Articles by Dr Sylvia Karpagam

Dr Sylvia Karpagam is a public health doctor and researcher working with urban marginalised communities.

Since the last few weeks, Bengalureans have been in a state of panic and confusion. COVID-positive patients are unsure where to go, those who are symptomatic are frantically trying to find a bed in case they get serious, while attenders of seriously-ill patients are desperately trying to find hospitals which will admit and treat emergencies. We, at the social welfare organisation Naavu Bharatheeyaru, demand an urgent meeting to see how best the government and civil society can work together to minimise the distress that people are currently facing.  In a letter to Chief Minsiter B S Yediyurappa, we have identified…

Read more

Media reports indicate that the Centre and state governments are looking at options for a graded exit from the lockdown. This note lists certain factors to be kept in mind before deciding that strategy. The consequences of the lockdown have been felt most sharply by urban daily wage earners like street vendors, auto drivers, migrant workers, and marginalised and stigmatised communities like sex workers and transgender communities, nomadic communities who earn as they move, frontline workers engaged in cleaning and health, farmers and landless farm workers. There has been a severe impact on food security, livelihood, security and health. Besides,…

Read more

Even after 10 days of the nationwide lockdown and 12 days of the statewide lockdown, the state machinery has completely failed in ensuring food security for all. Lakhs of migrant workers, self-employed persons like street vendors, auto-drivers, etc, have been pushed towards hunger and malnutrition by the completely opaque and inhuman manner in which decisions have been made. As food supplies, gas and money run out, food security is of grave concern. Stopping free food supply through Indira Canteens is condemnable. There's complete lack of clarity in government’s plan to supply rations and cooked food. Decision to stop free food…

Read more

Two more labourers, Ramu (age 25 ) and Ravi (age 28 ), from Raichur died in a septic tank at the Yum Lok restaurant in AECS layout in Bengaluru. These deaths are a result of failure of the Karnataka State Pollution Control Board (KPSCB) and the BBMP to strictly implement guidelines around the construction and maintenance of commercial establishments. Section 7 of the Prohibition of Employment as Manual Scavengers and Their Rehabilitation Act, 2013, expressly prohibits employment of persons for hazardous cleaning of a sewers or septic tanks and any contravention of this section is cognizable and a non-bailable offence…

Read more

The aim of amendments to the Karnataka Private Medical Establishment (KPME) Act was to ensure protection of patient rights/citizens’ interests and bring in much needed transparency and accountability in private medical establishments. We welcome the government’s move to table the KPME amendments in the assembly. The Bill includes certain key pro-patient provisions but certain others have also been watered down to placate the private hospital owners. These changes to the Bill are proof of how the private hospital lobby was able to hold the government to ransom. We take strong objection to a closed door meeting between the private hospital…

Read more

Recently there has been quite a flurry of opinions, accusations and threats around the issue of regulation of private medical establishments in Karnataka. Although the Karnataka Private Medical Establishments (KPME) Act has been around since 2007, concerns over the last few years, around patient rights, have brought in the need for Amendments to the Act. Following a prolonged period of discussion under the Justice Vikramjit Sen Committee, the health minister put forward the Amendments to the KPME in the Karnataka Assembly on 20th June 2017. The response to this has been contradictory and volatile. A majority of private hospital doctors…

Read more

DJ halli in Bangalore has been in the news for several reasons primarily for the deaths of children due to severe malnutrition and associated medical illnesses and complications including disabilities. The community has met several times over the last few months and identified many problems in DJ halli. These are: 1.   Anganwadis which are inadequate for the population of DJ halli  and ill equipped to meet the needs of the children. Many children are still not enrolled in anganwadis and do not have access to any of the benefits. Children with SAM and cerebral palsy have even more difficulties in…

Read more