Health hazards

In a garbage-infested village outside Delhi, fevers have been claiming lives this monsoon

But the district health administration refutes claims of a 'mystery virus'. The causes of death were different in each case, they say.

Just 10 minutes of rain in Sarfabad village caused floods in its bylanes. The village is in Noida, a township in Uttar Pradesh that is part of the National Capital Region and just outside Delhi. Children in Sarfabad who decided that it was time to play ended up wading in blackish sewage water in the streets. The roads are lined with mounds of garbage. On Friday, civic authorities had removed silt from the gutters that were then piled up in black heaps near the gutters. That silt was washed away again by the next round of rain.

In this village, there have been ten deaths just in the month of August. Residents claim that most of the deceased had suffered fever and body pain for a few days before they died. Public health authorities in Noida investigating the deaths have said that the the causes of death were different in each case including. Some died of heart attacks, they said. There was no outbreak of any disease, they claimed.

Despite this, television reports have started talking about a mystery virus afflicting the area's residents.

Villagers walk through water that has accumulated after about 10 minutes of rain. Photo: Menaka Rao
Villagers walk through water that has accumulated after about 10 minutes of rain. Photo: Menaka Rao

Ten deaths with no pattern 

Twenty two-year-old Vipin Sharma was preparing for a test in a law college on August 15, when he said he was feeling feverish. The next morning at around 7, he complained that he was cold. He was shivering. His family took him to the nearby District Government Hospital at Noida's Sector 30, but say they were sent back. Sharma died at home at around 8.30 am.

“Only two youths have died, among the 10," said Dr VD Verma, the chief medical officer, Gautam Buddha Nagar district which covers Noida. "Another youth who died had a problem of convulsions. Most others were either between 50-60 years of age.”

Verma listed a litany of medical complaints that affected the victims.

“One died of heart attack, one of paralysis, one had acute liver failure, one had pancreatitis, one had chronic obstructive pulmonary disease,” he said. "All of them have died of different reasons."

Sukhpal Yadav, 60, was “perfectly healthy” before he was struck with fever, according to his family. “He was in hospital for ten days," said his son Moolchand, who works as a driver. "We got all the tests done, but nothing came out positive.”

Sarfabad village is contained within a three-kilometer radius and has about 10,000 to 15,000 inhabitants. “If there are 10 deaths in two weeks time associated with fever there is clearly an outbreak,"said Dr Rajib Dasgupta, from the community medicine department of Jawaharlal Nehru University, Delhi. "It is most certainly an unusual event though we cannot comment on what has really happened.”

The district administration did about five rapid malaria tests, and tested a few people for dengue, all of which have turned up negative. While admitting to the lack of sanitation in the area, the administration has denied finding any disease-carrying organisms like the dengue-causing Aedes mosquito.

No primary health centre nearby

Nevertheless, the district administration has also held a medical camp in the area to treat patients who have fever. The camp has been running since August 25, and will continue for some time, said Verma.

Even though temporary, this is the first government facility within the village that Sarfabad residents are getting access to. There is no primary health care centre nearby. It is little wonder that patients were excited about the free medicines available in the camp.

The villagers usually rely on jholachap or quacks in the area, or doctors with Ayurveda degrees. There is not a single MBBS doctor in the village.

Veer Singh, who has a Ayurveda medicine degree, with his patients. Photo: Menaka Rao
Veer Singh, who has a Ayurveda medicine degree, with his patients. Photo: Menaka Rao

Scroll.in visited two doctors who claimed to a have degree in Ayurvedic medicine. Both were receiving many patients with symptoms of fever, cold and cough.

“Many of my patients complain of pain in the leg and fever," said Dr Veer Singh, whose desk was strewn with different formulations of injections. "Some of their blood tests are showing that they have a drop in platelets. We get about 200-250 patients a day, mostly with fever.”

As he spoke, Singh was tending to to a man complaining of knee pain. The doctored administered and injection to the patient through his shirt, without exposing the skin of his arm – a method that could possible infect the site of the injection.

The sanitation problem

Whether this round of sickness in Sarfabad is connected to its filth or not, it's evident that the village has a huge sanitation problem, the root of which lies in politics.

Last year, the Uttar Pradesh government decided against having panchayat elections in the villages of Gautam Buddha Nagar. The farmers had then complained that in the absence of an elected body, no one could be held responsible for the development of rural areas and protection of the rights of the villagers, the Times of India reported at the time.

Now, everyone in Sarfabad complains bitterly that the Noida Authority has not taken care of the village's sanitation.

A derelict structure used as a garbage dump at Sarfabad village. Photo: Menaka Rao
A derelict structure used as a garbage dump at Sarfabad village. Photo: Menaka Rao

“Earlier, we had a pradhan [elected sarpanch] who would ensure that the village is kept clean," said Sukhvir Pehelwan, a social worker in the area. "It was running better then. Dabav rehta hai." There are pressures in living in the same society.

Residents complained that municipal workers now come only twice a week.

This is the first monsoon without a panchayat system. The authority has started a cleanliness drive in Sarfabad, a few more villages nearby till September 15.

Risks in peri-urban landscapes

Villages like Sarfabad are peculiar in nature. These peri-urban habitations on the fringes of cities are just one turn off a four-lane highway on a lanes that lead to hamlet-like enlosures where people still live in havelis or kothis.

“In developing countries they are often called ‘peri-urban interfaces’," said Dasgupta. "It is a zone of interaction between urban and rural socioeconomic systems, a transition zone between fully urbanized land in cities and areas in predominantly agricultural use. It is characterised as zone of rapid economic and social structural change. These have implications for urban governance.”

Many people in Sarfabad, like Moolchand, have sold their ancestral land. Just outside the core of the village, where the original village dwellers live, there are buildings and farm houses that are have come up. Some are using their land to build small cemented hutments in which the construction workers live.

There are people who are involved in the construction business, like Bhirampal Yadav, who supplies land mowers. His 62-year old father, Bhimpal Yadav, died of after fever on April 24. The district administration maintains he suffered from pancreatitis.

There is also an influx of migrant populations who work in Noida and rent in Sarfabad village, the villagers said.

“Urban health systems are weak in India, deficient in core public health functions. Peri urban typically falls between two stools, lacking in services provided by either the rural health services or excluded by the municipal system,” said Dasgupta. This, he added, increases the risk of such infections.

The villagers, in the meanwhile, feel the administration is only trying to push things under the carpet. By all the different account the number of deaths in Sarfabad in August varies between 13 and 35. Residents maintain that one or two people have been dying every day for the past three weeks.

Prajwala Sharma, the mother of the 22-year-old Sharma wants the village to be cleaned better. “ I do not want any other mother in this village to cry over a dead son,” she said.

We welcome your comments at letters@scroll.in.
Sponsored Content BY 

Not just for experts: How videography is poised for a disruption

Digital solutions are making sure it’s easier than ever to express your creativity in moving images.

Where was the last time you saw art? Chances are on a screen, either on your phone or your computer. Stunning photography and intricate doodles are a frequent occurrence in the social feeds of many. That’s the defining feature of art in the 21st century - it fits in your pocket, pretty much everyone’s pocket. It is no more dictated by just a few elite players - renowned artists, museum curators, art critics, art fair promoters and powerful gallery owners. The digital age is spawning creators who choose to be defined by their creativity more than their skills. The negligible incubation time of digital art has enabled experimentation at staggering levels. Just a few minutes of browsing on the online art community, DeviantArt, is enough to gauge the scope of what digital art can achieve.

Sure enough, in the 21st century, entire creative industries are getting democratised like never before. Take photography, for example. Digital photography enabled everyone to capture a memory, and then convert it into personalised artwork with a plethora of editing options. Apps like Instagram reduced the learning curve even further with its set of filters that could lend character to even unremarkable snaps. Prisma further helped to make photos look like paintings, shaving off several more steps in the editing process. Now, yet another industry is showing similar signs of disruption – videography.

Once burdened by unreliable film, bulky cameras and prohibitive production costs, videography is now accessible to anyone with a smartphone and a decent Internet bandwidth. A lay person casually using social media today has so many video types and platforms to choose from - looping Vine videos, staccato Musical.lys, GIFs, Instagram stories, YouTube channels and many more. Videos are indeed fast emerging as the next front of expression online, and so are the digital solutions to support video creation.

One such example is Vizmato, an app which enables anyone with a smartphone to create professional-looking videos minus the learning curve required to master heavy, desktop software. It makes it easy to shoot 720p or 1080p HD videos with a choice of more than 40 visual effects. This fuss- free app is essentially like three apps built into one - a camcorder with live effects, a feature-rich video editor and a video sharing platform.

With Vizmato, the creative process starts at the shooting stage itself as it enables live application of themes and effects. Choose from hip hop, noir, haunted, vintage and many more.

The variety of filters available on Vizmato
The variety of filters available on Vizmato

Or you can simply choose to unleash your creativity at the editing stage; the possibilities are endless. Vizmato simplifies the core editing process by making it easier to apply cuts and join and reverse clips so your video can flow exactly the way you envisioned. Once the video is edited, you can use a variety of interesting effects to give your video that extra edge.

The RGB split, Inset and Fluidic effects.
The RGB split, Inset and Fluidic effects.

You can even choose music and sound effects to go with your clip; there’s nothing like applause at the right moment, or a laugh track at the crack of the worst joke.

Or just annotated GIFs customised for each moment.

Vizmato is the latest offering from Global Delight, which builds cross-platform audio, video and photography applications. It is the Indian developer that created award-winning iPhone apps such as Camera Plus, Camera Plus Pro and the Boom series. Vizmato is an upgrade of its hugely popular app Game Your Video, one of the winners of the Macworld Best of Show 2012. The overhauled Vizmato, in essence, brings the Instagram functionality to videos. With instant themes, filters and effects at your disposal, you can feel like the director of a sci-fi film, horror movie or a romance drama, all within a single video clip. It even provides an in-built video-sharing platform, Popular, to which you can upload your creations and gain visibility and feedback.

Play

So, whether you’re into making the most interesting Vines or shooting your take on Ed Sheeran’s ‘Shape of You’, experience for yourself how Vizmato has made video creation addictively simple. Android users can download the app here and iOS users will have their version in January.

This article was produced by the Scroll marketing team on behalf of Vizmato and not by the Scroll editorial team.