Has the delay in the 2021 Census sparked a data crisis in public health science?

Political parties are in full campaign mode in India. There are three days to go for the third phase of polling as this podcast is being recorded. Campaign themes are more than evident as June 4 – the day for results – is exactly a month away.  None other than Prime Minister Narendra Modi has launched scathing attacks on the Congress saying that it will take away SC, ST and OBC reservation quotas and hand it over to the Muslims. No such promise has been made in the Congress manifesto.  Again, the Prime Minister in Gujarat said that if you have two buffalos, the Congress will take away one if it comes to power. Again, he said this was in the Congress manifesto. Again, such a promise is not to be found in the manifesto document.  Pakistan has also re-entered the BJP’s campaign themes while Opposition parties are attacking the ruling party at the Centre on a range of issues. Nilanjan Mukhopadhyay joins us to discuss some of these issues and their implications for Indian democracy.

The Insurance Regulatory and Development Authority of India (IRDAI) has asked health insurance companies to offer their products to everyone, regardless of their age. Until now, health insurance was readily available for anyone up to the age of 65, with companies under no obligation to cover those older. But now IRDAI has said insurance firms can extend their health coverage to everyone regardless of their pre-existing medical conditions. Both these changes are part of a wider set of reforms under the long term goal of “Insurance for All by 2047”, and they have mostly been welcomed as a positive development. But there is always the fine print, and questions remain about how these measures will pan out in real life. Health coverage tends to get more expensive with age. Will senior citizens be able to afford the packages designed by private insurers? What do the norms say regarding the ‘waiting period’ for pre-existing conditions? And will these measures be enough to reduce out-of-pocket medical expenditure, which is one of the highest in the world in India? Guest: Professor T Sundararaman, a public health expert, who has served as Executive Director of National Health Systems Resource Centre and as Dean and Professor at the School of Health Systems Studies at the Tata Institute of Social Sciences (TISS), Mumbai. Host: G. Sampath, Social Affairs Editor, The Hindu. Edited by Sharmada Venkatasubramanian.

In a setback to the Opposition INDIA alliance in Delhi, which is basically the alliance between the Congress and the Aam Aadmi Party (AAP), Delhi Pradesh Congress Committee President Arvinder Singh Lovely has resigned from his post, and one of the reasons he has cited is his party’s tie-up with AAP. Lovely’s resignation letter has put the spotlight on what is widely recognised as a big contradiction – an alliance between the Congress party, and a party that came into being to combat the kind of political decadence that the Congress allegedly represented. In fact, AAP leader Arvind Kejriwal has spent much of the last ten years targeting the Congress more than any other party, and in turn, the Delhi state leadership of the Congress has spent much of its energies targeting AAP. Furthermore, it is the Congress that’s the original complainant in the alleged liquor scam case that has landed Kejriwal in jail. So, how does this alliance square with the founding credo of the Aam Aadmi Party? How can AAP explain this alliance to its supporters? Given that the two parties have suddenly found ‘anti-BJPism’ more attractive as a political plank than anti-corruption, does this alliance then indicate that the founders of AAP – several of whom are currently in jail on corruption charges – were fundamentally wrong in their understanding of political corruption? G. Sampath is joined by Prashant Bhushan, Supreme Court advocate and a former leader with AAP.

This March was the hottest on record globally, the 10th month in a row to hit this peak. This has led to a 1.58 degree Celsius spike in the global average temperature, compared to pre-industrial levels. This doesn’t feel surprising – most parts of India have been sweltering since last month, the India Meteorological Department or IMD hadd forecast heatwave conditions in parts of at least 10 States last week and it's only going to get worse in May. This year, the heat is even believed to have impacting voting in our crucial general election, and the Election Commission has now set up a taskforce to oversee heatwave conditions.  We’re used to scorching summers in India – but experts say that heatwaves are now arriving earlier in the year, are more frequent and are also lasting longer – which means they have a huge impact on the health of humans and animals, on our agriculture and food, on our cities, our water resources and our energy supplies.  How does the unrelenting heat affect our bodies and our long-term health into the future? Do our food crops become less nutritious as temperatures rise? Do India’s standards for heatwaves need updating? Where is our country placed, globally, when it comes to extreme climate events and can we expect more of these in the near future?    Guest: Poornima Prabhakaran, Director, Centre for Health Analytics Research and Trends (CHART), Trivedi School of Biosciences, Ashoka University  Host: Zubeda Hamid  Edited by Sharmada Venkatasubramanian.

The delay in conducting the 2021 census seems to have sparked a data crisis, with major implications for the social sector, especially public health policy. This crisis, according to public health analysts, has been worsened by the government’s reluctance to put certain types of data in the public domain, over concerns they might show it in an unflattering light. In the context of public health, the census is important because it forms the basis for national and state health surveys. So, how are the country’s policy-makers and social scientists managing with 2011 census data in 2024? What are the problems seen in the implementation of government welfare schemes such as PMJAY (Pradhan Mantri Jan Arogya Yojana) due to unavailability of up-to-date data? What’s the status today with regard to transparency and professional autonomy in the collection, scrutiny and publication of data that’s central to the public health discourse? Guest: Professor T Sundararaman, a public health expert, who has served as Executive Director of National Health Systems Resource Centre and as Dean and Professor at the School of Health Systems Studies at the Tata Institute of Social Sciences (TISS), Mumbai. Host: G. Sampath, Social Affairs Editor, The Hindu. Edited by Jude Francis Weston

Baby foods, drinks and protein powders have all been in the news of late – are these products harming rather than helping your health? The latest controversy has centred around Nestle, a well known brand in India – an investigation recently found that all Nestle baby cereals sold in India contained almost 3g of added sugar – but the same cereals sold in European markets had no added sugar. The harmful effects of sugar are now well known – it can contribute to obesity as well as multiple health complications later in life. The Centre has now asked the Food Safety and Standards Authority of India to look into this. Other news involved the government asking e-commerce sites to stop the classification of Bournvita and other such beverages under the ‘health drinks’ category. And just before that, we were given the shocking news that many protein powders not only do not have the amount of proteins they advertise, but may also have harmful components. So what are the laws regarding baby food and processed food in our country? How are companies allowed to advertise these foods and drinks and can they be labelled healthy? Who looks into the safety of these products that are found in our supermarkets? And what does India need to do to classify which foods are healthy, and which are unhealthy, considering the huge burden of obesity, diabetes and heart disease that the country is grappling with? Zubeda Hamid speaks to Dr Arun Gupta, public health expert, central coordinator of the Breastfeeding Promotion Network of India and convener of the Nutrition Advocacy in Public Interest.

Gukesh Dommaraju, the 17-year-old Indian chess prodigy, has become the youngest player ever to win the Candidates tournament. As he broke a 40-year-old record in the name of Garry Kasparov, Gukesh became only the second Indian after Viswanathan Anand to win a Candidates event and earn the right to challenge the world champion for the title. But Gukesh’s journey hasn’t been easy. He almost didn’t qualify for the Candidates tournament – making the cut at the last minute, thanks to a hurriedly organised event in Chennai. And the moments before his victory were full of nail-biting drama. Guest: Rakesh Rao from The Hindu’s Sports Bureau. Host: G. Sampath, Social Affairs Editor, The Hindu. Edited by Sharmada Venkatasubramanian.

Elon Musk is coming to India. He is meeting Prime Minister Narendra Modi, and is likely to announce the entry of Tesla into the Indian market. The timing of this visit is interesting. Tesla used to be the world’s largest seller of electric vehicles or EVs – but it lost that title to China’s BYD Auto last year. Also, most of the EV markets in the West --- in North America and Europe – are in a slowdown. In China, Tesla has been losing ground to local competitors. But India, on the other hand, is looking to expand its EV density in a big way – it unveiled a new EV policy in March that is seen by many as tweaked to make the country more attractive for Tesla. What is the agenda of Musk’s visit in the context of EVs? Is the price conscious Indian market ready for the kind of expensive EVs that Musk sells? If Tesla is allowed to sell imported cars, what happens to ‘Make in India’ and technology transfer to local manufacturers? G. Sampath is joined by Randheer Singh, CEO and Founder of ForeSee Advisors, an electric mobility and battery storage consulting firm, and a former director of e-mobility at NITI Aayog.

The Indian government recently brought in an amendment to the Wildlife Protection Act with regard to captive elephants. This amendment, the rules for which came in last month, regulates the transfer or transport of captive elephants, and has sparked an outcry from animal rights activists. Elephants are, according to the Wildlife Protection Act, a Schedule 1 species – offered the highest protection under the law. Captive elephants however, because of their historical role in India where they have been part of royal estates, used in timber logging and still used in temples for religious festivals, come under a special category, but there were still strict rules governing their transfer. Now however, with this new amendment, the transfer of elephants is allowed for ‘religious or any other purposes’ – this vague definition, researchers say can revive illegal commercial trade and trafficking of elephants, something the country has been trying to curb for decades. Concerns have also been raised about Vantara, Anant Ambani’s rehabilitation centre in Jamnagar, Gujarat, which has come under criticism for its housing of a large number of elephants.  Why was this amendment brought in? What does this mean for the 2,600-or so captive elephants across the country? Are wild elephants continuing to be captured and illegally sold? And what is the way forward to rehabilitate captive elephants in the country?  Guest: Alok Hisarwala, lawyer and researcher, founder of Centre for Research and Animal Rights, Goa  Host: Zubeda Hamid  Edited by Sharmada venkatasubramanian.

It was expected that Iran would respond to the bombing of its consulate in Syria on April 1 in an Israeli strike. The retaliation came last Saturday when Iran launched a direct attack on Israel. Israel claims to have intercepted 99% of the 300-odd drones and missiles fired by Iran, but a few of the missiles did sneak through its defences and hit sensitive military targets on Israeli territory. Iran has said that it would take no further action unless Israel chooses to escalate. Israel has vowed to “exact the price from Iran” when the time is right. What are the strategic implications of Iran’s unprecedented direct strikes on Israel? How serious are the risks of a wider regional war, and where does this leave the ongoing negotiations for a ceasefire in Gaza?