Advika was in her late forties. Despite feeling tired and noting some abnormal pains during her monthly cycle, she declined to go to the doctor. The cost of traveling to the doctor was expensive and she didn’t have the extra funds or time to take a day off work for the trip. Eventually, she started feeling so bad that working was almost impossible. Finally, she went to the doctor, only to find out that she had an advanced stage of cervical cancer.
While we would all wish that her story was rare, the truth is that undiagnosed cancer happens frequently in India. Advanced stages of cancer are less likely to be cured and have a greater chance of relapse. In stage one, for instance, the cure rate is around 85% but that number falls dramatically for those in stage 3. Cancer patients who are diagnosed with stage 4 cancer are not likely to survive for more than five years.
The World Health Organization says that cancer is diagnosed in more than 14 million people worldwide annually and ends up killing approximately 8.8 million. What is most shocking is that two-thirds of these deaths are in low-middle income countries where diagnosis is found to be inadequate.
Indian system of modern medicine does not promote an annual preventive physical exam for patients even though several private hospitals promote comprehensive executive check ups for the wealthy. Its time to change that. Identifying chronic diseases like Diabetes, Hypertension, and heart diseases early and managing them is a lot more effective than managing and treating its complications.
In the United States, the U.S. Preventive Services Task Force is an independent, volunteer panel of national experts in disease prevention and evidence-based medicine. The Task Force works to improve the health of people nationwide by making evidence-based recommendations about clinical preventive services. “The Prevention TaskForce” application assists primary care clinicians to identify the screening, counseling, and preventive medication services that are appropriate for their patients. Government of India could implement a similar project and use the lessons learned in the United States and other countries.
If all patients in India have access to complimentary annual preventive physical exam, including routine lab tests and cancer screenings, this will increase the chances of finding cancer and deadly diseases earlier and will enhance the likelihood of a cure. The cost to the taxpayers of India will eventually be far less as we prevent long term complications of Cancer and Chronic diseases.
For the individual patient who is covering the costs of seeing a doctor, the idea of annual physical examination when they feel fine seems like a waste of financial resources. As has become the case in countries around the world, primary care and annual physical examinations are beginning to disappear. As telehealth and digital medicine options have continued to increase in use, particularly during the pandemic, the idea of a traditional physical exam has come under greater scrutiny. A combination physical exam and telehealth might be the way of the future in keeping our nation healthy.
The annual physical exam is part of the larger discussion about primary care and whether it is necessary. In the U.S., India, and other countries around the world, medicine has become the way you manage disease, not prevent it. Primary care, on the other hand, is a way to prevent disease by talking with patients about their potential health risks and giving them practical advice on how to care for their health, while considering their unique lifestyle challenges.
Unfortunately, there is little discussion about how focusing on primary care, including the annual physical exam, could positively impact the costs of healthcare. Far too often, individuals throughout the world find themselves waiting to seek medical attention until they are much sicker, simply because they do not have the funds to afford basic preventive primary care or may struggle to stick with prescribed preventive health measures and lifestyle changes due to costs or social status.
While telemedicine does offer a way for physicians to connect with their patients in a cost-effective manner, there is something to be said for having a patient in front of you, where you can physically examine them. When a patient disagrees with their doctor, for instance, having a physical exam can give you data that informs the discussion and could be helpful in getting the patient on board with the treatment options available.
A patient who might be looking for antibiotics to treat a respiratory infection might feel better about not needing medication when they know that their lungs are clear, and their oxygen saturation levels are within normal range.
Telehealth does offer a means for doctors to understand the home environment of their patients and give them the opportunity to connect more frequently with their patients throughout the year. Virtual visits can also respect the patient’s time, as well as the doctor’s. Plus, technology is continuing to improve the ways available for doctors to collect physical data from their patients without physically having them in the office.
End stage renal diseases can be prevented by preventing or managing health conditions that cause kidney damage, such as diabetes and high blood pressure The costs for cancer treatments increase dramatically at later stages, as your medical team deals with the cancer and its side effects. Families often see any cancer diagnosis as a huge financial blow, meaning that they are also willing to make choices between treatment and caring for family needs. Annual physical exams, which include routine tests and screenings, could be a way to save individuals and their loved ones the financial and emotional costs of cancers and many other preventable diseases.
How can we make this happen in an affordable way using digital technology platforms like Telehealth? India being a leader in digital technology- this can be implemented more efficiently and make healthcare more accessible to common man especially in rural areas across the nation.
American Association of Physicians of Indian Origin (AAPI), the largest ethnic physician organization in the United states, representing over 100,000 Indain American Physicians, has initiated preventive healthcare screenings in 75 villages to understand the concept of preventive screenings help to diagnose any silent diseases which are causing premature deaths from Coronary heart disease and cancers like Breast cancer, cervical cancer which are preventable if diagnosed early through these annual screenings as mentioned above.
During the annual Global Healthcare Summit AAPI has planned to organize in India at Hotel AVASA in Hyderabad from January 5th to 7th, 2022, physician leaders from the United States and India will have an opportunity to brainstorm and explore ways to focus on the theme, “Transformation of Healthcare through Telehealth and Technology usage during this post Covid Era” recommend possible ways to plan and implement preventive medicine that will save resources and precious human lives.
It’s our hope that Government of India will appoint an expert panel of nationally recognized experts in the disciplines of preventive medicine and primary care, including internal medicine, family medicine, geriatrics, pediatrics, preventive medicine, behavioral medicine, public health, obstetrics and gynecology, and nursing to create an Indian Preventive Task Force (IPTF) recommendations should be promoted and Implemented as part of the Free annual physical exam or telemedicine visit at Government Hospitals and Primary care centers. Private hospitals and Insurance companies should be encouraged to provide Annual Physical exam or Telehealth visit, following IPTF recommendations for free or at affordable cost. Many of the routine lab tests, vaccinations, blood pressure checks and some cancer screenings like self-breast examination can be done remotely and event at patient’s home with the help of Asha workers. The annual physical exam is a critical part of quality primary care and one that needs to be automatically covered as part of Indian healthcare system.
To shift our healthcare from being disease and treatment centered, we need to elevate the value of primary care, particularly the annual physical exam and recognize how critical this is to having a healthy nation and a healthier world.
With one of the largest populations in the World, India could lead the World in providing quality health care to all its citizens and the recent COVID-19 vaccination drive is a great example. The biggest democracy in the World needs urgent Investment in the health of all its citizens and reform the public healthcare system.
*Dr. Anupama Gotimukula is the President of American Association of Physicians of Indian Origin (AAPI), resides in San Antonio, TX. A board certified Pediatric Anesthesiologist, practicing since 2007, Dr. Gotimukula is affiliated with Christus Santa Rosa, Baptist and Methodist Healthcare systems in San Antonio.
*Prof. (Dr.) Joseph M. Chalil is an Adjunct Professor & Chair of the Complex Health Systems advisory board at Nova Southeastern University’s School of Business; Chairman of the Indo-American Press Club and The Universal News Network publisher.
*He recently published a Best Seller Book – “Beyond the COVID-19 Pandemic: Envisioning a Better World by Transforming the Future of Healthcare.”

Yet, despite these efforts, the fact is that we started out late in combating climate change and now need to accelerate corrective action if humans are not to go the way of the dinosaurs. The climate crisis is a global issue and requires action from all countries, but many developing economies, including some of the most climate-vulnerable ones, lack the financial wherewithal to do enough on their own. Some emerging economies, including South Africa and much of South and Southeast Asia, are hugely reliant on coal, and will have to undergo a disruptive green transition.
He even warned “It is time to go into emergency mode — or our chance of reaching net zero will itself be zero.” At the same time, Secretary-General’s rather confusing, ill-composed comment in his remarks at the conclusion of COP 26 that “We are still knocking on the door of climate catastrophe” left many wondering what he was trying to convey.
In a significant move, countries would urge one another to “accelerate the phasing out of coal and subsidies for fossil fuels” in the draft, though it has no explicit reference to ending the use of oil and gas. There has been a big push among developed nations to shut down coal-fired power plants, which are a major source of heat-trapping gases, but the fuel remains a critical and cheap source of electricity for countries like China and
As per the long history cut short; Mullaperiyar dam was built in the late 1800s in the princely state of Travancore (present-day Kerala) and given to British-ruled Madras Presidency on a 999-year lease in 1886. The agreement granted full rights to the secretary of state of Tamil Nadu, a British official, to construct irrigation projects on the land. The dam was built to divert a part of the west-flowing Periyar river eastwards to feed the arid areas of Tamil Nadu. Now there is no princely state or British rule, so better forget about the 999 year lease. Only thing we need to care is the safety and fraternity among neighboring states and mutual help by each other.
Access, ownership and use of digital tools are not gender-neutral
As we know some countries have dealt with the spreading virus more effectively and efficiently than others because they relied on the correct professional advice and had the right people in the places instead of dilettantes with inflated egos. The immediacy of the pandemic with its daily effects on health care and peoples’ livelihoods is seen as urgent political and health issues unlike the dangers surrounding our planet which, to many, appear light miles away while still others treat it with large doses of skepticism.
Delhi’s
Lauren had left two messages that morning, as he slept with the phone ringer off in the bedroom. First, with good news that she was taking an earlier flight from New Jersey home to San Francisco. Then she called from the plane. There was “a little problem,” his wife said, but she was “comfortable for now.” She did not say she would call back, Grandcolas recalls. She said: “I love you more than anything, just know that. Please tell my family I love them too. Goodbye, honey.” “That moment I looked over at the television and there was a smoldering hole on the ground in Pennsylvania. They said it was United Flight 93,” said Grandcolas, 58. “That’s when I dropped to the ground.” All 44 people on board were killed. Lauren was 38 years old and three months pregnant with their first child. She had traveled East to attend her grandmother’s funeral in New Jersey, and then stayed a few extra days to announce the pregnancy — a little “good news to lift the spirits of her parents and sisters after burying their grandmother,” Grandcolas said.
When U.S. troops withdrew from Kabul’s Hamid Karzai International Airport within the stipulated time, the nation’s most prolonged war cost was more than $ 2.3 trillion. During the last 20 years, more than 2,400 U.S. service members have been killed in Afghanistan alone. World astonished to hear that even while retrieving, thirteen U.S. soldiers were killed in the latest suicide bombing in Kabul Airport. Taliban’s praise of China is aimed at gaining recognition for their government at the international level by establishing links with power like China. China and Pakistan are now the only countries in the region that fully support the Taliban.
China
QUOTES
Most of them might not have served a single day in the
“Many of the Desi civil rights organizations in this country would make loud protests, justifiably so, at the slightest discrimination or physical attack on an Indian but remain largely silent to any level of atrocities committed to vulnerable groups in
Last February 13, 2021, marks the civil rights lawyer and activist Sudha Bharadwaj’s 900 days in detention under the UAPA law.
Bishop Kevin C. Rhoades, who leads the doctrine committee of the U.S. Conference of Catholics Bishops, reiterated that the document will not bar any individuals from receiving Communion and said it is “going to be addressed to all Catholics, not a particular person or a single issue in the part on Eucharistic consistency.”
However, this does not give justice to hundreds of Christians and other minorities who sacrificed their lives due to the quest of the ruling party to declare India as a Hindu state. The poor departed souls must have been churning in their graves when they hear such statements. The injustices suffered by the 84-year-old Fr. Stan Sway alone should have been reason enough for Mr. Blinken to have been more cautious in his statements about human rights and respect for democratic principles by the government of India.
We listened to your heartfelt words shortly before your arrest on Oct. 8, 2020: “What is happening to me is not something unique — happening to me alone. It is a broader process that is taking place all over the country … In a way I am happy to be part of this process. I am not a silent spectator, but part of the game, and ready to pay the price whatever be it.” On May 21, you told Bombay High Court about the sufferings you were undergoing in jail. It had been eight months since you were brought there with your body fully functional. You could have a bath by yourself and also do some writing.
Secondly, I feel happy for him because Fr. Stan is now in a better state than he was, while alive in circumstances such were inflicted on him for reasons he could not understand. There is a school of thought that it is easier for an innocent man to suffer. They think so because they have never suffered, innocently or otherwise. The anguish in guilt-less suffering is that one’s suffering makes no sense. It is absurd. What is absurd is unendurable. If you are punished for your wrongdoings, then you can reconcile yourself to your plight. Think, if you dare, of the plight of an old and chronically ill man in a prison. Prison-life conditions, including the psychological poison that goes with it, being what they are, even individuals much younger than Fr. Stan and in better states of health disintegrate fast. Fr. Stan himself said that it is better to die than to be in prison the way he was. So, why shouldn’t we celebrate his release from misery through the mercy of death, for neither mercy nor justice was likely to reach him in any other way?
Ever since the fall of the USSR, he said, the UN Secretary-General has become subservient to the US government (“we saw this shockingly with the treatment of former Secretary-General Boutros Boutros-Ghali”). The new ‘Group of Friends to Defend the UN Charter’, which includes China and Russia, is a positive development, said Prashad.