Haryana govt doctors go on indefinite strike
Ambala/Kurukshetra (PTI): Government doctors in Haryana intensified their protest on Wednesday, extending their strike for an indefinite period in protest against the non-fulfilment of their demands, including the implementation of the modified assured career progression scheme.
The doctors had earlier launched a two-day strike, from December 8 to 9, which they have now extended for an indefinite period.
Amid the standoff with protesting doctors, the Haryana government, on Tuesday evening, invoked the Essential Services Maintenance Act (ESMA), prohibiting any strike by government doctors. The state health department ordered the deduction of salaries of the doctors for the days they remained off duty due to the protest.
The strike was initiated following a call from the Haryana Civil Medical Services Association, which represents government doctors in the state.
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As a result, healthcare services, including essential diagnostic services, ultrasound, and CT scan at many hospitals, were affected.
Dr Rajesh Khyalia, president of the Haryana Civil Medical Services Association, said the government had promised a year ago to fulfil their demands, which included a halt to direct recruitment of senior medical officers and implementation of a modified assured career progression scheme.
"We request the government to fulfil its promise. But rather than fulfilling its promise, it is trying to suppress our voice through ESMA or issuing letters," he said.
"Our doctors are not getting promotions. "We do not understand why the government is pressuring us. Why is it not implementing its promise?" he questioned.
He further said that three doctors in Panchkula are observing a fast unto death until the demands are met.
Noting that they are ready for a dialogue, Khyalia said they have not yet received any invitation from the government for talks.
The HCMSA has been demanding a halt in the direct recruitment of SMO and the implementation of modified assured career progression.
In the wake of the strike, state health authorities deployed doctors from the National Health Mission, medical colleges, ESIC, consultants, and Ayush practitioners to ensure that healthcare services continued without disruption.
Meanwhile, in Ambala and Kurukshetra, there was not much of an impact on healthcare services due to the strike.
Civil Surgeon Ambala Dr Rakesh Sahal said that 168 doctors are enrolled in the Ambala district, and they were present on Wednesday. He informed that all departments, including lab, ultrasound and X-ray, are functioning, and that patients are receiving proper medical care.
He further assured that all community health centres and primary health centres were working smoothly, adding that there has been no impact in Ambala due to the strike.
In Kurukshetra, the strike failed to evoke a response with all doctors reporting for duty at the Lok Nayak Jai Prakash Narain District Hospital.
Chief Medical Officer Dr Sukhbir Singh Mehla said that while 23 of the 124 doctors were absent on Monday, 18 were absent on Tuesday. But not a single doctor skipped duty on Wednesday.
He said that medical services were functioning smoothly and patients did not face any inconvenience.
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MP HC sets up judicial commission to probe water contamination in Indore
Indore (PTI): The Indore bench of Madhya Pradesh High Court on Tuesday set up a commission of inquiry comprising a former HC judge to probe the issue of water contamination in city's Bhagirathpura, saying the matter requires probe by an independent, credible authority and "urgent judicial scrutiny".
It also directed the commission to submit an interim report after four weeks from the date of commencement of proceedings.
A division bench of Justices Vijay Kumar Shukla and Alok Awasthi constituted the commission while hearing several public interest litigations (PILs) filed simultaneously regarding the deaths of several people in Bhagirathpura due to the consumption of contaminated water.
The HC reserved the order after hearing all the parties during the day, and released it late at night.
The state government on Tuesday told the HC that the deaths of 16 people in Indore's Bhagirathpura area was possibly linked to a month-long outbreak of vomiting and diarrhoea caused by contaminated drinking water.
The government presented an audit report of 23 deaths from the current gastroenteritis epidemic in Bhagirathpura before the bench, suggesting that 16 of these fatalities may have been linked to the outbreak of vomiting and diarrhoea caused by contaminated drinking water.
The report, prepared by a committee of five experts from the city's Government Mahatma Gandhi Memorial Medical College, stated that the deaths of four people in Bhagirathpura were unrelated to the outbreak, while no conclusion could be reached regarding the cause of death of three other people in the area.
During the hearing, the high court sought to know from the state government the scientific basis behind its report.
The division bench also expressed surprise at the state government's use of the term "verbal autopsy" in relation to the report, sarcastically stating that it had heard the term for the first time.
The HC expressed concern over the Bhagirathpura case, stating that the situation was "alarming," and noted that cases of people falling ill due to contaminated drinking water have also been reported in Mhow, near Indore.
In its order, the HC said the serious issue concerning contamination of the drinking water supply in Bhagirathpura area allegedly resulted in widespread health hazards to residents, including children and elderly persons.
According to the petitioners and media reports, death toll is about 30 till today, but the report depicts only 16 without any basis or record, it said.
It is averred that sewage mixing, leakage in the pipeline, and failure of civic authorities to maintain potable water standards have led to the outbreak of water-borne diseases. Photographs, medical reports, and complaints submitted to the authorities prima facie indicate a matter requiring urgent judicial scrutiny, the HC said.
"Considering the gravity of the allegation and affecting the right to life under Article 21 of the Constitution of India and the need for an independent fact-finding exercise, the Court is of the opinion that the matter requires investigation by an independent, credible authority," it said.
"Accordingly, we appoint Justice Sushil Kumar Gupta, former judge of the Madhya Pradesh High Court, a one-man commission of inquiry into the issues relating to water contamination in Bhagirathpura, Indore, and its impact on other areas of the city," the HC added.
As per the order, the commission shall inquire into and submit a report on the cause of contamination -- whether the drinking water supplied to Bhagirathpura was contaminated; and the source and nature of contamination (sewage ingress, industrial discharge, pipeline damage etc).
The panel will also probe the number of actual deaths of affected residents on account of contaminated water; find out the nature of disease reported and adequacy of medical response and preventive measures; suggest immediate steps required to ensure safe drinking water as well as long-term infrastructural and monitoring reforms.
It will also identify and fix responsibility upon the officers and officials found prima facie responsible for the Bhagirathpura water contamination incident, and suggest guidelines for compensation to affected residents, particularly vulnerable sections.
The commission shall have powers of a civil court for the purpose of summoning officials and witnesses; calling up records from the government department, hospitals, laboratories and civic bodies; ordering water quality testing through accredited laboratories; conducting spot inspections.
All state authorities involving district administration, Indore Municipal Corporation, public health engineering department and Madhya Pradesh Pollution Control Board shall extend full co-operation and provide records as sought by the commission, it said.
The state government shall provide office space, staff, and logistical support to the commission, it said.
During the hearing in the day, the state government also presented a status report to the court in this matter.
According to reports, a total of 454 patients were admitted to local hospitals during the vomiting and diarrhea outbreak, of whom 441 have been discharged after treatment, and 11 are currently hospitalised.
According to officials, due to a leak in the municipal drinking water pipeline in Bhagirathpura, sewage from a toilet was also mixed in the water.
