Farmers protest in India on December 26, 2020 / credit: Ravan Khosa
Editor’s Note: The following is the writer’s analysis.
November is a month of pleasant weather and festivities in India. But during the final week of this month last year, several hundred thousand farmers gathered on the borders of the National Capital Territory of Delhi—which contains the capital of New Delhi—to confront a huge police force.
They settled down at several points on the border, creating new townships and organizing huge langars, a Sikh concept that involves free meals cooked and eaten together as a community.
This protest sparked a general strike of 250 million Indian farmers as well as workers from other sectors, making it the largest known strike in the world.
Over 11 months have passed since then and farmers have maintained their protest sites, although at a smaller level, using this to inspire protests in other areas of India. The movement is the strongest in parts of northern India (states such as Punjab and Haryana, and the western portion of the state of Uttar Pradesh). But it has spread to other areas as well, thereby strengthening the overall opposition to India’s right-wing, sectarian ruling regime. While this movement has raised several demands, the most persistent one has been for the repeal of three highly controversial farm laws, which were passed in 2020, bypassing normal parliamentary procedures.
Women have made up a significant portion of the farmers’ protests in India over the past 11 months / credit: JK Photography
The farmers say—and several experts back these claims—that these new farm laws greatly increase the possibility of corporate control over the Indian farming and food system. One law strengthens the contract farming system in favor of corporate interests and against farmers. The second law increases possibilities for big corporations to hoard huge quantities of important crops and hence manipulate and dominate their market. The third law weakens the existing procurement farming system while facilitating a new, unregulated tax-free purchase system, which big business can easily dominate. Both local crony capitalists and big multinational agribusiness companies are likely to use these new opportunities to increase their domination, while also entering into collaboration to corner small farmers.
Allowing big business to dominate India’s food and farm system would be a culmination of trends witnessed in recent decades. The advent of Green Revolution seeds promoted by Western—particularly U.S.—pressure opened up Indian farming to big business, but led to an increase in pollution and soil degradation caused by chemical fertilizers and pesticides, escalated costs to farmers, lowered food quality, and the loss of biodiversity as local seeds and mixed farming systems were uprooted. Objections voiced by the most senior farm scientist, Dr. R.H. Richharia, director of the Central Rice Research Institute, were brushed aside with a heavy hand and he was rudely removed from his job.
The next stage of corporate domination came with the ushering in of the World Trade Organization regime, with its rules for international trade and patents. This could not be stopped, but resistance efforts helped save some safeguards for farmers.
The third stage came with the advent of genetically modified (GMO) crops, including the Bt Cotton crop. Next, efforts were taken to introduce GMO technology to grow several food crops, starting with brinjal (eggplant or aubergine) and mustard. A Monsanto partner mounted an aggressive campaign for spreading GMO brinjal, which would have paved the way for GMO technology to produce other food crops. However, a strong resistance movement opposed this and, so far, GMO food crops have been resisted more or less successfully. Professor Pushpa Bhargava, an acclaimed scientist to whom the Indian Supreme Court offered a special advisory role on this issue, warned, “The ultimate aim of this attempt of which the leader is Monsanto, is to obtain control over Indian agriculture and thus food production.”
Women harvesting rice in Palacode in the Indian state of Tamil Nadu / credit: Deepak kumar on Unsplash
The longer term trend has been for big agribusiness to try to dominate the Indian farming scene, although this has been resisted with varying success by farmers and activists at different stages. Building on this previous strength, many farmer organizations have shown greater unity and resilience this time for a more determined resistance.
This growing resistance may be one reason why the open announcement of the India-United States free trade agreement (FTA) has been postponed. Earlier prolonged negotiations for India’s proposed FTA with the European Union had to be called off due to strong objections raised by farmers, particularly dairy farmers.
Such fears are even more pronounced in the context of negotiations for FTA with the United States, which have been even less transparent than the European negotiations.
Sections of Indian bourgeois media have been speculating the FTA with the United States will be introduced in stages. Meanwhile, farmers’ concerns have been confirmed by other recent government decisions as well. Recent moves for mandatory protection of staple foods have been opposed in favor of facilitating the growing big-business domination of food processing and a setback to existing systems, which protect farmers and small processors from the pressures of a less regulated market. The Indian government also recently advocated for palm fruit trees to increase edible oil production, which has been criticized for harming the interests of millions of traditional oilseed farmers and disrupting the biodiversity and ecology of areas where palm-oil plantations are planning to be introduced on a mass scale.
Nearly two-thirds of India’s 1.38 billion people remain linked to rural livelihoods. Approximately 115 million farmer households can be counted in India, most of them small family farms. The growing big-business intrusion has led to an ever-escalating rise in farming costs and debt, in turn leading to ordinary farmers losing their land. According to census data, farmers have been turning into landless households at the rate of 100 per hour. From a global perspective, this is part of the worldwide struggle to save small farmer communities. The movement can gain traction if protesting farmers include the concerns of landless rural households, who now comprise almost half of households in the Indian countryside. Another widely felt need is for this movement to move toward ecologically protective farming, the importance of which has increased as the global climate changes.
Bharat Dogra is Honorary Convener of the Campaign to Save Earth Now. He has been involved with several social movements in India. Dogra’s most recent books include Man Over Machine and Planet in Peril.
A protest took place November 25, 2021, denouncing violence against women in Santo Domingo, the capital of the Dominican Republic. Dominican leftist, feminist, anti-racist and Haitian immigrant community organizations participated in the march under the slogan “Haitian Lives Matter” and confronted the government’s immigration policy / credit: Vladimir Fuentes
Correction: The definition of Haitians of Dominican descent has been clarified. The length of the constructed portion of the border fence has been corrected. The name that Dominican officials had given for a victim has been updated, based on newly obtained information.
Whenever Malena goes to work or heads out to study, she tries to leave her home very early and return after dark. The 33-year-old mother of five does so for fear of being detained by the Dominican Republic’s immigration agents, even though she is Dominican.
Born and raised in a batey, a settlement around a sugar mill in the San Pedro de Macorís province, Malena is the daughter of Haitian sugar cane workers who arrived in the Dominican Republic in the 1970s, during the U.S.-backed Dominican dictatorship of Joaquin Balaguer.
Malena now lives in La Romana, also in the eastern part of the country. She has three sisters, two of whom have an identification card, acquired through a regularization plan for foreigners. Meanwhile, she and her other sister don’t have any documents. Close encounters with immigration authorities are normal.
“On a trip to the capital, Migration [officers] stopped the bus,” Malena recounted. “They said to a young man: ‘Papers, moreno!’ And since he only had a Haitian ID card, they took him off the bus. They only look for Black people. Luckily, they didn’t look at me. Sometimes by WhatsApp, I’m warned not to pass through some place because Migration is there. It’s always a danger.”
Malena and her sisters are some of the more than 200,000 people affected in the last 10 years by Constitutional Court ruling 168-13, according to estimates of the UN High Commissioner for Refugees. This ruling deprived Dominicans of Haitian descent who had been born after 1929 of their citizenship. As such, the impacts of statelessness are rampant.
“My children have no papers,” Malena said. “Without papers, you can’t have health insurance. You can’t have a good job. I had to repeat 8th grade because I couldn’t take the national test. The same thing happened to my son.”
A Dominican soldier stands by a border wall the Dominican Republic built to keep out Haitian migrants / credit: La Prensa Latina
Mass Deportations
Since 2021, the government of Luis Abinader has been promoting a campaign of mass deportations of the Haitian immigrant community. This also affects Dominicans of Haitian descent. Those are people who were born in the Dominican Republic, have Haitian parents or grandparents, and often are stateless, as in Malena’s case. The head of the General Directorate of Migration, Venancio Alcántara, declared recently that between August and April, more than 200,000 Haitians had been deported. “A record in the history of this institution.”
This statistic shows its true dimensions when contrasted with the size of the Haitian migrant community and the population of Dominicans of Haitian descent. Although no recent official figures exist, Dominican Ambassador to Spain Juan Bolívar wrote an opinion piece in June that estimated both populations, when counted together, at less than 900,000 people, or about 8 percent of the country’s population of 10.6 million. Bolívar’s estimation is based on the 2017 National Immigrant Survey, conducted by the National Statistics Office.
That means 22 percent of Haitians had been deported between August and April.
This is why Dominican and Haitian organizations have warned of the danger that the mass deportation campaign could turn into a process of open ethnic cleansing and consolidate an apartheid regime, as previously reported in Toward Freedom.
The red dot indicates the location of the border towns of Anse-A-Pitres in Haiti and Pedernales in the Dominican Republic / source: Google Maps
Extortions, Theft and Violence at the Border
One of the flagship projects of the Dominican government is the expansion of a border fence. Previous governments built the first 23 kilometers (14 miles). Now, fence construction is continuing, so it can cover 164 kilometers (101 miles). The Abinader government insists in forums, such as the United Nations, on the need for the “international community” to militarily occupy and “pacify” Haiti, complaining about the “burden” the neighboring country represents for the Dominican Republic.
However, the violence of the Dominican state has crossed the border into Haiti.
On March 19, members of the Dominican military attacked the Haitian border village of Tilory in the north, killing two people—Guerrier Kiki and Joseph Irano—and wounding others in their attempt to suppress a protest. According to a statement signed by Dominican and Haitian organizations, the Dominican military regularly engages in extortion and theft, including the seizure of motorcycles and other property, which led to the protest.
This is not the only recent cross-border incident. On August 5, an agent of the Dominican Directorate General of Customs (DGA) shot and killed 23-year-old Haitian, Irmmcher Cherenfant, at the border crossing between Pedernales and Anse-A-Pitres, in the southern end of the north-to-south Dominican-Haitian border. Dominican officials identified Cherenfant as Georges Clairinoir. The DGA and the Dominican Ministry of Defense justified Cherenfant’s killing as an instance of self-defense. Dominican social organizations questioned this version, pointing out contradictions in the official communiqués.
A human rights defender from Anse-A-Pitres who spoke with witnesses said the conflict began when the victim refused to pay a customs guard to be allowed to transport a power generator purchased in the Dominican Republic. After Cherenfant was killed, a struggle ensued, in which the guard was disarmed by Haitians. Subsequently, the Dominican military fired weapons of war indiscriminately into Haitian territory, injuring two people. The human rights defender, who works for a local organization, asked not to be identified for security reasons.
The Dominican government paid a compensation of 400,000 pesos (approximately $7,200) to Cherenfant’s wife the following week. But when the community mobilized on August 12 against military violence and in memory of the victim, the Dominican military threatened some of the protest organizers that they would be prohibited from entering Dominican territory.
A protest held in 2022 Anse-A-Pitres, Haiti after a Dominican customs guard killed a Haitian / credit: Jean Aicard Pierre
‘A Vibrant Democracy’
U.S. Deputy Secretary of State Wendy Sherman visited Santo Domingo on April 12 and met with Abinader. According to State Department spokesperson Vedant Patel, they discussed their “deep ties” and “shared democratic values,” as well as regional security issues, including the “urgent situation in Haiti.”
During her visit, Sherman recorded a video message in the colonial zone of Santo Domingo, extolling the country as a tourist attraction and calling the political regime a “vibrant and energetic democracy… a strong and exceptional partner with the United States of America.”
In her tour of the colonial zone, Sherman can be seen escorted by the mayor of the National District, Carolina Mejia, a member of the ruling Modern Revolutionary Party (PRM), and by Kin Sánchez, a guide of the Tourism Cluster. Significantly, Sánchez was part of a mob led by the neo-fascist organization, Antigua Orden Dominicana, which attacked and shouted racist slogans against a cultural activity held on October 12 that was intended to commemorate Indigenous resistance. The complicity of the National Police caused nationwide repercussions.
After Sherman’s visit, Republican U.S. Congressmember Maria Elvira Salazar and Democratic U.S. Congressmember Adriano Espaillat, announced the U.S. State Department would withdraw a November 19 travel alert warning Black tourists of racial profiling by Dominican immigration authorities. The April 17 travel advisory only mentions risks related to criminality. Dominican Tourism Minister David Collado welcomed the move as a “very positive and appropriate” measure, describing the U.S. as a “strategic partner.”
Meanwhile, two days after Sherman’s visit, Haitian driver Louis Charleson was shot and killed by a military officer in the Dominican border town of Jimaní following a traffic altercation. A young Haitian man was wounded, too. The Haitian Support Group for Returnees and Refugees (GARR) denounced the impunity that covers the Dominican military and police in the border area. The agent who murdered Irmmcher Cherenfant last year in Pedernales continues to hold the same position at the Directorate General of Customs. He has not been dismissed or prosecuted.
“As always, Dominican officials present the simplistic argument of self-defense to comfort the offending soldiers with impunity,” GARR stated.
Vladimir Fuentes is the pen name of a freelance journalist based in the Dominican Republic.
Donetsk People’s Republic military parade on May 9, 2018 / credit: Andrew Butko
Editor’s Note: The following is the writer’s analysis.
While Russia and the United States continue to act as geopolitical rivals during what is now dubbed the “new Cold War,” they often agree to deals on political crises and conflicts around the globe.
Territory in Donetsk Oblast under the control of the Donetsk People’s Republic (in yellow) and the Luhansk People’s Republic (in pink), as of 2015 / credit: ZomBear/Marktaff
Recently, the two countries discussed the Donbass War between two Moscow-backed self-proclaimed republics—the Donetsk People’s Republic and the Luhansk People’s Republic in Ukraine’s Donbass region—and the Washington-sponsored Ukraine. But will that finally end the bloodshed that erupted in the energy-rich region of eastern Ukraine after more than 89 percent of voters in the Donbass voted in May 2014 for independence from Kiev?
Every conflict has its epilogue around the negotiating table. In 2015, the self-proclaimed Donbass republics, as well as Ukraine, Russia and European mediators signed the Minsk Agreement, which effectively ended offensive military operations in the war-torn region. But it did not end the war itself. To this day, sporadic shelling and gunfire remain part of everyday life for the local population.
On October 13, Ukrainian Armed Forces captured Andrey Kosyak, the officer of the Luhansk People’s Republic Office at the Joint Center for Control and Coordination. Kosyak is one of about 600,000 Donbass residents who hold Russian citizenship in a region of 2.5 million people. In response to the arrest, local activists blocked the Organization for Security and Co-operation in Europe (OSCE)’s headquarters in Donetsk, demanding Kosyak’s release. The mission then suspended its operations in the Donbass. The Kremlin’s reaction to this incident appeared weak. It took a week for the Russian foreign ministry to demand Ukraine grant access to the Russian citizen. Kiev, backed by the West since the neo-Nazi rampage the Obama-Biden administration fueled, is unlikely to rush to allow Russian diplomats to meet with the captured officer. That means the Kremlin has no option. However, former Russian President Dmitry Medvedev wrote on October 11, “Russia knows how to wait. We are patient people.”
Indeed, endless waiting along with a few weak actions seem to be the Russian strategy. After the Ukrainian Army on October 26 captured the village of Staromaryevka in the Donbass, Russia did not take any steps to defend its proxies in the region. More importantly, Ukraine has destroyed the artillery of pro-Russian forces in its first combat deployment of the Turkish-made Bayraktar drones, and the Kremlin’s reaction was yet again soft. Even though Kiev confirmed its army has used the sophisticated weapon, Russian Foreign Minister Sergey Lavrov said, “It is very hard to figure out what is true and what is false.” It is not a secret Ukraine purchased Bayraktar drones from Turkey after the unmanned combat aerial vehicle proved to be a game changer in the 44-day war in Nagorno-Karabakh between Azerbaijan and Armenia.
Given the Kremlin hesitates to engage in a direct military confrontation with Ukraine, Kiev is expected to continue its limited military operations in the Donbass, quite aware Moscow will turn a blind eye to Ukrainian actions. Russia is still waiting for Ukraine to implement the Minsk agreements and grant the Donbass a special self-governing status after it holds elections under Ukrainian legislation. In return, the Russian-backed Donetsk People’s Republic and Luhansk’s People’s Republic would allow Ukraine to reinstate full control over its border with Russia. Neither side, however, seems determined to implement the deal.
From the Ukrainian perspective, a special self-governing status for both Donbass region republics would mean a second Crimea has been created. Another pro-Russia entity potentially creates obstacles in Ukrainian political life, which has been heavily linked with the West since late 2013’s Euromaidan. From the Russian perspective, returning the Donbass region to Kiev’s control would mean Moscow has de facto betrayed its proxies in the region and has lost control over the Donbass coal mines at the time when coal prices in the global market have hit a record high.
U.S. Under Secretary of State for Political Affairs Victoria Nuland / U.S. State Department
Still, the Kremlin has appeared to have signaled it is ready to compromise over the energy-rich region. On October 11, U.S. Under Secretary of State Victoria Nuland met in Moscow with Dmitry Kozak, who serves as Russian President Vladimir Putin’s deputy chief of staff. According to reports, the two officials had a “productive discussion about the full implementation of the Minsk Agreements and the restoration of peace, stability, and Ukrainian sovereignty in the Donbass.” That Nuland, who was on Russia’s sanctions list, was allowed to visit the Russian capital is a sign Washington has the upper hand in its relations with Moscow. The Kremlin had lifted targeted sanctions on the U.S. diplomat in exchange for a lift in U.S. sanctions on a few Russian officials and foreign-policy experts. As the U.S. dollar still controls transactions throughout the world, U.S. sanctions have had devastating consequences for 39 countries. Plus, the United States had requested Nuland’s visit to Russia. In other words, Russia had to make a concession to the United States. Moreover, Russian Foreign Minister Sergey Lavrov stressed his country would not object to U.S. participation in talks on the Donbass if Washington supports the Minsk Agreement.
U.S. Secretary of State John Kerry and his team sit across from Petro Poroshenko of the Euromaidan Movement, Vitali Klychko of the UDAR Party, and Arseniy Yatsenyuk of the Fatherland Party at the outset of a meeting with the Ukrainian opposition leaders on the sidelines of the Munich Security Conference in Munich, Germany, on February 1, 2014. Victoria Nuland can be seen to Kerry’s right (fourth from the right) / credit: U.S. State Department
Given Washington is the major foreign actor operating in Ukraine, any peace process that excludes the United States is unlikely to have major success. So far, Moscow and Kiev have been attempting to resolve the Donbass conflict through Normandy-format talks that have included Russia, Ukraine, Germany and France. But no progress has been made. Lavrov recently suggested inviting the United States to these talks, but Germany reportedly refused the Kremlin’s proposal, which means warfare in the Donbass likely will continue for the foreseeable future.
Alexander Borodai, prime minister of the self-proclaimed Donetsk People’s Republic / credit: Mark Nakoykher
This means the region will be stuck in a state that can be described as neither war nor peace, although forces on both sides will try to change the status quo. Alexander Borodai, who was prime minister of the self-proclaimed Donetsk People’s Republic in 2014 and is now a member of the Russian Parliament, said Russia should abolish the border with the Donbass republics. However, customs points between the republics already have been abolished and both entities have been integrated into the Russian economy. As Borodai pointed out, the Donbass already is a de facto part of Russia. However, unless the conflict in the region escalates into a large-scale confrontation, the Kremlin unlikely will incorporate the coal-rich territory into the Russian Federation.
Ukraine, for its part, is not expected to start any significant military operations until it gets the green light from Washington. On October 18, during U.S. Defense Secretary Lloyd Austin’s visit to Kiev, a fresh allotment of U.S.-made arms and other military equipment was delivered, part of a $60 million package the Biden administration had approved.
Since 2014, the United States has committed more than $2.5 billion to support Ukraine’s forces so that they can preserve their country’s territorial integrity and secure its borders and territorial waters. pic.twitter.com/MqKupUaQSo
— Secretary of Defense Lloyd J. Austin III (@SecDef) October 19, 2021
According to Austin, the United States has committed more than $2.5 billion since 2014 to support Ukraine’s Armed Forces, and Turkish defense company Baykar is expected to build a maintenance and modernization center for Bayraktar drones in Ukraine, which means the former Soviet republic is seriously preparing for a potential war against Russia.
At this point, a major escalation of the Donbass conflict does not seem probable. But, in the long term, such an option will almost certainly be on the table.
Nikola Mikovic is a Serbia-based contributor to CGTN, Global Comment, Byline Times, Informed Comment, and World Geostrategic Insights, among other publications. He is a geopolitical analyst for KJ Reports and Enquire.
Accredited Social Health Activist (ASHA) worker Kavita Magdum monitors the health of infants and children. Here, she weighs one of twins of Hasina Hajukhan / credit: Sanket Jain
Hasina Hajukhan never imagined that returning to her maternal house would turn into a near-death experience. In April, the 28-year-old was seven months pregnant, and her medical parameters were normal. “I was taking extra care to ensure no complications during childbirth,” she told Toward Freedom.
As is customary in many parts of India, pregnant women return to their parents’ homes to give birth. When Hajukhan first reached her mother’s house in Ganeshwadi village of the western Indian state of Maharashtra, she felt nauseated. “It was April’s final week, and I couldn’t even breathe properly,” she recounted. A heat wave had taken hold. “The climate was the stark opposite of what it was in my husband’s village.” In Ganeshwadi, things kept getting complicated with the rising heat. “Every day, I was breathless and would feel dizzy.”
Using a desk fan at the highest speed didn’t help, as it just circulated more hot air. An air conditioning system was something her family could not afford. The tin sheet roof would get extremely hot. During this crucial time, Hajukhan needed rest. However, she spent most of her day stepping out to gasp for cold air. In May’s final week, things got worse. “I felt as if I was going to die,” she recalled, teary-eyed.
Immediately, her mother dialed Ranjana Gavade, an accredited social health activist (ASHA worker), part of a community of 1 million women healthcare workers appointed for every 1,000 people in India’s villages. ASHAs are responsible for more than 70 healthcare tasks, with a particular focus on maternal and child health.
ASHA worker Shubhangi Kamble spends a significant amount of time each day talking to community women to help them understand the impact of climate change on children / credit: Sanket Jain
“I was worried looking at her rapidly deteriorating health and informed my colleagues.” Upon their instructions, Gavade called a government ambulance and swiftly took her to the district hospital, 33 kilometers (20.5 miles) away. Hajukhan gave birth to underweight twins. Her troubles still hadn’t ended when she was discharged after three days. For a month since then, Hajukhan has been trying to ensure her twins gain weight, but all efforts have failed. As a result, they weren’t administered the necessary Bacillus Calmette–Guérin (BCG vaccine used against tuberculosis), Hepatitis B, and Polio vaccines.
The Kolhapur district, where Hajukhan lives, has been reporting recurring floods, heat waves, incessant rainfall, and hailstorms triggered by climate change. She said everything would have been normal had she not returned to her parents’ home to give birth in the heat waves. “My children wouldn’t have had to live such a dangerous life,” she said.
Like in the village of Ganeshwadi, climate change impacts have been delaying children’s immunization schedules throughout India, making them vulnerable to diseases. Research has found that if a child belonged to a district highly vulnerable to climate change, the odds of stunting rose by 32 percent, low weight by 45 percent, anemia by 63 percent and acute malnutrition by 42 percent. An analysis by global nonprofit Save the Children found that, globally, 774 million children are living in poverty and at a high risk of climate-related disasters. Weather disasters ranging from floods to droughts prevent children from obtaining nourishment, causing low weight, and these disasters put a break on children receiving vaccinations on time. Their weakened immune systems, as a result of a lack of proper nourishment in crisis times, make them vulnerable to other diseases. Being sick can halt the necessary immunizations, and these delays have led to a rise in epidemics and diseases.
ASHA worker Shubhangi Kamble often works beyond her duty to ensure every child completes the universal immunization on time. Here, she speaks to a woman to help her understand how climate change can impact her son’s health / credit: Sanket Jain
How Floods Impact Universal Immunization
Snehal Kamble, 24, a resident of Maharashtra’s flood-prone Arjunwad village, remembers the year 2019 in meticulous detail. “A day before the floods, I was preparing to go to my parent’s house.” Five months pregnant, she was looking for iron folic acid tablets. “Instead, all of us went to a flood relief camp,” she recounted. From there, she moved to another relief camp within a few days, as the water rose further. “During this time, I was worried about my house and belongings,” she said. She fell sick and was away from home for 15 days. “Those were the most difficult days of my life,” she shared. Then in January 2020, she gave birth to a boy named Sangarsh, who has often fallen sick. “When I went to my maternal house, he just couldn’t bear the heat there,” she said. The dehydration and spells of fever he experienced affected his immunization schedule. “His Pentavalent vaccine was delayed by several months because of health ailments,” said ASHA worker Shubhangi Kamble (no relation to Snehal), who has been monitoring this child since birth.
Further, his Measles-Rubella vaccine and Vitamin A dose were also delayed, making him vulnerable to diseases. “Vaccines need to be administered on time,” said Sachin Kamble, a nursing officer at the district women’s hospital in Maharashtra’s Osmanabad district. “Otherwise, it affects a child’s immunity, making them more vulnerable to diseases.”
He pointed out how the lack of vaccinations led to 2,692 cases in 2022 in Maharashtra, which reported the highest measles count in India. That was an eight-fold increase from the previous year. During this time, India reported 12,773 cases. India’s National Family Health Survey (NFHS) said only 31.9 percent of children ages 24 months to 35 months had received a second dose of measles-containing vaccine in 2019-21.
Another healthcare worker, Kavita Magdum, from flood-affected Ganeshwadi village, said that children in her surveying area never fell ill so frequently. She started noticing such stark changes only in the past five years. Upon inspecting this, she found, “Stress caused by the changing climate is leading to this.” For instance, Magdum sees that many children aren’t drinking breast milk, which has impacted their medical parameters. These drastic changes reflect in Indian government statistics, as well. During 2015-16, 58.6 percent of children ages 6 months to 59 months (just under 5 years old) were anemic in India. By 2019-20, this number rose to 67.1 percent. In addition, 32 percent of children nationally remain underweight.
After a year-and-a-half, Snehal’s son started getting better, thanks to Shubhangi’s consistent visits, when she monitored every parameter and ensured the best possible treatment by working hours beyond her duty. “Once the vaccination schedule started falling in place, his health, too, began improving,” Shubhangi shared.
ASHA worker Ranjana Gavade frequently visits Hajukhan’s home to monitor the health of her children / credit: Sanket Jain
Untimely Administration of Vaccines
While climate change is making it difficult for these healthcare workers to complete universal immunization, another challenge is the untimely vaccine administration.
“There are many instances, where vaccines in several villages are just not available,” said Netradipa Patil, leader of more than 3,000 ASHA workers and co-founder of Deep-Maya Foundation, a non-profit that works for women and children. “During such times, it becomes extremely challenging for us healthcare workers to manage everyone.”
Patil has observed that the workload has increased tremendously for all the ASHA workers because of the delay in vaccination. This is because ASHA workers are responsible for immunization, and in case of any discrepancy or error, they are held accountable. Research published in 2016 concluded, “Lack of timely administration of key childhood vaccines, especially DPT3 (the three doses of the Diphtheria, Tetanus and Pertussis vaccine) and MCV (measles-containing vaccine), remains a major challenge in India and likely contributes to the significant burden of vaccine-preventable disease-related morbidity and mortality in children.” Another paper published in 2019 inferred, “The proportion of children with delayed vaccination is high in India.”
In 2021, the World Health Organization found that 25 million children around the world under the age of 1 didn’t receive vaccines, a figure not seen since 2009. “Many children never get the Vitamin A doses on time. These doses are just not available when required,” Patil said, suggesting the Indian government should consult local healthcare workers to arrange vaccination. “We need to reach more and more people, and, currently, looking at the changing climate, we aren’t prepared to do this,” she shared. Patil made simple suggestions like identifying vulnerable children and their locality and monitoring them from the earlier stages, even before the disaster strikes. “Just by proper identification, we can save so many children,” she said.
A woman playing with her child in Maharashtra’s Kolhapur district / credit: Sanket Jain
Rising Undernourishment
Fed up with feeding medications and tonics that didn’t seem to help increase his weight and prevent him from continually falling ill due to the changing weather conditions, Rashi Patil, 23, quit taking her son to the doctor every month after 18 months. “My son just wouldn’t eat anything,” Patil said.
Moreover, the changes in local climatic patterns affected her son’s health, and he often fell sick. Last year, he was hospitalized for a week as his platelets fell and a fever intensified. What followed next were recurring illnesses that delayed his immunization schedule. Because of the fever in March, he wasn’t administered the Pentavalent 1 vaccine (it protects from five life-threatening diseases: Diphtheria, Pertussis, Tetanus, Hepatitis B and Hib [Haemophilus Influenzae Type b]). Her son soon became weak and began recovering only after the vaccine’s administration. All this while, her son struggled with good eating habits. After several trials and errors, Rashi and her husband, Rajkumar, discovered the climate affected their son’s health and eating habits.
“Now, their son makes it a point to eat only outside the house, where he gets some cold air,” says Rashi. “Contrastingly, this was never the case with my elder daughter.”
Toward Freedom reached out to Ganeshwadi’s community health officer, Dr. Prajakta Gurav, regarding what steps her team was taking to deal with delayed immunization. Gurav hasn’t replied as of press time.
The impact of poor diets is more obvious at the national level. For instance, just 11.3 percent of children between the ages of 6 months and 23 months receive an adequate diet. Plus, in 2022, India ranked 107 out of 121 countries on the global hunger index. These numbers further reveal how climate change is exacerbating the existing faultlines.
The problem is not restricted to India. Of the countries at severe risk of being adversely affected by climate change, the report by Save the Children says, “Burundi has the highest rate of stunted children (54 percent), followed by Niger (47 percent), Yemen (46 percent), Papua New Guinea (43 percent), Mozambique (42 percent) and Madagascar (42 percent).”
Research published in PLOS Medicine found that in 22 sub-saharan African countries, drought led to lower chances of completion of BCG (Bacillus Calmette-Guérin), Polio and DPT (diphtheria, tetanus, and pertussis) vaccines. “We took vaccines to the last mile. Now, climate change is eroding progress.”
For Komal Kamble, 30, vaccinating her 2-year-old daughter remains challenging. Her remote mountainous village of Kerle, in Maharashtra’s Kolhapur district, remains inaccessible most of the year.
For the village population of less than 1,100 people, the nearest healthcare facility is 15 kilometers away. Last year, within a week of October rains, the road that connects her village to the nearest hospital was completely under floodwater.
Komal’s daughter couldn’t get proper medical care for two days, worsening her health. Her chest was full of cough, and the fever rose, making things difficult for the agrarian Kamble family. This wasn’t restricted to heavy rainfall, though. Since her birth in 2021, Komal has taken her daughter to a private doctor at least 20 times, spending over Rs 15,000 ($182). Last year, she was feverish and wasn’t given the crucial Japanese encephalitis vaccine, a Vitamin A dose and the Measles-Rubella vaccine. This made her vulnerable to more diseases, challenging the Kamble family.
Healthcare worker Shubhangi Kamble from Arjunwad says that instances of children missing their vaccination are rising rapidly. When she went to find out why this was happening in her village, Arjunwad, she saw that children fell sick during floods and heat waves. “This was the time that coincided with their vaccination schedule, and so many couldn’t get the vaccines,” she shared.
However, a delay in vaccination has caused more problems than she had anticipated.
“Almost every day, at least one parent dials me asking where they should get their children hospitalized,” she said.
Now, every rainfall brings a health issue for Komal’s daughter. “I am tired of going to the healthcare center to hear that my daughter is underweight or sick and can’t be given the vaccine,” Komal said, with frustration in her voice.
Meanwhile, with every climate disaster, it will become increasingly difficult for many families to complete the immunization in time. “I’ve been vaccinating children for over a decade, but things never got this difficult. We took vaccines to the last mile. Now, climate change is eroding progress,” said healthcare worker Kavita Magdum.
Sanket Jain is an independent journalist based in the Kolhapur district of the western Indian state of Maharashtra. He was a 2019 People’s Archive of Rural India fellow, for which he documented vanishing art forms in the Indian countryside. He has written for Baffler, Progressive Magazine, Counterpunch, Byline Times, The National, Popula, Media Co-op, Indian Express and several other publications.
