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March 2002
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Deceptive asthma

 

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CHILDREN OF A LESSER GOD

This month public health issues became policy for once. The Supreme Court in its judgement on moving public vehicles to compressed natural gas (CNG) in Delhi made it clear that the concern of the court in passing various orders on combating air pollution has been only one, "namely to protect the health of the people."

Unusual also was that scientific research was considered to decide policy. I call this unusual because a key failure in our country is that government decision-making and policy setting is never based on recent scientific evidence. But this time the court looked at studies from the US to Kolkata to understand the impact of air toxins on human health.

A key consideration was the recent study published in the Journal of American Medical Association (JAMA) on tiny particles. The JAMA study – an amazing epidemiological journey – taking 16 years, covering 116 cities and research on 500,000 people presents stunning evidence that exposure to fine particles leads to lung cancer and other related diseases and deaths. According to the study a mere increase of 10 microgramme per cubic metre (µg/cum) of fine particles – smaller than 2.5 microns or PM 2.5 – can increase the risk of lung cancer by 8 per cent, cardiopulmonary deaths by 6 per cent and all deaths by 4 per cent. Co-author Arden Pope, who has been working on particulates and pollution for many years now, says that the findings of this study provide the strongest evidence to date that long-term exposure to air pollution is an important risk factor for cardiopulmonary and lung cancer mortality.Consider also that the US annual average standard for fine particulates is 15 µg/cum while in India the annual average standard for
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FUTURE WAS YESTERDAY

According to the World Health Organisation, globally environmental hazards kill three million children under five every year
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Environmental health threats include inadequate drinking water and sanitation, air pollution, accidents, injuries and poisonings
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In India, child mortality rates due to environmental hazards and toxins are on the rise
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55 per cent of child mortality originates in the perinatal period
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Our children’s future depends on our past. Grim, but true.
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Environmental degradation of the past impacts the very air that the children breathe, the water that they drink and the food that they eat.
Children are humankind’s most treasured investment. In fact, sustainability (and future) of any species depends on the quality of progeny it produces. However, the quality of progeny is affected by the environment that they are born into and the environment in which their parents lived in. Children, especially the

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unborn, are most vulnerable to any form of pollution. Even minor impact on health of the parent particularly the mother threatens the health of the child, which manifests later as poor health in adulthood. The recently concluded World Health Organisation (WHO) conference on children’s health in Bangkok estimated that globally, environmental hazards kill three million children under five every year. And this is a very conservative estimate.                   more.gif


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ASTHMA

POVERTY, HEALTH AND ENVIRONMENT