Public Health

Distressing link between unsafe water & plastic pollution: Explained

Unsafe and unreliable urban drinking water is pushing households toward bottled water, increasing dependence on single-use plastics and exposing people to microplastics. India generates about 9.3 million tonnes of plastic waste annually, with significant leakage into the environment due to collection gaps. At the same time, cities produce nearly 48,000 MLD of sewage, but only ~56% is effectively treated, allowing pollution to re-enter water sources and worsen water quality. The recycling system relies heavily on informal waste pickers who recover ~40% of recyclables, yet modern waste reforms often reduce their incomes and exclude them from formal systems, while sanitation workers continue to face hazardous conditions. The issue highlights a vicious cycle linking water insecurity, plastic pollution and invisible labour, underscoring the need for integrated, inclusive and infrastructure-led urban sustainability.

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India’s Mental Health crisis: Challenges, Budget response, and the way ahead

India is facing a growing mental health crisis marked by a high burden of depression, anxiety, addiction, and suicides, with nearly 70–92% treatment gap and a severe shortage of professionals. The Union Budget 2026 has focused on institutional expansion, including a second campus of the National Institute of Mental Health and Neurosciences, upgradation of regional institutes, and continued support for digital services like Tele MANAS. However, mental health spending remains below 2% of the health budget, and challenges such as stigma, limited community-level services, workforce shortages, and rising youth and digital-age stress persist. Addressing the crisis requires greater funding, community-based care, preventive strategies, and stronger primary healthcare integration to ensure accessible and affordable mental health services for all.

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NIMHANS and Mental health in India

India is strengthening its mental healthcare system with a renewed policy focus on access, equity, and early intervention. The expansion of national institutions like NIMHANS, the rollout of tele-mental health services such as Tele-MANAS, and integration of mental health into primary healthcare reflect a shift toward treating mental health as a core public health priority. These efforts aim to reduce the large treatment gap, address regional disparities, tackle stigma, and build a stronger mental health workforce, especially for vulnerable and underserved populations.

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Malaria elimination in India

India has made major progress toward malaria elimination under its National Framework for Malaria Elimination (2016–2030), with cases falling by around 80% between 2015 and 2023. Many districts have already reported zero indigenous cases, and the country has exited the WHO High Burden to High Impact group. The strategy now focuses on strong surveillance through the “Test, Treat and Track” approach, universal access to diagnosis and treatment, and intensified vector control.

However, challenges remain in the form of migration, urban malaria, hard-to-reach tribal and forested areas, and the persistence of Plasmodium vivax, which can relapse. Drug and insecticide resistance are also emerging concerns. India aims to achieve zero indigenous cases by 2027 and full elimination by 2030, but success will depend on accurate reporting, strong urban and community participation, and preventing re-establishment of transmission in malaria-free areas.

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INTEGRATING TRIBAL HEALERS INTO PUBLIC HEALTH: SIGNIFICANCE, CHALLENGES, WAY FORWARD

The Ministry of Tribal Affairs to recognize one lakh tribal healers under a QCI certification framework. Integrating indigenous practitioners into formal healthcare aims to bridge gaps in remote areas, preserve traditional knowledge, and ensure dignity, legality, and inclusive, pluralistic healthcare delivery by 2026.

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WATER CONTAMINATION IN INDIA: STATUS, CHALLENGES, AND WAY FORWARD

The public health crisis in Indore exposed deep urban governance failures, as sewage-contaminated water from ageing pipelines caused deaths despite prior warnings by the Comptroller and Auditor General of India. The episode reveals neglect of core water infrastructure and highlights the need for audits, monitoring, accountability, and effective implementation of AMRUT 2.0.

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COUNTERFEIT RABIES VACCINES & THE PUBLIC HEALTH CHALLENGE

A recent scare over counterfeit rabies vaccines has raised serious public-health concerns. Suspected fake or repackaged batches of a commonly used rabies vaccine were reported in multiple Indian cities, prompting advisories from several countries for travellers vaccinated in India. Investigations indicate that while most vials contained genuine vaccine, packaging was altered and government-supplied stock was likely diverted to the private market, revealing weaknesses in supply-chain monitoring. The incident risks creating vaccine hesitancy for a disease that is almost 100% fatal once symptoms appear. The crisis underscores the need for strict regulation, better tracking systems, strong law enforcement, transparent public communication, and assured availability of authentic vaccines and immunoglobulin to maintain trust and prevent avoidable deaths.

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HEALTH SECURITY SE NATIONAL SECURITY CESS BILL 2025 EXPLAINED

The Government of India proposes a special cess on goods like pan masala to create a non-lapsable fund for health and national security, linking public health with national stability. Critics warn it weakens fiscal federalism and risks poor fund use amid past evidence of unspent cess.

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WHO'S GUIDANCE ON GLP-1 THERAPY FOR OBESITY

The WHO’s first guideline on GLP-1 therapy marks a major shift in treating obesity as a chronic disease rather than a behavioural issue. It conditionally recommends drugs like semaglutide and tirzepatide for adults with obesity, but only alongside diet, exercise, and counselling. While the therapy shows significant weight loss and metabolic benefits, WHO warns of high costs, limited access, safety gaps, and the need for strong health systems to ensure equitable, long-term care.

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THE NEW AIR POLLUTANT :INHALABLE MICROPLASTICS IN INDIAN CITIES

First Indian study measuring inhalable microplastics at breathing height across four metros shows plastics now form up to 5% of urban particulate pollution. Markets in Kolkata and Delhi show highest loads. iMPs carry pathogens, heavy metals and toxic chemicals, posing emerging health risks including inflammation, hormonal disruption and possible cancer pathways. Urgent inclusion of microplastics in air-quality regulation is needed.

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NEW CESS ON PAN MASALA & HIGHER TOBACCO DUTY

The Centre has introduced two Bills to raise excise duty on tobacco and impose a capacity-based cess on pan masala manufacturing, replacing the outgoing GST compensation cess. The move protects revenue, combats tax evasion, funds health and national security, and supports India’s ongoing tobacco control efforts.

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UN ESCAP: ASIAN MEGACITIES FACE DEADLY HEATWAVE RISK

UN ESCAP’s 2025 report warns that Asian megacities may experience an additional 2–7°C due to urban heat island effects, with India, Pakistan and Bangladesh facing 300+ days above 35°C. Extreme heat is now the region’s fastest-growing climate hazard, threatening health, livelihoods and economic stability.

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