Wednesday, September 03, 2008

Our Silence Continues...


Last weekend was particularly busy for the Hindu fundamentalist forces in Mangaluru, with three unrelated and diverse events raising their hackles, prompting them into ‘action’. The decision of the educational institutions run by Christian charities to remain closed for a day in protest against the anti-Christian violence in Orissa, the preparations of Team Mangalore to fly a kite depicting Lord Ganesha and the death of a minor girl at Fr. Muller’s Hospital kept them busy, revealing the dangers of their hypocrisy and perils of our silence at the same time.

Following the closure of the schools and colleges, the various chauvinist outfits put out their venomous statements and even held demonstrations at the gates of some well known institutions. There were threats of closing down these schools, of campaigns among the Hindus to boycott such schools etc. The Minister for education even served notices on these institutions, seeking explanation for their ‘unilateral, unpermitted’ decision to close down for a day. Just a couple of days earlier, the students’ wing of the RSS, the ABVP, had dragged the students out on the streets in protest against the Amarnath shrine land row and blocked the main roads of the city for more than half an hour with the police standing as mute spectators all along. It is another matter that many of the ‘leaders’, legislators and ministers (and their children) of the fundamenatlist party in power have all had their education in schools and colleges run by the Christian charities! And in the city of Mangaluru, known for high standards of education, one has to struggle to find any school worth its name run by any Hindu chauvinist outfit. So much for the dangerous hypocrisy of these outfits spewing communal venom.


Team Mangalore is an award winning, internationally known group of Kite enthusiasts, striving to popularize the hobby among Mangaloreans. Many of the Team’s beautifully designed kites, depicting the vibrant colours and culture of our country, have won international acclaim. The team had prepared a kite depicting Ganesha, the most affabvle of all Gods, for the Paris Kite Festival to be held at Tieppe, France from Sep 5-14, 2008 and had planned to have a trial at the Panambur Beach during the last week of August. But that was not to be. Hindu Janajagruti Vedike, a self-styled outfit that seeks to ‘protect the interests of Hindu Gods’ raised objections and threatened against any attempts to fly the kite, either in India or abroad, ostensibly because the kite ‘hurts the sentiments of all Hindus’. It is not clear as to who appointed these people as the spokespersons of the entire Hindu community or how the ‘hurt’ felt by one or two can be attributed to the entire population and why everyone else should be deprived of an opportunity to witness a new and beautiful work of human craftsmanship. It appears that this particular group comprises of about three members and the so called spokesperson had no answers to offer when confronted as to how Ganesha on a kite is an affront to Hindus (and almost everyone involved in the project being a Hindu!). It may be recalled that the same outfit had earlier objected to the screening of the movie Jodha Akbar and the success might have emboldened the group to issue more such threats. Our shameful silence certainly helps such groups.

And these forces, strengthened not only by our silence but also by the inaction of the law enforcing agencies, have made it a routine habit to attack without provocation and to take the law into their own hands. Attacks on places of worship are continuing, latest being the one at Pachanady on the outskirts of Mangaluru. Many young boys and girls, sipping coffee or a glass of juice have been rounded off and beaten. None of these have been punished. And it did not surprise anyone when these forces attacked the doctors on duty at the Fr. Muller’s hospital following the death of a young girl who had consumed kerosene in an attempt to commit suicide. But our silence continues…

Monday, June 30, 2008

Chikungunya, Dengue, Leptospirosis and Malaria: A Simple Algorithm to Differentiate

Chikungunya epidemic has now spread to most parts of Dakshina Kannada District and a few deaths have also been reported. Added to this, there are reports of Dengue, Leptospirosis and malaria from the affected areas. This has resulted in lot of anxiety and fear among the public and confusion among the medical fraternity. There is a felt need for a simple algorithm to help in the diagnosis and treatment of these infections and therefore we suggest the following, based on the review of the relevant literature:

There are many similarities in the clinical manifestations of chikungunya, dengue and leptospirosis and it may not be easy differentiating them. Fever, joint pains and rash are common to chikungunya, dengue and leptospirosis. The fever in chikungunya and dengue starts abruptly, and remits after 1-2 days and can recur after 1-2 days for another day or two. Usually, therefore, the fever lasts 5-6 days and subsides on its own. Dengue fever is characterized by severe headache, pain in the muscles of upper and lower limbs, joint pains and pain on moving the eye balls. In chikungunya, pain and swelling of the joints is a characteristic feature. In chikungunya, a reddish rash appears on the second or third day over the face and the chest. The rash in dengue appears on the third or fourth day, predominantly over the legs and trunk and in some, these rashes may be haemorrhagic (purpuric). Abrupt, high grade fever with severe aches in the muscles of the limbs and the back is seen in leptospirosis too. Over the next 4-7 days, the fever continues and suffusion of eyes, headache, cough etc., may appear. After remitting for 1-2 days, the fever recurs, along with complications like jaundice, kidney failure and bleeding disorders, resulting in haemorrhagic rashes over the legs. In malaria, joint pains, muscle pains and rash are not seen and the fever occurs daily or intermittently on alternate days; some patients may have jaundice.

The diagnosis is helped by simple tests in the blood and urine. The total leukocyte count is lower in chikungunya and dengue while it is elevated in leptospirosis. As the kidneys are invariably affected in leptospirosis, urine examination in these cases would show abnormalities. Malaria can be confirmed by a peripheral blood smear.

Chikungunya and dengue are self limiting infections and do not need any specific treatment. If the fever and/or joint pains are very severe, simple analgesic like paracetamol can be used. Potent pain killers can cause more harm than good. Steroids have absolutely no role to play in the treatment of acute chikungunya and dengue. If the joint pain and swelling in chikungunya persist even after 10-15 days, chloroquine can be tried. Leptospirosis is treated with penicillin or doxycyline.

Fatal complications are extremely rare in chikungunya. Dengue, leptospirosis and falciparum malaria can lead to complications that may be fatal, if not properly treated. Any patient with the following signs should be immediately shifted to a tertiary care hospital: Hypotension (drop in blood pressure), bleeding, breathlessness, altered sensorium, decreased urine output, jaundice or convulsions.

Simple Algorithm to Differentiate Chikungunya, Dengue, Leptospirosis and Malaria



For details: http://rationalmedicine.org/chikungunya.htm

ಕನ್ನಡ ಲೇಖನ ಇಲ್ಲಿದೆ: http://rationalmedicine.org/chikungunya-kannada.htm

Tuesday, June 17, 2008

Govt. stops ads promoting cell phone use by kids

The Union Ministry of Health and Family Welfare has cracked the whip on the ads promoting the use of mobile phones by kids.

See my earlier blog on this issue

See Reports
Hindustan Times
The Hindu
newindpress

Saturday, June 14, 2008

Chikungunya: Untreatable or Treatment Unnecessary?

Chikungunya has at last reached Dakshina Kannada (DK) with hundreds of cases reported from Sullia, Puthur and Belthangady taluks. The health authorities, as usual, seem confused and are making every possible effort to spread the confusion in the community.

The state govt. has published an advt. in all the leading dailies of the state. On the one hand, the advt. claims, rightly, that chikungunya is a self-limiting illness that abates within 8-10 days and that it does not cause any complications or deaths. On the other, it also claims that enough life saving drugs and other necessary medications have been supplied to the affected areas. The advt. further states that ayurveda and homeopathy drugs are effective in preventing the spread of chikungunya and the people can mak euse of these drugs so as to protect themselves. The district health authorities have gone on record saying lakhs worth of drugs have been distributed to protect against the infection.

If chikungunya is a self-limiting illness, where is the need to supply life-saving drugs? What are these drugs?

It was also reported that at the recent meeting of DK Ziilla Panchayat, a MLA expressed his anguish that 'even with all the developments in the field of modern medicine, no treatment has been found for chikungunya'. His anguish is understandable. But it is one thing to say that there is no treatment for chikungunya and just another to say that no treatment is needed for chikungunya. An untreatable illness is a serious problem. A treatment that does not require any specific traement is a simple problem. Chikungunya belongs to the latter category. It is self-limiting, resoloves on its own, does not cause any serious complications and is not fatal. All that is needed is to provide relief from the joint pains, sometimes severe, by using simple drugs like paracetamol. Stronger NSAIDs and steroids can themselves cause problems and prolong the illness and are therefore better avoided.

The claim that ayurveda and homeopathy drugs are effective in preventing the spread of chikungunya is not substantiated by any relevant data. Neither the WHO nor the National Vector Borne Disease Control Programme support any such claims. It has been reported that the DK district health authorities have spent lakhs of rupees to procure and distribute such tablets among the people in affected areas. It is not clear whether the authorities have obtained prior approval from the NVBDCP for such an action. In any case, promoting such measures that are unverified would only help in increasing the confusion and encouraging unscrupulous practices.
We expect the govt. to be more rational an dprobing before spending public money on such things.

ಕನ್ನಡದಲ್ಲಿ ಲೇಖನ ಇಲ್ಲಿದೆ

Report in Udayavani, June 15, 2008

Thursday, April 03, 2008

Jodha Akbar 'Banned' in Mangaluru: Stand Up To Oppose

Movies as well as works of literature and art are the products of human creativity and expressions of the spirit of freedom. All freedom loving human beings would see them as such. Every one need not agree with the concepts depicted in such works and any disagreement should provoke only a healthy and academic debate and therein lie the health of the society and strength of the free mind.

Of late, there have been many instances of forcing such creative works out of circulation or in extreme cases, even violence against the creators of such works. This intolerant behaviour smacks of fascism and if allowed to grow, could spell the death knell for freedom of human expression.

The attempts to force out the movie Jodha Akbar from the theaters in Mangalore is an attempt of such fascist forces to probe the conscience of the freedom loving people and should therefore be condemned by one and all in strongest possible terms. If the twenty lakh intelligent people of Dakshina Kannada do not stand up today and oppose these forces rearing their ugly head, tomorrow these handful of freedom haters may dictate us on what to wear, what to read, where to go, what to see and what not to speak. The time to stop them is NOW.

More on My Times My Voice

Wednesday, March 26, 2008

Ban the advertisements that promote the use of mobile phones among kids

Mobile Service Providers in India are up to a new gimmick: Promoting the use of mobile phones among tiny tots! A father, so busy with his 'profession' with no time for his little daughter, instructs her over the mobile phone to look at the sky and count the stars! And another tracks his father returning late at night! Yes, in the all out war of cell phone operators to increase their subscriber base, the latest target are the kids. No matter their tender skulls and brains are highly vulnerable to the cell phone radiation.

Six of us, medical professionals from Mangalooru, have faxed a memorandum to Dr. Anbumani Ramadoss, the Hon'ble Minister of Health and Family Welfare, urging him to ban such ads promoting the use of mobile phones among children.

Here is the full text of our memorandum:

Drs. B. Srinivas Kakkilaya, Shantharam Baliga, Chakrapani, G.K. Hebbar, Rajesh Shetty, Raghuveer,
Mangalore, Karnataka

Dear Sir,

Sub: Advertisements promoting the use of mobile phones among children – request for prohibition reg.

We are writing this with deep concern regarding the new advertisements being telecast on prime time television that appear to promote the use of mobile phones by kids. One such advertisement shows a father looking at the sky and instructing her 3-4 year old kid to draw pictures of the constellations. Many available reports indicate that use of cell phones by kids may not be safe and should therefore be discouraged. We are providing the links here below to some of these papers for your kind perusal.

You have been at the forefront of the fight against many such marketing gimmicks that are harmful to public health. We therefore request you to kindly initiate immediate measures to ban such advertisements/promotional activities that encourage the use of mobile phones by our young children.

Thanking you, Yours sincerely,

Mangalore, Mar 26, 2008

Dr. B. Shantharam Baliga, Prof. of Paediatrics, Kasturba Med. College, Mangalore
Dr. Chakrapani, Prof. of Medicine, Kasturba Med. College, Mangalore
Dr. B.Srinivas Kakkilaya, Consultant Physician, Light House Hill Road, Mangalore
Dr. Rajesh Shetty, Prof. of Neurology, AJ Inst. Of Med. Scs., Mangalore
Dr. G.K. Hebbar, Consultant ENT surgeon, Sanjeevini, Falnir,Mangalore
Dr. Raghuveer, Asso. Prof. of Paediatrics, Kasturba Med. College, Mangalore

If you want to join us, send your request to the Hon'ble minister at hfm@alpha.nic.in


See Article

For Whom The Bells Toll: Another report links brain tumours to mobile phones
By Gauri Kamath - Businessworld 22-28 April 2008.
At http://www.businessworld.in/content/view/4364/4471




References:

1. Independent Expert Group on Mobile Phones: Report of the Group (The Stewart Report) - Mobile Phones and Health Available at http://www.iegmp.org.uk/report/text.htm
2. Cherry N. Cell phone radiation poses a serious biological and health risk Available at
http://www.buergerwelle.de/pdf/cell_phone_radiation
3. Maisch D. Children and Cell Phones: Is there a health risk? The case for extra precautions. Available at http://www.emrnetwork.org/schools/maisch_3_03.pdf
4. Weinbergera Z, Richter ED. Cellular telephones and effects on the brain: The head as an antenna and brain tissue as a radio receiver. Medical Hypotheses. 2002;59(6):703-705 5. Cell phones may present health risks for kids: Scientists say parents should think twice before buying them. Available at http://www.msnbc.msn.com/id/7251038/
6. Kids mobile phone ads 'irresponsible' Available at http://news.bbc.co.uk/1/hi/in_depth/sci_tech/2001/




More on Cell Phone Hazard:

Thursday, October 18, 2007

Open Reply To Anwar Manippady

Anwar Manippady is the Chairman of Karnataka State Govt. Minorities Development Corporation and has written an open letter to Ms Sonia Gandhi, widely publicized by the Hindutva mouthpieces. (See) I received a copy of this on my e-mail, forwarded by a friend of mine. And I thought it deserved a reply and here it is:

Anwar Manippady is the latest in the list of people who have inadvertently glorified Sonia Gandhi by blaming her for things she has done and not done. Even Sonia would feel proud to know that there are people who feel terrified by the mention of her very name and over estimate her abilities! Keep up the good work Mr. Manippady!While you have tried your best to argue about the spiritual, religious, environmental and such other hazards of cutting the Adam’s bridge, you have conveniently forgotten the fact that the brains behind this propaganda are masters in double speak and cowardice. All this heroism is only to cover up the cowardice. Here are the examples:

  • The people who killed the Mahatma and justify it even today (See The Sunday Indian) opposed Sonia Gandhi lecturing on Mahatma at the UN under the pretext of upholding the Indian dignity (See report, advt). It is however another thing that it was Sonia who had suggested to UN to observe Oct 2 as Non violence Day and Arun Gandhi, Mahatma’s grandson, stood by Sonia (See report). The same people are now using Mahatma’s idea of Rama Rajya in their election campaign in Gujarat! (See Modi ‘believing’ in Gandhi!)
  • The erstwhile NDA govt. initiated the civil nuclear deal with the US (See); but when it was finally concluded by the present UPA govt, the same group started opposing it and got into a lot of confusion ( See)!
  • Mr. Manippady, It is ditto Ram Setu! It was planned and approved by the NDA Govt (See) and no one in that ministry ever thought of Ram or his setu then! Now when it is UPA’s turn to govern and implement it, the same party is opposing it in the name of Ram! And you join the chorus!
  • Mr. Jaswanth Singh, the external affairs minister in Vajpayee’s govt., shamelessly accompanied the terrorists to exchange them with the hijacked plane in Kandahar (See). These terror masterminds then unleashed unprecedented attacks on India, and even attacked our parliament, all during NDA rule! And the same party is now accusing UPA of being soft on terror!
  • These forces had Bhagath Singh on their posters and calendars. But soon after Why am I an atheist was published (written by India’s great revolutionary while in jail and stored in British archives), they dumped him and with no other freedom fighter worth the name among their ranks, embraced VD Savarkar, the man who wrote an apology to the British empire to escape the difficulties in the Andaman jail. He remains their hero even now! (See 1, 2, 3)

This list can be much bigger, Mr. Manippady. Let’s go back to the Ram Setu. If the objections are about the genuine concerns of environmental impact etc., say it so, do not bring in Ram and Adam. There is no proof for these things and that’s why these are beliefs and not facts. I hope you know the difference between the two. Please read this from Romila Thapar, an authority on ancient Indian history.(Where fusion cannot work — faith and history). I hope you have read Avarana by SL Bhyrappa and the same author said at a conference in the US that mahabharatha was Itihasa and Ramayana was a Kavya. (See http://thatskannada.oneindia.in/nri/spotlight/) A Kavya cannot be a proof for the existence of its characters! And that’s what the ASI said in its affidavit!

Sonia’s mistake was indeed suggesting to the Govt. to withdraw this scientific affidavit and not in filing it, Mr. Manippady! And Rama as a character is neither adorable nor venerable for many Indians, the simple proof is that there are hardly any temples for Rama in this country compared to the other deities. And as for Manippady’s suggestion of making Ram Setu a tourist attraction that can bring in huge revenue, I only wonder as to how many have ever visited this place until now in veneration of Rama and how many will go in future? I indeed pity you for falling prey to the stunts of the Hindu chauvinists. They neither represent the great Indian heritage nor have any respect for it.