Several significant public health crisis had
happened in India and around the world. On examination and investigation, it is
apparent that these were all man made disasters. In view of continued neglect,
lack of focus on prevention and insufficient investments in health or improper
assessments of diseases or study their root causes, the social determinants of
health.
The Ebola crises in West Africa is a fit case for study where over 7000
people had died in view of neglect of health systems, infrastructure funding,
trained human resources and little commitment of education. Even though
vaccines were developed in USA to fight the disease, it seemed too little and
too late.
India marches towards global leadership in many
diseases like malaria, dengue, diabetes, heart related ailments etc. confront
us. Thousands of people are deprived of adequate H.I.V drugs and the situation
is alarming. The T.B crises also followed up with over 1 Lakh cases. T.B is the
country’s time bomb.
In 2015, in the sterilization tragedy in Chattisgarh, over
10 in the 83 women who underwent sterilization surgeries died while many others
were hospitalized critically. The revelation is the nasty nexus between the
government officials and petty pharma manufacturers, the antibiotics were
suspected to be containing rat poison.
The culprits were easily let off without
adequate punishments for their culpable homicide. That is the fate of the
callous government. Broadly speaking, the quality of health services in rural
and urban India in private or public sectors are abysmal, millions of people
suffer to access health services. 60% of the people in the country suffer much
to access in the private sector (many from quacks) atexorbitant costs and are
being targeted for over exploitation with inappropriate tests and most of the pharmacies
sell medicines like antibiotics over the counter and hardly there is government control over it.
The fundamental is to control diseases, sufficient
nutrition, safe habitation, safety and reduced conflicts etc. All of these are
inter linked with social and economic policies of the government. Overall it is
apparent and imperative how to integrate all the links for making effective
health care systems to provide maximum protection to the people.
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