1/ Few days back, a 5y old girl with congenital heart disease from a remote village inside #BRHills got operated at Jayadeva Bengaluru, a govt tertiary hospital; kudos to the ped. cardiology team, but a thread on barriers to care BEYOND free schemes & health insurance 2/ Although an amazing feat to perform cardiac surgeries on children, hospitals like Jayadeva in fact routinely do this; this "technology" is available to "some of us" for decades, yet its access is not as per need; money is DEFINITELY a barrier, but perhaps the easiest to solve

Made Gowda from the Solega Adivasi community recalls the global struggle for land of indigenous peoples and the close relationships with nature that many other communities have lost and connects this special relationship to climate change #WorldIndigenousDay Shares that Covid19 is a real threat to Adivasi as well; adding to a long list of problems that they already face; “let’s protect our language, symbols and our culture”…let’s retain our pride in Adivasi culture he says

1/ Thread on landscape level (across administrative boundaries & sectoral jurisdictions) #OneHealth approach could ↑ socio-ecological solutions; our new paper analyses Emerging infectious disease (EID) risk in high altitude mountains/plateaus of Asia
link.springer.com/article/10.100… 2/ 75% of EIDs are zoonotic i.e, transmitted to us from animals: SARS, COVID19, HIV/AIDS, Avian Flu, Plague etc. they've always had pandemic potential, but increase in frequency linked to globalisation & increasing anthropogenic resource extraction & macroeconomic demands;

1/ Thread on our paper reporting unfair accumulation of malnutrition in particular intersectional social gps & geographies in India; we id 4 clusters of dts (hotspots); instead of separately for stunting, wasting & underweight, we use CIAF; > comprehensive 2/ Paper co-authored with @SabujosephK & @yogishcb & Sangeetha Joice; equityhealthj.biomedcentral.com/articles/10.11…

1/ Thread on High Level Expert Committee for Prevention & Management of COVID 3rd wave chaired by #DeviShetty & nearly #allmale & clinician led committee with hardly any diverse expertise needed (covered in my earlier thread which fell on deaf ears @BSYBJP @mla_sudhakar); 2/ My view based on my training in medicine & #PublicHealth & what I have learned through several years of #CommunityEngagement & #PrimaryHealthCare in rural Karnataka #Chamarajanagar;

1/ #Vaccination #Adivasi #COVID thread; day begins with an orientation meeting to #Solega #Adivasi leadership on #vaccination at a hamlet; we address doubts and misconceptions; leaders criticise the stereotype of #Tribal Community as being hesitant and "running away"; 2/ ask that officials & NGOs engage meaningfully and respectfully with their leadership at multiple levels; refuse the idea that they are ALL hesitant which often prevails among "others"; they explain what is the best way of engaging #Adivasi communities

1/ Shared few insights emerging from community-based #COVID care that some communities have begun in #Adivasi populations in #Chamarajanagar with support from #ZillaPanchayat in live video interaction with #Karnataka #GramPanchayats thanks to @gokRDPR
2/ #COVID19 care needs to be rational & #evidence-based but also respectful & dignified; these are not aspects we have done well with in our #HealthSystem & hence need special attention;

#COVIDSecondWave care requires local #CommunityEngagement for it to be meaningful, respectful and dignified; at one of #chamarajanagar #solega #adivasi settlements yesterday was a humbling experience learning together with the people how to organise care in a culturally safe way A remote forest settlement; sudden spurt of cases; testing hesitancy and immediate referral to far away #covidcare centres driving anxiety for testing and failing trust in ASHAs; #Panchayat president on location, NGOs, health workers, tribal welfare officers on site

1/ Joining some wonderful people from what I am seeing as a diverse group of researchers at the #EditorialBoard of @PLOSGPH; journal has given itself the tall order of “addresses inequities in public health and makes impactful research accessible to all… (1/n) #Threads 2/ In words of @paimadhu "the journal will amplify the voices of underrepresented and historically excluded communities and prioritize equity, diversity, and inclusion at all levels"; I am highly skeptical of this,

Thread on #GramPanchayat task force chaired by #Rangamma frm #Soliga #Adivasi community #brhills #Chamarajanagar; praise for #HealthWorkers but frustration at lack of “higher officials” coming to GPs; @readingkafka @iphindia PHC MO and other doctors address the gathering about the last one month experience of #Chamarajanagar and how situation is slowly improving; need to address hesitancy towards testing and vaccine; also not to become complacent about dropping numbers

Will we EVER learn about #PublicHealth?
3rd wave “expert” committee is nearly-ALL #Pediatricians (to keep Devi Shetty’s non-#evidence-based assertion on #children will be entirely affected), #AllMale #Manel, nearly-all #clinicians headed by #PrivateSector #Cardiologist

https://twitter.com/revathirajeevan/status/1397579521633574916

I request this committee members:
- Please QUESTION Devi Shetty’s credentials to lead this
- Please hold to account #Manel #AllMale membership
- Please include #RuralHealth #CommunityHealth #PublicHealth
- Expertise is NOT only CLINICAL; also social; include grounded voices

A #thread on our recent paper in @PLOSNTDs examining ecological #evidence-base for #DiseaseControl management practices for #KyasanurForestDisease #AcademicTwitter #Scicomm #OneHealth; paper led by @SarahBurthe from @MonkeyFever_ consortium #Diseasecontrol strategies originate through endorsements by Governments/academia/authorities; they're often not field-tested robustly; even when they are, evidence is limited to one sector (cf. #OneHealth #Intersectoral approaches);

A #thread on #IWD2021 at #brhills at IPH field station in collaboration with the #brhills #Panchayat, Zilla Budakattu Girijana Abhivruddhi Sangha (Sangha; Dt. #Indigenous #Adivasi People’s Welfare Society) & VGKK #THETAProject; Main organisers: Mahadevamma, Susheela & Mahantesh Idea for holding ಮಹಿಳಾ ದಿನಾಚರಣೆ mooted by Mahadevamma who is a #Soliga woman leader and supported by the Sangha; initial discussions with the newly elected #Panchayat members drew support; they didn’t recall a gathering for this purpose before

A compilation that I #Kant but share. :)

Tweet-quotes from "Grounwork for the Metaphyics of Morals" (1875) #Thread follows:

"Nothing can possibly be conceived in the world, or even out of it, which can be called good, without qualification, except a good will." "Intelligence, wit, judgement, and the other talents of the mind, however they may be named, or courage, resolution, perseverance, as qualities of temperament, are undoubtedly good and desirable in many respects;" #Kant

A thread on some quotes from @gautambhatia88’s “The transformative constitution “In equality jurisprudence, the approach of focusing on the disproportionately exclusionary impact if politics rather than their formal character or motive is known as disparate impact” “It is based on the premise that inequality and discrimination result not (only) from individual hostile acts, but from structures and institutions.” @gautambhatia88 Only in brackets important & added by me.

“...people usually gain power through traits and actions that advance interests of others such as #empathy, #collaboration, openness, #fairness...when they start to feel powerful or enjoy position of privilege, those qualities begin to fade....(1)

https://twitter.com/prashanthns/status/1188824565474058240

...The powerful are more likely than other people to engage in rude, selfish and unethical behaviour” #RebeccaSolnit citing #DacherKeltner on his work studying relationship between empathy and power

#TRIBECON begins #Pravara; felicitations to #AbhayBang @SearchGad & #sudarshan #VGKK for their inspiring work on #TribalHealth; @DrLahariya @whoindia among others felicitated #abhayBang #healthsystem design for tribal communities need to be relooked for #UHC; strategies & schemes must adapt with local social & cultural context; recollects #Brainstorming with @DesirajuKeshav at @SearchGad leading to #ExpertCommittee #tribalhealth @TribalHealthIND