Curious Bends – big tobacco, internet blindness, spoilt dogs and more

1. Despite the deadly floods in Uttarakhand in 2013, the govt ignores grave environmental reports on the new dams to be built in the state

“The Supreme Court asked the Union environment ministry to review six specific hydroelectric projects on the upper Ganga basin in Uttarakhand. On Wednesday, the ministry informed the apex court that its expert committee had checked and found the six had almost all the requisite and legitimate clearances. But, the ministry did not tell the court the experts, in the report to the ministry, had also warned these dams could have a huge impact on the people, ecology and safety of the region, and should not be permitted at all on the basis of old clearances.” (6 min read, businessstandard.com)

2. At the heart of the global-warming debate is the issue of energy poverty, and we don’t really have a plan to solve the problem

“Each year, human civilization consumes some 14 terawatts of power, mostly provided by burning the fossilized sunshine known as coal, oil and natural gas. That’s 2,000 watts for every man, woman and child on the planet. Of course, power isn’t exactly distributed that way. In fact, roughly two billion people lack reliable access to modern energy—whether fossil fuels or electricity—and largely rely on burning charcoal, dung or wood for light, heat and cooking.” (4 min read, scientificamerican.com)

3. Millions of Facebook users have no idea they’re using the internet

“Indonesians surveyed by Galpaya told her that they didn’t use the internet. But in focus groups, they would talk enthusiastically about how much time they spent on Facebook. Galpaya, a researcher (and now CEO) with LIRNEasia, a think tank, called Rohan Samarajiva, her boss at the time, to tell him what she had discovered. “It seemed that in their minds, the Internet did not exist; only Facebook,” he concluded.” (8 min read, qz.com)

+ The author of the piece, Leo Mirani, is a London-based reporter for Quartz.

4. The lengths to which big tobacco industries will go to keep their markets alive is truly astounding

“Countries have responded to Big Tobacco’s unorthodox marketing with laws that allow government to place grotesque images of smoker’s lung and blackened teeth on cigarette packaging, but even those measures have resulted in threats of billion-dollar lawsuits from the tobacco giants in international court. One such battle is being waged in Togo, where Philip Morris International, a company with annual earnings of $80 billion, is threatening a nation with a GDP of $4.3 billion over their plans to add the harsh imagery to cigarette boxes, since much of the population is illiterate and therefore can’t read the warning labels.” (18 min video, John Oliver’s Last Week Tonight via youtube.com)

5. Hundreds of people have caught hellish bacterial infections and turned to Eastern Europe for a century-old viral therapy

“A few weeks later, the Georgian doctors called Rose with good news: They would be able to design a concoction of phages to treat Rachel’s infections. After convincing Rachel’s doctor to write a prescription for the viruses (so they could cross the U.S. border), Rose paid the Georgian clinic $800 for a three-month supply. She was surprised that phages were so inexpensive; in contrast, her insurance company was forking over roughly $14,000 a month for Rachel’s antibiotics.” (14 min read, buzzfeed.com)

Chart of the Week

“Deshpande takes her dog, who turned six in February, for a walk three times every day. When summers are at its peak, he is made to run on the treadmill inside the house for about half-hour. Zuzu’s brown and white hair is brushed once every month, he goes for a shower twice a month—sometimes at home, or at a dog spa—and even travels with the family to the hills every year. And like any other Saint Bernard, he has a large appetite, eating 20 kilograms of dog food every month. The family ends up spending Rs5,000 ($80)-7,000 ($112) every month on Zuzu, about double the amount they spend on Filu, a Cocker Spaniel.” (4 min read, qz.com)

Genetic testing is all the rage, but its promise is limited

New technologies often take decades to reach Indian shores. Not so in the case of genetic testing. Within 10 years of the launch of the world’s first direct-to-consumer service, genetic testing has found a booming market in India.

Your DNA, unless you have an identical twin, is unique. The idea behind any genetic test is to understand whether the sequence of bases in your DNA have something useful to tell you. Those on offer in India can cost anywhere from ₹1,000 to ₹50,000.

Who’s your daddy?

One of the most popular genetic tests in India is used to test paternity. Be it a doubting husband or a long-lost son, these “peace-of-mind tests” can set the record straight. Their effectiveness is so high that Indian courts have used paternity tests as definitive evidence. Take the example of Congress politician ND Tiwari. In 2008, 28-year-old Rohit Shekhar claimed that Tiwari was his biological father. After a long-drawn battle, the court ordered a paternity test in 2012 and closed the case in favour of Shekhar.

This is how paternity testing works. A child inherits half their DNA from each parent. For the test, DNA samples in the form of cheek swabs are taken from all three individuals. These samples are then treated with restriction enzymes, which cut each DNA at pre-determined places. These cut-up pieces are then suspended in a solution and run through a gel, which lets shorter pieces run faster than bigger pieces. The pieces show up as dark spots on a light background. If the parents are indeed those making the claim, the child’s DNA patterns will appear to be a combination of the patterns of the parents.

This technique, called DNA fingerprinting, was developed in 1984 and has also been used to produce forensic evidence in thousands of criminal cases. Instead of comparing a DNA sample of a child with two others, say, it could be used to compare DNA found in some hair at a crime scene with that of the accused perpetrator.

Not the oracle

Not all genetic tests are so effective at giving useful information though. Many companies market genetic test results as a fortune-telling scroll. They claim that, based on your genetic information, they can predict whether you will get a disease or not. This is far from the truth. At best, genetic testing for health outcomes can be seen as a weather map, where predictions can be true but quite often they aren’t.

Even if genetic testing companies make this clear in their fine print, they haven’t done enough to correct public perception. For instance, a 2010 European survey revealed that nearly half of those asked felt “all children will (soon) be tested at a young age to find out what disease they get at a later age”.

While certain diseases, such as Huntington’s disease, have specific genetic mutations to blame, most diseases are a combination of environment, lifestyle and genes. There is no “gene for breast cancer”. Genes are indeed powerful, and they influence our appearance, intelligence, behaviour and health. But unlike what the public believes, genes do not determine those outcomes.

These public beliefs matter because they can and will affect policy. After 13 years of debate, in 2008 the US passed the Genetic Information Non-discrimination Act to ensure that insurance providers do not discriminate customers based on their genes. Before the genetic testing market in India explodes to ₹800 crores by 2018, as some predict, we need a similar act to safeguard people’s privacy. And even after that, treat any genetic test results with skepticism and care.

First published in Lokmat Times.

India faces the unique challenge of dealing with both obesity and malnutrition

One Indian in every five is obese, according to a 2013 study in the renowned journal The Lancet. Most of these people live in cities, where rapidly changing lifestyle is contributing to an “obesity epidemic”.

An obese person, as defined by the World Health Organisation, is anyone with a body-mass index (BMI) that is greater than 30. BMI is a person’s weight in kilograms divided by the square of his or her height in metres. Although this measure is not perfect – for instance it sometimes fails when used on sportspersons – it is a good approximation to warn most people of the potential dangers.

When two worlds meet

Obesity, like smoking, kills slowly. It increases the risk of being affected by type-2 diabetes, coronary heart diseases, breast cancer, bowel cancer and even stroke.

And India faces a further, unique challenge. While obesity is a growing problem, the country is yet to deal with malnutrition and undernourishment. In fact, the 2014 Global Nutrition Report found that most developing countries are facing all three problems at the same time. The number of obese around the world has increased to 210 crores and the number undernourished and malnutrition remains at 200 crores.

The lack of nourishment leads to stunted growth, affecting bodily strength and mental prowess. Their poor immune system makes them easy victims to infectious disease such as diarrhoea, which is a leading cause of death among those under the age of 5.

The combined economic burden of obesity, undernourishment and malnutrition is probably greater than 5% of the gross domestic product (about ₹ 6 lakh crores). And any problem at this scale can only be tackled when both government and citizens rise up to the challenge.

A bag of tricks

Good proportion of the blame lies in people’s choices. Exercise and diet, especially done together, are effective to deal with obesity. Everybody knows that, but few people manage to get off their couch and leave high-calorie snacks unopened. Simple psychology hacks, such as making your goals public or setting them with your partner, can work. Group exercises or community centres can also help deal with the urban population’s addiction to a sedentary lifestyle.

Governments can help too, but they don’t have a single magic trick. Instead they need to rely on implementing many policies, each of which has been shown to have a small positive effect. These include healthier school meals, taxing high-calorie food and drink, and better physical training. For each rupee spent on implementing these obesity controls, the government is bound to receive many times back in economic benefits.

The poor don’t fair better on their own either. For instance, when they earn some spare cash, villagers choose to buy a TV or a mobile phone – a status symbol – rather than feed their young better food. Worse still, malnutrition trains the body to hoard fat, so when the poor eat calorie-rich food they become more prone to obesity as adults. Bad choices can become good ones through grassroots movements.

To be sure, malnutrition is not just the lack of food. India has enough to feed all its population, if it fixes its distribution network. It is more a problem because of lack of proper food.

Some governments can show others the way. In Maharashtra, for instance, stunting in children under 5 fell from 37% in 2006 to 24% in 2012. Factors that helped: economic growth, poverty reduction, nutrition programmes and better female education rates. The latter is interesting because uneducated women tend to give birth at very young ages, their babies tend to be underweight and fail to thrive. Simple education programs can also make them aware of the family’s nutritional needs, helping them make better choices. Women empowerment may be an empty political promise, but it can truly work.

First published in Lokmat Times. Image by filandfiloi under CC-BY-NC-ND license.