Hi again,
The US Independence Day saw lot of messages on Twitter.It reminded me of my own people and our journey through the travails and joys of existence.As part of the political milieu of India we have a part and a contribution to make. The first being to protect our culture so that we can give to others what is good and worthwhile from ours. this poem below was written quite some time back but I feel that its relevance is still contemporary.
Hynniewtrep
-The New Dawn
Awake to the call
in the break of this darkness before dawn .
dry your eyes,the tears fallen
for a battered mother earth
the tears falling from the eyes of mothers
weeping for fallen sons
Awake to the new hope that yearns to be born
Give in to the warmth of the smiles of new life
Bursting into innocent songs
from the mouth of babies who can hardly speak
‘Ko Khun u Hynniewtrep
Shwa ba ‘meingi kan sep’*
Give your hearts and your hands
to the cause of this motherland
Pray to the new day with reverence and awe
Pray to the heavens that never again will we see
what these past years saw
So that we may live
Strong in our knowledge of good and bad
Firm in our faith
united in our resolve
that ‘Hynniewtrep’ will resound
a monument to our deeds
and a legacy to the clans.
"Hynniewtrep, shwa ba meingi kan sep"
"Hynniewtrep", awake to the new dawn.
Erwin K. Syiem Sutnga
15th June, 2003
*{O Children of Hynniewtrep
Before the sun on us sets}
05 July 2009
03 July 2009
The nemesis of terror politics is the cross of democracy
Terrorism is a living and vibrant threat to India. The terror attack on Mumbai has opened the possibilities of attacks occurring in any part of the country and against Indian citizens anywhere in the world. Apart from this separatist groups and organisation have been making bomb blast attacks especially in Assam. The extent of the US aid to Pakistan and the implications on the resurgence of cross border terrorism against India is first and foremost on the minds of many Indian. President Obama's assumption of office had given rise to the hope that anew polarisation towards India would mean a whittling down of Pakistan's ability to make cross border infiltrations as well as the US Administration seriously addressing the issue of terrorists operating from Pakistan soil. However it seems that in the absence of any other new initiative towards a regional understanding to combat terrorism, the US Government has to fall back on policies initiated and supported by the Bush Administration in the wake of the so called "War on Terror". It is my feeling that with the formal ending of that war, a new initiative should be taken keeping in mind that any move in the region of the sub-continent has to take in India as an active partner. India has faced the brunt of terrorism during the attacks on Mumbai. Given the interest the US had in the outcome of the last General Elections, the times demand that India's stability and commitment towards fighting terrorism should override other considerations especially where Pakistan is concerned.
Recently, American aid to Pakistan has been tripled by the US Senate to about $1.5 billion a year for the next five years. One of the conditions for this increase is that the Pakistan Government has to contain the Taliban. However the problem not only lies with the resurgence of the Taliban the common enemy of the US but the institutionalisation of terrorism by Pakistan through its Inter Services intelligence (ISI). The Directorate for Inter-Services Intelligence (also Inter-Services Intelligence or ISI) was created as an independent unit in 1948 during the Indo-Pakistani War of 1947. It was formerly in the Intelligence Bureau (IB), which handled intelligence sharing between the different branches of the military as well as external intelligence gathering. Its headquarters was initially located in Rawalpindi but later it was moved to Islamabad. The current director of the organization is Lieutenant General Ahmad Shuja Pasha, who took over in September 2008. Its operations against india have been sustained and strategised towards destablising our democracy Throughout the 1950s The ISI's Covert Action Division was used in assisting the insurgents in the North-East. In the late 1960s the Home Rule Movement of London-based Charan Singh Panchi, which later gave birth to the Khalistan Movement, headed by Jagjit Singh Chauhan in which many other members of the Sikh diaspora joined to demand a separate country of Khalistan. During the Indo Pakistan War of 1965, there was a complete collapse of the operations of all the intelligence agencies. When an Indian armored division was not located due to ISIs'preoccupation with political affairs leading to Pakistan losing that war. The then President Ayub Khan set up a committee headed by General Yahya Khan (who later became President as well) to examine the working of the agencies. By 1969 the U.S. Central Intelligence Agency and ISI worked in tandem with the Nixon Administration to proactively assist the pro independence Khalistan movement. However in 1971, the ISI faced its first major failure after its reorganisation during the Bangladesh Liberation War which resulted in the loss of the then East Pakistan and resulted modern Bangladesh came into being. Throughout the period thereafter, during the 1990s and into the new century, the ISI has systematically targeted India. Terrorist groups such as the Lashkar-e-Taiba (LeT), the Jaish-e-Muhammad (JeM), and the Harakat ul-Mujahedeen (HuM) are allegedly operating with the active support of the Pakistan Military and the ISI . These organisations have been active in Kashmir; Al-Qaeda and its affiliatesled by Osama bin Laden and other non-South Asian terrorists are suspected to have found safe haven in the Federally Administered Tribal Areas (FATA). Other foreign militant groups such as the Islamic Movement of Uzbekistan, Islamic Jihad group, the Libyan Islamic Fighters Group and the Eastern Turkistan Islamic Movement are also suspected of being in FATA. Apart from this the Pakistan Taliban has emerged as the biggest threat to stability in Pakistan and the region with its eyes turned towards India.
We face a lot of pressure at home as well. Meghalaya being contiguous to Bangladesh is used as a conduit by many insurgent outfits and the ISI is also suspected to be operating in these areas. The coal belts of the state especially in Jaintia Hills and Garo Hills bear the brunt of influx of outside labourers. With no proper identification procedure and the hurdles in monitoring and verification of the antecedents of immigrants makes it a potentially lethal melting pot. This is also affecting the Export trade where the Border Security Force (BSF) has put a clamp on exports alleging that militants are using the empty returning trucks to bring in arms and cadres. This is a little far fetch but it serves to put brakes on the trade severely affecting the livelihood of the people and the economy of the country.
The implications are therefore not good for India. With the region going into a slow but sustained Nuclear Arms race and with Pakistan augmenting its nuclear arsenal, the rise of terrorism and its institutionalisation does not bode well for stability, peace and democracy. We require informed debate on this matter and consolidated and effective action and cooperation whether in India or the US.
Regards,
Erwin.
Recently, American aid to Pakistan has been tripled by the US Senate to about $1.5 billion a year for the next five years. One of the conditions for this increase is that the Pakistan Government has to contain the Taliban. However the problem not only lies with the resurgence of the Taliban the common enemy of the US but the institutionalisation of terrorism by Pakistan through its Inter Services intelligence (ISI). The Directorate for Inter-Services Intelligence (also Inter-Services Intelligence or ISI) was created as an independent unit in 1948 during the Indo-Pakistani War of 1947. It was formerly in the Intelligence Bureau (IB), which handled intelligence sharing between the different branches of the military as well as external intelligence gathering. Its headquarters was initially located in Rawalpindi but later it was moved to Islamabad. The current director of the organization is Lieutenant General Ahmad Shuja Pasha, who took over in September 2008. Its operations against india have been sustained and strategised towards destablising our democracy Throughout the 1950s The ISI's Covert Action Division was used in assisting the insurgents in the North-East. In the late 1960s the Home Rule Movement of London-based Charan Singh Panchi, which later gave birth to the Khalistan Movement, headed by Jagjit Singh Chauhan in which many other members of the Sikh diaspora joined to demand a separate country of Khalistan. During the Indo Pakistan War of 1965, there was a complete collapse of the operations of all the intelligence agencies. When an Indian armored division was not located due to ISIs'preoccupation with political affairs leading to Pakistan losing that war. The then President Ayub Khan set up a committee headed by General Yahya Khan (who later became President as well) to examine the working of the agencies. By 1969 the U.S. Central Intelligence Agency and ISI worked in tandem with the Nixon Administration to proactively assist the pro independence Khalistan movement. However in 1971, the ISI faced its first major failure after its reorganisation during the Bangladesh Liberation War which resulted in the loss of the then East Pakistan and resulted modern Bangladesh came into being. Throughout the period thereafter, during the 1990s and into the new century, the ISI has systematically targeted India. Terrorist groups such as the Lashkar-e-Taiba (LeT), the Jaish-e-Muhammad (JeM), and the Harakat ul-Mujahedeen (HuM) are allegedly operating with the active support of the Pakistan Military and the ISI . These organisations have been active in Kashmir; Al-Qaeda and its affiliatesled by Osama bin Laden and other non-South Asian terrorists are suspected to have found safe haven in the Federally Administered Tribal Areas (FATA). Other foreign militant groups such as the Islamic Movement of Uzbekistan, Islamic Jihad group, the Libyan Islamic Fighters Group and the Eastern Turkistan Islamic Movement are also suspected of being in FATA. Apart from this the Pakistan Taliban has emerged as the biggest threat to stability in Pakistan and the region with its eyes turned towards India.
We face a lot of pressure at home as well. Meghalaya being contiguous to Bangladesh is used as a conduit by many insurgent outfits and the ISI is also suspected to be operating in these areas. The coal belts of the state especially in Jaintia Hills and Garo Hills bear the brunt of influx of outside labourers. With no proper identification procedure and the hurdles in monitoring and verification of the antecedents of immigrants makes it a potentially lethal melting pot. This is also affecting the Export trade where the Border Security Force (BSF) has put a clamp on exports alleging that militants are using the empty returning trucks to bring in arms and cadres. This is a little far fetch but it serves to put brakes on the trade severely affecting the livelihood of the people and the economy of the country.
The implications are therefore not good for India. With the region going into a slow but sustained Nuclear Arms race and with Pakistan augmenting its nuclear arsenal, the rise of terrorism and its institutionalisation does not bode well for stability, peace and democracy. We require informed debate on this matter and consolidated and effective action and cooperation whether in India or the US.
Regards,
Erwin.
30 June 2009
Welcoming private investments as a means of social and economic restructuring
The policy declared for the North East under the Vision 2020 initiative of the
North eastern Council(NEC)is bold and if properly implemented will undoubtedly
give a new lease of life to the region,which till now has been economically backward. However it is also a fact that any proper implementation
will also require private investments. The most viable is
to seek NRI fundings for the region.The salient features of any investment in the region can be based on the following parameters.
Characteristics of Development Investment
At the end of 1991, the Government of India decided to establish Economic liberalisation policies to support and strengthen the overall process of the nation’s economic growth. Today in conformity with the liberalisation of the economy, economic and technological development zones have been established in all the main industrial cities; all the regional states from coastal region to inland, have become the most flourishing economic areas except the NE States . These Economic and Technological Development policy initiatives were also areas with the largest foreign investment and the highest economic growth in India.Read more on this at http://articles.latimes.com/2008/may/29/business/fi-india29.
In view of the need for accelerated growth believe that the future of the region’s Development Area will be more excellent through economic development zones with special supports of Investment finance through NRI/OCB. the main areas of investment are:
Infrastructure
Agriculture,Forestry, Husbandry, Fishery
Metallurgy & Mining Industry
Foodstuff & Light Industry
Service & Agency
High New Science Technology
Petroleum & Chemical Industry
Apparel & Textile
Education & Training
Electronics & Information
Mechanical & Engineering Industry
Medical & Health
Commerce & Restaurant
Information Industry
Environmental Protection
Arts, Crafts, Sports, Office, Supplies
Business and Property Right
Transportation
Building Materials
Finance & Insurance
Places for Renting
Water & Electricity, Energy
Real Estate
Tourism & Recreation
Meghalaya is one of the states that can offer a congenial inestment environment due to its location and accessibility coupled with a more disciplined financial management in the state.
Meghalaya,lies in the heart of the North East is now poised to take its place as an investment destination in the region. In this region, it is the only state which offers an investment climate that is conducive even to foreign investors.
Meghalaya is central to the region, which accounts for its easy accessibility to other capital cities and international gateways, and to potential markets. It is the closest state to Bangladesh, now the industrial and commercial center of southern Asia.
As with its strategic location, Meghalaya also establishes itself as the most progressive state in matters of administration, transparency and accountability. Despite the generally volatile situation in the entire region, it has ensured an environment of peace and stability.
Wealth of Natural Resources, Seat of History and Culture
Meghalaya is home to rare and endangered flora and fauna, including unique geological formations, which never ceases to amaze.
Local traditions have created a rich tapestry of history and culture. These are vibrantly expressed in the music, dance, poetry, crafts, cuisine, in the fiestas; and experienced in the well-preserved heritage structures and sites.
Quality Manpower
The primary asset is its people, with the distinctive quality traits of hospitality, friendliness, dedication to work, industry and self- reliance. Literacy rate is high at 87%, with English as the medium of instruction in education and business. The population includes a highly trainable human resource, making up a dynamic Quality manpower pool to potentially supplement growing technological and enterprise market demands.
Infrastructure Support
Meghalaya is one of the states in the region that has recognized the need to provide necessary infrastructure facilities for a growing population and the increasing demand of commerce and industry. Basic infrastructures like Water and power services have greatly improved. The power projects with capacity for reserved power highlights the focus of the government. The national highways and border roads that link to remote centers have increasingly provided efficient access and transport of people, goods and services.
With the support of NRI finance investments, the state can initiate major development in these sectors without the concern for creation of liabilities and shortage of infrastructure fund. As an overall impact it would enable the capacity to adopt joint venture project between the state Government and private partners ensuring asset creation, revenue generation and increased outflow/inflow of trade and commerce.
Investment Opportunities
Tourism
• Accommodation Facilities
• Health and wellness tourism facilities
• Diagnostic, treatment, rehabilitation and spa facilities
• Retirement villages
• Housing, with integrated facilities an nursing and care-taking, community activities, shopping
• Restaurants / Food outlets
• Nature parks
• Golf course
• Transportation Services
• Other tourism-related services
Agri-business
• High-value crop production
• Aquaculture
• Resource-based agri-processing industries
• Coconut, mango, ube, aquamarine products, and others
• Post-harvest facilities
• Commercial tree farming
IT Services
• Business process outsourcing (BPO)- Non-voice
• Medical transcription
• Legal, financial, engineering and architectural services, etc.
• Manpower training facilities
Light Manufacturing
• Precision assembly / semi-conductors
• Furniture / Furnishings
• Garments
• Farm implements
Services
• Media / Advertising
• Medical services / facilities
• Financial, engineering, architectural services
• Training and sports facilities
Energy
• Development of Indigenous/Renewable Power Source
• Human Resources Development
• Power Generation, transmission and other activities using environment-friendly technologies
Active partnerships with global institutions, non-governmental and grassroots organizations and the private sector are a vital part of developing investment in this state.
What is required is a policy to maintains commitment to local ownership and management. The North East Region of India has a strategic location in the Asian trade and commerce sector and this asset has to be transformed into one of the major business destinations for the ASEAN communities.
In short the time has come when the overview of the economy has to be linked to acceleration of private investment and the most viable and non debt creating mechanism is that of foreign investments especially from NRI sources who have a commitment to building India's economy. For too long we have neen ignored and the time has come for us to take our rightful place in the world by opening our doors to friends who are willing to help,
Regards,
Erwin
North eastern Council(NEC)is bold and if properly implemented will undoubtedly
give a new lease of life to the region,which till now has been economically backward. However it is also a fact that any proper implementation
will also require private investments. The most viable is
to seek NRI fundings for the region.The salient features of any investment in the region can be based on the following parameters.
Characteristics of Development Investment
At the end of 1991, the Government of India decided to establish Economic liberalisation policies to support and strengthen the overall process of the nation’s economic growth. Today in conformity with the liberalisation of the economy, economic and technological development zones have been established in all the main industrial cities; all the regional states from coastal region to inland, have become the most flourishing economic areas except the NE States . These Economic and Technological Development policy initiatives were also areas with the largest foreign investment and the highest economic growth in India.Read more on this at http://articles.latimes.com/2008/may/29/business/fi-india29.
In view of the need for accelerated growth believe that the future of the region’s Development Area will be more excellent through economic development zones with special supports of Investment finance through NRI/OCB. the main areas of investment are:
Infrastructure
Agriculture,Forestry, Husbandry, Fishery
Metallurgy & Mining Industry
Foodstuff & Light Industry
Service & Agency
High New Science Technology
Petroleum & Chemical Industry
Apparel & Textile
Education & Training
Electronics & Information
Mechanical & Engineering Industry
Medical & Health
Commerce & Restaurant
Information Industry
Environmental Protection
Arts, Crafts, Sports, Office, Supplies
Business and Property Right
Transportation
Building Materials
Finance & Insurance
Places for Renting
Water & Electricity, Energy
Real Estate
Tourism & Recreation
Meghalaya is one of the states that can offer a congenial inestment environment due to its location and accessibility coupled with a more disciplined financial management in the state.
Meghalaya,lies in the heart of the North East is now poised to take its place as an investment destination in the region. In this region, it is the only state which offers an investment climate that is conducive even to foreign investors.
Meghalaya is central to the region, which accounts for its easy accessibility to other capital cities and international gateways, and to potential markets. It is the closest state to Bangladesh, now the industrial and commercial center of southern Asia.
As with its strategic location, Meghalaya also establishes itself as the most progressive state in matters of administration, transparency and accountability. Despite the generally volatile situation in the entire region, it has ensured an environment of peace and stability.
Wealth of Natural Resources, Seat of History and Culture
Meghalaya is home to rare and endangered flora and fauna, including unique geological formations, which never ceases to amaze.
Local traditions have created a rich tapestry of history and culture. These are vibrantly expressed in the music, dance, poetry, crafts, cuisine, in the fiestas; and experienced in the well-preserved heritage structures and sites.
Quality Manpower
The primary asset is its people, with the distinctive quality traits of hospitality, friendliness, dedication to work, industry and self- reliance. Literacy rate is high at 87%, with English as the medium of instruction in education and business. The population includes a highly trainable human resource, making up a dynamic Quality manpower pool to potentially supplement growing technological and enterprise market demands.
Infrastructure Support
Meghalaya is one of the states in the region that has recognized the need to provide necessary infrastructure facilities for a growing population and the increasing demand of commerce and industry. Basic infrastructures like Water and power services have greatly improved. The power projects with capacity for reserved power highlights the focus of the government. The national highways and border roads that link to remote centers have increasingly provided efficient access and transport of people, goods and services.
With the support of NRI finance investments, the state can initiate major development in these sectors without the concern for creation of liabilities and shortage of infrastructure fund. As an overall impact it would enable the capacity to adopt joint venture project between the state Government and private partners ensuring asset creation, revenue generation and increased outflow/inflow of trade and commerce.
Investment Opportunities
Tourism
• Accommodation Facilities
• Health and wellness tourism facilities
• Diagnostic, treatment, rehabilitation and spa facilities
• Retirement villages
• Housing, with integrated facilities an nursing and care-taking, community activities, shopping
• Restaurants / Food outlets
• Nature parks
• Golf course
• Transportation Services
• Other tourism-related services
Agri-business
• High-value crop production
• Aquaculture
• Resource-based agri-processing industries
• Coconut, mango, ube, aquamarine products, and others
• Post-harvest facilities
• Commercial tree farming
IT Services
• Business process outsourcing (BPO)- Non-voice
• Medical transcription
• Legal, financial, engineering and architectural services, etc.
• Manpower training facilities
Light Manufacturing
• Precision assembly / semi-conductors
• Furniture / Furnishings
• Garments
• Farm implements
Services
• Media / Advertising
• Medical services / facilities
• Financial, engineering, architectural services
• Training and sports facilities
Energy
• Development of Indigenous/Renewable Power Source
• Human Resources Development
• Power Generation, transmission and other activities using environment-friendly technologies
Active partnerships with global institutions, non-governmental and grassroots organizations and the private sector are a vital part of developing investment in this state.
What is required is a policy to maintains commitment to local ownership and management. The North East Region of India has a strategic location in the Asian trade and commerce sector and this asset has to be transformed into one of the major business destinations for the ASEAN communities.
In short the time has come when the overview of the economy has to be linked to acceleration of private investment and the most viable and non debt creating mechanism is that of foreign investments especially from NRI sources who have a commitment to building India's economy. For too long we have neen ignored and the time has come for us to take our rightful place in the world by opening our doors to friends who are willing to help,
Regards,
Erwin
29 June 2009
The return of the curse of ancient diseases
The plagues and ails of humanity are many. We are passing through a phase when supposedly ancient diseases are now rearing their heads again to haunt and torment us. Malaria is one of the killer diseases that were thought to have been wiped out around the middle of the twentieth century. However we have found that malaria today is a killer disease which is affecting the life and the survival of people in many parts of the state of Meghalaya. The disease has become resistant and new strains have developed which are in the main resistant to many of the drugs prescribed for curing the more traditional forms of malaria. Once upon a time it was thought that malaria was prevalent only in swampy areas infested with brackish water and mosquitoes. The disease has mutated into many forms which have placed a strained on the resources of the state department which is trying its level best to combat the new forms of afflictions. In order to effectively combat the growing pandemic nature of the spread of malaria, people have to be made aware of how to take care of themselves especially when hold families are suffering from this debilitating disease. The pathetic state and condition of health care in the rural areas leaves much to be desired and if we are to deliver an improved health care service to the people many of whom are poor and needy, then many changes have to be brought about in the administration of health care in this state of ours.
However, a more serious concern is in relation to the rise and return of tuberculosis (TB) or what is commonly known as consumption as a disease which is silent, deadly and a killer if proper care is not taken by those stricken by it and by government agencies. This disease is one of mankind’s greatest scourges. The disease can remain dormant for a very long time before manifesting itself and ravaging the human body. Children in particular are very very susceptible. The germ causing TB, the bacteria Mycobacterium tuberculosis is the main cause of T. B. in human beings. The germ can be trapped in human tissue, surrounded by defensive cells, breeds and finally scaled up as a hard calcified nodule can be seen by X-Ray. The main areas of the human body which are affected are the lungs and stomach. In order to cure this disease, heavy doses of antibiotics are needed and one of the most effective today is the AKT series from Lupine who are the pioneer company in the development of anti tuberculosis drugs. Apart from the above form of this disease, tuberculosis also attacks the bones, a vindictive manifestation especially if the spine is affected which is called Koch’s or Pott’s Spine. I have a firsthand experience of this manifestation because my wife has been afflicted with this form of the disease. The disease is so vindictive that the effect on the spine could only be rectified by major surgery and now she has been bedridden for almost two and a half years. Thank God she’s now up and about.The tubercle bacillus spreads from the primary area of infection, moves into the bloodstream and gets deposited in the bones. It may take years for the disease to manifest itself. The recuperation is long and arduous. As it has been my experience the germ also becomes resistant and requires a regimen of more antibiotics, a generous and sustained dose of tender loving care and proper nutrition. My dear wife had to fight and both mind and body were put to the extreme test not to speak of us at home who had to support and share in her pain. I want to warn people that the germ, Mycobacterium tuberculosis is not the only strain that can infect humans. The strain found in cattle especially dairy cows, the bovine bacillus can also attack us if the milk is not properly boiled or pasteurized. The condition and system of rearing dairy cows in and around the city of Shillong testifies to the potential breeding grounds for TB and other diseases. This is a matter that can no longer be ignored given the rising cases of TB everywhere whether it is the rural or urban areas.
Children are very susceptible to the disease. In many cases they develop immunity to TB but time and again the germ may spread to vital organs especially the meninges or covering of the brain where it causes tuberculosis meningitis. The primary cause would be severe exposure to the tubercle bacilli through inhalation or a lowered body resistance due to malnutrition. This is where my primary concern lies. Government action has to be directed towards building up a support system for children in villages in the rural areas in order for them to get proper nutrition. A small help would be to control the rise of prices of food item especially eggs, meat and fruits. Apart from this the efforts being made by the Social Welfare Department, the Education Department and the Health Department should be coordinated by maybe even creating a special task force comprising of these three departments to tackle lowered resistance of rural children as well the poor in the urban areas. The form of the disease in adults is different. The source of the infection however may be traced many times over to infection during childhood which may be a reactivation of the earlier primary infection of the disease or a new and heavier infection. But what cannot be ignored is the need to build up the resistance of the human body. The availability of free vitamins and other supplements would go a long way to solve the problem.
At the end I have to be true to my profession and here again I reiterate the need for an action plan at the political level. Political parties can play an important role in educating the people to take necessary precautions. Signs of infection like frequent bouts of temperature, listlessness in children, strange aches and pains should be brought to the notice of a doctor. A simple test, the Mantoux test will correctly ascertain if the infection is TB. A blood test for the malaria parasite will help identify the root cause so that proper medicines can be administered. A dedicated and trained party cadre will really help government tackle the menace of these ancient but returning and rising diseases.If NGOs and political parties as well village authorities get together, then many of our problems can be tackled in a cooperative and effective way.
However, a more serious concern is in relation to the rise and return of tuberculosis (TB) or what is commonly known as consumption as a disease which is silent, deadly and a killer if proper care is not taken by those stricken by it and by government agencies. This disease is one of mankind’s greatest scourges. The disease can remain dormant for a very long time before manifesting itself and ravaging the human body. Children in particular are very very susceptible. The germ causing TB, the bacteria Mycobacterium tuberculosis is the main cause of T. B. in human beings. The germ can be trapped in human tissue, surrounded by defensive cells, breeds and finally scaled up as a hard calcified nodule can be seen by X-Ray. The main areas of the human body which are affected are the lungs and stomach. In order to cure this disease, heavy doses of antibiotics are needed and one of the most effective today is the AKT series from Lupine who are the pioneer company in the development of anti tuberculosis drugs. Apart from the above form of this disease, tuberculosis also attacks the bones, a vindictive manifestation especially if the spine is affected which is called Koch’s or Pott’s Spine. I have a firsthand experience of this manifestation because my wife has been afflicted with this form of the disease. The disease is so vindictive that the effect on the spine could only be rectified by major surgery and now she has been bedridden for almost two and a half years. Thank God she’s now up and about.The tubercle bacillus spreads from the primary area of infection, moves into the bloodstream and gets deposited in the bones. It may take years for the disease to manifest itself. The recuperation is long and arduous. As it has been my experience the germ also becomes resistant and requires a regimen of more antibiotics, a generous and sustained dose of tender loving care and proper nutrition. My dear wife had to fight and both mind and body were put to the extreme test not to speak of us at home who had to support and share in her pain. I want to warn people that the germ, Mycobacterium tuberculosis is not the only strain that can infect humans. The strain found in cattle especially dairy cows, the bovine bacillus can also attack us if the milk is not properly boiled or pasteurized. The condition and system of rearing dairy cows in and around the city of Shillong testifies to the potential breeding grounds for TB and other diseases. This is a matter that can no longer be ignored given the rising cases of TB everywhere whether it is the rural or urban areas.
Children are very susceptible to the disease. In many cases they develop immunity to TB but time and again the germ may spread to vital organs especially the meninges or covering of the brain where it causes tuberculosis meningitis. The primary cause would be severe exposure to the tubercle bacilli through inhalation or a lowered body resistance due to malnutrition. This is where my primary concern lies. Government action has to be directed towards building up a support system for children in villages in the rural areas in order for them to get proper nutrition. A small help would be to control the rise of prices of food item especially eggs, meat and fruits. Apart from this the efforts being made by the Social Welfare Department, the Education Department and the Health Department should be coordinated by maybe even creating a special task force comprising of these three departments to tackle lowered resistance of rural children as well the poor in the urban areas. The form of the disease in adults is different. The source of the infection however may be traced many times over to infection during childhood which may be a reactivation of the earlier primary infection of the disease or a new and heavier infection. But what cannot be ignored is the need to build up the resistance of the human body. The availability of free vitamins and other supplements would go a long way to solve the problem.
At the end I have to be true to my profession and here again I reiterate the need for an action plan at the political level. Political parties can play an important role in educating the people to take necessary precautions. Signs of infection like frequent bouts of temperature, listlessness in children, strange aches and pains should be brought to the notice of a doctor. A simple test, the Mantoux test will correctly ascertain if the infection is TB. A blood test for the malaria parasite will help identify the root cause so that proper medicines can be administered. A dedicated and trained party cadre will really help government tackle the menace of these ancient but returning and rising diseases.If NGOs and political parties as well village authorities get together, then many of our problems can be tackled in a cooperative and effective way.
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