AES lens on Gaya now as 3 kids die

Source: hindustantimes.com

Acute Encephalitis Syndrome (AES), the mystery disease that has claimed lives of 156 children across Bihar so far, has claimed four more lives during the last 24 hours, taking the toll to 160, health officials said.

While one child died at the Muzaffarpur’s Sri Krishna Medical College Hospital (SKMCH), the rest three succumbed to their ailment at Gaya’s Anugrah Narayan Magadh Medical College and Hospital (ANMCH).

Spread of AES from the state’s north to south is a matter of serious concern for the health department, which is already under fire for failing to contain AES deaths as the disease has been recurring every year during the extreme summer and causing much devastation.

Chief minister Nitish Kumar, while expressing serious concern over the death in the state assembly two days back, had said that experts from across India and even US had come up conflicting and incomplete findings on causes that lead to AES among children in Bihar.

ANMCH officials said at least six children were brought to the hospital, of which four showed AES symptoms while two were brought dead in the last 24 hours. The deceased, who were referred by primary health centres, were being treated for AES, official said.

Another one died on way to Patna.

Officials said that rest three patients of suspected AES are still undergoing treatment at the ANMCH and their conditions are said to be stable.

ANMCH superintendent Dr Vijay Krishna Prasad said blood samples of all the patients had been sent to the Rajendra Medical Research Institute in Patna for laboratory tests to ascertain the type of the disease. “At present, we have identified symptoms of Japanese encephalitis and AES, but the same can be confirmed only after the RMRI tests. We can just call it suspected encephalitis cases,” the ANMCH superintendent said.

He, however, said that the medical college is well equipped to counter the menace. “We have already created 30-bed ICU attached to the paediatric ward for AES patients. Besides, we have adequate medicines and experts to handle such cases,” the superintendent said.

Since JES generally strikes in a big way after the first showers across the Magadh division, the health department had earlier chalked out strategy to combat the situation. “There would no Muzaffarpur-like situation here as we are on high alert and patients are being promptly attended upon,” a health department official said.

“The Bihar government has announced Rs 50,000 compensation to the families that have lost their kids to AES. We are now preparing the patients’ records,” the superintendent said.

Meanwhile in Muzaffarpur, the epicentre of the disease, 24 AES afflicted children are currently undergoing treatment at the SKMCH while one is being treated at the Kejriwal Maternity Clinic.

AES in Bihar: Providing all support to contain it, Centre tells SC

Source: business-standard.com

The Centre told the Supreme Court Wednesday that it was proactively providing all support to Bihar in containing and managing Acute Encephalitis Syndrome (AES) in which more than children have died.

In an affidavit filed on a plea seeking measures for containment of the disease, the Centre said Union Health Minister Harsh Vardhan had visited Bihar on June 16, to review the situation in Muzaffarpur.

It said that after the visit several decisions were taken including construction of a 100 bed Paediatric Intensive Care Unit (ICU) at SKMCH hospital in Muzaffarpur by the state government in one years from the funds of National Health Mission (NHM).

“The land for the same (100-bed Paediatric ICU) is available in the premise of the SKMCH hospital and will be provided by the state,” the affidavit said.

It said a decision has been taken to set up five virology labs in different districts of the state from the NHM funds and the location of the districts will be decided in consultation with the state government.

Detailing further decisions taken, the Centre said: “In the adjoining districts, 10-bed Paediatric ICUs to be setup so that such cases can be treated early and there is no unnecessary load on the facilities available at SKMCH. Funds for this are to be provided through NHM.”

The ministry said that to enable early detection and treatment of the hypoglycemia cases, a dedicated team of doctors will be placed in endemic Primary Health Centres with required facilities, at least for three-four months before and during expected onset of disease.

“As for present, the concerned PHCs and CHCs (Community Health Centres) should take prompt corrective measures for hypoglycemia at the facility itself to utilize the golden hour”, the affidavit said.

It said that a Super Speciality Block is being constructed at SKMCH hospital, Muzaffarpur and it would start functioning by first week of December.

Besides these steps, the affidavit said that Ministry of Earth Sciences has been requested to upgrade its IMD Observatory facility for improved monitoring of climate related parameters such as temperature humidity, rainfall and share it with the state government for better preparedness and management of AES.

It said the minister has decided to constitute inter-disciplinary, high quality research team for ascertaining the case of AES with specific reference to Muzaffarpur.

“The vacant positions of district epidemiologist and entomologist in Muzaffarpur to be filled up immediately by the state government,” the health ministry said added that health is a state subject as per the Constitutional provisions.

The apex court is hearing a petition filed by advocate Manohar Pratap who has said that he was deeply “pained and saddened” by the deaths of more than 126 children, mostly in the age group of one to 10 years, in Bihar due to AES.

Besides Centre, the apex court had also asked Bihar government to file its response on the issue.

In a shocking revelation about medical care facilities in Bihar, which is facing an outbreak of acute encephalitis syndrome, the state government Tuesday told the Supreme Court that there are only 5,205 doctors in government-run health centres against the sanctioned strength of 12,206.

The state government, in an affidavit filed in the apex court, said that only 5,634 nurses were there in government run hospitals and health centres against sanctioned strength of 19,155.

The court had on June 24 directed the state to apprise it about the status of public medical care facilities, nutrition and sanitation within a week in view of deaths of over 100 children in Muzaffarpur due to the outbreak of AES.

Regarding AES cases, the state government said 824 cases have been reported and the number of deaths was 157.

It, however, said that it was not known whether 24 deaths out of 215 cases were due to AES.

“State of Bihar had already taken all possible steps to prevent the spread of the disease by providing additional medical facilities at the affected region, public awareness campaign at the village level, involving various agencies to assist the government etc,” it said.

Symptoms of AES include high fever, convulsions and extremely low blood sugar levels. Among the factors said to trigger the syndrome are malnutrition.

There were more than 44,000 cases and nearly 6,000 deaths from encephalitis in India between 2008 and 2014, said a 2017 study published in The Indian Journal of Medical Research (IJMR).

Researchers said the patients often report acute onset of fever and altered consciousness, with a rapidly deteriorating clinical course, leading to death within hours.

Litchis grown in Muzaffarpur, the country’s largest litchi cultivation region, are said to contain a toxin which can cause a drop in blood sugar levels if consumed by a malnourished child.

‘Nation Responsible for Dying Kids in Bihar, Time For Child Survival Policy That Fixes Accountability’

Source: news18.com

New Delhi: With over 100 children dead due to Encephalitis in Bihar since June 2019, the biggest question that remains to be answered is who is to be held responsible?

“Children, obviously, cannot be held responsible for either ‘bringing’ or ‘allowing’ their death. So, there are two parties that could be held responsible – the State (including public health care system) and parents/guardians,” says Ali Mehdi, senior fellow of Health Policy Initiative at Indian Council for Research on International Economic Relations (ICRIER).

“By State, with a capital S, I do not exclusively mean the present state or Central government, but we as a nation. Present governments in state and Centre should accept their shares of responsibility, but we as a nation are primarily responsible for the pattern of child deaths in the country,” he adds.

Every year, Acute Encephalitis Syndrome (AES) or Chamki fever returns to haunt one of India’s poorest and most malnourished states, Bihar, leaving hundreds of children dead and others with permanent neurological damage.

From litchi to heat wave, various factors have been pointed out as the cause behind the deaths. However, one thing that gets consistently overlooked is the fact that it is a collective failure.

“Even if the role of the State was limited to tackling the shortfall in parental capability to save their children, most child deaths would still be the responsibility of the State since most parents would have done their best, as they deem fit, to keep their children alive,” says Mehdi.

“Every preventable child death is unjust, and the State is responsible for it… it is a collective failure,” he adds.

The recent AES outbreak also brought back to spotlight the public healthcare system in Bihar, which is struggling with poor infrastructure, shortage of manpower and administrative failure.

The situation is so bad that National Human Rights Commission (NHRC) was forced to send a notice to the Union Health Ministry and Bihar government over the rising number of children dying due to AES.

But can the public health care system be blamed for this medical crisis? “With efficient and equitable health systems and doctors, especially at the primary health care level, many deaths could have been prevented.

However, the challenges which surround it are reflective of the challenges of ‘structural’ causes,” says Mehdi, adding that blaming the medical system alone would be ‘unfair’ as it’s a ‘systemic failure’ of the Indian State.

Going by the magnitude of the AES outbreak, which returns every year during summers, there’s a desperate need for concrete steps to save children from this deadly disease.

“Given the endemic nature of child mortality in India – it has been the world’s largest contributor to child deaths since 1953 – it is high time for India to have a National Child Survival Policy with clearly delineated responsibilities,” Mehdi stresses.

He believes that there is a need to fix responsibility for child survival in the constitution for things to change in “any major way”.

“A ‘New India’ has to shed its world leader status in backwardness. And that has to begin with the humble acknowledgment of the challenge itself – nationalist chest-thumping isn’t going to help save lives or reduce poverty in the country,” Mehdi adds.

Every child deserves to lead a reasonably long, healthy and productive life to be able to realise their full potential, and for that, “shots of vaccinations would not be enough – children deserve a shot of justice to survive.”

“The Central and state governments have to stand up and assume responsibility for children’s survival and development up to a particular age at least. This should be included in the Constitution and a national policy be developed,”Mehdi says.

He goes on to add that people should be allowed to take the governments to court over harm to their own / children’s health and survival due to defined structural factors, such as air pollution, lack of sanitation and inadequate nutrition.

In addition to framing clear national policy for child survival, Mehdi says Indian health care system needs an urgent overhaul.

Some of the changes Mehdi recommends include developing ‘public health cadre to address social determinants of health’ (The Mudaliar Committee of 1959 recommended an ‘All India Medical Service cadre along the lines of the Indian Administrative Service (IAS)), ‘sustainable financing’ mechanisms to address child deaths and malnutrition, more ASHA / ANM level workers to tackle the problem at the local level, as well as a strong regulatory mechanism for private health services and price control on medicines.

In the end, shifting the blame on the state vs central government won’t serve the purpose unless “we as citizens, as a nation have to stand up and own responsibility.”

Bihar’s affidavit in SC depicts poor state of healthcare facilities in state

Source: business-standard.com

In a shocking revelation about medical care facilities in Bihar, which is facing an outbreak of acute encephalitis syndrome, the state government Tuesday told the Supreme Court that there are only 5,205 doctors in government-run health centres against the sanctioned strength of 12,206.

The state government, in an affidavit filed in the apex court, said that only 5,634 nurses were there in government run hospitals and health centres against sanctioned strength of 19,155.

The court had on June 24 directed the state to apprise it about the status of public medical care facilities, nutrition and sanitation within a week in view of deaths of over 100 children in Muzaffarpur due to the outbreak of AES.

Regarding AES cases, the state government said 824 cases have been reported and the number of deaths was 157.

It, however, said that it was not known whether 24 deaths out of 215 cases were due to AES.

“State of Bihar had already taken all possible steps to prevent the spread of the disease by providing additional medical facilities at the affected region, public awareness campaign at the village level, involving various agencies to assist the government etc,” it said.

Giving details of the status of available clinical human resource, the Bihar government said there was 57 per cent and 71 per cent vacancy of doctors and nurses respectively.

In case of lab technicians and pharmacists, the vacancy stands at 72 per cent and 58 per cent of the sanctioned strength, the affidavit said.

“It is respectfully submitted that the overall human resources available in health system in the state is not as per standard norms,” the affidavit said, adding that health department has taken steps to recruit medical officers, para-medical and other technical support staff.

It said that requisition for recruitment of 4,012 general duty medical officers and 2,425 specialist doctors has been sent to the Bihar technical services selection commission.

The state government said that Chief Minister Nitish Kumar himself “is personally involved and actively engaged in finding ways and means to control and treat the dreaded AES disease” in Bihar.

It said that the state, in cooperation with the Centre, All India Institute of Medical Sciences and other agencies, has simultaneously provided all medical facilities to treat the affected children.

“The steps taken up by the State has prevented spread of the disease and has reduced the fatality rate arising out of the AES disease,” it said, adding, “In view of the steps taken by the state of Bihar, the fatality rate has come down to 19 per cent whereas the global fatality rate of AES is around 30 per cent”.

“In view of the constant and consistent efforts taken by the state of Bihar and in view of the change in weather conditions, there is a substantial reduction in number of reported cases of AES and JE in the State. The state of Bihar would continue its efforts to prevent any such condition in future,” it said.

The state government said that malnutrition is associated with the issue of sanitation and safe drinking water and they are already working on sanitation and hygiene issues under the ‘seven-nischay yojana’.

“It is respectfully submitted that the state government has initiated a socio-economic survey in affected areas to ascertain socio-economic factors behind AES incidence to initiate vigorous and coordinated campaign with the active involvement of the concerned departments to bring about speedy improvement/change in the socio-economic status of the relatively poor people who are mainly susceptible and vulnerable to the threat of AES disease,” it said.

The state government said that they are fully aware and “quite conscious of recurrent resurfacing” of AES cases in Bihar and has been continuously taking steps to protect and save precious human lives.

Besides Bihar, the apex court had also asked the Centre to file response on the issue.

The apex court is hearing a petition filed by advocate Manohar Pratap who has said that he was deeply “pained and saddened” by the deaths of more than 126 children, mostly in the age group of one to 10 years, in Bihar due to AES.

“The deaths of children are a direct result of negligence and inaction on the part of the respective state governments of Bihar, Uttar Pradesh and Union of India in handling the epidemic situation which arises every year due to outbreak of AES also called Japanese encephalitis,” the plea said.

The petitioner has also sought directions for all possible steps to stop the disease outbreak in the earlier epicentre, Gorakhpur in Uttar Pradesh, and to create awareness about preventive steps and first aid.

Symptoms of AES include high fever, convulsions and extremely low blood sugar levels. Among the factors said to trigger the syndrome are malnutrition.

There were more than 44,000 cases and nearly 6,000 deaths from encephalitis in India between 2008 and 2014, said a 2017 study published in The Indian Journal of Medical Research (IJMR).

Researchers said the patients often report acute onset of fever and altered consciousness, with a rapidly deteriorating clinical course, leading to death within hours.

Litchis grown in Muzaffarpur, the country’s largest litchi cultivation region, are said to contain a toxin which can cause a drop in blood sugar levels if consumed by a malnourished child.

People vs Govt: The Bihar Residents Arrested for Demanding Water

Source: thecitizen.in

NEW DELHI: Today we kick off a series of stories revolving around the Fundamental Rights guaranteed by the Constitution of India. Through field reports, interviews, photo essays, histories and analysis, we discover these rights of strength and their shortcomings.

On June 25 police lodged an FIR against 39 people in Harivanshpur village in Bihar’s Vaishali district for carrying out the protests over the lack of water supply and the deaths of several of their children from the Acute Encephalitis Syndrome.

Residents of the village have been booked under IPC Sections 147, 148 and 149 (rioting and unlawful assembly), 188 (disobedience of orders), 283 (obstruction of public ways), 353 (assault) and 504 (breach of peace).

Even the parents of encephalitis victims have been charged with these crimes.

It was following the deaths of seven children from AES over two weeks that the residents of Harivanshpur staged a protest on June 23 and again two days later.

They also staged a protest demanding water tankers for their village, reports say, as there is an acute shortage of drinking water in the area and all the hand pumps have dried up.

The farmers and livestock of Vaishali district are the worst affected. There is no irrigation water available in the region, and with no groundwater left to tap, standing crops in the farms are drying up according to several reports.

Article 19(1)(b) of the Constitution of India guarantees the right “to assemble peaceably and without arms”. Freedom of peaceful assembly resembles the idea of a democratic government.

It is also reported that the residents of Harivanshpur have announced a missing person award of Rs.15,000 for Union Minister Ram Vilas Paswan.

Speaking to The Citizen, Amresh Kumar the area’s Block Development Officer said, “On June 23 the villagers staged a protest when the Hajipur MP Pashupati Kumar Paras and Lalganj MLA Rajkumar Sah came to the area and tried to hold them hostage. Following the incident, orders were given to the local officers to keep vigil and report any form of nuisance in the area.”

Ashok Kumar Singh, the Block Panchayati Raj Officer told The Citizen that “villagers blocked the highway for four hours and created nuisance. Most men have fled the village fearing rule of law after an FIR was filed against them.”

According to The Hindu “most of the children who died in Harivanshpur belong to the extremely backward Mallah community and the Dalit Musahar community.” One among them, Ganesh Manjhi, lost two sons within 24 hours due to suspected AES. They were 7 and 2 years old.

Over 100 Bonded Labourers Rescued from Brick Kilns in Bihar and Haryana

Source: newsclick.in

Over 100 bonded workers were rescued from brick kilns of Bihar and Haryana in the last week of June, who congregated at Jantar Mantar in Delhi on July 1 to share stories of severe forms of physical violence, abuse and humiliation that they had to go through to make ends meet. The labourers were rescued from a carefully construed web of human trafficking spanning across Banka and Nalanda in Bihar among other districts. Kamla rescued from Diwana gaon in the Kurukshetra region said, “We were sold off to the brick kiln owner by two human traffickers. The boys who had sold us off made a hefty commission out of the deal. On the other hand, after slogging in the kiln for hours at a stretch we were given only about Rs. 1,000-1,500 per month to make ends meet.”

Over 21 families have been rescued from the region, which include around 80 workers being women and children. The workers from Bihar explained that employment in the unorganised sector in the state primarily remains seasonal as they are able to find work only for approximately three months. Poonam Devi from Jagta village said, “Through agriculture we could not sustain our family. Per month, my husband was able to make Rs 200 while I as a woman could only manage to get Rs. 100.”

The rescued workers stated that they were lured in the trade because of the advance payments being offered to them at the beginning of the season. Some families were offered Rs. 10,000, while some were given Rs. 15,000. The workers had taken the loans to repay old debts, while some in the case of medical emergencies. The rescued workers said that they had taken their entire families to the kiln to ensure that the payments come through, however, even after ten months of working for over fourteen hours per day, the workers were told that their debt could not be cleared. After the rescue, it was discovered that the signatures of the workers had been taken forcefully.

Laxmi, who was rescued from Bihar said, “I had no other option but to work at the kiln as the employment generated under MGNREGA (Mahatma Gandhi National Rural Employment Guarantee Act) would get me a meagre amount of Rs. 100 per day. Children as young as 14 are being forced to drop out of education and made to work in the kilns. I was made to believe that the life at the kiln would be a lot better.”

Another worker, Sanjay who was also lured through a network of traffickers, he said, “I was working as a construction worker for ten hours a day and I could manage to make only Rs. 250 per day. I was told I would just need to be in another state for six months and make 1,000 bricks and I would be paid close to Rs. 700 per day. But in reality, the trafficker managed to take his cut and I was not paid as promised. My children had to leave school and work with me at the kiln to survive.”

The lack of education among the workers gives a leeway to contractors to trick the labourers into signing contracts which are designed for their own profit. As a result, many workers get trapped in the kilns as they can’t even run away since their families are also in the kiln.

The workers were rescued on the basis of an input from the region. Post the rescue, Nirmal Gorana of the National Campaign Committee for the Eradication of Bonded Labour, has filed written complaints with the Deputy Magistrate of Kurukshetra. The team of rescuers from the Human Rights Law Network also reached out to the DM’s office of the Pehwa region on June 28. Post the rescue, the local administration left the workers at the railway station without taking any responsibility for their rehabilitation.

While the state government often denies the charges of bonded labour persisting in the region, the Modi government has gone on to slash funds meant for rehabilitation of bonded labourers by 61%. In 2017-18, the total funds released for bonded labour rehabilitation was Rs 6.64 crore, But it has been reduced drastically to Rs 2.53 crore in the following year. In terms of rehabilitation of the rescued workers, Haryana has been termed as the worst performing state which has managed to rehabilitate only 92 of the 594 bonded labourers rescued. Experts, however, are sceptical about the numbers. They feel that the numbers could be far higher both in case of rescued labour as well as those who were rehabilitated.

Nirmal Gorana said, “The Modi government has brought in an amendment to the Human Trafficking Bill, however, the provision of the rehabilitation for the bonded labourers has been reduced to a joke. How is rehabilitation even possible without the release certificates from the government?” He added that the dalit and adivasi communities are bearing the brunt of the multiple intersections of systemic oppression placing them in the condition of poverty, regular harassment and denial of their right to life and dignity. He said, “These labourers are being deprived of their basic rights, and even in 2019, modern slavery exists. We demand that the government form a policy protecting the rights of these labourers. Also, the government should immediately issue release certificates to all these rescued labourers along with interim relief fund of Rs 20,000 per labourer. The government should provide rehabilitation to these workers and ensure that the manual issued by the ministry of labour is implemented.”

Drunk occupants of pvt vehicles can be prosecuted under Bihar prohibition law: SC

Source: business-standard.com

The Supreme Court Monday said that a private vehicle in Bihar is defined as a “public place” by the state’s prohibition law and if a person is travelling drunk, police have the power to prosecute.

A bench comprising Justices Ashok Bhushan and K M Joseph made the observation while deciding on an appeal filed by some persons, who were travelling to Patna from Jharkhand’s Giridih on June 25, 2016 in a private vehicle after consuming liquor, and were arrested by police.

Their vehicle was stopped for routine checking at a police post in Nawada district of Bihar and when subjected to breath analyser test, it was found that they were drunk.

Though, no liquor bottles were found in the vehicle, they were arrested by the police and remained in custody for two days.

They had moved the apex court challenging a Patna High Court’s February 16 last year judgement dismissing their application seeking to set aside an order passed by the magistrate who had taken cognisance of the offence punishable under the provision of the Bihar Excise (Amendment) Act, 2016.

The counsel appearing for them contended before the apex court that no offence was made out under the provision of the 2016 Act and the vehicle in which they were travelling cannot be said to be a “public place” within the law.

The counsel appearing for Bihar countered the submissions and said that their vehicle was intercepted at a public road and no error was committed by the magistrate in taking cognisance of the offence.

“We have to further take into notice that private vehicle of the appellants was intercepted when it was on the public road. When private vehicle is passing through a public road it cannot be accepted that public have no access. It is true that public may not have access to private vehicle as matter of right but definitely public have opportunity to approach the private vehicle while it is on the public road,” the bench said in its verdict.

“Hence, we are not able to accept the submission that vehicle in which appellants are travelling is not covered by definition of ‘public place’ as defined in Section 2(17A) of the Bihar Excise (Amendment) Act, 2016,” the bench said.

The bench also dealt with the contentions of the counsel appearing for the appellants who said that offence under the provision of the Act can only be committed when liquor was consumed in a public place.

The bench noted that as per Bihar Prohibition and Excise Act, 2016, even if a person consumes liquor outside the state and enter into the territory of Bihar and is found drunk or in a state of drunkenness, he can be charged with offences under section 37(b) of the Act.

“We, however, cannot take a decision on the above issue in this appeal. Whether charge that consumption of liquor has taken place within the state of Bihar is made out in the facts of the present case are questions which need to be decided by the Magistrate after looking into the materials brought on record by means of the charge sheet,” the bench said.

The bench granted liberty to the petitioners to file an application seeking discharge before the magistrate.

Patna ranks high on liquor raids across Bihar, low on recoveries

Source: hindustantimes.com

Is Patna the hot spot for liquor traders in dry Bihar? If the number of raids for illicit liquor is any indicator, it seems to be the prime spot on the radar of the police and the excise department, though in terms of recoveries it ranked way below many bordering districts.

Between April 1, 2018 and May 31, 2019, Patna alone witnessed 13,550 liquor-related raids, the highest in the state, involving registration of 3,872 cases and arrest of 1,566 persons, as per the official statistics of the excise department.

However, the recovery of Indian-made foreign liquor was 13,077 litres, while that of country liquor was just 535 litres. In the last two months of April and May, which coincided with peak election period, it recorded zero recovery of country liquor, though recovery of foreign liquor was 5,363 litres.

After Patna, the second highest number of liquor-related raids during the 14 months between April 2018 and May 2019 took place in Purnea. 7,311 raids were recorded, 394 cases were registered and 4,694 litres of IMFL was recovered.

In contrast, there have been districts like Gopalganj and Muzaffarpur, which have a nearly four-time higher recovery rate of foreign liquor, despite just one-fourth of raids. Similar is the case with other ‘high-yielding’ districts like Vaishali, Gaya, East Champaran, Rohtas, where recoveries of IMFL as well as country liquor were very high, despite fewer raids.

There is also huge inter-district variation in recoveries. If Jehanabad and Arwal show meagre recoveries of barely around 635 litres of IMFL in the last 14 months, including virtually zero during the last two election months, the neighbouring Gaya alone accounted for around 17,641 litres during the period. This was despite 4,308 raids in Arwal and Jehanabad, compared to just 1,831 in Gaya.

In some districts like Bhabua, Katihar, Vaishali, Saran, Samastipur, Saharsa, Purnea, Madhepura, Khagaria, Buxar, Bhojpur, Arwal the figures suggest growing proclivity for IMFL, with its high recoveries, despite virtually no recovery of country liquor and other local intoxicating drinks.

In the first Lok Sabha elections in dry Bihar, seizure of all kinds of liquor fell significantly to just 1 lakh litres compared around 5.78 lakh litres during 2014. However, IMFL still accounted for the highest share of recoveries, nearly 37% of the total during the April-May period.

Four districts – Begusarai, Gopalganj, Bhojpur and Patna – accounted for over 50% of the IMFL recoveries during the two election months. Another significant aspect is the growing recoveries of IMFL, compared to country liquor. In many districts, country liquor recovery has dipped significantly, while the more lucrative and high-risk IMFL trade continues to find favour.

Excise commissioner B Kartikey Dhanji said that the reason why districts like Gopalganj, Muzaffarpur, East Champaran etc. had high recoveries was mainly attributed to big caches. “At the entry points, there are round-the-clock check posts. There are also main routes, where truckloads of liquor are intercepted,” he added.

SP (prohibition) Rakesh Kumar Sinha said that in Patna there were smaller recoveries in large numbers, generally meant for deliveries to clients. “So, the number of cases go up,” he added.

Free meals planned to fight ‘brain fever’ in India’s Bihar state

Source: gulfnews.com

Patna: Alarmed at the large number of deaths in the state due to encephalitis, the Bihar government is working on a plan to start free evening meals for children vulnerable to the deadly virus.

The idea is based on reports by health experts that most of the children who fell victim to the illness had gone to bed on empty stomachs or had suffered from hypoglycemia or low blood sugar.

According to an official report, the disease has claimed close to 2,000 lives in the past nine years.

“The government is planning to start free evening meals for children on the pattern of the mid-day meal from the next season and also shifting them to temporary shelter homes during the peak summer when such cases register a huge jump,” federal minister of state for home and family welfare Ashwini Kumar Choubey told the media on Monday after holding a meeting with the experts.

However, the arrangement for free evening meal will be available only for two months during peak summer. Experts have found that the disease strikes the region once the summer starts and turns deadlier with the picking up of daytime temperatures.

Although some 20 districts are said to be in the grip of this disease, Muzaffarpur has been the worst-hit of all.

According to him, the government would also be making adequate arrangements of glucose, oral rehydration solution (ORS) and medicines.

“After meeting with the health experts, we have ordered the setting up of intensive care units (ICUs) in the affected areas from next year,” the minister said.

Bihar health minister Mangal Pandey on Monday said this year majority of children had died from hypoglycemia, which is one of the symptoms of Acute Encephalitis Syndrome (AES).

One of the main reasons behind disease outbreak this year was severe heat conditions and humidity. He advised the parents not to allow their children go out in the open sun.

“When the children play under the open sun, it causes dehydration and affects a child’s intake of food and water which leads to hypoglycemia,” the minister said.

In an official statement issued on Monday, the health minister said the disease has been occurring since 1995 after which various studies were conducted by the National Institute of Virology, Pune, National Centre for Disease Control, Delhi, All India Institute of Medical Sciences, Delhi, Rajendra Memorial Research Institute, Patna and Centre for Disease Control, Atlanta (USA) but no definitive causative agent has been found so far.

According to the minister, till June 28 this year a total of 720 cases of suspected encephalitis were reported of which 566 were cured whereas 154 children died.

Bihar: Upendra Kushwaha to take out ‘padayatra’ in protest against AES deaths

Source: indianexpress.com

Charging the Nitish Kumar government in Bihar with having “failed” to control the AES outbreak, RLSP chief Upendra Kushwaha Sunday announced that he will take out a ‘padayatra’ from the worst-affected Muzaffarpur district in protest, later this week.
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The Acute Encephalitis Syndrome (AES) outbreak has claimed the lives of more than 150 children during the month.

Addressing a press conference here, a day after he visited Muzaffarpur where 134 children have died since June 1, the Rashtriya Lok Samata Party (RLSP) chief said, “our padayatra will have the theme, Nitish hatao, bhavishya bachao (oust Nitish from power, save the future of Bihar).”

The ‘padayatra’ will commence at Muzaffarpur on July 2 and conclude here on July 6, he said.

“Nitish Kumar will be completing 15 years as chief minister next year. Had he paid adequate attention to providing basic health care to the people of the state, so many children would not have died. We also get an impression that efforts are on to pass the buck so that Kumar is not held accountable,” Kushwaha alleged.

Kushwaha’s alliance partners such as the RJD and former chief minister Jitan Ram Manjhis Hindustani Awam Morcha (HAM) have been demanding the resignation of Health Minister Mangal Pandey, a senior BJP leader.

“It is not my concern whether Kumar retains Pandey in his cabinet or removes him. But, my point is he did not fight elections in the name of his cabinet colleagues. He won on the plank of his claims of ‘sushasan’ (good governance). Now that the falsity of the claims lay exposed, he must take the blame,” Kushwaha a former JD(U) leader who quit and floated his own outfit in 2013- said.

The RLSP started off as an NDA ally and won all the three seats it contested in 2014, riding the Modi wave while Kushwaha himself got a ministerial berth at the Centre.

He quit the BJP-led coalition in 2018 after the saffron party apparently offered him only two seats in order to make way for the JD(U) headed by Kumar, who had returned to the NDA, a year earlier.

Kushwaha thereafter joined the ‘Mahagathbandhan’ comprising Congress, RJD, HAM and budding Nishad leader Mukesh Sahnis VIP.

The opposition alliance was trounced in the recent general elections, with only the Congress among the constituents winning a seat. The RLSP, which had fought five, lost all including two contested by Kushwaha himself.