Leisure, Lifestyle & Wellness
Outdated policies increase drug-resistant TB: Survey
Outdated tuberculosis (TB) policies and practices are risking the further spread of drug-resistant TB globally, warns a 24-country survey, urging a phase-out of mandatory hospitalisation and re-treatment regimens that contribute to drug resistance.
 
Released by Medecins Sans Frontieres (MSF) - also known as Doctors Without Borders, an international non-profit organisation - and Geneva-based Stop TB Partnership, the second edition of the "Out of Step" report is a comprehensive survey of policies and practices used to guide the diagnosis and treatment of TB.
 
"Outdated policies for TB treatment that put people at risk of increased suffering and death should be banished, including re-treatment regimens that potentially increase drug resistance and mandatory hospitalisation during treatment," explained Dr Grania Brigden, MSF access campaign TB advisor.
 
If countries are to meet globally-endorsed goals to reduce TB incidence and death by more than 90 percent over the next 20 years, aggressive efforts must start now to adopt and implement the 14 key policies and practices identified in the report.
 
The use of rapid molecular tests that can effectively diagnose drug resistance has not yet reached the broad coverage needed.
 
"We won't be able to close the huge gaps in TB diagnosis and treatment unless the policies and practices known to reduce illness, death and transmission are fully adopted and implemented in every country, including the best use of every effective tool available today," Dr Brigden said.
 
TB is curable but remains the world's deadliest infectious disease, claiming 1.5 million lives each year.
 
In October, WHO revealed that only one in four (26 percent) of the 480,000 people estimated to have developed multidrug-resistant TB (MDR-TB) in 2014 was diagnosed.
 
Nearly 111,000 people (23 percent) started on treatment and less than half of them were successfully treated.
 
Yet of the 24 countries surveyed, only about 30 percent of countries (eight out of 24) have put in place policies to ensure that rapid molecular tests for detection of TB and drug resistance are used as the initial test for everyone being evaluated for TB, the survey noted.
 
"To meet the 90-(90)-90 targets in the 'Stop TB Partnership's Global Plan to End TB' 2016-2020 and the longer-term goals outlined in WHO's 'End TB Strategy,' country programmes need to urgently bring their national policies and practices in step with international recommendations for optimal diagnosis and treatment," stressed Dr Lucica Ditiu, executive director of the "Stop TB Partnership."
 
"We hope the 'Out of Step' report will bring a renewed focus on the importance of TB policies as the starting point for ensuring countries are equipped to scale up TB efforts," Dr Ditiu added.
 
Only about 12 percent of countries surveyed are confirmed to have all of the existing drugs used to treat drug-resistant TB on their national essential medicine lists.
 
"We need all countries to upgrade their national policies and practices to fully meet WHO recommendations within the next three years to really address TB illness and death head-on," the authors concluded.
 
Disclaimer: Information, facts or opinions expressed in this news article are presented as sourced from IANS and do not reflect views of Moneylife and hence Moneylife is not responsible or liable for the same. As a source and news provider, IANS is responsible for accuracy, completeness, suitability and validity of any information in this article.

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Let's prioritise 'Safe in India' this December
Since 2012, December has become synonymous with a rally of activity around women's safety. We however need to look beyond the month.
 
A while ago, when Prime minister Narendra MOdi launched the ambitious Make in India and Skill India campaigns, one could not help but wonder when we would witness a much needed Safe in India mission.
 
Statistics put the female workforce participation rate at 27 percent. The government has emphasised the need for increasing women's participation in the workforce in its various strategies. Social norms and orthodox attitudes are often cited for these poor figures, but one rarely acknowledges the fact that women in India do not feel secure enough to participate freely in any sphere -- social, political or economic.
 
Cases such as the rape of the physiotherapy intern, the photo journalist in Mumbai or the BPO worker in an Uber cab in Delhi lead to sporadic rhetoric about women's safety and then die a gradual death. What remains constant after the media hue and cry has subsided is a feeling of fear among women and the backlash they face when they raise their voice for their rights. A single instance of violence against one woman in India crushes the dreams of several girls who want to study, work, play and enjoy the freedom that our constitution guarantees them.
 
Also, contrary to the alarm raised by many about the streets being unsafe for women, a majority of the violence happens within the four walls of the home. According to data from 2013, in 97 percent of rape cases, the accused was known to the victim.
 
A number of initiatives have been taken to stem the tide of violence in both the public and domestic spheres. The Dowry Prohibition Act, the Protection of Women from Domestic Violence Act, the Criminal Law (Amendment) Act and the Sexual Harassment of Women at Workplace (Prevention, Prohibition and Redressal) Act and fast track courts are the foremost legal initiatives.
 
However, besides legal remedies, which are often ineffective due to the complicated, lengthy and expensive procedures, technology can go a long way in providing aid to women, if used effectively and as a supplement to other measures.
 
Women's helplines and safety apps are two resources which have been launched in recent times and possess the potential to make a large-scale impact.
 
In India, several numbers are dedicated as women's helplines. Some of these numbers such as '181' are run by the Delhi government and were specially set up within the Chief Minister's Secretariat. Other numbers such as '100' and '1091' are under the direct control of the police control room and yet others such as '103' are run or supported by civil society organizations.
 
Currently, the various private and public helplines in India are divided by the nature of support sought - police, fire services, ambulance, legal aid or counselling - and by geography (city and state). Some critics have pointed out that having multiple women helpline numbers across the country is a limitation to gender justice due to a lack of Standard Operating Procedures. Also, in the absence of one single helpline like 911 in the United States awareness regarding helplines is low and often confusing for women.
 
To address this concern, the central government has launched a scheme to universalize these helplines by releasing a single all India helpline.
 
The scheme for 'Universalisation of Women Helpline' was approved by the government of India on February 19 for implementation through States/UTs with effect from April 1. It envisages 24-hour emergency and non-emergency response to all women affected by violence in both public and private spheres, including in the family, community, and workplace.
 
The idea is to unite all the helplines for women under a single number - 181. In addition to helplines, several safety applications available online provide emergency support to women with smartphones and internet connectivity.
 
However, when compared, apps which conduct safety audits are more comprehensive and also go beyond providing emergency support. Perhaps the biggest advantage that auditing tools offer is the potential to include the community in the process of auditing. The safety audit is a simple methodology of delineating exactly what factors make a particular public space feel more or less safe.
 
The tools when used by citizens can gather information about safety in their localities which can then be used by public authorities for better planning and governance. What this technology offers beyond large-scale information for helping stakeholders to plan safer localities is a chance to bring about an attitudinal shift in the community living together.
 
For women to feel safe and accepted, a shift needs to be perceptible in society. Women need to feel accepted for coming out of their homes, working, walking around at night and in general enjoying the same rights and freedom that men take for granted.
 
Combined with legal and technical measures, measures to bring about progressive thinking can go a long way to contribute to public spaces and homes that make our girls feel secure, welcome and valued. However, a lot will depend on what we prioritise as a nation and perhaps it's time to put "safe in India" before other campaigns, because a nation where half the population is discriminated against can never fully grow and reap its potential.
 
Disclaimer: Information, facts or opinions expressed in this news article are presented as sourced from IANS and do not reflect views of Moneylife and hence Moneylife is not responsible or liable for the same. As a source and news provider, IANS is responsible for accuracy, completeness, suitability and validity of any information in this article.
 

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Car majors halt production in flood-hit Chennai
Leading car makers Hyundai, Ford and Renault-Nissan were forced to suspend operations on Wednesday, as torrential rains flooded their production plants in the Tamil Nadu capital.
 
"Production work has been suspended for the day, as rain water gushed into the plant and our employees could not turn up due to transport disruption," a Hyundai official said.
 
The Korean auto major was among the first to set up its Indian plant at Sriperumbudur in this coastal city, which is called 'Detroit of India', after Ford, Renault-Nissan and other car makers came calling.
 
Hyundai will review the situation on Thursday and decide when to resume production, though the Met office has predicted more rains this week due to the formation of low pressure over the Bay of Bengal.
 
Similarly, Ford India's subsidiary plant at Chengalpattu, 45 km from the city centre, was shut down after rain water flooded the facility and its workers could not to reach the factory, as commutation became difficult on flood-ravaged roads.
 
"We have halted production at our plant due to heavy rains flooding the area and approach roads remaining cut off owing to water logging," a company spokesperson said.
 
French-Japanese auto alliance Renault-Nissan also suspended operations for the day at its plant in Oragadam for the safety of its employees, as the whole area was flooded with rain water.
 
"Resumption will depend on normalcy returning as employees' safety is paramount. We are monitoring the situation," Renault India chief executive Sumit Sawhney said in a statement.
 
A. Satish Kumar, general secretary for the Chennai Ford Employees Union, told IANS: "Ford India has declared holidays on December 2-6 due to heavy rains. However, need-based employees involved in maintenance and production would be called for duty. That also depends on the situation."
 
According to people close to truck-maker Daimler India Commercial Vehicles, the company's plant worked half-a-day on Tuesday and it was a holiday on Wednesday.
 
Disclaimer: Information, facts or opinions expressed in this news article are presented as sourced from IANS and do not reflect views of Moneylife and hence Moneylife is not responsible or liable for the same. As a source and news provider, IANS is responsible for accuracy, completeness, suitability and validity of any information in this article.

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