Sukumar Shinde, 52, who sells food items and snacks in rural fairs, said, “Because of the lockdown, I had to throw away several food items as they have a shorter shelf life.” / credit: Sanket Jain
Balu Jadhav usually journeys through 60 villages 300 days a year, selling toys and artificial jewelry in India’s “jatras,” or rural village fairs.
So if Jadhav travels less than 1,000 miles a year, that’s a sign of distress.
“In the past two years, I covered only 150 miles,” he said.
His two-decade-long routine was broken in March 2020 when far-right Indian Prime Minister Narendra Modi announced a 21-day nationwide lockdown to curb a pandemic caused by COVID-19, the novel coronavirus. The lockdown was extended to 67 days, causing 121 million people to lose their jobs within the first month. Yet, with this lockdown, India couldn’t contain the coronavirus. Meanwhile, because case numbers ebbed and flowed for two years, district administrators banned fairs.
With a history of over 150 years, these fairs remain an important source of income for marginalized people. In Jadhav’s home state of Maharashtra, located on India’s Arabian Sea coast, almost every village hosts an annual fair for a couple of days. Jatras are held in reverence of local deities. Rural vendors sell a variety of items, including toys, posters of regional deities, local books, footwear, artificial jewelry, balloons and household items. “A fair is like a festival and a holiday season for rural people,” said Gangabai, Jadhav’s wife. “Everyone prepares good food, dresses up and relatives from different villages attend the fair.”
With no option for selling goods, the Jadhavs were forced to work in 10 other occupations. They labored as farmworkers and masons, and in factories, but nothing helped them earn enough to survive. “There was no regular work because COVID devastated the rural economy,” she said.
The 2022 World Inequality Report states India is one of the most unequal countries in the world. Oxfam’s Inequality Kills report mentions, “The wealth of the 10 richest men has doubled, while the incomes of 99 percent of humanity are worse off, because of COVID-19.” Further, it found that a new billionaire was created every 26 hours since the pandemic began. Meanwhile, millions like Jadhav could barely find 26 hours of work per month during the peak of the pandemic.
After two years, local administrators in the village of Jambhali in Maharashtra’s Kolhapur district were permitted to arrange a fair that would be held January 1-2. Unfortunately, while the Jadhavs assumed it would help them sail, it was far from reality.
With rising coronavirus cases in January, reporting as high as 347,254 cases one day, several COVID restrictions were implemented again.
“We earned about 3,000 rupees ($40) from every fair before the pandemic. Now we are finding it difficult even to recover the transportation cost,” Balu Jadhav said. “Ever since COVID, people have stopped spending money because of dwindling wages.”
Hundreds of vendors in the Kolhapur district protested several times outside the local administrator’s office, demanding revocation of the ban on fairs. “Despite writing hundreds of letters, nothing concretized,” Jadhav said.
Anusuya Chavan, who lives in the same village as the Jadhav family, is in her mid-40s and sells toys. “This occupation forced us to never send the children to school, and with COVID, there’s no possibility that four of my children will ever see the school.” Her children, all below 18, are busy looking for work. “Earlier, we took loans to support our business, but now we are forced to take loans for eating food twice a day. It’s that bad.” Chavan has 13 members in her joint family and is in $670 debt. Her husband, Yuvraj, 50, has spent four decades traveling to sell at fairs. “My entire life has gone sleeping on roads,” he said. “But with lockdowns and curfews, we don’t even have roads on which to sleep.”
Vendors rely on informal loans to buy items to sell and pay them off immediately after fairs. “The moneylenders send their goons for collection, and we always pay on time,” Yuvraj said. However, with no sales, several vendors have been caught in debts of at least $3,350 each. High interest-rate fees have caused those debts to amass.
Meanwhile, fear, anger and frustration pile up, with another generation missing out on obtaining an education. That leaves Jadhav to vent.
“Even our children will have to live the same cursed life now.”
A view of the Jambhali fair at night. Vendors said they had never before seen such a low turnout / credit: Sanket JainVendors sell a variety of items, including toys, posters of regional deities, local books, footwear, artificial jewelry, balloons, household items, and much more in India’s rural fairs / credit: Sanket Jain“I’ve taken both the doses of the vaccine and even follow COVID norms, yet the government hasn’t given permission for fairs,” said toyseller Yuvraj Chavan / credit: Sanket JainKanthinath Ghotane traveled from the neighboring Indian state of Karnataka state to sell keychains in the Jambhali fair of Maharashtra’s Kolhapur district / credit: Sanket JainFairs are more like festivals, and are special occasions for rural people. During these fairs, every household creates in front of their homes rangolis, a traditional Indian art form, in which patterns are created on the floor using powder, flower petals, colors, colored sand and limestone / credit: Sanket JainEveryone (irrespective of religion) first offers coconut and incense sticks in Jambhali’s Khwajaso dargah, a Muslim shrine, before entering the jatra. “These fairs are a sign of communal harmony,” said Sikandar Attar, a coconut and incense stick vendor / credit: Sanket JainSikandar Attar, 69, who travels to more than 100 villages every year, sells incense sticks and coconuts offered to regional deities. He began working at farms during the COVID-19 lockdown. Even today, he hasn’t been able to find his way through to make ends meet / credit: Sanket JainCredit: Sanket JainColorful LED-based toys are selling at a higher rate than other items / credit: Sanket JainRiyaz Latkar, 32, has been selling artificial jewelry for over a decade and said he has never seen a crisis like this / credit: Sanket JainDuring these two- to three-day fairs, vendors sleep and cook on the roadside. Kamalaxmi Bahurupi said, “I’ve spent my entire life cooking food on roadsides. I don’t know how long we will live like this.” / credit: Sanket JainArtificial jewelry is usually in high demand in the village fairs of Maharashtra. However, with people losing their livelihoods because of the pandemic lockdown, vendors have reported a steep decline in sales / credit: Sanket JainIn this stall, every item is sold for a fixed rate of Rs 10 (13 U.S. cents) / credit: Sanket JainBalu and Gangabai Jadhav were forced to work 10 different occupations as the fairs remained banned. “If there’s another lockdown, we’ll all die of starvation,” Balu said / credit: Sanket JainAs much as 70 percent of rural India lacks an internet connection. With schools shut because of the coronavirus pandemic, several children have been forced to pick this line of work to make ends meet and support their families / credit: Sanket JainHorse and bullock cart races remain a major attraction during these fairs. Here, a horse is getting ready for a race / credit: Sanket JainCredit: Sanket Jain
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.
The practice of “thengapalli” has helped one forest in India.
Groups of 4 or 5 women have taken turns carrying wooden sticks to guard their community forest against theft and poaching. This practice has helped the once-devastated forest in the state of Odisha to regenerate.
“Nature is the source of identity, culture, language, tradition and livelihood for an Indigenous community and, thus, they have been protecting it,” said Archana Soreng, an Indigenous activist and researcher from Odisha. “Unlike how the contemporary development framework sees nature as a commercial entity.”
A new report more than 20 Asian Indigenous organizations have authored warns Western conservation models governments and organizations worldwide have adopted threaten the rights of Indigenous communities and local people.
Posang Dolma Sherpa said such spatial targets are simplistic and do not translate into actual progress.
“For many of the Indigenous peoples and local communities already safeguarding the planet’s natural resources and biodiversity without outside help, the catchphrase ‘30 by 30’ belies the many complex considerations required to ensure truly sustainable conservation,” said Sherpa, executive director of the Centre for Indigenous Peoples and Research and Development (CIPRED), based in Kathmandu, Nepal.
As an example, she explained that in Nepal, generations of Indigenous customary institutions and self-governance systems that contributed to sustainable management of biodiversity and ecosystem were ignored. Instead, new land and forest management processes were superimposed, causing injustices and marginalization that exacerbated the issues that were meant to be rectified.
“When countries gather in Kunming in April to finalize the post-2020 Biodiversity Framework, it is imperative that the draft targets are modified to explicitly recognize human rights-based approaches to conservation on a global scale,” she added.
Sherpa said this can be done by:
Changing Target 2 in the framework to include the appropriate territories of Indigenous Peoples and local communities and their right to Free, Prior and Informed Consent (FPIC);
changing Target 3 to include the appropriate territories of Indigenous peoples and local communities, the equitable governance of these territories and resources, and their appropriate legal recognition within the target;
including the “devolution of authority and broad-based alliances with Indigenous peoples and local communities” within the GBF’s enabling conditions, paragraph 17; and
ensuring a due diligence mechanism and an accountability process.
A view in Rachakonda in the Indian state of Telangana / credit: Sravan Kumar on Unsplash
Living In Constant Fear of Evictions
A huge gap exists in the recognition and legal status of tenure rights. Between 1.65 billion to 1.87 billion Indigenous peoples and local communities live in important biodiversity conservation areas globally, but legally own only 10 percent of the lands they customarily manage.
Sherpa said for the GBF to achieve its goals for a better and harmonious future, it must support and initiate drastic transformations that facilitate environmental and social justice. “Failing to uphold international standards of human rights or erect due diligence mechanisms to ensure human rights are being implemented will only enable the continuation of the same processes that are destroying the environment and causing human rights violations at the same time.”
A 2020 map of Indian states and neighboring countries, including Nepal / credit: Maps of India
Already, several communities have lost access to local, ecological and cultural resources, and have undergone trauma due to eviction. In many areas, their rights are still not recognized. Even when legal rights are afforded, such as India’s 2006 Forest Rights Act, many of these rights are subverted. During the 2020 lockdown, land belonging to tribes in the states of Telangana and Odisha were reportedly grabbed under the pretext of afforestation.
Neither the forest departments of the Indian government nor the Odisha state responded to this reporter, as of press time. The Indian Ministry of Tribal Affairs also did not reply.
Prudhviraj Rupavath, researcher with New Delhi-based data research agency Land Conflict Watch, who contributed to the report, said many Indian states have neglected to implement the Forest Rights Act. “Awaiting legal titles for their cultivating land, indigenous people are constantly living with the fear of evictions.” He added that though Indigenous communities help protect and restore forests, Indian state governments are prioritizing displacing people rather than securing tenure rights.
Aside from being an Indigenous activist and researcher, Soreng is a member of the UN Secretary General’s Youth Advisory Group on Climate Change. She said when an Indigenous community is displaced, they lose their identity, culture, language, and traditional knowledge and practices of forest conservation. That makes not only the humans, but the ecosystem, vulnerable to the climate crisis.
Soreng added Indigenous communities have been using twigs to brush teeth, and building dining plates, mats, chairs, and small tables using leaves.
A mountain in Deomali, Barakutni, in the Indian state of Odisha / credit: Mohan Vamsi on Unsplash
Moving Toward Collective Ownership
The increasing focus on commodity-driven development threatens one-quarter of Indigenous peoples’ land, according to the report.
“Due to a systemic lack of formal legal recognition, the lands customarily occupied and owned by Indigenous peoples and local communities are seen as ‘available’ or property of the government,” said Thomas Worsdell, editor of the report.
In India, several large areas are classified as wastelands although they customarily belong to tribal communities. This opens them to environmentally destructive industries and human rights abuses, he said.
“Examples are the coal sector in India and the fossil fuel industry, more broadly, agricultural expansion (e.g., palm oil), mining, renewable energy (hydroelectric dams and wind turbines) and even the carbon offsets market,” Worsdell told Toward Freedom. “These industries are expanding into the lands and territories of Indigenous peoples and local communities who do not have collective ownership.”
These threats on territories are often encouraged and even enabled by the state, he added. In Indonesia, the recent Omnibus bill was enacted to attract business investments, but weakened both environmental and human rights protections.
To prevent these threats, the report states governments should embrace human rights-based strategies, and recognize the land, forest, water, and territorial rights of Indigenous peoples and local communities.
Worsdell said supporting Indigenous and local movements is key to creating legal transformations at the national level that support capacity and funds. Capacity in this instance can include trainings, workshops, supporting knowledge sharing, participatory mapping, among other steps to ensure the human rights of Indigenous and local peoples are upheld.
Indigenous and local community organizations are already providing solutions for human rights-based approaches. They have proposed laws and amendments, created the frameworks for nationally recognized Indigenous institutions and agencies, and are conducting research that proves the environmental benefits of human rights-based conservation.
For example, the Tsumba and Nubriba Indigenous groups in Nepal renewed in 2012 the practice of a Shagya (non-violence) customary institution to protect nature, biodiversity and their cultures. This practice involves the establishment of a committee made up of representatives from 10 villages to ensure no killing, hunting, harvesting of wild honey, forest fires, flesh trading, trapping and sale of animals, and trading of domestic animals take place during various timeframes.
Worsdell said, however, this practice lacks legal recognition, which is often the case in many Asian countries, where the legal climate does not favor human rights-based approaches to conservation.
“Governments must first recognize Indigenous identities, bring an immediate end to criminalizing and killing of Indigenous peoples and local communities defending their lands, and put in place a national accountability and reparation mechanism for past and present human rights violations,” Worsdell explained.
He said Indigenous peoples must have a seat at the decision-making table as leaders instead of as symbolic representations. He added governments must endorse and commit to the ‘Land Rights Standard,’ a set of emerging best practices for recognizing Indigenous peoples’ and local communities’ land and resource rights in landscape restoration, management, conservation, climate action, and development projects.
A song created by groups of Indigenous people aptly captures the essence of the report:
“…Nature was taken from Indigenous people again and again, betrayed, they lost their forest wealth. We had knowledge of the forest then, why have we lost the knowledge now. Indigenous people lived with freedom in the forests, today we are oppressed by the ruling class. We used to have everything, Now, why have we lost what was ours…”
Deepa Padmanaban is a Bangalore, India-based freelance journalist, who writes about the environment, conservation and climate change. She can be followed on Twitter at @deepa_padma.
Nicaragua received the first 200,000 doses of a donation of 1 million doses of Sinopharm vaccines on December 12. The batch arrived from China with a Nicaraguan delegation headed by Laureano Ortega, who advises President Daniel Ortega on foreign investments, Nicaraguan Minister of Finance Ivan Acosta, and Chinese Foreign Affairs Representative Yu Bo / credit: Kawsachun News
Nicaragua leapt forward to defend its national self-determination against U.S. global hegemony when it announced earlier this month it had discontinued diplomatic relations with Taiwan and was ready to join China’s Belt and Road Initiative.
This move opens up the small Central American country’s economy to the People’s Republic of China, a country of 1.4 billion people that is rapidly edging toward surpassing the United States and becoming the biggest economy in the world.
Taiwan: Washington’s Beachhead In China
Nicaragua’s move to recognize China is no different than what the United States, Japan and Canada voted in favor of in 1971 at the United Nations General Assembly. Resolution 2758 stipulated the United Nations “expel forthwith the representatives of Chiang Kai-shek” (the leader of the Chinese nationalists, whom the communists struggled against) and change China’s name as a member of the UN Security Council from the “Republic of China” to the “People’s Republic of China.”
Nicaragua first established relations with Taiwan in the 1990s, after U.S.-backed President Violeta Chamorro took power in 1989 in a surprise defeat for the Frente Sandinista de Liberación Nacional (FSLN). Taiwan is an island off the Chinese coast that Chinese right-wingers fled to upon the 1949 communist victory.
The United States replied to the move using the language of humanitarian interventionism it has deployed to exploit and destroy countries around the world.
“The Ortega-Murillo regime continues to make self-serving decisions at the expense of the Nicaraguan people, who stand to suffer from the loss of a reliable, democratic partner in Taiwan,” tweeted Brian A. Nichols, assistant secretary for Western Hemisphere affairs at the U.S. State Department. “We encourage the int’l community to continue strengthening its relationships with Taiwan.”
The Ortega-Murillo regime continues to make self-serving decisions at the expense of the Nicaraguan people, who stand to suffer from the loss of a reliable, democratic partner in Taiwan. We encourage the int’l community to continue strengthening its relationships with Taiwan.
Relations between the Biden administration and the Ortega government have recently taken a plunge. First, the United States intervened in Nicaragua’s elections by calling them a “sham” prior to Election Day and despite the presence of “232 international election observers,” said Michael Campbell, Minister Advisor for Foreign Affairs. After the FSLN won the election with 75.92 percent of the votes, U.S. President Joe Biden signed the “Reinforcing Nicaragua’s Adherence to Conditions for Electoral Reform Act of 2021,” also known as the RENACER Act. This law calls for the United States to monitor Nicaragua’s relationship with Russia as well as U.S. sanctions that would disrupt multilateral financing from institutions like the World Bank. Later, the Biden administration banned all Nicaraguan government officials, along with their spouses and children, from entering the United States.
Nicaragua is now the fourth country in the region to recognize China. Panama took the step in 2017, then came El Salvador and the Dominican Republic in 2018, and Honduras, which may make the same move after left-wing presidential candidate Xiomara Castro’s recent victory.
Recognizing one China comes on the heels of the Nicaraguan government’s decision to withdraw from the Organization of American States (OAS) on November 19.
“We have seen what the U.S. and the European Union are capable of doing and have to prepare accordingly,” Campbell said. “But it’s the FSLN government’s job to lead the Nicaraguan people toward development.”
Countries in blue have signed onto China’s Belt and Road Initiative / Wikipedia/Owennson
Nicaragua and the Belt and Road Initiative
The third China-CELAC Forum involved approximately 117 political parties and organizations from 30 Latin American and Caribbean countries. CELAC stands for Community of Caribbean and Latin American States. At the forum, they proposed strengthening their relationship and solidarity with China.
“Nicaragua actively supports and is ready to consult on Belt and Road cooperation documents, with a view to signing them as soon as possible,” Moncada said. In 2020, trade agreements between Taiwan and Nicaragua reached $168 million, while trade with China accounted for less than $50 million. A potential trade ceiling exists with the much-smaller Taiwan, with its population of 23 million.
In addition, the new initiative opens up markets for Nicaragua’s agricultural business.
“There is a lot of enthusiasm because communication channels have already opened up for the structuring of cooperation projects, commercial exchange and investment projects,” said Fausto Torrez. He leads international relations for the Rural Workers’ Association (Asociación de Trabajadores del Campo [ATC]).
The FSLN government has a record of working to ensure the rights of farmers, as well as of Indigenous and Afro-descendant peoples in the autonomous regions on the Caribbean coast. That includes bringing electricity and paved roads to these once-underdeveloped areas. The Red Nacional Vial, a 24,763-kilometer (15,387-mile) paved road, connects the Pacific Ocean coast with the Caribbean Sea coast. It has been touted as the key to connecting Nicaraguan farmers with international markets. The World Bank also praised the project for uplifting Afro-descendant people. “This region, before the road construction, could only be reached by air during most of the year owing to heavy rains and impassable infrastructure (the rainy season lasts nine months in that region),” a 2020 World Bank report stated.
Nicaragua belongs to the Central American Common Market (CACM), which includes Costa Rica, El Salvador, Guatemala and Honduras. The United States is CACM’s largest trade partner, while China is the second-largest.
“These agreements come in the framework of [defending] food sovereignty,” Torrez said. “Therefore, China arrives with many possibilities to improve the country’s situation.”
As some see it, China is repairing holes U.S. imperialism has left in the region.
“Latin Americans know only too well what imperialism looks like, in both its colonial and modern forms,” activist Carlos Martinez recently wrote. “They have witnessed CIA-sponsored coups from Guatemala to Chile, from Brazil to the Dominican Republic.”
The new wave of governments working with China are doing so based on mutual respect. In 2020, $315 billion in agreements between Latin America and the Caribbean (LAC) and China had been recorded.
“With projects such as the sea port on the Caribbean, improvements to our airports, roads, irrigation system and energy infrastructure, we will produce more and more efficiently,” Campbell said.
Nicaragua receives the first 200,000 doses of a donation of 1 million doses of Sinopharm vaccines. The batch arrived from China with a Nicaraguan delegation headed by @LaureanoOrtegaM, Minister of Finance Ivan Acosta, and Chinese Foreign Affairs Representative Yu Bo. pic.twitter.com/QF3thXADW5
China also has been at the forefront of providing the Global South with aid since the start of the pandemic. For example, between mid-February 2020 and June 2020, China donated $128 million worth of ventilators, test kits, masks, protective suits and many more life-saving items to Latin America and the Caribbean.
“This strengthens Nicaragua’s international relations in all fields,” Nicaraguan President Daniel Ortega said in his first public statement after the FSLN signed the agreement with the Communist Party of China (CPC). For example, the country’s National Human Development Plan will continue to prioritize poor and vulnerable sections of society, which includes rural producers. Campbell said this new relationship represents an opportunity to diversify exports in a large new market.
Two Revolutions
Ortega made clear the historic significance of acknowledging one China.
“It hurts (the United States) more when it comes to Nicaragua, which is a revolution meeting again with another revolution,” he said.
Both the FSLN and the CPC are products of national liberation movements against a colonial power. They agreed to develop friendly relations based on “mutual respect for sovereignty and territorial integrity, mutual non-aggression, non-interference in each other’s internal affairs, equality, mutual benefit, and peaceful coexistence,” stated the Chinese Ministry of Foreign Affairs.
Ortega also pointed out the hypocrisy of the United States demonizing countries that establish diplomatic relations with China while the United States continues to trade with China.
Yet, sanctioned and blockaded countries that establish ties with China weaken the U.S. stranglehold.
“Now is the time to improve and strengthen A.L.B.A.,” Torrez said of the Bolivarian Alliance for the Peoples of Our America, a political, economic and social alliance in defense of independence and self-determination in the Americas.
Abraham Marquez is a freelance journalist from Inglewood, California. He is a member of the National Association of Hispanic Journalists (NAHJ) and a 2021 University of Southern California Annenberg Center for Health Journalism Fellow.
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.
