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Correspondent

21 August 2024 at 3:50:16 pm

Arid State

Maharashtra has finally put an official number on a crisis that farmers have been experiencing for weeks. The state government has declared 265 of its 358 talukas drought-affected, activating the first stage of its drought-management framework. The scale of the distress should make this more than another seasonal relief exercise. It is a reminder that water stress is no longer an episodic crisis but a recurring governance challenge. The state received 798.2 mm of rain against a normal 970.9...

Arid State

Maharashtra has finally put an official number on a crisis that farmers have been experiencing for weeks. The state government has declared 265 of its 358 talukas drought-affected, activating the first stage of its drought-management framework. The scale of the distress should make this more than another seasonal relief exercise. It is a reminder that water stress is no longer an episodic crisis but a recurring governance challenge. The state received 798.2 mm of rain against a normal 970.9 mm between June 1 and September 26, a deficit of 18 percent. The first drought trigger is activated when rainfall falls more than 25 percent below normal and is accompanied by a prolonged dry spell of 21 days. Though the aggregate state deficit is lower than that threshold, the taluka-level assessment has established the conditions required for intervention. Except for five districts, rainfall has been deficient across the state. The government has ordered a stay on the recovery of agriculture-related loans and restructuring of crop loans, while extending concessions on electricity bills for agricultural pumps. Employment Guarantee Scheme norms are to be relaxed; food grains provided to farmers and arrangements made for drinking water and fodder. Crop-loss surveys will determine the eventual financial assistance. While these measures can cushion the shock, they cannot solve the problem. Maharashtra has lived with drought long enough for drought relief to have become an administrative routine. The more difficult question is why the state repeatedly finds itself having to mobilise the same machinery. Tankers, fodder camps, loan restructuring and employment guarantees are indispensable when the rains fail. But they are essentially the politics and economics of response, not resilience. The state has considerable experience in watershed development, farm ponds, check dams, groundwater recharge and other forms of water conservation. Yet the effectiveness of such interventions depends less on announcing them than on where they are built, whether they are maintained and whether groundwater extraction is regulated. Large-scale water-conservation works announced as part of the present relief package must therefore be judged by measurable outcomes rather than expenditure. There is a larger agricultural question. A state with highly variable rainfall cannot indefinitely expand water-intensive cropping patterns in regions whose hydrology cannot support them. Crop choices, irrigation efficiency and groundwater management have to become part of drought policy rather than being treated as separate subjects. The present declaration should consequently be viewed as both relief and warning. While the relief is urgent, the warning is structural. The state government cannot control the monsoon but it can decide how much water it captures when the rains arrive, how efficiently it uses what it stores and how resilient its farmers are when the skies fail. A drought code can declare an emergency. But only sustained water management can prevent the emergency from becoming routine.

Lung health awareness should be prioritised

Dr. Abhijit Ahuja
Dec 17, 2024
3 min read
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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