Poverty, income inequality and undernutrition are some of the factors responsible for the high incidence of tuberculosis cases, and migration of patients poses a serious challenge to health care providers.
PEOPLE WITH THEIR FACES COVERED WITH cloth, and coughing intermittently, stream into a government-run dispensary in South Delhi’s Kalkaji locality after 8 a.m. and form a long queue in front of a large window. Two men are seated at a table placed near the window, in a small room stacked with cardboard boxes containing medical kits.
This is a typical centre where the World Health Organisation (WHO)-recommended Directly Observed Treatment Short-course (DOTS) to tuberculosis (TB) is provided. It serves as the first point of contact for TB patients, and the facilities are free. The centre is staffed by one laboratory assistant and an adviser to ensure systematic follow-up. Depending on how seriously a patient is affected, treatment could take anywhere between six months and two years.
One of the staffers, who did not want to be named, said there were 135 patients coming for follow-up treatment at the centre. “We provide the patients tablets or any other medication mandated in their treatment regimen. Our main role is to ensure that they follow and complete their doses. This is critical because many of them tend to stop the doses once they start feeling better. We sometimes visit their homes to counsel them to continue the medication and complete the course,” the staffer said.
This story is from the November 11, 2016 edition of FRONTLINE.
Start your 7-day Magzter GOLD free trial to access thousands of curated premium stories, and 8,500+ magazines and newspapers.
Already a subscriber ? Sign In
This story is from the November 11, 2016 edition of FRONTLINE.
Start your 7-day Magzter GOLD free trial to access thousands of curated premium stories, and 8,500+ magazines and newspapers.
Already a subscriber? Sign In
How Not To Handle An Epidemic
The lockdowns were meant to buy time to put in place appropriate health measures and contain the coronavirus’ spread, but they have failed to achieve the objective and heaped immense misery on the marginalised sections of society. India is still in the exponential phase of the COVID-19 infection and community transmission is a reality that the government refuses to accept.
Tragedy on foot
As the COVID-19-induced lockdown cuts the ground beneath their feet in Tamil Nadu, thousands of migrant workers are trudging along the highway to the relative safety of their upcountry homes.
Sarpanchs as game changers
Odisha manages to keep COVID-19 well under control because of the strong participation of panchayati raj institutions and the community at the grass-roots level under the leadership of Chief Minister Naveen Patnaik.
Scapegoating China
As the COVID-19 death rate spikes and the economy tanks in the United States, Donald Trump and his advisers target China and the World Health Organisation with an eye to winning the forthcoming presidential election.
New worries
Kerala’s measured approach to the pandemic and lockdown has yielded results. But it still has to grapple with their huge economic impact on its economy, which it feels the Centre’s special financial relief package does little to alleviate.
No love lost for labour
Taking advantage of the lockdown and the inability of workers to organise protests, many State governments introduce sweeping changes to labour laws to the detriment of workers on the pretext of reviving production and boosting the economy.
Capital's Malthusian moment
In a world that needs substantial reorienting of production and distribution, Indian capital is resorting to a militant form of moribund neoliberalism to overcome its current crisis. In this pursuit of profit, it is ready and willing to throw into mortal peril millions whom it adjudicates as not worth their means—an admixture of social Darwinism born of capital’s avarice and brutalism spawned by Hindutva. .
Understanding migration
When governments and their plans are found to be blatantly wanting in addressing reverse migration, exercises such as the Ekta Parishad’s survey of migrant workers throughout India can be useful to work out creative long-lasting solutions.
Waiting for Jabalpur moment
The Supreme Court’s role in ensuring executive accountability during the ongoing lockdown leaves much to be desired. Standing in shining contrast is the record of some High Courts.
An empty package
The Modi regime, which has been unable to control the COVID-19 infection, restore economic activity and provide relief to millions exposed to starvation, trains its sights on Indian democracy, making use of the panic generated by fear and a lockdown that forecloses paths of resistance.
