The dark side of gym rats

I self-identify as a gym rat. My body begins to feel ill and lethargic if I go even a week without working out. I have been working out at a gym regularly for the last eleven years. I consider going to the gym an almost spiritual duty. I believe in a personal philosophy that you must keep your body in the best shape you possibly can at all times so that it will be clean and ready if called into service for a greater cause (whatever that might be). I know that might seem silly to a lot of people but I really mean it. It isn’t about vanity. I actually eat four servings of fruits a day also, because being in shape isn’t just about going to the gym but about taking care of your health in general.

When I am at the gym I do not socialize. I only know the first names of one or two people at my gym. I always workout alone, I wear headphones, and 80% of the time I am there I don’t even make eye-contact with anyone. The gym is my “me” time. It is where I meditate on the things bothering me as well as on the things I am happy about. I toss around ideas for blog posts and also consider whether I should ban that one commenter who has been bugging me for months. It is my hour and a half of refuge from the storm outside.

An article published this week at Slate.com has got me reconsidering everything. Far from living a good example, maybe I, and those of you like me, are just a bunch of freaks in the making:

There have been three major terror attacks in the West over the past five years–9/11, the 2004 train bombings in Madrid, and the 7/7 suicide attacks on the London Underground. For all the talk of a radical Islamist conspiracy to topple Western civilization, there are many differences between the men who executed these attacks. The ringleaders of 9/11 were middle-class students; the organizers of the Madrid bombings were mainly immigrants from North Africa; the 7/7 bombers were British citizens, well-liked and respected in their local communities. And interpretations of Islam also varied wildly from one terror cell to another. Mohamed Atta embraced a mystical (and pretty much made-up) version of Islam. For the Madrid attackers, Islam was a kind of comfort blanket. The men behind 7/7 were into community-based Islam, which emphasized being good and resisting a life of decadence.

The three cells appear to have had at least one thing in common, though–their members’ immersion in gym culture. Often, they met and bonded over a workout. If you’ll forgive the pun, they were fitness fanatics. Is there something about today’s preening and narcissistic gym culture that either nurtures terrorists or massages their self-delusions and desires? Mosques, even radical ones, emphasize Muslims’ relationships with others–whether it be God, the ummah (Islamic world), or the local community. The gym, on the other hand, allows individuals to focus myopically on themselves. Perhaps it was there, among the weightlifting and rowing machines, that these Western-based terror cells really set their course. [Link]

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25

I just wanted to make sure that everyone was aware that AIDS “turns” 25 this week. India now has the largest number of infected people and is still trending downhill:

Twenty-five years after the first AIDS cases were reported, there is no sign of a halt to the pandemic which is likely to spread to every corner of the globe, the head of the United Nations’ AIDS agency said.

Peter Piot was speaking as UNAIDS released a report which declared that the world’s response to the disease, that has infected about 65 million people and killed 25 million, has been nowhere near adequate. Five years after a special U.N. session pledged its commitment to halt the AIDS pandemic, only a few countries have met the targets laid down…

India has the largest number of people living with the virus. With 5.7 million infections, it has overtaken South Africa’s total of 5.5 million. But, the epidemic is still at its worst in sub-Saharan Africa, where 90% of the world’s HIV-infected children live. [Link]

The first reported case in India came nearly 5 years after the first reported case in the U.S.

The first case of HIV infection in India was diagnosed among commercial sex workers in Chennai, Tamil Nadu, in 1986. Soon after, a number of screening centres were established throughout the country. Initially the focus was on screening foreigners, especially foreign students. Gradually, the focus moved on to screening blood banks. By early 1987, efforts were made up to set up a national network of HIV screening centres in major urban areas. [Link]

The statistics are grim:

The UN Population Division projects that India’s adult HIV prevalence will peak at 1.9% in 2019. The UN estimates there were 2.7 million AIDS deaths in India between 1980 and 2000. During 2000-15, the UN has projected 12.3 million AIDS deaths and 49.5 million deaths during 2015-50.

A 2002 report by the CIA’s National Intelligence Council predicted 20 million to 25 million AIDS cases in India by 2010, more than any other country in the world. [Link]

So you guys tell me. We know what some of the problems are. What more can be done to stop this boulder from rolling?

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Arnold: "Must be a cultural thing"

Recently Gov. Arnold Schwarzenegger of California spoke at the 2006 TiEcon conference in front of a large group representing the Indian American business and entrepreneurial community. The conference was held in Silicon Valley and dealt mostly with the intersection of California, business, and Indian Americans. A mash-up clip featuring the highlights of his talk are available on the internet. It is worth seeing (scroll down just a bit on the linked page) especially for the zinger that Schwarzenegger unleashes about a quarter way through the clip when he notices that all of his co-panelists are men. What’s up with that?

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Fear of a Brown Magnate

Mittal-steel.jpgA big current international business story is the attempted takeover of Arcelor, a Luxembourg-based steel manufacturer, by London-based, desi-owned Mittal Steel, the voraciously successful family business of Lakshmi Mittal. Arcelor is itself the result of a merger of European steel firms, a logical consolidation in its day since steel is a sunset industry in Western Europe and many firms enjoyed protections of state ownership or subsidies that EU rules no longer permit. However, European politicians have retained a bit of a proprietary cultural interest, as it were, in firms like Arcelor, since even without state ownership they possess a sort of vestigial patriotic value as “national champions,” and they still employ a fair number of people, if far fewer than before, in depressed industrial areas.

Well, ever since Mittal made his first overtures to Arcelor shareholders (which Manish blogged here in January), followed by a formal takeover bid once he got permission from competitive authorities, Arcelor has done everything possible to wriggle away from its suitor. Fair enough – that’s what companies threatened by hostile takeovers do, especially when it becomes clear that their management don’t enter into the buyer’s plans for the future. But with investment analysts lining up in favor of the Mittal bid, there’s also been, of course, speculation that even though Mittal is a London-based, London-quoted firm, it may just be a little too brown for the comfort of the European industrial bourgeoisie.

All this could be dismissed as reading-ethnicity-into-everything, and to some extent probably is. (Though…) Still, itÂ’s remarkable to see that this week the board of Arcelor found themselves rushing into the arms of what is known in business lingo as an, ahem, white knight, in the form of a Russian firm of the new-oligarch variety. The merger deal with Severstal is framed as a purchase by ArcelorÂ… except that it is funded by an increase in ArcelorÂ’s capital via investment by Alexei Mordachov, SeverstalÂ’s 38-year-old chairman. By funding ArcelorÂ’s purchase of his firm, Mordachov takes a 32 percent interest in the merged firm, which would become the worldÂ’s largest steel producer, ahead of Mittal.

The London business writers are having a field day with this one. “The putrid stink of hypocrisy hangs in the air,” says The Observer‘s Richard Wachman, noting that Arcelor, having criticized Mittal for non-transparency in past business dealings, has found its savior in the land where opaqueness and favoritism are essential components of business success. And The IndependentÂ’s business columnist Jeremy Warner cold lays down the card:

Is it cos I’s brown? The Arcelor board appears so appaled at the prospect of takeover by the Indian-born steel magnate, Lakshmi Mittal, that it will do almost anything to avoid his clutches – right down to surrendering control to the Kremlin. Okay, so I’m exaggerating to make the point, but only a little.

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The Coming Care Drain: Nurses in the Immigration Bill

Everyone knows the ‘brain drain,’ I presume — the flight of educated professionals from the Indian subcontinent in the 1960s, 70s, and 80s to the west. A number of the immigrants were doctors, who were in desperately short supply at a time when the U.S. population was spiking. My own family was part of that event, which admittedly must have hurt the progress of health care in India itself (though I don’t know if this has ever been formally studied).

And while there now are, perhaps, too many doctors in the U.S., there aren’t enough nurses. According to one statistic in today’s New York Times, there were 118,000 nursing vacancies in U.S. hospitals last month, and the deficit could reach as high as 800,000 in the next decade. Now the U.S. Senate’s immigration bill contains a clause that will remove the immigration cap entirely for qualified nurses from India, the Philippines, and China.

The lack of qualified U.S. nurses is due mainly to the lack of places to train them; nursing schools turn away scores of applicants since there simply aren’t enough Professors of Nursing around. But despite the severe shortage, the American Nurses Association is opposed to the current measure, which it calls “outsourcing.”

The repercussions on the health care systems of the affected countries could be severe, even if there is some overall benefit to the local economy:

The flight of nurses from the Philippines, a former American colony, has provided a huge boost to a weak economy, through remittances. Some government agencies there have encouraged the export of nurses, who send home billions of dollars each year to their families.

A nurse in the Philippines would earn a starting salary of less than $2,000 a year compared with at least $36,000 a year in the United States, said Dr. Jaime Galvez Tan, a medical professor at the University of the Philippines who led the country’s National Institutes of Health.

He said the flight of nurses had had a corrosive effect on health care. Most Filipinos died without medical attention in 2003, just as they had three decades earlier. (link)

For the Philippines, there’s already a care drain. The same may be in store for India if this bill passes and goes through the House, as seems likely.

Incidentally, there is already a recruiting company, called RNIndia, that specializes in bringing Indian nurses to U.S. hospitals. And Abhi talked about another side of this issue here. Continue reading

Yes, We Have No Bananas

In what can only be described as poetic injustice, the most priapic fruit in the world may go extinct within five to ten years for lack of sex. I feel for you, brutha. India’s glorious, 12″ long banana fruit has been neutered by the cruel, cruel world (thanks, tipster):

The world’s most popular fruit… is in deep trouble. Its genetic base, the wild bananas and traditional varieties cultivated in India, has collapsed…

The main hope for survival of the Cavendish [variety] lies in developing new hybrids resistant to the [black sigatoka] fungus, but… the seedless modern fruit does not reproduce sexually and has to be bred from cuttings.

… wild banana species are rapidly going extinct as Indian forests are destroyed… In fact many of the genes that could save the Cavendish may already have been lost… One variety that contains genes that resist black sigatoka survives as a single plant in the botanical gardens of Calcutta… [Link]

The banana’s problem is that it is the seedless, infertile mutant cousin of a wild herb. The absence of seeds makes its fruit edible, but also genetically vulnerable… They have survived only because for some 10,000 years banana-lovers have propagated the fruit by taking shoots from the base of the plants…

The most widespread banana disease currently is a leaf fungus called black Sigatoka. It cuts yields by 50 percent or more on hundreds of millions of small farms across the tropics. Commercial banana plantations keep up production with weekly applications of fungicides – the most intensive application of chemicals on any major food crop. But now a new strain of an old disease, Panama disease, threatens to make even fungicides useless…

“In the 1970s we controlled Black Sigatoka by spraying 10 to 12 times a year…” That frequency has jumped to almost weekly… [Link]

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The Buddha is my Om boy

As some of you may know, today is the day that many across the world celebrate the birthday of Lord Buddha:

Buddha Poornima, which falls on the full moon night in the month of Vaisakha (either in April or May), commemorates the birth anniversary of Lord Buddha, founder of Buddhism, one of the oldest religions in the world. Notwithstanding the summer heat (the temperature routinely touches 45 degrees C), pilgrims come from all over the world to Bodh Gaya to attend the Buddha Poornima celebrations. [Link]

Sarnath seems to have been rocking on Saturday:

Click for a larger (more enlightening) picture

Sarnath — the site where Buddha ignited the light of knowledge among five disciples centuries ago was this evening bedecked with 20,000 diyas (earthen lamps).

Marking the 2550th Great Parinirvan of Buddha, this festival of lights started off at 1840 hrs today evening in the lines of Dev Deepawali — the evening when all 84 Ganga ghats of Varanasi are decorated with diyas.

While Dev Deepawali is held every year to mark the Hindu festival of Kartik Purnima, this evening’s twinkling delight coincided with Buddha Purnima at the world famous Buddhist pilgrimage of Sarnath. [Link]

Over 2500 years after the Buddha walked the Earth there is still proof all around us of his tremendous influence and teachings. As a matter of fact I am here to tell you that those Ipods which many of you cling to so dearly (I have never owned one) are like so passé. The hottest trend to hit the streets is the divinely inspired (and powered??) Buddha Machine:

The controls are simple: There’s a volume dial on top that doubles as an on and off switch, which is next to a headphone jack and a power adaptor input (the Buddha Machine also runs on two AA batteries). A red LED on the side indicates whether the box is on, and an adjacent two-way switch allows users to flip between recorded loops. It’s available in six different colors, but you don’t get to choose – they ship randomly to mail orders from online sites such as forcedexposure.com.

So what the hell do you use this thing for?… [Link]

Good question young one, but the answers that you seek in life don’t always come simply because you demand to know them.

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Atul Gawande’s Medical ‘Complications’

I recently picked up Atul Gawande’s Complications: A Surgeon’s Notes on an Imperfect Science in a bookstore in Philly. I thought I already had a favorite Indian doctor-writer in Abraham Verghese, but Gawande gives Verghese a run for his money in this excellent, thought-provoking book.

atul-gawande.jpgComplications is essentially a warts-and-all portrait of the field of medicine in the U.S. for lay readers. It’s built on extensive research and interviews as well as Gawande’s own experience as a surgeon at Harvard. Gawande’s overarching interest is in what can be done to reform the practice of medicine from within. It’s fitting that Malcolm Gladwell has a blurb on the back of the book, since Gladwell’s detail-oriented, problem-solving method clearly resesmbles Gawande’s in many ways.

Complications has been a success — it was a National Book Award Finalist. In 2003, Gawande was invited to do the commencement address at the Yale School of Medicine, which is a pretty remarkable honor for a young doctor. He’s also written a number of times for the New Yorker (try here and here), as well as the New England Journal of Medicine, where he published an influential article about casualty rates in the ongoing Iraq war. Continue reading

The Da Vinci Cody’s

Cody’s, a landmark, 43-year-old indie bookstore in Berkeley, is closing July 10 due to declining sales (thanks, Saheli). It was attacked during the Satanic Verses fatwa in 1989:

Cody’s Books, Berkeley, California was firebombed about 4:30 a.m. when a pipe bomb was hurled through a back window just thirty seconds before a similar attack occurred at a nearby Waldenbooks store. One of the world’s finest general bookstores, Cody’s was bombed just fourteen days after Khomeini [issued a fatwa against Salman Rusdhie]… During the cleanup another bomb was found on the floor in the poetry section of the store. The owner of the store… stood across the street while the bomb squad worked with the bomb and as it exploded. [Link]

… the store announced that it would continue to sell Salman Rushdie’s controversial “Satanic Verses” — a decision that Ross called “our finest hour.” [Link]

Rushdie was pithy as ever:

“Rushdie came to the store once, a surprise visit when he was still in hiding,” Ross said. The author gave the bookstore 5-minutes notice to announce that he was in the store and would sign books. “There’s a hole above the information desk from the bombing. Someone scribbled ‘Salman Rushdie memorial hole.’ When Rushdie was here, he looked up and said, ‘Some people get statues, others get holes.’ ” [Link]

Cody’s blames the closure on competition from online textbook and academic bookstores and the general decline of Telegraph Ave., a street which rocks out with revolutionary flava but isn’t all that safe at night.

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Before the Wick is Dipped…

After two years of market research, Hindustan Latex Limited (HLL) is ready for a commercial launch of the female condom in India. It will be distributed under the brand name ‘Confidom’. The condom is manufactured in the U.K. by the Chicago-based Female Health Company (FHC). In addition, the FHC announced this week that it has received an order from the National AIDS Control Organization of the Government of India for over 500, 000 condoms. [Link, in PDF]

Research conducted by HLL last year indicated an interest in the product from commercial sex workers as well as from college girls [Link]. While HLL is eying the moolah in upper middle class spheres the Indian government is giving them a helping hand by working with NGOs to reach sex workers:

Positioned as a high-end lifestyle product targeted at the segment of women aged between 18 to 35 years, the product has been priced at Rs. 250 for a pack of two. It expects to sell five lakh units in the first year. Meanwhile, the government has already ordered about five lakh pieces to be distributed free through NGOs or at a subsidized price of Rs. 5 to sex workers. [Link]

Female condoms are unique because they give women simultaneous control over STD prevention and contraceptive technology. Their influence on HIV prevention programs dealing with sex workers, such as Kolkata’s Sonagachi Project, could be huge. While promoting HIV awareness in the Sonagachi brothels, public health scientist Smarajit Rana found some very basic obstacles preventing the use of male condoms:

It transpired that if a prostitute insisted on condom use, her customer just went to someone else. Unlike AIDS, starvation posed an immediate threat, and the program seemed doomed. “Counseling, educating–it just doesn’t work,” Jana states. “Higher up in the social hierarchy, people are able to act on the information given to them. Not so in the lower levels.” [Link]

Confidoms could drastically reduce such difficulties faced by sex workers but at Rs. 5 a pop I wonder how accessible this method really is to them. HLL is looking at negotiating a deal with the FHC that would allow them to manufacture the condoms domestically, which would lower the price, but no word of a definite agreement as yet. Continue reading