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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

Parliament winter session: Government lists 15 bills, including Waqf bill

The session will kick off on November 25 and conclude on December 20.

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The government has listed five new ones and one to amend the contentious Waqf law out of 15 bills for the winter session of Parliament. The session will kick off on November 25 and conclude on December 20.

The government has introduced five new bills, including the Coastal Shipping Bill, 2024, which aims to promote coasting trade and increase the participation of Indian-flagged vessels owned and operated by Indian citizens for both national security and commercial purposes.

Another significant legislation that will be introduced by the government is the Indian Ports Bill, 2024. This bill is designed to implement measures for the conservation of ports, enhance security, and manage pollution, ensuring compliance with India’s international obligations and statutory requirements.

Additionally, the government plans to introduce the Merchant Shipping Bill, 2024, which aims to meet India’s obligations under maritime treaties and support the development of Indian shipping while ensuring the efficient operation of the Indian mercantile marine in a way that serves national interests.

Pending legislation includes the Waqf (Amendment) Bill, which is awaiting consideration and passage after the joint committee of both Houses submits its report to the Lok Sabha. The committee is expected to report by the end of the first week of the winter session.

Currently, there are eight bills, including the Waqf (Amendment) Bill and the Mussalman Wakf (Repeal) Bill, pending in the Lok Sabha, while two additional bills are in the Rajya Sabha.

Furthermore, the government has also listed the Punjab Courts (Amendment) Bill for introduction, consideration, and passage, which seeks to increase the pecuniary appellate jurisdiction of Delhi district courts from Rs 3 lakh to Rs 20 lakh.

The Merchant Shipping Bill, along with the Coastal Shipping Bill and the Indian Ports Bill, is slated for introduction and eventual passage.

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International Criminal Court issues arrest warrant against Israel PM Benjamin Netanyahu over war crimes

The court accused Prime Minister Netanyahu and Defence Minister Gallant of crimes against humanity, including murder, persecution, inhumane acts, and the war crime of starvation as a method of warfare.

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International Criminal Court issues arrest warrant against Israel PM Benjamin Netanyahu over war crimes

The International Criminal Court (ICC) today issued arrest warrants for Israeli Prime Minister Benjamin Netanyahu and former Defence Minister Yoav Gallant over alleged war crimes and crimes against humanity.

The court accused Prime Minister Netanyahu and Defence Minister Gallant of crimes against humanity, including murder, persecution, inhumane acts, and the war crime of starvation as a method of warfare. The leaders allegedly restricted essential supplies such as food, water, and medical aid to civilians in Gaza, resulting in severe humanitarian crises and deaths, including among children.

Last year in October, Israel had launched attacks on Gaza in retaliation for the surprise attack by Hamas. The Israel-Hamas war has led to the death of thousands of civilians, while lakhs have been displaced. The major infrastructures in Gaza, including hospitals and schools, were also destroyed as Israel vowed to wipe out Hamas.

The International Criminal Court stated that it found reasonable grounds to believe the accused intentionally targeted civilians and limited medical supplies, forcing unsafe medical procedures, which caused immense suffering. This ruling was based on the findings from at least October 8, 2023 until at least May 20, 2024.

The court remarked that it has assessed that there are reasonable grounds to believe that PM Netanyahu and Defence Minister Gallant bear criminal responsibility as civilian superiors for the war crime of intentionally directing attacks against the civilian population of Gaza.

Furthermore, it also noted that the lack of food, water, electricity and fuel, and medical supplies created conditions of life calculated to bring about the destruction of part of the civilian population in Gaza, leading to death of civilians, including children due to malnutrition and dehydration.

Additionally, the International Criminal Court dismissed two challenges by Israel against its jurisdiction in the situation in the State of Palestine.

Notably, Israel had contested the ICC’s jurisdiction, claiming it could not be exercised without Israel’s consent. Nonetheless, the Chamber ruled that the Court has jurisdiction based on Palestine’s territorial scope, including Gaza, the West Bank, and East Jerusalem. It further noted that Israel’s objections were premature, as jurisdictional challenges under the Rome Statute can only be made after an arrest warrant is issued.

Reportedly, Israel had also requested a fresh notification regarding the investigation, started in 2021. Denying the request, the court stated that Israel had earlier declined to request a deferral, making additional notifications unnecessary.

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Yogi Adityanath accords tax-free status to Sabarmati Report film in Uttar Pradesh

Earlier, Prime Minister Narendra Modi and Home Minister Amit Shah have also praised this film.

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Uttar Pradesh Chief Minister Yogi Adityanath on Thursday accorded a tax-free status to ‘The Sabarmati Report’ film, based on the train burning incident at Godhra in Gujarat in 2002, in the state.

The announcement was made after Chief Minister Adityanath attended the screening of Vikrant Massey and Raashii Khanna-starrer ‘The Sabarmati Report’ in Lucknow with the film’s cast.  

Speaking to reporters, actor Vikrant Massey thanked the Uttar Pradesh Chief Minister for making ‘The Sabarmati Report’ film tax-free in the state. “I want to thank Yogi Adityanath ji. This is an important film and I appeal to everyone to go and watch this film,” he said.

Chief Minister Adityanath along with many of his cabinet colleagues watched the film ‘The Sabarmati Report’ under a special screening at a cinema hall in the capital, said a spokesperson of the state government.

Several people associated with the film unit were also present on the occasion. Later the chief minister announced to make this film tax-free in UP.

The BJP-ruled states have been praising the makers of The Sabarmati Report, claiming the team has tried to bring out this truth in front of the people of the country through the film.

The saffron party is appealing to people to watch this film and try to get closer to the truth of Godhra.

Uttar Pradesh becomes the sixth BJP-ruled state after Haryana, Rajasthan, Chhattisgarh, Madhya Pradesh and Gujarat to declare lead actors Vikrant Massey and Raashii Khanna’s film tax-free.

Adityanath said along with identifying the faces of those who are conspiring against the country for political gains, there is also a need to expose them. The film team has discharged its responsibilities to expose the truth, he said, adding an attempt has been made to bring the real truth in front of the country in a big way through the film.

The Sabarmati Report is said to be based on the incident of setting fire to a train full of ‘karsevaks’ in Godhra on February 27, 2002, killing 90 devotees. After this incident, communal riots broke out in Gujarat. Earlier, Prime Minister Narendra Modi and Home Minister Amit Shah have also praised this film.

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