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What we learnt from the COVID-19 pandemic

Posted on by ashmita

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.

 

 

 

For Paulo Coelho, archery is the vehicle for the clear truths of life

Posted on by ashmita

Anyone who reads Paulo Coelho is changed in some fundamental way. The power of his words is rare, and the breadth of his scope is not easily matched. Here is an excerpt from his newest book The Archer, exploring truths of life through an impactful metaphor:

~

‘Tetsuya.’

The boy looked at the stranger, startled.
‘No one in this city has ever seen Tetsuya holding a bow,’ he replied. ‘Everyone here knows him as a carpenter.’

…Tetsuya made as if to resume his work: he was just putting the legs on a table.

‘A man who served as an example for a whole generation cannot just disappear as you did,’ the stranger went on. ‘I followed your teachings, I tried to respect the way of the bow, and I deserve to have you watch me shoot. If you do this, I will go away and I will never tell anyone where to find the greatest of all masters.’

The stranger drew from his bag a long bow made from varnished bamboo, with the grip slightly below center. He bowed to Tetsuya, went out into the garden, and bowed again toward a particular place. Then he took out an arrow fletched with eagle feathers, stood with his legs firmly planted on the ground, so as to have a solid base for shooting, and with one hand brought the bow in front of his face, while with the other he positioned the arrow.

The boy watched with a mixture of glee and amazement. Tetsuya had now stopped working and was observing the stranger with some curiosity.

With the arrow fixed to the bowstring, the stranger raised the bow so that it was level with the middle of his chest. He lifted it above his head and, as he slowly lowered his hands again, began to draw the string back. By the time the arrow was level with his face, the bow was fully drawn. For a moment that seemed to last an eternity, archer and bow remained utterly still. The boy was looking at the place where the arrow was pointing, but could see nothing. Suddenly, the hand on the string opened, the hand was pushed backward, the bow in the other hand described a graceful arc, and the arrow disappeared from view only to reappear in the distance.

‘Go and fetch it,’ said Tetsuya.

The boy returned with the arrow: it had pierced a cherry, which he found on the ground, forty meters away.

Tetsuya bowed to the archer, went to a corner of his workshop, and picked up what looked like a slender piece of wood, delicately curved, wrapped in a long strip of leather. He slowly unwound the leather and revealed a bow similar to the stranger’s, except that it appeared to have seen far more use.

Front cover The Archer
The Archer||Paulo Coelho

‘I have no arrows, so I’ll need to use one of yours. I will do as you ask, but you will have to keep the promise you made, never to reveal the name of the village where I live. If anyone asks you about me, say that you went to the ends of the earth trying to find me and eventually learned that I had been bitten by a snake and had died two days later.’

The stranger nodded and offered him one of his arrows.

Resting one end of the long bamboo bow against the wall and pressing down hard, Tetsuya strung the bow. Then, without a word, he set off toward the mountains.

The stranger and the boy went with him. They walked for an hour, until they reached a large crevice between two rocks through which flowed a rushing river, which could be crossed only by means of a fraying rope bridge almost on the point of collapse.

Quite calmly, Tetsuya walked to the middle of the bridge, which swayed ominously; he bowed to some- thing on the other side, loaded the bow just as the stranger had done, lifted it up, brought it back level with his chest, and fired.

The boy and the stranger saw that a ripe peach, about twenty meters away, had been pierced by the arrow.

‘You pierced a cherry, I pierced a peach,’ said Tetsuya, returning to the safety of the bank. ‘The cherry is smaller. You hit your target from a distance of forty meters, mine was half that. You should, therefore, be able to repeat what I have just done. Stand there in the middle of the bridge and do as I did.’

Terrified, the stranger made his way to the middle of the dilapidated bridge, transfixed by the sheer drop below his feet. He performed the same ritual gestures and shot at the peach tree, but the arrow sailed past.

When he returned to the bank, he was deathly pale.

‘You have skill, dignity, and posture,’ said Tetsuya. ‘You have a good grasp of technique and you have mastered the bow, but you have not mastered your mind. You know how to shoot when all the circumstances are favorable, but if you are on dangerous ground, you cannot hit the target. The archer cannot always choose the battlefield, so start your training again and be prepared for unfavorable situations. Continue in the way of the bow, for it is a whole life’s journey, but remember that a good, accurate shot is very different from one made with peace in your soul.’

The stranger made another deep bow, replaced his bow and his arrows in the long bag he carried over his shoulder, and left.

~

We can’t wait to settle in with The Archer this winter.

 

 

 

The life and dilemmas of Ruby R.

Posted on by ashmita

Ruby finds herself in politics, a field where even the best of people like Saif Haq have the moral compass of a plastic bag. But this is a game where Ruby will not be defeated. Get a glimpse into Moni Mohsin’s delightful new read through this excerpt:

 

Ruby had intended to push her way through the crowd to congratulate Saif on his rousing speech. Though neither as sophisticated nor as socially connected as Kiran, Ruby was not lacking in confidence. She knew from experience that diffidence in a woman was seldom rewarded. But once near the lectern, she was overwhelmed by unaccustomed shyness. Hugging her folder to her chest, Ruby lingered at the edge of the cluster around Saif. A couple of girls, she saw with a stab of envy, had managed to push through the thicket of boys and were now at his side, their radiant faces turned up to him like sunflowers.

He beamed at them from his great height. His caramel- coloured eyes crinkled at the corners and long vertical grooves creased his cheeks. Their voices raised in excitement, the boys were all speaking at once. One was suggesting they repair to the college canteen; another was asking how Saif intended to win the next election; a particularly loud one was demanding a selfie with him; Jazz was insisting that they go to a restaurant, while the handler with whom Saif had arrived—a beefy, middle-aged man sporting an ill-fitting blazer and a comb-over—stood by impassively.

Saif raised his hands as if in surrender and said in a loud but amused voice, ‘All right, everyone. All right.’ They fell silent at once. ‘I had a prior appointment, but you know what?’ He grinned at his fans. ‘I’ll cancel it. How’s that?’ His announcement was greeted with whoops of joy. Looking over the bobbing heads surrounding him, Saif glanced briefly at his companion who nodded and turned away. Pulling out a cell phone from his jacket pocket, he went towards the exit. Saif turned back to his admirers and laughed.

‘Okay,’ he said, clapping his hands, ‘let’s go to your restaurant then. But it better be a desi place. I’m sick of bland white food.’

Front Cover Ruby R
The Impeccable Integrity of Ruby R||Moni Mohsin

An ecstatic Jazz, his face lit up by a gigantic grin, whipped out his cell phone and spoke rapid Punjabi into it. Then he announced: ‘It’s arranged. Choy Saab says there’s only one small table  of diners and they’re finishing. Restaurant is empty otherwise. He’ll hold it for us.’ Several students peeled away, citing essays and other commitments, and slouched reluctantly towards the exit. Kiran, brushing past Ruby without a word, followed them out. Ruby had to leave for her babysitting job. She would have to hurry if she wanted to be on time. But she was finding it hard to wrench herself away. It was as if Saif exerted some gravitational pull that forced her to stay in his orbit.

‘Ruby?’ Jazz called out. Their posse, now reduced to a core of about fifteen fans and Saif, was heading towards the exit. ‘You coming?’

‘Er, I’d love to, but I have to go somewhere,’ she said, edging away.

‘Can “somewhere” wait?’ asked Saif. He broke away from the crowd and approached her. ‘You’re a student here, right?’

‘Yes, master’s in business and media,’ she said primly, tightening her grip on her files. ‘But I did my undergrad in political science. From Punjab University, Pakistan,’ she added stupidly, colouring in embarrassment.

‘Wow! I would love to hear your views on our plans.’

Ruby patted her hair to ensure that her protuberant ears hadn’t burst through.

‘It’s just that I have this, er . . . commitment and I . . .’

‘Well, if it’s with someone significant then I mustn’t keep you.’ He smiled his crinkly smile at her.

‘Oh? Oh, no.’ Her hand flew to her mouth. ‘It’s not that. Not at all, no, no.’

‘So, then?’ He cocked a teasing eyebrow.

The group was getting restless behind them. Jazz cleared his throat noisily. Saif, his gaze squarely on Ruby, gave no indication that he had heard. Ruby fiddled with her folder. If she didn’t make it to her job tonight, she would be letting down Annie and Jack. She couldn’t really afford to forgo the payment and fall behind in her bills . . .

‘Okay, I’ll come,’ she said impulsively. ‘But I have to quickly send a text first.’

Ruby was not the impulsive sort. She was, in fact, quite the opposite—calm, cautious, deliberate. But much like the committed dieter who gives into temptation and has a slice of cake, and then follows it with a milkshake because the damage is already done, having broken her iron schedule once at Kiran’s behest, Ruby succumbed again. Knowing for certain that tomorrow would find her back at the library table in her usual place beside the window in the third aisle from the door, Ruby allowed herself this one indulgence. It was a once in a lifetime opportunity. In what world would Saif Haq ever invite Ruby Rauf to dinner again?

~

The Impeccable Integrity of Ruby R is exciting, and we can’t help but wonder how Ruby will fare in Saif’s ruthless world.

India and the COVID-19 vaccine

Posted on by ashmita

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.

Poetry in the times of things falling apart

Posted on by ashmita

Perhaps one of the most cited lines from Theodore Adorno’s Cultural Criticism and Society is “to write poetry after Auschwitz is barbaric”. Often decontextualized, it is misunderstood as a call to silence poets and artists after the events of the Holocaust. In actuality, Adorno’s reference was in fact to the very opposite – that to write poetry after the Holocaust without addressing the event, without trying to grapple with the unthinkable, was barbaric. His contestation was that art should be able (and arguably has a responsibility) to respond to its times. Poetry, before and after Auschwitz, has continued to change and save lives. Whether through the works of poets like W.H. Auden and Paul Celan who created unsettling and indelible imagery of the horrors of Nazi Germany, or Amiri Baraka and Langston Hughes’s rousing work about black identity and culture, poetry has often addressed the very impossibility of addressing some experiences. Poets have, time and again, through joys and disasters, immortalised events and the subjective experience of being alive in times of unprecedented grief or disaster.

 

Poetry has the tremendous capacity to shed light on the ineffable experiences to the reader. The collection Singing in The Dark is one such vehicle of experience, a composite body that speaks to and about a time that perhaps nobody anticipated. The pandemic crept upon us, unexpected, and it has altered irreversibly the dynamics of human interaction, and the relationships we share with each other, and most importantly, with nature. Over the past few years, we have seen various environmental and engineered crises, from the protests over the Dakota Access Pipeline and the Amazon fire to the cyclone Amphan and the Australian bushfires among several others. The planet seems to have become a battle zone between indigenous people who seek to preserve the lands they live on and corporations who believe anything can be bought on the clout of money.

Front cover singing in the dark
Singing in the Dark||K. Satchidanandan, Nishi Chawla

 

Editors Nishi Chawla and K. Satchidanandan write, ‘The anthology will well serve the purpose of capturing the anguish and the trauma, the anger and the befuddlement, as well as the hope for returning to the certainty of the world order that the pandemic has destroyed or the movement towards a more just and egalitarian world.’ As an array of poets from across the world find their works together in this anthology, perhaps the only common thread is the experience of living through a global disaster. Tragedy unites, and the pandemic has been tragic in an unimaginable number of ways. The impact of the coronavirus has been different for the privileged and non-privileged, and it has denuded the fault lines of our social fabric more starkly than ever. It remains up to us of course, to acknowledge the fact that there needs to be a radical change in the structures of the world, and that systems needs to be cleaned from the inside. Any fight for an egalitarian world will remain only theoretical unless the mantle of responsibility is picked up, and things are unstitched and restitched.

 

Singing in The Dark is an amalgamation of vulnerability and hope, of the dream of a world that can be better, and people who can do better, despite overwhelming evidence of the contrary. There is anger and befuddlement, and anguish and trauma. These will remain for some time, possibly even indefinitely. But poetry and art give us the opportunity to reflect on these, and on our own location within the grander scheme of the world. It pushes us to reconsider the experiential boundaries of our lives, and to reorient our understanding of how the world treats different lives differently. The pandemic forced us to confront the fact that human lives are entangled, that one person’s actions affect others in incomputable ways. Singing in The Dark too, is evidence that despite differences, human beings are not separated from each other, and cannot live insulated and isolated lives. In our experiences, in our fears, hopes, vulnerabilities, frailties and anger, there is an unbreachable commonality; maybe the idea of community is much more far-reaching than commonly believed, surpassing geopolitical boundaries, going into the heart of the very fact of being human and being alive at a time when everything seems to be falling apart.

The road to scale: challenges and prescriptions for success

Posted on by penguin

From Pony to Unicorn lucidly describes the X-to-10X journey that every start-up aspiring to become a unicorn has to go through. The book effortlessly narrates the fundamental principles behind scaling. Guaranteed to make for a very interesting read, the book will be useful to entrepreneurs, leaders and investors involved in scaling start-ups. Here is an excerpt from the book From Pony To Unicorn:

 

In his epochal book, Small Is Beautiful, Ernst Friedrich Schumacher says, ‘even today, we are generally told that gigantic organizations are inescapably necessary; but when we look closely we can notice that as soon as great size has been created there is often a strenuous attempt to attain smallness within bigness.’ Big companies have tried to act small to preserve innovation. Extreme proportions, whether for a life form or an organization, is not natural. It is only in science fiction that one comes across animals the size of Godzilla. The network of blood vessels and nerves and the bone structures needed to support a life form of this size don’t exist in the real world. Even large organizations need intricate structures, speedy communication channels, an extremely strong foundation and flawless management. From time to time, a few organizations defy all odds and make it really big until a small start-up somewhere ends up disrupting them. However, the quest for scale is never-ending. One of the most enduring human pursuits throughout history has been to create things on a grand scale. Whether it was building mammoth pyramids in Egypt or connecting the mediterranean with the red sea through the Suez, or laying undersea cables across the Atlantic, the attraction for grandeur and scale has been incessant. Despite the obsessive and timeless allure of scale, the failure rate has been high. Failure to scale can be because of many reasons, some of which are quite universal and pervasive. They show up in almost every scaling scenario. An understanding of these reasons can be very helpful. It does not guarantee success but can raise the odds in favour of success appreciably. There are also unique challenges in every scaling scenario. You need to deal with these like you would deal with any ‘first time’ problem. Tolstoy’s quote from Anna Karenina is beautiful and sublime, but there are underlying nuances and variations in its meaning. It is the sheer variety and number of nuances that make universal prescriptions for success and scaling, as much as for happiness, almost impossible and often meaningless. This applies as much to start-ups as to families. The closest universal prescription for success was from Arthur Rubinstein, who once said, ‘there is no formula for success, except perhaps an unconditional acceptance of life and what it brings.’ Insights and prescriptions make sense only to individuals who recognize deeply that lessons and wisdom are meaningless in the absence of context, and there is no wisdom or prescription that can’t be challenged. However, given a clear context, an insight drawn from similar contexts can be very powerful, create those ‘Aha!’ moments and help you rapidly overcome the hurdle that is holding you back. Steve Blank, a highly respected author on entrepreneurship in Silicon Valley, in an interview with Kevin Ready published by Forbes magazine, defines a start-up as a ‘temporary organization designed to search for a repeatable and scalable business model’. Eric Ries, a successful American entrepreneur and prolific author, in his seminal book The Lean Start-up, defines a start-up as an organization that is dedicated to creating something new under conditions of extreme uncertainty. He further adds, ‘this is just as true for one person in a garage as it is for a group of seasoned professionals in a Fortune 500 boardroom. What they have in common is a mission to penetrate that fog of uncertainty to discover a successful path to a sustainable business.’

 

From Pony To Unicorn
By Sanjeev Aggarwal || T. N. Hari

This is a reasonably accurate description of what every start-up sets out to do. However, it is a bit too broad and would include many organizations, such as research laboratories and Fortune 100 companies that wouldn’t be considered start-ups. Therefore, let’s narrow this down by adding three other unambiguous filters before an organization dedicated to creating something new under conditions of extreme uncertainty can be called a start-up: a) the founder/s should still be active; b) it should be funded by venture capital (vc); and c) it should still be a private company. if these filters are applied, companies like Amazon, Google, Flipkart, Uber and Lyft would fail to qualify as start-ups, while Bigbasket, Doordash, Rubrick, Dunzo, Paytm and Swiggy would all qualify. While founder/s being active and the start-up not yet being a public company are understandable filters, the additional filter of the organization being VC-funded is relevant because that helps exclude mom-and-pop businesses that don’t have the same appetite for scaling as VC-funded start-ups.

 

Geoffrey West in his seminal book Scale, published by Penguin Press in May 2017, points out that scaling laws, whether for organizations, organisms or cities, are consequences of the optimization of network structures that sustain these various systems, resulting from the continuous feedback mechanisms inherent in natural selection and survival of the fittest. There is compelling evidence, even though there are the rare exceptions, that scaling of organizations follows certain power laws. He also points out that after growing rapidly in their youth, almost all companies end up floating on top of the ripples of the stock market with their metaphorical noses just above the surface. This is a precarious situation because they can drown in the next wave, and they are even more vulnerable if they can’t deal with the uncertainties of the markets and their own finances. While it is important to be optimistic and believe that by doing the right things your start-up could deftly navigate through the labyrinth of challenges, it is equally important to have the wisdom to understand that scale, especially extreme scale, is truly an exception and nature has stacked all the odds against it!

Raja Rao’s Gandhi – A life in words

Posted on by ashmita

In many ways, Raja Rao changed the way Mahatma Gandhi is read and written about. Get a glimpse into the processes of his writing through Makarand R. Paranjape’s introduction to Mahatma Gandhi: The Great Indian Way: 

 

In the symposium on Raja Rao on 24 March 1997, I had spoken on his forthcoming book The Great Indian Way: A Life of Mahatma Gandhi. This was a marvellous retelling of Bapu’s life in the form of a modern purana. Rao had called it ‘an experiment in honesty’, adding that the ‘Pauranic style, therefore, is the only style an Indian can use’.

The publisher was Kapil Malhotra of Vision Books, who in 1996 had published The Meaning of India. Malhotra had inherited one-half of what used to be Dina Nath Malhotra’s Hind Pocket Books, India’s first paperback imprint. Malhotra, believing in Rao’s genius, had also published The Chessmaster and His Moves in 1988. That book had won Rao the coveted Neustadt Prize. The manuscript was part of a veritable treasure trove of unpublished material that some of us, who were close to Rao, had been fortunate to be able to see. But there were many more such unpublished works, which I had seen at the Harry Ransom Humanities Research Center, where Rao’s papers now rested.

front cover The Great Indian Way
Mahatma Gandhi: The Great Indian Way||Raja Rao

After the Chessmaster, Malhotra published On the Ganga Ghat (1989) too. It was a unique collection of short stories with the common theme and location of Varanasi. It was clear that we were in the midst of a quiet Raja Rao efflorescence. It would culminate in his being posthumously awarded India’s second-highest civilian honour, the Padma Vibhushan, in 2007, ten years after the prestigious Sahitya Akademi Fellowship mentioned earlier.

What was so special about Rao’s book, yet another of the hundreds written on Gandhi? Why had Mulk Raj Anand called it ‘Among the most authentic accounts of the Mahatma’s life and work’? It was this question that I had tried to answer in my presentation on Rao in the symposium in 1997.

The clue came from Rao himself. ‘Facts of course are there,’ he says in the preface, ‘but facts are shrill.’ Facts, in other words, do not tell the whole truth: ‘They have a way of saying more than they mean, and disbelievingly so. The silences and the symbols are omitted, and meaning taken out of breath and performance.’

What else do we have other than facts? It is, as Rao says, the ‘rasa, flavour, to makes facts melt into life’. The Indian experience is complex and multi-layered, requiring a special style to express it, even in modern times: ‘the Indian experience is such a palimpsest, layer behind layer of tradition and myth and custom go to make such an existence: gesture is ritual, and each act a statement in terms of philosophy, superstition, historical or linguistic provincialism, caste originality, or merely a personal one, and yet it’s all a whole, it’s India.’

Rao, next, makes a very bold statement: ‘Thus to face honesty against an Indian event, an Indian life, one’s expression has to be epic in style or to lie.’ Facts alone cannot tell the Indian story, nor can myths, rituals, or fables by themselves. The two must be combined in a unique manner. That was Rao’s reinvented pauranic style. Not in the manner of the old puranas, with— from the point of modern history—their unverifiable material. Nor the contemporary histories which were slaves to facts. But a unique combination of both.

This is what I called ‘seeing with three eyes’. The first eye sees only facts. The second espies the fable behind and around the fact. It is only the third eye, the eye of wisdom, that can combine both to see into the depths of things, their secret significance and meaning.

This special way of seeing is what Rao calls ‘fact against custom, history against time . . . geography against space.’ In his book on the Mahatma, this is precisely what Rao accomplishes, making ‘life larger than it seems, and its small impurities and accidents and parts, must perforce be transmuted into equations where the mighty becomes normal, and the normal in its turn becoming myth. Prose and poetry thus flow into one another, the personal and the impersonal, making the drama altogether noble and simple.’

An important feature of traditional Indian society, which persists to this very day, is its enormously rich and varied method of chronicling and celebrating life. In rural society, for instance, even humble craftspersons like weavers, potters, blacksmiths and wood workers have a specially designated bhiksha vritti jati, a group of mendicant performers, to record and disseminate their deeds. Thus, all our communities have their own jati puranas or community histories. Likewise, each village, each region, each state has its own legends, songs and stories. All these go into making up our rich narrative traditions.

Raja Rao, as he himself has often reiterated, belongs very much to this pauranic tradition. He has performed his duty as a writer as faithfully and sincerely as our ancient poets, who have told the stories of gods and demons, heroes and villains, apsaras and princesses, sages and mendicants with such zealous relish. A key and recurring figure in Raja Rao’s works is one of the greatest men of our times, Mahatma Gandhi. This book is Rao’s retelling of and tribute to Gandhi’s extraordinary life.

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Through Mahatma Gandhi: The Great Indian Way, Raja Rao changed the rules of biography writing. The book paints a holistic and in-depth picture of a man who was larger than life.

The fine art of balance – Deanne Panday’s guide to a wholesome life

Posted on by ashmita

Deanne Panday tackles all facets of modern life in her new book, from home-cooked food and finances to spirituality and joy, nudging us towards a holistic approach to wellness. Here is a glimpse into her insights on climate change:

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The COVID-19 pandemic changed the way we experience life in so many ways. One of the most drastic impacts was on the environment when half the world was forced to stay home, and reduce movement and travel. All those days, I woke up to a clear, blue sky instead of the smoggy, unclear one I’ve gotten used to in the years I’ve lived in Mumbai. With no vehicles on the streets and polluting industries shut, people were able to breathe probably the cleanest air of their lives. It’s a pity it took a life-threatening virus to steer us to a way of life we should anyway strive for.

Our reckless and ignorant attitude towards the environment has brought us where we are today. We are all guilty of willingly choosing the things that convenience us, no matter how much it endangers others. As long as it doesn’t harm us, as long as our needs are met, we’re ready to turn a blind eye to the destruction we leave in our wake. I see children learning about various subjects in school and then spending more hours gaining more knowledge, but yet not enough to change their lives in a way that they can reduce pollution in their surroundings and work to reverse it.

According to the National Green Tribunal, more than 60 per cent of sewage generated by urban India is untreated and enters water bodies, such as rivers, making the water in them unfit for consumption.1 We somehow think that whatever we throw away will be cleaned by someone else. It’s an ignorant attitude, and we need to raise our children to be responsible for their own actions. Littering, even if it is a small packet of single-use plastic, doesn’t do any immediate harm, but this attitude is part of the reason we are the fifth most polluted country in the world. People blame it on several things, but it’s never themselves. The power to reverse ecological damage lies with the people, but we often forget the responsibilities that accompany that power.

Front cover balance
Balance||Deanne Panday

I learnt a lot more about our impact on the environment when I took up an online course offered by Harvard University  during the lockdown. I discovered just how badly we have abused our planet without realizing that we have abused ourselves in the process. Working out regularly and eating healthy can mean very little when the air we breathe is of poor quality. We are all partly responsible for that unbreathable air. By not taking care of the environment, we are endangering the lives of our children and our grandchildren. If you’re as old as I am, think back to your childhood. Wasn’t the environment much cleaner then? In just thirty to forty years—barely a blip when we consider the age of the Earth—we have damaged our planet to such a grave extent that we, along with other living creatures, are all struggling to live. If just a few decades can do this, imagine how bad it will be in the next couple of decades. I shudder at the thought.

That is why I decided to include this chapter in my book. Turning a blind eye towards climate change does not make you immune to it. I hope better awareness will help you take a step towards a better life for yourself and the coming generations.

…While governments need to bring out drastic changes in policy to go green, on an individual level there is a lot we can do too. After all, when a toxic environment can affect our health so badly, how can we not make changes to our lifestyles? We can all contribute in the simplest ways, whether it is by walking or hopping on to a bicycle instead of taking the car to places that are close to us. Not only will this result in more exercise, but it will also ensure the air we breathe is cleaner.

A clean environment is one of the vital foods of a balanced life. As we work internally and externally on making ourselves happier and our lives more fulfilled, we also have to be mindful that our existence doesn’t impact the world adversely. After all, all that we do today affects our children’s and grandchildren’s lives in the future. I don’t want my loved ones to struggle to breathe clean air because of our ignorance and mistakes. Do you?

… I strongly believe that once our mindset changes, everything else will follow. In school and college, we’re taught about finance, science and history, yet spreading knowledge about the environment is overlooked and treated as less significant. We are raising our children to be intelligent enough to hold top rankings in prestigious universities around the world but ignorant of how the world is inhabited, polluted and taken for granted. For every action, there is an equal and opposite reaction. It’s time we inculcate respect for the planet in our lives rather than just our test papers and studies, and understand that every negative action of ours has an equal or more drastic effect on our planet. Climate change is more real than ever now. It is time to act.

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Balance focuses on thirteen key elements that we all need for a happier, healthier life. It is customized to our benefit, and also serves as a guide to managing the deteriorative aspects of our life – anger, stress and dissatisfaction.

Novoneel Chakraborty’s new thriller is an intricate game of smoke and mirrors

Posted on by ashmita

‘She was a blur when I first saw her.’

No matter how deeply we believe we know someone, there is always something that eludes us. Yahvi eluded Garv, and she’s nowhere to be found. Get a taste of Novoneel Charkaborty’s latest thriller Cross Your Heart, Take My Name with this excerpt:

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‘Let’s play a game.’
‘Game? Whoa, all right.’
‘Yeah, a game. A game of any sort always makes the moment interesting.’
‘Second that. So . . . ’
‘So, the game is that we don’t give out any details about ourselves. The other person has to guess intelligently from whatever he or she can deduce.’

Impressive, I thought and said, ‘Bring it on.’
‘I’ll start. Then we can alternate.’
‘Got it.’
‘The fact that you haven’t brought your phone out in the last ten minutes or so tells me you aren’t into social media. You are the type who uses it when you need it,’ she said.

Wow! Is the game more interesting or the woman? I wondered and said, ‘Bang on. I really don’t like to . . . ’

‘We don’t have to give any justification or explanations. Just say true or false. Your chance.’

I took a few seconds before responding. I didn’t want to sound dumb with my observation.

‘Since you brought along an old Samsonite, I believe you don’t travel much. Else you would . . . ’

‘True!’ She didn’t let me complete my sentence. But a childlike happiness filled me when she confirmed my guess.

‘My turn,’ she said and added, ‘You aren’t a reader.’

‘Why do you say that?’

‘Someone who gets a flimsy magazine to pass time before a delayed flight is more about pictures than words.’

‘Kind of true.’ I was looking straight at her and yet wasn’t able to decipher much from her expression. That was a problem with me. I couldn’t understand what a person was thinking from his or her face. I knew a lot of people who could. And it was a helpful skill as it let you get ahead in conversations like these.

‘Kind of?’ She sounded bemused.

‘All right, I don’t read much. In fact, I didn’t buy the magazine for the pictures either.’

‘Ah, you were seeking some kind of company.’
‘Maybe. Weren’t you?’
‘That’s the game. What makes you think I was?’
I knew I had to think on my feet. And I did.
‘Why else would you sit here with a stranger and play a game? You also want to pass time like me. I had my magazine. You have me.’ The remark was a bit flirtatious, and I didn’t know if it was too direct or made her uncomfortable.

‘A magazine can be flipped through at will. Not a human being.’

The change in the tone of her voice took me by surprise. If she was a book, even though I was not much of a reader, this was when I would conclude that ‘she’ was unputdownable.

…‘Time to leave,’ she said and excused herself to join the queue. The way she went off, without a care, told me she was good at severing connections. In today’s times, I thought, that was one helluva skill to have. The ability to detach oneself just like that. I too stood up and walked towards the gate.

 

Front cover Cross Your Heart
Cross Your Heart, Take My Name||Novoneel Chakraborty

… Garv was feeling lonely. The way you felt when you had someone in your mind but not beside you. And then there were questions to make the loneliness worse. What had she meant  by that message? They did meet. They had tea together. She kissed him as well. He couldn’t  possibly have imagined all these things. She told him loud and clear that their plan to disappear had to wait for some time. And he understood. Like he always did, without questioning her.  This was not a Mills & Boon romance. Both of them were married to different people.

The note Garv had written and placed under the vase of fresh lilies was for his wife, Nihira. He’d taken an entire day to think what he could write to justify his act. What could a husband say to a wife before leaving her abruptly for no fault of hers? He simply didn’t have the courage to tell her the truth. That was wrong, he knew. And he’d convinced himself that a note would make up for it. After dwelling on it for a long time, he thought the best thing, instead of a long emotional message, would be to write three simple words: I am sorry. To tell Nihira that he still loved her, he kept the note under the vase with lilies, her favourite. Few words; old- fashioned symbolism—the end of a relationship.

Nihira was supposed to fly back from Bengaluru today. And what did he have for her? A note stating that he was sorry. The more Garv thought about it now, the more ridiculous he felt. How had he come to this decision? Was he simply being impulsive? As he tore up the note and threw it in the dustbin, Garv realized he had something more important to find out: Where on earth was Yahvi? He had been messaging her since last night; he had tried her number twice in an interval of three hours but there had been no response. The first time it rang but the second time the number was switched off. Had the battery drained out or had she intentionally switched it off? Garv wondered but concluded she must be up against some problem. And beyond a phone call or a WhatsApp message, there was no way he could reach her. Yet this was the person with whom he had decided to ‘disappear’ for the rest of his life and create an alternate reality.

… Garv drove to the Pune airport to pick up Nihira. This was the longest they’d gone without meeting. and the first sight of her made him feel guilty.

… Right then, Nihira’s phone rang and she excused herself to answer it. Garv could make out it was a work call. He drove to their apartment in silence.

As they neared their gated apartment block, they saw a crowd gathered at the entrance. Garv honked his way in. He wasn’t interested in knowing what the bedlam was about, but Nihira immediately jumped out once the car stopped and walked to the main gate. Perhaps it was this insatiable curiosity that made her want to get involved in people’s stories. and that is why she was doing so well at the NGO.

Garv was unlocking the main door of their flat when Nihira came up, her eyes clouded over.

‘A woman died in the afternoon. Didn’t you get to know when you left the building to come to the airport?’ Nihira asked.

‘No, I came straight from office.’
‘I see.’
‘Some Yahvi Kothari,’ Nihira said. Garv froze for a second before recovering quickly and turning the key one last time. The news left him numb.

~

The excerpt is not enough, we know. Cross Your Heart, Take My Name will keep you racing through the pages.

 

 

 

 

 

Fun, bright and excellent new stories to keep the young hearts warm!

Posted on by ashmita

It’s Decembrrrr, but we have wonderful new reads for you that will keep you warm through the chilly days. Welcome to a new month of amazing stories and illustrations that will keep you engrossed!

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front cover Of Revolutionaries and Bravehearts
Of Revolutionaries and Bravehearts||Mallika Ravikumar

 

Of Revolutionaries and Bravehearts: Notable Tales from Indian History

by Mallika Ravikumar

History is often narrated as sagas of kings and queens, legends of battles and wars, or chronicles of art and architecture. But history is more than that. It is the story of ordinary people; their food and language, their thoughts and beliefs, their livelihood and culture. Tales of sweepers and sculptors, robbers and merchants, sailors and saint-why, even pirates!

In this book, Mallika Ravikumar pens eight historical stories that help you look upon the past, as less of a dry-as-bone set of facts, and more of a dynamic shift that shapes our present. Told through the lens of class and conflict, symbols and language, creativity and enterprise and power and perspective, these stories help younger readers see why history is relevant and meaningful.

 

front cover the chirmi chasers
The Chirmi Chasers||Arefa Tehsin

 

 

The Chirmi Chasers

by Arefa Tehsin

A sitola match between two rival schools is more than a game for Nanka-if they lose, he and his father have to leave town! Can Nanka and his unlikely teammates do it? Arefa Tehsin’s book is a classic underdog story featuring a ragtag group of friends fighting against prejudice.

 

 

 

 

front cover The Clockwala's Clues
The Clockwala’s Clues||Varsha Seshan

 

 

The Clockwala’s Clues

by Varsha Seshan

 

Jasmine and Sheba want to spend the holidays finding homes for stray puppies. But to do so, they have to first solve a series of puzzles set by Sheba’s father, Clockwala Uncle. Can they do this in time?

 

 

 

front cover Chumki and The Elephants
Chumki and The Elephants||Lesley D. Biswas

 

 

Chumki And The Elephants

by Lesley D. Biswas

 

Dadi forgets everything, including Chumki’s name. When elephants escape from a nearby reserve, can it be a blessing in disguise and help Dadi remember? A fun story about a young girl, her forgetful grandmother and elephants, Chumki And The Elephants is a perfect read for young readers who are progressing from picture books!

 

 

 

 

 

 

 

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