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23 August 2024 at 4:29:04 pm

Fractured Fortress

Jan Suraaj chief Prashant Kishor’s emphatic victory in the Bankipur by-poll, that ended three decades of uninterrupted BJP dominance, is a classic instance when even the safest urban strongholds of a comfortably ensconced ruling party are no longer immune to local discontent and shifting social coalitions. That said, the parallels between Bankipur and the 2023 Kasba Peth bypoll are too striking to dismiss as isolated by-election quirks. In the latter case, the BJP had similarly conceded a...

Fractured Fortress

Jan Suraaj chief Prashant Kishor’s emphatic victory in the Bankipur by-poll, that ended three decades of uninterrupted BJP dominance, is a classic instance when even the safest urban strongholds of a comfortably ensconced ruling party are no longer immune to local discontent and shifting social coalitions. That said, the parallels between Bankipur and the 2023 Kasba Peth bypoll are too striking to dismiss as isolated by-election quirks. In the latter case, the BJP had similarly conceded a seemingly surefire seat that had remained in its grasp since 1995. Both defeats followed the departure of long-serving legislators. Both occurred in constituencies where the BJP began as the overwhelming favourite. By-elections are notoriously unreliable predictors of general elections as their turnout is generally lower, and local grievances loom larger while voters often feel freer to register dissatisfaction without changing governments. Yet they remain valuable political barometers because they reveal the health of party organisations beneath the sheen of national leadership. Bankipur is especially significant because like Kasba Peth in Pune, it represented the party’s urban, upper-caste heartland in Bihar. Prashant Kishor’s victory, therefore, carries symbolism beyond its numerical margin. Making his electoral debut, he converted what had long been considered an impregnable BJP constituency into the Jan Suraaj Party’s most consequential victory. The explanation lies less in ideological realignment than in coalition management. The BJP has, in recent years, sought to broaden its social base by expanding its appeal among the lower caste, economically disadvantaged caste groups. That strategy has served it well nationally, particularly in states where expanding beyond traditional support was essential for electoral growth. Yet every expansion creates new anxieties among an established base. Just as in the Kasba bypoll, the Bankipur result suggests that sections of upper-caste voters, long regarded as among the BJP’s most dependable supporters, felt increasingly alienated. Their perception was that the BJP’s electoral calculations had shifted decisively towards cultivating newer caste constituencies. Kasba Peth offered an earlier version of the same lesson. The BJP entered the contest expecting organisational strength and historical advantage to outweigh local dissatisfaction. Instead, the opposition successfully transformed the by-election into a referendum on complacency, exploiting organisational fatigue and local resentment. Bankipur appears to follow a similar script. Candidate selection became contentious, local anti-incumbency lingered beneath the surface, and the opposition presented itself as the vehicle for voters seeking to send a message rather than engineer a regime change. While this, in no way, implies an imminent collapse of the BJP’s broader electoral dominance, dominant parties ignore by-election warnings at their peril. Safe seats are valuable not because they guarantee victories, but because they reveal the strength of a party’s deepest political relationships.

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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