Unhealthy Promotions- Banning toys with food products meant for Children


February 21, 2011.

Shri Ghulam Nabi Azad

Minister of Health & Family Welfare

Nirmal Bhawan, New Delhi – 110108

Subject: For Immediate action-banning of toys given as free gifts with food products & drinks, & framing guidelines on Child Health & Preventive care

Hon’ble Minister,

I am writing this important petition on behalf of the Disease Management Association of India – DMAI; The Population Health Improvement Alliance. DMAI is founded by global healthcare leaders to help improve the population health in India by focusing on the entire continuum of care.

In November 2010, during my visit to the US , I was with Senator Tom Daschle ( Senator Tom was nominated as Health & Human Services Secretary by President Obama , which he declined, and is often referred to as a senior Advisor & Mentor to President Obama). During the discussion, he asked me; how is India a better bet than China? I told him that, in the next three decades, while India will have majority of working age population, China will have one working person and three retired persons. This should put China in serious productivity issue!! India is the youngest nation today, with an average age of approximately 25.9 years, and this is often referred as a ‘demographic dividend’.

While statistically, India is having a tremendous demographic dividend , if we do not attend to the ‘ Child Health’ as a top priority , our demographic dividend will become a ‘Demographic Disaster’, as our working population would be ‘Unhealthy’ and thus drastically impact the productivity of the nation . This is the biggest hurdle for India to attend, if we need to overtake China in the long-term for being a developed & a vibrant economy

For Immediate action: Media has proliferated & children have dedicated channels on TV.They watch T.V. , which is flooded with animated cartoons & other Sci-fi serials, and children get fancied with such shows. The companies have started giving the characters associated with these shows as free gifts to entice the children to buy their food products and drinks. So children force their parents to buy the foods stuff or drinks just for the sake of these ‘Freebies’ , and they also consume these products, so that the parents do not scold them for spending so much on these food items !! Due to this, our children are fast becoming obese & unhealthy!! Just for the sake of an example , I am quoting my son who buys Mc Donald’s ‘Happy Meal’ just for the sake of getting the toy that comes free with it & I can see that he is least interested in the meal , but then he consumes the ‘Burger’ , and ‘Cold Drinks’ that comes with the ‘Happy Meals’ to ensure that next time he gets a chance to buy the Happy Meal from Mc Donald again and most importantly , get the free toy . He already weighs 40 KG at the age of 7 years. Luckily, he has joined the Gym with me. But imagine, the severely ‘Obese’ children that are a result of such ‘Unhealthy’ Promotions with food products meant for children. I have just quoted Mc Donald for the sake of example, but we have most of the companies selling ‘Unhealthy foods’ with promotions aimed at enticing children, playing for their ignorance and their intense desire for playing with toys!

Through this note, I call upon the policy makers to ban such toys and also the advertisements related to such promotions in national media with immediate effect. I also call upon the ‘responsible’ companies to sell & market their products for ‘nutritional value’ and not on ‘Unhealthy promotions’ or ‘Freebies’.

Also, the MOHFW should come up with “hand book on Preventive Healthcare for Children” below 12 years If we fail to take immediate and strict action now, our future generations will grow up to curse this generation for inaction, and the nation will be burdened by poor productivity and high healthcare costs with no signs of health ! It is a call to action . I do look forward to prompt action on the same from all the concerned.

If the policy makers fail to take action, DMAI will initiate a nation-wide campaign for such ‘unhealthy promotions’.

With best regards

Rajendra Pratap Gupta

CC.

Sonia Gandhi ,Rahul Gandhi , Dr.Manmohan Singh , Dr.Murli Mahohar Joshi , Shri Ghulam Nabi Azad Min,  for information & Broad Casting,  Montek Singh Ahluwalia,  Dr.Syeda Hameed,  Shri L.K.Advani , Smt. Sushma Swaraj,  Shri Dinesh Trivedi , Sitaram Yechury , Members of Parliament , Sam Pitroda , Secy, Health & Family Welfare, GOI , Dr. K. Srinath Reddy , Chief Minister’s of States,  Media

NRHM & Jan Aushadhi Scheme review by Parliamentary Accounts Committee ( PAC)


February 14th , 2011.

Dr.Murli Manohar Joshi

M.P.( Lok Sabha )

Chairman ,

Public Accounts Committee

Government of India

6, Raisena Road

New Delhi 110001

Reference : National Rural Health Mission ( Ministry of Health & Family Welfare ) & Jan Aushadhi Stores ( Ministry of Chemicals & Fertilizers )

Dear Dr.Joshi,

Namaskaar,

This has reference to our meeting on 9th February 2011 at your residence in Delhi  , and our discussions regarding NRHM & its  review by the PAC . I have gone through the entire NRHM set up and even visited various centres and sub centres operated under NRHM in different parts of the country .  I believe that, you must reconsider your views on recommending the scrapping of NRHM, as NRHM has definitely made an impact on the lives of the rural population . Though, NRHM needs some radical operational changes , but as a program , it is impactful. Please find my recommendations to the Planning Commission on the changes needed in NRHM for the 12th five year plan . Planning commission had asked me for inputs on the same , and I am sure that the MOHFW might be working on the changes as well . Rest we will discuss when you invite me to dispose before the PAC as an healthcare expert for NRHM & other schemes of MOHFW.

 Jan Aushadhi Stores ( under ministry of chemicals & fertilizers ) : In fact , this scheme is poorly planned and badly executed . You must recommend scrapping of the Jan Aushadi stores scheme with immediate effect . This is a blatant misuse of public money . Whereas , the idea of generic stores is great , but this scheme has been a failure so far , and I do not foresee this scheme taking off . In the current form , Jan Ausahdi is a scam in the making !! 

If you are still to review the Jan Aushadhi stores under the PAC , I would be happy to despose based on my hands on experience with pharmacy chains and the ground reality with Jan Aushadi stores

 I am sure that you will certainly consider these inputs and revert in case you need more information . Also , Dr.Joshi , I am travelling to your constituency in March 1st week to deliver a lecture at the Institute of Medical Sciences , BHU on NRHM , and If you are in Varanasi , would be glad to meet up.

 With best regards

 Rajendra

Rajendra Pratap Gupta

President & Director

Disease Management Association of India  ( www.dmai.org.in )

Budget Expectations – Preventive Care


January 25th , 2011. 

Shri Pranab Mukherjee

Minister for Finance

Government of India

North Block,

New Delhi -110001

Subject : One action item in the budget for 2011-12 that can raise the GDP by 1-3 %

Dear Pranab Da ,

I am sure that your team is working hard to find a balance between maintaining the growth, reducing inflation , keeping the debt within reasonable limits , and still maintain India as one of the most appealing investment destination for foreign investors !! I know that it is quite a challenge, but we are sure that your team will achieve it under your leadership

I am making this request on behalf of The Disease Management Association of India ; DMAI- The Population Health Improvement Alliance . At DMAI, we work with various stake holders to bring about a lasting improvement in our healthcare system Healthcare in India is a big economic issue and is fast turning out to be a social & a political issue .

Let me walk you through one reality – Healthcare is not an individual issue , it is a family issue . Take the case of a person suffering from just one of the chronic diseases like Arthritis, Diabetes , Cardiac disease or Cancer (It is a known fact, that by the time an Indian reaches the age of forty , he is either at the risk of or suffering from a chronic disease) . If a person in family suffers from a chronic disease , not only does that person lose his efficiency ( productivity ) , but loses many work days every year due to treatment and restrictions imposed during the course of treatment . In addition to the person having a direct loss in his productivity , his entire family has to make some adjustments & sacrifices , thereby having a cascading effect on the productivity of the entire family !! Ultimately, this affects the entire family , organizations where these people are working , and finally pulls down the productivity of the entire nation directly , which is what I understand as the GDP of our nation !

Pranab Da, just consider one step in your budget , and you would be the first Finance minister in the world to have given top priority to health to boost the productivity of a nation !

I am hopeful that you will allow expenses in meditation , Yoga , Swimming pool , fitness centers, Gyms & preventive health check-ups to be included in the rebate for income tax -Just like we have health insurance premiums which qualify for tax rebate . Health insurance is nothing but transferring the risk and payment to a pool, but what we need desperately in India is “Health Assurance” – avoiding diseases , and that means, we need to encourage healthy habits & provide appealing benefits to people to take to activities that promote fitness and take away sickness !!

I am sure that you will consider to levy a 4 % service tax on all the providers of services like meditation training , Yoga classes , Swimming pools , fitness centers, Gyms & preventive health check-ups , but also give rebate to the citizens who enroll in such activities . Further , I would request you to give equal rebate to Health insurance & Health Assurance in this budget in terms of the total amount qualifying for the rebate in income tax.

I am very sure that, the ministry of Finance and the entire nation would gain from the healthy population in terms of enhanced productivity and lesser loss of man days , in addition to a healthy collection of taxes from the service providers in the fitness segment that will add up the numbers drastically. I personally believe that this one step that has the potential to raise the GDP of the nation by a minimum of 1 % and can go as high as 3 % additional increase in GDP , which means that by 2012, India can grow at 10-12 % in terms of GDP by just taking one step in this budget !

In addition to the growth in GDP , our future generations would always feel indebted to your selves ,for taking this most important decision for bettering the healthcare of individuals & raising the productivity of the nation

I am sure that this very important recommendation would be considered positively and acted upon!

We will always remain thankful to you for the kind consideration

Yours in good health

Rajendra Pratap Gupta

CC.

Sonia Gandhi Rahul Gandhi Dr.Manmohan Singh Dr.Murli Mahohar Joshi Shri Ghulam Nabi Azad Montek Singh Ahluwalia Dr.Syeda Hameed. Shri L.K.Advani Smt. Sushma Swaraj Shri Dinesh Trivedi Sitaram Yechury Members of Parliament Sam Pitroda Secy , Health & Family Welfare , GOI Dr.K.Srinath Reddy Chief Minister’s of States Dr.Salim Hebayeb, WHO Gerard M La Forgia , World Bank

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