Archive for ‘Health’

29/12/2013

Chinese officials banned from smoking in public – Xinhua | English.news.cn

Chinese officials are asked to \”take the lead\” in adhering to the smoking ban in public spaces.

The No Smoking sign, designed by one of the me...

The No Smoking sign, designed by one of the members of AIGA (Photo credit: Wikipedia)

According to a circular from the Communist Party of China Central Committee and the State Council, officials are not allowed to smoke in schools, hospitals, sports venues, public transport vehicles, or any other venues where smoking is banned.

Government functionaries are prohibited from using public funds to buy cigarettes, nor are they permitted to smoke or offer cigarettes when performing official duties, the circular notes.

\”Smoking remains a relatively universal phenomenon in public venues. Some officials smoke in public places, which does not only jeopardized the environment and public health, but tarnished the image of Party and government offices and leaders and has a negative influence,\” reads the circular.

The sale of tobacco products and advertisements will no longer be allowed in Party and government offices. Prominent notices of smoking bans must be displayed in meeting rooms, reception offices, passageways, cafeterias and rest rooms.

China is the world\’s largest cigarette producer and consumer. The number of smokers exceeds 300 million, with at least 740 million nonsmokers regularly exposed to secondhand smoke.

In 2003, China signed the WHO Framework Convention on Tobacco Control (FCTC) and it became effective in January 2006. The FCTC requires a reduction in tobacco supply as well as consumption. The 12th Five-Year plan (2011-2015) promised to ban smoking in public places.

Experts are widely critical of the current government effort, which lags far behind the FCTC standard, and no national law is yet in place banning smoking in indoor public places.

via Chinese officials banned from smoking in public – Xinhua | English.news.cn.

18/12/2013

How to win at leapfrog – excerpted from Reimagining India: by McKinsey & Company

From: http://www.mckinsey.com/insights/asia-pacific/how_to_win_at_leapfrog

India has a unique opportunity to avoid repeating other countries’ mistakes. Khosla Ventures founding partner Vinod Khosla argues that the “leapfrogging” mind-set requires policies that foster innovation not imitation.

December 2013 | byVinod Khosla

There’s a general tendency in life to want to do what others have done. It’s an understandable impulse but shortsighted. One of the great things about being a relatively poor, trailing, but rising power like India is that you have the opportunity to see what you want to imitate—and, more important, what you want to skip.

Here’s an example. In 2000, I chaired a three-day telecommunications seminar for McKinsey & Company in New Delhi. I talked to everybody about skipping the landline. I said, “If I were India, I wouldn’t worry about adding ten million more copper lines. I would go straight to voice over Internet and mobile.” I didn’t have it exactly right; I missed how big mobile could become and how quickly. But my argument was that the giant traditional telecom-equipment and -system providers were offering the wrong system for the 21st century. Happily for India, despite its plans to the contrary and its focus on “traditional technology” landlines, the right thing (mobile) has happened. And India is not alone in this path—Africa has taken a similar evolution toward mobile telephony.

Was this a one-time phenomenon? No. There are many areas where a developing country can apply this kind of leapfrog mentality and find a different path to a better future: education, health care, energy, even infrastructure. But the key, which leapfrog advocates often miss, is how you go about creating this alternative path.

So rather than trying to predict the future, India’s leaders should be trying to fit into the future as it happens. Instead of setting out ten concrete goals, they should encourage one broad direction and adopt an evolutionary mind-set. That way, as the world changes, as the price of oil shifts or a breakthrough technology comes along, India can adapt.

Take transportation, a pressing future need for India. In a linear model, you might presume that if there are 80 cars per 100 people in the United States, then that’s where India will end up and begin to plan for that. But if I were building the system, I would look for ways to anticipate and skip what exists today (my rule number one) while trying to lean in the right direction (rule number two). I would consider the possibility that for the world in 2025, self-driving cars, like the ones Google is well on the way to developing successfully, will be widespread. And then I would ask: What are some of the implications of that assumption?

The first implication is that we’ll need a different type of transportation infrastructure. With a system of self-driving cars at scale in the United States, you might end up with one-fifth of the current number of cars sold annually. Instead of owning cars individually, perhaps drivers of the future will think of cars more the way we do taxis and limos now or like fractional jet ownership of the sort that NetJets pioneered—as fleets you could tap into for different occasions and with a lower total cost of ownership. With the fleet approach, the quality of service could improve because customers wouldn’t be tied to the cars they bought. For a night on the town, you might get a BMW; for everyday use, a Prius; for hauling stuff over the weekend, a Suburban. And all ordered on your smartphone.

A second implication of the spread of self-driving cars and the adoption of a fleet approach to car ownership is that cities can set aside less space for parking. Think what phone companies do in dense urban spaces. They don’t add a phone line for every person in a building. They multiplex: if there are 100 people in a building, they run 25 to 30 lines. With self-driving vehicles, we could multiplex cars the same way.

A shift toward a multiplexed fleet of auto-navigating vehicles would enable India to cut resource usage in a major way, lessening the need for capital investment and reducing expenditures for steel. Electric cars would become more affordable; the usage factor would be much higher, so the payback time would be much shorter. Even with today’s batteries, you could justify paying a higher price for electric cars. Instead of being driven 6,500 kilometers a year, electric cars would be driven 160,000 kilometers a year, like a taxi. That, in turn, would lower oil consumption.

Such a distributed system would be much more adaptive than making a massive investment in a new electric rail network. Loads would dynamically balance to fit demand. A distributed approach to transportation doesn’t require betting on a single $10 billion project. In effect, the transportation network can be built out one $20,000 car at a time.

If these assumptions are correct, the future of India’s transportation system will look very different from the one the government is planning for. That’s what happened to India, accidentally, in communications. Why not learn from the telecommunications experience and apply the lesson to cars? The precise outcome doesn’t matter (my assumption may be wrong). The main thing is to create a regulatory and investment climate to support the right broad policy goals (access to transportation) rather than lock everyone into specific technologies. In a nutshell, we don’t know what the future winners are—and it would be foolish of government to attempt to determine that. But we can try to set the groundwork.

India needs more innovation capitalism. Take education. In Kenya, Khosla Ventures has funded a start-up called Bridge International Academies, which is operating hundreds of schools that break even at $5 per child a month, a price even the poorest can afford. We’re opening one or two new facilities a week. The model combines physical schools that can take up to 300 kids, but instead of using textbooks the pedagogy runs off mobile phones. We compete head-to-head with public education provided for free by the Kenyan government and are winning—both in outcomes and in the minds of low-income parents who willingly choose the Bridge option over others.

The shift to online education is slashing costs and transforming traditional approaches to teaching. Instead of a prescriptive system that specifies a strict time (four years of high school) and variable results in learning, we’re moving to a world of fixed learning (the subjects you master and skills you acquire) and variable time. The increasing sophistication of online assessment tools allows each student to advance at his or her own pace.

So when India plans for education in 2025, it may still want to build many more Indian Institutes of Technology. But it also needs to think about how it can leverage the technology revolution to reshape education at all levels and rethink its physical infrastructure. It needs to be sure it is creating policies that encourage these trends and financing lots of experiments.

One thing we’ve learned with Internet start-ups is that everything needs to be iterated continually. A successful venture like Pinterest went through 300 evolutions before it caught on. With online education, it will be the same. Like any biological system, it won’t be perfect at first, but it will keep on getting much better.

The same principles apply to health care. Today, if you compare the doctor-to-population ratio in the United States and India, India’s is ten times lower. The resource-intensive answer is to say we need to build ten times the number of medical schools we currently have. A better alternative is to accelerate the adoption of new computer diagnostic systems, delivered via cell phones and cheap tablets. I believe such systems can eventually replace 80 percent of doctor visits and deliver results with a better and more consistent quality of care.

I’m not arguing that India doesn’t need more and better physical infrastructure—roads, ports, power plants, and the like. I’m saying that the size of that future increase can be reduced by scaling out an alternative electronic infrastructure, which is also cheaper to build.

Despite India’s well-known problems, I am optimistic about its prospects. Its enormous young English-speaking population is a huge advantage. Its democracy, though messy, adds resilience and stability to the system and gives it an advantage over planned-and-directed economies like China, despite China’s reputation for “getting things done.” The overseas Indian community is increasingly emerging as a great resource for seeding—not only capital, but also a desire to experiment and try something different. And, frankly, new ideas are more important than capital.

The critical missing link is to marry that leapfrogging mind-set to a better policy framework that sparks innovation and experimentation—one that reimagines the future by encouraging instead of prescribing.

About the author

Vinod Khosla is founding partner of Khosla Ventures. This essay is excerpted from Reimagining India: Unlocking the Potential of Asia’s Next Superpower. Copyright © 2013 by McKinsey & Company. Published by Simon & Schuster, Inc. Reprinted by permission. All rights reserved.

 

13/12/2013

How Do You Say ‘Gym Rat’ in Chinese? – Businessweek

Yang Lei’s tight black T-shirt shows off his admirably bulging biceps. The chiseled 29-year-old is the head personal trainer at the Beijing Hujialou branch of Impulse Fitness, one of China’s top three fitness chains. A floor of weight machines and a lap pool—the latter surrounded by white marble columns—occupy the basement level of an upscale new residential complex. In recent years, as Chinese fitness chains have sought ways to transform working out from a niche interest to a mainstream pursuit in the world’s most populous country, it’s become increasingly common for gym franchises to strike deals with residential developers. “More people are starting to put health on their list of top priorities,” says Yang.

Personal trainer assisting and correcting a cl...

Personal trainer assisting and correcting a client during a fitball stretching exercise Category:Fitness Category:Fitness_training Category:Personal_training (Photo credit: Wikipedia)

When Yang was born in 1984, commercial gyms were all but unheard of in China. The first domestic and international fitness chains began to make slow inroads in the 1990s. By the time Yang graduated from high school in the early 2000s, it seemed a logical choice to enroll at Tianjin Physical Education University to study for a new profession in China: becoming a full-time personal trainer. In wealthy cities such as Beijing and Shanghai, it’s now a fairly lucrative gig. Trainers typically charge between $35 and $200 an hour—fees that they split with club management. Of course, hustling also is part of the job. As Yang puts it, “A coach is not only a coach, but a salesperson.”

Finding clients has become much easier in China’s leading metropolises as more young professionals hit the gym. Lawrence Fang, a 31-year-old journalist in Beijing, goes to the gym three times a week, alternating yoga and weightlifting, and says his aims are “health and trying to look good.” He Ping, a 35-year-old engineer, works out with a personal trainer in Beijing for 250 renminbi ($40) an hour because “a good instructor will help me form good habits.” And a petite 32-year-old reporter, who declined to give her name, says she started hitting the gym regularly a few years ago after her foreign boyfriend teased her for “only getting exercise in bed.” All three said the most important factor in choosing a gym was convenience—ideally a location next to their home or office.

via How Do You Say ‘Gym Rat’ in Chinese? – Businessweek.

17/09/2013

House-for-pension stirs Chinese debate on elder care

This post and another on China‘s labour force posted today illustrate how fast China is catching up with developed nations, not always for the better.

China Daily: “For 71-year-old Li Yuzhen, a life taking care of a sick husband and a mentally-disabled son in their two-bedroom apartment in the East China city of Hefei has not been easy.

The family of three nets a monthly income of 3,000 yuan ($487), but spends one third of it on medicine. They barely make ends meet with the rest of the money.

Li said they could not afford a nursing home, and she has to stay at home to look after her son, a man in his 40s but still unmarried due to his condition.

In an effort to explore elder care solutions for China’s rapidly aging society, the State Council, China’s Cabinet, vowed last week to complete a social care network for people over age 60 by 2020, when the age group is expected to reach 243 million. This group’s population had already reached 194 million by the end of 2012, giving China the largest senior population on earth.

One solution proposed is the house-for-pension program.

“The plan allows you to deed your house to an insurance company or bank, which will determine the value of your house and your life expectancy, and then grant you a certain amount every month,” said Meng Xiaosu, former CEO of Happy Life Insurance Co, Ltd.

“You can still live in your house, but the company or the bank has ownership,” Meng said.

The program, while only a suggestion, has drawn widespread concern and met with mixed views.

Zhan Chengfu, director of the division on social welfare and charity of the Ministry of Civil Affairs, said the program benefits both the elderly and insurance companies and banks as it can ease elderly care fund shortages, revitalize housing resources and expand the insurance business.

According to a joint study by the Bank of China (BOC) and Deutsche Bank last year, the aging population will leave China with a shortfall of 18.3 trillion yuan in pension funds by 2013 and create a heavy fiscal burden for the country.

Zheng Bingwen, a social security researcher at the Chinese Academy of Social Sciences, likened China’s pension system to a pyramid with the ground level being the basic pension pool, the middle level being companies’ supplementary pensions, and the top level being individuals’ commercial insurance. But the proportion of the total pension funds to gross domestic output is small compared to other BRICS nations.

“We need different channels to supplement funds shortage, and house-for-pension is likely to be a plausible way for elder care,” Zhang said.

However, the proposal stirred a heated public debate, especially among people whose parents have property and fear losing the inheritance.

via House-for-pension stirs debate on elder care[1]|chinadaily.com.cn.

See also: https://chindia-alert.org/political-factors/chinese-tensions/

16/05/2013

* India: Patents and precedents

FT: “Pharmaceutical companies fear that the battle raging in India over patents will inspire other countries to change their laws

Meena, a 45-year-old New Delhi widow with a 10-year-old son, was diagnosed with potentially fatal blood cancer in 2010. To control it, her doctors prescribed an Indian*- made generic version of Novartis’ leukaemia drug.

But her body stopped responding to it and Meena was advised to switch to a more expensive drug, Sprycel, a second-line cancer drug made by Bristol-Myers Squibb. Sprycel costs Rs160,000 ($2,900) per month, far out of reach for a woman living on her late husband’s Rs17,000 monthly pension.

A solution appeared to be at hand last May when Natco, an Indian generic drugs company, started selling its own version of Sprycel for Rs9,000 a month. A charity helped Meena to buy it.

But Meena’s ability to obtain potentially lifesaving medicine became tied up in a dispute pitting the interests of the world’s largest drugmakers – who spend $70bn annually developing drugs – and generic manufacturers in the developing world.

BMS, the US drugs group with revenues of $17.6bn in 2012, accused Natco of patent infringement, prompting the India’s Supreme Court to order the Indian drugmaker to stop making the medicine until a final verdict was reached. While some patients stocked up before the generic disappeared, Meena could only afford a few bottles.

The BMS “access programme” for the poor offered to sell her Sprycel for Rs15,000 per month – a big discount on the market price but still more than she can afford. Friends have chipped in to buy her a month’s supply but she is distraught about the future. “I don’t see a ray of hope,” she says. “Even if I use all my resources, I can only afford it for two months. It’s not sustainable.”

It is this struggle of educated, middle-class patients to obtain cutting-edge medicine that has led to a showdown between India and western pharmaceutical companies over the patents and prices of lifesaving drugs.

Western drugmakers fear India will inspire other emerging markets to challenge their patents. They have accused India of trampling on their intellectual property rights after a series of decisions overriding, revoking or refusing patents on cancer and hepatitis C drugs from Bayer, Pfizer, Roche and Novartis. The companies are also irate that New Delhi is considering compulsory licenses for another three patented cancer drugs, including Sprycel, and Roche’s breast cancer drug Hercepterin.

At a recent US Congressional hearing, Roy Waldron, Pfizer’s chief intellectual property officer, complained that New Delhi had “routinely flouted trade rules to bolster the Indian generics industry”.

Indian generics executives and patients activists say the reality is more nuanced. They argue that India’s courts are trying to balance drug companies’ intellectual property rights against the need for affordable medicine for 1.2bn Indians. India’s public healthcare system has virtually collapsed, with Indians paying 60 per cent of their healthcare costs from their own pockets.

This stand-off is taking place within the framework of a new patent law crafted to preserve India’s manoeuvring room to keep medicines affordable at home – and protect its exports of drugs abroad.

“The portrayal is that India doesn’t respect intellectual property rights but the reality is that it is balanced,” says Leena Menghaney, a lawyer with Médecins Sans Frontières, the humanitarian organisation. “The decisions that go in favour of the MNCs [multinational corporations] never get reported and decisions against them always hit the headlines.”

D.G. Shah, secretary-general of the Indian Pharmaceutical Alliance, which represents India’s biggest generics firms, rejects suggestions of protectionism for domestic companies.

via India: Patents and precedents – FT.com.

13/04/2013

* India’s Great Polio Legacy

WSJ: “Hundreds of leading scientists are urging the world to finish the job on polio, declaring that the disease has never been closer to eradication and endorsing a new global plan to wipe it out within six years. India has proved an inspiration.

More than 400 signatories to this week’s declaration, hailing from 80 countries, believe polio eradication is achievable in large part because of the great gains India has made against the disease. Not long ago, experts said stopping polio in India was impossible, but we’ve just celebrated two years since the last case and continue to work hard to ensure that all children are vaccinated against the virus.

Polio once paralyzed hundreds of thousands of children each year without regard to national borders. Now, it is endemic in only three countries.

The Scientific Declaration endorses a new global polio eradication plan provides a fully costed, realistic roadmap how to finish off polio. It applies lessons learned from India for reaching zero polio cases while simultaneously preventing re-importation of the disease and switching to a new vaccine that wipes out even the risk of vaccine-related polio.

As the rest of the world learns from India’s success, it is worth asking what else polio lessons can teach India. The country has the highest child mortality rate in the world; 1.66 million children under five die every year from preventable diseases. Innovations developed to eliminate polio offer India unprecedented opportunities to get other life-saving vaccines and health interventions to the people that need them most.

Measles could be the next disease on the hit-list. According to The Lancet medical journal, vaccines slashed measles deaths by 74% between 2000 and 2010, from 535,300 to 139,300. But India still accounts for nearly half of measles deaths.”

via India’s Great Polio Legacy – India Real Time – WSJ.

06/02/2013

* Sonia launches national child health screening programme

The Hindu: “Social uplift of women is must to ensure success of schemes aimed at development of women and children, UPA chairperson Sonia Gandhi said here on Wednesday.

Sonia Gandhi in 2009.

Sonia Gandhi in 2009. (Photo credit: Wikipedia)

“Empowerment of women impacts the health of the girl child. The UPA government has recently promulgated an ordinance regarding atrocities against women. Similarly, laws have been enacted for tackling domestic violence, provide property rights, and reservation for women in local bodies,” Ms. Gandhi said.

Speaking at the launch of the Rashtriya Bal Swasthya Karyakram (Child Health Screening and Early Intervention Services programme) at the tribal town here in Thane district of Maharashtra, Ms. Gandhi hoped that the objective of the National Rural Health Mission (NRHM) initiative to benefit 27 crore children would be achieved through effective implementation and monitoring.

The scheme will be extended to cover all districts in the country in a phased manner, she said.

Challenges in health sector for welfare of women and children were immense, she said. “Despite best efforts, infant mortality is an area of concern. 40 per cent children are still affected by malnutrition,” she said.”

via The Hindu : News / National : Sonia launches national child health screening programme.

28/10/2012

* China adopts mental health law to curb forced treatment

Reform and improvements keep coming.  Is it because of the decennial leadership change or is it due to genuine concern for the people; or maybe it’s a bit of both.

Reuters: “China adopted a law on Friday to protect for the first time the rights of the mentally ill after years of accusations that psychiatric hospitals are used to lock up people against their will and silence dissidents.

Human rights advocates called the hard-fought for law, which has been debated for more than two decades, significant, even though they say it still falls short of international standards as it allows for involuntary commitment without judicial review.

The law will “curb abuses regarding compulsory mental health treatment and protect citizens from undergoing unnecessary treatment or illegal hospitalization”, the Xinhua state news agency said.

“We welcome it because having a law is better than not having one,” Nicholas Bequelin, a researcher at Human Rights Watch, a New York-based advocacy group, told Reuters.

“The most important thing that this law does is it will allow civil society to step in to monitor and press for improvement in the management of mental health in China, including … pushing for greater transparency and progressive curtailment of police rights.”

Activists have long argued that authorities force people they consider troublemakers into psychiatric hospitals without providing any evidence of their supposed crimes.

The tactic has been used to silence dissidents, whistle-blowers and petitioners. More recently, it has been used by people against relatives during family disputes.

State media has reported on people being locked up in psychiatric hospitals against their will.

Chen Guoming, a former gold store owner, was forced into an asylum in 2011 by his wife and locked up for 56 days after refusing to lend money to his wife’s family, Xinhua said.

The new law bans mental health examinations of a citizen against his or her own will, Xinhua said.”

via China adopts mental health law to curb forced treatment | Reuters.

See also: https://chindia-alert.org/prognosis/chinese-challenges/

04/09/2012

* Healthcare system to get 400b yuan injection

Chronic Disease

Chronic Disease (Photo credit: tamahaji)

China Daily: “Increase in cases of chronic diseases can mean opportunities for medical firms

Deng Jianping currently spends around 500 yuan ($79) a month on medicine for blood pressure, diabetes and coronary heart disease.

The 68-year-old Beijinger said his wife has more chronic diseases and her medication costs even more, while his two sons, 42 and 38, also need to take medicine every day for hypertension and heart illness.

Wang and his family are among the more than 260 million Chinese people, around a quarter of the nation’s population, who have been diagnosed with chronic diseases, including cardiovascular diseases, diabetes, cancer and chronic respiratory diseases.

The Ministry of Health said that around 10 million people in China have contracted chronic diseases every year since 2002.

“Prevention and control of chronic diseases will be one of the seven top tasks of China’s medical care reform by 2020,” said Health Minister Chen Zhu.

The central government will invest a total of 400 billion yuan by 2020 in the seven key projects, which also involve improvements to the grassroots healthcare system, psychological disease prevention, the construction of a digital public health information network, medical device innovation, the development of traditional Chinese medicine, and the training of general practitioners.

According to the ministry, 85 percent of deaths in China are caused by chronic diseases, with expenditure on the treatment of these accounting for 69 percent of China’s total healthcare costs last year.

Foreign pharmaceutical companies have an advantage in this sector, according to Song Yingtong, a senior analyst at Beijing Chnmed Consulting Co Ltd, a domestic pharmaceutical consulting firm.

“They have accumulated rich experience in chronic disease treatment in developed markets,” he said.”

via Healthcare system to get 400b yuan injection |Hot Issues |chinadaily.com.cn.

Hot on the announcement of expanded care is news of cash injection to make it real.  President Obama “eat your heart out.”

03/09/2012

* China probes ‘gutter oil in medicine’ claims

BBC News: “Chinese officials have told pharmaceutical firms to check their suppliers after claims that some have used “gutter oil” to make antibiotics, state-run media report.

File photo: Police inspecting illegal cooking oil seized in 2010

Officials are looking into firms that reportedly use the cheaper gutter oil rather than the more expensive soy bean oil in the production process.

Gutter oil is reprocessed kitchen waste dredged from restaurant drains.

It has been part of a series of recent food safety scandals in China.

The government said it would release its findings soon, without giving further details.

It is not clear whether these antibiotics pose a risk to public health, but the incident highlights how some firms cut corners to pursue profits, says the BBC’s Martin Patience in Beijing.

Scandals over contaminated food – most recently gutter oil – have caused considerable public alarm in China in recent years.

In April, state-run media reported on how officials cracked down on underground workshops that used decomposing animal fat and organs to produce gutter oil.

Police said that most of the oil was sold to oil manufacturers for food production and making hotpot soup in restaurants.

In September last year, police arrested 32 people in an operation to prevent the sale of gutter oil as cooking oil.”

via BBC News – China probes ‘gutter oil in medicine’ claims.

There seem to be no limits to the unethical behaviour of some Chinese business people. Central government is trying to do its best, in pharmaceuticals,and  food production, but the miscreants carry on.

Law of Unintended Consequences

continuously updated blog about China & India

ChiaHou's Book Reviews

continuously updated blog about China & India

What's wrong with the world; and its economy

continuously updated blog about China & India