Summer Holiday!

This year during my daughter’s summer school break, we visited my parents in Kolkata, a city in the East of India. We were visiting the city after a gap of 4 years and were pleasantly surprised how much it has changed in the few years. For one, the city looks much cleaner and greener. The roads are wider and the parks near my parents home have been given a ‘facelift’ with fancy park benches, sculptors and lovely landscaping. The streets have decorative lamps and a lot is being done in terms of connecting the ends of the city through subways and roads. Kolkata reminds me of my own childhood, where my parents used to take me for every summer vacation. It reminds me of my grandmother’s home, where the kids used to have their fill of sweet juicy mangoes, tart tamarinds or homemade rice wafers during the lazy afternoons, while the adults religiously took their afternoon siestas. Kolkata is also the city where my father took me to see my first museums, planetarium and zoo.

This year, my dad took my daughter to visit some places in the city. I also realized (with a slight jealous pang) that my dad may well be my daughter’s favorite person on this planet. Unlike other cities of India where I grew up or worked, Kolkata is very unique in many ways. Everything can peacefully co exist in this city. Like the buildings from the 1800s and high rises, that may be neighbors and yet have managed to keep their places. From the first Chinese colonies in India to Armenian and Jewish heritage, people of every race, ethnicity, qualification, can find a place to co-exist here.

No wonder I liked New York City during the two years I spent there. It reminded me so much about India and particularly Kolkata. The sea of people of all races, the street carts selling gyros, dosas, biryani and the most wonderful Jackson Heights. With its rows of Pakistani, Bangladeshi and Indian shops. In NYC, I also sampled international cuisines to my heart’s content. I think my heart is tied between a pho and a sushi, but still, I cannot turn down a warm toasty bagel with spinach cheese spread or a soft pretzel with apple almond dip!

The small street side independently owned shops in NYC are very similar to those in Kolkata. In Kolkata, people from different ethnicities have bonded well over food via their will to extend the boundaries of their cuisines, by way of flexibilities or through experimentation. I had my fill of traditional Bengali vegetables which I cannot cook or are unavailable in my city. One of my delectable is unripe green figs, which can be cooked with potatoes in tomato garlic gravy. I was fortunate enough that the lady who helps my mother at home brought us some young figs from her fig tree. Another dish that most Bengalis have tasted is a paste of Taro stems with fresh coconut. Traditional recipes that require more effort to cook are slowly being wiped out from our daily lives, but in Kolkata, many restaurants have begun to spring up which promise food from yesteryears which are now being replaced at home by quick fixes.

A book that I own named ‘The Calcutta Cookbook’ by Minakshi Dasgupta is quite a favorite and it covers recipes beyond all ethnicities that have now added to the Kolkata heritage. This year I had my fill of sweet mangoes and juicy litchis too. Of the 30 varieties of Mangoes available in India, Himsagar is my favourite. It is very sweet and has more flesh than other varieties. It is available only for 4 weeks in Kolkata, just like the litchis. The production of Himsagar is small, but to the Kolkata dweller, one Himsagar a day is a must while it is in season.

Below is a list of a few videos of Kolkata from the view point of a foodie-

https://www.youtube.com/watch?v=LLeEK2YjC4Y

https://www.youtube.com/watch?v=saIU-ahpsdE

https://www.youtube.com/watch?v=KHiLQYwZ0jo

https://www.youtube.com/watch?v=AJblfGmlsE4

https://www.youtube.com/watch?v=2KBXfV9NsGg

 

Mother’s day- How do we save our mothers?

We have recently celebrated the woman who has helped us cope with life not only during our childhood, but also adulthood. We showed our appreciation to the superwoman, who shields us from everything that could cause us pain, and sometimes, to our embarrassment and sometimes joy, tries to guard us even when we are supposed to have found our own footing in the big world outside home. She is universally revered across cultures, religions, countries or the n number of divisions we have made to segregate ourselves.

But something isn’t right. Why are our mothers dying and why haven’t we been able to curtail this, even in 2017?  Maternal death is a serious issue especially in developing countries. Although we have brought down global maternal mortality by 47% since the 90s, as per the World Health Organization (WHO), about 830 women die due to pregnancy/delivery related problems around the world each day. These are mostly preventable. 99% of these deaths occur in the developing countries.  The odds of a 15 year old dying due to pregnancy/delivery related issue in developed countries is 1 in 4,990. In the developing nations, it is 1 in 180. Sadly most of these deaths occur due to reasons that are within our control.

Severe blood loss during pregnancy and post delivery is the main reason, followed closely by infections. In most cases of severe hemorrhage, injections of Oxytocin are enough to slow down blood loss. The many reasons for maternal death are health inequities, aka, basic services are not available to those who cannot pay for care. Distance to the nearest health care facility, availability of medicines in the facility, inadequate services are also key reasons adding up to the issue. A UNICEF led project in 6 states in India based on verbal autopsy of family members and community members of mothers who had lost their lives during child delivery, showed that cost for transport to the nearest health facility, literacy level of the mother, community awareness were leading cause of maternal deaths.

Personally I find the lack of awareness and non adherence to hygienic practices during childbirth and subsequent death of mothers due to infections, is most unsettling. Sepsis is a major problem, both in maternal as well as neonatal death. These defy all norms for extent of negligence. Additionally, through our incessant use of antibiotics we have successfully created microbes which are now resistant to most drugs, hence can easily compromise an infected mother and her newborn.

The WHO has recently adopted a resolution on sepsis that urges member nations to be more cognizant regarding causes, prevention and treatment of sepsis and tighten policies and regulations of activities leading to Antimicrobial resistance (AMR), to develop AMR stewardship activities and strengthen hygienic practices, clean childbirth practices and improvement in sanitation and nutrition.

Some of the basic things that we could do at our levels would be to create awareness amongst everyone we come in contact with. Every time we visit a clinic or a hospital, we could inquire about guidelines followed in infection management, waste management and AMR. We could also remind the health practitioners about hand hygiene and seek their advice in ways to prevent infections at our homes.

Every family needs a mother and every mother deserves a good healthy life, especially one that can be met by a few prevention steps

 

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Summer or Simmer!

It is hot in my city, absolutely scorching and I miss my walks through the office garden. I feel my skin burn everytime I have to be in the open and the tap waters are perpetually hot, be it early morning or late evening. This dry kind of heat penetrates my soul and dehydrates it to the core. I am snappy and irritating to be around and always dreaming of ice creams and popsicles, so yes, when I am in office meetings, I am really not listening, my notes are usually full of doodles of ice cream cones and faces transform to chocolaty glaciers. I am not used to extreme temperatures and every summer, I suffer a heat stroke. My family members have gently advised me that it’s only a state of mind; that I need to shut myself off to the surrounding heat. Is that really possible? Would imagining myself in an igloo solve the problem? I don’t think so. The constant ice cream images dont help either.

And I am humbled by everyone who has to work outdoors during this peak heat, especially those indulging in physical labor. Yesterday, my daughter’s homework (she is in grade III) was on interviewing the person who cooks at home and find out their struggles and how she could support them in their work.

I had tried pushing myself as the cook at home, as a potential interviewee, which she quickly ‘shooed’ away as ‘you are not the official cook, only the weekender experimenter’ and I clearly heard the Thank God! in her expressions that the household did not have to bear my recipes during most of the week. Instead she interviewed Manju who makes dinner for us at home every night. Manju is the representative of a quintessential Indian support system for working mothers like me. I am only blessed to give her full independence of my kitchen on weekdays, so that I don’t have another ‘to do’ item on my never ending list. And gratefully, my daughter likes Manju’s culinary skills, so I am fine with it too.

Manju was very amused with my daugther’s questions and it came as no surprise that her main struggle was to tolerate the kitchen heat, the hot stoves in the several households she sustains with the food she makes everyday. As to the support she requires from my daughter, it was a measly glass of cold drinking water after her chore at our home. Even though Manju and I share ups and downs in our otherwise healthy relationship, my appreciation and respect for her and for all those champion support system reps like her, did increase after yesterday. It also helped my daughter be more cognizant about everyone around. Though she is a better and far more empathetic person than I am and I hope this trait stays with her as she grows older.

As a public health research enthusiast, I am glad that several cities have a ‘heat action plan’ this year and are attempting to generate awareness amongst community on ways to beat the heat, in addition to capacity build care givers on responding to heat related illness.

Temperature tolerating clothing based on chemical and electrical principals is also in the market. These can bear extreme temperature shifts and are suitable both for cold and hot weather. Some of these are being tested in soldiers who are posted at extreme weather conditions. I look forward to a day when cheaper versions can be worn by construction workers, road repair men, community care givers and the Manjus at every home. Here’s to innovations for community health and to a safe summer everyone!

One health- isn’t it a bit late for that?

While discussing a school assignment on different birds with my second grader, we watched videos of humming bird drawing out honey from flowers and weaver birds weaving artful nests. I also told her about the first time I had seen green pigeons. A pair of these green birds had made a nest close to my window and I had watched over them for a couple of months, till two young little birds were added on their family and then the four had flown away together… on their onward journey. There is something satisfying in bird watching and the way they conduct themselves. Unlike any other member of the animal kingdom, birds are perhaps the most sober and dignified and sometimes great entertainment!

The assignment also had a question regarding which birds had her parents seen when they were young and were rarely seen nowadays. When I was growing up in my grandmother’s house, we were often surrounded by sparrows and sometimes a couple of cawing crows. I don’t see sparrows anymore, especially in the cities I have lived as an adult. I tried finding some data on sparrows, unfortunately there is not a lot of research done on them. Their numbers are low and the ones who made it have migrated to greener, less polluted suburbs and villages. Two things caught my eye in the past week. The term ‘one health’ which really means to have everyone who deals with human, animal and environment health on one platform. Since 60% of diseases in man have some sort of origin in animals and since in turn, man has contributed to effectively denude the environment off more than 60% of its resources, now man has decided that we should all work together if we are to save ourselves from animals and the depleting environment. This is the big health jargon of 2017 that will be used over and over on all research applications, debates and talks this year and perhaps till we move on to something more ‘in’.

The CDC page on One Health, mentions “One health recognizes that the health of people is connected to the health of animals and the environment (www.cdc.gov/onehealth/)”. Isn’t it funny that it took us till 2017 to recognize that our health is connected to other beings around us? The real reason is perhaps that as researchers, we have all built our silos of working with our own folks with our own perceptions, like a medical professional may not be seen as a talented basic researcher, a  PhD is seen to be focused only on their bench work and not understand diseases, and veterinarians, well they have been completely dismissed from participating in any ‘serious research’ related platforms. As researchers, we have let our insecurities and sometimes dire selfishness keep us from sharing our results, collaborating and even talking openly about our interesting findings. When we cannot build bridges across our own fraternity, how will we come together on an unified ‘one health’ platform and work together to better our environment?

And why veterinarians alone? We should also partner with anthropologists who learn from living with communities who are closer to nature. The indigenous tribesmen of any country have been practicing living in harmony with nature for as long as the human civilization. We should perhaps seek our ‘one health’ answers from them.

The other item that I found interesting was that telomeres seem to grow longer in space. Isn’t it interesting that telomere which dictate ageing in an individual, grow longer in space? Was the incident a one off, or was it due to space being untouched by pollution, untouched by man as yet? Anyways, since we haven’t been able to find another earth to call our home yet, we should like our own spiritual growth, ‘look inwards’.

Would one health change our perceptions about working with each other for a better world?….only time will tell. Till then, I hope someone somewhere works on sparrows and  brings them back to my neighborhood!

 

 

RIP Ms Fisher

Our childhood is often hinged on special fictional characters that have an impact on our imagination as we grow up. Sherlock Holmes, Feluda, Jo from Louisa Alcott’s Little Women, Jupiter Jones are some familiar with mine. However, of all, Princess Leia by far had the strongest impression and even today there are moments when the Start Wars characters help me smile. My first Star Wars movie was the Return of the Jedi, which I watched in the late 80s with a group of neighborhood friends in our homely defence camp movie theater, aptly named ‘Manoranjan’ (Hindi for entertainment). For the cheapest movie tickets in town and the no frills, no balcony, close to home experience, it was a real treat to sit back relax in a familiar audience setting and lose ourselves to the world of imagination. Although it would be the last movie hall on this planet to show any particular film, sometimes after 3-4 years of its release, we still loved to watch movies in Manoranjan.

Since the 80s, I have watched the Return of the Jedi at different time points in my life and like a good book, it has been a new experience, a new understanding, each time. This particular movie was no less than any Bollywood high grosser. It had action, emotion, a great plot and lots of comedy (also a great background score). What’s not to like in a strong woman, a nation’s decision maker, fighting for her nation? Add to it a personal dimension of a lost and found brother, a controversial father and George Lucas’s exemplary project execution and of course Han Solo’s crooked charm!

Princess Leia had great leadership qualities and was skilled at rational persuasion. She was liked by all forms of creatures in the movie and her empathy bonded her people together. I also liked that Lucas had not made her out a superwoman with super powers; rather he stuck with her as a more human self, with normal physical limits, albeit with an active, thinking mind and expert in handling arms. I almost named my daughter Leia and I do hope mine outgrows her fascination with everything Barbie and takes notice of fictional characters that have strong individualism who do not rely on certain ways of physical appearance or a wardrobe filled with pink or fuchsia colored apparel, to lead a healthy, happy life.

As another year flies past, I hope 2017 will be a year for great books, great science, great movies and great examples of world peace. As every country moves towards a more nationalistic way of thinking, they don’t exit from international collaboration. Would I ever be able to watch Star Wars, sitting in a small movie theater in an Indian city without some form of international collaboration? And wouldn’t it be a form of foolishness not to invest in a global market, for any type of business?

But coming back to the Return of the Jedi, and although I am saddened at Ms Fisher’s untimely and sad demise, her portrayal of Princess Leia will live on till the end of time and hopefully, continue to inspire many more to come.

Sribble, Srabble….

Journey Home….

Tiny feet, tiny toes, delicate fingers, dot for a nose

Curly locs, cutest smile, brownest eyes with specks of starlight

While you sleep on my lap, sighing sometimes, without a care,

I wonder if you will find my home, to your liking, worth your share

Would you accept me as your mother, my darling little pixie glow?

For I have always known you are the one, from where I came and where I go

We have woven our dreams together in the past, with threads of hope, with desires to last

And even though I haven’t nourished you with my blood and with my health

I will raise you, as mine, with all my soul and all my strength.

But while you sleep on my lap, sighing sometimes, without a care,

I wonder if you will find my home, to your liking, worth your share….

-M

……………………………………………………………………………………………….

You are seven

This year you are seven and soon you will touch eleven,

and then a fine woman you will be, with truth in your step and courage in your hair

through all this though, I wish you joy, for a life that matters, a life that cares

and through it all, I wish you love, a love fulfilling, a love with dreams, with hopes to share

and most of all I wish for you, a life without a hint of pain

For all the pain should end with me, all hardships I am ready to gain

May the sadness in my eyes, never touch your sacred space

For you my darling pixie glow, may only laughter and tenderness remain!

-M