Binayak Sen was presented the Mann Award for Health and Human Rights
in DC yesterday, and his wife, Dr Ilina Sen, accepted it on his
behalf.  Below are some links to some news stories.

Ilina Sen will also be traveling to New York and to Boston--public
events are planned at both places, so do attend if you can, and
forward the announcements to others in the area. Details for these
events are at: http://www.binayaksen.net/info/announcement/

1. CNN-IBN news story, text + video: Jailed Indian doc and activist
wins Jonathan Mann Award,
http://www.ibnlive.com/news/jailed-indian-doc-and-activist-wins-jonathan-mann-award/66325-2.html

2. Washington Post, May 30th, Nobel Laureates Unable to Win Release of
Doctor : 
http://www.washingtonpost.com/wp-dyn/content/article/2008/05/29/AR2008052903578.html

3. The Economist, May 29th,  Sentence first, verdict afterwards:
India's anti-Maoist laws become an international embarrassment
http://www.economist.com/world/asia/displaystory.cfm?story_id=11465526

4. Ilina Sen's acceptance speech at the Awards Banquet yesterday:
http://www.binayaksen.net/2008/05/acceptance-speech-for-jonathan-mann-award-ilina-sen/

===================================
Below is an EPW article touching on aspects of Health and Human Rights
and very relevant to the issue of Binayak Sen and others.  It is an
excellent article--reproducing it in full here:

http://www.binayaksen.net/2008/05/the-interesting-times-we-live-in/ 
[html version]
May 24, 2008 EPW Economic & Political Weekly

The Interesting Times We Live In

C Sathyamala

Public health issues are inextricably linked with human rights and it
is only apt that many health professionals will involve themselves in
such issues. The response of governments and the corporate sector to
the work of such professionals suggests how they are seen as threats
to the established order.

It is a year since Binayak Sen, a paediatrician and human rights
activist from Chhattisgarh was arrested and placed in custody under
sections of the Chhattisgarh Special Public Security Act, 2005, and
Unlawful Activities (Prevention) Act, 1967 (2004) for alleged links
with the banned Maoist groups. To justify his detention, evidence is
being manufactured to project him as a "hard core Naxal", who supports
violent means for opposing the state. This is despite the admission of
the prosecution lawyer, during framing of charges in the sessions
court, that he had no evidence of Bianyak being a Naxalite [Medico
Friend Circle 2008]. Binayak's "crime" is that, apart from providing
medical care to the rural poor and working class communities, he felt
compelled to be involved with the issue of human rights since he
perceived health work not merely as provision of medical services but
as efforts that counter the suppression of the socio-economic and
political rights of the marginalised [Sathyamala 2007]. It was this
perspective that led to his becoming a member of the People's Union
for Civil Liberties and, later on, its vice-president due to his
continued involvement in human rights issues.

Health and Human Rights

Socially sensitive public health professionals find it difficult to
ignore issues of human rights as they are inextricably linked to the
health and well-being of a population. And the state, in turn, finds
it vital to suppress any evidence that points to such linkages. Riyadh
Lafta is a professor of medicine at Al-Mustansiriya University of
Baghdad, who led the Iraqi ministry of health's Unicef funded
immunisation campaign for 14 years. In May 2007, he was denied visa to
visit the US where he was to give a talk and then was denied a transit
visa in UK en route to Canada to deliver the same lecture in Vancouver
since Canada agreed to issue him a visa [Woodward 2007]. His crime: he
had co-authored a study published in the Lancet which showed the
health impact of the American-led war in Iraq. The cross sectional
study, conducted during September 2004, compared mortality during the
period of 14.6 months before the American invasion and occupation with
the 17.8 months that followed [Roberts et al 2004]. The study found
that the risk of death was 2.5 folds higher, the risk of death from
violence was 58 folds higher after the invasion and most individuals
killed by the coalition forces were women and children. The major
causes of death before invasion were myocardial infarction,
cerebro-vascular accidents, while after the invasion, violence was the
primary cause of death with most of the deaths attributed to coalition
forces. The authors estimated an excess of 1,00,000 deaths or more in
the one year following invasion. This estimate was 20 times higher
than the number used by the Bush administration. For all of these
"crimes", his home in Iraq has been searched by the coalition forces,
and his life is under threat, from both the pro-government people and
anti-government people, according to Les Robert, his co-author from
Johns Hopkins University [Woodward 2007]. Lafta has also collected
data to show an increase in birth defects and a tenfold increase in
childhood cancers that could be ascribed to the war and he was to have
used his visit to work on completing the paper. Lafta continues to
live and work under these severe conditions as he believes that it is
his "duty to concentrate on the things that are alarming and
disastrous to our population".

But it is not necessary that a medical professional directly involved
in raising "sensitive" human rights issues for the state to perceive a
threat; conducting scientific studies which bring out evidence of
adverse health outcomes and points to state policies/interventions as
a source is sufficient. For instance, after the Bhopal gas leak
disaster of December 1984, the activities of several organisations
involved in relief and rehabilitation of the victims came under
surveillance. Doctors and other health workers engaged in providing
injections sodium thiosulphate as an antidote, were arrested in a
midnight swoop and several of the activists had serious charges
(attempt to murder for example) filed against them by the Madhya
Pradesh government. This was because acceptance of sodium
thisosulphate as a rational treatment for the gas affected population
(a remedy that had the approval of the Indian Council of Medical
Research) would have meant that the state recognised that the victims
were suffering from chronic cyanide poisoning and that the gases had
crossed the lung blood barrier to produce multi-systemic effects.
Activists attending meetings discussing the medical consequences of
the toxic gases in Bhopal were arrested. The Medico Friend Circle
study on pregnancy outcome which was planned initially for June 1985
had to be postponed as the MP government declared that all "outsiders"
working with the gas victims would be treated as "terrorists". Finally
when the study was carried out, the survey team was under constant
surveillance and it became necessary to shift the completed schedules
every night to a safe place. The reason was that the government wished
to minimise damages and any independent study meant to assess health
impact was viewed as a threat.

Corporations and Whistle-blowers

It is not merely the state that is antagonistic to public health
professionals who are involved in highlighting disturbing associations
through their studies. Depending on where they find themselves, the
corporate sector deals with whistle-blowers in other ways. In
countries where the rule of law is upheld, the corporate sector uses
legal means to settle its score. Frank Nicklason and others, who spoke
about the health hazards posed by a major logging company in Tasmania
(Gunns Limited) were sued for damages worth $A6.3 million by the
company [Zinn 2005]. Nicklason is a staff physician at the Royal
Hobart Hospital, Tasmania, whose research showed that legionella
bacteria, fungal organisms, and wood dust, all of which were present
in the stockpiles of shredded wood at the wharf posed potential health
risks to the exposed population. Nicklason said that the Hippocratic
oath required him to prevent illness not just in patients but in
society as well.

Closer home, on December 19, 2007, the Madras High Court was reported
to have restrained two farmers' associations and their office bearers
(the Sathankulam Regional Agriculture Association and the association
for users of irrigation water, 145, left main canal sub-channels I and
II) from making any "derogatory remarks and baseless allegations
against the Titanium unit project being planned by the Tata Steel in
Tuticorin district of Tamil Nadu" (The Hindu, December 20, 2007). The
company had filed a civil suit seeking Rs 50 lakh damages caused to
the company "due to defamatory remarks, comments and false
allegations" made against the project. Due to these "unfounded
remarks", the company had alleged that it faced many hurdles while
executing its project and that the company would suffer heavy
financial hardships, and loss if the respondents were not restrained.
The crime: the two farmers' associations had raised questions about
the degradation of land and water supply and environmental damage due
to the setting up of the Tata unit and were successful in mobilising
the local people against the industrial unit. Titanium is indicted as
potential occupational carcinogen [The National Institute for
Occupational Safety and Health 2007].

Extraordinarily Political

The discipline of epidemiology is extraordinarily political as it has
the ability to pinpoint causal associations between exposure and
outcomes. Causal associations are bound to be contentious issues. When
conducted with integrity, epidemiological studies have pointed out
that the sources of health or ill-health lie in the socio-economic and
political location of a population. But as evidence of the ill effects
of anti-people policies begin to accumulate, we see epidemiology being
evoked to justify the unjust polices of the state that goes to great
lengths to generate counter-evidence. And those who challenge such bad
science are accused of being anti-government, anti-patriotic and
anti-science. The long-waged campaign against the injectable
contraceptives and the more recent one against the polio eradication
programme in the country illustrate this. In both the cases, a body of
evidence has been built systematically, step by step, against the
advisability of such programmes. But the establishment continues to
create more "evidence" to counter facts with figures.

For Binayak, though trained as a medical professional, involvement in
human rights issues was inescapable in a state like Chhattisgarh that
is witnessing large-scale government-sponsored terrorism in the name
of Salwa Judum, an operation whose stated objective is to combat
Maoist insurgency but which in reality is to wrest ancestral land from
the tribal communities, for the use of private industrial houses.
Binayak Sen's continued incarceration is the expression of zero
tolerance by the state for anyone, who will hamper the zooming up of
the sensex. Questioning the path of development that the country is
hurtling along, and the threat it poses to the lives of people and
other living beings, will be viewed as a threat to national security
and all efforts will be attempted to contain dissent.

An earlier version of this article was discussed in the annual meet of
the Medico Friend Circle, December 28-29, 2007, at Dallihara, on the
theme 'Role of the Health Professionals in Times of Social Violence
and Conflict'.C Sathyamala ([EMAIL PROTECTED]) is an
epidemiologist based in Delhi.

References

Medico Friend Circle (2008): 'Release Dr Binayak Sen! Health, Human
Rights and Development Activist: Prisoner of Conscience in
Chhattisgarh, 2007-08' (monograph), MFC Pune, p 17.

The National Institute for Occupational Safety and Health (2007):
'Pocket Guide to Chemical Hazards',
www.cdc.gov/niosh/npg/npgd0617.html accessed 24.12.07.

Roberts, L, Lafta R, Garfield R, Khudhairi J, Burnham G (2004):
'Mortality Before and After the 2003 Invasion of Iraq: Cluster Sample
Survey', www.thelancet.com published online October 29, 2004.
http://image.thelancet.com/extras/04art10342web.pdf.

Sathyamala, C (2007): 'Binayak Sen: Redefining Healthcare in an Unjust
Society' (editorial),

Woodward, J (2007): 'Doctor Fears for Life in Homeland: Prevented from
Speaking at SFU, Author Continues Controversial Work despite Danger',

Zinn, Christopher (2005): 'Doctor Who Spoke on Public Health Issue is
Sued', BMJ, http://www.bmj.com/content/full/330/7489/439-a.

Indian Journal of Medical Ethics 4 (3): 105-106.The Globe and Mail, 
April 28,.

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