Even With Quick Cheap Malaria Lab Tests, Dog Noses Can Still “Be Very Useful”

(p. D4) A small pilot study has shown that dogs can accurately identify socks worn overnight by children infected with malaria parasites — even when the children had cases so mild that they were not feverish.

The study, a collaboration between British and Gambian scientists and the British charity Medical Detection Dogs, was released last week at the annual convention of the American Society of Tropical Medicine and Hygiene.

. . .

The new study, its authors said, does not mean that dogs will replace laboratories. Inexpensive rapid tests for malaria have been available for over a decade; more than 200 million people in dozens of countries are infected each year.

But for sorting through crowds, malaria-sniffing dogs could potentially be very useful.

Some countries and regions that have eliminated the disease share heavily trafficked borders with others that have not. For example, South Africa, Sri Lanka and the island of Zanzibar have no cases but get streams of visitors from Mozambique, India and mainland Tanzania.

And when a region is close to eliminating malaria, dogs could sweep through villages, nosing out silent carriers — people who are not ill but have parasites in their blood that mosquitoes could pass on to others.

. . .

If just one chemical indicated cancer or malaria, “we’d have discovered it by now,” said Claire Guest, who founded Medical Detection Dogs in 2008 and oversaw dog training in the study. “It’s more like a tune of many notes, and the dogs can pick it up.”

For the full commentary see:

Donald G. McNeil Jr. “Global Health; Sniffing Out Malaria in Its Tracks.” The New York Times (Tuesday, November 6, 2018 [sic]): D4.

(Note: ellipses added.)

(Note: the online version of the commentary has the date Nov. 5, 2018 [sic], and has the title “Global Health; Dogs Can Detect Malaria. How Useful Is That?”)

A later-published version of the initial “small pilot study” discussed above is:

Guest, Claire, Margaret Pinder, Mark Doggett, Chelci Squires, Muna Affara, Balla Kandeh, Sarah Dewhirst, Steven V. Morant, Umberto D’Alessandro, James G. Logan, and Steve W. Lindsay. “Trained Dogs Identify People with Malaria Parasites by Their Odour.” The Lancet Infectious Diseases 19, no. 6 (June 2019): 578-80.

Ending the “License Raj” in India Allowed Economic Growth and the Creation of Earned Entrepreneurial Wealth

(p. A8) The younger son of Mukesh Ambani, India’s richest man, is set to wed his fiancée in Mumbai on Friday, the finale of a monthslong extravaganza that signaled the arrival of the unapologetic Indian billionaire on the global stage — and introduced the world to the country’s Gilded Age.

. . .

Kavil Ramachandran, a professor of entrepreneurship at the Indian School of Business, said there were more billionaires with fatter wallets because India has sustained a high growth rate for more than two decades. That’s created a deep domestic market for goods and services, and pushed Indian companies to pursue new businesses, pairing opportunity with ambition.

“It’s a consequence of rapid growth and entrepreneurialism,” Mr. Ramachandran said.

. . .

India has come a long way from its socialist origins. Until 1990, the country operated under strict government supervision and protectionist policies. Companies could only run after procuring multiple permits and licenses from the government, leading to the name “License Raj” — a play on the term British Raj, which referred to colonial rule.

Once India opened up its economy after a series of reforms, some domestic companies embraced the logic of free markets while remaining family-run and tightly controlled, diversifying into new businesses.

. . .

Many Indians see in Mr. Ambani’s staggering rise in stature and wealth a version of the India they want: a country that doesn’t make a play for attention but demands it. Some even feel pride that his son’s wedding has attracted such global attention. To them, India’s poverty is a predictable fact, such opulence is not.

“Based on the level of the Ambanis’ wealth, the wedding is perfect,” said Mani Mohan Parmar, a 64-year-old resident from Mumbai.

“Even the common man here in India spends more than his capacity on a wedding,” Ms. Parmar said. “So it’s nothing too much if we talk about Ambani. He has so much money due to God’s grace, so why shouldn’t he spend it by his choice?”

For the full story see:

Anupreeta Das. “India’s New Gilded Age on Display at a Wedding.” The New York Times (Monday, June 15, 2024): A8.

(Note: ellipses added.)

(Note: the online version of the story has the date July 12, 2023, and has the title “A Wedding Puts India’s Gilded Age on Lavish Display.”)

The Cholera and Bubonic Plague Vaccination Campaigns of Waldemar Haffkine Count as Evidence of “the Benevolence of British Medical Imperialism”

(p. C7) “In the end, all history is natural history,” writes Simon Schama in “Foreign Bodies: Pandemics, Vaccines and the Health of Nations.” The author, a wide-ranging historian and an engaging television host, reconciles the weight of medical detail with the light-footed pleasures of narrative discovery. His book profiles some of the unsung miracle workers of modern vaccination, and offers a subtle rumination on borders political and biological.

. . .

Inoculation, Mr. Schama writes, became a “serious big business” in commercial England, despite the inoculators’ inability to understand how (p. C8) it worked, and despite Tory suspicions that the procedure meant “new-fangled,” possibly Jewish, interference in the divine plan. In 1764, the Italian medical professor Angelo Gatti published an impassioned defense of inoculation that demolished humoral theory. Mr. Schama calls Gatti an “unsung visionary of the Enlightenment.” His work was a boon to public health, though his findings met resistance in France, where the prerevolutionary medical establishment was more concerned with protecting its authority.

. . .

(p. C8) Mr. Schama alights on the story of Waldemar Haffkine, the Odessa-born Jew who created vaccines against cholera and bubonic plague. In 1892, Haffkine inoculated himself against cholera with the vaccine he had developed at the Institut Pasteur in Paris. He went on to inoculate thousands of Indians, and so effectively that his campaigns served as, in Mr. Schama’s words, “an advertisement for the benevolence of British medical imperialism.”

. . .

The author notes the contrast between the facts of Haffkine’s achievements and the response of the British establishment, with its modern echoes of the medieval fantasy that Jews were “demonic instigators of mass death.” Yet Mr. Schama’s skepticism of authority only extends so far. It would have been instructive to learn why, when Covid-19 appeared, the WHO concurred with Voltaire that the Chinese were “the wisest and best governed people in the world” and advised liberal democracies to emulate China’s lockdowns.

Haffkine’s colleague Ernest Hanbury Hankin once wrote an essay called “The Mental Limitations of the Expert.” Mr. Schama’s conclusion shows the limitations of our expert class, which appears not to understand the breach of public trust caused by the politicization of Covid policy and the suppression of public debate. You do not have to be “far right” to distrust mandatory mRNA vaccination. As Mr. Schama shows, the health of the body politic depends on scientific inquiry.

For the full review, see:

Dominic Green. “Protecting the Body Politic.” The Wall Street Journal (Saturday, Sept. 23, 2023): C7-C8.

(Note: ellipses added.)

(Note: the online version of the review has the date September 22, 2023, and has the title “‘Foreign Bodies’ Review: Migrant Microbes, Human Borders.”)

The book under review is:

Schama, Simon. Foreign Bodies: Pandemics, Vaccines, and the Health of Nations. New York: Ecco Press, 2023.

British Colonial Authorities in India “Eased Out” Vaccine Innovator

(p. 19) The story of Waldemar Mordechai Wolff Haffkine, little told in the West beyond the world of bacteriology and within the annals of Judaica, is thrilling in its nobility and verve, and it might have better served Schama’s purpose had he devoted the entire book to the tale of a man he so clearly adores.

. . .

He was born in Odessa in 1860, and as a teenager was set to defending his community from the endless Russian pogroms. In time he moved to Switzerland and then to France, where he trained at the Pasteur Institute and, after studying paramecium, threw his energies into the scourge of cholera. He treated himself with an experimental vaccine and took off to India in 1893 to see how it worked.

That it did, brilliantly, and by today’s reckoning his invention saved millions. His more remarkable eventual success came five years later with a vaccine for eradicating bubonic plague.

Schama — by his own admission no biologist — describes the painstaking method of making a plague vaccine with enthralling technical precision. He writes of the gentle and respectful means of extracting the noxious fluids from the swollen buboes that dangled in the intimate parts of the infected and the dying; of the subsequent culturation process, in ghee-covered flasks of goat broth — no cow or pig could be used, since the vaccines would be given to Hindu and Muslim alike — and then of the nurturing of the resulting silky threads that held the trove of bacilli, ready to be injected.

Notwithstanding Haffkine’s immense contribution to India’s public health, the British colonial authorities, haughty and racist by turn, eventually wearied of the man. Their own means of dealing with infection had, after all, relied on brawn and bombast — the wholesale destruction of villages, the eviction of natives, the smothering of everything with lime and carbolic acid. Such schemes had generally failed, and it irritated the burra sahibs that a foreigner, and moreover a keen adherent to an alien belief, could succeed where they had not.

And so Haffkine was eased out, first from his Calcutta laboratory across to Bombay, and then out of the empire’s crown jewel altogether. He later went to Lausanne, where he would spend his final years.

For the full review, see:

Simon Winchester. “The Vaccinator.” The New York Times Book Review (Sunday, November 5, 2023): 19.

(Note: ellipsis added. In the original only the words “burra sahibs” are in italics.)

(Note: the online version of the review was updated Oct. 28, 2023, and has the title “Not All Heroes Wear Capes. Some Prefer Lab Coats.”)

The book under review is:

Schama, Simon. Foreign Bodies: Pandemics, Vaccines, and the Health of Nations. New York: Ecco Press, 2023.

Swaminathan and Borlaug Crossbred Wheat Strains to End Starvation in India

(p. B12) M.S. Swaminathan, the eminent crop geneticist who fused plant breeding science with keen administrative skills to produce bountiful harvests that ended famine and steadily transformed India into one of the world’s top growers of wheat and rice, died on Thursday [Sept. 28, 2023] in Chennai, India.

. . .

The events that set Dr. Swaminathan’s path to global renown occurred in the early 1960s. As a plant geneticist at the Indian Agricultural Research Institute, he learned about the exceptional yields from new and sturdier wheat varieties that were being tested in Mexico by the American scientist Norman E. Borlaug.

Dr. Swaminathan was soft-spoken and had exquisite manners, but he could be persistent. He prodded the research institute’s chief executive to invite Dr. Borlaug to India. He arrived in 1963, and Dr. Swaminathan accompanied him on a tour of small farms in Punjab and Haryana, northwestern states that now are among the nation’s largest grain producers.

The two developed a productive partnership, with Dr. Swaminathan crossbreeding the Borlaug strains with other strains from Mexico and Japan. That genetic mixing resulted in a wheat variety with a strong stalk that produced a golden-colored flour favored by Indians.

. . .

Dr. Borlaug earned the 1970 Nobel Peace Prize for developing the seeds that staved off mass starvation and fed the world. On receiving the prize, he commended his Indian collaborator: “To you, Dr. Swaminathan, a great deal of the credit must go for first recognizing the potential value of the Mexican dwarfs. Had this not occurred, it is quite possible that there would not have been a green revolution in Asia.”

Dr. Swaminathan delighted in rebuking the Malthusian projections that low yields and high population growth would produce mass starvation in India. In the 1960s, he recalled, “many books were published by doomsday experts. Paul and Anne Ehrlich, the very famous population experts. They said Indians had no future unless a thermonuclear bomb kills them. Another group of experts said Indians would die like sheep going to the slaughterhouse. We decided this would not happen.”

For the full obituary, see:

Keith Schneider. “M. S. Swaminathan, 98, Scientist Who Helped End Famine in India, Is Dead.” The New York Times (Friday, September 29, 2023): B12.

(Note: ellipses, and bracketed date, added.)

(Note: the online version of the obituary has the date Sept. 28, 2023, and has the title “M. S. Swaminathan, Scientist Who Helped Conquer Famine in India, Dies at 98.”)

Builders of Untested Fragile R101 Airship Feared Revealing Danger to Head of British Air Ministry

The airships called “dirigibles” were sometimes also called “zeppelins” after their German inventor.

(p. 43) . . . zeppelins had fatal flaws. A single ignition source could turn one into a fireball, as British fighter pilots discovered once they started arming their planes with incendiary bullets. Explosive properties aside, dirigibles were all but uncontrollable in high winds and struggled to stay aloft when rain saturated their cloth skins, adding tons of extra weight.

. . .

That Britain persisted with its airship program owes much to the book’s main character, Lord Christopher Thomson, a retired brigadier and Labour Party politician who in 1923 was appointed to run the British Air Ministry. Witty, cultured and handsome, the India-born Thomson had a romantic vision of a “peaceful, air-linked world” that was closely tied to romance of a different sort. Thomson had for years been carrying on a long-distance affair with Marthe Bibesco, a ravishing (and married) Romanian princess and celebrated author. By 1930, during his second stint as air secretary, there was a chance he would be tapped as the next viceroy of India, a job that would take him even farther from his beloved. In Gwynne’s persuasive telling, Thomson believed that airships could save both the empire and his love life.

Thomson comes across as decent but hopelessly naïve, his faith in R101 based partly on bad information from the underlings responsible for building it. They knew the airship was too heavy, and that its gas bags — made from cow intestines — were prone to leakage. But with few exceptions they kept that knowledge to themselves, for fear of displeasing the boss.

It didn’t help that Thomson was on a tight schedule. Having claimed a berth on R101’s inaugural, round-trip voyage to India, he was determined to be back in London in time for a conference of colonial premiers, perhaps imagining a dramatic, Phileas Fogg-style entrance that would underscore the brilliance of his scheme. To accommodate him, flight tests were cut short, and the airship took off despite reports of bad weather along the route over France. There is reason to believe that the airship’s senior officer may have been drunk at the time.

For the full review, see:

John Lancaster. “Hot Air.” The New York Times Book Review (Sunday, June 4, 2023): 43.

(Note: ellipses added.)

(Note: the online version of the review has the date May 1, 2023, and has the title “When Ego Meets Hot Air, the Results Can Be Deadly.”)

The book under review is:

Gwynne, S. C. His Majesty’s Airship: The Life and Tragic Death of the World’s Largest Flying Machine. New York: Scribner, 2023.

The story of the competition between the privately-built R100 and the government-built R101 was earlier well-told in:

Squires, Arthur M. The Tender Ship: Government Management of Technological Change. Boston, Massachusetts: Birkhauser, 1986.

Heat Wave in India Causes Rise in Mortality

(p. A11) An unusually intense heat wave has swept across northern India in the last four days, with some hospitals in the state of Uttar Pradesh recording a higher-than-usual number of deaths. Doctors there are convinced there’s a link between the punishing temperatures and the deaths of their patients, but officials are investigating what role the dangerous combination of heat and humidity played in the rise in mortality.

For the full story, see:

Alex Travelli and Hari Kumar. “Northern India Endures a Heat Wave, and a Wave of Deaths, as a Possible Link Is Pondered.” The New York Times (Monday, June 19, 2023): A11.

(Note: the online version of the story has the date June 18, 2023, and has the title “Northern India Endures a Heat Wave, and a Wave of Deaths.”)

“An Inalienable Right to Sit In AC”

(p. C4) “Let’s sit in AC.” An American friend of mine, recently living in Mumbai, was wildly amused to hear this said in that steamy megalopolis, as if retreating to the tantalizing cool of an air-conditioned room were an activity in itself.

It took me a moment to see what he found so funny. I had grown up with the deprivations of socialist India in the 1980s. I was hardwired to fetishize air-conditioning. It was not an adjunct to life, sewn seamlessly into our daily routines, as it is in the U.S., where 82.7 million homes have central AC. It was, as the philosopher Immanuel Kant would say, the “thing-in-itself,” and to sit “in” AC was something of a national pastime.

. . .

Our first AC was an unbranded gimcrack contraption, jerry-built by a local electrician, but—my god!—how we loved it.

. . .

India loves to assert the demands of belonging through pacts of mutual suffering, and to be in AC was almost to be a little less Indian, as if you had decamped for the West. Even now that the country is the world’s fastest growing market for air-conditioners—projected by the International Energy Agency to be the biggest by 2050—the first line of attack from your average troll is: “What do you know of the realities of India, sitting in AC?”

. . .

. . . this summer, as newspapers report the hottest temperatures ever recorded on Earth and Amazon blasts me with discounts on their best-selling ACs, I cannot help feeling that our turn has come at a bad time. If nothing is done to make air-conditioning more energy-efficient, India alone is projected to use 30 times more electricity in 2030 than it did in 2010. Globally, air conditioning is projected to account for 40% of the growth in energy consumption in buildings by 2050—the equivalent of all the electricity used today in the U.S. and Germany combined. It’s enough to send a chill down the spine of the most ardent of AC evangelists.

The irony of a world made hotter by our need to be cool strikes some as proof of our rapacity. To me, having grown up in the place where so much of the new demand is coming from, I see it as part of a necessary realignment. As the global south gets richer, it will act as a frontier and laboratory. My hope is that it will achieve a miraculous breakthrough in energy efficiency, even as it asserts an inalienable right to sit in AC.

For the full commentary, see:

Aatish Taseer. “My Love Affair With Air- Conditioning.” The Wall Street Journal (Saturday, July 15, 2023): C4.

(Note: ellipses added.)

(Note: the online version of the commentary has the date July 14, 2023, and has the same title as the print version.)

Government Infrastructure Serves Elite More Than Ordinary Citizens

(p. A1) In a country where major industry and political fortunes alike are often tied to a vast, interwoven rail system, India has lavished public resources on new trains, but its purse strings have been much tighter when it comes to ensuring the safety of those already racing along its tracks.

Those decisions loomed large on Sunday [June 4, 2023] in the aftermath of a devastating train wreck that killed at least 275 people in eastern India.

. . .

Over the past years, India has been polishing its long-ramshackle infrastructure as never before, and its railways, which are at the heart of the world’s fifth-largest economy, have been a prime beneficiary. The government spent almost $30 billion on the rail system during the past fiscal year, up 15 percent from the year before.

But the amount spent on basic track maintenance and other safety measures has been falling. A report last year by India’s auditor general, an independent office, found that less money was being allocated for track renewal work and that officials had not even spent the full (p. A11) amount set aside.

. . .

. . . most of Mr. Modi’s initiatives have been aimed not at the basic steps needed to get trains from Point A to Point B without mishap, but at improving speed and comfort. He regularly extols higher-fare new electric Vande Bharat trains connecting bigger cities and has made an early priority of a Japanese-style bullet train, though it can do nothing to improve the lives of the country’s ordinary passengers.

For the full commentary, see:

Alex Travelli. “Rail Funding In India Put Upkeep Last.” The New York Times (Monday, June 5, 2023): A1 & A11.

(Note: ellipses, and bracketed date, added.)

(Note: the online version of the commentary has the date April 18, 2023, and has the title “Money for Show Horses, Not Work Horses, on India’s Rails.”)

The Poor of Dharnai Want the Cheap Plentiful Electricity From the Coal-Powered Grid

(p. A17) Consider the experience of Dharnai, an Indian village that Greenpeace in 2014 tried to turn into the country’s first solar-powered community.

Greenpeace received glowing global media attention when it declared that Dharnai would refuse “to give into the trap of the fossil fuel industry.” But the day the village’s solar electricity was turned on, the batteries were drained within hours. One boy remembers being unable to do his homework early in the morning because there wasn’t enough power for his family’s one lamp.

Villagers were told not to use refrigerators or televisions because they would exhaust the system. They couldn’t use cookstoves and had to continue burning wood and dung, which creates air pollution as dangerous for a person’s health as smoking two packs of cigarettes a day, according to the World Health Organization. Across the developing world, millions die prematurely every year because of this indoor pollution.

In August 2014, Greenpeace invited one of the Indian’s state’s top politicians, who soon after become its chief minister, to admire the organization’s handiwork. He was met by a crowd waving signs and chanting that they wanted “real electricity” to replace this “fake electricity.”

When Dharnai was finally connected to the main power grid, which is overwhelmingly coal-powered, villagers quickly dropped their solar connections. An academic study found a big reason was that the grid’s electricity cost one-third of what the solar energy did. What’s more, it was plentiful enough to actually power such appliances as TV sets and stoves. Today, Dharnai’s disused solar-energy system is covered in thick dust, and the project site is a cattle shelter.

For the full commentary see:

Bjorn Lomborg. “The Rich World’s Climate Hypocrisy.” The Wall Street Journal (Tuesday, June 21, 2022): A17.

(Note: the online version of the commentary has the date June 20, 2022, and has the title “Opinion: The Rich World’s Climate Hypocrisy.”)

Calcutta Commuters Avoid Slow Unreliable Trams Because “People Want to Move Fast”

(p. A4) “You get all the flavors of Calcutta here, so it’s the best way to travel,” said a medical student, Megha Roy, riding the tram with two friends. She used the Anglicized version of Kolkata, which residents deploy interchangeably with its current spelling and pronunciation.

The three friends had jumped onboard spontaneously, with no clear idea of where the tram was going, or when it was scheduled to get there. But it didn’t really matter. The ride itself was an unexpected treat.

“It’s like a fairy tale,” Ms. Roy said.

. . .

. . . the authorities say that while trams should remain a part of the transit mix, buses and the city’s metro system better serve 21st-century riders in the city of some 15 million people.

. . .

“Scientifically, economically, environmentally, there is no reason to convert the tramways for buses,” said Debasish Bhattacharyya, president of the Calcutta Tram Users’ Association.

But the scene at one tram stop suggested commuters may feel differently. Fewer than half a dozen people were waiting for the tram, while nearby, hundreds were piling onto buses that sagged under the weight of so many passengers, belching black plumes of diesel exhaust as they careened over the tram’s tracks and onto the street.

Admittedly, neither speed nor punctuality are hallmarks of the trams, which must contend with a mélange of traffic on their routes: trucks, buses, cars, vintage yellow Ambassador taxis, rickshaws manual and electric, pedestrians, herds of goats and the occasional cow.

“Nobody knows when the next car will come,” Mr. Bhattacharyya said. “They say this is the control room, but nothing is controlled, everything is scattered,” he said, gesturing to a hub of the tram system in central Kolkata.

. . .

Aboard a tram crawling along Lenin Sarani, one of central Kolkata’s main thoroughfares and named in honor of the Russian revolutionary, Sumit Chandra Banerjee, a ticket taker, said he looked forward to mandatory retirement when he turned 60 in October [2021].

. . .

Many of Kolkata’s urban landmarks — from cinemas and bookstores to museums and hospitals — were built near the tracks. One of those institutions was Das Gupta Books, founded in 1886.

Aranda Das Gupta, the shop’s fourth-generation managing director, called the tram a “beautiful journey,” while acknowledging that it takes “maximum time.”

“Nowadays,” he said, “people want to move fast.”

For the full story, see:

Emily Schmall. “INDIA DISPATCH; Kolkata Is Letting Its ‘Fairy Tale’ Trams Waste Away.” The New York Times (Friday, September 3, 2021): A4.

(Note: ellipses, and bracketed year, added.)

(Note: the online version of the story has the date Sept. 2, 2021, and has the title “INDIA DISPATCH; Kolkata’s ‘Fairy Tale’ Trams, Once Essential, Are Now a Neglected Relic.”)