Category Archives: Health and Medicine

Good news about HIV at last?

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Until recently, the best estimates for the number of HIV+ Indians was 5.7 million, although estimates ranged from 3.4 million to 9.4 million. However, a new study puts the number of Indians with HIV/AIDS at roughly half of the previous estimate:

Early analysis of the figures suggests that India really has between two and three million victims, according to several sources, including American epidemiologists who know the data and the Health Ministry here.

The lower figure for India would imply that India has managed to keep its epidemic more like that of the United States, in that the virus circulates mostly within high-risk groups. In India’s case, these are prostitutes and their clients — especially truckers; men who have sex with men; and people who inject drugs, especially in the northeast, on the borders with Myanmar. [Link]

The big improvement in the quality of the numbers comes from the third National Family Health Survey:

The third National Family Health Survey was a gigantic exercise in logistics. Research organizations had to interview 124,385 women and 74,369 men in 3,849 villages and urban centers across India…. NFHS-3 was the first large scale nationwide survey to collect dried blood samples for HIV testing. Nearly 110,000 women and men were tested for HIV and more than 200,000 adults and young children were tested for anemia. [Link]

One surprise result of the new numbers- infection rates are much higher in the South than in the North:

But Ashok Alexander, director of Avahan, the Indian AIDS program of the Gates Foundation, says that while “it’s good news that overall the numbers are down, the real danger of this is it masks the real prevalence in one third of India: the south.” The study … found that infection rates in southern India are significantly higher than in the north of the country. [Link]

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Paging Drs. Gupta, Shah, Sharma and Rao

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When ER first came on TV, I remember thinking it looked completely unrealistic because it was too damned white. Now I finally have some numbers to back up my instincts:

Plenty more like her

From 1980 to 2004, the fraction of medical school graduates describing themselves as white fell from 85 percent to 64 percent. Over that same period, the percentage of Asians increased from 3 percent to 20 percent, with Indians and Chinese the two biggest ethnic groups. [Link]

S. Balasubramaniam … recently queried 50 medical schools and calculated that 12 percent of the class that entered in 2006 is of Indian heritage. The highest percentages are in California, Texas, New York, New Jersey and New England. [Link]

While the article doesn’t indicate anything about Balasubramaniam’s sampling methodology, the numbers are consistent with my gut feelings about the number of brown faces I’ve seen amongst med students. When asked to explain why she went into medicine, one desi doctor said:

“We were never forced into medicine … But in the Indian community in Chicago, everyone was a professional. Everyone was a doctor or an engineer…” [Link]

Although there have always been many desi doctors, the numbers of current brown medical students represent a sizeable increase over past years since roughly 5% of all doctors are of Indian origin, and many of them studied abroad:

In the US, Indians and Indian-Americans make up the largest non-Caucasian segment of the American medical community, where they account for one in every 20 practicing doctors. [Link]

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“I’m Registered, Are You?”

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There were several opportunities to join the NMDP’s database today; how many of you got swabbed? Tomorrow, there are drives in Fremont, Torrance and Cerritos– leave a comment and let us know if you went. More drives are planned, all over the country, during the next few weeks. Find more information about that here.

This reminds me of voting; it involves registering and we say we’re going to do it, but then we don’t always follow through. It’s one thing to be aware of Vinay’s situation, quite another to have actually done something about it. Don’t you want to be in the latter camp? 🙂 Continue reading →

Stop Your Hooking

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Because Akka loves you, she feels like nagging your misbehaving kundis about something you should not do (via the AP and one anonymous tipster on the news tab):

Smoking a hookah may be as dangerous as cigarettes, the World Health Organisation said, adding that more research was needed into the link between the use of the water pipe and several fatal illnesses. It said that a person can inhale a hundred times more smoke – a mixture of tobacco, molasses and fruit flavours – in a hookah session than in one cigarette. Hookah, or shisha, smoking is a tradition in North Africa and the Middle East. [Linkaya]

I’ve heard so many people declare that smoking a hookah is “nowhere near as dangerous” as “regular” smoking, I had to post this. I hope those delusional darlings are reading this and realigning their thoughts accordingly.

Also, while the blurb states that Shisha is popular in North Africa and the Middle East, it is also popular with brown people, especially the annoying ones who won’t quit staring at Prince Cafe in Georgetown, at 3am when all a girl is trying to do is innocently get her mirchi Aloo Chole on. What is it with our people and the shameless gawking?

It would be one thing if this were Iowa circa 1968 and two lonely Namesake-era desis were curiously gazing at each other in a room full of Amreekans, the desire for recognition, i.e. that knowing “gang recognize gang”-moment apparent on their homesick visages, but this is D.C. and out of the sixty people at Prince, the only white guy is the Romanian Orthodox dude behind the counter. We have taken over. The “Arrrre you Yindian??”-bit is thus uncalled for in this uberdesi day and age.

Wait, what was I saying? Oh yeah. QUIT EFFING SMOKING. That hacking cough ain’t attractive, y’all. Back to your regularly scheduled troll-baiting, spelling bee-dissing and witty comment-making then. Continue reading →

How to Save A Life

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vinay and rashmi.jpg

A tragedy, in five lines;

This is Vinay and his wife Rashmi.

They were married in 2005.

He was diagnosed with a rare form of leukemia in 2006.

He is 28.

He needs a bone marrow transplant, in the next six weeks.

If you aren’t already part of the National Marrow Donor Program registry, please consider what you would be going through if this were your little brother, childhood friend or husband. Wouldn’t you want as many desis as possible to be in the database? Vinay’s greatest hope lies with someone like him, but the number of us who are registered is so low, it’s pathetic.

All it takes is a few minutes of your time. A swabbed cheek. And maybe, with that selfless gesture, you increase the chances that this person who probably has so much in common with you goes on to live the life we all deserve.

This is what Vinay’s parents have to say:

We cannot express in words what this is like. All we can do is implore you to close your eyes for a moment, and imagine that this is your son, your brother, your best friend. We are guessing you would move heaven and earth to help save his life…
Vinay is the world to us – he is warm, funny, loving. We have watched him grow from a little baby, to a young boy playing sports, to a fine young man determined to be a doctor, to a man marrying the girl of his dreams. Please help us help our son have a chance to live – to be with his wife, with us, and his friends. [Hema and Partha]

Drives are planned in Fremont, Cerritos, Anaheim and Livermore; additional information may be found here. Speaking of additional information, when I numbly surfed through Vinay’s website, the following three points made me cringe:

When a Caucasian is looking for a match they find 15 matches on an average where as opposed to an Indian they might find one match or none.
This can happen to anyone at any age and god forbid if you get into similar situation then this will be the only registry that will come to rescue.
There is no such registry in India and when an Indian kid is looking for a marrow match this registry is the only resort. [HelpVinay.org]

We’ve written about others whose lives were similarly threatened by our failure to represent in such a vital way. What would it take to move you to get involved? Would it matter if I told you that like every 8th desi, he’s from Fremont?

That he went to Ardenwood and eventually UCB (though not this UCB)?

That his favorite books were The Hobbit and Midnight’s Children?

That he liked The Godfather (but only 1 and 2), Garden State and Million Dollar Baby?

That he’s Seshu “Tiffinbox” Badrinath’s cousin?

He listens to Coltrane, Miles Davis and 2pac?

And yes, like every male I know, he likes to watch Scrubs and Sportscenter?

Do you identify with him yet? I pray you do. Because one of you could be his match and that would be the sweetest thing. My Uncle died of Leukemia and I’m sure each of us knows someone else who has been similarly affected. Continue reading →

Warrior pose, corpse pose

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Back when I took yoga classes regularly there was one teacher whose classes were too early on a Saturday morning for me, but who was one of the best teachers around. She was great at explaining things, had really excellent form, was really present in the moment … oh yeah, and she was really hot.

Given how incredibly healthy she seemed, I was surprised to find out that she was 8 years HIV+ . There are a number of reasons for her health – she was an athlete before she was infected, she was on ARVs, but she gave a lot of credit to her yoga practice. She taught a class for the HIV+ which probably increased the quality and also possibly the quantity of their lives.

I concede up front that Yoga can be a very important thing for people whose lives have great challenges (as American PC-speak would put it).

Still, there’s a time and a place for everything. I’m a bit weirded out by Sri Sri Ravi Shankar‘s proposal to bring Yoga to the war torn Iraqi city of Najaf.

That does look like Virabhadrasana I (Warrior I) to me

Maybe I’m reacting a bit harshly. The Art of Living foundation does work in a number of different war zones teaching yoga as part of their “peace work.” It’s just that people’s needs are so large, and given the opportunity costs involved I would rather see efforts directed towards the base of Maslow’s hierarchy of needs. In short, I can’t imagine teaching corpse pose to people whose main worry is avoiding becoming a corpse themselves, teaching the Art of Living to those whose worry is the Art of Dying.

On the other hand, I’m far more favorably inclined towards the Indian Army’s yoga classes in Lebanon:

In the village of Ebel es-Saqi, in the farm country of Southern Lebanon, a new subject is being taught at the local middle school: yoga. The instructors are from the Indian army, members of the U.N. peacekeeping force. Three times a week, Lt. Col. Rajesh Kumar of the 1st Battalion Punjab Regiment instructs about 50 students and their teachers at the school. [Link]

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*Cough* *Cough*

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Most of you have heard about the tainted pet food, right? A simple Google search yields more than 7,800 stories about the Chinese rice and wheat gluten that contained melamine to increase the apparent protein content of the food. While American pets may have died, the risk to humans posed by this, even if used as feed for chickens or fish, is pretty low.

Contrast that with the tainted cough syrup that has probably killed thousands children in the Third World. What? You haven’t heard about this? Of course not. It’s not as sexy a story. There are over 40 times as many stories about the tainted pet food in America than about tainted cough syrup overseas.

Toxic syrup has figured in at least eight mass poisonings around the world … Researchers estimate that thousands have died… Beyond Panama and China, toxic syrup has caused mass poisonings in Haiti, Bangladesh, Argentina, Nigeria and twice in India. [Link]

The Bangladesh incident happened 15 years ago, yet this kind of mass poisoning continues to happen in different parts of the world, most recently in Panama:

In Bangladesh, investigators found poison in seven brands of fever medication in 1992, but only after countless children died. A Massachusetts laboratory detected the contamination after Dr. Michael L. Bennish, a pediatrician who works in developing countries, smuggled samples of the tainted syrup out of the country in a suitcase. Dr. Bennish … said that given the amount of medication distributed, deaths “must be in the thousands or tens of thousands…” [Link]

The bones of the story are the same in both cases. FDA issues recent warnings after a Chinese manufacturer cuts corners and substitutes a cheaper lethal ingredient for a more expensive one. With the cough syrup it was diethylene glycol for glycerine. Continue reading →

Even this comes from India

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When you next encounter everything-comes-from-India Auntie or Uncle, you can turn their fixation to your advantage.

Beti: Auntieji, you know, there is another area where India was ahead of the rest of the world.
Auntie: Yes, beti?
Beti: And it was mentioned in the Vedas, ages before any western source mentioned it.
Auntie: Yes yes, that is how it always is. What area of scientific advancement are you talking?
Beti: Auntieji, I am referring to kissing. Snogging. Mouth Mashing. Tonsil Field Hockeying. Two desis each kissing the apple sequentially in a Bollywood movie, except there is no apple and there was no Bollywood.
Auntie: Hai Ram! Chi!
Beti: But it’s in the Vedas, Auntieji! The very first written references to kissing. It was written about, in Sanskrit, long before it was written anywhere else! How can it be a bad thing then?

Unsurprisingly, this news isn’t something that is coming out of a BJP research center, it’s coming from Texas A&M University anthropologist Vaughn Bryant who says:

The earliest written record of humans’ kissing appears in Vedic Sanskrit texts — in India — from around 1500 B.C., where certain passages refer to lovers “setting mouth to mouth,” [Link]

“References to kissing did not appear until 1500 BC when historians found four major texts in Vedic Sanskrit literature of India that suggested an early form of kissing. There are references to the custom of rubbing and pressing noses together. This practice, it is recorded, was a sign of affection, especially between lovers. This is not kissing as we know it today, but we believe it may have been its earliest beginning. About 500 to 1,000 years later, the epic Mahabharata, contained references suggesting that affection between people was expressed by lip kissing. Later, the Kama Sutra, a classic text on erotica, contained many examples of erotic kissing and kissing techniques.” [Link]

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Radically private water

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When I was little, I went to India for my Mamaji’s wedding. At that point, we still drank the water, although it was very the last time we did so. I got very sick and lost enough weight that my ribs were visible. In fact, I became so emaciated that I could tickle my bottom few ribs from the inside, much to the horror of my parents. To make things worse, it was hot in Amritsar that year, over 100 degrees, and we were in an old house without air conditioning.

Throughout it all, as the adored foreign child, I was coddled and comforted. It wasn’t that bad for me. Still, it gave me some compassion for those who have to drink water far worse, such as the 2 million children who die each year for want of proper water and sanitation.

The big policy debate over water privatization seems to have ground to a halt. In poor countries, governments do a lousy job of getting water to their people (maybe 30% of Indians have access to clean water), and while de facto privatization proceeds apace, formal privatization schemes seem to have done poorly enough to reduce earlier corporate enthusiasm.

Still, two of the more imaginative schemes I’ve seen in the past year have argued for extreme privatization, decentralizing the provision of clean water down to the sub-village, or even personal level.

For example, the Lifestraw is designed to give each person their own personal water purification system:

… a plastic tube with seven filters: graduated meshes with holes as fine as 6 microns (a human hair is 50 to 100 microns), followed by resin impregnated with iodine and another of activated carbon. It can be worn around the neck and lasts a year.

Lifestraw isn’t perfect, but it filters out at least 99.99 percent of many parasites and bacteria, the demons in most fatal cases of diarrhea. [Link]

The original Lifestraw was field tested amongst the earthquake refugees in Kashmir.

Although the idea is pretty cool, it has its detractors. Critics argue that there is no market for such a product – that at $3.50 (or possibly even $2), it is still multiple days work to pay for each person’s straw, and it still only lasts a year. They also argue that it doesn’t reduce the long distances people have to travel to get water, thus reducing its appeal, and that local water projects are more effective because of economies of scale [Link].

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Las Drogas

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This week NPR has been running a series on the “War against Meth ” as part of Morning Edition. These stories state that new laws restricting the retail sale of Sudafed — the same laws that gave birth to the “Operation Meth Merchant” prosecutions (see 1, 2, 3, 4) — have have been effective and meth production has drastically plummeted. With 44 states restricting the sale of various meth precursors, and a new federal law on the books:

The impact on meth labs was swift and dramatic, especially in the Midwest, where meth makers were especially prolific. Meth lab seizures are down 55 percent in Missouri, 73 percent in Iowa and Kansas and 88 percent in Nebraska [Link]

However, with a decline in domestic meth production has come an increase in imports of more dangerous crystal meth from Mexico:

Meth seizures at California’s ports of entry rose 40 percent in the last year, according to U.S. Customs and Border Protection. Meth seizures at the border at El Paso, Texas, jumped 479 percent since 2002. [Link]

The Mexican government recently recovered more than $205 million from a safe house in Mexico City as part of a crackdown. Interestingly enough, they found the safe house while trying after busting a company importing pseudoephedrine … from India:

Prosecutors said the raid was part of an investigation into a pharmaceutical company suspected of importing chemicals to make the drugs from India. The investigation began with the seizure of 19.5 metric tons of pseudoephedrine in the Mexican port of Lazaro Cardenas, they said. [Link]

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p>So US cops are blaming Indians for supplying American meth producers and Mexican cops are blaming Indians for supplying Mexican meth producers. We’re lucky that in Canada they’re just blaming Indians for bhang.

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