Srinagar, Feb 2: Jammu and Kashmir BJP leader Altaf Thakur on Thursday said "Baba ka bulldozer" will remove encroachments by influential people on government land but will not bother poor people, even as J-K Kissan Tehreek held a protest here against the eviction drive.

"Baba ka Bulldozer will do its job, be it against Ali Mohammad Sagar (National Conference general secretary), Farooq Abdullah (former chief minister) or Muzaffar Shah (Awami National Conference vice president). The LG has made it clear that ordinary people will not be touched. Only the influential land grabbers will be targeted," Thakur told PTI.

He was responding to criticism of the eviction drive from political parties that the BJP was engaging in "personal vendetta".

Uttar Pradesh Chief Minister Yogi Adityanath's second term saw bulldozers demolishing properties of alleged criminals and people involved in riots, earning the CM the sobriquet of "Baba Bulldozer". Now, the term "Baba ka bulldozer" is usually used by BJP leaders across the country to refer to the action against encroachments.

"What's wrong is wrong. During the militancy period, people associated with Hurriyat Conference had grabbed lands. Even today, illegal construction of Qazi Yasir was demolished in Anantnag. Hurriyat people have grabbed lands wherever they could," Thakur said.

Thakur said the sealing of the shops at Lal Chowk on Wednesday was done as they had been constructed on land forcibly taken from one Gadda Singh.

"That land belongs to one Gadda Singh...it has been forcibly taken from him. Lands illegally occupied have to be retrieved on priority," he added.

However, authorities on Thursday morning removed the seals of the two dozen shops after it came to light that Srinagar Municipal Corporation had been collecting rent from the shopkeepers for four decades now.

Thakur said the eviction drive was being carried out on court orders and the J-K administration is only implementing it.

"During the 30 years of militancy, the influential people have grabbed government land. People from NC and PDP have been involved in it. They have grabbed lands which should have been used for making hospitals, hotels and playgrounds," he said.

Thakur also hit out at PDP president Mehbooba Mufti saying she always spoke against the army and police "because she has pinned her hopes on China...this kind of talk is anti-national".

"If she had to highlight any institutional land grab, she should have raised Nawa-e-Subah (NC headquarters) or Khidmat Trust (owned by Congress )," he said..

Meanwhile, activists of Jammu and Kashmir Kissan Tehreek led by its general secretary Zahoor Ahmad held a protest against the government's demolition drive.

"The government had promised acche din' and now they are destroying our humble dwellings. They had promised to give livelihood to people but are snatching the same by demolishing the shops. Is this what they had promised?" he said.

"We appeal to the people to come out and protest peacefully so that our voice awakens the government. Protesting peacefully is our right as we live in a democratic country," he added.

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Under the aegis of Alzheimer’s Disease International (ADI), people coming together from all around the world celebrate the month of September as World Alzheimer’s Month and commemorates World Alzheimer's Day every year on September 21st. This campaign advocates for an International awareness-raising effort for Alzheimer’s disease (AD) and other dementias. 

The theme for World Alzheimer’s Day 2024 is “Know Dementia, Know Alzheimer’s.” Considering the ‘human longevity revolution’ and the ‘human ageing time bomb’; the dementia crisis has been designated as the “the epidemic of our century”. It is estimated that more than 57 million people have dementia worldwide. More than two-thirds of them were in low-and middle income countries (LMICs). In India, data From the Longitudinal Aging Study in India (LASI) estimated that 8.8 million Indians older than 60 years live with dementia. The two most common causes of dementia are Alzheimer´s disease (AD) and vascular dementia. AD accounts for 50-70% of all cases of dementia, about 20-30% have either vascular dementia (VaD) or a combination of VaD and AD, the other dementia syndromes being Frontotemporal dementia (FTD and Dementia with Lewy Body (DLB).

Although ageing is one of the main risk factor for dementia, Dementia is not inevitable with ageing and is best depicted as a disorder on the “continuum of aging casualty”. We need to re- think dementia to be a "lifestyle disorder." Research has shown that AD develops in the life-course of 20-30 years on the background of ageing intricately and inexorably interacting with lifestyle risk factors (LSRFs), behavioural risk factors (BRFs), and Vascular Risk Factors (VRFs) along with other metabolic risk factors resulting in dementia.

The dementia process and brain pathology associated with dementia inexorably creeps in from early-life (20-40 years age group) to mid-life (40-59 years age group). AD is therefore a slow neurodegenerative neuropathological process resulting from cumulative brain pathology over a decades-long process, and is not an event that occurred de novo as a in late-life disorder.  By the time AD manifest as symptomatic dementia, the brain neurodegeneration can no longer be prevented. Current treatment into AD is ‘too late’ and offers symptomatic treatment only.

Being a neurologist trained in Memory/Cognitive Disorders and Dementia, I am not being a therapeutic nihilist when much research is underway for novel anti-dementia, anti-amyloid and other drug targets are in the pipeline. However, I wish to reiterate that until such effective, curative or disease modifying drugs are available, both in the developed and developing countries easily/cheaply, preventive neurology strategies will remain the Holy Grail in addressing the dementia epidemic. I fervently believe that Epidemics can only be eradicated by prevention, not by therapy!

Optimism for a life-course perspective to dementia prevention stems from evidence in a recent study published in 2020 as the Lancet Commission Report on dementia prevention. Similar to the much practiced Preventive cardiology and the evidence from the Framingham Risk Score (FRS) that estimates a patient's 10-year risk of cardiovascular disease (CVD); there is now research evidence to similar riskometer tools in dementia. This includes Mid-Life Dementia Risk Score and Late-Life Dementia Risk Index, which can accurately predict the likelihood of older adults developing dementia in the future life-course. This novel approach for the prediction of dementia risk could help to identify individuals who might benefit from intensive brain healthy lifestyle interventions that could stave off dementia in the future. 

The evidence from the 2020 Lancet Commission report lends credence that about 40% of dementia cases worldwide could theoretically be prevented or delayed by eliminating 14 modifiable risk factors during an individual's life course. Hence, it’s never too early or too late to act, to make such risk factor strategies at any stage during early or mid-life course. The 14 risk factors cited in the 2020 Lancet Commission report are low education, hearing losshypertension, smoking, obesitydepression, physical inactivity, diabetes, excessive alcohol consumption, traumatic brain injury (TBI), air pollution, social isolation, vision impairment, and high LDL cholesterol.

A life-span approach with a life-course approach focussing on Brain healthy Lifestyles, the promotion of Brain health and well-being, and healthy brain ageing (HBA) strategies would exert brain protection by preserving the brain’s cognitive reserve, brain neuroplasticity, brain resilience, and pave the route to a Dementia free life expectancy (DemFLE) operant on ‘The Scaffolding Theory of Aging and Cognition’ (STAC) conceptual model. The brain healthy lifestyles would mandate staying physically fit, adopting an active socially integrated lifestyle, (leisure activities, walking, bicycling, gardening ,playing musical instruments, social networking, visiting friends and relatives, going to movies, Hobbies) staying mentally and cognitively active( brain gym activities such as learning, reading, playing games, sudokos, puzzle games, meditation, yoga), being spiritually active, finding a ‘purpose in life’ (PIL or ‘Ikigai’)  ensuring eudaimonic well-being (EWB), eating smart adhering to brain healthy diet (the Asian-Mediterranean diet, diets high in fish, fruit, and vegetables fruits), sleeping well, quitting tobacco and alcohol, and coping stress, depression and anxiety, and by promoting mental  resilience for subjective psychological well-being. 

In fact, the World Brain Day on July 22nd this year the German Society of Neurology and the German Brain Foundation lend some evidence that too much sugar can harm the brain and impact AD. We should also be ‘Heart Smart’ to be ‘Brain Smart’ by controlling high blood pressure, treating diabetes mellitus, and preventing obesity to maintain a healthy BMI. My advocacy underscores that by improving lifestyle choices apart from controlling the modifiable risk factors would indeed be a public health roadmap for preventing and staving off the risk for future dementia in the next generation, a promise for tomorrow’s generation for DemFLE

This article would not have a 360° perspective by not addressing a sustainable dementia education for our children, grandchildren and for the next generation. Dementia education in children, school professionals, teenagers, adults, and the elderly in our society is quintessential to ‘know dementia, know Alzheimer’s’ as a lifestyle disorder. Our communities and society should be made aware of the “cradle-to- grave’ life-course perspective in preserving brain health, and adopting proactive brain healthy lifestyles as a public health initiative to dementia prevention in India.

“When meditating over a disease, I never think of finding a remedy for it, but instead a means of preventing it”- Louis Pasteur; 1884

Prof Dr.B.P.Shelley, MBBS, MD, DM, FRCP

Fellowship in Behavioural Neurology, Institute of Neurology, London, UK

Fellowship in Cognitive Neurology, Addenbrooke’s Cambridge University Hospitals, UK

Professor and Head - Department of Neurology 

Yenepoya Medical College

Yenepoya (Deemed to be University), Mangaluru, Karnataka