Note4Students
From UPSC perspective, the following things are important :
Prelims level: RCEP
Mains level: Read the attached story
Central Idea
- Sri Lanka and Bangladesh are considering joining the Regional Comprehensive Economic Partnership (RCEP) after India’s withdrawal from the trade agreement in 2019.
Recent update on RCEP
- Sri Lanka’s Application: Sri Lanka has applied for RCEP membership and seeks support from China, Malaysia, Indonesia, Japan, and Thailand.
- Bangladesh’s Decision: Bangladesh is expected to make a final decision on RCEP membership after its elections in January 2024.
What is Regional Comprehensive Economic Partnership (RCEP)?
| Scope |
Free trade agreement among 15 Asia-Pacific countries |
| Member Countries |
Australia, Brunei, Cambodia, China, Indonesia, Japan, Laos, Malaysia, Myanmar, New Zealand, Philippines, Singapore, South Korea, Thailand, Vietnam |
| Negotiations and Signing |
Negotiations started in 2012,
Officially signed on November 15, 2020 |
| Entry into Force |
Effective from January 1, 2022 |
| Objectives |
Reduce trade barriers, promote economic growth, enhance economic cooperation |
| Trade Facilitation |
Includes tariff reductions, trade in services, rules of origin, customs procedures, and trade remedies |
| Market Access |
Improves market access for goods and services among member countries |
| Accession Rules |
Expected to be finalized by 2024 |
| Global Significance |
Significant due to large economies like China, Japan, and South Korea |
| India’s Withdrawal |
India initially participated but withdrew in 2019 citing concerns about trade deficits and domestic industries |
India’s Stance on RCEP
- Past Withdrawal: India withdrew from RCEP talks in 2019 due to concerns over services mobility, potential flood of Chinese goods, and objections from domestic agriculture and small businesses.
- No Indication of Return: India has not indicated any reconsideration of its decision to withdraw from RCEP.
Reasons for Sri Lanka and Bangladesh’s Interest
- Learning from Crisis: Sri Lanka realizes the importance of regional markets during crises and hopes to spread its market and enhance competitiveness.
- Bangladesh’s Graduation: As Bangladesh approaches graduation from the list of Least Developed Countries in 2026, joining RCEP could offset potential export losses and simplify FTA negotiations.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Hepatitis
Mains level: Read the attached story
Central Idea
- Egypt has become the first country to achieve the World Health Organization’s “gold tier” status on the path to elimination of Hepatitis C.
About Hepatitis
|
Hepatitis A |
Hepatitis B |
Hepatitis C |
| Causative Virus |
Hepatitis A Virus (HAV) |
Hepatitis B Virus (HBV) |
Hepatitis C Virus (HCV) |
| Transmission |
Fecal-oral route (contaminated food/water) |
Blood and body fluids (unsafe sex, sharing needles) |
Blood-to-blood contact (sharing needles, transfusions) |
| Vaccine Available |
Yes |
Yes |
Yes |
| Chronic Infection |
No (usually acute) |
Yes (can become chronic) |
Yes (often becomes chronic) |
| Symptoms |
Mild flu-like symptoms, jaundice |
Variable, from none to severe symptoms |
Often asymptomatic, but can lead to liver damage |
| Chronic Complications |
None |
Cirrhosis, liver cancer |
Cirrhosis, liver cancer |
| Preventable by Vaccine |
Yes |
Yes |
No |
| Treatment |
Supportive care |
Antiviral medications |
Antiviral medications |
Egypt’s “Gold Tier” Status
- Stringent Criteria: To reach the “gold tier,” Egypt fulfilled specific criteria, including ensuring 100% blood and injection safety, providing a minimum of 150 needles/syringes annually for people who inject drugs, diagnosing over 80% of individuals with chronic hepatitis C virus (HCV), treating over 70% of diagnosed HCV patients, and establishing a surveillance program for hepatitis sequelae, including liver cancer.
- Exemplary Results: Egypt has diagnosed 87% of its hepatitis C patients and provided curative treatment to 93% of those diagnosed, surpassing the WHO’s gold tier targets.
How did Egypt achieve this?
- “100 Million Healthy Lives” Initiative: Egypt’s ambitious initiative led to a substantial reduction in hepatitis C prevalence, from 10% in 2016 to 5% in 2018 and an estimated less than 1% in 2019, as reported by the Africa CDC.
- Leadership Role: Egypt extends support to other African countries, aiming to replicate its success in hepatitis C elimination, including enhancing access to affordable treatment.
Try this PYQ:
Which one of the following statements is not correct?
(a) Hepatitis B virus is transmitted much like HIV.
(b) Hepatitis B, unlike Hepatitis C, does not have a vaccine.
(c) Globally, the number of people infected with Hepatitis B and C viruses are several times more than those infected with HIV.
(d) Some of those infected with Hepatitis B and C viruses do not show the symptoms for many years.
Post your answers here.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: India-Sri Lanka Ferry
Mains level: Read the attached story
Central Idea
- PM Modi inaugurated an international, high-speed passenger ferry service in Palk Strait between Nagapattinam in Tamil Nadu, India, and Kankesanthurai, near Jaffna in Sri Lanka.
India-Sri Lanka Ferry
- The service is operated by the Tamil Nadu Maritime Board and Shipping Corporation of India.
- It will operate daily, covering the 60-nautical mile (110-km) journey in approximately 3.5 hours.
- Passengers are entitled to a 50kg free baggage allowance.
- The Indo-Ceylon Express or Board Mail used to operate between Chennai and Colombo via Thoothukudi port.
- However, this was stopped in 1982 due to the civil war in the island country.
About Palk Strait
| Location |
Narrow water body separating Tamil Nadu, India, and Sri Lanka. |
| Name Origin |
Named after Robert Palk, a British Raj-era governor of Madras Presidency (1755-1763). |
| Geographic Boundaries |
Southern boundaries include Pamban Island (India), Adam’s Bridge (shoals), Gulf of Mannar, and Mannar Island (Sri Lanka). |
| Connection |
Connects the Bay of Bengal in the northeast with the Gulf of Mannar in the southwest. |
| Alternate Name |
Southwestern part of the strait is known as Palk Bay. |
| Dimensions |
Width varies from 40 to 85 miles (64 to 137 km), length is approximately 85 miles, and depth is less than 330 feet (100 meters). |
| River Inflows |
Vaigai River in Tamil Nadu flow into the Palk Strait. |
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Evapotranspiration, Water Cycle
Mains level: Read the attached story
Central Idea
- The World Meteorological Organization (WMO) issued a report highlighting the significant impact of climate change and human activities on Earth’s water circulation systems.
- This has direct consequences leading to droughts, extreme rainfall events, and disruptions in water cycles.
What is the Water Cycle?
- The water cycle, also known as the hydrologic cycle, is the continuous movement of water on, above, and below the Earth’s surface.
- It involves various processes that allow water to circulate between the atmosphere, land, oceans, and other bodies of water:
| Evaporation |
Sun’s heat turns surface water into vapor. |
| Condensation |
Vapor forms clouds as it cools in the atmosphere. |
| Precipitation |
Clouds release moisture as rain, snow, or hail. |
| Runoff & Infiltration |
Water flows over land or seeps into the ground. |
| Transpiration |
Plants absorb and release water vapor. |
| Sublimation |
Ice transforms directly into vapor in specific conditions. |
| Transport |
Winds move moisture globally. |
| Collection |
Water gathers in oceans, lakes, and underground sources. |
Why is it under stress?
- Diverse Impact: Climate change and human activities have led to an erratic hydrological cycle, resulting in both droughts and extreme rainfall events, causing widespread disruptions affecting livelihoods and economies.
- Melting Snow and Glaciers: Ongoing melting of snow, ice, and glaciers further exacerbates the risk of extreme weather events, such as floods, posing long-term threats to water security, particularly for millions already facing severe water scarcity.
Global Impact
- Global Deviations: Over 50% of global catchment areas experienced deviations from normal river discharge conditions in 2022, primarily due to climate anomalies, such as heatwaves, droughts, La Nina, and El Nino events.
- Horn of Africa Drought: Severe drought in the Horn of Africa led to reduced river discharge, affecting food security for 21 million people, while other regions, like the Niger Basin, saw above-average discharge and major floods.
- Water Reservoirs Affected: More than 60% of major water reservoirs experienced below-normal inflow, posing challenges to water availability in a changing climate.
Impact on Asian Water Tower
- The term “Asian Water Tower (AWT)” typically refers to the vast network of high mountain regions across Asia, particularly in countries like India, China, Nepal, Bhutan, and parts of Central Asia.
- These high mountain regions are the source of many major rivers in Asia, such as the Ganges, Brahmaputra, Yangtze, Mekong, Indus, and Amu Darya.
- The melting snow and glaciers in these mountains provide a continuous supply of freshwater to downstream areas.
- This AWT witnessed substantial glacial melting in 2022.
- Rising temperatures accelerate water cycle disruptions, leading to heavier precipitation, flooding, and intensified droughts, significantly impacting the water balance.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: International Classification of Diseases (ICD)
Mains level: NA
Central Idea
- The Centre seeks to include traditional Indian medicines in the 11th revision of the World Health Organisation’s International Classification of Diseases (ICD).
- The traditional Indian medicine system is categorized into Ayurveda, Siddha, Unani and Yoga, Naturopathy, and Homoeopathy
About International Classification of Diseases (ICD)
| Purpose |
Standardized system for classifying and coding diseases, health conditions, and related information. |
| Established |
1893, by International Statistical Institute (WHO’s predecessor) |
| Authority |
Developed and maintained by the World Health Organization (WHO). |
| Scope |
Covers a wide range of diseases, health conditions, injuries, and health-related factors. |
| Coding System |
Assigns unique alphanumeric codes to each health condition for consistent recording and reporting. |
| Global Applicability |
Internationally recognized and used for health data collection, analysis, and reporting. |
| Updates |
Periodically updated to reflect advances in medical knowledge and changing health trends. |
| Latest Version |
ICD-11 became effective in January 2022. |
| Uses |
Clinical diagnosis, health record documentation, research, health policy, and resource allocation. |
India’s quest to update ICD-11
- Universal Language: The ICD provides a universal language that enables healthcare professionals worldwide to share standardized information.
- Traditional Medicine Module: The 11th revision includes a module dedicated to traditional medicine conditions, offering a standardized way to collect and report data on these conditions internationally.
- Formal Recognition: Ayurveda and related Indian traditional healthcare systems are formally recognized and widely practised in India, making a strong case for their inclusion.
- Chinese Medicine Inclusion: After a decade of consultations, ICD-11 included Module-1, covering traditional medicine conditions originating in ancient China.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Green Credit Program
Mains level: Read the attached story
Central Idea
- The Centre has introduced a Green Credit Program (GCP) that allows individuals and entities to earn Green Credits, which can be traded on a dedicated exchange.
What is the Green Credit Program (GCP)?
- Objective: Aims to establish a competitive, market-based approach encouraging diverse stakeholders to undertake environmental actions.
- Nodal Agency: Ministry of Environment, Forest, and Climate Change.
Mechanics of Green Credit
- Voluntary Participation: Reflects inclusivity, as engagement in the program is entirely voluntary.
- Entities: The program extends to a diverse range of entities, encompassing individuals, industries, farmer producer organizations (FPOs), urban local bodies (ULBs), gram panchayats, and private sectors.
- Tradability: Tradable, fostering participation in a proposed domestic market platform.
- Certificates: Upon approval, applicants receive Green Credit certificates.
Covered Activities
- Qualifying Activities: The program includes various activities such as tree plantation, water conservation, sustainable agriculture, waste management, air pollution reduction, mangrove conservation, eco-mark initiatives, sustainable building, and infrastructure development.
- Registration and Verification: Participants must register their activities on the program’s website, which will undergo verification by a designated agency.
How are Green Credits computed?
- Equitable Calculation: Green Credits are determined based on resource equivalence, scalability, scope, size, and other relevant parameters, aiming to achieve desired environmental outcomes.
- Credit Registry: A dedicated Green Credit Registry will oversee the tracking and management of these credits.
- Trading Platform: An administrator will establish and maintain a trading platform for the exchange of Green Credits within the domestic market.
Alignment with Legal Obligations
- Non-Tradable for Legal Compliance: Green Credits obtained for legal compliance purposes will not be tradable, ensuring adherence to existing laws.
- Independent from Carbon Credit Scheme: The GCP operates separately from the Carbon Credit Trading Scheme, 2023, established under the Energy Conservation Act, 2001.
- Additional Climate Benefits: Activities generating Green Credits may also yield climate-related advantages, such as carbon emissions reduction, potentially resulting in the acquisition of carbon credits.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: 2023 Nobel Prize
Mains level: Women low labour force participation, Claudia Goldin's theory and solutions
What’s the news?
- 2023 Nobel Prize winner in Economics, Goldin’s groundbreaking work highlights that the key to addressing the underrepresentation and underpayment of women lies not in their homes but in the labor market.
Central idea
- In the realm of economic orthodoxy, long-held beliefs attributed women’s absence from the labor force to childcare responsibilities and lower education levels, perpetuating a gender pay gap. However, Claudia Goldin, the esteemed 2023 Nobel Prize winner in Economics, challenged these notions and offered a fresh perspective.
Goldin’ theory
- Claudia Goldin’s lifetime of research has bestowed a name and a voice upon these women’s challenges.
- She meticulously traces the evolution of the American economy from agriculture to manufacturing to services, revealing that women were historically excluded from market activities.
- Only when jobs expanded beyond factories into offices, schools, and hospitals did women gain access to the workforce.
- Despite their increasing educational achievements, women continued to earn less than their male counterparts.
- Goldin’s theory attributes this persistent wage gap to the difficulty women face in pursuing jobs with demanding responsibilities.
A Solution for Gender Equity
- Reduce Reliance on Heroic Efforts: Goldin suggests moving away from a culture of greedy work that rewards extreme efforts. Instead, organizations should create roles that don’t require superhuman commitments, promoting work-life balance.
- Promote Moderate Work Hours: Goldin’s solution includes advocating for reasonable work hours, benefiting both genders and avoiding productivity issues associated with excessively long hours.
- Provide Predictable Schedules: Emphasizing stable work hours helps employees better plan family responsibilities and reduces stress, contributing to gender equity.
- Institutional Support: Supporting institutions should include educational reforms to ease parental homework burdens and urban planning that reduces commuting, making it easier for both men and women to balance work and personal life.
The Road Ahead in India
- Service Sector Opportunities: India’s growing service sector offers the prospect of increased employment opportunities for women. This aligns with Goldin’s observation that women found jobs when economic production shifted from factories to offices, schools, and hospitals.
- Rising Education Levels: With a continuous increase in women’s educational achievements, there is a growing potential to enhance their participation in the workforce. This trend mirrors Goldin’s emphasis on education as a factor that can boost employability.
- Declining Fertility Rates: The decreasing fertility rates in India can contribute to freeing up more of women’s time, potentially facilitating higher workforce participation, as Goldin also noted the impact of declining fertility on women’s ability to engage in the labor market.
Reshaping the environment, as proposed by Claudia Goldin
- Workplace Restructuring: Reducing the reliance on extreme efforts and creating roles that allow for a better work-life balance, particularly for women.
- Moderating Work Hours: Promoting reasonable work hours to improve work-life equilibrium, avoiding productivity issues associated with excessively long hours.
- Ensuring Predictable Schedules: Establishing stable work schedules to facilitate family planning and reduce stress, thus promoting gender equity.
- Supportive Institutions: Reforms in education and urban planning to ease parental responsibilities and reduce commuting times, enabling both men and women to better balance their professional and personal lives.
Conclusion
- To ensure the continued progress of gender convergence in labor market outcomes, we must heed her call for workplace reform and the development of supportive institutions. By doing so, we can pave the way for a more equitable and balanced future for both men and women in the workforce.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Medical Education initiatives and latest updates
Mains level: Medical Education reforms, challenges and solutions
What’s the news?
- The demand for doctors exceeds the supply in large parts of India.
Central idea
- The demand for doctors in India consistently surpasses the available supply, while the pursuit of medical education often outstrips the number of seats available. Reducing this demand-supply gap in medical education has proven to be a challenging endeavor, with potential implications for the availability of healthcare professionals.
Expanding Medical Education
- Over the last decade, India has made significant strides in expanding medical colleges and seats at both undergraduate (UG) and postgraduate (PG) levels.
- UG seats have nearly tripled, PG seats have almost quadrupled, and the number of medical colleges has doubled since 2010-11.
- Despite this expansion, in 2021, India had only 4.1 medical graduates per lakh population, falling behind countries like China, Israel, the US, and the UK.
Challenges in scaling
- Regulatory and Financial Constraints: On average, Indian medical colleges offer 153 UG seats per college, significantly fewer than Eastern Europe (220) and China (930). This discrepancy is a result of regulatory and financial constraints.
- Infrastructure Limitations: Expanding UG seats in a public medical college from 150 to 200 required additional resources, such as a larger library, increased daily outpatient department (OPD) footfalls, and more nursing staff, as per the draft guidelines for establishing new medical colleges in 2015.
- Quality Maintenance: Concerns that disproportionate scaling can impact the quality of pedagogy and, subsequently, the quality of doctors produced
- Faculty Shortages: Both public and private colleges face teaching faculty shortages, despite better remuneration structures in public colleges. Scaling up can further strain the already limited pool of qualified teaching staff.
- Economic Viability for Private Colleges: Investing in scaling can be risky for private colleges if seats remain vacant and costs aren’t recovered. This can lead to high capitation fees and price distortions.
- Curriculum Limitations: The nature of the competency-based curriculum dictates constraints on scalability. For example, there can’t be more than 15 students surrounding a bed or in any other practical class.
- Equity Concerns: The goal of producing doctors evenly across regions might not result in efficient production. Migration of doctors from states with higher production can be an issue.
Value addition box
Innovations from the US
- India’s competency-based curriculum is akin to that of the US, which has successfully scaled up the production of doctors by optimizing resource utilization.
- Innovations, such as involving practicing MD doctors as mentors for medical students and integrating interprofessional education (IPE) into the curriculum, have enhanced the quality of education and reduced the faculty requirements.
|
Quality vs. Scale vs. Equity: A triad of challenges
- Quality:
- Ensuring the highest standards of medical education, which translates into competent, skilled, and ethical practitioners.
- The competency-based curriculum in India requires small-group teaching to ensure a thorough understanding and hands-on experience for students.
- There’s a concern that rapid scaling could lead to a decline in the quality of education and subsequently the quality of doctors produced.
- Quality assurance becomes even more critical given the life-and-death implications of medical practice.
- Increasing the number of medical graduates to meet the country’s healthcare needs.
- Despite the expansion of UG and PG seats in medical colleges, the demand-supply gap persists.
- Regulatory, infrastructural, and financial constraints pose significant challenges in scaling up.
- The National Medical Commission prioritizes an even distribution of medical colleges and seats. They aim for localized doctor production to ensure different regions have adequate healthcare.
- Policies such as the cap on UG seats and the location restrictions of new colleges highlight this focus.
- However, this might not lead to efficient doctor production due to phenomena like interstate migration of doctors.
Way forward
- Regulatory Reforms: Streamline regulations to facilitate the establishment and expansion of medical colleges while ensuring quality standards.
- Faculty Development: Prioritize investment in faculty development programs to address shortages and retain experienced educators.
- Technology Integration: Embrace technology to enhance scalability and access to medical education, including e-learning and telemedicine tools.
- Competency-Based Curriculum: Continue to implement competency-based curricula to produce doctors with practical skills and real-world readiness.
- Incentives for Rural Service: Develop and implement policies that incentivize medical graduates to serve in underserved rural areas, addressing healthcare disparities.
- Public-Private Collaboration: Foster collaboration between public and private sectors to expand the availability of medical education seats and improve educational infrastructure.
Conclusion
- Bridging the gap between the demand for doctors and the supply of medical education is a multifaceted challenge in India. To meet the growing healthcare needs of the population, policymakers must carefully consider the trade-offs between quality, scale, and equity in medical education.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Key facts and initiatives
Mains level: Climate change, water stress and its impact on food security
What’s the news?
- The theme for World Food Day (October 16) this year—’Water is Life, Water is Food’ —calls for urgent action in managing water wisely.
Central idea
- Water is the essence of life, a resource that nourishes not just humanity but every ecosystem on this planet. However, as this year’s World Food Day theme rightly points out, water is also food. In the light of increasing climate extremes, managing this precious resource wisely has never been more urgent.
Impact of Climate Change on Crop Yields
- Rainfed rice yields in India are projected to decrease by 20% in 2050 and 47% in 2080 if no adaptation measures are taken.
- Irrigated rice yields are also expected to decline, with a projected decrease of 3.5% in 2050 and 5% in 2080 scenarios.
- Wheat yields could face substantial reductions, with a projected decrease of 19.3% in 2050 and 40% in 2080.
- Kharif maize yields are also at risk, with projected declines of 18% in 2050 and 23% in 2080.
- Climate change, without adequate adaptation measures, not only reduces crop yields but also lowers the nutritional quality of the produce.
Challenges associated with poor water management
- Degraded Freshwater Supplies and Ecosystems: Decades of mismanagement, misuse, and pollution have resulted in the degradation of freshwater supplies and ecosystems. This has had a detrimental impact on the availability of clean water for agriculture and other essential needs.
- Vulnerability of Small-Scale Producers: Small-scale farmers, who represent over 80% of farmers globally, are especially vulnerable to the effects of climate shocks, land degradation, and water scarcity.
- Land Degradation: Approximately 40% of the world’s land area is degraded, which means that it is less productive for agriculture. This further reduces the available land for farming, exacerbating the challenges faced by small-scale producers.
- Climate Impacts: Extreme weather events and variability in water availability are disrupting agricultural production. These changes are altering agro-ecological conditions and shifting growing seasons, making it challenging for farmers to predict and adapt to changing conditions.
- Effects on Crop Productivity: Changes in rainfall patterns and rising temperatures have adverse effects on crop productivity. Reduced yields and food availability can result from these climate-related factors, which can contribute to food insecurity and hunger.
Do not scroll past this
FAO Crop Forecasting Framework:
- The FAO is working on a pilot project in several Indian states, including Andhra Pradesh, Karnataka, Himachal Pradesh, and Maharashtra.
- The project aims to develop a crop forecasting framework and model that incorporates climate data, soil characteristics, and market information.
- This information can help rainfed farmers make informed decisions about their crops, potentially contributing to food security by improving agricultural planning and management.
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Climate change adaptation
-
- Supports sustainable agrifood systems and climate-smart agriculture.
- Initiated the farmer water school programme in Uttar Pradesh.
- Supported the Andhra Pradesh Farmer Managed Groundwater Systems project which benefits 638 habitations with hydrological monitoring.
-
- Prioritizes climate change adaptation in its core strategies.
- Invests in preserving soil health, water resources, and integrating modern technologies with indigenous systems.
- Implements projects in Maharashtra, Odisha, Uttarakhand, Nagaland, and Mizoram emphasizing climate-resilient practices.
-
- Partners with the Government of Odisha focusing on women farmers.
- Employs solar technologies and promotes millet-value chains for climate resilience.
Steps needed
- Overall Strategy: Prioritize political commitment and concrete investment for global food and nutrition security. Promote innovative technologies to enhance farmer productivity.
- Climate Change Adaptation: Formulate strategies to adapt to climate change. Foster resilience against environmental and economic shocks.
- Agricultural Practices: Implement sustainable and economically feasible irrigation and water management techniques. Minimize the climate footprint in agricultural production. Address bio-hazards and environmental pollution.
- Infrastructure and Supply Chain: Prioritize sanitation and potable water supply for rural areas. Advocate for efficient food and water recycling methods.
- Regulation and Management: Strengthen sustainable and fair water regulations. Improve management, access, and ownership systems for resources.
- UN’s Collaborative Projects: Collaborate with the Indian Government on projects such as Solar 4 Resilience, Secure Fishing, and the revival of millets for renewable energy and food security.
Conclusion
- Climate change is making water more scarce and unpredictable. Droughts, floods, and other extreme weather events are becoming more common. World Food Day is a reminder that we all have a role to play in achieving food and nutrition security for all. By working together, we can create a world where everyone has enough to eat and drink.
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