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Shaming People into Pooping Indoors

Meanwhile, in the other India, people still poop outdoors…

Using shame to change sanitary habits – Los Angeles Times

Every morning before sunrise, Ravi Shankar Singh, a cheerful man known to his neighbors as “Luv” Singh, sets out to patrol the potholed roads and rice fields of this north Indian village. He carries a whistle and a flashlight. He sings while he walks. The village’s self-appointed sanitation guardian, Singh is on the lookout for anyone squatting in the fields or alleys, using the cover of darkness to do what millions of people have always done across India: defecate outdoors. After years of programs to increase the number of latrines in villages, the government still has not managed to eradicate a practice that is cited in the spread of water-borne illnesses and parasites, such as diarrhea and hookworms. Critics say the obstacle is not so much the shortage of latrines, though that, too, remains a problem for nearly half of India’s rural population. The main challenge is getting people to use the facilities they have. Singh says he’s found a way. When he spots someone squatting, he lets loose with a blast on his whistle. Or shines his light on the offender. Or both.

This is clearly a serious public health issue and one that is linked to many avoidable deaths from disease. I am not sure if blowing whistles at people is an ethical way to do it. In a country where actual toilet facilities are still rare, and the people who grew up in this scarcity have internalized the fact that they have to “externalize” their poop, just providing facilities and shaming them is not enough.

Just as with most things in India, no easy answers, I guess the right combination of education (especially targeting the young), enforcement through fines, and most importantly, saturation coverage of clean and easily available toilets would eventually work.  But it will take time, and of course, public urination is a completely  different beast!

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    Chemical agency ties under review – Los Angeles Times

    As I mentioned a couple of days back, Sciences International has some conflicts of interests in this bisphenol A issue. I am glad that NIEHS is taking note.

    Chemical agency ties under review – Los Angeles Times

    The National Institute of Environmental Health Sciences has begun a review of ties between a federal health center that evaluates the risks of chemicals to reproductive health and a consulting firm funded by companies that produce chemicals linked to reproductive disorders.

    The investigation follows a Times report on Sunday that Sciences International, an Alexandria, Va., firm funded by more than 50 industrial companies, helps manage the federal Center for the Evaluation of Risks to Human Reproduction.

    Among the firms with financial ties to Sciences International are two that produce bisphenol A, a chemical in polycarbonate plastic bottles that has been linked in animal testing to prostate and breast cancer and reduced fertility.

    Since 1998, Sciences International has helped manage the federal reproductive health center and prepared draft reports analyzing bisphenol A and 16 other chemicals. The company has a $5-million contract with the center.

    The center’s scientific advisory panel was scheduled to decide today whether bisphenol A endangers reproductive health in humans.

    But on Tuesday, director Michael Shelby announced that the panel, after two days of reviewing the 372-page report that Sciences International prepared on bisphenol A, known as BPA, still had too many unresolved questions and was postponing its decision for six weeks.

    Good investigative journalism still makes a big difference.

    As always, as I was writing this post, I noticed that the ever excellent folks at the pump handle read my mind and posted about it (2nd time in 3 days!), so I will stop writing (and thinking about Bisphenol A) and direct your attention to their post!

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    Diacetyl hits the big time

    It’s well known that occupational exposure to various pollutants including pesticides, manufacturing raw materials, and in this case, flavoring agents, is a serious problem affecting millions of factory and farm workers all over the world.

    Which is why it is interesting when one case of a man contracting an illness possibly linked to at-home diacetyl exposure makes much more splashy news than the well documented cases of many workers dying of such exposure at work. It is unfortunate, but people working at factories and in farms are somehow expected to handle higher levels of exposure and risk. The assumption is that they are protected by agencies such as OSHA, and that they will provided with protective wear, etc. But, when the agencies drop the ball on protecting workers, it takes an “escape” of the incident into the ambient realm for the news agencies to pick it up as a headline.

    I guess the good thing now is that this diacetyl issue is blown open, and should result in reform, because alternatives are available.

    Doctor Links a Man’s Illness to a Microwave Popcorn Habit – New York Times

    A fondness for microwave buttered popcorn may have led a 53-year-old Colorado man to develop a serious lung condition that until now has been found only in people working in popcorn plants.

    Lung specialists and even a top industry official say the case, the first of its kind, raises serious concerns about the safety of microwave butter-flavored popcorn.

    “We’ve all been working on the workplace safety side of this, but the potential for consumer exposure is very concerning,” said John B. Hallagan, general counsel for the Flavor and Extract Manufacturers Association of the United States, a trade association of companies that make butter flavorings for popcorn producers. “Are there other cases out there? There could be.”

    A spokeswoman for the Food and Drug Administration said that the agency was considering the case as part of a review of the safety of diacetyl, which adds the buttery taste to many microwave popcorns, including Orville Redenbacher and Act II.

    Meanwhile, ConAgra, the biggest manufacturer of popcorn, announces plans to drop diacetyl at some undetermined “later date”. Weird, their website’s currently down!

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    Tamil MPs play hardball for LTTE

    Members of Parliament from Tamil Nadu will have to resign if the Centre does not come forward to ensure a ceasefire in Sri Lanka within two weeks, according to a resolution adopted at an all-party meet chaired by Chief Minister M. Karunanidhi on Tuesday.

    Asked if this meant Ministers in the Union Cabinet and MPs in the Rajya Sabha would resign in the event of the ceasefire not happening in two weeks, Mr. Karunanidhi told The Hindu that he meant that all MPs would tender their resignation. “Ministers are MPs first, are they not?” he asked.

    via The Hindu : Front Page : T.N. MPs to quit if Centre fails to ensure ceasefire

    As Malini Parthasarathy points out in her editorial, this sudden increase in rhetoric coming from the DMK and other Tamil parties seems to coincide with an apparent impending military breakthrough by the Sri Lankan army. Why apparent? Because the only sources of news are the SL army and the LTTE, and neither, are, shall we say, neutral! Overt support for the LTTE has been absent since the late ’80s and especially since Rajiv Gandhi’s assassination, so the timing most definitely reeks of LTTE’s covert influence on the Tamil parties in Tamil Nadu. This would be a good time for the LTTE to get some breathing room and regroup.

    The Central government would become a minority if this threat was carried out. Which is why the Sri Lankan envoy was summoned and India’s “concerns” were addressed, whatever that means.

    I think that the LTTE is a band of ruthless terrorists who should disappear from the face of this Earth. They have systematically eradicated moderate Tamils in their bid to be the only Tamil voice. Additionally, they have killed many civilians, Tamil, Sinhalese and Indian over the course of their bloody insurgency. The Sri Lankan army and polity, of course, are guilty of mass genocide and human rights themselves. But, they have the power of the nation state behind them and smell a final victory. I don’t seem them stopping now.

    How is this going to end? Not very well for the central government, who will lose quite a bit of support after only recently surviving a confidence vote. Not too well for the millions of civilians caught in the conflict, who will bear the brunt of increasing desperation on both sides of the war. Will the LTTE ask for a negotiated ceasefire if things get too hot for them? Probably. Will the Tamils of Northern Sri Lanka ever get the autonomy they so deserve? Not if the Sri Lankan government sees itself as being in a position of strength. So, why was this war fought? I don’t know. But, I don’t believe in war, so there…

    As a great believer in the educational power of fiction, I heartily recommend Love Marriage, a story set in the Sri Lankan tamil community, tells the history from the tamil side. You can read a Q&A with the author at the always excellent Sepia Mutiny.

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    Musharraf and the never ending dictatorship

    Pakistani opposition leaders and activists have been detained in the wake of President Pervez Musharraf’s decision to declare emergency rule.The
    acting head of the party of exiled former PM Nawaz Sharif was arrested, senior lawyers have been detained and the country’s chief justice sacked.PM Shaukat Aziz said that hundreds of people had been held, and the emergency would last “as long as is necessary”.Scheduled elections could be delayed for up to a year, he added.But no decision had been made over the date of any election, he added, insisting the government remained committed to the democratic process.

    BBC NEWS | South Asia | Musharraf targets key opponents

    Apparently, lessons are never learned. Just like General Zia ul-Haq before him, Musharraf pays a lot of lip service to democracy while riding his military coat tails to a permanent dictatorship. Just like General Zia-ul-Haq before him, the world thinks that he’s the last bastion standing between Pakistan and an Islamic fundamentalist state. Just like Zia-ul-Haq before him, he pretends to hold elections, then subverts the results because of “emergency conditions” and “extenuating circumstances”.

    It is rather sad and depressing, Zia ul-Haq was the first Pakistan “president” I knew, always ratcheting up war rhetoric against India. The Benazir Bhutto-Nawaz Sharif years seemed more like a soap opera between two rich and influential feuding Punjabi families than the brutal power struggle that continues to this day. And now, General Musharraf, who is depicted in Western media as the last man standing between the Taliban and Pakistan.

    The point? Pakistan, with its independent press, well-established middle class, a quasi-independent judiciary and politically intelligent electorate deserves better. I am not sure that Musharraf would survive without the propping up he receives from the US. But the rug needs to be pulled from under him. Behind that sophisticated veneer (imagine, a third world leader who speaks English and can wear a suit!!!) lurks just another power hungry tinpot dictator.

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    India at 60 – A Public Health Perspective

    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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    Pakistan and the Taliban


    At Border, Signs of Pakistani Role in Taliban Surge – New York Times

    The most explosive question about the Taliban resurgence here along the border between Afghanistan and Pakistan is this: Have Pakistani intelligence agencies been promoting the Islamic insurgency?

    The government of Pakistan vehemently rejects the allegation and insists that it is fully committed to help American and NATO forces prevail against the Taliban militants who were driven from power in Afghanistan in 2001.

    Western diplomats in both countries and Pakistani opposition figures say that Pakistani intelligence agencies — in particular the powerful Inter-Services Intelligence and Military Intelligence — have been supporting a Taliban restoration, motivated not only by Islamic fervor but also by a longstanding view that the jihadist movement allows them to assert greater influence on Pakistan’s vulnerable western flank.

    Read the whole article, it is instructive. Most South Asians (including Pakistanis) would say “D’uh”! We’ve known this for years! It’s considered a well known fact that the Pakistan’s Intelligence Agency ISI helped create the Taliban with US assistance and coordinated the Mujahideen resistance in Afghanistan. Read this article from 2001 for a good summary.

    My point is not to discuss the rightness or wrongness of these actions. Most competent countries will do whatever is in their best interests. Everyone’s known this piece of information about the ISI for years, and the U.S government knows this as well. It is in every country’s best interest to be as hypocritical/devious as possible in the pursuit of foreign policy. 

    But  it is incumbent on any newspaper covering the government to not participate in this hypocrisy. The NY times writes three pages on the Taliban without providing any background on U.S involvement. It is an article of faith among South Asians like me that American mass media is an organ of U.S diplomacy and/or propaganda. Articles like these only confirm this hypothesis.