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EDITORIAL<br />
SUndAy,<br />
MARCH <strong>11</strong>, <strong>2018</strong><br />
4<br />
Acting Editor & Publisher : Jobaer Alam<br />
Telephone: +8802-9104683-84, Fax: 91271<strong>03</strong><br />
e-mail: editor@thebangladeshtoday.com<br />
Sunday, March <strong>11</strong>, <strong>2018</strong><br />
objectively viewed<br />
state of medical care<br />
Afemale aged about 40 years died in a so called private<br />
hospital located in the old part of Dhaka city sometime<br />
ago. It would be counted as routine death but for the<br />
fact that the relatives of the deceased seemed to rightly raise<br />
a hue and cry that the death was the cause of wrong<br />
treatment and negligence. The death news received<br />
considerable media focus and lent afresh to rising concern<br />
about the state of medical care in the country. Sub-standard<br />
medical centers are found to be doing good business<br />
exploiting often the innocence and helplessness of their<br />
victims as they rush to these in desperation from not finding<br />
a berth in the overcrowded public hospitals.<br />
There are services which are extremely important for the<br />
simple reason that these involve human life. The same are the<br />
medical services and for the obvious reasons no compromise<br />
can be allowed in running them properly or in their standards.<br />
Therefore, it is shocking to learn that there are medical centers<br />
in this country which are functioning without any<br />
authorisation from the official health authorities though such<br />
approval is a basic legal requirement for their treating patients.<br />
The authorization is supposed to ensure that these privately<br />
run clinics, diagnostic centres and hospitals are properly<br />
equipped in the sense of having the necessary equipment and<br />
trained and qualified people to treat patients safely and<br />
effectively. It is not that authorization cannot be bought and<br />
sold for money in this country. Even then, it provides the<br />
assurance of a minimum of standard whereas the<br />
unauthorized ones are not binded by any regulation or<br />
supervision and prove to be like death houses than curing<br />
places.<br />
And that is what is happening to patients who get admitted to<br />
such unauthorised clinics at Khulna. According to a report,<br />
there are some 123 functioning clinics in the city out of which<br />
only 32 have been officially permited to function while the rest<br />
are yet to get approval. The unauthorisedclinics without<br />
proper operating chambers, equipment and well-qualified<br />
doctors and staff are in no position to discharge proper<br />
treatment to patients. In one of them, a caesarean operation<br />
was attempted under candlelight and the mother had to fight<br />
for survival in the post-operation period.. In another reported<br />
case, the so called surgeon of an unauthorised clinic had cut off<br />
the respiratory passage of a patient when he was doing a<br />
tonsillitis operation under the light of a kerosene-lamp.<br />
The health risks to people at such unauthorised medical<br />
centresare countrywide. The picture is the same in all major<br />
cities and townships throughout the country. According to<br />
another report, there are now more than 2,000 clinics and<br />
diagnostic centres in Dhaka city but the government's<br />
Directorate General of Health Services (DGHS) gave license to<br />
only 898 of them to operate.<br />
A sustained drive of the government needs to target hard<br />
these unfit and unacceptable medical centers. Some may<br />
contend that such a drive may create a dearth of services for<br />
sick people. But probably the sick ones would be better off not<br />
receiving any services from such dubious centers where they<br />
are most likely to get inadequate, ineffective or even wrong<br />
treatment. As it is, these medical centers are quite adept at<br />
making money at the expense of unsuspecting people. Taka<br />
500 may be charged for a pathology test which should fairly<br />
cost no more than Taka 50. An operation charge might be Taka<br />
10,000 or much more depending on cases and done by an<br />
unskilled person in conditions to be hardly considered as safe<br />
for the patient.<br />
Like the clinics and diagnostic centers which hardly do<br />
justice to their names, the state of medical education and<br />
training in large part is found to be no different.There are<br />
certain areas where training of professionals must be<br />
foolproof. Teaching and training to create such professionals is<br />
held to be like a sacred duty where there cannot be any room<br />
for concessions, compromise or acceptance of poor quality.<br />
Medical training is one such very vital area because those who<br />
train to be doctors are entrusted to discharge duties that relate<br />
directly to the life and physical well-being of humans<br />
The number of privately run medical colleges in the country<br />
is 35. But most of them are, reportedly, medical colleges in<br />
name only. Out of these medical centers of learning and<br />
training, 25 were allegedly given operating licenses on<br />
political considerations and connections to influential persons<br />
under the past administrations. Certain criteria have to be met<br />
prior to getting official approval to run such medical colleges.<br />
The criteria were hardly fulfilled while this approval was given<br />
to them on political consideration and influence peddling. Not<br />
even a few of them have satisfied the initial requirements or<br />
infrastructures needed to qualify as higher centres of learning<br />
in the medical field. All or nearly all of them do not even have<br />
an hospital within or near the campus area. But this<br />
requirement is an indispensable one for laying a claim as a<br />
medical college. Doctors with high qualifications and<br />
experience who can be relied on to impart proper medical<br />
training or to teach successfully at that level, are non existent<br />
in these colleges. Facilities for practical classes on anatomy<br />
that require morgues, dissection units and other related<br />
paraphernalia, are also not to be found in these so called<br />
medical colleges. Laboratory facilities for learning in pathology<br />
and related areas are similarly non existent or exist in very<br />
inadequate forms. Libraries are the main possessions of these<br />
medical colleges in most cases. But the libraries are also not so<br />
resourceful like the ones at the publicly run medical colleges.<br />
The greatest inadequacy seems to be in the area of practical<br />
training. In the publicly operated medical colleges, the<br />
attached hospital proves to be a ready training ground and for<br />
acquiring practical knowledge of the illnesses and procedures<br />
for their treatment. Lacking in this vital area, the private<br />
medical colleges can hardly provide this invaluable experience<br />
and training to their students.<br />
There cannot be any playing around with human lives and<br />
only thoroughly trained professional in the field are duly<br />
expected to attend to patients. Thus, one shudders to think<br />
how dangerous persons are being created to pose as doctors<br />
when they are actually ill equipped in every sense to treat sick<br />
people. They are more likely to emerge as killers of people<br />
from their lack of abilities, know-how and proper medical<br />
knowledge. There is no estimate available here about the<br />
number of those who got degrees from these so called private<br />
medical colleges. Surely, they are not to be regarded as<br />
equivalents of their counterparts passing out from<br />
government run medical colleges where the training and<br />
teaching of potential doctors are undoubtedly superior. It is<br />
imperative that this lack of uniformity in skills and training<br />
should be bridged. Private medical colleges should be<br />
immediately warned to go for improving their standards, fully,<br />
in every respect or face penalties including closure.<br />
Fresh overtures hint at a thaw in India-China relations<br />
In an economic system that is still<br />
globalized, conflict does not<br />
automatically equal economic setback.<br />
This is because the conflict is no longer<br />
simply a shooting war, but a complicated<br />
struggle of wills.<br />
India and China are cases in point. Last<br />
year they had a serious military standoff<br />
over the Doklam border region, which came<br />
on the head of tensions between them over<br />
a clutch of other issues - the China-Pakistan<br />
Economic Corridor, Beijing's foiling New<br />
Delhi's efforts to bring Jaish-e-Mohammed<br />
chief Masood Azhar under United Nations<br />
sanctions, and China blocking India's bid for<br />
a membership in the Nuclear Suppliers<br />
Group (NSG).<br />
Yet according to official Chinese statistics,<br />
its trade with India has been booming. Twoway<br />
value reached a record US$84.44<br />
billion in 2017, an 18.63% increase over the<br />
previous year. And what is more, India's<br />
exports to China saw a 40% increase, thus<br />
somewhat mitigating New Delhi's<br />
complaint of an imbalance. India has long<br />
complained about a trade deficit that was<br />
more that $52 billion in 2016 and remains<br />
around that figure even now, though the<br />
overall volume of trade has increased.<br />
The Narendra Modi government's ties<br />
with China have waxed and waned. Initially,<br />
both sides even spoke of the possibility of a<br />
quick border settlement through out-of-thebox<br />
solutions. But thereafter it became clear<br />
that there was no meeting point there.<br />
Communication broke down over the NSG<br />
and Masood Azhar issues, and India<br />
publicly refused to endorse the Belt and<br />
Road Initiative (BRI). Indeed, it stepped up<br />
to the plate in the West Pacific in helping<br />
revive the "Quad" grouping with the US,<br />
Australia and Japan. India's relations with<br />
China involve the four C's - conflict,<br />
competition, cooperation and containment.<br />
The areas of conflict are well known - the<br />
border, and China's relationship with<br />
Pakistan.<br />
China may not think India as much of a<br />
competitor when it comes to the economy,<br />
but politically New Delhi remains a potent<br />
presence in areas that border both India and<br />
China, especially in South Asia. The two<br />
sides cooperate on a range of areas; India<br />
was among the early supporters of the Asia<br />
Infrastructure Investment Bank and is, of<br />
course, a partner of China in BRICS and of<br />
the Shanghai Cooperation Organization<br />
(SCO). As for containment, this is actually<br />
the hidden theme in their relationship -<br />
China thinks that India is trying to contain<br />
its rise in collaboration with the US and<br />
MAnoJ JoSHI<br />
Japan, while New Delhi believes that<br />
Beijing's policies in South Asia are aimed at<br />
preventing India from playing a larger extraregional<br />
role.<br />
Recent Indian moves signal New Delhi's<br />
effort to restore balance in a relationship<br />
with Beijing that had gotten frayed, in large<br />
measure by India's megaphone approach<br />
on contentious issues that the two countries<br />
confront. Many of these could have been<br />
The narendra Modi government's ties with China have<br />
waxed and waned. Initially, both sides even spoke of<br />
the possibility of a quick border settlement through<br />
out-of-the-box solutions. But thereafter it became clear<br />
that there was no meeting point there. Communication<br />
broke down over the nSG and Masood Azhar issues,<br />
and India publicly refused to endorse the Belt and<br />
Road Initiative (BRI). Indeed, it stepped up to the plate<br />
in the west Pacific in helping revive the "Quad"<br />
grouping with the US, Australia and Japan.<br />
resolved through quiet diplomacy<br />
Recent Indian moves signal New Delhi's<br />
effort to restore balance in a relationship that<br />
had gotten frayed, in large measure by<br />
India's megaphone approach on<br />
contentious issues that the two countries<br />
confront. Many of these could have been<br />
resolved through quiet diplomacy, but New<br />
Delhi wanted to appear muscular and tough<br />
and sought to browbeat Beijing without<br />
really having the wherewithal to do so. This<br />
has led Beijing to look at India with more<br />
M SHAMSUR RABB KHAn<br />
wary eyes.<br />
Until recently, despite periodic<br />
transgressions on the undefined Line of<br />
Actual Control that marks the Sino-Indian<br />
border, things were reasonably calm. Now,<br />
after the Doklam crisis, the Chinese appear<br />
to be seriously shoring up their military<br />
posture along the entire LAC, and so the net<br />
result could well be a setback to the<br />
maintenance of peace and tranquility on the<br />
border. As for the Indian Ocean, there is no<br />
direct confrontation, but the Chinese<br />
presence is marked and steadily growing.<br />
Despite the bravado and bluster of its<br />
generals, India would be seriously<br />
disadvantaged if it actually had to fight<br />
China and Pakistan simultaneously.<br />
However, this is not a probable scenario.<br />
China is not likely to intervene in any India-<br />
Pakistan issue, though it is quite possible<br />
that Islamabad would consider<br />
embarrassing New Delhi were India to be<br />
involved in any border confrontation with<br />
China. As for any larger war, that is not likely<br />
to happen, as long as rational calculations<br />
guide the policies of the three nucleararmed<br />
nations. Indeed, one of the greater<br />
failures of Indian diplomacy has been its<br />
inability to break the so-called Sino-<br />
Pakistani nexus. This has severely<br />
constrained its regional policies and<br />
compelled India to seek a somewhat<br />
lopsided "alliance" where Washington seeks<br />
India's military commitment in the Pacific,<br />
but steers clear of any commitment to New<br />
Delhi's more vital interests in the north<br />
Arabian Sea and the Persian Gulf.<br />
Source: Asia times<br />
Sad history of police ‘encounter killings’ in India<br />
The official handling - or failure to do<br />
so - of a phenomenon known in<br />
India as "encounter killings" by<br />
police has been condemned by the<br />
country's media as a "failure of the justice<br />
system." According to Wikipedia, the<br />
term has been "used in India and<br />
Pakistan since the late 20th century to<br />
describe killings by the police or the<br />
armed forces, allegedly in self-defense,<br />
when they encounter suspected<br />
gangsters or terrorists."<br />
Recently the chief minister of Uttar<br />
Pradesh state, Yogi Adityanath, reacted<br />
to criticism over encounter killings by<br />
threatening that those who believed in<br />
the language of the gun should be<br />
answered in the same manner.<br />
"Two members of the Gaitonde gang<br />
had been shot to death in an encounter<br />
with the Flying Squad in Bhayander. The<br />
police had acted on received intelligence<br />
and intercepted the two as they<br />
proceeded to a factory office in that<br />
locality; the two extortionists had been<br />
hailed and told to surrender, but they<br />
had instantly fired at the squad, who<br />
then retaliated." This story, as narrated<br />
in Vikram Chandra's 2006 book Sacred<br />
Games, is much like those offered by<br />
police whenever a fake "encounter" takes<br />
place in India.<br />
On February 3, Jitendra Kumar Yadav,<br />
a 25-year-old gym trainer, was going<br />
home with three friends after attending<br />
a wedding in Ghaziabad, near New<br />
Delhi, when he was asked to stop his car<br />
and was shot at by a police sub-inspector.<br />
The officer was arrested and suspended<br />
along with three other police personnel.<br />
Since the late 1970s, huge numbers<br />
of Egyptian workers have been<br />
streaming into Arab Gulf countries<br />
as a result of the dramatic upturn the<br />
region has seen thanks to increasing oil<br />
prices. Saudi Arabia received the<br />
greatest number of Egyptians from all<br />
intellectual and social levels.<br />
Later on, millions of workers,<br />
including educated, semi-literate and<br />
illiterate people, returned to their<br />
country with a new mentality, as if they<br />
were born there again. This seemed like<br />
a result of the Muslim Brotherhood's<br />
infiltration of Gulf societies after the<br />
group was repressed by Gamal Abdel<br />
Nasser in the 1960s. This infiltration<br />
found a strong ally in Saudi Arabia's Al-<br />
Sahwa (Awakening) project. The<br />
interaction between these two<br />
fundamentalist groups created a hybrid<br />
group of many names, giving Egyptian<br />
society a new ideology and new<br />
approaches. This hybrid group<br />
returned to Egypt, and called on<br />
Egyptians to follow a new religion,<br />
antagonizing Christians and Sufis, even<br />
making them apostates. This group<br />
behaved similarly to Al-Sahwa<br />
members in Saudi Arabia, dressed like<br />
them, grew their beards like them, and<br />
thus they seemed to many people like<br />
real Saudis.<br />
Al-Sahwa's ideology often arrived in<br />
Egypt in a fierce and aggressive<br />
manner. The group attacked Coptic<br />
beliefs from the minbar (pulpit) of<br />
mosques. For years, it was not<br />
uncommon for an imam to question<br />
Copts' beliefs during his khutba<br />
(sermon) or even insult them verbally.<br />
On February 6, the Delhi High Court<br />
sentenced seven suspended<br />
Uttarakhand policemen to life in prison<br />
for killing a 22-year-old student in a fake<br />
encounter in Dehradun in 2009.<br />
Another alleged "encounter" in 1991<br />
led to the 2016 sentencing of 47<br />
policemen to life imprisonment for the<br />
slaying of <strong>11</strong> Sikh pilgrims in the Pilibhit<br />
district of Uttar Pradesh.<br />
Since Yogi Adityanath became the<br />
chief minister of Uttar Pradesh, 34<br />
alleged criminals, mostly Muslims, have<br />
been gunned down in 1,142 encounters.<br />
But it's not just that state; India as a<br />
whole is notorious for extrajudicial<br />
killings.<br />
The country's National Human Rights<br />
Commission (NHRC) has reported that<br />
555 cases of alleged fake encounters<br />
occurred from 2009-2013 in India.<br />
Saudi crown prince’s Coptic Cathedral visit ‘a response to the radicals’<br />
ABdEllATIF El-MEnAwy<br />
Mosques' microphones used to deliver<br />
these attacks to people all over Egypt.<br />
Some Islamist groups even issued<br />
fatwas (decrees) giving the right to take<br />
Christians' money and property, and<br />
sometimes even their lives.<br />
On Fridays, Copts used to hear imams<br />
in mosques near their homes mocking<br />
and insulting their beliefs with the most<br />
hideous words. This situation lasted<br />
three decades, until January 20<strong>11</strong>. After<br />
that date, this movement became even<br />
more aggressive. Its followers broke<br />
into the political sphere and its symbols<br />
became ever more present on the<br />
cultural and political scenes. Fatwas<br />
banning Muslims from greeting their<br />
Christian neighbors on their religious<br />
holidays were issued, when previously<br />
Muslims and Christians were used to<br />
sharing each other's joys and sorrows.<br />
Greeting Copts on their holidays<br />
became prohibited by members of the<br />
Muslim Brotherhood, who used to<br />
appear on TV in Saudi uniforms and<br />
associate themselves with the approach<br />
According to the National Crime Record<br />
Bureau (NCRB), there were 591 custodial<br />
deaths reported across the country<br />
between 2010 and 2015. The police often<br />
claim to have acted in self-defense when<br />
they encounter suspected gangsters or<br />
terrorists and gun them down.<br />
Encounter killing gained popularity in<br />
the 1990s and mid-2000s when the<br />
Mumbai Police indulged in them to wipe<br />
out the city's underworld. Bollywood<br />
From the so-called "Bhagalpur blindings"in 1979-1980<br />
in which police in Bihar state blinded 31 people facing<br />
trial by pouring acid into their eyes, to the 1987<br />
Hashimpura massacre during the Hindu-Muslim riots<br />
in Meerut, Uttar Pradesh, when 19 personnel of the<br />
Provincial Armed Constabulary rounded up 42<br />
Muslim youths, shot all of them in cold blood and<br />
dumped their bodies in canals, to the killing of 20<br />
woodcutters in Andhra Pradesh state in 2015, India<br />
has a dubious encounter killings record.<br />
movies like Encounter: The Killing<br />
(20<strong>03</strong>), Ab Tak Chappan (Till Now, 56<br />
Killings, 2004), and Shootout at<br />
Lokhandwala (2007) justified the<br />
gruesome murders in the name of<br />
ending crime by intimidating criminals,<br />
and several police inspectors were hailed<br />
as brave soldiers.<br />
In his 2004 book In Spite of the Gods:<br />
The Strange Rise of Modern India,<br />
of the Saudi intellectual school.<br />
This created a link between what<br />
Salafist non-Azhari missionaries in<br />
Egypt were doing and Saudi Arabia.<br />
Copts became strongly persuaded that<br />
all of the above was Saudi Arabia's<br />
jurisprudence, religion and ideology, as<br />
if the Kingdom was the one pushing<br />
these non-religious members to<br />
provoke sedition.<br />
Pope Tawadros II was extremely<br />
Al-Sahwa's ideology often arrived in Egypt in a fierce and<br />
aggressive manner. The group attacked Coptic beliefs from the<br />
minbar (pulpit) of mosques. For years, it was not uncommon for<br />
an imam to question Copts' beliefs during his khutba (sermon)<br />
or even insult them verbally. Mosques' microphones used to<br />
deliver these attacks to people all over Egypt. Some Islamist<br />
groups even issued fatwas (decrees) giving the right to take<br />
Christians' money and property, and sometimes even their lives.<br />
thrilled and emotional about<br />
welcoming Crown Prince Mohammed<br />
bin Salman as he and all the leaders of<br />
the Egyptian church were well aware of<br />
the value, importance and symbolism<br />
of their meeting.<br />
Since becoming Saudi crown prince,<br />
Mohammed bin Salman has made<br />
many decisions and taken many stands<br />
that have had great resonance, and they<br />
are considered important indications of<br />
the change he is leading. But his visit to<br />
the Coptic Cathedral in Cairo this week<br />
and his meeting with Pope Tawadros II<br />
Edward Luce explores the encounter<br />
phenomenon and describes meeting one<br />
police officer in Mumbai who claimed to<br />
have been involved in "about 50"<br />
encounters, and another officer who had<br />
been involved in 80 such killings.<br />
The police often claim to have acted in<br />
self-defense when they encounter<br />
suspected gangsters or terrorists and gun<br />
them down<br />
From the so-called "Bhagalpur<br />
blindings"in 1979-1980 in which police<br />
in Bihar state blinded 31 people facing<br />
trial by pouring acid into their eyes, to the<br />
1987 Hashimpura massacre during the<br />
Hindu-Muslim riots in Meerut, Uttar<br />
Pradesh, when 19 personnel of the<br />
Provincial Armed Constabulary rounded<br />
up 42 Muslim youths, shot all of them in<br />
cold blood and dumped their bodies in<br />
canals, to the killing of 20 woodcutters in<br />
Andhra Pradesh state in 2015, India has<br />
a dubious encounter killings record.<br />
D G Vanzara, the former police deputy<br />
inspector general for Gujarat who was<br />
indicted in six major encounters, served<br />
a jail term from 2007 to 2015. Upon his<br />
resignation in 2013, he said: "The<br />
CID/CBI arrested my officers and me,<br />
holding us responsible for carrying out<br />
allegedly fake encounters. If that is true,<br />
then the CBI investigating officers for all<br />
four cases have to arrest the policy<br />
formulators too, as we, being field<br />
officers, have simply implemented the<br />
policy of this government, which was<br />
inspiring, guiding and monitoring our<br />
actions from very close quarters."<br />
Source: Asia times<br />
was one of the most important and<br />
significant positions that not only<br />
Egyptians, Copts and Muslims will not<br />
forget, but also the radical Islamist<br />
groups that considered the intellectual<br />
and religious direction in Saudi Arabia<br />
similar to theirs, including being very<br />
hostile to Christians.<br />
Egyptians, Muslims and Christians<br />
have never witnessed happiness and<br />
joy on the face of Tawadros more than<br />
they did when he greeted Crown Prince<br />
Mohammed bin Salman. The symbol<br />
of Orthodox Copts was extremely<br />
thrilled and emotional about the visit<br />
because he and all the leaders of the<br />
Egyptian church were well aware of the<br />
value, importance and symbolism of<br />
the visit.<br />
This visit tells Copts: As of today,<br />
Saudi Arabia will not allow anyone to<br />
attack you. Saudi Arabia will no longer<br />
allow anyone to attack people from<br />
other religions in its name. Saudi<br />
Arabia accepts religious diversity,<br />
believes in forgiveness, and promotes<br />
coexistence among members of<br />
different religions. Saudi Arabia,<br />
represented by its crown prince,<br />
visited the Coptic Cathedral, and thus<br />
it is no longer acceptable for<br />
missionaries to associate themselves<br />
with the Saudi doctrinal school and<br />
issue fatwas banning the greeting of<br />
Christians. Crown Prince Mohammed<br />
bin Salman himself visited Copts and<br />
greeted them on a normal day, not<br />
even on a holiday, and he sat in their<br />
church.<br />
Source: Arab News