Note4Students
From UPSC perspective, the following things are important :
Prelims level: NA
Mains level: Use of AI in medical field and challenges
Context
- Artificial Intelligence (AI) was regarded as a revolutionary technology around the early 21st century. Although it has encountered its rise and fall, currently its rapid and pervasive applications have been termed the second coming of AI. It is employed in a variety of sectors, and there is a drive to create practical applications that may improve our daily lives and society. Healthcare is a highly promising, but also a challenging domain for AI.
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ChatGPT: The latest model
- While still in its early stages, AI applications are rapidly evolving.
- For instance, ChatGPT is a large language model (LLM) that utilizes deep learning techniques that are trained on text data.
- This model has been used in a variety of applications, including language translation, text summarisation, conversation generation, text-to-text generation and others.
What is Artificial Intelligence?
- AI is a constellation of technologies that enable machines to act with higher levels of intelligence and emulate the human capabilities of sense, comprehend and act.
- The natural language processing and inference engines can enable AI systems to analyze and understand the information collected.
- An AI system can also take action through technologies such as expert systems and inference engines or undertake actions in the physical world.
- These human-like capabilities are augmented by the ability to learn from experience and keep adapting over time.
- AI systems are finding ever-wider application to supplement these capabilities across various sectors.
Concerns of Using AI tools in medical field
- The potential for misinformation to be generated: As the model is trained on a large volume of data, it may inadvertently include misinformation in its responses. This could lead to patients receiving incorrect or harmful medical advice, potentially leading to serious health consequences.
- The potential for bias to be introduced into the results: As the model is trained on data, it may perpetuate existing biases and stereotypes, leading to inaccurate or unfair conclusions in research studies as well as in routine care.
- Ethical concerns: In addition, AI tools’ ability to generate human-like text can also raise ethical concerns in various sectors such as in the research field, education, journalism, law, etc.
- For example: The model can be used to generate fake scientific papers and articles, which can potentially deceive researchers and mislead the scientific community.
AI tools should be used with caution considering the context
- Governance framework: The governance framework can help manage the potential risks and harms by setting standards, monitoring and enforcing policies and regulations, providing feedback and reports on their performance, and ensuring development and deployment with respect to ethical principles, human rights, and safety considerations.
- Ensuring the awareness about possible negative consequences: Additionally, governance frameworks can promote accountability and transparency by ensuring that researchers and practitioners are aware of the possible negative consequences of implementing this paradigm and encouraging them to employ it responsibly.
- A platform for dialogue and exchange of information: The deployment of a governance framework can provide a structured approach for dialogue and facilitate the exchange of information and perspectives among stakeholders, leading to the development of more effective solutions to the problem.
- Relational governance model into the AI governance framework: Relational governance is a model that considers the relationships between various stakeholders in the governance of AI.
- Establishing international agreements and standards: At the international level, relational governance in AI in healthcare (AI-H) can be facilitated through the establishment of international agreements and standards. This includes agreements on data privacy and security, as well as ethical and transparent AI development.
- Use of AI in responsible manner across borders: By establishing a common understanding of the responsibilities of each stakeholder in AI governance, international collaboration can help to ensure that AI is used in a consistent and responsible manner across borders.
- Government regulations at national level: At the national level, relational governance in AI-H can be implemented through government regulations and policies that reflect the roles and responsibilities of each stakeholder. This includes laws and regulations on data privacy and security, as well as policies that encourage the ethical and transparent use of AI-H.
- Regular monitoring and strict compliance mechanism: Setting up periodic monitoring/auditing systems and enforcement mechanisms, and imposing sanctions on the industry for noncompliance with the legislation can all help to promote the appropriate use of AI.
- Education and awareness at the user level: Patients and healthcare providers should be informed about the benefits and risks of AI, as well as their rights and responsibilities in relation to AI use. This can help to build trust and confidence in AI systems, and encourage the responsible use of AI-H.
- Industry-led initiatives and standards at the industry level: The relational governance in AI-H can be promoted through industry-led initiatives and standards. This includes establishing industry standards and norms (for example, International Organization for Standardization) based on user requirements (healthcare providers, patients, and governments), as well as implementing data privacy and security measures in AI systems.
Conclusion
- India’s presidency of the G20 summit provides a platform to initiate dialogue on AI regulation and highlight the need for the implementation of AI regulations in healthcare. The G20 members can collaborate to create AI regulation, considering the unique needs and challenges of the healthcare sector. The set of measures, carried out at various levels, need to assure that AI systems are regularly reviewed and updated and ensure that they remain effective and safe for patients.
Mains question
Q. Use of AI in Healthcare is highly promising but also a challenging domain. Discuss. Suggest what should be the right approach for AI regulation in Healthcare?
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: NA
Mains level: Challenges to Menstrual health hygiene and sexual and reproductive health
Context
- Maternal mortality rates remain high in low- and middle-income countries, where 94 percent of all cases are recorded. In India, maternal mortality ratio stands at 113 per 100,000 live births; the government is aiming to reduce the incidence to below 70 by 2030. Experts agree that the promotion of sexual and reproductive health (SRH) is among the keys to addressing this massive challenge. Achieving global targets on SRH, in turn, greatly depends on a collective commitment to improve menstrual health and hygiene (MHH).
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- Lack adequate access to information and service: The stark reality is that individuals who menstruate lack adequate access to information and services around SRH and are unable to exercise their SRH rights throughout their life cycle. Among the factors for this lack of access are poor economic and educational outcomes.
- For instance: Multiple studies in different developing countries have shown that those with fewer number of schooling years tend to experience early sexual initiation and early marriage, have higher fertility rates, and suffer poor maternal outcomes.
- Multiple barriers hinder the promotion of menstrual health and hygiene: Barriers that include socio-cultural norms that regard menstruation as taboo, and biological and medical issues such as urinary tract infections, and abnormal urinary bleeding that can be caused by fibroids.
- Vicious circle of poor SRH: These issues diminish the agency of menstruating individuals in making decisions related to sex, relationships, family planning, and contraceptive use. This sets them back into the vicious circle of poor SRH.
- Lack of privacy and dignity: Menstruation-related challenges are seen in schools, work places, and communities where menstruating individuals cannot safely manage their needs with privacy and dignity.
- Taboos and myths: In certain communities, restrictive social norms do not allow menstruating individuals to pray, bathe, sleep in the same bed as others, or make food. In India, taboos and myths hinder the optimal use of the more than 8,000 Adolescents-Friendly Health Clinics (AFHCs) set up by the government across the country.
Global Outlook
- Menstrual health is often neglected in SRH agendas: Despite strong evidence that one of the anchors of sexual and reproductive health is menstrual health, governments, policymakers, and NGOs rarely include menstrual health in their SRH agendas.
- Little attention had been paid: Although SRH was the focus of both the World Population Day and Gender Equality Forum in 2021, little attention has been paid, if at all, to menstrual health.
- For example during the vaccination, menstrual health was not taken into account: Early studies also suggest that during the production of COVID-19 vaccines, menstrual health was not taken into account while conducting the pilot studies on understanding the efficacy of the vaccine.
- The education aspect is also lacking: A study of education policy documents across 21 developing countries found little attention to menstrual health. Of those countries that appeared to have MHH in their health and education agenda in the last decade, the focus was on the distribution of disposable sanitary pads, largely for schoolgirls; they tended to ignore the other issues related to menstrual health and hygiene including safety, disposal, right to dignity and providing choices to people who menstruate.
A Framework for mainstreaming menstrual health and hygiene in India
- Promoting Menstrual Health and Hygiene Education: Conversations around menstruation should be started in schools and local communities by including menstrual health and hygiene in sessions on reproductive health.
- For instance: In 2007, the Indian government introduced the Adolescent Education Program to promote discussions around sexual education, but it received backlash from teachers and parents. Sociocultural issues are equally important and should be given attention by stakeholders.
- Knowledge about the products they use: Programmes should be initiated that will focus on distributing disposable sanitary pads to girls and women, and not only those who are in school. As the discourse on menstruation is now shifting toward sustainable menstruation, it is crucial to equip individuals who menstruate with knowledge about the potential harm of the period products they use.
- Sensitizing gatekeepers: Organising sensitisation workshops for gatekeepers such as teachers, healthcare workers, and women in local communities would go a long way in helping young people who menstruate. Recent studies, suggest that mothers, teachers, and healthcare workers are the first sources of information for adolescent girls about menstruation in India.
- Creating supportive space: Adolescent boys, and men, need to be involved in the conversation around MHH to create supportive spaces. These conversations will help them understand the importance of MHH and prompt changes in societal norms, including removing the stigma around menstruation.
- Conversations around menstruation need to include trans and non-binary individuals: Menstruation is a variable concept, such that many women do not menstruate, while some transmen, non-binary individuals, and people with masculine gender identities do. The feminisation of menstruation has led to the exclusion of transgender and non-binary people from the discourse.
- Improving MHH infrastructure and WASH facilities: Workplace policies for individuals who menstruate should be laid out, including the provision of adequate WASH facilities. There need to engage with the multi-sector stakeholders who can work in improving MHH infrastructure and WASH facilities.
Way ahead
- Raising awareness about the menstrual cycle should be among the priorities of communities and policymakers.
- There is a need to make SRH programming gender-transformative, first by recognising the link between MHH and SRH.
- The task is urgent, given the economic case to sexual and reproductive health: i.e., promoting SRH helps improve a country’s economic, educational and development outcomes.
- The UN High-Level Meeting (UNHLM), 2023 Action Plan, which underlines the need to “leave no one behind” in global goals on universal health care, must bring menstrual health and hygiene to the forefront of the SRH agenda.
- As per 2011 Census data, around 0.5 million individuals self-identify as third gender[b] in India. There is a need to engage communities and educate them about the LGBTQIA+ population and enhance their SRH knowledge by looking at the menstrual health discourse with the core principle of inclusivity.
Conclusion
- Global and national agendas on sexual and reproductive health continue to give little attention to its link with menstrual health. Integrated attention to the links between MHH and SRH can advance the mutual goals of both sectors, and improve the health and well-being of individuals who menstruate, throughout their entire life cycle.
Mains question
Q. The link between Menstrual health and hygiene with sexual reproductive health is often neglected in policymaking. Highlight the challenges for promoting menstrual health and give suggestions.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Lithium
Mains level: Read the attached story
The Geological Survey of India found “inferred resources” of 5.9 million tonnes of lithium in the Salal-Haimana area of Reasi district in Jammu and Kashmir.
What is Lithium?
- Lithium is a chemical element with the symbol Li and atomic number 3.
- It is a soft, silvery-white alkali metal and is the lightest metal on the periodic table.
- It is used in a variety of applications, including batteries, lubricants, pharmaceuticals, and nuclear weapons.
What are Inferred Resources?
- According to the mines and minerals act, the exploration for any mineral deposit involves four stages: reconnaissance survey (G4), preliminary exploration (G3), general exploration (G2) and detailed exploration (G1).
- Resources identified after G4 are called ‘reconnaissance mineral resource”, those identified after G3 are “inferred mineral resource”, G2 leads to “indicated mineral resource” and G4 precedes “measured mineral resource.”
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Applications of Lithium
- Lithium-ion batteries: Lithium-ion batteries are widely used in consumer electronics such as laptops, cellphones, and portable music players due to their high energy density and low self-discharge rate.
- Pharmaceuticals: Lithium is used in the treatment of bipolar disorder and other mental health disorders. It can be used to treat symptoms such as depression, anxiety, and aggression.
- Heat transfer fluids: Lithium is used as a heat transfer fluid in nuclear power plants, as it can absorb and store large amounts of heat.
- Air conditioning: Lithium-based compounds are used in air conditioning systems to absorb and store heat, which helps to cool air.
- Alloy production: Lithium is used to produce lightweight alloys for aircraft and spacecraft, as well as components for other vehicles.
- Grease lubricants: Lithium-based grease lubricants are used in automotive and industrial applications due to their high temperature and pressure tolerance.
Significance of this discovery
- Clean energy goals: This has raised hopes of India possibly developing its own source of a metal key to its clean energy goals.
- Import cuts: It would reduce the need for imports. The government was taking several measures to secure minerals, including lithium, from Australia and Argentina.
- Enhance battery production: The find is a major boost to the manufacture of rechargeable batteries for smartphones, laptops and electric cars.
Back2Basics: Mines and Minerals (Development and Regulation) Act, 1957
- It is an Act of the Parliament enacted to regulate the mining sector in India.
- It regulates all activities related to the prospecting for, extraction and disposal of minerals in India.
- The Act was amended in 2015 to incorporate the changes brought about by the Mines and Minerals (Development and Regulation) Amendment Act, 2015.
- The amendment Act has been enacted to ensure that the mining sector is developed in a sustainable and efficient manner, taking into account the interests of stakeholders including the local communities.
- The Act also provides for the sharing of revenues between the Union and the States.
Types of Minerals Covered
- Metallic Minerals: Iron ore, manganese ore, chrome ore, bauxite, copper ore, gold ore, lead ore, zinc ore, etc.
- Non-Metallic Minerals: Mica, limestone, dolomite, gypsum, phosphorite, graphite, quartz, sandstone, etc.
- Atomic Minerals: Uranium, thorium, and other radioactive minerals.
- Fossil Fuels: Oil, natural gas, coal, etc.
- Minor Minerals: Building stones, gravel, ordinary clay, ordinary sand, etc.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Article 21, 25, 26
Mains level: Not Much
A Constitution Bench of the Supreme Court referred to a larger Bench of nine judges a series of petitions challenging the authority of minority community leaders to excommunicate their members.
Excommunication case: A quick backgrounder
- On November 1, 1949, the Bombay Prevention of Excommunication Act (now repealed) was enacted, which sought to prevent the practice of excommunication prevalent in certain communities.
- Excommunication has led to the deprivation of legitimate rights and privileges of its members and in “keeping with the spirit of changing times and in public interest”.
What is Excommunication?
- The law defined excommunication as the “expulsion of a person from any community of which he is a member, depriving him of rights and privileges which are legally enforceable by a suit of civil nature”.
- It invalidated excommunication of any member, “notwithstanding anything contained in law, custom, usage” for the time being in force.
Issues with Excommunication
- Discriminatory: Excommunication is a serious and permanent punishment that can have a negative impact on a person’s life.
- Loss of identity: It can lead to a person feeling isolated, ostracized and excluded from the religion and community.
- Social boycott: It may also lead to feelings of guilt, shame and alienation. Furthermore, it can lead to a loss of faith and a sense of mental despair.
How did the matter reach the Supreme Court?
- A cleric of the community challenged the constitutional validity of the Act, stating it violated fundamental rights guaranteed by the Constitution under:
- Article 25 (Freedom of conscience and free profession, practice and propagation of religion) and
- Article 26 (Freedom to manage religious affairs)
- It was submitted that the power of excommunication was part of the management of community affairs in matters of religion.
- The cleric also held that the power to excommunicate is not absolute or arbitrary.
What has been happening in the matter more recently?
- A Constitution Bench of the SC held in 1962 that the cleric’s position is an essential part of the community and the power to excommunicate is to enforce discipline and preserve the denomination, not to punish.
- A challenge to the 1962 judgment was filed in 1986.
- While that petition was still pending, the Maharashtra Protection of People from Social Boycott (Prevention, Prohibition and Redressal) Act, 2016, was passed.
- The 2016 Act prohibits the social boycott of a person or a group of persons, and terms it a violation of fundamental rights.
- The Act describes a social boycott as “inhuman”, and defines 16 types of social boycott — including preventing members of a community from having access to facilities including community halls, burial grounds, etc.
What exactly did the Supreme Court say now?
- A Constitution Bench said that the 1962 judgment needed a relook.
- The court held that the consideration was needed mainly on two grounds: Balancing the rights under-
- Article 26(b) — right of religious denominations to manage their own affairs in matters of religion — and
- Article 21 — whether the practice can be protected under Article 26(b) when tested on the touchstone of constitutional morality.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Delhi-Mumbai Expressway
Mains level: Road infrastructure
Photos of the soon-to-be-inaugurated Delhi-Mumbai Expressway have gone viral, receiving widespread appreciation online.
Delhi-Mumbai Expressway
- The Delhi-Mumbai Expressway is a proposed 1380 km expressway that will link the capital city of Delhi to Mumbai, India.
- The expressway is being planned as a six-lane expressway and will pass through the states of Uttar Pradesh, Rajasthan, Madhya Pradesh and Maharashtra.
- Started in 2018, the project is set to be completed by the end of 2023.
- The expressway is expected to reduce the travel time between Delhi and Mumbai by up to 12 hours.
- The expressway will also have several rest stops and will be equipped with advanced technology such as electronic toll collection, smart traffic management and surveillance systems.
- The expressway will be built in a Public-Private Partnership (PPP) model.
Some basic details
- The expressway is being constructed with an initial budget of INR 98,000 crore.
- According to claims by the Ministry of Road Transport and Highways, it will reduce the distance between Delhi and Mumbai by 180 km (from 1424 km to 1242 km).
- Depending on the volume of traffic the expressway sees, there are plans in place to expand it to a 12-lane expressway in the future.
- The reduction in distance and travel time is set to result in annual fuel savings of more than 320 million litres and reduce CO2 emissions by 850 million kg.
Some unique features
- Importantly, the Delhi-Mumbai Expressway is set to introduce certain features seldom seen in road construction in India.
- According to claims from the Ministry of Road Transport and Highways, the expressway will boast of a state-of-art traffic management system.
- There will also be a dedicated three metre wide corridor for laying utility lines including fibre optic cables, pipelines as well as solar power generation.
- The expressway will also have provisions for rain water harvesting at intervals of 500 m, with over 2000+ water recharge points.
Provisions for wildlife conservation
- A crucial feature of the project will be its provisions for “wildlife conservation”.
- The expressway is the first in Asia and only the second in the world to feature animal overpasses and underpasses to facilitate unrestricted movement of wildlife.
- Furthermore, the expressway has been aligned in a way to minimize the destruction of protected forests.
- Two iconic 8-lane tunnels will also be built, one through Mukundra sanctuary without disturbing the endangered fauna in the region and the second through the Matheran eco-sensitive zone.
- A 3 ft tall boundary wall and sound barriers will also be constructed in sections prone to wildlife.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Treaty of Alinagar
Mains level: Not Much
Signed on February 9, 1757, the Treaty of Alinagar between the Nawab of Bengal and the East India Company raised the curtains for British colonial expansion in India.
Treaty of Alinagar, 1757
- Signed on February 9, 1757, the Treaty of Alinagar was signed between Robert Clive of the East India Company and Mirza Muhammad Siraj Ud Daula, then Nawab of Bengal.
- It is said to be one of the key events leading up to the Battle of Plassey later that year.
- Plassey was where the English laid a significant blow, defeating the nawab. It paved the way for the East India Company’s takeover of Bengal.
- The name Alinagar was a short-lived reference to modern-day Kolkata, and the treaty came about after the nawab was faced with both the British and Afghan forces.
- He compromised with the former; however, the peace was short-lived.
British advent in India: A quick backgrounder
- After the Anglo-Mughal War which took place between 1686 and 1690, the British began consolidating their presence in the subcontinent.
- It had established the Fort St. George in what was Madras, Fort William in then Calcutta and Bombay Castle by the beginning of the 18th century.
- The British initially helped local princes and nawabs quell uprisings or revolts and they, in turn, gave them concessions.
Course of the treaty
- In January 1757, the British attacked the town of Hooghly, close to then Calcutta, with over 700 men.
- The Nawab of Bengal, Siraj-ud-daulah, who had just come to power a year earlier in his early 20s, mobilised forces.
- His troops would overpower the British and reach Calcutta on January 10, 1757, having lost over 600 men.
- However, the losses sustained in the war had resulted in the nawab losing confidence.
- He signed what came to be known as the Treaty of Alinagar with Robert Clive – who became the first British Governor of the Bengal Presidency – on February 9, 1757.
- Siraj-ud-daulah agreed to the restoration of the company’s factories and allowed for the fortification of Calcutta.
Aftermath of the battle
- The British then moved on to wrest the remaining territories in Bengal from the French, laying siege to Chandannagar.
- However, the move did not go down well with the nawab.
- But, Daulah was also wary of Afghan forces under Ahmad Shah Durrani and the Marathas.
- Traders in his kingdom were already wary of him and there was a conspiracy led by the likes of his military general, Mir Jafar.
- Events would later culminate in the Battle of Plassey on June 23, 1757.
- It resulted in the East India Company gaining hold of Bengal and was a significant event in its rise to power in the subcontinent.
Try this question.
Q.For most Indians, the history of British colonial rule in India begins in Plassey. However, the roots of it were sown long back. Discuss. (250W)
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