16th January 2024
Editorials
Context:
Cervical cancer vaccine drive is welcome news. It must be accompanied by quality treatment, preventive and palliative care.
Cervical Cancer in India: A Looming Health Challenge
- Magnitude of the Issue: Cervical cancer's prevalence and mortality rates in India, contributing significantly to global burden, highlighting urgent health concerns.
- Preventability and Cure: The long pre-invasive phase offers a critical window for detection, making cervical cancer preventable and highly curable with early diagnosis and treatment.
- Challenges in Detection: Lack of awareness, delayed symptom recognition, and low screening rates contribute to late-stage diagnoses, impacting mortality and overall disease management.
Government Initiatives and Global Strategies for Elimination
- Inclusive Immunization Programs: Government's plan to include cervical cancer vaccine in universal immunization; focusing on girls aged nine to 14 to commence in the coming year.
- WHO's Global Strategy: Advocating for widespread HPV vaccination, screening, and early diagnosis, aligning with Sustainable Development Goal 3.4 to reduce premature deaths.
- Targets and Means: WHO's strategy incorporates clear targets for vaccination coverage, screening rates, and treatment, emphasizing the significance of accountability and simplicity in interventions.
Comprehensive Approach for Cervical Cancer Elimination
- Population-Level Awareness: Urgent need to enhance awareness on causes, prevention, and encourage the uptake of HPV vaccine to combat vaccine hesitancy.
- Capacity Building: Strengthening health systems, cancer registries, and referral linkages; incorporating technology, digital communication, and research collaborations for effective care pathways.
- Holistic Care and Collaboration: Emphasizing comprehensive patient care, early palliative care, reducing financial burdens, and building partnerships with NGOs, innovators, and public health professionals for successful elimination.
Editorials
Context:
Army Chief's annual media interaction presented a mature assessment of security issues facing India, making room for pragmatic solutions.
Army Chief's Reflections on Security Challenges
- Manipur Situation: General Pande acknowledges reduced violence in Manipur but highlights challenges in recovering stolen arms, emphasizing the volatility at the Indo-Myanmar border.
- Free Movement Regime (FMR): Concerns raised about the FMR with Myanmar enabling infiltration, smuggling, and the limited availability of Assam Rifles units for border sealing.
- Assam Rifles Deployment: The need for expanding Assam Rifles units in the Northeast due to their effectiveness in handling security issues in the region is underscored.
Jammu and Kashmir Scenario
- Concern in J&K: General Pande candidly acknowledges the concerning situation in J&K, emphasizing the importance of realistic threat assessments for pragmatic solutions.
- Tactical Lessons: The Chief's admission of tactical lessons from setbacks in J&K showcases a departure from routine responses and reflects a commitment to learning from experiences.
- Support for Hearts and Minds: The positive outlook towards winning hearts and minds in J&K, supported by the Defense Minister, sets the tone for a more nuanced and holistic approach.
Northern Borders with China
- Operational Preparedness: General Pande assures a high level of operational preparedness along the northern borders with China, emphasizing robust and balanced deployment.
- Status Quo Ante: The focus on reverting to the status quo ante in 2020 before considering troop reduction signals a commitment to restoring trust and avoiding tactical misunderstandings.
- Readiness for Change: The Chief is urged to prepare the Army for technological transformations and acknowledges the need to address threats arising from climate change.
Editorials
Context:
The ongoing issue emphasizes the necessity for a comprehensive year-round strategy for ensuring clean air.
Persistent Air Quality Challenges in Delhi
- Seasonal Attention: Delhi's air quality issues, often in the spotlight during autumn due to stubble burning, remain a concern throughout the year, especially in harsh winters.
- Historical Context: Recalling the challenges faced in 2016 and the odd-even scheme, the recent severe air quality serves as a reminder of persistent issues.
- Current Severity: The latest air quality index (AQI) registering as severe underscores the urgent need for effective and sustained measures.
Role of Commission for Air Quality Management (CAQM)
- Regulatory Measures: CAQM, established in 2021, has implemented temporary bans on construction and certain vehicles. However, these are reactive measures during emergencies.
- Need for Proactive Approach: CAQM should evolve into a proactive body facilitating a year-round action plan and fostering collaboration among relevant authorities.
- Synergy Among Agencies: Lack of synergy between different bodies, including the Delhi government, CPCB, and transport departments, impedes comprehensive air quality improvement.
Evaluation of National Clean Air Programme (NCAP)
- Program Objectives: NCAP, initiated in 2019 with a goal to reduce pollution, shifted its target to a 40% reduction by 2026. Independent studies highlight slow progress.
- Funding Utilization: Cities in Delhi-NCR utilizing less than 40% of allocated funds for pollution control raises concerns about the efficacy of implemented measures.
- Need for Tangible Results: Despite initiatives like NCAP, tangible improvements in air quality remain elusive, necessitating a reassessment of strategies for impactful outcomes.