New Delhi: With 1.2 million doctors, the doctor-population ratio in India is 1:1456, much lower than the World Health Organization's recommendation of 1:1000. Yet, doctors across the country have allegedly been reprimanded for highlighting the government's inefficiency in providing them adequate protective gear to fight the pandemic.
On March 28, when Kolkata-based oncologist Indranil Khan received images of doctors wearing raincoats in the COVID-19 ward of a government hospital, he shared them on Twitter.
The very next day, the West Bengal state health department assured him that "immediate steps" would be taken to reject "substandard" personal protective equipment (PPE). Within two hours of that assurance, Khan was detained by police for questioning.
He was released the next day only after he posted on social media that the state government is working hard for doctors. The 31-year-old doctor was charged with causing communal disharmony and criminal intimidation. Khan moved a local court to contest the charges. The court observed that no government can intimidate doctors, even those who brought "disrepute" to it.
As reported in Al Jazeera, the West Bengal police official, Gyanwant Singh, who is authorised to speak on the matter, did not respond to calls and messages seeking clarification.
Recently, four doctors of a hospital in New Delhi bore the brunt of the authorities for highlighting the lack of PPE. The doctors were threatened with dismissal. The government owned Safdarjung Hospital in New Delhi asked the administrators of their WhatsApp groups to provide their names, phone numbers and email IDs to share the details with the police.
However, the hospital's medical superintendent Balvinder Singh Arora said that the circular "will work as a deterrent for people who spread fake news regarding PPE shortage on WhatsApp". Despite repeated requests for data on the current stock of PPE and N-95 masks, no government official concerned with the matter responded, the report says.
In a press statement on Friday, the Union government stated that the availability of PPE with the states has "doubled" and another two million N-95 masks were provided. Meanwhile, of the over 9,000 COVID-19 patients in India, at least 90 are health professionals. Two doctors in Madhya Pradesh state died of COVID-19.
Doctors fear an inadequate supply of PPE makes them vulnerable to the coronavirus infection.
Supreme Court took note of the various incidents in different parts of the country where medical staff and doctors were attacked and misbehaved with. Court said such incidents are bound to instil a sense of insecurity in doctors and medical staff.
According to Srinivas Rajkumar T of the resident doctors’ association at All India Institute of Medical Sciences (AIIMS) New Delhi, doctors and nurses in their COVID-19 wards were asked to wear the PPE usually worn while examining HIV patients.
"PPE kits meant for examining HIV patients are not equipped to resist droplets, and the coronavirus infection gets transmitted through droplets sneezed out or coughed up by infected patients," Rajkumar T said, but he added those who raised such issues on social media were being intimidated by the authorities.
However, AIIMS director Randeep Guleria, as reported in Al Jazeera, said the health professionals posted in COVID-19 wards were getting PPE and masks that "met the international guidelines". He "advised" the staffers to discuss their problems "internally and not post them on social media".
But the AIIMS doctors still wrote to Prime Minister Narendra Modi about the "harsh backlash" they faced from authorities for demanding professional safety equipment. There has been no response yet from Modi's office over the letter.
Rajan Sharma of the Indian Medical Association (IMA), a voluntary national body of doctors, said "Doctors can come to us and not sensationalise problems."
However, geriatrician Harjit Singh Bhatti, who started a social media campaign called "DocsNeedGear", argued: "The aim is not to sensationalise problems but to make the voices heard."
Recently, doctors in Kashmir were also threatened with "strict action" and up to six months' jail for speaking against the government's alleged failures in a circular. "It [the circular] was for a group of health professionals who were using social media for a blame game,” the region's director of health services, Samir Mattoo, told the media.
But Owais H Dar, the general secretary of Kashmir Doctors' Association, said the doctors were sharing "only the truth" because they know the "ground realities". However, by censoring doctors, the government was attempting to create "a sense of false self-image that covers up its limitations".
Make attack on doctors a non bailable offence
Besides facing censorship from the government on speaking out, doctors have also faced attacks and social boycotts. Last week, two female doctors at Safdarjung Hospital were assaulted by a resident for "spreading coronavirus infection".
In the western state of Gujarat, a mobile video of a female doctor harassed by her neighbour for working with COVID-19 patients went viral on social media.
In Madhya Pradesh, health workers were attacked as they visited a neighbourhood to test some residents. Junior doctors in the southern Telangana state were labelled "dirty". Many doctors and health workers across India were evicted from their rental houses over fear of contracting the infection.
The IMA condemned the social boycott of doctors, but the medical body did nothing beyond the condemnation. The doctors continue to fight their own battle - inside and outside hospitals.
(Source: Al Jazeera News)
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