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Doctors in Bengal concerned about adverse ecological impact on female reproductive health

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Doctors in Bengal concerned about adverse ecological impact on female reproductive health


Image used for representational purposes.
| Photo Credit: Getty Images/iStockphoto

Healthcare professionals in West Bengal are grappling with rising public health challenges, especially in female reproductive health, with the increasing impact of climate change.

Gynaecologists practising in West Bengal cite environmental stressors such as malnutrition, prolonged exposure to high temperatures, poor air quality, and limited access to clean water behind reproductive health challenges in women, including irregular menstrual cycles, decreased fertility, and complications during pregnancy. 

The impact has been described as most severe for women in rural areas and low-income communities, including Sunderbans in West Bengal, where the effects of climate change are often amplified by recurring natural calamities, limited access to healthcare, and poor living conditions.

“Recurring natural disasters such as annual cyclones are especially common in an area like the Sunderbans. When you note the loss of livelihood and socioeconomic distress caused by natural disasters, mental stress becomes the immediate medical after effect,” Runu Bhattacharjee, senior gynaecologist and obstetrician with a practice of over five decades, said.

Dr. Bhattacharjee said that high levels of mental stress, especially in younger female populations, has a long-term damaging effect on the female reproductive system, especially ovaries, leading to an imbalance in oestrogen and progesterone levels in young women, and consequently causing irregular ovulation cycles, ovarian cysts, and fertility issues in older age.

“The ovaries are delicate organs. Climate change would also force deprived populations to undergo diet changes where they would be compelled to eat what is available, whether or not it is healthy or sufficient. Food habit changes along with mental stress will further exacerbate changes in the female body, consequently causing issues in all bodily systems, especially reproductive and skin health,” Dr. Bhattacharjee said.

Rajni Bagai, senior consultant in gynaecology and obstetrics at Narayana Hospital, Howrah and Chunavati, highlighted the specific risks posed by air pollution. “Air pollution has been shown to adversely affect both fertility and pregnancy outcomes. Studies from IVF centres have shown lower success rates or increased numbers of unsuccessful cycles in areas with poor air quality,” Dr. Bagai said.

She added that pollutants, including ozone, carbon monoxide, sulphur dioxide, and PM2.5 are particularly harmful, linking exposure to air pollutants in the first trimester to preterm birth, miscarriage, and pre-eclampsia, possibly due to oxidative stress and an inflammatory response to pollutants and particulate matter. “Particulate matter has even been found in the placenta, just as it is in the lungs,” Dr. Bagai said.

Mrinal Kanti Roy, gynaecologist since 2014 at the Sunderban Sramajibi Hospital, also attributed declining health conditions in women in the Sunderbans to a lack of awareness around female reproductive healthcare, and mother-and-child health. 

“It is very common to see women undergo around eight pregnancies in their lifetime here. When seen in the context of socioeconomic deprivation and lack of resources in the light of climate change, that further aggravates the condition of their reproductive health through generations,” Dr. Roy said.



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Experts warn against overuse of last line antibiotics

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Experts warn against overuse of last line antibiotics


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| Photo Credit: Getty Images/iStockphoto

Infectious diseases experts have flagged the overuse of a potent antibiotic leading to it losing its efficacy, and drug resistance. The Drugs Controller General of India has been urged to lay down strict pathways for these newer antibiotics, so that they are not misused by practitioners.

Abdul Ghafur, infectious diseases specialist, and founder of the AMR Declaration Trust, has written to Rajeev Singh Raghuvanshi, DCGI, about ceftazidime-avibactam. “One of the most potent antibiotics currently available in our armamentarium is rapidly losing its efficacy due to extensive, irrational, and uncontrolled use.”

The drug which was initially registered with the U.S. FDA in 2015 and after three years it was approved in India, is a last-line antibiotic. It is to be used as targeted therapy for certain carbapenem-resistant gram-negative infections and not prescribed as a general antibiotic.

Dr. Ghafur however claims it is already being misused in the community. “To overcome this resistance, aztreonam is often added to ceftazidime-avibactam, unfortunately, resistance has now emerged even to this combination, due to irrational use.”

The problem, he explains, is that while the DCGI has licenced the drug, it has only provided indications for use. There are no clear-cut pathways laid out, and nothing to deter mis-prescriptions.

This trend could erode the huge gains secured in India primarily with the ban on use of colistin as a growth promotion drug amongst poultry, in recent times. This ‘bold and meaningful action’ from the government resulted in a significant drop in prevalence of colistin-resistant bacteria in hospitals in India, he adds.

Rational use

There are two new very powerful antibiotics that are about to enter the Indian market, Cefierocol and Cefepime-zidebactam. Dr. Ghafur urges the DCGI to kick in with antibiotics stewardship: “We need these drugs in India. However, their use must be restricted strictly to infections where no other effective alternatives exist. Education alone is not enough; we need a clear regulatory pathway to ensure the rational use of these molecules from the moment they are licensed.”

“If we do not act now, we risk losing the few therapeutic options left. Antimicrobial resistance (AMR)is already a serious crisis in our country. Without urgent and strong action, it may escalate to an unmanageable level. We cannot change the past — but we still have time to act for the immediate future,” he says.



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When it comes to edible oil, finding the right balance is key

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When it comes to edible oil, finding the right balance is key


The debate on how much edible oil, and what kind of oil, is good or bad for health seems never-ending. But the trick here is finding the right balance as moderation is key, say experts.

Importance of fats in a balanced diet

Meenakshi Bajaj, dietician, Tamil Nadu Government Multi Super Speciality Hospital, said it is essential to understand that all three macronutrients (carbohydrates, fats, and proteins) play a crucial role in an individual’s health. “Fat is an indispensable component of a balanced diet, necessary for the absorption of fat-soluble vitamins, synthesis of hormones, as well as several vital physiological and metabolic functions in the body. Dietary fat comprises both visible and invisible sources. Visible sources include fats and oils, ghee, vanaspati and butter used for cooking. Invisible sources encompass whole eggs, milk and milk products, nuts and oilseeds, meat, poultry, and fish,” she said.

Edible fats and oils have benefits and drawbacks, she said, adding: “There are three types of fatty acids present in our diet: saturated fatty acids (SFA), monounsaturated fatty acids (MUFA), and polyunsaturated fatty acids (PUFA). A healthy diet should incorporate varied sources of fats and oils, maintaining an ideal ratio of healthy fats (mono and polyunsaturated fats) to unhealthy fats (saturated fat).”

Choosing and using oils wisely

Daphnee Lovesley, chief clinical dietitian, Apollo Hospitals, Chennai, points out, “Oils are essential in our diet as they provide essential fatty acids that the body cannot produce. Like everything else, moderation is key. Oils are calorie-dense, providing about 9 calories per milliliter, and in Indian cooking, there is often a tendency to use them generously, particularly in fried foods. Reducing oil intake by four to five teaspoons per person per day can make a big difference. Nuts like almonds, walnuts, or peanuts can be enjoyed in moderation—a handful a day is sufficient.”

The National Institute of Nutrition (NIN) suggests incorporating a diverse variety of oil seeds, nuts, and whole grains, Ms. Bajaj pointed out. “Studies indicate that consuming nuts like almonds and cashews can improve lipid profiles and reduce blood pressure in individuals with type 2 diabetes. However, moderation is key,” she said.

Blending oils to achieve a balance of fatty acids and antioxidants is beneficial, she said, noting: “NIN advises combining oils such as groundnut, sesame, rice bran, and mustard oils, which have been shown to reduce the risk of type 2 diabetes and metabolic syndrome.”

Health risks associated with reheated oils and trans fat

Ms. Lovesley further adds. “Oils rich in monounsaturated fats—such as sesame oil, groundnut oil, and rice bran oil—are good options and are readily available locally. Using a blend of oils is often considered a safer and more balanced approach.”

However, reusing oil is harmful, she adds. “Repeated heating at high temperatures causes chemical changes that lead to the formation of polycyclic aromatic hydrocarbons, which are carcinogenic. Reheated oils have been linked to an increased risk of cancer, cardiovascular diseases, and elevated cholesterol and blood pressure levels. When consuming food outside, it is difficult to know how many times the oil has been reheated—this could contribute to inflammation and, subsequently, obesity.”

Ms. Bajaj emphaised that trans fats from reheated oil, bakery items (such as cakes, pizza, puffs, pastries, biscuits, cookies, doughnuts), and partially hydrogenated edible fats in packaged and processed snacks increase triglycerides and LDL cholesterol (bad cholesterol), lower HDL cholesterol (good cholesterol), and heighten the risk of cancers and cardiovascular diseases. Check food labels on ready-to-eat foods for partially hydrogenated fats (unhealthy fats), she added .

The impact of cooking methods on the nutritional quality of oils should be considered. “Oils exposed to high temperatures for extended periods can lose antioxidants and generate toxic compounds and trans fats. Repeated heating of cooking oils produces harmful compounds and should be avoided. On a household level, vegetable oil once used for frying should be filtered and reused for sautéing purposes within the next 24 hours. Remove food particles from oil during frying before they turn black. Oils repeatedly heated should not be mixed with fresh oil but can be used for seasoning,” she said.

Healthy eating as preventive care

With obesity being a major public health concern, it’s important to recognise the key contributing factors: poor dietary habits, a sedentary lifestyle, and inadequate sleep. Stress can also play a role in some individuals. “However, we should focus on what we can control—eating balanced meals, staying physically active, and maintaining good sleep hygiene—to prevent obesity. Childhood obesity is growing too, making it crucial to encourage healthy habits early in life,” Ms. Lovesley said.

Ms. Bajaj reiterates that intake of oils and fats should be moderated. “It’s not about restriction; it’s about smart and healthy choices for improved metabolic health. By making informed choices regarding the types and quantities of fats in our diets, we can promote better health and well-being for ourselves and our families,” she said.



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Autism Spectrum Disorder and the importance of early diagnosis and support

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Autism Spectrum Disorder and the importance of early diagnosis and support


By acquiring a comprehensive understanding of ASD and utilising appropriate resources, families can effectively navigate this journey. | Image used for representational purpose only
| Photo Credit: Getty Images/iStockphoto

Autism Spectrum Disorder (ASD) is a developmental condition that impacts communication, behaviour, and social interactions. For many families, receiving an autism diagnosis can be a moment of confusion and concern. However, with the right guidance and support, there is also hope for growth and progress. By understanding ASD and accessing appropriate resources, families can navigate this journey with strength and resilience, fostering a supportive environment that allows individuals with autism to thrive.

Early signs to watch for

Most children show signs of autism before the age of three. Some children may experience delayed speech or language development, along with limited eye contact or fewer facial expressions. They might find it difficult to understand social cues or recognise emotions in others. Repetitive behaviors or a strong attachment to routines are also common. In some cases, certain sounds, textures, or lights can trigger strong sensory reactions. Adapting to school environments may present additional challenges. It’s important to remember that autism is a spectrum, meaning the signs and their intensity can vary greatly from one child to another.

Why early diagnosis matters

With early intervention, many children with autism can make great strides in their development. Therapies started at a young age are often more effective because the brain is still growing and learning quickly.

If you notice signs, do not delay in seeking an evaluation. Paediatricians, child psychologists, and developmental specialists can guide you through the process.

Understanding the impact on families

Having a child with autism can bring emotional and practical challenges. Families may feel overwhelmed, unsure of what to do next, or even isolated. It’s important to know: you are not alone, and support is available.

Understanding your child’s needs is the first step. Ask questions, read reliable sources, and talk to specialists. The more you know, the better you can support your child.

Every child has unique talents- some are musically gifted, others are great at puzzles or drawings. Celebrate their strengths while helping them improve areas they find difficult. Children with autism thrive on structure. A predictable daily schedule can reduce anxiety and improve behaviour.

Speech therapy, occupational therapy, and behavioural therapy are often recommended. These therapies focus on improving communication, motor skills, and daily living skills. It also aims at helping  helping them become more independent in their day-to-day activities.

Even if your child is non-verbal, they can still communicate. Tools like picture cards, sign language, or assistive devices can help.

Progress may be slow, but small victories matter. Celebrate every new word, every new skill, and every smile.

Support systems for families

Many parents ask, “Is there anyone who can help us through this?” The answer is yes. Talking to other families going through similar experiences can be reassuring and informative. Schools now offer inclusive education and support for children with autism. Several organisations provide therapy, counselling, and vocational training for children and young adults with autism.

Hope for the future

While autism cannot be “cured,” it can be understood and managed. With early help, many children grow up to lead independent and meaningful lives. Some may need more support than others, but every child deserves the chance to reach their full potential.

There are incredible growth that’s possible with the right mix of therapy, family support, and community awareness. What matters most is not changing the child—but changing the way we understand and support them.

With love, patience, and the right care, children with autism can thrive. The journey may be different, but it can be beautiful in its own way.

(Dr. Pushpakala is consultant paediatrician at Kauvery Hospital, Alwarpet. She can be reached at lakshmisundararajan@gmail.com)



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