We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure [email protected]
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Global warming and more intense heat wave periods impact health. Heat illness during heat waves has not been studied in the prehospital setting of a low- and middle-income country (LMIC). Early intervention in the community and in the prehospital setting can improve outcomes. Hence, this paper aims to describe the characteristics of heat illness patients utilizing the ambulance service in Telangana state, India with the aim of optimizing public prevention and first aid strategies and prehospital response to this growing problem.
Methods:
This retrospective observational study reviewed patients presenting to Telangana’s prehospital emergency care system with heat illness symptoms during the heat wave period from March through June in 2018 and 2019. Descriptive analysis was done on the prehospital, dispatch, and environmental data looking at the patients’ characteristics and prehospital intervention.
Results:
There were 295 cases in 2018 and 230 cases in 2019 from March-June. The overall incidence of calls with heat illness symptoms was 1.5 cases per 100,000 people. The Scheduled Tribes (ST) had the highest incidence of 4.5 per 100,000 people. Over 96% were from the white income group (below poverty line) while two percent were from the pink income group (above poverty line). From geospatial mapping of the cases, the highest incidence of calls came from the rural, tribal areas. However, the time to response in rural areas was longer than that in an urban area. Males with an average age of 47 were more likely to be affected. The three most common symptoms recorded by the first responders were vomiting (44.4%), general weakness (28.7%), and diarrhea (15.9%). The three most common medical interventions on scene were oxygen therapy (35.1%), oral rehydration salt (ORS) solution administration (26.9%), and intravenous fluid administration (27.0%), with cold sponging infrequently mentioned.
Conclusion:
This descriptive study provides a snapshot of the regions and groups of people most affected by heat illness during heat waves and the heterogeneous symptom presentation and challenges with management in the prehospital setting. These data may aid planning of prehospital resources and preparation of community first responders during heat wave periods.
By the 1990s, India’s appellate courts had become closely involved in the regulation of street vending in several metropolitan cities. However, despite the frequent use of legal mechanisms by street vendor collectives, there has been little progress towards “formalization” of the street vending economy. To understand the limited impacts of legal intervention, it is necessary to examine the timing and the circumstances under which street vendor collectives first turned to judicial forums for protecting their livelihoods. Based on a historical examination of street vendor politics in Bombay and Madras, I show that legal mobilization in both instances was a response to serious threats faced by the political regimes that had previously shielded street vendors from dispossession and exploitation, rather than being a direct result of new legal opportunities (such as the emergence of public interest litigation). Since organized street vendors had a strong preference for maintaining the status quo, litigation was used as an effective method for buying time in the face of a hostile or uncertain political environment, even when the ultimate verdict was not likely to favor street vendors.
This chapter analyzes the impact of the Indian Supreme Court's watershed case on quotas for "backward classes," the Indra Sawhneycase. It explores the role of the decision in the mobilization of Dalit Muslims, who have been excluded from the constitutionally mandated affirmative action regime for the erstwhile Untouchable or Dalit castes ("Scheduled Castes"). It shows how the incipient mobilization came to creatively interpret the decision, in particular its interpretation of Hindu caste and a partial recognition of Muslim social stratification, as an endorsement of their claims. The appropriation and activation of the judgment allowed the mobilization to generate further political support, convince state commissions and eventually mount a constitutional challenge in the Court. This account aims to highlight the symbolic potential of the Court's decisions, often through unintended mechanisms, to reshape and extend social movement politics. It also highlights the role of political constraints, organizational infrastructure and the Indian institutional context as relevant factors in assessing judicial impact.
Recommend this
Email your librarian or administrator to recommend adding this to your organisation's collection.