Photo Essay: India’s Rural Health Workers Fell Ill As Workload Spiked During Pandemic

Editor’s Note: The following is the writer’s opinion and represents the first in a 2-part series on the October 25 Sudan coup. Part 2 can be read here.

The October 25 military coup d’etat in Sudan marked the collapse of the unstable and rotten compromise between the military and liberals that took place in the summer of 2019. That deal was brokered to stop the mass revolutionary process that had erupted and overthrown President Omar al-Bashir, who had been in power for 30 years. Despite the military junta’s declaration of a state of the emergency, the masses poured into the streets of the capital, Khartoum. Even Abdalla Hamdok was reinstated as prime minister by the military junta. The people in the streets who have fought and shed blood for a month to win civilian rule have met this news not with jubilation, but with rage.

What is going on in Sudan? This question constitutes the first point of contention in the international community, and this political dispute is, of course, reflected in the media. At a time when the idea is being promoted that differences in the international community over what is happening are nothing more than a reflection of the international conflict, it should be remembered that the Sudanese people are most concerned with this division.

It is often said the events in Sudan until this moment were an intense expression of an international conflict. From this correct idea, another wrong idea was adopted, which was that the Sudanese people inevitably will be victims of these international duels. To respond to this idea, the conflicting parties in Sudan must first be described.

Internal Forces Share Power

What are the features of the “old” that should be changed?

The main contradiction in Sudan is among looters, regardless of their dress and political names, and regardless of whether they are “civilians” or “militaries.” However, the poles of the current conflict were only partly an expression of this basic contradiction. When the Sudanese people took to the streets at the end of 2018, they were expressing the need for the required profound change, and with Bashir’s security committee, formed from the main military forces in the country, removed him from power. 

The Sudanese Sovereign Council is an 11-member body that was created after Bashir’s ouster through the draft constitutional declaration in August 2019 in the South Sudanese city of Juba. Members of a civilian group called Forces for Freedom and Change (FFC) and leaders of the Transitional Military Council (TMC) comprised this council, a collective body that was meant to act as the head of state until November. Instead, the council was dissolved with the October 25 coup. Council leader Abdel Fattah al-Burhan announced the dissolution, adding it would be replaced with a government that would be nominated.

Up to the formation of the Sudanese Sovereign Council and its recently dissolved government, Sudan began to witness political changes in the governance structures, without the required deep change. The structure of the Sudanese regime was characterized by basic general features. It is not possible to talk about an actual transformation if the Sudanese people did not perceive a change in these features, which has not happened until now. 

So what are these basic features? The Sudanese national framework is placed at the top of this list, as Sudan has lost its southern part and is living in a continuous state of armed civil conflicts in scattered areas of the country. These elements constituted a double threat to the unity of Sudan, meaning the primary challenge is Sudanese people live in an entity whose existence is threatened.

In addition to these existential dangers, Sudan was systematically looted by the West through Sudanese intermediaries, and its people were starved and impoverished, so unemployment and marginalization increased. The production process in all its forms was hampered to turn Sudan’s fertile lands into battlefields. Its workers and peasants were turned into fuel for these conflicts, and mercenaries in foreign wars.

The Sudanese have nothing to do with it. Sudan was blackmailed by placing it on the U.S. state sponsors of terrorism list, and turning it into a country that lives on Western aid and loans with well-known political conditions in place. All this came in addition to disrupting political life and the absence of effective national forces caused by suppression, then plunging the country into conflict with armed forces, whose voice for long periods overshadowed the voice of the national forces.

UNSC Speaks on the Coup

How can we read the positions of the primary forces in conflict?

The dispute erupted between the civilian and military components of the Sudanese Sovereignty Council after a conflict that remained unabated even after the body was established. In fact, no clear distinctions in the positions of the “civilians” or the “militaries” emerged. Both parties contributed to the consolidation of the liberal policies that brought the conditions of the Sudanese to this point. Both parties clearly contributed to the notorious normalization agreement with the Zionist entity known as Israel, and neither provided any serious direction to establish national reconciliation to prevent the fragmentation of the country. Despite their seemingly identical positions, the military’s move on October 25 constituted a controversial point on the international scene, which indicated regional and international powers differentiate between the two components of the Sovereign Council. That led to the UN Security Council failing several times to obtain consensus on a statement on the events in Khartoum. When a statement emerged on October 28, the UNSC described what happened as “controlling the power,” not as a coup. The statement also stressed the “need to adhere to the constitutional document and the peace agreement in Juba” and called on the authorities. The military was asked to “restore the civilian-led transitional government on the basis of the Constitutional Document and other foundational documents of the transition.”

The difficulty in adopting this statement did not in any way end the divided opinions on what occurred in Sudan. Rather, it reflects the international balance of power that has impeded a correct characterization of the coup and softened rhetoric toward the military. 

Returning to the White House’s Bosom

But the most important question remains: What has caused different countries to take various positions on the military move? 

After the military overthrew Bashir in 2019, Sudan entered a period of anxiety that drastically changed its relationship with the world. The most noticeable of which was Sudan’s official and gradual return to the bosom of the “Western House”—a term used for the White House. This involved re-opening the door for loans, lifting sanctions, and removing Sudan from the U.S. state sponsors of terrorism list, among other things. 

All this prompted observers to search for the price Sudan had to pay in exchange for this “Western amnesty.” At first glance, it seemed to be normalization of relations with the Zionist entity, Israel. However, events today indicate normalization was only the public aspect of the cost to Sudan. The military component was the first to brag about relations with the Zionist entity. However, the West seems very concerned about the military’s unique power and the exclusion of the civilian component. The primary explanation for all this appears to lie in the obscured part of the price Sudan paid to the Washington. Although it is difficult to be certain about this issue, we can conclude the West is more comfortable with the Sudanese Sovereign Council’s civilian component headed by the now resigned Abdalla Hamdok, who grew up within the same Western institution and is considered close to it. The civilian component would build relations with the West and Washington at the expense of Russia and China, for example. Hence, removing Sudan from the U.S. list of state sponsors of terrorism and other facilities came as an opportunity to restore these relations and push relations with Russia and China to a kind of apathy, in addition to some indicators coming from Egypt.

Questions raised about Hamdok’s position on the Renaissance Dam, which is being built in Ethiopia and threatens to cut off water access to Egypt, expresses Washington’s tacit satisfaction with the Sudanese army’s move. It seems the list goes on to include differences in attitudes of the civilian and military components on the nature of Sudan’s relationship with the world. Although some of those attitudes are still unknown, but we can expect to hear of them soon.

The door to interpretations is very wide, but it will not be long before the players reveal their secrets as positions and alignments cannot be hidden for long. Power today is in the hands of the Sudanese army, which is subject to external and internal pressures. From this particular angle, it can win over the Sudanese people’s support in confronting external pressures. Sudan needs to alter its position in the global conflict to be in the place that meets the interests of its people. That is, inevitably away from the Western camp and Washington.

Kribsoo Diallo is a Cairo-based Pan-Africanist researcher in political science related to African affairs. He has written for many African magazines and newspapers, and Diallo has contributed to translated editions of papers and articles in Arabic and English for several research centers within the African continent.

Only after collapsing did Reshma Koli realize she had been working amid heat waves. The temperature had soared to 45 degrees Celsius (113 degrees Fahrenheit) in April , but the only thing on Reshma’s mind was the monthly repayment of 3,000 Indian rupees ($38 USD) that helped her family meet everyday needs.

A 37-year-old farm worker, it takes her over 120 hours of bending and squatting in the fields to earn that money. An hour’s delay could cost her daily wages and incur interest.

While working in this scorching heat for over two months, all she had was a piece of cotton cloth wrapped around her head. Four fellow women farmworkers rushed to offer lemon juice as she collapsed. Koli then resumed her work in 20 minutes. But this is not a story of resilience.

“Even if we die, no one will notice. Every day, when we leave for work, we consider ourselves lucky if we return alive,” says fellow farmworker Akkatai Khot, 62, who tends to sugarcane saplings at a nursery in the Khutwad village of the western Indian state of Maharashtra’s Kolhapur district.

India witnessed the hottest March in 122 years. With temperatures several times crossing 49 degrees Celsius (120 degrees Fahrenheit) in northern India, heat waves amplified the existing fault lines between the few well-off and the ignored, unseen and unheard—women farm workers.

‘If We Take a Break, What Will We Eat?’

Koli, Khot and over 500 women agricultural laborers in Khutwad couldn’t afford to take a minute’s break in the heat waves.

“Ever since the 2021 floods, we barely get work for 15 days a month,” Koli said. “So if we take a break here, what will we eat?”

The number of working days for farmers is declining in India’s flood-affected regions because of the fluctuating regional climatic patterns. For example, what followed after the 2021 floods in Kolhapur district was an extended dry spell, a sudden drop in temperatures, incessant rainfall, and now heat waves.

‘Relocation Should Be Last Solution’

The Maharashtra government has proposed a plan to move people from the flood-affected areas, which scares Koli even more.

“Where will the government relocate us when almost all the villages here are facing the same conditions?” she asked. “At least there’s farmland in this area. What if the relocated place has no source of earning a livelihood?”

For communities that rely on agriculture, Indian Institute of Tropical Meteorology climate scientist Roxy Mathew Koll suggested information on drought and flood-resilient crop varieties should be made accessible.

“Relocating should be the last solution because these events will further intensify in several areas,” he said.

After the floods ravaged Reshma Koli’s house in 2019, she started experiencing a severe headache that persisted for two months. From analgesics to indigenous balms, nothing helped. Then, one afternoon as she felt dizzy, she was diagnosed with extremely high blood pressure and was immediately prescribed medications that she says will continue for a lifetime.

Community healthcare worker Maya Patil explains why chronic illnesses are rising in rural women in flood-affected villages.

“After the floods, almost every family took out a loan, as there was no farm work for three months,” she said. “Now, with the changing climate, farm productivity is falling rapidly, and they aren’t getting enough work to repay. The wages have dwindled, forcing their children to join the workforce, and this adds more stress.”

National Family Health Survey’s latest report confirms her analysis.

It shows a 151 percent rise in hypertension cases amongst rural women in Maharashtra’s Kolhapur district alone from 2015 to 2020.

Relying on Medicine to Labor in the Heat

With the onset of monsoon season, Ujjwala Chavan’s stress keeps mounting.

“Earlier, we waited for rain, but now every rainfall scares us,” she said. Chavan and her sister-in-law, Sampada—both in their 40s—collectively took out a loan of 400,000 rupees ($5,150) after the 2021 floods to sustain their joint family of more than 14 people.

Repaying this hefty amount had its impact. Chavan was diagnosed with hypothyroidism and Sampada with hypertension. Moreover, Chavan has taken a nonsteroidal anti-inflammatory drug every alternate day for close to a year now. “If I skip this, I won’t be able to work because of the body pain and weakness,” she said.

The ongoing heat waves have aggravated the existing medical conditions of several flood-affected women. Thirty scientists from the World Weather Attribution Network found climate change has made the current heatwaves in South Asia—especially in India and Pakistan—30 times more likely.

Despite drinking five liters of water daily, Sampada said she still feels thirsty and dizzy.

“I couldn’t understand what was happening,” she said. “There’s no alternative to facing a heat wave when you can’t make ends meet.”

In July, as the floodwater started reaching Khutwad from the nearby Krishna river, 10 farm workers—including Sampada—rushed to save over 800,000 sugarcane saplings.

“Meanwhile, floods washed away everything in our house,” Sampada said.

A split-second delay could have cost their lives as the water gushed speedily.

“In both of the floods, I collectively lost over a million sugarcane saplings, three sugarcane-bud cutting machines, and 50 metric tons of coco peat,” said Amol Mahatme, 34, the owner of the sugarcane nursery.

During the heat waves, too, several saplings couldn’t germinate, further affecting everyone in the farm cycle. Women farmworkers are the most affected, as they remain the least paid and most overworked.

Rising Chronic Illnesses

For the first time, the United Nations’ Intergovernmental Panel on Climate Change (IPCC) report mentioned climate change has “adversely impacted” mental health. It warns, “Mental health challenges, including anxiety and stress, are expected to increase under further global warming in all assessed regions, particularly for children, adolescents, elderly, and those with underlying health conditions.”

Dr. Madhuri Panhalkar, the only public doctor for 8,000 people in three villages in the Kolhapur district, has been treating many flood-affected patients. She says, “Even if the patients eat healthy food, that isn’t enough,” she said. “The stress levels are rising rapidly as the climate keeps fluctuating.” So Panhalkar is holding awareness sessions in the flood-affected villages, in an attempt to normalize conversations around mental health.

In 1990, non-communicable diseases (NCD) contributed to 37 percent of deaths in India. That figure almost doubled to 66 percent in 2019. Government figures reveal one in four Indians are at the risk of dying from NCD before the age of 70.

“We need gender-based village-level data on what kind of illnesses are rising rapidly in the region,” Koll said. “Then, based on this data, we can have early warning systems for health, also.”

In 2021, India lost 5.04 million hectares (12.45 million acres) of farm area to floods, cyclones, landslides, cloudbursts and other climate events. India has been experiencing 17 flood events every year since 2000, making it the second-worst flood-affected country in the world after China. This has impacted 345 million Indians, the equivalent of nine Californias.

An agricultural laborer for over two decades, Sampada said she had never experienced such devastation. But, with the rising incidences of heat waves, she has also experienced fading vision in her eyes, pointing to something serious. “If I go to a doctor, I’ll have to take a day off, which I can’t afford.” Women in sugarcane nurseries of the Kolhapur region are paid around $2 to $4 for 10 to 12 hours of work daily.

While medications have kept her going, she has been worried about overusing them and being unable to seek proper treatment in time. Her resort, though, can be fatalistic.

“It’s a dilemma, with suffering as the only answer,” she said, lifting over 20 kilograms (44 pounds) of soil on her head.

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.

Editor’s Note: This article originally appeared on Antiwar.com.

Amid ever escalating tensions over the West’s proxy war in Ukraine and the devastating inflation ripping Europe apart, Czech protesters gathered October 28 in Prague demanding the coalition government’s resignation, the Associated Press reports.

The rally saw tens of thousands of citizens condemning their government’s support for Kiev, including the provision of heavy weapons, as well as sanctions on Russia. A smaller, similar rally was held in Brno, the country’s second-largest city.

The demonstrators’ slogan was “Czech Republic First.” As with other recent protests throughout the continent, the left and right are uniting in their opposition to the West’s economic and proxy warfare against Russia.

One speaker said “Russia’s not our enemy, the government of warmongers is the enemy,” according to the AP.

Protesters “repeatedly condemned the government for its support of Ukraine and the European Union sanctions against Russia, opposed Czech membership in the EU, NATO and other international organizations,” the report said.

Leaders in Prague dismissed the protests. Interior Minister Vit Rakusan tweeted “[w]e know who’s our friend and who’s bleeding for our freedom,” adding “we also know who’s our enemy.”

The Washington-led sanctions blitz has cut Europe off from cheap Russian gas upon which it has long relied. In the Czech Republic, energy, housing, and food prices soaring. The inflation rate is 17.8 percent.

Similar protests are occurring in Italy, Germany, and France. “Strikes and protests over the rising cost of living proliferate, ushering in a period of social and labor unrest not seen since at least the 1970s,” the New York Times reported earlier this month.

In September, Prague saw massive demonstrations of 70,000 people, again from the left and right, protesting against NATO’s proxy war in Ukraine and rising energy prices caused by the sanctions campaign. Those protesters also called for the resignation of Prime Minister Petr Fiala’s center-right coalition government. “We intensively support the justified fight of the Ukrainian people,” Fiala has declared.

Wow. Absolutely massive protest in Prague, Czech Republic today demanding an end to anti-Russia sanctions. pic.twitter.com/GtjHWdEhl4

— sarah (@sahouraxo) October 28, 2022

Connor Freeman is the assistant editor and a writer at the Libertarian Institute, primarily covering foreign policy. He is a co-host on the “Conflicts of Interest” podcast. His writing has been featured in media outlets such as Antiwar.com, Counterpunch, and the Ron Paul Institute for Peace and Prosperity. He has also appeared on “Liberty Weekly,” “Around the Empire” and “Parallax Views.” You can follow him on Twitter at @FreemansMind96.