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By:

Rajiv Shah

22 September 2025 at 8:32:23 pm

New Alliances, New Pressures, New Fault Lines

To its west, old relationships in the Gulf are acquiring new strategic and military dimensions. Across the Atlantic, Washington is increasingly using tariffs as an instrument of foreign policy. At the same time, India holds the BRICS presidency in 2026 and prepares to host its summit when the grouping is being watched in the West as a potential challenge to the American-dominated global financial order. Individually, these developments may appear unrelated. Put together, they reveal a larger...

New Alliances, New Pressures, New Fault Lines

To its west, old relationships in the Gulf are acquiring new strategic and military dimensions. Across the Atlantic, Washington is increasingly using tariffs as an instrument of foreign policy. At the same time, India holds the BRICS presidency in 2026 and prepares to host its summit when the grouping is being watched in the West as a potential challenge to the American-dominated global financial order. Individually, these developments may appear unrelated. Put together, they reveal a larger geopolitical churn in which alliances, energy, trade, currencies and economic coercion are becoming interconnected. India finds itself almost at its centre. The emerging Saudi Arabia–Türkiye–Pakistan security equation deserves particular attention. Saudi Arabia brings enormous financial and energy influence; Türkiye possesses considerable military strength, NATO experience and an expanding defence industry; Pakistan brings a large military establishment and nuclear capability with the open support of Washington. Any arrangement containing a collective-defence commitment naturally acquires significance beyond ordinary diplomatic cooperation. Alongside it, another strategic convergence has gradually developed among India, Israel and the UAE. It would be incorrect to describe this as a formal military alliance. Yet geopolitics does not operate through defence treaties alone. India's extensive defence and technology relationship with Israel, its rapidly expanding economic and strategic partnership with the UAE, and the UAE-Israel relationship following the Abraham Accords have created considerable common ground. I2U2—bringing together India, Israel, the UAE and the United States—added another institutional dimension. Thus, without necessarily becoming opposing military camps, two interesting strategic formations are visible across West Asia: Saudi Arabia–Türkiye–Pakistan and the looser India–UAE–Israel convergence. Balancing Challenge India faces a similar balancing challenge. The Gulf is not a distant geopolitical theatre for New Delhi. Nearly nine million Indians live and work there. India's energy security, investments, trade and remittance flows are closely connected with the region. The proposed India-Middle East-Europe Economic Corridor also requires relative stability across this geography. Polarisation in West Asia can therefore rapidly become an Indian economic and strategic problem. There is another question Indian planners cannot ignore. If a future India-Pakistan confrontation escalates, how would any collective-defence commitment involving Pakistan be interpreted by Saudi Arabia and Türkiye? It would be alarmist to assume that either country would automatically enter a conflict against India. Saudi Arabia, in particular, has substantial economic and strategic interests in maintaining good relations with New Delhi. Nevertheless, defence planners are paid to examine possibilities before they become crises. While these equations develop in India's neighbourhood, economic pressure is emerging from Washington. The US Senate has voted 86–11 for legislation intended to increase pressure on Russia by targeting major purchasers of Russian energy. The measure could authorise tariffs reaching 100 per cent against goods from countries continuing large-scale purchases of Russian oil and gas, with India among those potentially exposed. China is powerful enough to shrug off similar challenges from the West." However this does not mean that America has already imposed a 100 per cent tariff on India. Further legislative steps remain necessary, and presidential waiver provisions are important. But the overwhelming Senate vote carries a political message that New Delhi cannot dismiss. Tariffs are no longer merely tools of trade protection; they have become instruments of geopolitical coercion. Washington's argument is understandable: revenues from Russian petroleum help sustain Moscow's economy during the Ukraine war, and reducing those revenues increases pressure on Russia. But in that case what about European countries who too were/are customers of Russian oil? India's question is equally legitimate: who should determine where India purchases the energy required by more than 1.4 billion people? If Russian crude remains commercially advantageous and helps contain domestic energy costs, New Delhi cannot reasonably be expected to make every energy decision according to another country's geopolitical priorities. Strategic partnership cannot become strategic obedience. This is where BRICS enters the larger picture. India holds the BRICS presidency in 2026 and will host its leaders at an unusually sensitive moment. BRICS is no longer merely the original grouping of Brazil, Russia, India, China and South Africa. Its expansion has considerably increased its demographic, energy and geopolitical weight. More importantly, discussions around BRICS increasingly touch a sensitive nerve in Washington: alternative payment mechanisms, local-currency trade, development finance and the possibility of gradually reducing dependence upon the dollar-dominated international financial system. The BRICS Summit this time is poised to take some decisive steps which may affect western interests especially US. (The writer is an advocate, legal, geopolitical and public policy analyst. Views personal.)

Lung health awareness should be prioritised

Ustad Zakir Hussain

Zakir Hussain Succumbs to Rare Lung Disease Idiopathic Pulmonary Fibrosis (IPF): A Wake-Up Call for Lung Health Awareness Renowned pulmonologist Dr. Abhijit Ahuja from Saifee Hospital underscores the importance of early diagnosis and public awareness.


Zakir Hussain’s untimely demise has highlighted the devastating impact of Idiopathic Pulmonary Fibrosis (IPF), a rare and chronic lung disease often overlooked due to its silent progression. This condition leads to irreversible thickening and scarring of the lung tissues (fibrosis), impairing the lungs’ ability to function. The exact cause of this life-threatening condition remains unknown, which is why it is termed “idiopathic.”


According to Dr. Abhijit Ahuja, a leading pulmonologist at Saifee Hospital, there is an urgent need for public education regarding IPF. “Many people are unaware of IPF, and its symptoms are often dismissed as minor or age-related. Tragically, most diagnoses occur at advanced stages when treatment options are limited. Early detection is crucial for improving patient outcomes and quality of life,” stated Dr. Ahuja.


Recognizing the Symptoms of IPF

IPF begins with subtle symptoms, making it challenging to diagnose early. Patients and healthcare providers must be vigilant about the following signs:

• Persistent shortness of breath (dyspnea), especially during physical activity

• Chronic dry cough that does not improve over time

• Unexplained fatigue and general weakness

• Sudden, unintended weight loss


“Many patients with IPF misinterpret their symptoms as signs of aging or other common respiratory problems. Unfortunately, this leads to delayed diagnosis,” Dr. Ahuja explained. Diagnosis involves a detailed review of the patient’s medical history, high-resolution CT scans, and lung function tests to confirm the presence of fibrosis.


Treatment and Management Options

While there is no cure for IPF, recent advancements in medicine offer hope by slowing the disease’s progression and managing symptoms effectively. Treatments used at institutions like Saifee Hospital include:

1. Antifibrotic Drugs: Medications like pirfenidone and nintedanib significantly reduce the progression of scarring in the lungs.

2. Oxygen Therapy: Providing supplemental oxygen helps manage breathlessness and improves patients’ energy levels.

3. Pulmonary Rehabilitation: Structured programs of breathing exercises and physical training enhance lung capacity, stamina, and quality of life.

4. Lung Transplantation: For severe cases, lung transplantation may be considered a life-saving option.


Dr. Ahuja emphasized, “The combination of antifibrotic drugs, oxygen therapy, and pulmonary rehabilitation can slow disease progression and improve patients’ lives. However, the success of these treatments hinges on early detection.”


Prognosis and Early Detection

IPF is a rapidly progressing disease with a poor prognosis. The average life expectancy following diagnosis is 3 to 5 years. However, early diagnosis and timely intervention can extend survival and significantly enhance quality of life.


Dr. Ahuja added, “Regular health check-ups and vigilance about respiratory health are vital. Early intervention is the only way to ensure a better prognosis for IPF patients.”


A Call for Greater Awareness

The tragic passing of Zakir Hussain has underscored the importance of raising awareness about rare diseases like IPF. Many people remain unaware of IPF’s early symptoms, leading to delayed diagnosis and limited treatment options.


Dr. Ahuja stated, “Awareness campaigns should emphasize that persistent shortness of breath and a chronic cough should never be ignored. Early referral to pulmonologists and tests like CT scans are crucial for identifying this disease at its initial stages.”


Saifee Hospital is actively involved in spreading awareness about lung diseases, offering cutting-edge diagnostic tools, and providing comprehensive care for patients with IPF and other respiratory conditions.


Supporting IPF Patients and Families

IPF is not just physically debilitating—it also takes a severe mental and emotional toll on patients. Family members and caregivers play an integral role in helping patients cope with the challenges of daily life.


Dr. Ahuja added, “While medical care is critical, psychological support for patients and their families is equally important. Addressing the emotional and mental strain can significantly improve the overall well-being of those living with IPF.”


Zakir Hussain’s Passing: A Lesson for All

Zakir Hussain’s untimely demise is a somber reminder of the need to prioritize lung health. It urges individuals to seek medical attention for unexplained breathlessness or persistent coughing and emphasizes the importance of early intervention in preventing severe outcomes.


Dr. Abhijit Ahuja of Saifee Hospital concluded, “Every individual experiencing symptoms like breathlessness or an unrelenting dry cough should consult a pulmonologist promptly. Early diagnosis can make all the difference.”


Let us honor Zakir Hussain’s legacy by spreading awareness about IPF and supporting those battling this rare and life-altering condition.


(The author is a leading pulmonologist at Saifee Hospital, Mumbai. Views personal.)

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