News For Aspirants
First time in NFHS
Nearly 13% women and 18% men aged 15-49 in the highest stratum of the wealth index have hypertension (high blood pressure), according to data from the National Family Health Survey, 2015-16 (NFHS-4). This is the first time the NFHS has included the measurement of blood pressure. The wealth index was calculated on the basis of ownership of various consumer goods, such as a television, bicycle or car, and housing characteristics, such as source of drinking water, toilet facilities, and flooring material.
Households are categorised into five equal groups called quintiles.
What
- Hypertension, also known as high or raised blood pressure, is a condition in which the blood vessels have persistently raised pressure, according to a global brief on hypertension by the World Health Organization (WHO).
- Hypertension is responsible for at least 45% of deathsdue to heart disease and 51% of deaths due to stroke (caused by the interruption of the blood supply to the brain) globally, according to WHO.
- The prevalence of hypertension increased four percentage points from the lowest (9%) to the highest (13%) in the wealth index among women and seven percentage points between lowest (11%) to highest (18%) in men.
- In 1990, non-communicable diseases (NCDs) accounted for 37.9% of all deaths–causing about four in 10 deathsin India–IndiaSpend reported on November 14, 2017.
- By 2016, the share of NCDs had risen to 61.8%–causing six in 10 deaths in India–an increase of 23.9 percentage points from 1990.
- Women with 12 years or more of schooling have an 8% prevalence (lowest) of hypertension, while women who have less than five years of schooling have almost double the rate of prevalence at 14% (highest).
- Men with more than 12 years of schoolingand less than five years of schooling have similar rates of prevalence at 16% and 18%, respectively.
- Nearly 24% Sikh men and 16% Sikh and Jain women have hypertension, the highest prevalence compared with other religious groups in India.
News For Aspirants
EPI report 2018
India has slipped to 177th position in green ranking this year from its 141st position two years ago and figured among the group of bottom five nations in the list of 180 countries due to its poor handling of air pollution abatement and forest protection measures. The country’s poor show on environment protection front is reflected in the latest global Environmental Performance Index (EPI) rankings, released on sidelines of the World Economic Forum (WEF) in Davos, Switzerland on 23 January 2018.
- The EPI report ranks 180 countries on 10 broad categories (issues), including 24 performance indicators, covering environmental health and ecosystem vitality.
- These performance indicators include air quality, water & sanitation, CO2 emission intensity (emission per unit of the GDP), forests (deforestation) and waste water treatment among others.
- Air quality (household solid fuels and PM2.5 exposure), however, remained the leading environmental threat to public health and the report noted that countries such as India, China and Pakistan which scored badly on air quality front “face public health crisis that demands urgent attention”.
- On this front, India’s ‘UjjwalaYojana’ – meant for LPG connections to women from Below Poverty Line (BPL) households – got a special mention in the report which noted that if the goal of this scheme is realised, it has potential to positively impact the lives of millions of BPL households by providing them with access to safe, affordable cooking technologies and fuels.
- The biennial report, brought out by the Yale and Columbia Universities in collaboration with the WEF, noted that the low ranking of the emerging economic like India and China (120th) reflects the strain population pressure and economic growth impose on environment.
- However, at the same time, it also gave example of Brazil (69th), suggesting that a concerted focus on sustainability as a “policy priority” will pay dividends.
- Switzerland leads the world in protecting environment and sustainable practices, followed by France, Denmark, Malta, and Sweden. In general, higher rank shows long-standing commitments to protecting public health, preserving natural resources, and decoupling greenhouse gas (GHG) emissions from economic activity.
- Low scores on EPI are indicative of the need for national sustainability efforts on a number of fronts, especially cleaning up air quality, protecting biodiversity and reducing GHG emissions”, said the report which is the 10th version of the EPI ranking.
- Though the report noted that the some of the laggards (mainly African countries) face broader challenges such as civil unrest, the low scores in many other countries can be attributed to weak governance.
- Change in country’s ranking this year as compared to 2016 can also be attributed to the quality of data and the broadening base of parameters. As compared to nine broad categories, including 20 performance indicators, in 2016 EPI, the 2018 EPI took into account 10 broad categories including 24 performance indicators.
- The US ranked 27th in the 2018 EPI, with strong scores on issues such as sanitation and air quality. But the country’s weak performance on issues such as deforestation and GHG emissions puts it behind other rich nations like France (2nd), the United Kingdom (6th), Germany (13th), Italy (16th), Japan (20th), and Canada (25th).
- The report claimed that the data for the latest EPI ranking came from international organisations (like World Bank and the UN Food and Agriculture Organization), research institutions (such as Institute for Health Metrics and Evaluation and the World Resources Institute), academia and government agencies and the sources used variety of techniques, including remote sensing data collected and analysed by research partners.
- Referring to countries performance on ‘climate (mitigation) & energy” front, the report noted some positive results but emphasized that the efforts need to be accelerated to meet the ambitious targets of the 2015 Paris Climate Agreement — the deal which is meant for taking multiple actions to cut GHG emissions so that the global average temperature rise must be kept below 2 degree Celsius till the end of this century from the pre-industrial level (1850).
- As the EPI project has highlighted for two decades, better data collection, reporting, and verification across a range of environmental issues are urgently needed.