Medical Practice
Clinical stories and reflections on evidence-based medicine, research, and patient care.
Politics of Science in a Pandemic
In 2020, Covid virus— a black swan— wreaked havoc across the globe, killing more than 1.5 million people, infecting many more and causing economic devastation. And although research developments progressed very fast in 2020, the pandemic set the course of science afire. The coronavirus spread. And as fast did the scientists, researchers and public health activists move. No … Read the essay
Make hay while the sun shines: Unproven COVID drugs in India
India has the world’s second-largest COVID-19 outbreak. India desperately needs effective treatments. But the way the country’s drug regulator is handling potential therapies concerns many of us. The Drugs Controller General of India (DCGI) has approved several repurposed drugs for ‘restricted emergency use’ for treating the disease. On what basis were these drugs approved? Was … Read the essay
Hydroxychloroquine and Covid
My colleagues and I wrote our concern in Lancet Infect Dis about the inappropriate and irrational use of Hydroxychloroquine for preventing and treating Covid in India. We wrote this when the pandemic had just started. The Indian Council of Medical Research, under the Ministry of Health and Family Welfare, has recommended chemoprophylaxis with hydroxychloroquine for … Read the essay
Covid and Community Transmission
I see three challenges ahead vis-à-vis COVID-19 in India’s rural areas. First, many rural healthcare workers are exhausted and burned out. Second, lifestyle diseases like diabetes, high blood-pressure and heart problems have become more common in rural India in the last decade or so. Third, officials and healthcare workers have to contend with the spectre … Read the essay