is because a staggering 92% Indians, who are currently eligible for a third dose, have not yet taken their shots and are now late receivers. The move is targeting many objectives together: increasing affordability, improving accessibility to more groups and strengthening the trust of the people in government authorities. However, poor awareness and implementation can hinder the ultimate objective of the decision.

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NFHS-5 Data Shows India Forgot Its Obesity Burden while Fighting Undernutrition

By Mahek Nankani and Harshit Kukreja

A few decades ago, obesity was not considered a public health issue. Even as late as the 1990s, obesity was only seen as a western concern, whereas undernutrition was more of a problem for developing nations like India. However, obesity is now afflicting more than 44 per cent of the world’s population. According to the data from the fifth round of the National Family Health Survey (NFHS), India is not far behind. Most government regimes have focused their efforts in recent years on combating malnutrition, with many schemes launched across the country. While the focus was important for that time, new data on obesity suggests that we may have forgotten the obesity burden.

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Health Star Rating for Packaged Food is a Welcome Move. But is It Enough?

By Mahek Nankani and Harshit Kukreja

In India, consumers have always had a difficult time separating unhealthy food items from their healthy counterparts. The country’s plan to implement a Health Star Rating (HSR) system for packaged food items is a long-pending move. The decision to approve HSR was made with an eye on rise in obesity, diabetes and hypertension in India. This rating will help in bringing about a behavioural change in the population. The Food Safety and Standards Authority of India (FSSAI) has been tasked with overseeing its implementation. The decision was made after a report was released by IIM Ahmedabad on ‘Consumer preferences for different nutrition front-of-pack labels in India’. The rating’s aim is to make customers aware and capable of making informed food choices.

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From Libya to Afghanistan and Syria, Vaccination Rates in War-Torn Nations Are Alarmingly Low

By Mahek Nankani

Fear grips the lives of people in various disputed regions around the world. Fear of several years of war and destruction and now the fear of a fatal global pandemic. The already hobbled healthcare systems have further been overwhelmed with high infection rates of Covid-19. As newer variants continue to keep coming up, the best possible way out of the situation is to get the maximum possible number of people vaccinated. However, vaccinating people in crisis zones has been fraught with difficulties thus far. Many of these areas have not even partially vaccinated one-fourth of their population. Rapid and concerted efforts in the coming months are critical to closing the vaccine distribution gap.

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Missing Females: Underreporting of COVID-19 Cases Among Women Shows A Persistent And Global Problem

By Mahek Nankani

In the healthcare sector, relevant and accurate data has become everything. Public health across the globe can be tremendously improved with the help of accurate and timely data. But data on women’s health has always remained in the dark. Several surveys and reports have repeatedly shown that “Missing Women,” a term coined by Indian economist Amartya Sen, is a global problem. This underreporting of females has come to light yet again. A recent research study has demonstrated that many countries have failed to report female infections throughout the pandemic equally.

In a fast-paced, digital world, data becomes essential at each step. Developing a blind spot for continued underreporting adds to the “normalisation” of men representing the entire population’s health. The missing data is a significant impediment to a country’s holistic development and improvement in overall health. It is now that the world should turn towards addressing and filling in the data gap; otherwise, we would fail to produce better outcomes for women’s health.

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Bring back the family doctor. India has too many specialists

If you live in a medium-sized or larger town in India, chances are that you have a private medical clinic or hospital not too far from your home. Chances are that it will describe itself as a “multi-specialty clinic” and the reception area will have a long list of specialists who you could consult. Even the smallest clinics in my neighbourhood in Bengaluru have around a dozen specialists on their roster. Every conceivable specialisation — from neurosurgery to psychiatry, interventional cardiology to maxillofacial surgery — is available within a 5-kilometre radius from my home.Read More You can also read this article in Hindi

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Breathe new life into public health. Far too many Indians rely on Baba Ramdev, Akshay Kumar

Media headlines and public discourse might not reflect it, but one of the most important policy priorities for India now and over the next decade is health. The immediate task, of course, is ensuring that we bring the pandemic under control within the next year. The longer-term challenge is to create a health care and public health system that will form the basis of our future growth and development.

Public policies designed to bring about better health outcomes are desirable in and of themselves. But in the post-pandemic world, investment in health is important for an instrumental reason as well — to revive the Indian economy in the short-term and create a new engine of growth that the country desperately needs. Despite the beating the system has received due to the Covid-19 pandemic, the Indian healthcare sector has the potential and the opportunity to become a globally competitive hub for quality, affordable healthcare. The crisis is an opportunity for a comprehensive review of how India has approached its health policy and lay the foundations for something that is a whole lot better. Over the next few weeks, this column will focus on new dimensions and angles in developing health policy for the future.

Read MoreThis oped can also be read in Hindi, here

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