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I agree with Jebha in that family planning is a very difficult strategy to implement into a family and the healthcare system as a whole. Although in certain situations with an educated and motivated population, family planning may be helpful, in general it is an ineffective strategy towards slowly down poverty in reality.

Hi everyone! My name is Michael Saggio and I'm an OMS II at Auburn. I'm excited for the class and to learn about what's relevant in other countries, especially issues facing people regarding their health. I went to The University of Alabama for undergrad and then came here to pursue a medical career in the southeast, but also because of the opportunities VCOM provides internationally. Had a great time in this class!

I feel that the Ganga Action Plan will not succeed in cleaning up the Ganga River. This requires a lot of collaboration and implantation of laws because the factories are the one that are creating most waste and are not cleaning up after themselves. There is a lot of corruption in India and these plants gets away with it by bribing government officials. Also there needs to educational sessions that need to be set up at the grass roots level and change overall change in attitude along with building of sewage system. All of these will require extensive effort and different thought pattern and cultural attitude.

gANGA ACTION PLAN by RehanaSVCOM-AuburnRehanaSVCOM-Auburn, 06 Jun 2018 20:41

The Ganga river flows for 250 km in the mountauns, descending to an elevetion of 288m above sea level. The past years, there has been an increase in the urban areas along the Ganga River. As a result the river is not just used to get water but now is also a channel that receives and transports urban wastes away from the towns. All the towns along the river´s lenght contribute to the pollution load. Some of the principal sources of pollution of the river are: domestic and industrial wastes, solid garbage thrown in the river,animal carcasses, defecation, mass bathing and ritualistic practices.

the creation of new laws can help society to be more aware of the care they must take, for example fines can be placed and depending on the severity a law can be created where the people pay with social service for a time
its important that people know the actions they can do for make better the place, and its most important to educate the childrens because they will be the future of the country and they can do the things better

I agree with you, it is important the implementation of water purification plants, because otherwise the plan will not succeed, because even though a little awareness has been created in the population, there are always people who will not care and will return to do the same things, therefore I think that new laws should also be implemented that punish all those who do not comply

I agree with you, I guess that the best way to face the Chagas is making our environment better, but it’s most important that we as a med students educate society on prevention measures, and that will one of the most important steps to control the Chagas, after that the society can have more basic care about the environment they live

You’re right. The biggest problem is that there is no support to carry out this plan, so governmental or non-governmental institutions are needed to help make this possible

Re: Q2 Answer by ErnestomedturErnestomedtur, 22 May 2018 22:49

Hi Stephy, I completely agree with your statement, nonetheless, even with the industries polluting, we have to consider the cultural factors, and the attitude of everyone who lives arround the river, since they can make a change by reporting this situation to the government.
The government SHOULD teach every single citizen how to manage solid waste, and what to do when either a river or a lake is being polluted by any industry or any other citizens, whether by religious factors, as for a low educational level.

Zach, I like your ideas and I think that these steps are very necessary given the catastrophic state of the Ganges river. The only issue I foresee is one of noncompliance or anger from the public. By making the choice of banning the use of the river except for religious purposes, you would be cutting of millions of people from the only source of water they have. Apart from that, part of the issue of pollution comes from excessive use by devotees. The burning or sinking of corpses, disposal of idols, and bathing of animals are seen as normal acts of faith. This is why I believe making river access exclusive may not be a viable plan. However, the idea of communicating with local religious leaders and the education of the public on risks of water pollution are great places to start. It's the very basis of the Ganga Action Parivar, which is an NGO attempting to bridge the gap between science and religion. Working with this type of group could help a physician spread the word on water-borne illnesses, dangers of pollution, and preventative measures to a much larger or willing audience.

The river Ganges , which flows 2,700 km from the Himalaya mountains to the Bay of Bengal in northern India and Bangladesh, is one of India's most sacred landmarks personified as the goddess Ganga in several ancient texts. In the Mahabharata, the Ganges is described as the "best of rivers, born of all the sacred waters." To Hindus, Ganga is a symbol of faith, hope, culture and life, as well as a source of livelihood for the millions surrounding its banks. Many people have referred to the river as "Mother Ganga". Unfortunately, though India's holy river begins crystal clear high in the icy Himalayas, the pollution and overuse have transformed it into a flowing toxic sludge.

Through the densely-populated plains of north India, water is sucked out of the river for agriculture. Industrial waste, chemical runoff, and raw sewage are dumped into it from open drains. Devotees use the Ganges to cleanse their sins; they immerse themselves and idols of their gods into the river everyday. Believers throw offerings of flowers into the river, burn or cremate their dead on the banks before throwing the ashes into the water, and some try to cure themselves of disease by swimming in what they also use as drinking water. Women wash clothes in it, while others bathe their animals in the river.

For those without toilets (which are millions of people along the Ganges' banks), defecating next to the river every morning is normal.

Raw sewage, plastic bags and bottles, human waste, chemicals from tanneries, discarded idols, animal excrement, garlands of flowers, human remains, animal carcasses, chemical dyes from sari factories, and construction waste - these are all the contamination being dumped into the Ganges everyday. Though the problem of how the Ganges is being polluted is no mystery, the will to act is missing. The government has yet to launch another big cleanup campaign. Lack of solid waste disposal and treatment plants also contribute to the sad state India's beloved river is in. However, the public's lack of motivation is also to blame - endless littering of the river continues even when many people are aware of why the Ganges is so filthy.

I agree with you, therefore, families that consume contaminated water, whether from chemical bacteria or biodegradable waste, tend to ingest stomach or infection diseases.

industries must be monitored by government organizations if they have greater control over the waste they produce, since the industry is the most percentage of pollution of the river, however the government must inform their locals how to make an adequate use of this water resource so that they do not contribute to the acceleration of the deterioration of the resource.

Discussion Question 1 by B Stephy AQB Stephy AQ, 16 May 2018 04:52

Absolutely Miriam! I specifically appreciate you bringing up the compiling of the animal, and industrial waste along with the human waste. Many, including myself seem to hone in on the direct human waste contributions without considering the whole picture. This gives us a better plan of attack, well Said!

No, I don't believe it was a success. The progress of the entire study after much time and money spent was…. the Ganga is in need of improvement. While I'm sure this is new news to everyone involved, if the people invested in this process would have simply gone down and helped the communities dependent on the Ganga, that would have absolutely had a greater effect. With the money and manpower of this "action plan" a little "action" would have gone a long way.

Q2 Answer by Charlie Bergdolt Charlie Bergdolt , 16 May 2018 04:44

Many undocumented people do not have access to health so this is a risk factor in which these people may be infected with the parasite, this being a risk factor for not being able to control a plague in the surrounding places where the infected person lives. people for fear of deportations do not visit health centers.

Discussion Question 1 by B Stephy AQB Stephy AQ, 16 May 2018 04:36

I agree with you that it a good plan in the sense that it raises awareness but it is definitely not enough. I think education is really important in saving the Ganga river and probably the first most important thing to save the river. I feel like the plan is not enough to save the river. And the burning of the corpse does not technically cause an issue but I would definitely concentrate on building more sewage plants and implementation of pollution laws. Also build community toilets around the river. Also it would require a lot of money for it to succeed in the long term. The sewage plants will treat the feces/organic material prior to dumping water the in the river would help with decreasing pollution. It is definitely a real big problem and hard to manage.

The river is used for bathing, washing clothes, used as a drinking source and also used in religious ceremonies. The river is known as mother Ganga and signifies a hindu god. It is also a site where local factories dump waste. Needs a large scale cleaning. Pollution foam is abundant in the river and can be seen in pictures. People swim and bath in the river and it is a common religious practices.

Re: Usage of Ganges by RehanaSVCOM-AuburnRehanaSVCOM-Auburn, 15 May 2018 22:36

A) Politically, there are a variety of religions and opinions that make up the population that votes in the government. However, there is a well-established problem with bribery within the Indian government that prevents much action from taking place. This seriously diminishes the chances of the river being cleaned.
B) Technologically, the problem is more economic. Technologies exist to clean virtually everything in the river, from the use of biotechnologies evoking properties of bacteria to your everyday water cleaning facilities across the world. But some are very expensive.
C) Economic problems may be the biggest. It would be a large economic commitment to clean everything in that river.
D) Further, some of the solutions for the problem may not have the best long term effects on the health of the population and ecosystem in and around the river. However, the current health risks due to pollution of the river significantly outweigh them.
E) Culturally, it would be very difficult to get highly religious populations to stop using the river for spiritual (and sometimes unsanitary) purposes. This simply has to be recognized as a constant.
F) I personally find it unethical to leave something so naturally beautiful in complete waste. The water needs to be cleaned.

6 problems by Michael SaggioMichael Saggio, 15 May 2018 22:11

The Ganga Action Plan was not a success because a large amount of resources was used for fixing an immediate, temporary problem instead of investing in long-lasting and possibly a permanent solution. Cleaning up the river is a wasted effort without providing the means for all the things that the river was used for. Many people, especially the ones living in poverty, do not have other means of using the river for bathing and toiletries. How can they be asked to litter less or cause less pollution when the cleanest option in their livelihoods is utilizing the river? Instead, employing the government funds to create an efficient sewage and bathroom system will lead to less pollution in the river while providing better standards of living for the population.
One action that I particularly liked about the plan was putting strict rules on companies emptying their wastes in the river and foreclosing their businesses if the companies did not oblige with the standards. This discourages disobedience and nonchalant attitudes from corporations while decreasing factory wastes permanently.
The Ganga Action Plan was initiated with the right intentions, and hopefully, they will continue to use the resources to make lasting changes instead of concentrating on providing temporary relief.

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