Canacona Health Care (Tragedy 1): The Unchecked Killer

Over the years many people in distant Canacona taluka of Goa have helplessly 
died like abandoned kids being victims of an endemic problem plaguing the 
place. The high incidence of renal disorders/diseases here has been a matter of 
great concern for the local people for several decades. Ironically, it is 
nothing to vex the politicians as well as our health administrators. 
The matter was raised in the discussions of Rajya Sabha. Answering to queries 
raised by the Member of Parliament, Mr. Shantaram Naik in the Rajya Sabha, 
then, Union Minister of State for Health and Family Welfare Panabaka Lakshmi 
(Anon, 2007) had admitted that the team from ICMR, NIOH (National Institute of 
Occupational Health, Meghaninagar, Ahmedabad) had visited and carried out 
environmental cum biological monitoring in February 2005 and had stated that 
clinically the disease seemed to be similar to Balkan Endemic Nephropathy 
(BEN), which was an environmentally acquired disease, possibly caused by 
mycotoxin produced by fungi in mouldy cereals and food products and aromatic 
compounds in drinking water (NIOH, 2005).” 
Further conclusions could only be drawn by correlating the clinical picture 
bio-technical investigation of blood and urine and other pathological 
investigations and their correlation with environmental factors, the Minister 
had said. 
So far no further investigations and no further conclusions. The matter ends 
but people continue to die by the dozen every month leaving the living victims 
and their kin to curse their fate and the government under their breath.  

Canacona Health Care (Tragedy 2): Kankonkars & the CHC

The Canacona Community Health Centre (CHC) – the most beautiful health centre 
built by the government during the Parrikar days -- is a shame and a sham under 
Digu Kamat. But it is not so much a shame that the CHC has no doctors, no 
medicines, no medical equipments, no ambulance, no working operation theatre 
and not even a functional trauma unit to answer common emergencies. What is 
most shameful is the fact that we the preoccupied people of Canacona have let 
the CHC be what it is today – at best a first aid centre. (Mind you, Kankonkars 
were once the lifeline of social activism in the state – remember the 50% bus 
concession for students)
What is most shameful is not that the alarming rise in renal failure cases have 
never alarmed our aam admi government and the local MLAs over the years and the 
bureaucrats in general, what is most shameful is the alarming fact that we have 
never seriously responded to the needs of our own community. Like lambs to the 
slaughter our sick continue to go to Manipal or the Apollo for something as 
basic as dialysis.  
Promises and more promises later we are stilled holed up in stone-age when it 
comes to public health care. We decided that collectively we can change the CHC 
to answer the compelling needs of its aam aadmi and so with great expectations 
and fond hope we called a meeting under the banner of the almost defunct 
Canacona Health Welfare Committee. Thanks to the persistent efforts of Diago 
D’Silva the meeting was scheduled with extensive publicity through the local 
parishes and personally. Ironically less than 50 people including the two 
Canacona MLAs, Mr Pai Khot and Mr Tawadkar, responded to our call on this life 
and death matter.
The one-point agenda was to decide the future course of action to get the 
ailing CHC Canacona effectively answer the needs of its people.

Canacona Health Care (Tragedy 3): Local MLAs 

Seated on the dais, Canacona MLA Vijay Pai Khot was busy on his phone openly 
expressing his lack of interest in a grave matter. Then after restlessly 
struggling in his chair he spoke a few words and left. (Wonder if he would 
leave his election-campaign meeting like that.)  
And by his own words he painted a very bad picture of himself even while trying 
to colour the Congress black. He unleashed a tirade against the Chief Minister 
and the Health Minister intermittently reminding the people that “Ami Sotter 
nam – we are not in power--, yet we have done everything we can. You decide the 
future course of action and we will be with you.”  I thought we elect leaders 
to lead us.  
Mr Khot forgot that with the support of the people he could have easily done 
things his way by the sheer force of compelling numbers. True, the Chief 
Minister and the Health Minister need to be kicked out at the earliest. But Mr. 
Khot has obviously missed the obvious fact that he has miserably failed to tap 
the power of his people to make the ruling rogues be answerable to his people.  
 
I would say it is natural to fail in the absence of due effort. But when 
leaders do their best and still fail it’s time we start looking for an 
effective leader who gets things done despite all limitations. 
Poinguinim MLA Mr Ramesh Tawadkar also spoke on the occasion but said nothing. 
The next follow-up meeting is scheduled for Saturday in the municipality hall 
at 4 p.m.
  


Tony Martin 
Copy/Content Writing
http://www.facebook.com/tonymartingoa
Galgibaga, Canacona 


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