‘Cannon fodder’: Medical students in India feel betrayed

A health worker prepares to administer a dose of the Covishield, Oxford-AstraZeneca coronavirus vaccine, at a vaccination center in Mumbai on April 1, 2021. (File/AFP)
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Updated 27 April 2021
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‘Cannon fodder’: Medical students in India feel betrayed

  • India spends 1.3% of its GDP on health care, less than all major economies
  • On Tuesday, India reported 323,144 new infections for a total of more than 17.6 million cases, 2,771 deaths in the past 24 hours

NEW DELHI: Since the beginning of the week, Dr. Siddharth Tara, a postgraduate medical student at New Delhi’s government-run Hindu Rao Hospital, has had a fever and persistent headache. He took a COVID-19 test, but the results have been delayed as the country’s health system implodes.

His hospital, overburdened and understaffed, wants him to keep working until the testing laboratory confirms he has COVID-19.

On Tuesday, India reported 323,144 new infections for a total of more than 17.6 million cases, behind only the United States. India’s Health Ministry also reported another 2,771 deaths in the past 24 hours, with 115 Indians succumbing to the disease every hour. Experts say those figures are likely an undercount.

“I am not able to breathe. In fact, I’m more symptomatic than my patients. So how can they make me work?” asked Tara.

The challenges facing India today, as cases rise faster than anywhere else in the world, are being compounded by the fragility of its health system and its doctors.

There are 541 medical colleges in India with 36,000 post-graduate medical students, and according to doctors’ unions constitute the majority at any government hospitals — they are the bulwark of the India’s COVID-19 response.

But for over a year, they have been subjected to mammoth workloads, lack of pay, rampant exposure to the virus and complete academic neglect.

“We’re cannon fodder, that’s all,” said Tara.

In five states that are being hit hardest by the surge, postgraduate doctors have held protests against what they view as administrators’ callous attitude toward students like them, who urged authorities to prepare for a second wave but were ignored.

Jignesh Gengadiya, a 26-year-old postgraduate medical student, knew he’d be working 24 hours a day, seven days a week when he signed up for a residency at the Government Medical College in the city of Surat in Gujarat state. What he didn’t expect was to be the only doctor taking care of 60 patients in normal circumstances, and 20 patients on duty in the intensive care unit.

“ICU patients require constant attention. If more than one patient starts collapsing, who do I attend to?” asked Gengadiya.

Hindu Rao Hospital, where Tara works, provides a snapshot of the country’s dire situation. It has increased beds for virus patients, but hasn’t hired any additional doctors, quadrupling the workload, Tara said. To make matters worse, senior doctors are refusing to treat virus patients.

“I get that senior doctors are older and more susceptible to the virus. But as we have seen in this wave, the virus affects old and young alike,” said Tara, who suffers from asthma but has been doing regular COVID-19 duty.

The hospital has gone from zero to 200 beds for virus patients amid the surge. Two doctors used to take care of 15 beds – now they’re handling 60.

Staff numbers are also falling, as students test positive at an alarming rate. Nearly 75% of postgraduate medical students in the surgery department tested positive for the virus in the last month, said a student from the department who spoke anonymously out of fear of retribution.

Tara, who’s part of the postgraduate doctors association at Hindu Rao, said students receive each month’s wages two months late. Last year, students were given four months’ pending wages only after going on hunger strike in the midst of the pandemic.

Dr. Rakesh Dogra, senior specialist at Hindu Rao, said the brunt of coronavirus care inevitably falls on postgraduate students. But he stressed they have different roles, with postgraduate students treating patients and senior doctors supervising.

Although Hindu Rao hasn’t hired any additional doctors during the second wave, Dogra said doctors from nearby municipal hospitals were temporarily posted there to help with the increased workload

India — which spends 1.3% of its GDP on health care, less than all major economies — was initially seen as a success story in weathering the pandemic. However, in the succeeding months, few arrangements were made.

A year later, Dr. Subarna Sarkar says she feels betrayed by how her hospital in the city of Pune was caught completely off guard.

“Why weren’t more people hired? Why wasn’t infrastructure ramped up? It’s like we learnt nothing from the first wave,” she said.

Belatedly, the administration at Sassoon Hospital said last Wednesday it would hire 66 doctors to bolster capacity, and this month increased COVID-19 beds from 525 to 700.

But only 11 new doctors have been hired so far, according to Dr. Murlidhar Tambe, the hospital’s dean.

“We’re just not getting more doctors,” Tambe said, adding that they’re struggling to find new technicians and nurses too.

In response to last year’s surge, the hospital hired 200 nurses on a contractual basis but fired them in October after cases receded. Tambe said the contract allowed the hospital to terminate their services as it saw fit.

“Our primary responsibility is toward patients, not staff,” the dean said.

Cases in Pune city have nearly doubled in the last month, from 5,741 to 10,193. To deal with the surge, authorities are promising more beds.

Sarkar, the medical student at Sassoon Hospital, says that’s not enough.

“Increased beds without manpower are just beds. It’s a smokescreen,” she said.

To handle the deluge, students at Sassoon said authorities had weakened rules meant to keep them and patients safe. For instance, students work with COVID-19 patients one week and then go straight to working with patients in the general ward.

This increases the risk of spreading infections, said Dr. T. Sundararaman of the University of Pennsylvania’s National Health Systems Resource Center.

Students want hospital administration to institute a mandatory quarantine period between duty in the COVID-19 and general wards.

Over the last month, 80 of the hospital’s 450 postgraduate students have tested positive, but they only get a maximum of seven days of convalescence leave.

“COVID ruins your immunity, so there are people who are testing positive two, three times because their immunity is just so shot, and they’re not being allowed to recover,” said Sarkar.

And after a year of processing COVID-19 tests, she says she knows everything there is to know about the virus, but little else. Nationwide, diverting postgraduate students to take care of COVID-19 patients has come at a cost.

At a government medical college in the city of Surat, students said they haven’t had a single academic lecture. The hospital has been admitting virus patients since March of last year, and postgraduate medical students spend almost all their time taking care of them. The city is now reporting more than 2,000 cases and 22 deaths a day.

Having to focus so heavily on the pandemic has left many medical students anxious about their future.

Students studying to be surgeons don’t know how to remove an appendix, lung specialists haven’t learned the first thing about lung cancer and biochemists are spending all their time doing PCR tests.

“What kind of doctors is this one year going to produce?” said Dr. Shraddha Subramanian, a resident doctor in the department of surgery at Sassoon Hospital.


A London court sentences an Egyptian man to 25 years for smuggling people from Africa to Italy

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A London court sentences an Egyptian man to 25 years for smuggling people from Africa to Italy

Ahmed Ebid pleaded guilty at Southwark Crown Court to conspiracy to assist unlawful immigration
Judge Adam Hiddleston said Ebid played a key role in an organized crime group

LONDON: A London court on Tuesday sentenced an Egyptian man to 25 years in prison for smuggling people from North Africa to Italy.

Ahmed Ebid, who arrived in the UK in October 2022 after crossing the English Channel in a small boat, pleaded guilty at Southwark Crown Court to conspiracy to assist unlawful immigration.

Judge Adam Hiddleston said Ebid played a key role in an organized crime group and that his “primary motivation was to make money” from human trafficking.

Since his arrival in Britain and until June 2023, Ebid, 42, was implicated in at least seven separate boat crossings as part of a 12 million-pound ($16 million) operation that carried 3,781 people, including children, into Italian waters from North Africa.

Britain’s National Crime Agency cited some of those who had entered the UK illegally as saying that Ebid even told an associate to kill and throw into the sea anyone onboard caught with a mobile phone.

Ebid “preyed upon the desperation of migrants to ship them across the Mediterranean in death trap boats,” said Jacque Beer of the agency.

In one crossing, on Oct. 25, 2022, more than 640 people were rescued by the Italian authorities after they attempted to cross the Mediterranean Sea in a wooden boat, the agency said. The boat was taken into port in Sicily and two bodies were recovered.

“Vulnerable people were transported on long sea journeys in ill-equipped fishing vessels completely unsuitable for carrying the large number of passengers,” said Tim Burton, specialist prosecutor for the Crown Prosecution Service.

“His repeated involvement in helping to facilitate these dangerous crossings showed a complete disregard for the safety of thousands of people, whose lives were put at serious risk,” Burton added about Ebid.

Families wait for word of Rohingya said to have been abandoned at sea by India

Updated 11 min 30 sec ago
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Families wait for word of Rohingya said to have been abandoned at sea by India

  • “We are helping them as human beings and we will let them go where they want if it is safe,” a spokesman for the group said
  • The mostly Muslim Rohingya have been persecuted in Myanmar for decades

NEW DELHI: It has been more than a week since Akbar, a Rohingya refugee in India, has heard his niece’s voice, the longest they have not spoken to each other.

She is among more than 40 Rohingya alleged by the United Nations, family and lawyers to have been forced off an Indian navy ship this month near the shores of war-torn Myanmar with only a life jacket.

“I got her out of the lion’s mouth when we escaped Myanmar almost eight years ago. And now this has happened,” Akbar, whose name has been changed to protect his identity, said of his niece, who is around 20 years old.

Myanmar’s Ba Htoo forces — opposition fighters battling the junta that took power in a 2021 coup — say the group landed on May 9 on a beach in Launglon Township near southern Dawei city, a region that regularly witnesses gunbattles and air strikes.

“We are helping them as human beings and we will let them go where they want if it is safe,” a spokesman for the group said.

The mostly Muslim Rohingya have been persecuted in Myanmar for decades, with many fleeing a 2017 military crackdown. More than a million escaped to Bangladesh, but others fled to India.

There are around 22,500 Rohingya in India registered with the United Nations refugee agency, according to the advocacy group Refugees International.

Two other Rohingya refugees told AFP their relatives were part of the group that was detained by Indian authorities.

Tom Andrews, the UN special rapporteur on human rights in Myanmar, has called the repatriation an “unconscionable” act.

Andrews said he was “deeply concerned by what appears to be a blatant disregard for the lives and safety of those who require international protection.”

New Delhi has not commented on the reports.

Family members say the group was summoned by authorities in New Delhi on May 6, allegedly to collect biometric data.

They were moved to a detention center and then to an airport outside the Indian capital.

From there they were flown to India’s Andaman and Nicobar islands, an archipelago that lies a few hundred kilometers southwest of Myanmar.

Two days after being detained, the refugees called family members back in Delhi saying they had been dropped off in the seas off Myanmar.

The Ba Htoo spokesman said one member of the group was a cancer patient, adding that the “rest of them just feel tired from the long trip.”

AFP could not independently verify the claims.

Dilwar Hussain, a New Delhi-based lawyer representing refugees from the community, said they were “concerned about the safety and well-being of these refugees.”

A petition filed in India’s Supreme Court by two refugees whose family members are among the 43 people allegedly deported said it was carried out illegally.

India is not a signatory to the UN’s 1951 Refugee Convention, which prohibits returning individuals to countries where they face harm.

However, New Delhi rights lawyer Colin Gonsalves, who has challenged the group’s detention and deportation, said India’s “constitutional laws cover protection” of the personal liberty and right to life of non-citizens.

This case is not the first to be reported.

Indian media reported this month that more than 100 Rohingya were “pushed back” across the northeastern border into Bangladesh.

India’s Hindu nationalist government has often described undocumented immigrants as “Muslim infiltrators,” accusing them of posing a security threat.

Yap Lay Sheng, from the campaign group Fortify Rights, said the deportation of the Rohingya group was a “targeted attack against anyone perceived to be Muslim outsiders.”

Ramon, another relative of one of the deported group, said his brother told him he had been verbally abused.

Speaking on condition of anonymity, Ramon said the group was “accused of being involved” in the April 22 attack targeting tourists in Indian-administered Kashmir, in which gunmen killed 26 men. The attack sparked a four-day conflict between India and Pakistan.

“My brother asked me to leave India to avoid being in a situation like his,” said Ramon, who has been in India for more than a decade.

Their mother has been inconsolable since receiving news of her son’s deportation. Ramon struggles with sleepless nights over his brother’s safety.

“They should have deported all of us and thrown us into the sea,” he said. “We would have been at peace knowing we are together.”


Germany counts on the US to pressure Russia into a ceasefire, says minister

Updated 26 min 11 sec ago
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Germany counts on the US to pressure Russia into a ceasefire, says minister

  • Officials in both the European Union and in the United States are ready to consider more sanctions on Moscow

BRUSSELS: Germany is still counting on the US to pile more pressure on Russia for an immediate ceasefire in its war on Ukraine, Berlin said on Tuesday, despite a call between Presidents Donald Trump and Vladimir Putin that did not yield progress in that respect.
“We have repeatedly made it clear that we expect one thing from Russia — an immediate ceasefire without preconditions,” German Foreign Minister Johann Wadephul said on the sidelines of a meeting with his EU counterparts in Brussels.
“It is sobering to see that Russia has not taken this step, and we will have to react. We also expect our US allies not to tolerate this.”
He added that there was a lot of readiness both in the European Union and in the United States to consider more sanctions on Moscow but did not give any details what additional sanctions might look like.


EU seeks to relax rules on turning away asylum seekers

Updated 51 min 18 sec ago
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EU seeks to relax rules on turning away asylum seekers

BRUSSELS: The EU on Tuesday unveiled plans to make it easier to send asylum seekers to certain third countries, in the latest overhaul aimed at reducing migration to the bloc, sparking criticism from rights groups.
The European Commission said it proposed broadening the so-called “safe third country” concept, which allows member states to “consider an asylum application inadmissible when applicants could receive effective protection” elsewhere.
“EU countries have been under significant migratory pressure for the past decade,” said migration commissioner Magnus Brunner, describing the proposal as “another tool to help member states process asylum claims in a more efficient way.”
Brussels has been under pressure to clamp down on arrivals and facilitate deportations, following a souring of public opinion on migration that has fueled hard-right electoral gains in several member states.
Under current rules, asylum seekers can have their application rejected if they could have filed it in a “safe” third country where they have “a genuine connection.”
This is normally understood to mean a nation where the applicant has lived and worked or has family.
The commission proposal weakens such requirements to include any country that an asylum seeker has transited through on the way to Europe, as long as it is considered safe. This opens the way for failed applicants to be sent there.
The planned reform also says that the safe third country concept can be applied in absence of any connection or transit, if there is a deal between member states and a third “safe nation,” and removes the suspensive effect of appeals.
The change would significantly boost the number of those who could see their applications refused and become eligible for deportation, as many cross numerous borders on their way to Europe.
In April for example, of almost 20,000 people who reached Europe via sea from northern Africa, many came from as far away as Bangladesh, Eritrea, Pakistan and Syria, according to the EU’s border agency.
The proposal needs approval from the European Parliament and member states to become law — but has already triggered fierce criticism.
Sarah Chander, director of the Equinox Initiative for Racial Justice, said the EU was “cynically distorting the concept of ‘safety’ to meet its own repressive ends.”
“It is paving the way for migrants to be removed and deported basically anywhere, putting people in danger,” she said.


Indonesian hospital in northern Gaza nears collapse after renewed Israeli strikes

Updated 20 May 2025
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Indonesian hospital in northern Gaza nears collapse after renewed Israeli strikes

  • At least 31 people are trapped inside Indonesia Hospital as of Tuesday morning

Jakarta: The Indonesia Hospital, one of the last partially functional medical centers in northern Gaza, is nearing collapse after days of Israeli strikes on its key infrastructure, the Jakarta-based nongovernmental organization funding the facility said on Tuesday.

The hospital in Beit Lahiya, a four-story building located near the Jabalia refugee camp, was built from donations organized by the Medical Emergency Rescue Committee. 

Like other healthcare facilities in Gaza, it has been targeted by Israel’s new military onslaught on the besieged enclave, in which hundreds of people were killed in the past three days. 

“A quadcopter targeted the hospital’s generators. Two of them were destroyed in the ensuing fire. Our water supply has been disrupted, and people aren’t able to enter or exit the hospital area because there’s a risk of being shot,” Dr. Hadiki Habib, chairman of MER-C’s executive committee, told Arab News. 

At least 31 people were trapped inside the Indonesia Hospital as of Tuesday morning, including eight health workers and bedridden patients. 

The Indonesia Hospital and Al-Awda Hospital are the only two hospitals still treating patients in northern Gaza, Habib added, as Israeli attacks have forced most public hospitals in the area out of service. 

Israel launched a new ground operation, called Operation Gideon’s Chariots, across the Gaza Strip on Sunday, following over two months of total blockade on the enclave after Tel Aviv unilaterally broke a ceasefire with the Palestinian group Hamas in March. 

But Israeli forces have carried out brutal attacks in hundreds of locations across Gaza in the lead-up to the operation, killing hundreds of Palestinians. 

The latest offensive comes as Israel continues its onslaught of Gaza that began in October 2023 and has killed more than 53,400 Palestinians and wounded over 121,000 more. The deadly attacks have also pushed 2 million others to starvation after Israeli forces destroyed most of the region’s infrastructure and buildings and blocked humanitarian aid. 

It was only on Monday that Israel’s military said it allowed five aid trucks into Gaza, though according to the UN, the enclave needs at least 500 trucks of aid and commercial goods every day. 

“It’s very sad and heartbreaking. The Indonesia Hospital is barely functioning. All logistics needs have been blocked by Israel and there are threats against healthcare workers to leave and empty the facility,” Sarbini Abdul Murad, chairman of MER-C’s board of trustees in Jakarta, told Arab News.

The Indonesia Hospital was one of the first targets hit when Israel began its assault on Gaza, in which it regularly targets medical facilities.

Attacks on health centers, medical personnel and patients constitute war crimes under the 1949 Geneva Convention. 

“There is no place left that is safe from Israel’s pursuit,” Murad said. “For the sake of humanity, the international community must pressure Israel to agree to a ceasefire so that we can stop this humanitarian tragedy.”