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Dr. Sylvia Karpagam (Public health doctor)

@sakie339

27 Apr

Highly centralized, commercialized, corporatized, privatised model of healthcare is unstable in a public health crisis such as a natural/man-made disaster, pandemic etc. This system is build only for expensive tertiary care treatment such as ICU/ventilators etc.
(1)

In the absence of primary & secondary health care systems, all patients rush to tertiary facilities and occupy the beds. As one patient said “I don’t have any symptoms, but I got admitted ‘in case’ I don’t find a bed later. BTW can you help find a bed for my wife as well !!” (2)

Evidence shows that almost 78% people who got beds did so with networking/contacts in the hospitals. So, the criteria for admission can often become ‘who you know’ rather than ‘what disease you have”
(3)

Read 10 tweets

Dr. Sylvia Karpagam (Public health doctor)

@sakie339

12 Mar

Bogus 'international studies' like this make patently false claims that are downright dangerous, unethical and fraudulent - that India has a vegetarian dietary guideline and also low greenhouse gas emission (as though the 1st is the reason for the 2nd) (1)
firstpost.com/tech/science/i…

Firstly Indian dietary recommendations are not 'vegetarian'.

Inspite of the clear caste prejudice of those making guidelines, they have not been able to deny the importance of animal source foods in the diet.....and this is not for lack of trying (2)

"Animal foods like milk, meat, fish and eggs and plant foods such as pulses and legumes are rich sources of proteins." Dietary Guidelines India (3)

Read 23 tweets

Dr. Sylvia Karpagam (Public health doctor)

@sakie339

11 Mar

The book "Where India Goes: Abandoned Toilets, Stunted Development and the Costs of Caste" by Diane Coffey and Dean Spears, who work at the Research Institute for Compassionate Economics (RICE) reaches bizarre conclusions and tiptoes around real issues.

tinyurl.com/4jnh6439

"Caste, if probed, will be found, along with gender, as the cause for most of India's problems– sexual violence,landlessness,poor labour laws,poverty,wealth inequality, illiteracy,maternal deaths,child deaths, poor health, open defecation, stunting etc".

"In an attempt to simplify disease transmission and by projecting stunting as a direct consequence of open defecation, the authors resort to means and methods that are problematic and likely, dangerous."

Read 16 tweets

Dr. Sylvia Karpagam (Public health doctor)

@sakie339

14 Dec 20

@ranjanikanth_

Very comprehensive write up by @ranjanikanth_ and @iffathfathima6z The government needs to get its priorities sorted. Rural Karnataka needs plenty of attention

https://twitter.com/ranjanikanth_/status/1338325966435729408

“Policymaking in healthcare is centralised around big hospitals in cities. Because of this, villagers have to travel to big cities. They spend from their own pocket and if their cases are complicated, their treatment is often left out of free health care government schemes. ”

"We need a three-tier system, starting with a self-sufficient Primary Health Centre and trained doctors in rural areas. Public healthcare system has to be seamless right from the adolescent girl getting pregnant till the baby is five years old."

Read 4 tweets

Dr. Sylvia Karpagam (Public health doctor)

@sakie339

12 Dec 20

NFHS 5 !!
•The sex ratio seems to have improved from the NFHS4 data from 979 to 1034.
•Domestic violence by spouse has more than doubled and this is likely to have worsened during lockdown. It is amazing how little the government seems to be bothered about this. (1)

Population living in households that use improved sanitation facility has gone up from 57.8 to 74.8, however, there is a concern about single pits under the Swach bharat scheme and who cleans the pits. Manual scavenging can go up. (2)

Access to internet is pretty poor esp. in rural areas but even in urban areas. With the current shut down of schools, this can give a proxy idea that many children probably do not have access to online education and how shutting down schools is intrinsically discriminatory (3)

Read 21 tweets

Dr. Sylvia Karpagam (Public health doctor)

@sakie339

15 Sep 20

For every failure of the government, the multinational market is being pushed as the panacea. This article makes no mention of eggs, dairy or animal foods. Clearly their way to deliver protein will come from a lab! businessworld.in/article/Protei…

Why should rice be fortified by international micronutrient companies when egg and animal food production can be locally strengthened, which are nutritionally superior and gives employment to lakhs of Indians? downtoearth.org.in/news/food/fort…

Bill and Melinda Gates Foundation have unethical conflict of interest by promoting studies that vilify animal foods and pave the way for "lab created proteins" using GM junk ijme.in/articles/joint…

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Dr. Sylvia Karpagam (Public health doctor)

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Dr. Sylvia Karpagam (Public health doctor)

Dr. Sylvia Karpagam (Public health doctor)

Dr. Sylvia Karpagam (Public health doctor)

Dr. Sylvia Karpagam (Public health doctor)

Dr. Sylvia Karpagam (Public health doctor)

Dr. Sylvia Karpagam (Public health doctor)

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