GS II Topic- Issues relating to development and management of Social Sector/Services relating to Health, Education, Human Resources

 

A new chapter in antibiotic resistance

Indian researchers have isolated a strain of E.Coli bacteria, carrying a new gene (mcr -1), described previously as ‘truly pan-drug resistant’. It is resistant to the last mile antibiotic the human race currently has access to —colistin.

 

Concerns

  • While colistin resistance had already been detected in India, it existed thus far only as mutations in the chromosomal/genetic path which do not spread from patient to patient. With mcr-1, however, the gene is found in the plasmid medium, a small DNA molecule outside of the chromosomal DNA, meaning the infection can spread in hospitals, and the community.
  • The emergence of plasmid-mediated colistin resistance heralds the breach of the last group of antibiotics, polymyxins.”

NDM1 superbug

 What is superbug NDM-1?

NDM-1 refers to a gene that is carried by some bacteria. A bacterial strain that carries the NDM-1 gene will be resistant to even some of the strongest antibiotics. A bacterium carrying the NDM-1 gene is the most powerful superbug in existence. There are no current antibiotics to combat bacteria that have the NDM-1 gene, and this makes it potentially very dangerous.

NDM-1 stands for New Delhi metallo-ß-lactamase-1. Initially in was found only in some sewerage samples but now-a-days it is found in  most of the patients coming to hospitals. It has been found to be widespread in India, and by 2015, it had been detected in more than 70 countries worldwide.

What is NDM-1?

  • NDM-1 itself does not cause disease, but it has the potential to change the characteristics of bacteria. It makes them resistant to antibiotics. In this way, it can lead to a range of conditions, from a urinary tract or bloodstream infection to a wound infection, or pneumonia.
  • NDM-1 is different from MRSA, another superbug, because MRSA is Gram-positive, while the infections that carry NDM-1 are Gram negative. They are different strains.

Why is NDM-1 dangerous?

  • Bacteria that express NDM-1 cannot be defeated using antibiotics.
  • Carbapenems are the most powerful antibiotics. They are used as a last resort for many bacterial infections, such as E. coli and Klebsiella pneumoniae carbapenemase (KPC).
  • The NDM-1 gene causes bacteria to produce an enzyme called a carbapenemase. Carbapenemase makes nearly every antibiotic ineffective, including carbepenem.
  • NDM-1 raises fears that diseases in the future will not respond to antibiotics. If NDM-1 crosses over into other bacteria, secondary diseases will emerge. As they spread around the world, it could lead to a health crisis.
  • The WHO say that a pregnant woman, for example, could develop a kidney infection that spills over into the bloodstream with a strain containing NDM-1. In this case, there would be no treatment options.

How does NDM-1 spread?

  • The DNA code for NDM-1 can jump from one bacteria strain to another through a process known as horizontal gene transfer (HGT).
  • If NDM-1 jumps to a bacterium that is already antibiotic-resistant, some dangerous infections could emerge, which would spread rapidly between people. These infections might be untreatable.

Has NDM-1 already spread?

  • The NDM-1 gene was named after New Delhi, the Indian capital. The gene is widespread in India and Pakistan, especially in hospitals. It initially occurred mainly in in India and Pakistan, and specifically in New Delhi, where the climate encourages its persistence year round. It has been found in drinking water and the holy rivers of India, such as the Ganges.
  • NDM-1 has surfaced in countries countries around the world, including the United States, Japan, Australia, and the United Kingdom, in patients who spent time or travelled in India or have family members there.
  • Some patients carried the disease home after traveling to India or Pakistan for cosmetic surgery, because this type of treatment is cheaper in Asia.

Can NDM-1 be defeated?

 

  • At the moment, the only way to combat the spread of NDM-1 is through surveillance, quickly identifying and isolating infected patients, disinfecting hospital equipment, and following hand-hygiene procedures in hospitals.
  • So far, patients with NDM-1-related infections have been treated on a case-by-case basis, with a combination of medications, but there is no effective treatment and no oral treatments are available for many of the infections caused by NDM-1. Some strains of bacteria are totally resistant to virtually all kinds of antibiotic.


GS III Topic- Disaster and disaster management.

India, UNISDR sign Statement of Cooperation on Sendai Framework

India and United Nations Office for Disaster Risk Reduction signed a Statement of Cooperation (SoC) of the Sendai Framework on Disaster Risk Reduction (SFDRR). It was signed during the second day of the Asian Ministerial Conference on Disaster Risk Reduction (AMCDRR) 2016 held in New Delhi

Features of the SoC

The cooperation aims to ensure effective implementation and monitoring of the SFDRR through Training and capacity building for Asian countries.

It also seeks at promoting international and regional cooperation to reinforce political commitment.

 It facilitates knowledge sharing and strengthens the capacity of UNISDR for monitoring and review of the Sendai Framework.

Underlines the guiding principles, objectives and areas of cooperation between India and UNISDR towards effective implementation and monitoring of SFDRR.

India will partner with UNISDR to work towards strengthening the capacity of Asian countries in ensuring risk resilient development.

It facilitates sharing of knowledge and experiences and collaborative efforts towards addressing critical regional challenges.

 UNISDR:

The United Nations Office for Disaster Risk Reduction (UNISDR), created in December 1999, is the successor to the secretariat of the International Decade for Natural Disaster Reduction.

  • It was established to ensure the implementation of the International Strategy for Disaster Reduction.
  • It is part of the United Nations Secretariat and its functions span the social, economic, environmental as well as humanitarian fields.
  • UNISDR supports the implementation, follow-up and review of the Sendai Framework for Disaster Risk Reduction adopted by the Third UN World Conference on Disaster Risk Reduction on 18 March 2015 in Sendai, Japan.

GS II Topic: Issues relating to development and management of Social Sector/Services relating to Health, Education, Human Resources, issues relating to poverty and hunger.

Union Government launches Pradhan Mantri Surakshit Matritva Abhiyan

The Union Government launched Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) to provide free health check-ups to pregnant women at government health centres and hospitals. The national programme aims to provide pregnant ladies free ante-natal services (ANC) and required treatment for free on 9th of every month.

Objectives of the scheme are

  • Provide healthy life to the pregnant women.
  • Lowering the maternity mortality rate.
  • Making pregnant women aware of their health issues and diseases.
  • Making sure safe delivery and healthy life of the baby.

Other features

  • The scheme is applicable only for the pregnant women in their pregnancy period of 3 to 6 months.
  • Under the scheme, pregnant women will be provided special antenatal check-up in their second or third trimester at government health care facilities. It also invites the private sector to provide free ante-natal services (ANC) on the 9th of every month on a voluntary basis to pregnant women, especially those living in under-served, semi-urban, poor and rural areas.
  • Women will be marked differently using different colour stickers based on their health problems so that doctors can easily detect the problem. Different colour stickers will be Red Sticker for Serious patients, Blue Sticker for High blood pressure and Yellow Sticker for Other diseases.

 Statistics of India

In India, one pregnant woman dies every 12 minutes, with 45,000 dying each year. Of them, less than one in five (19.7%) undergo pre-natal health checks.

  • India’s MMR of 167 (167 maternal deaths per 100,000 births) failed to meet its Millennium Development Goals (MDGs) target of bringing down maternal deaths to under 140 by 2015.
  • India’s IMR stands at 40 deaths per 1,000 live births, against an MDG target of 29. Only 15 states and UTs — Kerala, Tamil Nadu, Goa, Andaman and Nicobar Islands, Chandigarh, Daman and Diu, Delhi, Lakshadweep, Puducherry, Manipur, Maharashtra, Nagaland, Tripura, Sikkim and Punjab — have achieved an IMR of 29 and under.

Important Facts for Prelims

 

Google ties up with ASI for virtual tour of monuments

Technology giant Google has tied up with Archaelogical Survey of India (ASI) for 360 degree virtual tour of 280-odd monuments across the country. Some of the major monuments are Taj Mahal, Victoria Memorial and the ruins of Hampi. Of the total 280 monuments 30 are in West Bengal and eight are from Kolkata.

About Archaeological Survey of India (ASI)

The ASI is the premier organization for the archaeological researches and protection of the cultural heritage of the country. The prime objection of ASI is to maintain the archaeological sites, ancient monuments and remains of national importance.

Headquarters: New Delhi.

Established: 1861 by Alexander Cunningham.

It regulates all archaeological activities as per the provisions of the Ancient Monuments and Archaeological Sites and Remains Act, 1958. It functions under the aegis of the Union Ministry of Culture. It also regulates Antiquities and Art Treasure Act, 1972.

 World Tsunami Day

The First World Tsunami Awareness Day was observed across the world on 5 November 2016 to spread awareness among people across the world about Tsunami. The United Nations General Assembly (UNGA) had constituted the day by adopting a resolution in December 2015.

2016 Theme: “Effective Education and Evacuation Drills”.

Significance

  • Spread awareness among people across the world in matters related to the dangers of tsunami.
  • Stress on the importance of early warning systems in order to mitigate damage from the devastating natural calamity.

Background

November 5 was designated as World Tsunami Awareness Day by UNGA to coincide with the annual anniversary of the 1854 Inamura-no-hi (Fire of Inamura) event. On this day in 1854, a villager in Wakayama Prefecture in Japan through his quick action had saved countless lives after he had set fire to sheaves of rice on the top of a hill, thus warning people of the imminent danger of a tsunami. This was the first documented instance of a tsunami early warning.

Andhra Pradesh tops World Bank’s energy-saving rankings

The ranking of the states were released in the World Bank’s study report titled: ‘India’s State Level Energy Efficiency Implementation Readiness’.

  • Andhra Pradesh topped with overall score of 42.01 followed by Rajasthan (41.89), Karnataka (39.34) and Maharashtra (39.29). Kerala, Gujarat, Delhi (UT), Punjab, Odisha and Uttar Pradesh are the other states in the top ten ranking in that order.
  • Andhra Pradesh topped the list by achieving an energy saving of 1,500 million units (MU) i.e. around 650 MW in two years through use of LED lighting.

PETROTECH – 2016:

  • Prime Minister Narendra Modi recently inaugurated India’s flagship biennial international oil and gas conference and exhibition, PETROTECH-2016.
  • Petrotech is Asia’s largest oil and gas event.
  • The theme for this event is “Hydrocarbons to fuel the future – Choices and Challenges”.
  • This global event aims at bringing Energy Ministers, industry leaders, professionals, academicians and domain experts from the energy sector on a common platform.
  • The Conference showcases the strengths & potential of Indian Hydrocarbon industry to the world besides providing a vibrant platform for exchange of ideas, sharing of experience, knowledge and technological development across various segments of hydrocarbon industry.
  • Petrotech will also include a BRICS Roundtable of Energy Ministers and a Roundtable discussion involving select CELAC countries of Latin America.

 

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  • The United Nations has shaped so much of global co-operation and regulation that we wouldn’t recognise our world today without the UN’s pervasive role in it. So many small details of our lives – such as postage and copyright laws – are subject to international co-operation nurtured by the UN.

    In its 75th year, however, the UN is in a difficult moment as the world faces climate crisis, a global pandemic, great power competition, trade wars, economic depression and a wider breakdown in international co-operation.

    Flags outside the UN building in Manhattan, New York.

    Still, the UN has faced tough times before – over many decades during the Cold War, the Security Council was crippled by deep tensions between the US and the Soviet Union. The UN is not as sidelined or divided today as it was then. However, as the relationship between China and the US sours, the achievements of global co-operation are being eroded.

    The way in which people speak about the UN often implies a level of coherence and bureaucratic independence that the UN rarely possesses. A failure of the UN is normally better understood as a failure of international co-operation.

    We see this recently in the UN’s inability to deal with crises from the ethnic cleansing of the Rohingya Muslims in Myanmar, to civil conflict in Syria, and the failure of the Security Council to adopt a COVID-19 resolution calling for ceasefires in conflict zones and a co-operative international response to the pandemic.

    The UN administration is not primarily to blame for these failures; rather, the problem is the great powers – in the case of COVID-19, China and the US – refusing to co-operate.

    Where states fail to agree, the UN is powerless to act.

    Marking the 75th anniversary of the official formation of the UN, when 50 founding nations signed the UN Charter on June 26, 1945, we look at some of its key triumphs and resounding failures.


    Five successes

    1. Peacekeeping

    The United Nations was created with the goal of being a collective security organisation. The UN Charter establishes that the use of force is only lawful either in self-defence or if authorised by the UN Security Council. The Security Council’s five permanent members, being China, US, UK, Russia and France, can veto any such resolution.

    The UN’s consistent role in seeking to manage conflict is one of its greatest successes.

    A key component of this role is peacekeeping. The UN under its second secretary-general, the Swedish statesman Dag Hammarskjöld – who was posthumously awarded the Nobel Peace prize after he died in a suspicious plane crash – created the concept of peacekeeping. Hammarskjöld was responding to the 1956 Suez Crisis, in which the US opposed the invasion of Egypt by its allies Israel, France and the UK.

    UN peacekeeping missions involve the use of impartial and armed UN forces, drawn from member states, to stabilise fragile situations. “The essence of peacekeeping is the use of soldiers as a catalyst for peace rather than as the instruments of war,” said then UN Secretary-General Javier Pérez de Cuéllar, when the forces won the 1988 Nobel Peace Prize following missions in conflict zones in the Middle East, Africa, Asia, Central America and Europe.

    However, peacekeeping also counts among the UN’s major failures.

    2. Law of the Sea

    Negotiated between 1973 and 1982, the UN Convention on the Law of the Sea (UNCLOS) set up the current international law of the seas. It defines states’ rights and creates concepts such as exclusive economic zones, as well as procedures for the settling of disputes, new arrangements for governing deep sea bed mining, and importantly, new provisions for the protection of marine resources and ocean conservation.

    Mostly, countries have abided by the convention. There are various disputes that China has over the East and South China Seas which present a conflict between power and law, in that although UNCLOS creates mechanisms for resolving disputes, a powerful state isn’t necessarily going to submit to those mechanisms.

    Secondly, on the conservation front, although UNCLOS is a huge step forward, it has failed to adequately protect oceans that are outside any state’s control. Ocean ecosystems have been dramatically transformed through overfishing. This is an ecological catastrophe that UNCLOS has slowed, but failed to address comprehensively.

    3. Decolonisation

    The idea of racial equality and of a people’s right to self-determination was discussed in the wake of World War I and rejected. After World War II, however, those principles were endorsed within the UN system, and the Trusteeship Council, which monitored the process of decolonisation, was one of the initial bodies of the UN.

    Although many national independence movements only won liberation through bloody conflicts, the UN has overseen a process of decolonisation that has transformed international politics. In 1945, around one third of the world’s population lived under colonial rule. Today, there are less than 2 million people living in colonies.

    When it comes to the world’s First Nations, however, the UN generally has done little to address their concerns, aside from the non-binding UN Declaration on the Rights of Indigenous Peoples of 2007.

    4. Human rights

    The Human Rights Declaration of 1948 for the first time set out fundamental human rights to be universally protected, recognising that the “inherent dignity and of the equal and inalienable rights of all members of the human family is the foundation of freedom, justice and peace in the world”.

    Since 1948, 10 human rights treaties have been adopted – including conventions on the rights of children and migrant workers, and against torture and discrimination based on gender and race – each monitored by its own committee of independent experts.

    The language of human rights has created a new framework for thinking about the relationship between the individual, the state and the international system. Although some people would prefer that political movements focus on ‘liberation’ rather than ‘rights’, the idea of human rights has made the individual person a focus of national and international attention.

    5. Free trade

    Depending on your politics, you might view the World Trade Organisation as a huge success, or a huge failure.

    The WTO creates a near-binding system of international trade law with a clear and efficient dispute resolution process.

    The majority Australian consensus is that the WTO is a success because it has been good for Australian famers especially, through its winding back of subsidies and tariffs.

    However, the WTO enabled an era of globalisation which is now politically controversial.

    Recently, the US has sought to disrupt the system. In addition to the trade war with China, the Trump Administration has also refused to appoint tribunal members to the WTO’s Appellate Body, so it has crippled the dispute resolution process. Of course, the Trump Administration is not the first to take issue with China’s trade strategies, which include subsidises for ‘State Owned Enterprises’ and demands that foreign firms transfer intellectual property in exchange for market access.

    The existence of the UN has created a forum where nations can discuss new problems, and climate change is one of them. The Intergovernmental Panel on Climate Change (IPCC) was set up in 1988 to assess climate science and provide policymakers with assessments and options. In 1992, the UN Framework Convention on Climate Change created a permanent forum for negotiations.

    However, despite an international scientific body in the IPCC, and 165 signatory nations to the climate treaty, global greenhouse gas emissions have continued to increase.

    Under the Paris Agreement, even if every country meets its greenhouse gas emission targets we are still on track for ‘dangerous warming’. Yet, no major country is even on track to meet its targets; while emissions will probably decline this year as a result of COVID-19, atmospheric concentrations of greenhouse gases will still increase.

    This illustrates a core conundrum of the UN in that it opens the possibility of global cooperation, but is unable to constrain states from pursuing their narrowly conceived self-interests. Deep co-operation remains challenging.

    Five failures of the UN

    1. Peacekeeping

    During the Bosnian War, Dutch peacekeeping forces stationed in the town of Srebrenica, declared a ‘safe area’ by the UN in 1993, failed in 1995 to stop the massacre of more than 8000 Muslim men and boys by Bosnian Serb forces. This is one of the most widely discussed examples of the failures of international peacekeeping operations.

    On the massacre’s 10th anniversary, then UN Secretary General Kofi Annan wrote that the UN had “made serious errors of judgement, rooted in a philosophy of impartiality”, contributing to a mass murder that would “haunt our history forever”.

    If you look at some of the other infamous failures of peacekeeping missions – in places such as Rwanda, Somalia and Angola – ­it is the limited powers given to peacekeeping operations that have resulted in those failures.

    2. The invasion of Iraq

    The invasion of Iraq by the US in 2003, which was unlawful and without Security Council authorisation, reflects the fact that the UN is has very limited capacity to constrain the actions of great powers.

    The Security Council designers created the veto power so that any of the five permanent members could reject a Council resolution, so in that way it is programmed to fail when a great power really wants to do something that the international community generally condemns.

    In the case of the Iraq invasion, the US didn’t veto a resolution, but rather sought authorisation that it did not get. The UN, if you go by the idea of collective security, should have responded by defending Iraq against this unlawful use of force.

    The invasion proved a humanitarian disaster with the loss of more than 400,000 lives, and many believe that it led to the emergence of the terrorist Islamic State.

    3. Refugee crises

    The UN brokered the 1951 Refugee Convention to address the plight of people displaced in Europe due to World War II; years later, the 1967 Protocol removed time and geographical restrictions so that the Convention can now apply universally (although many countries in Asia have refused to sign it, owing in part to its Eurocentric origins).

    Despite these treaties, and the work of the UN High Commission for Refugees, there is somewhere between 30 and 40 million refugees, many of them, such as many Palestinians, living for decades outside their homelands. This is in addition to more than 40 million people displaced within their own countries.

    While for a long time refugee numbers were reducing, in recent years, particularly driven by the Syrian conflict, there have been increases in the number of people being displaced.

    During the COVID-19 crisis, boatloads of Rohingya refugees were turned away by port after port.  This tragedy has echoes of pre-World War II when ships of Jewish refugees fleeing Nazi Germany were refused entry by multiple countries.

    And as a catastrophe of a different kind looms, there is no international framework in place for responding to people who will be displaced by rising seas and other effects of climate change.

    4. Conflicts without end

    Across the world, there is a shopping list of unresolved civil conflicts and disputed territories.

    Palestine and Kashmir are two of the longest-running failures of the UN to resolve disputed lands. More recent, ongoing conflicts include the civil wars in Syria and Yemen.

    The common denominator of unresolved conflicts is either division among the great powers, or a lack of international interest due to the geopolitical stakes not being sufficiently high.  For instance, the inaction during the Rwandan civil war in the 1990s was not due to a division among great powers, but rather a lack of political will to engage.

    In Syria, by contrast, Russia and the US have opposing interests and back opposing sides: Russia backs the government of the Syrian dictator Bashar al-Assad, whereas the US does not.

    5. Acting like it’s 1945

    The UN is increasingly out of step with the reality of geopolitics today.

    The permanent members of the Security Council reflect the division of power internationally at the end of World War II. The continuing exclusion of Germany, Japan, and rising powers such as India and Indonesia, reflects the failure to reflect the changing balance of power.

    Also, bodies such as the IMF and the World Bank, which are part of the UN system, continue to be dominated by the West. In response, China has created potential rival institutions such as the Asian Infrastructure Investment Bank.

    Western domination of UN institutions undermines their credibility. However, a more fundamental problem is that institutions designed in 1945 are a poor fit with the systemic global challenges – of which climate change is foremost –  that we face today.