Thursday, May 14, 2009

The tragi-comedy of choice


I don't get it! Why on earth was Amma cribbing over the Chennai Central seat (CPM was dying to have it) so much, when her party isn't even campaigning for it? D. Pandian, CPI’s state secretary and Chennai North candidate, may have had a better chance here against a candidate that can match his arrogance.

The Dravida Munnetra Kazhagam (DMK) isn't splitting too many hairs on the seat because they are sure of victory; the All India Anna Dravida Munnetra Kazhagam (ADMK) candidate S. M. K. M. A. Jinnah is sticking to his pocket borough of Triplicane while the Desiya Murpoku Dravida Kazhagam (DMDK) is going berserk printing pamphlets in English.

The BJP, which has forgotten Sukumaran Nambiar, hasn’t even fielded a candidate and the BSP’s Yunus Khan remains content with sending a campaign jeep into Triplicane Mosque in the dead of the night.

The Youth and Students Party, which seems strangely familiar to the Syrian Christian Youth Club, is parading its pathetic slogans on a tempo on Uttamar Gandhi Salai. As if all this wasn’t enough, Nungambakkam residents found themselves staring at Pyramid Party of India pamphlets (with a flowing white bearded Maharishi peeping out), as they started their vehicles in the morning.

I am sorry to say that I may have ended up voting for Hyder Bhai of the Manithaneeya Makkal Katchi (MMK), if I had a vote in the constituency. The joke that the Chennai Central campaign has been reduced to, has made even a party like MMK seem ideal to the few incurable romantic socialists that live in this constituency. No, there’s no sign of the Socialist Unity Centre of India (SUCI).

Coming home, to vote in Krishnagiri constituency, was fun. The Election Commission has played the perfect party pooper (literally) from the hinterland to the state capital, ensuring nobody has any campaign kondattam except the BJP.

This is the only party I find actually campaigning in Tamil Nadu. Kovai to Krishnagiri is dotted with saffron flags and banners with images of Advani, Karthik and Sarath Kumar and Subramanian Swamy on them. What a sangam;D

The flags don’t seem to bother either of the squabbling Dravidian twins, who are busy clashing from Luz Corner to Anchetti forest, apart from stoning the Central Industrial Security Force in Krishnagiri. The vinyl banners though, are a comic relief.

Much to the chagrin of my photographer roomie Kapil Ganesh, the election stalls of the DMK in Hosur are attracting more crowds than any others. I think I spotted late Com. Mohit Sen’s United Communist Party of India flag, among the many others, decorating a DMK stall opposite the town’s police station.

T. Rajendharr’s Latchiya Makkal Katchi’s teeny-weenie stall lay barren beside it. I actually appreciate the man for not joining the bandwagon of ‘election-parties’ that are the NDA in TN this time, but he really does push his luck to ensure the joke is on him doesn’t he?

The UPA may not be so lucky in Salem, where the Marumalarchi Dravida Munnetra Kazhagam’s mobilisation coupled with the Vanniyar loyalty to the PMK is punishing poor Mr. Thangkabalu. Yes, all you Tamil nationalists, I actually like Mega TV :)

Nowhere have I seen the DMDK so popular, as in my district. The night before polling two bubbly gentlemen came home to give our voting slips with the ‘Murasu’ (DMDK’s drum symbol) on it. These courageous poll code violators seemed like excited little children stealing mangoes in the dead of the night.

Despite their charm, I violated the Party line and pressed the ‘Udaya Suryan.’

Poll Punch:

1. All you Dakshin Kannada voters who think you did a favour to the cause of pub-going by voting for BJP rebel Ram Bhat, think again; he's backed the the Sri Ram Sene.

2. Ever visited Kerala's Left Democatic Front website. There's only CPM, CPI and Kerala Congress (Joseph). See, Mr. smarts pants RSP and AIFB, the CPM finally gave it to you tit-for-tat for South 24 Parganas and Dinhata. Long live Left Unity!

Tuesday, April 28, 2009

The rise and fall of public health in Tamil Nadu

“Tamil Nadu has always been the leader in immunization,” says Dr. T. Jacob John, virologist at the Christian Medical College, Vellore. Though small pox was eradicated in India in 1974, Tamil Nadu had already accomplished this almost a decade earlier, in 1965.

In 1977, India accepted the World Health Organisation’s (WHO) Expanded Programme on Immunization (EPI), without the measles vaccine. But, in 1978, Tamil Nadu introduced the Measles vaccine against national policy. In 1984, the Planning Commission acknowledged this as a “fantastic success” and by 1990 it was introduced all over the country, says Dr. John. Tamil Nadu also became the first state to conduct laboratory investigations of measles outbreaks. There are no more deaths to due measles in the state.

Dr. John attributes these strides in public health to the state’s former health minister Dr. H. V. Hande. In 1986, Hande mandated five doses of Oral Polio Vaccine (OPV) for infants. The national policy only mandated three doses, so Hande got Rotary International to sponsor the additional doses. Tamil Nadu became the first state to eradicate Polio.

Sadly, this trend is in reverse. The second National Family Health Survey (NFHS-2) in 1998-99, recorded 89 per cent complete vaccine coverage of children between 12 and 23 months old. This has fallen to 81 per cent, according to the NFHS-3 in 2005-06.

Nowadays, only the first OPV dose is given free and peopled are forced to spend Rs. 500-600 on vaccines for infants, says Dr. Shanmugavelayutham, Professor of Social Work at Loyola College, Chennai. He adds that the poor spend upto 40 per cent of their income on medical expenses in states like Tamil Nadu, where health awareness is high.

After the deaths of four babies in Tiruvallur district, close to Chennai, in April, last year, due to a mix up of the measles vaccine, the state government ordered that vaccines only be given in primary health centres (PHCs).

Before this tragedy, health workers went to individual households and vaccinated infants. As a result of the government order, daily wage earners, who cannot afford to take a day off to travel to a PHC, are not getting their children vaccinated. This has lead to the number of vaccine recipients decreasing by almost 50 per cent, says Dr. Shanmugavelayutham.

Immunity from communicable diseases can be achieved by vaccinating up to a critical threshold of 80 to 85 per cent of the population and hence it will take two to three years for the immunity to fall below the threshold and diseases like measles, diphtheria and polio to make a comeback. Diphtheria outbreaks have already been reported from Vellore and Tuticorin districts of the state.