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Study links uneven urbanisation with high risk of cholera outbreaks

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Study links uneven urbanisation with high risk of cholera outbreaks

By Sunderarajan Padmanabhan

Families living in rural areas of districts at higher risk of cholera as funds for water and sanitation infrastructure are diverted to urban areas, say experts

New Delhi: Higher levels of urbanisation are no guarantee for preventing the outbreak of cholera. In fact, a new study by Indian and international experts seems to indicate that higher urbanisation also leads to an increased risk of a cholera epidemic since funds for water and sanitation infrastructure are often allocated disproportionately within an ‘urban’ district, with its rural areas receiving only a pittance.

In other words, the study blames the uneven allocation of funds for water and sanitation infrastructure within districts – urban centres getting more funds than rural areas within a district that is otherwise categorised as ‘urban’. The use of improved sanitation facilities in urban areas in India has increased to 63 per cent as of 2015 while it has gone up to only 28 per cent in rural areas.

“It appears that families living in rural areas of districts with more cities are at higher risk, perhaps because the resources in these districts are allocated to the urban areas, neglecting the rural areas of the district,” the researchers have observed in their study in journal PLOS One.

The study has also found that there seemed to be large scale underreporting of cholera cases. There is significant variation between actual number of cases being reported and ground reality based on the various risk factors. For instance, the study says, Uttar Pradesh did not report any case despite having areas that qualified as ‘high risk’ zones. The reasons for underreporting are limited disease surveillance, inadequate laboratory capacity especially at the peripheral health care centres, and reluctance on part of authorities to acknowledge the problem for fear of societal repercussions.

The findings are based on district level data of cases reported between 2010 to 2015 from the Integrated Disease Surveillance Programme, and socioeconomic characteristics and coverage of water and sanitation obtained from the 2011 census report. Researchers used this data to perform spatial analysis to identify cholera hotspots, and employed a modeling method called ‘zero-inflated Poisson regression’ to identify the factors associated with cholera and predicted case counts at district level.

A total of 27,615 cholera cases were reported during the six-year period. As many as 24 out of the 36 states in the country had reported cholera during these years. Of them, 13 States were classified as endemic. In terms of districts, out of the 641 districts in the country, 78 districts in 15 states were identified as “hotspots” based on the reported cases. However, 111 districts in nine states were identified as “hotspots” from model-based predicted number of cases.

Overall, one-fourth of the districts in India reported cholera and 90 districts of them have been identified as hotspots, making cholera is a widespread major public health problem in the country. It is major problem in West Bengal, Karnataka, Chhattisgarh, Punjab, and areas of Himachal Pradesh adjoining Punjab. In addition, most districts in Karnataka have been identified as cholera hotspots. The risk for cholera in a district is linked with poor sanitation and drainage conditions and urbanization level in the district.

The research team included Mohammad Ali and David A.Sack of Department of International Health, Johns Hopkins Bloomberg School of Public Health; Nirmal K. Ganguly, Sanjukta Sen Gupta, and Nisha Arora of Policy Center for Biomedical Research, Translational Health Science and Technology Institute; Pradeep Khasnobis and Srinivas Venkatesh of National Center for Disease Control; Dipika Sur of Indian Public Health Association; and Gopinath B. Nair of World Health Organization.

(This article is from a syndicated feed provided by the India Science Wire)

India News

National Herald row reignites BJP-Congress face-off amid ED chargesheet

BJP has reignited its attack on the Gandhi family, accusing them of a corporate conspiracy in the National Herald case, while Congress dismisses the ED action as a political vendetta by the Modi government.

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A political slugfest has erupted once again between the Bharatiya Janata Party (BJP) and the Congress following the Enforcement Directorate’s (ED) chargesheet naming Sonia Gandhi and Rahul Gandhi in the alleged money laundering case tied to the now-defunct National Herald newspaper. The BJP has termed the case a textbook example of “corporate conspiracy,” while the Congress has decried the move as an act of “political vendetta” by the Narendra Modi-led central government.

BJP questions Gandhi family’s property acquisition through Young India Ltd

Senior BJP leader Ravi Shankar Prasad, addressing a press briefing, accused the Congress of orchestrating a corporate arrangement to transfer property into the Gandhi family’s hands. He highlighted that in 2008, after the National Herald ceased publication, the Congress gave ₹90 crore to Associated Journals Limited (AJL), the newspaper’s publisher — a transaction he claims violates the norms as political parties are barred from funding private entities.

AJL reportedly failed to repay the loan, after which a non-profit entity, Young India Limited (YIL) — in which Sonia and Rahul Gandhi each hold a 38% stake — acquired the company’s shares and, by extension, its properties across several Indian cities. Mr. Prasad questioned YIL’s charitable work and highlighted that a token amount of ₹50 lakh was paid to AJL before the remaining loan was written off.

“This is the Gandhi model of development,” Prasad said, alleging that the arrangement enabled the Gandhi family to take control of property worth thousands of crores.

BJP expands attack to Robert Vadra

The BJP leader also took aim at Priyanka Gandhi Vadra’s husband, Robert Vadra, citing alleged irregularities in land transactions. “Another member buys land for ₹3 crore and sells it for ₹58 crore. The country should learn from this Gandhi model,” he remarked sarcastically.

Congress fights back, terms case a political smokescreen

The Congress has launched protests across the country in response to the BJP’s remarks and the ED’s chargesheet. Senior leader Pawan Khera likened the current actions to pre-Independence times, stating, “Back then, the British hated National Herald, the Gandhi family and the Congress — today the RSS has taken that place.”

Calling the case baseless, Congress leader Sachin Pilot said, “There has been no exchange of funds or transfer of property rights. This case is politically motivated, and the Modi government is attempting to silence the voice of the Opposition.” He affirmed that the party has full faith in the judiciary and will fight the case legally.

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Priyanka Gandhi accompanies Robert Vadra to ED office for second day in Gurugram land probe

Robert Vadra, husband of Congress MP Priyanka Gandhi, appeared before the ED for the second day in the Gurugram land case.

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Robert Vadra Priyanka Gandhi

Congress MP Priyanka Gandhi Vadra accompanied her husband Robert Vadra to the Enforcement Directorate (ED) office on Wednesday as he appeared for questioning for the second consecutive day in connection with the Gurugram land case.

Mr Vadra, the brother-in-law of Lok Sabha Leader of Opposition Rahul Gandhi, was seen exchanging a hug with Ms Gandhi before entering the ED office. He is under scrutiny in a money laundering probe linked to a 2008 land deal in Manesar-Shikohpur area, now known as Sector 83 of Gurugram.

Focus of the probe: land deal from Congress tenure in Haryana

The investigation stems from a land transaction executed by Skylight Hospitality Pvt Ltd, a company in which Mr Vadra was formerly a director. In February 2008, Skylight purchased 3.5 acres of land from Onkareshwar Properties for ₹7.5 crore. At that time, Haryana was governed by a Congress-led administration under then Chief Minister Bhupinder Singh Hooda.

In September 2012, four years after the acquisition, Skylight sold the same land to real estate developer DLF for ₹58 crore. The deal later drew public attention after senior IAS officer Ashok Khemka, who was then heading the Land Consolidation and Land Records department in Haryana, cancelled the land mutation, citing violations of the State Consolidation Act and procedural discrepancies.

Haryana Police registered an FIR to examine the deal in 2018, further intensifying the legal scrutiny.

ED questions Vadra under PMLA

On Tuesday, Mr Vadra was questioned for nearly five hours by the ED under the Prevention of Money Laundering Act (PMLA), during which his statement was recorded. The businessman has consistently maintained that the case is part of a political vendetta and emphasized that he has cooperated fully with all investigative agencies, submitting numerous documents over the years.

Calling for a closure to what he described as a decades-old matter, Mr Vadra said cases like these should not be allowed to drag on indefinitely.

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Congress slams PM Modi, Amit Shah after ED files chargesheet against Sonia Gandhi, Rahul Gandhi

The ED’s chargesheet has accused the Congress leaders of money laundering under Sections 3 and 4 of the Prevention of Money Laundering Act.

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The Congress on Tuesday hit out at Prime Minister Narendra Modi and Union Home Minister Amit Shah after the Enforcement Directorate’s (ED) chargesheet against Sonia Gandhi, Rahul Gandhi, and others in the National Herald case.

Labelling it a blatant act of vendetta politics, the grand old party also condemned the seizure of the newspaper’s assets as a “state-sponsored crime disguised as justice,” vowing to fight back against what it calls an attempt to silence its leadership.

In a fiery statement on X, Congress general secretary in charge of communication Jairam Ramesh accused PM Modi and Shah of orchestrating a campaign of intimidation. “Filing chargesheets against Sonia Gandhi, Rahul Gandhi, and others is nothing but the politics of vendetta gone wild,” Ramesh posted. “Seizing National Herald’s assets is a mockery of the rule of law.”

Hitting out at Shah, the Congress leader accused him of going “completely berserk.” He asserted that the Indian National Congress and its leadership refuse to be silenced, stating: “Satyameva Jayate.”

The ED’s chargesheet has accused the Congress leaders of money laundering under Sections 3 and 4 of the Prevention of Money Laundering Act.

Alongside Sonia and Rahul, it names Congress figures Suman Dubey and Sam Pitroda. Special Judge Vishal Gogne reviewed the document for cognisance, scheduling further proceedings for April 25, with the filing handled by ED’s special public prosecutor, N.K. Matta.

Ramesh asserted that the Congress remains undeterred, promising, “We will not be silenced, and the truth will triumph.” The chargesheet reignites a long-standing legal battle tied to the National Herald, a newspaper associated with the Congress since India’s independence era.

The Delhi Rouse Avenue Court has scheduled a hearing for arguments on the ongoing National Herald case for April 25, 2025.

During a recent session, the presiding judge stated, “The present prosecution complaint shall next be taken up for consideration on the aspect of cognisance before this court on April 25, 2025, when the special counsel for the ED and the investigating officer will ensure the production of case diaries for the court’s examination.”

The prosecution complaint, lodged under Sections 44 and 45 of the Prevention of Money Laundering Act (PMLA) of 2002, pertains to allegations of money laundering, as outlined in Section 3, in conjunction with Section 70, and is punishable under Section 4 of the same act, as per the report.

This case has garnered significant attention, following a complaint filed by BJP leader Subramanian Swamy against Congress leaders Sonia and Rahul, their associated companies, and other individuals involved.

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