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The story of a tea-laborer and his path-breaking journey

If I cannot do great things, I can do small things in a great way.- Dr Martin Luther King, Jr

Bike Ambulance Dada, the authorised biography of Padma Shri awardee Karimul Hak, is the most inspiring and heart-warming biography you will read this year. It documents the extraordinary journey of a tea-garden worker who saved thousands of lives by starting a free bike-ambulance service from his village to the nearest hospital.

Here is an excerpt from Bike Ambulance Dada by Biswajit Jha titled A Bike Ambulance Takes Shape.

Front Cover Bike Ambulance Dada
Bike Ambulance Dada || Biswajit Jha

Now that Karimul had a bike, he was no longer dependent on his cycle to ferry a patient. The bike gave the patients a greater chance of survival by ensuring they got to the hospital quickly. Karimul, too, was under less pressure, physically and mentally; he could be more certain of patients getting timely medical attention, be they sick or injured, and riding a motorbike was far less physically taxing than cycling all the way with a passenger.

One day, in 2008, when Karimul was enjoying a cup of tea with some acquaintances at a tea shop in Kranti Bazaar, one of them, Babu Mohanta, suddenly cried out. The engrossing discussion on political affairs was halted abruptly. The small group sprang into action to find out the reason behind Mohanta’s shriek. Investigations revealed that a snake had bitten him just above the ankle. Karimul immediately made up his mind to identify the snake, as this would help the doctor decide on the course of treatment; it was imperative in such cases. He saw the snake but could not identify it. Thinking fast, he somehow caught the snake and put it in a small box so that he could carry it to the hospital. He applied a pressure bandage on the wound as well. With the help of those around them, Karimul got Mohanta tied to his back and asked a villager to ride pillion with him. Before starting out for Jalpaiguri Sadar Hospital, Karimul instructed the man to make sure that Mohanta did not fall sleep. The snake, carefully locked in the box, accompanied them to the hospital.

On the way, they met with a huge traffic jam on the bridge over the Teesta, just 5 kilometres from the hospital. The road was chock-a-block with vehicles stranded on the bridge, all trying to find a way out and, in the process, aggravating the situation. As Karimul zipped past the four- wheeled vehicles, he saw an ambulance stuck in the traffic. When he asked the ambulance driver for the patient’s details, he was told that the man had also been bitten by a snake, and they were heading for the same hospital as Karimul. Manoeuvring his much-smaller vehicle between the cars and moving towards the hospital with Mohanta, the soft-hearted Karimul felt sorry for the patient in the ‘proper’ ambulance, unable to get out.

Karimul soon reached the hospital. Once there, he showed the snake to the doctor, who was at first startled but then observed it intently for a few seconds before springing into action with the treatment.

After getting Mohanta admitted, Karimul went back to the bridge where they had seen the ambulance. He saw that the ambulance, along with other vehicles, was still there; the patient had, unfortunately, passed away.

After a couple of days, Babu Mohanta was released from the hospital. He was the first person bitten by a poisonous snake in the village to be saved—all because of Karimul’s timely intervention and bike ambulance service.

Before this incident, though Karimul had ignored the taunts of some of the villagers and had gone about ferrying patients to hospital, he had sometimes harboured misgivings that his bike ambulance was a poor substitute for the conventional ambulance. But that day, he realized that his bike ambulance was sometimes far more convenient than a standard ambulance. From then on, there was no looking back for him. His new-found confidence enthused him to serve people with increased passion.

After he was awarded the Padma Shri, the Navayuvak Brindal Club, Siliguri, donated to him an ambulance that he used for some months. But the traditional ambulance not only consumed more fuel, it was also rather difficult to drive it to remote and far-flung areas. After some weeks, he stopped using that ambulance; though it is still with him, he doesn’t use it. Instead, he now has three bike ambulances at home; one is used by his elder son, Raju, another by his younger son, Rajesh, while Karimul himself mostly uses the bike ambulance donated by Bajaj Auto, which has an attached carrier for patients.

Thanks to Karimul Hak’s unique initiative, the bike ambulance has become popular in rural areas of India. Inspired by him, some social workers, as well as some NGOs, have started this service too, thereby saving thousands of lives in far-off areas of the country.

While Karimul has saved many lives, he deeply regrets not being able to save some. Still, he derives immense satisfaction from the fact that a person like him, with a paltry income and limited capacity, has made a difference in the lives of so many people. Relatives and family members of those who died en route to the hospital, or even after reaching the hospital, at least know that they, through Karimul, tried their best to save their loved one. This is a noteworthy achievement for Karimul, who dreams of a day when lack of medical treatment will not be the reason for someone’s death.

Bike Ambulance Dada is a must-read today as it will inspire us to do and be better in our lives.

A brief journey across 5000 years of the making of a civilization

Indian civilization is an idea, a reality, an enigma. In the riveting INDIANS: A Brief History of a Civilization, Namit Arora takes us on an unforgettable journey through 5000 years of history, reimagining in rich detail the social and cultural moorings of Indians through the ages.  Enlivening the narrative with the  idiosyncratic perspectives of the many famous foreign travellers who visited India over millennia, local folklore and his own inimitable insights, Arora guides us through  six iconic places-the Harappan city of Dholavira, the Ikshvaku capital at Nagarjunakonda, the Buddhist centre of learning at Nalanda, enigmatic Khajuraho, Vijayanagar at Hampi, and Varanasi.

Read on for a glimpse into the exciting churn of ideas, beliefs and values that unfolded among our ancestors through the centuries.

 

Front cover of INDIANS
INDIANS || NAMIT ARORA

 

Still, the lack of loud and clear indicators of war or standing armies, so commonplace in other civilizations, is a striking feature of the Harappan Civilization. Further, Harappan cities have not revealed monumental, or even humble, temple structures, a great puzzle for scholars. There aren’t any equivalents of the temples and pyramids of ancient Egypt or the ziggurats of Mesopotamia. Some say the Great Bath of Mohenjo-Daro had a religious purpose but this is highly speculative. Or perhaps the Harappans built religious shrines and large sculptures from perishable materials like wood. In any case, while there are hints, we have no clear sense of Harappan gods and rituals, or whether they had any temples or priests. Scholars have offered divergent interpretations of seals with possible religious content: a handsome seven-inch sculpture of a man named ‘priest-king’, who could well have been an aristocrat; a seal named ‘proto-Shiva’ that depicts a multi-headed, seated figure in a yoga-like pose, one of ‘several other yogi images in the corpus of Mature Harappan materials’; another seal that shows a female (deity?) standing under a Bodhi tree with its heart-shaped leaves, a figure kneeling before her in supplication and seven standing figures watching them; other seals that depict mysterious objects and rituals before a unicorn; the swastika motif appears often; some female figurines have a paste-like substance along the middle parting of their hair; a stone object in the shape of a phallus has been identified; two terracotta male figurines have erections; a small terracotta object in Kalibangan resembles the familiar Shiva lingam. All this is very tantalizing. There can be little doubt about cultural continuities. Harappan beliefs clearly shaped later religions of the Axial Age in the subcontinent. Quite possibly, Indian ideas of meditation and even renunciation have Harappan origins. But it’s difficult to draw firm conclusions about this, or about what the Harappans themselves believed, at least until the script begins to speak. Scepticism is essential: The deciphered Mayan script revealed how wrong many scholars were about the beliefs they had attributed to the Mayans (such as being peaceful). The Harappans did not build monumental sculptures, such as of kings or gods, as did the Mesopotamians and the Egyptians. This doesn’t make them any less complex than others, writes Possehl, rather it’s an alternative way in which a civilization, with a ‘highly complex sociocultural system, has expressed itself’.  They did make fine miniature art, as in seals and beadwork. And while their figurines aren’t notable for their artisanship, they still evocatively depict their people ‘in great variety, with many poses: sitting in chairs, lying on beds, holding babies and animals, kneading bread, and other things that people do to round out their existence,’ writes Possehl. Animal puppets, in which a bull might shake its head or pull a cart, reveal a playful sense of humour, perhaps designed to amuse children. There are some fantasy creatures too, but ‘on the whole, the Indus peoples in their art, as in other aspects of their lives, come across as people with a practical bent, a tendency to deal with and represent the real world as they [and we] see it’. That said, what jumps out as the Harappans’ greatest monumental work is the city itself, a marvel of urban design and engineering, city- wide sanitation systems that include the first indoor toilets in the world and sophisticated water management. ‘Probably not until later Roman times did people devise so many clever construction techniques to deal with comforts and discomforts related to water.’ They also excelled at shipbuilding and long-distance trade—another reason to think that they had centralized authority and bureaucracy to mobilize labour, develop trading networks and organize long-distance shipping expeditions. Harappan cities of the mature period (2600–1900 bce) had some walled neighbourhoods with larger buildings and better provisions, suggesting that an elite class resided there. But not everyone agrees. There is ‘no justification’ or archaeological support for this presumption, says archaeologist Jonathan Mark Kenoyer. In fact, in certain stages, the ‘citadels’ in Dholavira and Mohenjo-Daro were hubs of artisanal– industrial activity. There is no evidence of royal palaces; homes differ in size and provisions but not by much. Sanitation and water wells were available to all. Based on the bones of the dead, the rich and the poor seem to have enjoyed similar access to nutrition. Their burials too display a narrow range in their sizes and types of funerary objects. However, as noted earlier, burial practices may have varied across individuals, or social groups. That the Harappans had a social social class hierarchy is clear enough. What’s remarkable is that this hierarchy seems so much flatter than in other ancient (or modern) civilizations.

Get your copy now for a truly epic exploration of the cultural behemoths that continue to shape ‘INDIANS’ today https://www.amazon.in/Indians-History-Civilization-Namit-Arora/dp/0670090433

Why design thinking is need of the hour?

Creative problem-solving is at the heart of innovation, and some of the world’s most innovative companies are very systematic in following this approach. Pioneered by IDEO and Stanford d.school, design thinking is one such approach that draws inspiration from the realm of product design. This book attempts to offer a practitioner’s perspective on how the tenets, methods and discipline of design thinking can be applied across a range of domains, including to everyday problems, and help us become expert problem-solvers through the use of the appropriate toolsets, skill sets and mindsets.

Here’s an excerpt from the book which elucidates why design thinking deserves to be adopted more seriously and pervasively.

**

Whether you are buying a product or hiring a service, at the end of the day you are consuming an experience, and in this experience economy, a lot more of your senses are involved. The traditional products have become more like services, and services have become experiences. In today’s marketplace, customers are shifting from passive consumption to active participation. Memorable experiences are not scripted by leaders or marketing departments but are delivered at the moment of truth by the customer-facing executives. And such experiences must be crafted and delivered with the same precision as the products. We are all seeking authentic experiences and even the most mundane task can be made into a cherishable experience. Such authentic experiences often take shape by allowing for spontaneity, and, paradoxically, this spontaneity must be designed beforehand, and technology is only a small part of that desirable experience.

Do you wonder why people spend such huge amounts to attend TED Talks, when all of these are available for free on the Internet? Because people want to ‘experience’ being in the company of thinkers and doers and get inspired. That is the same reason that thousands of Indians queue up every summer to watch Indian Premier League matches in their cities. Many of them travel across cities, stand in lines for well over four hours, often in scorching heat, when they could have watched their favourite players from the comfort of their living rooms. They seek genuine experiences, and they are ready to pay anything, risk anything to seek that involvement.

front cover of Design Your Thinking
Design Your Thinking || Pavan Soni

 

People, rich and poor, are going beyond amassing stuff to seeking experiences, and that is visible among a wide cross section in India and in several other emerging economies. Abhijit Banerjee, co-recipient of the 2019 Nobel Prize in Economics, notes, ‘Generally, it is clear that things that make life less boring are a priority for the poor.’6 He offers a counterintuitive explanation of why the poor spend more on festivities, marriages and other social functions, even if they are often deprived of material goods, such as televisions, bicycles or radios. Another explanation is to do with social equity and collateral, but equally, there is the desire to seek an experience and make life less boring.

Is it possible to infuse experience through design in the most commoditized and undifferentiated products? Yes, and the Indian watch brand Titan has made an empire doing so.

In December 1987, when Titan opened its first retail outlet at Bangalore’s Safina Plaza, watches were perceived as functional products, dominated by HMT Watches and Allwyn Watches and a few international brands whose watches were smuggled into the country. It was Titan that made us think about watches as pieces of adornment and even collectables. (The same was done later for jewellery, accessories, perfumes and, more recently, sarees.) Since its formative days, Titan has paid special attention to how its watches are displayed and to the overall buying experience. Notwithstanding the award-winning designs of its watches, the company’s focus has largely been on designing the buying and gifting experiences. Not just these, Titan has also invested in the product repair experience, setting up repair centres within showrooms to win customers’ trust.

On how Titan went about improving customer experience, Bhaskar Bhat, the company’s former MD, notes, ‘Formalising an informal sector and transforming it for the benefit of the consumer is what we have done best. We are sort of bringing order from disorder. We create elevating experiences for the customers.’7 As Titan demonstrates, designing experiences could be an enduring competitive advantage.

**

 

Time for some tough questions with Deepak Ramola

50 Toughest Questions of Life invites people to have a conversation about themselves with themselves. Author Deepak Ramola’s quest began after he was inspired by the life lesson of a young girl who said, ‘Life is not about giving easy answers, but answering tough questions.’

Today we ask him some questions, to understand him and his journey a little bit better.

At what point did you decide to write a book with your experiences?

Last year, in February, while standing at the self-help section of a bookstore, I had an epiphany that most books were full of answers. I was curious to find out how people would respond to a book of questions. I had so many of them documented over the years, I started to give them shape and context for the book. I started writing in school for debates competitions and school magazine, I guess the seeds were sown there.

What is your favorite part about this book, and what was the most challenging question for you?

Front Cover 50 Toughest Questions of Life
50 Toughest Questions of Life || Deepak Ramola

Favorite part:

The stories that follow each question, encouraging people to put themselves at the centre of their life without guilt has been my goal with the book. I really love the story about the visually impaired girl who talks about the advantage of being blind along with the Mexican stories about the two trees of harm and healing.

Challenging part:

To keep it simple and honest. I was cautious to never over-impose my answers on to the readers but nudge them just enough to come up with their own. I had to go through a personal emotional roller-coaster with each of the 50 questions. Particularly reflecting on my toughest goodbye, how can someone make me feel loved was hard.

You started with around 500 questions, how did you come down to 50?

I followed my instinct on what seemed difficult to me and then, how people over the years responded to certain questions. I shuffled the list quite a bit with each draft. There are so many questions that I am yet to answer for myself, so I pulled them out in hope for a sequel to this book. Lastly, these 50 questions I feel are the ones we all need to answer collectively as the human race to be more kind and empathetic.

Who were the people that inspired these questions?

My mother never went to school but treated life as her classroom was a big inspiration for me growing up. Many questions emerged from our conversations. She taught me that literacy and education were two separate things and if we ask the right questions, we can educate ourselves beyond the infrastructure of curriculums. Apart from that Oprah Winfrey. Maya Angelou. Vishnu Kaushal. My team at Project FUEL. Interactions with Syrian refugees. My sister Deepika. And people I have learnt from and taught over the last 11 years. David Cooperrider once said, “We live in the world our questions create.”

What was the first question you ever wrote? And what is your next question going to be?

First question:

How would you introduce yourself with love?

Next question:

Have you ever given up on something beautiful and why?

The understudied feminist who played an important role in the creation of Pakistan

‘In terms of courage of conviction and strength of character, Mrs Jinnah remains a role model for every man and woman who cherishes freedom.’ 

 

If Joan of Arc and the Rani of Jhansi are known for their rebel spirit, physical beauty, love of freedom, hatred for the British and deaths at a young age, Mrs Jinnah fits seamlessly into their ilk. Ruttie Jinnah, Mohammad Ali Jinnah’s wife was a fierce nationalist in her own right, and a proactive political companion to her husband. 

 

From Saad S. Khan’s biography, Ruttie Jinnah we extract quotes that show her feminist side. 

 

‘Among the top Indian leadership from the turn of the century to around the time of the First World War—including Gopal Krishna Gokhale, Bal Gangadhar Tilak, Motilal Nehru and Jinnah, for instance—Mrs Jinnah was the only politically active and publicly visible wife of any leader.’

 

‘At South Court, Sheela Reddy argues, Mrs Jinnah was the ‘passionate participant of political discussions, the organizer of all dinners at the home to facilitate these plans, a cheerleader for Jinnah and his acolyte, all rolled into one’. In fact, it was not only about Jinnah’s political meetings with other leaders that Mrs Jinnah was party to—he loved to discuss his political ideas with her first.’

 

Mrs Jinnah would support her husband through the hustings during the elections to the Central Legislative Assembly; she would accompany him to Delhi and Simla during legislative sessions; and, most unusually for those conservative times, she would sit in most, 

if not all, of the public meetings on the stage beside her husband, as well as attend closed-door political meetings at home.’

 

‘…All these facts lead us to a better appreciation of her indirect political role in charting Indian history, through her influence on her husband during these years of camaraderie—one that would outlive her own life or, for that matter, Jinnah’s. But for this influence that she wielded over Jinnah, Mahatma Gandhi, who is not otherwise known for corresponding with any spouse of a political leader of the time, would never have written to her to win her support for his ideas.’

 

‘…it was not just Jinnah who was the leader of the Muslims, but Mr and Mrs Jinnah together who led the community—as its first couple.’

 

‘First and foremost, Mrs Jinnah was the political lieutenant and adviser of her husband, joining him in his engagements with the British government, at interactions with the Congress and the Khilafatists, and, of course, in his political activities as head of the All India Muslim League.’

 

‘Ruttie’s decision to marry Jinnah owed a lot to his politics, which is what had mesmerized her in the first place. Hence, her participation in Jinnah’s political activities began from Lucknow, well before their marriage. Despite her father’s opposition, the young Ruttie attended the joint annual sessions of the Congress and the Muslim League, held in the city in December 1916.’ 

‘Mrs Jinnah had the nerve to not stand up to greet the viceroy at functions. ‘He is a man, after all!’ she would say, implying a lady was not required to pay respect by standing up for men.’ 

 

‘She ordered a British police officer on Hornby Road who had kicked an old woman—a street vendor—to put back all her strewn fruit into the latter’s basket. From the policeman, who was the smallest instrument in the colonial administration’s coercive authority, right up to the viceroy himself, Mrs Jinnah refused to be intimidated by anyone.’ 

 

‘Mrs Jinnah’s dress sense was so marvellous that she became a trendsetter in India. The ‘Indian blouse’, her signature combination with the sari, became a fashion statement in the country, and continues to be even today. She was also the first notable Muslim lady to be seen out of purdah, and this boldness of appearance influenced other Muslim women decades down the road to come out of the veil and take active part in the Muslim separatist struggle. This does not mean that her dresses were in any way explicit. By any contemporary sartorial standards, her dressing was more demure than daring.’ 

 

Read Ruttie Jinnah to get an incisive look into Ruttie’s life and legacy – and get a novel and fresh understanding of Jinnah and the freedom movement.

What we learnt from the COVID-19 pandemic

In early 2020, the health sector in India was about to shift gears from the policy formulation stage to the implementation stage. It is at this point that the pandemic happened. The importance of having a robust public health system has never been felt more acutely. We have learnt a few things in these nine months into the pandemic, excerpted from Till We Win: India’s Fight against the COVID-19 Pandemic by Dr Chandrakant Lahariya, Dr Gagandeep Kang and Dr Randeep Guleria.

Well-functioning primary healthcare services as well as stronger public health services are essential to keep the society healthy: A majority of COVID-19 patients, nearly 80 per cent, needed only an initial interaction with health systems and no medical intervention during the entire period of recovery. They were either kept at CCCs, mainly to isolate them from healthy individuals, or were allowed home isolation. Such an approach reduced the risk of these patients transmitting the virus to others while visiting large facilities to seek care. Most of the interventions, be it contact tracing, testing, isolation or advising people on COVID-19-appropriate behaviour, were being delivered by primary care and public health staff. It is for this reason that countries with a stronger primary healthcare system (such as Thailand and Vietnam) fared much better than countries with a hospital-centric health system. Taiwan largely controlled the pandemic through effective testing and contact-tracing approaches, delivered through the primary healthcare and public health teams.

Neighbourhood clinics play a bigger role in ensuring good health than large hospitals: The pandemic has shown us the utility of smaller facilities over mega hospitals. In the early period of the outbreak, big hospitals became overburdened as all suspected and sick people thronged them. Panic led even patients with mild illness to rush to these hospitals. This drove home the point that a good referral system helps in balancing out the load of patient care and ultimately leads to better patient care. During the period of the pandemic, a majority of COVID-19 and non-COVID-19 services were provided by the PHCs and neighbourhood clinics.

front cover till we win
Till We Win||Dr Randeep Guleria, Dr Gagandeep Kang, Dr Chandrakant Lahariya

Health is about a broad range of services and providers:

To stay healthy, we all need much more than hospitals and doctors. Health services are a combination of public health (preventive, promotive services) as well as medical care (clinical/curative services), among others. If it were not for preventive and promotive health services, which help in reducing disease, hospital services would never be enough to treat all the people who get sick. Also, health needs multi-sectoral inputs, and the importance of sanitation and infection-control measures have now become more evident. Focusing on only one type of service will not suffice.

Non-pharmacological interventions are equally important and effective: The war against COVID-19 has largely been fought by people adopting and adhering to the non- pharmacological interventions or ‘the social vaccines’ of wearing a face mask, handwashing, and physical distancing. Till (and even after) effective therapies or a few vaccines become available, these interventions will continue to play a key role in decreasing the disease burden. Other than for COVID-19, there are many non-pharmacological interventions that are proven against diseases such as diabetes and hypertension: healthy diet, regular physical activity, no smoking and moderate or no use of alcohol. It is time that the approach of encouraging people to adopt a healthy behaviour becomes mainstream for other health conditions as well.

Laboratory testing and diagnostic services are an important part of overall health service delivery: Testing can help in early identification of infection, prevent the spread of disease, and guide early interventions. This is also applicable for health services in non-emergency times. Testing forms the basis for other strategies which are planned at local and national levels and must be pursued aggressively.

Better functioning government-funded health systems are more effective in an early response to epidemics and pandemics: Pandemics are unprecedented challenges and no health system is fully prepared to respond to these without additional efforts. However, stronger health systems funded by governments mount a more effective response, which also allows for surge capacity.

Health services entail teamwork between health and non- health contributors: Keeping people safe and healthy requires interventions across a broad range of services, including testing for identification of those with infection, tracing the healthy who have been exposed and are at risk of falling sick, isolating those who are sick and can transmit infection, treatment for those who need medical care, and so on. For all of these, we need not only doctors and nurses, but also pharmacists, laboratory technicians and frontline workers. We also need coordination and collaboration with sanitation workers and community members. The pandemic has taught us that to tackle health issues comprehensively we need to move out of silos. Multi-sectoral collaboration is essential for comprehensive preventive and curative health.

Frontline workers are at the heart of health services: When the history of the fight against COVID-19 is documented, the efforts of frontline workers from the ASHAs, AWWs to ANMs will find a special mention. They are the ones who have guided the health system from the field and tracked the infection in the community. They perform yeomen services even during non-pandemic periods.

The health sector faces a paucity of essential supplies needed for delivering services: The shortage of PPE in the initial stage of the outbreak and, subsequently, a shortage of medical oxygen can be taken as indicative of supply issues in the health sector in India. Although the shortage was eventually addressed, this needs to be monitored on a regular basis. These shortages are indicative of an overall shortage of various types of supplies, such as medicines, diagnostic kits and other consumables.

Other things we learnt, specified in more detail in the book are:

  • The private sector has a role to play in health services which can be harnessed with effective regulation.
  • Health sector laws and regulations should be better implemented.
  • Health and economy are interlinked.
  • There is a huge role of epidemiological, operational and scientific research in advancing health.
  • Health outcomes are dependent on collaboration and community participation.

 

Offering insights on how India continues to fight the pandemic, Till We Win is a must-read for everyone. It is a book for the people, for political leaders, policymakers and physicians, with the promise and potential to transform public health in India.

 

 

 

India and the COVID-19 vaccine

The COVID-19 vaccine: a favourite topic in the present day. When will it arrive? Why are they taking so long? And most importantly, do we really need them, or is herd immunity enough in a country like ours?

In this article we try and answer these questions, from Dr Chandrakant Lahariya, Dr Gagandeep Kang and Dr Randeep Guleria.

India is the largest producer (by volume or number of doses) of vaccines in the world, and provides vaccines to UNICEF which then distributes them in Africa, South America and Asia. For UNICEF to buy the vaccines, the vaccines have to be pre-qualified or approved for purchase by the WHO. The WHO’s approval process relies on the fact that the country which makes the vaccines has a national regulatory authority that meets the standards laid down by the WHO. India’s CDSCO has met these criteria and ensures that the vaccines made in India are of high quality and safe. Indian vaccine manufacturers, which have grown in number and capacity since they were established decades ago, have good and long experience with manufacturing in high volumes. However, they have only recently begun modest investments in research towards new vaccines. With a population of 138 crore, India needs local and indigenous production of the COVID-19 vaccine to ensure widespread availability.

front cover till we win
Till We Win||Dr Randeep Guleria, Dr Gagandeep Kang, Dr Chandrakant Lahariya

The development and availability of the vaccine in India has been part of some of the early discussions on the country’s response to the COVID-19 pandemic. A national task force for vaccine research and development was set up in April 2020. The progress on the vaccines, both globally and in India, has been reviewed by high-level committees, and planning for delivery of the vaccines is ongoing. In early October 2020, the health minister announced a proposal to vaccinate 20 to 25 crore Indians by July 2021. In parallel with many such efforts around the world, discussions are on about the prioritization of target populations for initial vaccination.

 

When can we expect the first vaccine against COVID-19?

Till October 2020, six vaccines had been given limited licence in China and Russia. While a definite timeline is difficult to predict, there is a possibility that some vaccines may be available by early 2021. However, vaccination will be an ongoing process and it will be two to three years before sufficient vaccines are available to vaccinate all those in need.

 

There are a number of vaccines in the last stage of clinical trials, why is it taking so much time?

It is true that there are COVID-19 vaccines in phase III of clinical trials across the world, with trials starting in India. However, there are no guaranteed successes, and we need to wait for the results to know what works and what does not. If successful, the data need to be submitted to the regulatory authorities for approval. This is followed by production by one or more vaccine companies and then supply, resulting finally in availability. All these steps are expected to take some time.

 

What is herd immunity? Do we really need COVID-19 vaccines or is herd immunity enough?

Herd immunity is also called herd effect, community immunity, population immunity or social immunity. It is a form of indirect protection from infectious disease which happens when a defined proportion of the population has been infected and has become immune to an infection. As an increasing number of people are infected or vaccinated, the number of people who can be infected (‘susceptibles’) decreases and transmission or spread also decreases. When herd immunity is reached, it is important to note that this is a feature that works at the population level—a decrease in spread within a defined group; it is not perfect protection of all uninfected people. At the individual level, the status of immunity depends on that person’s exposure or vaccination status. This means that if a susceptible individual is no longer within the ‘herd’, then they are likely to be infected on exposure, and are not ‘immune’.

When the level of infection or vaccination that is required is calculated, then the basic reproductive rate of the virus has to be known. The higher the reproductive rate, the greater the proportion of the herd that needs to be infected or vaccinated to prevent the spread. For measles, which is very infectious, we would like to reach 95 per cent vaccination to prevent outbreaks. At this time, data from sero-surveys in India shows 7 per cent seropositivity in a national survey at the end of August but pockets of high positivity in urban areas (56 per cent in some localities in Mumbai and 51 per cent in areas of Pune and 29 per cent in Delhi). This indicates that herd immunity is still far for most of the country, and we should be looking to a vaccine for more predictable development of immunity.

Offering insights on how India continues to fight the pandemic, their book Till We Win is a must-read for everyone. It is a book for the people, for political leaders, policymakers and physicians, with the promise and potential to transform public health in India.

Seven tips on raising funds like a seasoned entrepreneur

The world is definitely buzzing with intrepid entrepreneurship and most of us are starting-up and striking out!

Amidst this thrilling zeitgeist though, the problem of funding remains, especially in the post-COVID-19 world, where money is scarce.

Dhruv Nath and Sushanto Mitra come to the rescue with Funding Your Startup And Other Nightmares It taking you through stories of early-stage start-ups, and their hits and misses in the journey to raise funding.

Funding Your Startup And Other Nightmares || Dhruv Nath, Sushanto Mitra

The authors also interview some of the most accomplished founders in the world of business, such as Deep Kalra of MakeMyTrip, Yashish Dahiya of PolicyBazaar, Dinesh Agarwal of IndiaMART and Sairee Chahal of SHEROES. Their stories all come together in a useful ‘PERSISTENT’ framework, which helps make a start-up investment-ready.

 

Read on for seven invaluable tips about the basics of funding that will help you launch straight onto entrepreneurial superstardom.

 

  1. Treat your customers with the same awe you do investors, because it’s their money that is crucial for a business in the long run

Always remember, the customer’s money is much better than the investor’s money—as long as it is

coming in regularly, and is higher than your costs. Because you then have a viable business. This is especially important in the post COVID-19 world. And if you are getting the customer’s money,

you will almost certainly get the investor’s money.

 

 

  1. While entrepreneurs are understandably concerned about giving too much of their stake away, you need to focus on what’s best for growing your business.

Well, first of all, if you need funding to grow rapidly, you need it. Do not worry too much about the valuation and the stake you are letting go. Obviously you must try and get the best deal you can, but get the funding. It’ll help you grow rapidly, and your next round can then be at a significantly higher valuation. So while you may have parted with a significant stake in the first round, you can actually get far more for a proportionately lower stake in the next round

 

 

 

  1. Crises can turn investors risk-averse and more likely to insist on a lower valuation. Here is a great option to handle this

There is another interesting option. Raise the money right now, without fixing the valuation at the moment. Instead, link it to the subsequent round of funding. How does this work? Well, let’s call

this Funding Round 1. And at some stage you will be raising Funding Round 2. You could then set the valuation in Round 1 at a 20 per cent discount (or any percentage that both sides can agree to) to the

valuation arrived at in Round 2.

 

 

  1. To create maximum impact in the least time, brevity is the name of the game! WYKM (what’s your key message- and deliver it!

 

One simple, key idea. Which is easy to understand, absorb and, therefore, remember. Nothing huge, not hundreds of words, or tens of ideas. One simple message—that’s it. And therefore, ladies and gentlemen, the recipient gets the message and remembers it!

 

 

 

  1. Multi-tranche or staggered investments, released as you continue to  meet milestones are great for start-ups looking to prove traction.

In other words, we’ll give you the money in two tranches. Based on the first tranche, let’s set a milestone. Once you meet that, we’ll release the second tranche. By the way, the second tranche could even be at a higher valuation.’ Incidentally, this is not an informal arrangement. It actually becomes part of the term sheet and ultimately the shareholder agreement.

 

 

  1. While you’re on tenterhooks waiting for your investors to choose you, make sure you choose your investors wisely and well

More than just the money, it’s important to get it from the right investor. Someone whose thinking is aligned with yours and who is ideally passionate about the business as well. Someone who can add

value and not keep breathing down your neck asking for a quick exit.

 

 

  1. Angel networks, gathering investments from a large number of investors are one of the best bets for start-ups and much more accessible than venture capitalists at first.

Who provides this support? Very simply, the angel network. So the network evaluates each start-up and then shortlists the ones that seem the most promising. The founders are then asked to make a presentation or pitch. After the pitch session, start-ups that investors are interested in are evaluated in further detail (unfortunately, the others go home with coffee and cookies). Finally, those that are ripe for investment are given a term sheet. Which is rather like an MoU.

Ruttie Jinnah’s influence and redaction from history

Mohammad Ali Jinnah’s wife, Ruttie Jinnah was a fierce nationalise in her own right, and a proactive political companion to her husband. According to Jinnah’s contemporary political leader Sarojini Naidu, Ruttie was the only one with whom he could truly be himself. Despite her undisputed influence on him, she remains an understudied figure in history.

 

Here is an excerpt from the introduction of Saad S. Khan’s biography, Ruttie Jinnah, titled The Enigma of Mrs Jinnah.

 

Eqbal Ahmad, a great South Asian intellectual, once described Jinnah as an ‘enigma’ of modern history. Jinnah’s aristocratic Victorian manners, English lifestyle and secular outlook rendered him a most unlikely leader of Indian Muslims to have led the people to separate statehood.8 However, any keen observer of South Asian history and the politics of Pakistan may find Mrs Jinnah a greater ‘enigma’ than her husband. Sharing the same manners, the same lifestyle and the same outlook that Ahmad uses to describe Jinnah, she was the unlikeliest of candidates to have had a revolutionary, anti-British spirit, the intrepidity to face her family and community upon conversion to Islam, and her rising to become the first lady of the Indian Muslim community in such a conservative era when most Muslim women were wearing face veils.

 

As the historians study and explore Jinnah’s personality in the thousands of books and titles on him, we come to know him so well that he hardly remains an enigma any longer. Mrs Jinnah, however, has remained one—first, owing to her behind-the-curtains role in the rise of Jinnah and factors that led to the genesis of Pakistan. This should have made her one of the most studied historical figures by and within Pakistan, at least. To the contrary, however—and this brings us to the second reason she is an enigma—she suffered (to borrow the term from the scholar Akbar S. Ahmed) a complete ‘blackout’ from history.

 

Here, we look at both these conundrums: her influence on Pakistan and her redaction from history.

Influence on Jinnah and Thereby on the Creation of Pakistan

 

The first mystery about Mrs Jinnah is around her role in moulding her husband from a staunch all-India nationalist to a believer in the two-nation theory. It is well known that their courtship blossomed from 1916, when she proposed to him in Darjeeling. It was the same year that Jinnah got catapulted to national centre stage by becoming the architect and the author of the Lucknow Pact (also known as the Jinnah–Tilak Pact). It prompted Sarojini Naidu to label him as the ambassador of Hindu-Muslim unity. Despite strong opposition from her father, Ruttie came to Lucknow to see Jinnah bask in glory on the Indian political skyline.

 

The couple got married in 1918. After that there was hardly any major political or legislative engagement of Jinnah for which Ruttie was not by his side, till she left for Europe during her terminal illness in 1928. She died the following year. It was precisely that year, in 1929, that Jinnah propounded his Fourteen Points, effectively laying claim to a separate nation for the Muslims. These demands were to coalesce into one—for separate statehood—within a decade. Though Mrs Jinnah cannot be considered the sole reason for this metamorphosis, the exact coincidence of years, which is hard to miss, cannot be purely incidental. Living together and discussing politics for hours every day, it is hard to believe that Ruttie’s influence on Jinnah’s sea change in outlook was nil.

 

The argument that Mrs Jinnah was one of the factors that led to Jinnah’s becoming a bi-nationalist instead of the nationalist that he was, is subscribed by more or less all serious studies of Jinnah’s early political life. Akbar S. Ahmed,10 M.C. Chagla,11 Kanji Dwarkadas,12 Sheela Reddy13 and Ian Bryant Wells14 among others count Mrs Jinnah’s life—or death—as one of the factors that contributed to the change in Jinnah’s political philosophy, which led to the creation of Pakistan.

 

They disagree, however, on the extent of this influence, on what exactly caused it (for instance, Mrs Jinnah’s life or her death) and how. The present volume will uncover this backstage role of Mrs Jinnah, which will also help us grasp various hitherto underappreciated angles of Jinnah’s personality and decisions.

 

Her Blackout from History

 

Mohammad Ali Jinnah, better known in Pakistan as Quaid-e-Azam, was the founding father of Pakistan and is highly venerated in the country. Countless roads, towns, streets, institutions and projects are named after him. Those who profess their love for him show him a discourtesy by forgetting his first and last love, Rattanbai Maryam Jinnah. It is indeed a pity that the lady went missing from history and Pakistan’s collective memory. Both her role as comrade-in-arms of Jinnah, and her contribution to the freedom struggle in her own right are equally underexplored areas in the historiography of Pakistan.

Akbar S. Ahmed notes that Ruttie (and Dina) have ‘both been blacked out from history [in Pakistan]’. He argues, ‘Nonetheless, it is through a study of his family that we see the man [Jinnah] and understand him more than at any other point in his life because that is when he exposes his inner feelings to us.’15 Who caused this blackout and why? Who were the figures or what were the factors that led to the obliteration of Mrs Jinnah from collective memory?

 

Apparently, her direct descendants in post-Partition India and her in-laws in post-Independence Pakistan, for reasons that might not mirror each other, may have developed an interest in keeping Mrs Jinnah’s persona concealed from history. These include her parental family’s revulsion to her conversion, personal dislikes and jealousies by some on her in-laws’ side and simple lust for the Jinnahs’ inheritance in property from yet others living on both sides of the Radcliffe Line. The litigation for Jinnah’s property still continues a century down the road.

 

Saad S. Khan’s vivid biography, Ruttie Jinnah, provides an incisive look into Ruttie’s life and legacy, bringing forth a novel and fresh understanding of Jinnah and the freedom movement.

Lessons on temporality from the last days of the Buddha

The one certainty in life, the one appointment which each of us will just have to face, is the one for which we do the least to prepare-death.

Preparing for Death explores the questions that have puzzled humanity from the very beginning as evinced by the rituals, texts and philosophies that surround death. From the lives and last days of the Buddha, Ramakrishna Paramahamsa, Ramana Maharshi, Gandhiji, Vinoba; from our religious texts and teachings of great meditation masters; from santhara to sannyas , Arun Shourie explores all  these, for their  views on how to prepare oneself for the end.

Perhaps some of the most lucid and stark discussions as to the nature and inevitability of death exist in the teachings of the Buddha. With a lyrical look at the final discourses of the Buddha, Shourie offers guidelines on how to live so that one prepares oneself to face death with equanimity.

 

  1. Worldly troubles plague even the Perfect Ones

‘Ananda, I am now old,’ the Buddha says, ‘worn out, venerable, one who has traversed life’s path, I have reached the term of life, which is eighty . . .’ And pain is a constant blight: ‘It is only when the Tathagata withdraws his attention from outward signs, and by the cessation of certain feelings, enters into the signless concentration of mind, that his body knows comfort.

 

  1. Both in life, and in the preparation for death it is wise to withdraw the need for outside support, to removes one’s dependence on another’s existence and to find refuge within oneself

Therefore, Ananda, dwell with yourselves as your own island, with yourselves as your own refuge, with no other refuge; dwell with the Dhamma as your refuge, with no other refuge That is why, the Buddha counsels, it is well for a monk—and surely, for each of us—‘to review, from time to time, his own faults . . . another’s faults . . . his own attainments . . . another’s attainments’. And to dissolve by mindfulness the obsessions and ill-intentions that arise.

 

  1. A certain purity of thought and intention allows one to face death with equanimity.

And the Buddha draws a lesson from Devadatta’s fall, a lesson apt for the way we live our lives. Devadatta went to perdition, the Buddha says, because he had been overpowered by thoughts of gain and loss, of fame and obscurity, of honour and infamy; because he had been consumed by evil intentions and poisoned by evil friendship.

 

  1. Death invariably seems something that happens to other, so the first acceptance of the temporality of all things-including oneself

Ananda, have I not told you before: All those things that are dear and pleasant to us must suffer change, separation and alteration? So how could this be possible? Whatever is born, become, compounded, is liable to decay—that it should not decay is impossible.

 

  1. The idea of ‘preparing for death’ also encompasses an acceptance that there are no guarantees, no certainties as to when and where the final moment will occur. Thus our lives itself are ordered in a way that one is, by necessity-preparing for death.

As the Buddhist teachers say, even though we see death every other day, our general attitude is, ‘Yes, yes, I know I will die. But I won’t be dying this year, certainly not this week. In any case, not today.’ The Buddha placed great emphasis on reversing this complacence. He wanted us to always bear in mind: death is certain, but its manner, place, time are absolutely uncertain. He wanted us to internalize these facts, and order our lives accordingly.

 

  1. Death ultimately subsumes all possessions both material and immaterial.

Each of the ones now lying on the pyre or on those wretched rails had come empty-handed, each is going empty-handed. The assets they had acquired, the honours they had won, the services they had performed, the high positions they had held—none of these could save them, nor was any possession or honour accompanying them.

 

  1. Death is inescapable, even for the enlightened who have freed themselves from all material fetters, even for the Tathagata himself.

Even in the case of those Bhikkhus who are arahants, whose taints are destroyed, who have lived the holy life, done what had to be done, laid down the burden, reached their own goal, utterly destroyed the fetters of existence, and are completely liberated through final knowledge: even for them this body is subject to breaking up, subject to being laid down.

 

  1. Preparing for death is in itself a discipline-as the Buddha’s address to his monks at Vesali before departing for his final pilgrimage suggests.

Ripe I am in years. My life-span’s determined.Now I go from you, having made myself my refuge. Monks, be untiring, mindful, disciplined,Guarding your minds with well-collected thought. He who, tireless, keeps to law and discipline, Leaving birth behind will put an end to woe.

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