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India at 60 – A Public Health Perspective

Byoliveridley

Well, at least I don’t have to take part in endless parades and listen to speeches any more. But India turned 60 today, and the head of the Indian public health foundation takes stock, and it is sobering.

The Hindu : Persisting public health challenges

Recent health indicators in India are a cause for both celebration and concern. While life expectancy at birth has risen to 63 years, infant mortality rate (IMR) and maternal mortality rate (MMR) are still at unacceptably high levels (57 per 1000 and 301 per 100,000 live births respectively). There is widespread disparity among States with Kerala being the star performer. Within States, the rural areas are way behind the urban segments. Even as our economy has grown rapidly, the nutritional status of children has remained stunted, suggesting that wide income disparities are preventing the poor from becoming the beneficiaries of growth.

Yes, I be the killjoy.

More from Amartya Sen

There is reason enough to celebrate many things happening in India right now. But there are failures as well, which need urgent attention. For example, there is still widespread undernourishment in general and child undernutrition in particular–at a shocking level. The failures include, quite notably, the astonishing neglect of elementary education in India, with a quarter of the population–and indeed half the women–still illiterate.

The average life expectancy in India is still low (below 64) and infant mortality very high (58 per 1,000 live births). It is certainly true that India has narrowed the shortfall behind China in these areas–that is, in life expectancy and infant mortality–but there is still some distance to go for the country as a whole. The problems are gigantic in some of the more “backward” states like Bihar and Uttar Pradesh. And yet there are other states in which the Indian numbers are similar to China’s.

he goes on…

If India has to overcome these failures, it has to spend much more money on expanding the social infrastructure, particularly school education and basic health care. It also needs to spend much more in building up a larger physical infrastructure, including more roads, more power supplies and more water. In some of these, the private sector can help. But a lot more has to be spent on public services themselves, in addition to improving the system of delivery of these services, with more attention paid to incentives and disciplines, and better cooperation with the unions, consumer groups and other involved parties.

Ah, basic and boring infrastructure building!

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Melamine Adulteration investigation gets cracking

Byoliveridley

FDA agents raid pet food plant, offices – Yahoo! News

WASHINGTON – Federal agents searched facilities of a dog and cat food manufacturer and one of its suppliers as part of an investigation into the widening recall of pet products, the companies disclosed Friday. Food and Drug Administration officials searched an Emporia, Kan., pet food plant operated by Menu Foods and the Las Vegas offices of ChemNutra Inc., according to the companies. Menu Foods made many of the more than 100 brands of pet food recalled since March 16 because of contamination by the chemical melamine. ChemNutra supplied the manufacturer with wheat gluten, one of the two ingredients tainted by melamine used in recalled pet products. Both companies said they were cooperating with the investigation.

The initial “let’s blame China for everything” drumbeat is subsiding a little as the FDA finally begins its inspections, and we find the tangled web of the food import business unraveling just a little bit. At this point in time, the charges are flying like crazy.

The origin within China of the wheat gluten and rice protein concentrate remains murky. For example, ChemNutra’s source for the twovegetable proteins, Suzhou Textile Import and Export Co., told The AP that food ingredients aren’t part of its business — but that employees often take on side deals. Stern said ChemNutra dealt with the company’s president.

Side deals? How quaint? The solution is simple: Quarantine every food item from China until it has been tested for melamine. You do not know the extent of the problem yet. It only seems to get worse everyday. Make the manufacturers pay for the testing.  Tighten up the paperwork, exercise tighter control over where the ingredients come from, get everything in writing.

Meanwhile, the manufacturers are getting their press releases out. From Blue Buffalo foods…

We at the Blue Buffalo Company have just learned that American Nutrition Inc. (ANI), the manufacturer of all our cans and biscuits, has been adding rice protein concentrate to our can formulas without our knowledge and without our approval. This is product tampering, and it apparently has been going on for some time. The can formulas that we developed, and trusted them to produce, never contained any rice protein concentrate. It appears that only an FDA investigation of ANI’s rice protein concentrate supplies forced them to reveal this product tampering to us.

While this activity by ANI is in itself unlawful, the situation is further clouded by the fact that ANI has been receiving rice protein concentrate from Wilber-Ellis, some of which the FDA has determined to be contaminated with melamine.

If this is true (and we don’t know that for a fact), it’s plain ol’ cheating and food adulteration. What does American Nutrition have to say?

The FDA has urged American Nutrition to issue a voluntary recall of pet foods manufactured using Wilbur-Ellis rice protein. None of these products is sold under an American Nutrition brand, but are sold through other independent companies. No American Nutrition brands or other products they manufacture for other businesses are affected by this recall.

Why would I trust the word of anyone who’s accused of adding ingredients off the label? This story gets curiouser and curiouser, and it is pretty clear that between the “side dealers” in China and some greedy middlemen suppliers here, we have plenty of blame to go around.

Stay tuned for more…

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Lead and Crime

Byoliveridley

leadcrime.jpg

The next time Giuliani tries to take credit for the decrease in violence during his tenure as NYC’s mayor, send him this chart.

The NY Times shines some light on Jessica Reyes’ excellent work linking decreased lead exposure to a drop in violent crime in the US. The decreased lead exposure, of course, was from the phase-out of leaded gasoline from the American market. BTW, Nascar still uses leaded gasoline in its cars, nice going, guys.

The answer, according to Jessica Wolpaw Reyes, an economist at Amherst College, lies in the cleanup of a toxic chemical that affected nearly everyone in the United States for most of the last century. After moving out of an old townhouse in Boston when her first child was born in 2000, Reyes started looking into the effects of lead poisoning. She learned that even low levels of lead can cause brain damage that makes children less intelligent and, in some cases, more impulsive and aggressive (Emphasis Added).

Lead exposure at an early age (2-3 years) is especially significant as this is an age where personality development occurs and any interference in neuron development and apoptosis (death!) can cause permanent changes in personality. This excellent review article summarizes the effects of lead on neuronal development.

Reyes’ research mentions that while decreased lead exposure was very well correlated with violent crime (accounting for 56% of the reduction in crime), no correlation was found to property crimes (such as theft). This of course makes intuitive sense. A property crime is usually premeditated whereas violence is usually impulsive (excluding serial killers, of course). It is more likely that a budding criminal sets out to steal a car than to beat somebody to pulp. It is when the crime goes wrong that the probability of a violent crime increases. An individual with damaged impulse control is then more likely to seek a violent way out of the bad situation.

Our society (like most) views violent crime as a moral issue, a matter of good and evil that is determined by your “character”. So, a simple chemical correlator to violent crime that can explain a majority of the commission of violent acts goes a long way in undermining this whole notion of morality and crime. Of course, there are other sociological factors at play which need to be addressed. But it is heartening to know that beyond all the complicated and recalcitrant social issues that underly crime, there’s a ubiquitously evil pollutant lurking that can be eliminated. I am guessing that this line of reasoning is not going to be very popular among the “tough on crime” types that perpetrate our political airwaves these days.

Reference

Reyes, Jessica Wolpaw (2007) “Environmental Policy as Social Policy? The Impact of Childhood Lead Exposure on Crime,” The B.E. Journal of Economic Analysis & Policy: Vol. 7 : Iss. 1 (Contributions), Article 51.

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Sri Lankan Government registers all Tamils

Byoliveridley

The Americans put all citizens of Japanese origin into camps for the duration of the World War. Did you know that?’She did not say anything.‘What if we place all Tamil citizens in camps for a period of one year,’ I asked. ‘We’d use that year to flush out and kill all the rebels hiding in the Wanni. You can’t blow up our cities when your bombers are not allowed free access to economic and civilian targets, pretending to be innocents.’‘That idea is barbaric. It is only a short step from there to the gas chambers,’ she said furiously and then brightened. ‘But I like the idea. When you start on it, the whole world will condemn you…. It will help our cause in other ways as well. We’ll have plenty of new recruits and funding from our expatriate community will increase immediately.’‘Oh, I understand that the idea is impractical but we don’t have many options.’”So goes the dialogue between Captain Wasantha Ratnayaka, the Sinhalese officer in the Sri Lanka Army, and Kamala Velaithan, a female cadre of the Liberation Tigers of Tamil Eelam (LTTE) who pretends to be an informer of the diabolical plans of the Tigers, in the much-acclaimed novel of the late Nihal de Silva titled The Road from Elephant Pass.On September 21, the Sri Lankan government almost made real this surreal scenario with its diktat that all citizens from the five districts of the LTTE-dominated North who have been living in and around Colombo (Western Province) for the past five years “re-register” themselves with the police.The professed logic of the government, or to be precise the Defence Ministry, was almost on the lines narrated by Captain Ratnayaka in the novel but with a twist. While the officer-character portrayed in the novel concurs with the illogic of its logic, the collective wisdom of the Sri Lankan establishment did not betray signs of any such reasoning. Even assuming it did, the drumbeats of war have numbed its senses to such an extent that Colombo has stopped bothering about the repercussions of its actions.The latest move by the Mahinda Rajapaksa regime is astonishing to say the least as just over a year ago the government was condemned from within and without for a similar action. Besides, it comes at a juncture when the armed forces have driven the LTTE into wilderness in its own heartland and the entire world is lined up behind the government in its war.

Profiling problem

More on the Sri Lankan government’s astonishingly appalling treatment of Tamils. Clearly, they do not view Tamils as equal citizens of Sri Lanka. The Sinhalese state bears equal responsibility for Sri Lanka’s problems. I do not know what this sudden increase in pressure from India will do. There is some indication that the Sri Lankan government is paying attention.

A day after India officially communicated to Colombo the need for a peacefully negotiated political settlement to the Tamil issue in Sri Lanka, President Mahinda Rajapaksa telephoned Prime Minister Manmohan Singh on Saturday to give an assurance that all necessary measures were being taken to ensure the safety and welfare of Tamils in the island nation.

Very empty and meaningless words. My question is, who will speak for the Tamils in a negotiated settlement. Are there any credible voices for peace on either side of the conflict?

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Monsanto Ashamed of Selling Bovine Growth Hormone

Byoliveridley

Why else do they not want people to know that their product is being used? You would think that Monsanto with its millions in profits and its monopoly in bovine growth hormone, would let the free market decide whether people want their ice cream/milk rBGH free or not. Surely, wouldn’t Monsanto’s commanding market presence, and the simple fact that conventional milk supplied by hormone injected cows tends to be cheaper than rBGH free milk be a sufficient counterweight against a simple rBGH free label?

The ice cream maker has joined a national campaign to block what critics say is an effort driven by Monsanto (MON), which markets recombinant bovine somatotropin, or rBST, also known as recombinant bovine growth hormone, or rBGH.The hormone, which was approved by the Food and Drug Administration to boost production in dairy cows in the early 1990s, was not approved in Canada, Japan or the European Union, largely out of concern it may be harmful to animals.A newly formed dairy producers’ group, backed by Monsanto, is pushing for labeling changes, saying hormone-free labels imply that the milk is safer than other milk, when they say it’s not.

Ben & Jerry’s in fight over hormone labeling – USATODAY.com

This is a classic strawman’s argument. I don’t know if there is sufficient evidence to show that hormone filled milk is harmful to humans, but there is sufficient evidence that it is harmful to cows. As always, I point to the Meatrix (Note, available on youtube as well, but embedding has been disabled…).

Here’s a letter from the Oregon Physicians for Social Responsibility summarizing the harmful effects of rBGH.

  1. Increase in IGF-1 levels – possible link to cancer in humans
  2. Mastitis in Cows – Do you want your breasts infected and painfully inflamed? That’s what RBGH does to cows
  3. Antibiotics Resistance – To combat mastitis, the cows are pumped with antibiotics, which end up in the solid waste, and water runoff.
  4. 15 other side effects in cows, bad enough that Canada and the EU do not permit this growth hormone

All right, the product is still legal here in the US and I absolutely respect Monsanto’s right to sell it, fight for it and conduct a vigorous product defense (including obligatory astroturf group rbstfacts). But stop trying to get the government to do your dirty work for you and “banning” companies from telling consumers that they did not use your product, it’s shameful and unnecessary.

Consumers have a right to pay premium for a product that they think is superior for one reason or the other. It is anti-free market and protectionist to restrict information that will help these consumers decide.

What next? We all know that cosmetics tested on animals are not more harmful to people than animal cruelty free cosmetics. Shouldn’t that label be banned as well?

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Bomb goes off In Hyderabad, India

Byoliveridley

An attempt to start another riot, I guess. It won’t work.

Five killed, 16 injured in blast at Hyderabad mosque- Hindustan Times

At least five people were killed and 16 injured in a bomb blast during Friday prayers at the historic Mecca Masjid here.

Eyewitnesses said the blast occurred when thousands of Muslims were about to complete ‘namaz’.

The blast took place near ‘wazu khana’ or water tank, where Muslims do ablution before offering prayers.

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The real terrorist: Pollution

Byoliveridley

It is true. A staggering number of people die every year due to lack of access to clean water, air or food. Aggregate statistics like these are a good way to summarize the humongous nature of the problem. While reams and reams of coverage and attention are focused on “terrorists”, people all around the world die of much more mundane causes such as bacteria in water, smog, poverty, starvation, malnourishment, etc.

ScienceDaily: Pollution Causes 40 Percent Of Deaths Worldwide, Study Finds

About 40 percent of deaths worldwide are caused by water, air and soil pollution, concludes a Cornell researcher. Such environmental degradation, coupled with the growth in world population, are major causes behind the rapid increase in human diseases, which the World Health Organization has recently reported. Both factors contribute to the malnourishment and disease susceptibility of 3.7 billion people, he says.