The Zika virus, first isolated in 1947, is named
after a Ugandan forest from where it was first isolated. It is a
flavivirus transmitted by the Aedes mosquito. Initially sporadic cases
were reported from some African and Asian countries. Symptoms are mild
with fever, rash and arthralgias. In the last couple of years, there has
been an epidemic of cases in South and Central America with Brazil alone
reporting somewhere between 440,000 to 1300,000 cases.
On 11 November 2015, the Brazilian Ministry of Health
declared a public health emergency due to the sharp surge of newborns
with microcephaly born in the Northern state of Pernambuco. In 2015, 141
cases of congenital microcephaly were detected against a usual average
of 10 cases per year. For Brazil as a whole, nearly 400 cases of
congenital microcephaly were detected in 2015 versus the usual
annual incidence of 150-200. Further testing revealed the Zika virus RNA
in the amniotic fluid of pregnant women who delivered neonates with
microcephaly. In French Polynesia – that also has an ongoing Zika virus
epidemic – there has been an increase in the birth of newborns with CNS
malformations and also patients with Guillain Barre Syndrome.
The link between congenital microcephly and the Zika
Virus seems plausible but is yet to be firmly proved. (The Lancet; 9
January, 2016)
Opening up Open Access
The Netherlands plans to spearhead efforts in The
European Union to make more scientific literature be accessible free
soon after publication. The Dutch government, which took over the
presidency of the European Union council of ministers this month, has
declared furthering Open Access to be one of its top priorities. It is
planning a series of discussions between European science ministers to
investigate how paid journals can best shift to Open Access. The
Association of Universities in Netherlands has already arm-twisted
publishers including Springer and Elsevier to increase open access.
Worldwide, there has been a steady growth of open
access articles rising from 12% in 2011 to 17% in 2014. In October 2015,
Jisc, a non-profit body that represents UK higher-education
institutions, negotiated a deal that made OA papers with UK-based
corresponding authors free in 1,600 selected Springer subscription
journals. A more radical strategy suggested is that libraries or
university consortia should stop paying journal subscriptions and should
transfer the money saved to their researchers who can use it to publish
open access in journals of their choice. The United States has used
different routes; encouraging authors to archive their prepublication
manuscript online and asking publishers to make their papers available
free after a delay such as 6-12 months. Only worldwide concerted action
and pressure against publishers will improve free access to scientific
papers. (Nature; 8 January, 2016)
Suicides in Kota
Eighteen children committed suicides in Kota city of
Rajasthan, India, last year. The Rajasthan High Court has issued a
notice to the State and district-level authorities, seeking a reply on
the increasing number of suicides and the action being taken to prevent
them. The Kota Collector issued directions to all coaching institutions
which included ‘mandatory one-day break in a week’, psychiatric
consultations to de-stress the students, and compulsory career
counseling to each student along with parents prior to admission.
Kota is merely illustrative of the coaching class
culture in India today. Coaching and tutorials on top of regular school
is now the accepted norm in an adolescent’s life, leaving little or no
time for physical exercise, creativity or free play. Away from their
families for long periods and forced to attend classes for 12 and more
hours, these youngsters often cannot find the physical and psychological
strength to withstand the effects of such coaching. The National Crime
Records Bureau (NCRB) says that in 2013, suicides related to examination
failure totaled 2,471 all over the country. There are, of course, no
estimates of the students who are left psychologically broken.
All over the world, there has been a quantum shift in
the way children spend their time with declining free play and
increasingly structured time schedules. The reason appears to be a
social and economic phenomenon born out of middle-class parents’ desire
to see their children get ahead. Even in the US, an annual poll of
college freshmen shows that most students today list "being well off
financially" as more important to them than "developing a meaningful
philosophy of life" – the reverse of what existed in the 1960s and
1970s. The shift from intrinsic to extrinsic goals represents a
widespread shift toward a culture of materialism fuelled through
television and other media.
Do pediatricians have a role to play or should we be mute spectators?
(Economic & Political Weekly 9 January 2016)