Banjot Kaur Profile picture
Jun 16 9 tweets 3 min read
Eight years of #Modi rule: How did the government perform in #health sector. Thread  (1/n)
DISEASE ELIMINATION DEADLINES
Kala-azar: 2017. Revised 2020 ❌
Leprosy: 2018 ❌
Filariasis: 2017 ❌
Now, new deadlines for KA: 2023. Filariasis: 2030

TB elimination deadline: 2025
Interim target to be achieved till 2020: 142 per 100,000
But prevalence in 2019-21: 312 per 100,000
NUTRITION TARGETS FOR POSHAN ABHIYAN LAUNCHED in 2018
Anaemia to⬇️3% PA. Instead it⬆️not only in children but also women b/w NFHS-4 and NFHS-5.
Stunting had to ⬇️ to 25% by 2022. But till 2021 it stood at 35.5%. Now it hs ⬇️ to by at least 10% pts in a yr -- an impossible target.
HEALTH SPENDING: National Health Policy 2017 said it should go up to 2.5% of GDP by 2025. 

But  2022-23 Budget proposed to spend 0.35%. For 2021-22 only 0.34%. Health eco say India will miss the target of 2.5%. Btw,India hs one of the highest out-of-pocket expenditure on health
SWACHH BHARAT: PM declared India ODF in 2019.
But NFHS-5 says,"19 % households do not use any toilet facility, meaning that they practise open defecation." 

Except for Lksdwp, no single state/ UT where 100%  popn has access to toilet.

>30% popn in mny states don't hv a toilet
AYUSHMAN BHARAT N RURAL HEALTH: 1.5L Health and Wellness Centers had to come up by 2022. Only 80.7k had by Dec 2021. Half the target now for 1 yr.

But what about HR. Enuf in HWCs?Retention? Absenteeism? And, RHS 2020-21 showed acute shortage of gynae, pedia,surgeons,GPs in CHCs
COVID-19 AND POLICY PARALYSIS: In Jan 2021, PM announced at WEF that India had defeated the monster; mocked ppl making doomsday predictions. Rest, 2021 is history.

But this was one part of the story. Questionable nod for vaccines and drugs continue to mar the sci decision making
On MMR ⬇️ , govt hs almost achieved the target it had indicated. IMR also done. Mortality indicators look good but sharp inter-state divide mar this. 

Giving cheaper medicines through Jan Aushadhi stores also a +ve story but quality issues, lack of awareness need more efforts.

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More from @Banjotkaur

Apr 14
The #WHO on April 2 issued a statement saying the supply of #Covaxin to UN agencies had been suspended due to "deficiencies in good manufacturing practices". There were not mny details. In an email, they have now told @TheWireScience the following : science.thewire.in/health/who-cov… (1/n)
"Problems were detected in some parts of the manufacturing process. SOME CHANGES WERE MADE after the emergency-use license was granted but were not submitted to the national drug regulator and WHO for evaluation and validation."
The WHO still didn't specify what were those changes. Whether those changes were related to increase the yield, or on the front of raw materials or due to some other reason--we don't know. A GMP expert said major changes, if done post approval, have to be informed.
Read 10 tweets
Mar 3
TRUST DRUG CONTROLLER: Paul's response in @MoHFW_INDIA press conference today, responding to a question why no data in public domain on #Corbevax
@TheWireScience
Thanks @monikareporter for asking a pointed question.
Paul: "Corbevax, clearly, the EUA has been given for adult and children. Be rest assured that the data has been by drug regulator. Be also rest assured for both these groups is being reviewed by the NTAGI because we work in tandem."+
Read 7 tweets
Mar 1
UNTIMELY death of a loved one, even if it has happened more than a decade ago, is an extremely difficult fact to come to terms with. Two days ago a friend and I, out of nowhere, went discussing about last 11 days of another friend who died for want of a liver transplant+
She was our batchmate during graduation at a Varanasi univ. She continued to pursue Master’s from there, I moved to Delhi. We were 21. One fine day during our PG days, we got to know she was suffering from liver cirrhosis—otherwise a totally fit person.
This was 4 days after she got was with ‘jaundice' and we kept talking—we thought it would be just fine.

4 days later got a call saying ur friend has bcm unconsciousness from somebody who knew her. I dialled friends in the univ.With their help she got admitted at the varsity hosp
Read 16 tweets
Dec 4, 2020
At times, one has to write just to record for the history. That, a country's regulator invites media for webinar on clinical trials and when a question is asked, the reply is this 👇
"My request was to limit the question regarding understanding the processes involved. About the specifics of the things you are questioning, there are forums…there are weekly press conferences by department / ministry. This question can be asked there."
downtoearth.org.in/news/health/dr…
Other issues related to CTs which were asked but were not taken up due to 'paucity of time':

The composition of ethics committees of institutions where these trials are going on

The role Central Drugs Standard Control Organisation’s own subject expert committee
Read 4 tweets
Dec 3, 2020
So a media report says #DCGI has refuted any causal link between the serious adverse event (SAE) and #SII COVID vaccine trial participant. When we posed ques to the health ministry secy on December 1, he asked us to look into New Drugs and Clinical Trial Rules, 2019 (1/n)
What these Rules say (in case the death hasn't occurred)
1. The sponsor and the investigator shall forward their reports on an SAE to the Central Licencing Authority (DCGI), ethics committee and the head of the institution where the trial was conducted within 14 days of SAE(2/n)
2. The ethics committee shall forward the report and compensation to be given by the sponsor within 30 days of knowing that the SAE had occurred.
3. The DCGI shall pass an order or constitute an expert committee. (3/n)
Read 7 tweets
Apr 4, 2020
We know the idea of asking reporters to put quests on @MoHFW_INDIA WA group before #pressers has been farcical. Not only quests are cherry-picked, hardly 1 or 2 are taken up. Here's a thread of quests which went #unanswered on #Apr_3. #IndiaFightsCoronavirus by #GaggingPress.
1.Out of all the tests done in India so far, can Dr Gangakhedkar clarify how many individual people been tested,and how many second, third, fourth tests etc have been done?- Some states have announced they will expand testing criteria from ICMR's criteria. Are they allowed?
2. Will those positive results be accepted by the Centre?
3. How many ILI and SARI patients come up in hospitals across the country over the last two weeks?Also, how many samples of such patient have sentinel surveillance been conducted on?
4. How many Docs are tested positive
Read 15 tweets

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