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Containing TB: Screening gaps threaten gains

The Tribune Editorial: India remains the epicentre of the global TB crisis, carrying the world’s highest burden of the disease. Unchecked radicalism seeping in Apropos of ‘Lapses on the terror trail proved fatal’; for more than a decade, Indian cities were untouched by the spectre of terrorism partly due to the invisible shield of our intelligence agencies. The recent Kashmir-Faridabad terror module signals the increasing spread of ideological extremism, which till now had been limited to lesser known places. While our security forces are doing exemplary work, there is also an urgent need to get rid of the unchecked radicalisation that is seeping quietly into our metropolitan cities through universities, religious gatherings and online groups. It is becoming the most dangerous multiplier of terrorism as it grows domestically by the amplification of narratives and faith-based grievances, along with political polarisation. Vaibhav Goyal, Chandigarh Good deeds never die With reference to ‘Mamdani seeking Nehru in a divided world’; in today’s polarised climate, it is significant how Jawaharlal Nehru’s words still echo. Nehru is both condemned and celebrated. Some critics point to his lapses in governance. Many current politicians use historical shortcomings to score political points, framing Nehru’s era as a cautionary tale of idealism gone wrong. However, his emphasis on pluralism, scientific temper and social justice remain a reference point for leaders across the spectrum who recall the Nehruvian ideal. When a young voice like Zohran Mamdani quotes Nehru in New York, it’s a reminder that good deeds and values never die. Capt Amar Jeet (retd), Kharar Prejudiced crimes tribunal Apropos of ‘Hasina sentenced’; the verdict of the Bangladesh-based crimes tribunal sentencing former Bangladesh PM Sheikh Hasina is blatantly prejudiced. International Crimes Tribunals have historically included judges from other countries and, in some cases, even international prosecutors. But a tribunal composed entirely of Bangladeshi judges, widely seen as partisan, meant that the odds were always stacked against Hasina. SS Paul, Nadia (WB) Challenge for India Refer to ‘Hasina sentenced’; what’s worrying for India is Dhaka’s growing proximity to Pakistan’s military establishment and the release of radical figures and terror suspects openly hostile to India. Such shifts threaten the hard-won security architecture in the Northeast and risks reopening channels of proxy activity long curbed since 1971. India, while sheltering Hasina on humanitarian and political grounds, must prepare for a complex neighbourhood challenge. A calibrated response — diplomatic, economic and strategic — is unavoidable. Vandana, Chandigarh Participative will of stakeholders Refer to ‘Equitable quotas’; though Chief Justice Gavai’s plea for excluding creamy layer from the existing social justice dispensation policy is straight from the horse’s mouth, it requires proactive and participative will of all stakeholders. The aim behind reservation is to help the underprivileged climb the ladder of social discrimination and not to create more steps for those who are already at the top. The parliamentary inertia in this respect can be tackled with suo moto interventions and guidelines from the apex court. It can go a long way in translating the dynamism of social justice into tangible, holistic affirmations. Abhyam Sharma, Pathankot Ensure fair distribution of quotas Refer to ‘Equitable quotas’; the benefit of reservation must reach those who need it the most. The absence of a creamy-layer exclusion is a key reason many SCs still remain poor even after seven decades when quotas were first implemented for them. Instead of endlessly expanding quotas, the government must ensure their fair distribution to realise the true purpose of affirmative action. CHANCHAL S MANN, UNA

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INDIA’s latest tuberculosis data offers a picture of notable progress intertwined with persistent challenges. The country has recorded a 21 per cent decline in TB incidence over the last decade, almost double the global average. Treatment coverage has risen sharply and mortality has fallen. The gains are supported by an expanded diagnostic network, community-led detection drives, nutritional assistance and technology-driven monitoring systems such as the Nikshay portal. Yet, India remains the epicentre of the global TB crisis, carrying the world’s highest burden of the disease. Drug-resistant TB remains a scourge as new cases continue to burden the system. Funding too has become a constraint, with global donor support stalled even as domestic costs rise. Diagnostic gaps persist, especially in rural areas where healthcare infrastructure is weak. Undernutrition and comorbidities like diabetes further fuel the risk of reactivation, complicating elimination efforts. While India’s goal of eliminating TB by 2025 was an ambitious target, current trends show that sustained effort much beyond the deadline will be necessary.

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Punjab reflects this national paradox. The state earned second rank in the recent 100-day anti-TB campaign, showing strong performance in case detection and treatment follow-up. Still, only about 15 per cent of its vulnerable population has been screened. Rising district-level infections highlight the danger of under-diagnosis. Success will require better nutritional support, stronger diagnostics in rural regions and deeper community partnerships.

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Notably, Himachal Pradesh, has emerged as one of the best performers in screening vulnerable populations, with health institutions collaborating actively on testing, tobacco cessation and nutritional support. Its model demonstrates how sustained outreach in remote terrain, combined with efficient follow-up, can meaningfully reduce treatment delays and improve patient outcomes. To sustain gains, governments must deepen detection, secure funding and keep the campaign people-centred.

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