Tuesday, May 12, 2020

About Vizag Gas leak Tragedy: Everything is possible to save rich and mighty in India at the cost of poor people of India

About Vizag Gas leak Tragedy
Everything is possible to save rich and mighty in India at the cost of poor people of India

I doubt that the cause of the Vizag tragedy was due to styrene gas leak. Most probably it is a planted idea to save the responsible company in future when the case will go to the court. My assumptions are based on the following facts.
1. People were falling unconscious without smelling any odour while the normal human nose can smell this gas at 50ppm level in the air but none of the reports said that it was smelled by anyone. The gas causes even mild toxicity on long term exposure of >300ppm in air. To cause such severe toxicity that is death on exposure the gas concentration is required to be 10000 ppm, and at 60 degrees C even under saturation level gas can reach only about 8000 ppm (that is in the closed chamber). That lethal concentration is almost impossible to reach in an open-air environment.
2. Styrene is neither gas nor volatile because its boiling temperature is 145 degrees centigrade. The styrene gives out irritating or toxic fumes (or gases) in a fire only. It is reported as a gas leak, not fire blast, that means it was not the cause.
3. Styrene is 3.6 times heavier than air and rapidly settle down, not spread at height more than 3 ft, but in nearby village and area, people fell which walking, animals died when standing.
4. As you can smell styrene as irritating toxic fumes and get suffocated you will struggle before you succumb to the styrene poisoning but in none of the cases shown on TV or in media, any struggle was evident even in animals.
This all shreds of evidence create doubt about the investigation and the case is made weak to be fought in the Court.
Everything is possible to save rich and mighty in India.
News about Styrene gas leak tragedy
1. https://www.downtoearth.org.in/news/health/vizag-gas-leak-styrene-levels-2-500-times-more-on-may-8-cse-analysis-71020
2. https://www.hindustantimes.com/india-news/styrene-gas-leak-survivors-will-have-to-wait-some-more-days-to-return-home/story-gehQWN1jGe1JUyC1ajrxVO.html
3. https://indianexpress.com/article/india/vizag-gas-leak-andhra-govt-to-send-back-styrene-stock-to-s-korea-6405294/
4. https://indianexpress.com/article/explained/vizag-gas-leak-what-styrene-is-for-and-how-it-behaves-6399198/
https://www.downtoearth.org.in/news/health/vizag-gas-leak-styrene-levels-2-500-times-more-on-may-8-cse-analysis-71020
5. https://economictimes.indiatimes.com/news/politics-and-nation/all-you-need-to-know-about-styrene-the-gas-that-leaked-in-vizag/gas-leak/slideshow/75622534.cms
6. https://www.hindustantimes.com/india-news/vizag-gas-leak-what-is-styrene-and-how-it-can-kill-if-inhaled/story-6BiXy6jk6y2q3h7eddZKlO.html
7. https://www.livemint.com/news/india/lg-polymers-admits-leaking-vapor-from-gas-storage-tank-caused-vizag-tragedy-11589009346537.html

Friday, May 8, 2020

सुना है अगले वर्ष पैदा हो जाएंगे दो करोड़ और हिन्दुस्तानी; Protagoras Paradox and COVID-19


सुना है अगले वर्ष पैदा हो जाएंगे दो करोड़ और हिन्दुस्तानी
कोरोनाकाल में कितने काल के गाल में समा जाएंगे ये तो पता नहीं, पर, 
देश के अमीरों तुम्हे बचाने के लिए इस वर्ष भी ख़ाख़ हो जाएंगे करोड़ों हिन्दुस्तानी,
यूँ तो सरकार ने खैरात बांटी है बहुत, फिर भी भूख से मर जाएंगे करोड़ों हिन्दुस्तानी,
हमारी औकात ही क्या है, कभी रेल पथ पर सोते हुए, कभी राजपथ पर रोते हुए
तो कभी किसी अमीर की फैक्ट्री के धुंए से मर जाएंगे करोड़ों हिन्दुस्तानी,
मेरे भारत, तेरी नदी का पानी जहर हो गया है, जिसे पीके परलोक चले जाएंगे करोड़ों हिन्दुस्तानी,
मेरे भारत तेरी ज़मीन में उगते नहीं अब दरख्त गरीबो को छाँव देने के लिए,
 धूप में जल कर मर जाएंगे करोड़ों हिन्दुस्तानी,
मेरे देश के अमीर पीते हैं खून गरीब का या फिर किसी विदेशी झरने का पानी,
अक्सर होती हैं उनकी ख्वाबगाहों में रंगो-नूर की महफ़िलें, उन रंगो की धुलाई में बह जाएंगे करोड़ों हिन्दुस्तानी,
देश के नायकों खुशियां मनाओ रही है नई खेप मजूरों की,
सुना है अगले वर्ष पैदा हो जाएंगे दो करोड़ और हिन्दुस्तानी।
आका हमारे कहते हैं, ज़िंदा रहे तो मिल जाएगा दाना -पानी,
खाने को कुछ नहीं है, पीने को कुछ नहीं है, कोई बात नहीं, यह तो वर्षों का है सलीका हमारे जीने का,
तकरीरें सुन कर अच्छा लगता है, पर फिर सोचता हूँ,
भूख से बिलखकर मर गए जो, अब तक क्या कभी ज़िंदा नहीं थे वो?
ये देश भी अजीब है मेरे दोस्त जहाँ मरे हुए भी मर जाते हैं दुबारा और बार बार, जीने की आस में,
घर में रहो बंद वरना मर जाएंगे करोड़ों हिन्दुस्तानी,
हम मर गए तो ठीक, ज़िंदा रहे तो मिल जाएगा दाना -पानी।
सुना है इशू अपनी सलीब को ले कर गए थे प्रभु के पास और अमर हो गए,
हम तो पुश्तों से ढो रहे हैं अपनी सलीबें, पर अपना तो खून अभी भी साफ़ ना हुआ  बन कर रह गया गटर का कीच
  पैदा हुए थे जैसे, वैसे ही रह गए बनके गंदे, मजूर, मजबूर और नीच के नीच करोड़ों हिन्दुस्तानी।
सुना है अगले वर्ष पैदा हो जाएंगे दो करोड़ और हिन्दुस्तानी।

From Wall of my Daughter
Today many countries have an interesting paradox. Do we continue lockdown for a very long time and wipe out our economies or let a few 100 million die and keep the economies going.
The Protogoras Paradox succinctly captures the paradox of our times!
Protagoras Paradox
Over 2000 years ago, in Greece, there was a lawyer named Protagoras. A young student, Euthalos, requested to apprentice under him, but was unable to pay the fees. The student struck a deal saying, “I will pay your fee the day I win my first case in the court”. Teacher agreed. When the training was complete and a few years had elapsed without the student paying up, the teacher decided to sue the student in the court of law.
The teacher thought to himself: ‘If I win the case, as per the law, the student will have to pay me, as the case is about non-payment of dues. And if lose the case, the student will still have to pay me, because he would have won his first case. Either way I will get paid’.
The student’s view was, ‘If I win the case, I won’t have to pay the teacher, as the case is about my non-payment of fees. And if I lose the case, I don’t have to pay him since I wouldn’t have won my first case yet. Either way I will not pay the teacher.’
This is known as Protagoras Paradox, which ever way you look both have equally convincing arguments, one can go either way in supporting the teacher or the student and would not be wrong.
Those in medical practice often come across such situations, either in making a diagnostic or therapeutic decision. One physician can recommend a course of treatment based on scientific evidence and another can recommend a diametrically opposite course again based on medical evidence. Right or wrong, but some merit would exist on both sides. Often the physician himself is having an internal struggle to make a decision about the most appropriate course of action, Protagoras & Euthalos are arguing in his mind, to do this or to do that. The horns of dilemma are tearing him apart.
But what prompted this essay was a tweet by Donald Trump, ‘hope the cure is not worse than the disease’. I hate to say, but I find some merit in this tweet. In our global attempt to flatten the COVID curve, one hopes that we do not flatten the global economy curve. The question is what’s the best way forward. One group recommends ‘total lockdown’ to break the transmission chain, based on evidence from China, they managed to control the spread of the virus by ruthless lock down and 3 months later they are showing that disease is controlled in Wuhan. On the other hand, the other school of thought is graded isolation & protection of elderly and very young and those with co-morbidities, let it spread amongst the young and healthy, after all the disease ultimately will be controlled when we achieve ‘herd immunity’. The medical community is divided in these two groups. To enforce complete lockdown or Graded isolation?
To complicate the issue the epidemiologists have joined the bandwagon with cacophony of statistical analysis. From Rosy to Dooms day predictions. If we don’t do a complete lockdown then a million people will die in 1 year. No say some more like 90 million will die in 1 year. Whose data analysis is correct. Some suggest do nothing, nature will take over in a few months and all will be well, they quote historical data to justify their recommendations. On whose inputs should we base our disaster management strategy.
Then come the economists with their doomsday predictions. If this continues till May our medical resources will be overwhelmed, Agriculture will suffer, food shortages will occur, production will come to a standstill. There will be an economic crisis of the proportions that world has not seen ever. So, break this lockdown nonsense and let’s get back to work as usual.
What will our political masters do. My guess is they will listen to medical experts, epidemiologists & economists. Then they will decide what course of action will ensure their survival, what will get them people’s votes and they will run with that. At present ‘Lockdown” finds favour with them. Boris in UK had to abandon the recommendations of the medical community about graded response, because the people’s perception became that our Government is not doing enough to protect us citizens. That means revolt against him. So,screw it, lets go with total lockdown if that’s what the people want. Gradually people will get tired of lockdown and demand- let life go on. Then with equally convincing arguments the governments will say the time has now come to lift the blockade, we have controlled the contagion, we have won. Unfortunately, the costs in either case will be huge, both lives and money!
Incidentally the Protagoras Paradox has not been resolved till date. Students in Law school still hold mock trial and give arguments on both sides wthout any resolution of the dispute.

Really a perplexing situation.

Wednesday, May 6, 2020

COVIDmania: Truth of life

COVIDmania and Truth of life
https://www.linkedin.com/pulse/covidmania-truth-life-bhoj-raj-singh
https://actascientific.com/ASPC/pdf/ASPC-01-0060.pdf
          
 I sometimes think about, why I believe in God? Why there should be a God? Probably, I can't bear the pain of life alone.
Politics of COVID-19 transmission
  • Infected people can be contagious well before experiencing symptoms.
  • "Some modelling studies suggest 40-60% of spread is from people when they didn’t have symptoms," tweeted Ashish Jha, incoming dean at the Brown School of Public Health.
  • Singapore's coronavirus task force also said that it believes half of the country's new COVID-19 cases are asymptomatic based on testing data, Reuters reports.
  • Maria Van Kerkhove (@mvankerkhove), Infectious Disease Epidemiologist; COVID-19 Technical Lead, WHO Health Emergencies Programme tweeted on 8-6-20 “transmission from asymptomatic individuals are difficult to conduct, but the available evidence from contact tracing reported by the Member States suggests that asymptomatically-infected individuals are much less likely to transmit the virus than those who develop symptoms”.

Creation of Panic

           A study in California revealed that there is 0.13% case fatality rate for COVID-19, a little higher than 0.1% for common flu (https://www.vox.com/2020/4/24/21229415/coronavirus-antibody-testing-covid-19-california-survey). But have you ever feared so much from common flu?
          In India, out of 50000 cases of COVID-19, only 1700 died i.e., 3.4% of those cases died and those cases are out of 13 Lakhs tested till date i.e., 0.13% (almost same as predicted in California study). This value is when we tested all dying suspecting that it is COVID-19 only. We also know that most of those died due to COVID-19 were also aged and suffering from other lifelong diseases. That means,  in the general population risk of death is very low.
Have you ever thought that in India every year 1.5 Crore suffer from Malaria, 5 crores are patients of Filaria   (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5034168/) and every year 10 crores die due to Dengue in the world (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5034168/). Have you ever worried about those poor people? No, because those are big and established pharmaceutical markets but to expand that market further they want to create panic with COVID-19. I have not included here the figures for many more diseases like cancer, diabetes, kidney dysfunctions, cardiovascular disorders haunting not only India but the whole world because they are less preventable or we don't want to prevent those. We know that in the next one-year several pharma companies will be there with COVID-19 vaccine and market will be ready to accept them at any cost, that is Goldmine for them already awaiting. But have you ever thought that how effective will be those vaccines, how will they be used in such a big population? Was vaccination of Polio, Rinderpest and Smallpox a simple one time task. The diseases for which we already have the vaccine and that too providing considerably solid immunity, are they all gone, measles, mumps, tuberculosis, JE and many more in humans, FMD, HS, BQ, Swine fever and anthrax etc. in animals!!!!
            The renowned institutions are creating panic saying that there will be 12.5 to 24 crore patients (they call all infected people patients which is not valid in any case and have never been for any other disease) by August 2020 (https://science.thewire.in/the-sciences/covid-19-pandemic-infectious-disease-transmission-sir-seir-icmr-indiasim-agent-based-modelling/; https://economictimes.indiatimes.com/news/politics-and-nation/john-hopkins-varsity-disassociates-from-study-on-indias-possible-covid-19-cases/articleshow/74872298.cms?from=mdr). Can’t they tell bigger lies than this? The present data all over the world including India indicates that of the 25 tested only one is positive for COVID-19 infection, i.e., they need to test more than 300 crores to reach this 12.5 crores diagnostic figure predicted by them. Is there any big population in India to be tested? If they test every day 10 lakh people, it will require 3000 days to reach the figure of 300 crore tests, is it possible by any means to do this, even the whole world is not going to touch that mammoth figure by August 2020. If we assume that of 138 crores of Indian 12.5 crores will be sick even then how long it may take to test the whole Indian population at a pace of 10 lakh tests per day, 1380 days, more than three years. Is there can be any big joke than it.

Moreover, Tuberculosis (TB) is curable and preventable but in India alone there are 130,000 TB cases not treatable due to total drug resistance. Tuberculosis also spread through contact, coughs and is a highly contagious zoonosis affecting a large number of animals too. The TB patient keeps on spreading disease for an indefinite time or his or her lifelong. Tuberculosis, a disease of poor and poverty, kills 1.5 million people worldwide and TB is one of the top 10 causes of death and the leading cause of death due to a single infectious agent. In 2018, an estimated 10 million people fell ill with tuberculosis (TB) worldwide including 5.7 million men, 3.2 million women and 1.1 million children (https://www.who.int/news-room/fact-sheets/detail/tuberculosis). Every year almost 6.4 million new TB cases are recorded. (https://www.who.int/gho/tb/epidemic/cases_deaths/en/). In India, every year 440,000 i.e., 1205 people daily (more than 50 per hour) die due to TB (https://tbfacts.org/tb-statistics-india/), a dangerous zoonotic and communicable contagious disease, but nobody cares and brings India to halt or Lockdown for even a day. Rather, every day millions of TB patients travel across the country, some times on concessional tickets, in public transport in India since ages distributing the disease with dignity and proud but nobody cares. 
In India, every year more than 230,000 people i.e., 630 daily (more than 26 per hour) commit suicide due to one or other reason (https://economictimes.indiatimes.com/news/politics-and-nation/coronavirus-india-must-do-more-genomic-sequencing-to-enable-faster-decision-making/articleshow/74799884.cms), but no one cared. No one thinks why they die. Among those suicide, more than 75% are young people (future of India). There is no vaccine and no treatment for suicide also. Without being contagious, suicide is one of the biggest killers. Why the WHO and governments fail to prevent it. But we are worried about COCID-19 taking lives of those who have already spent their productive life and now are sick with life itself. We are worried about those who have to die in a year or more due to one other reason but not about those who have to do hard work for the progress of this world.
Again in India, roughly around 17 accident-related deaths occur across India every hour i.e., 150,000 per year (https://www.statista.com/statistics/746887/india-number-of-fatalities-in-road-accidents/) but we never cared, why? Why our roads are more prone to accidents, why are not having good roads, why don’t we have enough cops to make people obey rules.​
Actually, it is all game of big people and the poor are bluffed and bluffed daily.
This is the life and Truth of life.

What should have been a better approach?

I am of the opinion that there should be targeted isolation/ quarantine of those returning from different places (states or countries), and all those who are more vulnerable (aged, suffering from one other disease making them susceptible) to COVID-19. The blanket lock-down is always detrimental and reveals our poor planning and management. It is like punishing a whole village for the sin of a person, or killing a person if his or her finger is cancerous. I love reasoning and planning, not the blanketing approach.


Are we COVID-Warriors or spreaders of COVID?

Dear Experts, please answer,
If we are living and working in a campus having COVID quarantine Centre (where positive cases have already been diagnosed) and testing COVID samples without proper (non-accredited) BSL-3 and in improper BSL-2 laboratories (within a circle of 150-200 yards of our residences and offices), how to enter our details in Arogya Setu app and to what status we belong, Red, Green or Orange? It is the situation in Indian Veterinary Research Institute Izatnagar, an Institute headed by a Virologist. Should we be allowed to roam in public freely or there should be some restrictions?
Guidance is urgently requested so that we may help to prevent the spread of COVID-19 in India.