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Kashmir: Pakistan and India may resume ‘dialogue’ in Nepal

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Relations between India and Pakistan have been complex due to a number of historical and political events. Relations between the two states have been defined by the violent partition of British India in 1947, the Kashmir conflict, nuclear arsenals in ready mode, the numerous military conflicts fought between the two nations and regular cross fires at the LOC (essentially to terrorize the besieged Kashmiris on either side). Consequently, even though the two South Asian nations share linguistic, cultural, geographic, and economic links, their relationship has been plagued by hostility and suspicion.

Jammu Kashmir continues to be under joint occupation of India, Pakistan and China. Now India controls about two-thirds of the Jammu Kashmir state while some western and northwestern regions are under Pakistani occupation. China controls the uninhabited Aksai Chin region in the state’s frigid northeast that it “acquired” from Pakistan.

Dealing with each other has been one of the most formidable challenges that has confronted Pakistan and India over so many years, worsened during the last 35 years. The current BJP led National Democratic Alliance (NDA) government of Narendra Modi employs a more muscular strategy in its relations with Pakistan. While in opposition, the same Bharatiya Janata Party always opposed any relationship with it neighbor Pakistan and insisted that terror and talks cannot go together. The participation of Pakistani Prime Minister Nawaz Sharif in Modi’s swearing-in ceremony in May 2014 allowed for some cautious optimism, but nothing positive emerged form that meeting. Foreign secretary-level talks scheduled for August 2014 were called off at the last moment because of a meeting between Hurriyat leaders and Pakistan’s high commissioner in Delhi. Sparring nuclear-armed neighbours agreed to unrestricted talks as Indian foreign minister visited Pakistan for the first time since 2012. The restarting of a “comprehensive bilateral dialogue” was announced by India’s top diplomat Sushma Swaraj, the first Indian foreign minister to visit Pakistan since 2012.

Ever since Indian Prime Minister Narendra Modi assumed office in May last year, after his Hindutva Bharatiya Janata Party (BJP) secured a landslide electoral victory, he has been courting India’s neighbors. He had invited the heads of SAARC countries to his swearing-in and followed this up with visits to Bhutan, Nepal and Myanmar. BJP has not been really accommodative of the genuine concerns causing deadlocks in bilateral talks. Analysts said India softened its position after a string of state elections that struck a gloomy picture for the ruling party when it was in the interest of Modi’s Hindutva BJP to strike a hawkish, populist line against Pakistan.

Reports suggest that Pakistan Prime Minister’s Advisor on Foreign Affairs Sartaj Aziz and Indian External Affairs Minister Sushma Swaraj may meet in Nepal this week on the sidelines of a Saarc ministerial-level meeting. Diplomatic sources reported that India and Pakistan were exploring the possibility of a meeting between Swaraj and Aziz and also between the foreign secretaries of the two countries in the Nepalese tourist city of Pokhara. Modi is slated to visit Islamabad in November 2016 for the SAARC regional summit.

The two South Asian prime ministers are scheduled to travel to the USA to attend a nuclear security summit to be hosted by US President Barack Obama. In the first top-level diplomatic exchange between the two neighbors and archrivals in the last seven months, Indian Foreign Secretary S. Jaishankar reached Pakistan’s capital Islamabad. Jaishankar’s two-day visit – part of a broader trip to all member countries of the South Asian Association of Regional Cooperation (SAARC) – is significant as it could mean that the two nuclear-armed neighbors, who have fought four wars since August 1947, when the British freed and divided the Indian subcontinent, could resume bilateral talks for the first time since India broke off a dialogue in response to Pakistani diplomats meeting with separatist leaders from Kashmir in New Delhi.

Jammu Kashmir , the only Muslim-majority in the northernmost state of India after annexing it in 1947 has been at the center of the dispute between the two neighbors throughout their independent history. Pakistan also shares a part of Kashmir now known as Azad Kashmir. While India considers the entire Jammu Kashmir state an inalienable part of its union, and Pakistan wants a UN-proctored plebiscite, as specified by UN, to decide the region’s fate, there is significant and growing support among Kashmiris for independence.

Summit exchanges and other high level meetings have done enough to stabilize bilateral ties mainly because of the Kashmir issue. Both South Asian nuclear states do not want to get rid of their dangerous WMD. Indian Foreign minister Swaraj met with Nawaz Sharif, the Pakistani prime minister, and his top foreign affairs adviser, and also agreed to start a dialogue process that would include Kashmir and other border disputes.

Pakistan said it was taking steps to bring about the early conclusion of the stalled trial of those involved in the 2008 attacks on Mumbai, India’s financial capital. Earlier in the day Swaraj told representatives of 31 countries gathered for the Heart of Asia conference on the future of Afghanistan that it was time for India and Pakistan to display “the maturity and self-confidence to do business with each other and strengthen regional trade and cooperation…The entire world is waiting and rooting for a change. Let us not disappoint them.” The change in tack had been presaged by a closed-door meeting in Bangkok between the two countries’ national security advisers, which itself followed an informal conversation between Modi and Sharif on the sidelines of the Paris climate change conference the week before.

Relations between Pakistan and India improved dramatically when the two sparring nuclear-armed neighbours agreed to unrestricted talks after years of disagreeing terms of any discussions of their numerous disputes. High-ranking officials from the nuclear-armed neighbours have held precious few meetings since the election of Narendra Modi as prime minister of India in May 2014 given his government’s insistence that talks focus on battling terrorism and not the contested region of Kashmir, a key Pakistan concern. The diplomatic breakthrough by two countries that regularly exchange fire across their contested borders was announced at the end of a regional summit in Islamabad where officials also hinted at a possible revival of talks between the Afghan government and “Taliban groups”.

Indian External Affairs Ministry Spokesperson Vikas Swarup last week said that no schedule of bilateral meetings in Nepal have been drawn up with Pakistan or any other country. Aziz and Swaraj will be in Pokhara for the South Asian Association for Regional Cooperation (Saarc) Council of Foreign Ministers’ meeting on 16 and 17 March. A senior Pakistani official said Islamabad was ready to resume the dialogue at any time, and was also open to a meeting between Aziz and Swaraj in Nepal. the Pakistani official said there is no proposal as of now for the meeting in Nepal but Pakistan will respond positively if India approaches us for this purpose.

The meetings, if held, will provide an opportunity to the two sides to discuss the much-delayed talks between the foreign secretaries, who were to meet in Islamabad in January. The key foreign secretary-level talks are meant to draw up a roadmap for a series of meetings between the two countries on a range of issues, including Kashmir, peace and security, Siachen, Sir Creek, water, and trade and commerce.

The efforts to resume the Comprehensive Bilateral Dialogue hit a deadlock after the terror attack on Pathankot airbase that India has said was carried out by militants from Pakistan-based Jaish-e-Muhammad militant group. Sources said Aziz and Swaraj, if they meet, will discuss the possibility of an interaction between Prime Minister Nawaz Sharif and his Indian counterpart Narendra Modi later this month in Washington. During the meeting, the foreign secretaries realized that peaceful dialogue is the only way forward to resolve all outstanding issues. However, an immediate resumption of dialogue between the two countries is not yet a certainty.

India has officially maintained that Jaishankar was travelling as part of Delhi’s plans to stay in touch with Saarc neighbors but had, however, made resumption of talks with Pakistan a non-negotiable condition for aligning with the BJP in Kashmir. Earlier, Jaishankar’s trip to Islamabad follows only days after a new government, in which the BJP is a junior coalition partner, was installed in Jammu and Kashmir in Indian side. This is the first time that the Hindutva BJP is sharing power in the Muslim-majority state, and in the elections conducted in December, Modi’s BJP had its best ever electoral result in the state. “I want to say on record and I have told this to the Prime Minister, that we must credit the Hurriyat, Pakistan and militant outfits for the conduct of assembly elections in the state,” Sayeed reportedly said. “People from across the border made the atmosphere conducive. They also have assets — Hurriyat, militants… if they had done something (during the election) such a participation of people would not have been possible. This gives us hope.”

India has put in place an elected government in the troubled state of JK. The BJP’s coalition partner is the PDP (People’s Democratic Party), which was led by the Mufti Mohammad Sayeed and his daughter Mehbooba Mufti. Sayeed, who had in the past been said to be close to Kashmiri separatists, caused a controversy soon after being sworn in as the state’s new chief minister after he expressed gratitude to local separatist outfits and armed militant groups for allowing peaceful elections in the state. The BJP-led federal government in New Delhi distanced itself from Sayeed’s comments, and instead, credited “the Election Commission, our armed forces and the people,” for peaceful elections in the state.

Decrying a Pakistani official’s reported remark about use of nuclear weapons against India, US has urged the two countries to continue to work together with constructive dialogue to resolve their long standing issues. “Obviously, what we want to see are the tensions decrease,” State Department spokesman John Kirby told reporters when asked about a Pakistani official’s reported threat to use tactical weapons against India. “And speculation about the potential use of nuclear weapons certainly isn’t doing anything to help decrease tensions, if in fact those comments were made,” he said.

US Secretary of State John Kerry has said repeatedly is that he wants the two nations to continue to work together with constructive dialogue to resolve their issues. “And we understand that there are issues longstanding,” he said. “But that’s what really needs to happen, is sitting down, dialogue, cooperation, talking through these things, and trying to work through some meaningful solutions.” Asked to comment on a new report by two US think tanks that Pakistan may have about 350 nuclear weapons in a decade or so to catch up with the status of India in the field, Kirby said he did not have a specific update regarding any talks with Pakistan on the nuclear issue. “Obviously, we continue to urge all nuclear-capable states, including Pakistan, to exercise restraint regarding furthering their nuclear capabilities,” he said.

Recently, USA and Pakistan urged India to give up its rigid attitude to Kashmir and help solve the issue in a amicable manner without nay wars. US spokesman, however, praised India’s constructive role in Afghanistan and said the USA would like other countries including China to play a similar role there. “We want Afghanistan to be a good neighbour in the region” Kirby said. “And India has played a constructive role over the last several years inside Afghanistan, and we would look to other nations like China to do the same.” “I think everybody in the international community could benefit from an Afghanistan that is secure and stable and prosperous with better future,” Kirby said.

In a busy day of diplomacy, the Heart of Asia summit saw officials from leading countries hint at fresh talks between the Taliban and the Afghan government which were abandoned after just one round this summer. Antony J Blinken, US deputy secretary of state, said the Afghan and Pakistani leaders renewed their commitment to an “Afghan owned and Afghan led” process during meetings with senior diplomats from the US and China, in a sign of the powerful international pressures for a peaceful end to the war. Aziz Ahmed Khan, a former Pakistani ambassador to both Kabul and New Delhi, said there was now a “ray of hope” for improved relations with India. However bitter experience meant “you should never be overly enthusiastic because you never know where the next stumbling block will come”, he said. There are doubts over how quickly the talks can begin given the violent splits that developed within the Taliban after it was revealed in last July that the insurgency’s spiritual leader Mullah Omar had been dead for two years. News of Omar’s death triggered a sharp increase in attacks in Afghanistan as the Taliban’s new leader Mullah Mansoor attempted to assert his authority over a movement divided over both his leadership and the wisdom of negotiating with the Kabul government. The surge in violence, which many in Afghanistan believe is caused by clandestine Pakistani support for the rebels, heaped pressure on Ashraf Ghani, the Afghan president, to abandon his policy of making concessions to Islamabad to gain Pakistan’s backing for peace talks.

India and Pakistan occupy not only Kashmir valley but even the dangerous Siachen Glacier where avalanches take place regularly, killing soldiers. Recently, after an avalanche claimed the lives of Indian soldiers on the Siachen Glacier, calls for demilitarization are rising. The demilitarization of Siachen is definitely doable diplomatically. Moreover, there is a critical mass of opinion in both India and Pakistan that neither can sacrifice so many lives on the inhospitable glacier. If the initiative is not seized by both sides now, the vagaries of nature will continue to exact a toll on forces deployed in Siachen, even if peace holds.

Regional peace in South Asia, now depending on India and Pakistan, unless established, is not an option but a necessity.

Siachen Glacier only symbolizes the nature of mutual hatred between the nuke neighbors. Pakistan as well as India has a duty and responsibility as regional leaders.

Resumption of the Indo-Pak ‘talks” or ‘dialogue’ in Nepal or elsewhere would be meaningless unless the leaders realize the need for resolution of Kashmir issue.

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South Asia

Kashmir Bleeds, International Community Sleeps

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The most beautiful part of the World “Kashmir” bleeds while the International community sleeps. Snow-covered mountains, lush green pasters, blue skies, blue lakes, excellent climate, rich culture, best food, unique race – one of the most pretty races on this earth, makes Kashmir “Paradise, but India has turned it a living hell. Nine hundred thousand troops enforcing curfew since the 5th of August 2019 has turned Kashmir a prison, where 8 million people are under siege, for the most prolonged period of curfew in the known history of humankind. No food, no medicines, no fuel, no electricity, no basic neccessaties of life, yet, the brave people of Kashmir survived and kept their struggle for their legitimate right of self-determination.

Seventy-three years ago, Indian illegitimate occupation armed forces entered Jammu & Kashmir in a stab to subjugate the Kashmiri people. To this day, the brave people of Occupied Jammu & Kashmir (I.I.O.J.K.) have remained committed in their resolve to confront India and stand firm in their quest for the right to self-determination.

On the 5th of August 2019, India took further illegal and unilateral actions to change the internationally recognized disputed status of I.I.O.J.K. and alter the demographic configuration of the occupied territory.  Pakistan and the Kashmiris have unconditionally rejected this blatant travesty of law and justice. For over one year, the scale and impunity of the Indian Government’s human rights abuses have increased manifold. Through the deployment of additional troops and exceptional media and communication blackout, occupied Jammu & Kashmir has been turned into the largest open prison in the world. The world community is calling India out on its oppression, and its cover-up as one of the world’s so-called largest ‘democracies’ has been undeniably exposed.

Pakistan, along with all other nations and individuals, with human conscious, calls for the urgent lifting of the military siege and media blackout, immediate stop to the violations of human rights of Kashmiri people, release of Kashmiri leaders and youth, and an end to impunity allowed to Indian occupation forces under draconian laws.We urge the international community to play its role in exerting pressure on India to reverse its illegal course in I.I.O.J.K. and restore the Kashmiris’ fundamental human rights.

We express complete solidarity with the people of I.I.O.J.K. and assure our Kashmiri brothers and sisters that the Government and people of Pakistan remain shoulder-to-shoulder with them. Pakistan will not concede in its support until the Kashmiris realize their legitimate right to self-determination in harmony with the United Nations Security Council resolutions.

India has turned Kashmir into a volcano, which may burst any time, any moment, and may cause disaster not only to India and Pakistan but may engulf the entire region or the whole world. It is worth mentioning that India and Pakistan both are nuclear states and possess enough piles of lethal weapons to eradicate each other. Mostly, the Government in India has been hijacked by Hindu extremists, and one can expect any abnormal action from them. Or by mistake or accidentally eruption of war, might lead to nuclear war, or World War III.

India is already involved with China, and a war-like situation exists. India is holding parts of Nepal illegally and at odd with Bangladesh, Sri Lanka, Myanmar, Maldives, Sikkim, Bhutan, etc. The extremist Government in India may initiate any misadventure and endanger humanity.

The U.S. is backing India and supporting it to counter China. But, history tells, that when Americans are your friends , you do not need enemies. Former Securty Advisor in Trump Administration, Mr. John Bolten, who has worked with President Trump closely, understands him much better than anyone else. He is of the opinion that President Trump supports India, but if a war broke out between China and India, President Trump might no longer support India. Is India able to confront China???. Let the Indian think tanks and intellectuals decide it.

However, the region is highly populated, with 1.4 billion population of China, 1.2 billion population of India, 220 million population of Pakistan, and almost similar to Bangladesh, etc. The loss of humanity may cross all previous records.

The international community may awaken and take preventing measures to avert any possible disaster.

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October 27th: The Tyranny Continues in Kashmir

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October 27 marks the beginning of Indian Occupation of the disputed territory of Jammu and Kashmir. It is forever scarred in the collective minds of the Kashmiri people as the day they became occupied.

The Kashmir conflict began in 1846 with the illegal, immoral and inhumane sale of the historic state of Jammu and Kashmir to a non-Kashmiri Dogra family for services rendered to the British Raj. From that point, onwards, Kashmiri’s have long for self-determination. Yet, tragically, their legitimate aspirations were crushed with the grotesque, irregular and illegal ascension, by the brutal foreign ruler Maharaja Hari Singh who did not have the consent of the people.  With the arrival of Indian soldiers – the historic Black Day of Occupation begins its most recent and insidious manifestation.

The Princely State of Jammu & Kashmir obtained independence on August 15, 1947, when British paramountcy lapsed.  At that moment, under international law as understood by Indian National Congress, The Muslim League and Great Britain, sovereignty in Kashmir devolved on its peoples, not its autocratic Maharaja.  Indeed, Kashmir was beset by wholesale domestic revolt against the Maharaja when independence arrived, and widened in the initial months thereafter. To save his despotism from collapse, the Maharaja requested the assistance of the Indian military on October 27, 1947, after ostensibly signing an Instrument of Accession to that nation. British Scholar, Alistair Lamb has convincingly demonstrated that the Instrument of Accession was as bogus as the Protocols of the Elders of Zion or the Donation of Constantine.  An original has never been found, and there is no plausible explanation for a disappearance if an original had ever existed. 

The people of Kashmir are constantly reminded of the resolution # 47, adopted on April 21, 1948 that states that the future status of Kashmir must be ascertained in accordance with the wishes and aspirations of the people of the territory. This resolution was agreed upon by both India & Pakistan, negotiated by the United Nations and accepted by the Security Council.

Ambassador Warren Austin of the United States said it the best in the Security Council on January 24, 1948, “…When India accepted the accession of Kashmir, it made its act stand for a great principle by stating as a part of the acceptance, that it was conditional on fair plebiscite being held to determine the will of the people of Kashmir with respect to accession. I think an example was made in history at that point.”

India, however, was soon undeceived of its delusions over Kashmir’s political yearning. Recognizing that its people would never freely vote accession to India, it contrived excuse after excuse to frustrate a plebiscite. When the United Nations proposed arbitration, a reference to the World Court, or any other method of resolving minor demilitarization quarrels, India nixed them all. After a few years, it dropped all pretense of acceding to a referendum by unilaterally proclaiming its annexation of Kashmir. India’s proclamation has never been accepted by the United Nations, which continues to list Kashmir as a disputed territory who future status is yet to be determined by its people.

History proved the British Prime Minister Clement Richard Atlee wrong when he said on November 7, 1947, “…he (Pandit Nehru) undertook that the will of the people should be ascertained, and he proposed that this should be done under the authority and supervision of the United Nations…I can’t believe that Mr. Nehru’s pledges have the sinister implications.”

India’s creepy design was also confirmed by Bertrand Russell who said in 1964 “ The high idealism of the Indian government in international matters breaks down completely when confronted with the question of Kashmir.”

So, a false narrative was concocted by India, out of nothing more than thin air, in a vain attempt to intellectually subjugate a people. This challenge is most serious, since it resonates, even today with more vigour. How often do we hear outlandish statements like, ‘Kashmir is an integral part of India’? These statements do not exist in a vacuum. They are loaded and violent. This form of violence is more insidious, more difficult to confront, for it is attempting to indoctrinate Kashmiris about their past, their present and direct them to a future that does not belong to them.  They had become the objects of history rather than the masters of it.

Another serious challenge that people of Kashmir face, when attempts are made to confine the Kashmir dispute to a bilateral matter between India and Pakistan as if Kashmiris were inconsequential. This charade of sorts represents an outrageous attempt to restrict discussions of Kashmir, to India and Pakistan to the exclusion of the most important party to the conflict – the people of Kashmir.  Today, this strikingly ignorant political strategy has collapsed after the Abrogation of Article 370 & 35 A on August 5, 2019 and no longer is considered an honest initiative for resolving the Kashmir dispute. It has not achieved any of its desired objectives of bettering relations or resolving Kashmiri aspirations for self-determination. It is evident that this policy has proven a colossal failure. If, in more than 73 years, the ‘bilateral masquerade’ has produced nothing more than cheap photo opportunities, then it is better to once and for all, put this show to an end.

The world powers and the saner elements in both India and Pakistan need to realize that the bilateral talks between India and Pakistan have always remained barren. And trilateral dialogue between Governments of India, Pakistan and the leadership of Kashmir — without any precondition from any side — is the only way to resolve the issue of Kashmir once for all. Participation of Kashmiri leadership in the dialogue process is the sine qua non that will help to achieve the lasting peace and tranquility in the region of South Asia.

In fact, a ‘Kashmir Quartet’ should be established that includes Kashmir, Pakistan, China, and India. Moreover, outside intervention and mediation should include the United Nations. The chairmanship of the Kashmir Quartet mediation should be undertaken by a person of international stature, such as Kjell Bondevik former prime minister of Norway or President Mary Robinson of Ireland.

Today, the challenge before us is that a new generation in Kashmir has been raised with blood and tears for which death no longer poses a threat for what can death do that life has not done before: their suffering is freeing them from fear. Kashmiris’ fearlessness has led to the powerful protests and the largest demonstrations in recent years. The presence of hundreds of thousands of people on the streets of Srinagar, marching towards the office of the UNMOGIP, is a proof that the freedom struggle is not a terroristic movement but a movement that is indigenous, spontaneous, peaceful and popular. 

Now, is the time that Mr. Antonio Guterres, the Secretary General of the United Nations brings the situation in Kashmir to the attention of the Security Council under the provision of the Article 99 of the United Nations Charter. It is here in the region of South Asia that not two but three nuclear powers have been eyeball to eyeball for the last one-year? The Article 99 authorizes the Secretary General to ‘bring to the attention of the Security Council any matter which in his opinion may threaten the maintenance of international peace and security’.  If not now, then when can Article 99 be invoked to bring peace and stability to the region of South Asia.

The UN Secretary General should listen to Mr. Gross, US Ambassador to the UN who said in the Security Council on December 5, 1952, we feel that it is the role of the Security Council to assist the parties in seeking to reach agreement.

So, now is no time for complacency or temporizing.  And the chilling suffering and misery of the Kashmiri people continues every day a peaceful resolution is deferred.

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Promoting Projects and Practices in Community Health in India

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Street scene in India, August 2020. © UNICEF/Vinay Panjwani

One of the most populated countries in the world, India has been facing problems with regard to well-being of its citizens while sustaining their developmental needs. The need for better health facilities, and developing antidotes for new kinds of pathogens and viruses have made the task more challenging. The respective governments, pharma companies, and testing labs are trying to develop safe trial mechanisms and developing safeguards for protecting the lives of vulnerable sections of society. Within India, the community health programme involves the non-governmental sector, healthcare professionals, economics aspects and social interaction through people and voluntary workers. While the health ecosystem exists, the problem has been finance, support and critical knowledge repository. India did well to address issues such as polio vaccination and creating community awareness for regular medication against tuberculosis. There is a mounting impact of chronic diseases in economic and social sectors, need for quality health services in the wake of changing demographics, and increasing life expectancy have made matters more complex.

In terms of understanding the requirements for building better resilient and health-conscious societies, it is important that the vaccines, lifesaving drugs, and medicines should be developed with certain generalised regulations which can improve the health of the society and address problems faced by people living across regions. While India is a subcontinent comprising of all geographical features, it is also a cauldron of different ethnic communities, and physical features which provides exceptional opportunities for testing and developing medicines which can cater to different physical and pathological profiles of people. Within India, one can find people with different levels of immunity. As the eating and food habits have been different, there is higher incidence of diabetes, hyper tension and cardio diseases in a cross-section of people. It has also been seen that people who are above 40-70 years of age have been more vulnerable to pandemics, and other communicable diseases. A sizeable mortality profile of people suggests that.

In this context it becomes very important that medicines which should be developed should have a better shelf life and give results which can be corroborated with testing facility, with a cross-section of people. The results have usually varied with regard to people with different eating habits and also nutrition factor. Pandemics such as COVID-19 have brought to the fore that India has better resistance mechanisms which has helped in relatively less mortality rate when these people have been infected with COVID-19. The duration of sickness because of COVID -19 has varied from five days to more than three weeks. In such certain times, it has been found that because of lack of any effective medicine or any sure shot diagnostic mechanisms the treatment has prolonged and the recovery has been slow. In terms of legal and other regulatory mechanisms, it has been found that most of the clinical trials which are done in India enroll the vulnerable  and poor people and human trials are conducted. There is a grey area of medical compensation and addressing post-tests complications from legal point of view.

For India it has become imperative to develop projects and conduct feasibility studies through government mechanisms rather than through medical companies. While projects have been undertaken to study different kind of diseases that school children and adults will be facing in the next two decades, it has been found that most of the complications will be related to teeth, eyesight, anxiety and mental well-being. However, in the case of pandemics and community health programmes it has been encouraging signs that initiatives such as creating awareness with regard to AIDS, mental well-being, depression and anxiety disorders have been fruitful and rewarding with institutionalising counselling and telephone helplines. Most of the programs have been done and supported by NGOs as well as a few voluntary organisations.

The projects and programmes which can be initiated in India should address core issues. Firstly, the incidence of non-curable diseases, depression, immunity disorders, other issues related to community transmission, and the development of proper safeguards and awareness with regard to pandemics and life-threatening diseases. Secondly, the COVID-19 has opened a Pandora’s box with regard to the incidence of diseases which impact community, and thereby also affect government health budget. Lastly, it is necessary that India will have to create medical soldiers and inform voluntary workers so that the community transmission and community health well-being should be addressed on a priority level.

As the COVID vaccine is in different trial stages, many countries are looking for testing facility in India and also conduct human trials, as legal structure in medicinal trials is still in infancy. India needs to address the issue of IPR on developing vaccines and medical history should be addressed jointly as it has been found that many western countries have been purchasing medical history of the patients living in developing Asia, providing vaccines through great testing mechanisms and subsequently using copyright laws to deny cheap medicines to the larger community.

 In this regard it is important that India should conduct research on immunity vectors of its population and develop generic drugs which can help in protecting communities from most transmissions. It is also pertinent to note that in terms of the temperature variance across India it provides unique testing opportunities in different conditions. However, there is a need for a holistic approach and therefore it is important that training and sensitisation of the personnel working in this field is of paramount importance. Initiatives related to preventive and therapeutic services is critical. Also, looking for quick alternatives would save the lives of personnel.

Just like any emergency, there is a need for rapid action medical force which can provide immediate assistance and better cognitive abilities track critical illnesses and the reasons thereof. It has been seen in the case of midwifery and associated postnatal diseases that it has worked wonders with a better equipped and knowledgeable person existing in each society for better assistance and awareness.

The critical importance of voluntary workers is that with sufficient technical assistance (which might come from government and state units) gives them confidence and also strengthens their application of knowledge for better informed public health practices and policies. Technical assistance and quick action through centralised control centre has to create the first line of defence in case of a pandemic. 

The institutes which have been working in this field are Public Health Foundation of India, Indian Institutes of Public Health and All India Institute of Hygiene & Public Health, which have been disseminating information through online workshops, seminars, and social media. They have created affiliates and sister agencies working in the field all across India. Networking of public health institutions in medical education need to address issues such as environmental health and countering new kind of diseases which are dominating.

This clearly highlights the fact there is a need for understanding pandemics, developing awareness among communities about public health, and stress on hygienic environment, conducting long term  research on emerging diseases and promoting research in tropical medicine.

India need to allocate separate fund for public health initiatives and promote exchange of medical workers with third world countries for better understanding the nuances of medical and health research. In fact, in most of the think tank meetings, public health and awareness is not listed as topics whenever Track II dialogues are held. There is also a need for better practices in public health, education, and developing health demonstration projects, barefoot nurses and doctors, strengthening an eco-system of education, training, and scholarship. Developing traditional medicine and making it easily accessible should be the bulwark against diseases. Restructuring Community Medicine/ Preventive and Social Medicine colleges which impart this kind of education in developing countries is required as the number is relatively less. Across developing world scholarship in community medicine and hospital administration is low and needs structural financial support. The data collection and diagnostics apparatus need micro management to create better response chain. COVID-19 has provided the reason for public health to be taken as a national initiative.

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