Thursday, November 14, 2019

Creating Awareness on Air pollution as a major cause for Non-communicable diseases among Indians

Air pollution is not adequately addressed by governments in Asian nations and is not discussed among those in major metros of India.  Other issues that are seemingly   critical and relating to economy and development and recently religion have taken precedence as topics for discussion in living rooms. The fact remains that  the overall health of Indian population remains compromised due to lack of awareness on contributing factors such as air and water pollution, hygiene and sanitation, malnutrition and farm practices. Substantial research has been conducted on the effects of air pollution and increasing affliction of non-communicable diseases (NCDs) such as Diabetes, Lung diseases, Heart diseases among the populace of Indian cities. According to the WHO, about 5.8 million deaths that occur in India every year are associated with NCDs. 

After WHO’s Global action plan for the prevention and control of NCDs 2013-2020 India took the first step towards  developing specific national targets and indicators aimed at reducing the number of global premature deaths from NCDs by 25% before 2025. India has also taken major steps towards reducing indoor air pollution by distributing LPG cylinders to households in villages calling for a marked shift from using firewood for cooking and protecting women from air pollution.

In India, various aspects of outdoor pollution including vehicular emissions are not monitored or regulated in keeping with international norms. Regulatory authorities turn a blind eye to condemned and unfit vehicles plying the roads of Indian cities contributing to severe forms of air pollution. The present trend in prevalence of NCDs  among Indians  is predominantly because of lack of awareness on air pollutants when granting Fitness Certificates to such unusable vehicles allowing them to  contribute to severe air pollution. Essentially, it is about creating awareness among regulatory and enforcement authorities who need to ensure compliance of environmental and other regulatory norms meant to stem air pollution. 

Construction industry is yet another industry that gives rise to passive emissions and it should work at reducing emissions by effectively changing its working model by way of reducing emissions from dust and debris spilling on to the roads affecting general public and by adopting business practices that prevent air pollution. 

To state an example, is the neglect of the health of police constables in charge of monitoring the traffic on the roads of India’s metros  and  lack of initiatives to address such occupational hazards. It is understood that many of this law enforcement workers face premature deaths most often because of lung diseases. Such government workers exposed to elements of nature and air pollutants require constant and mandatory monitoring of health through frequent health check-ups at their workplace. Masks to protect themselves from air pollution alongside preventive medicine and health care is to be distributed. Budgetary allocation and expenditure towards health and preventive action for government workers who are exposed to air pollution needs to be examined and probably some benefit can be achieved through a public, private partnership. 

Large neon signs and LED displays at public places such as beaches, bus stations and railway stations can disseminate awareness on tobacco consumption and offer other household behavioral advice to stem indoor air pollution, which may require large-scale private funding. Advertisements on TV screens do reach households, but lack of time to watch TV monitors may not reach the required audience. If  such dissemination is to take place in public places in the form of short movies and streaming documentaries  can catch the eye and attention of those who wait at such places. It requires substantial private funding to create non-emitting visual displays of air pollution causes and remedies. The results may be more comforting and effective. 

Cities and towns near coal mining require acute monitoring and preventive action by government and for this purpose there is a need to collate and distribute real-time data to the public and other stakeholders for future action. It is important to have a neutral, third-party and authentic real-time data collection unit that remains  accountable to all stakeholders including funding organizations. Investments in clean coal technologies is crucial and therefore bringing down the cost of such technologies is an important aspect of negotiation under the UNFCCC. A representative needs to be sponsored and sent to address air pollution in India at the upcoming UNFCCC meet to discuss the aspect of making clean coal technology  an imminent part of coal mining and solutions to tackle emissions from other extractive industries should be made available at a reasonable cost to developing nations that are dependent on fossil fuel for their energy needs. 

Environmentally sound technologies or ESTs need to be made available to developing nations that are struggling to tackle air pollution for lack of access to advanced technologies owing that are capable of mitigating such impacts. A consortium that aids in granting access to ESTs through subsidies and by granting financial aid, incentives and adequate monetary compensation for such inventions needs to be worked through to help developing nations. 


Ultimately, air pollutants result in affecting precipitation levels of a region, lead to ozone depletion and have a direct effect on climate change impacts. It is imperative that we address localized air pollutants in order to address the larger aspects of climate change.



WHO Data on NCDs mortality in India

 

India's Global monitoring Framework on NCDs