1.

Lifestyle diseases on the rise in urban India

In recent years, India has managed to control communicable diseases like malaria, cholera
and polio. However, the nation now has to deal with a new breed of developed world
obesity-fuelled diseases like diabetes and cardiovascular ailments. Coupled with a
sedentary urban lifestyle, increased alcohol consumption and smoking, the urban youth are
particularly prone to the aforementioned lifestyle diseases.
Diabetes capital of the world
India has 61.3 million people with diabetes. Even its South Asian neighbours like
Bangladesh, Nepal, Afghanistan and Sri Lanka have fewer diabetics. Only Pakistan fares
worse.
Dr. Ritesh Gupta, head clinical operation endocrinology, at Fortis Vasant Kunj, observed,
Total calorie intake of an average youth has increased over the past many years. Diet has
gone for a transition from simple homemade food to easy available processed food.
Smoking and excessive alcohol intakes due to the present work culture among young
generation are also responsible for the current scenario making the young generation to be
the sufferer of the lot.
According to the World Health Statistics report 2012, 11.1 percent of the adult male
population and 10.8 percent of the female population have raised fasting blood glucose.
Percentage of people with raised fasting blood glucose in South Asian countries (World
Health Statistics 2012)

India

Bangladesh

Sri Lanka Nepal

Pakistan

Men

11.1

9.2

9.3

9.8

11.7

Women

10.8

9.9

8.6

9.3

14.1

Globally, diabetes caused 4.6 million deaths in 2011. Diabetics and obese people are more
prone to develop chronic liver disease which ultimately results in untimely and early death.
Read more about causes, symptoms, diagnosis and treatment of diabetes.

Increased smoking and drinking

Further reiterating the fact that smoking and alcoholism in youth leads to lifestyle diseases,
Dr Verinder Anand, consultant, internal medicine at Moolchand Medicity said, The young
generation believes that smoking acts as a stress buster, but this concept is actually a
complete myth. It actually reduces a persons stamina in the long run leading to the
development of multiple diseases.
Obesity on the rise
According to the National Family Health Survey (NFHS-3) (2005-06), the latest available
on record, 13 percent of women and nine percent of men in India are overweight or obese.
Obesity is a meta-lifestyle disease and increases the chance of other lifestyle diseases. Dr
Ravindran Kumeran, founder trustee at Obesity Foundation India, a non-profit organization
working in the sector to promote awareness against obesity observed, South Asians
including Indians are at high risk of developing metabolic syndromes at an early age. The
present generation is probably the most sedentary generation of people in the history of the
world.
Issues of the heart
According to the Global Atlas on cardiovascular disease prevention and control 2011, death
rate due to ischemic heart disease (a condition which is characterized by reduced blood
supply of the heart muscle) in India is 165.8 per 100,000. Around 116.4 per 100, 000
people in India die due to cerebrovascular diseases.
Read more about causes, symptoms, diagnosis and treatment ofheart disease .
Highlighting the measures to prevent lifestyle diseases, Dr Anand at Moolchand said,
Some sort of physical activity every day for at least 10-15 minutes is extremely necessary
to keep lifestyle diseases at bay.

Catch them young

Emphasizing the need to spread awareness to tackle these deadly diseases, Dr Kumeran at
Obesity Foundation India said, Parents should be aware and should be responsible to guide
their children to eat the right kind of food and engage them in physical activities. Also
more emphasis should be laid on engaging kids in outdoor activities.
2. Environmental issues in India
There are many environmental issues in India. Air pollution, water pollution, garbage, and
pollution of the natural environment are all challenges for India. The situation was worse
between 1947 through 1995. According to data collection and environment assessment studies
of World Bank experts, between 1995 through 2010, India has made one of the fastest progress
in the world, in addressing its environmental issues and improving its environmental quality.[1]
[2]

Still, India has a long way to go to reach environmental quality similar to those enjoyed in

developed economies. Pollution remains a major challenge and opportunity for India.
Environmental issues are one of the primary causes of disease, health issues and long term
livelihood impact for India.
Causes
Some have cited economic development as the cause regarding the environmental issues.
Others believe economic development is key to improving India's environmental
management and preventing pollution of the country. It is also suggested that India's
growing population is the primary cause of India's environmental degradation. Systematic
studies challenge this theory. Empirical evidence from countries such as Japan, England
and Singapore, each with population density similar or higher than India, yet each enjoying
environmental quality vastly superior than India, suggests population density may not be
the only factor affecting India's issues.

Major environmental issues are forest and agricultural degradation of land, resource depletion
(water, mineral, forest, sand, rocks etc.), environmental degradation, public health, loss
of biodiversity, loss of resilience in ecosystems, livelihood security for the poor.[6]
The major sources of pollution in India include the rampant burning of fuelwood and biomass
such as dried waste from livestock as the primary source of energy,[7] lack of organised garbage
and waste removal services, lack of sewage treatment operations, lack of flood control and
monsoon water drainage system, diversion of consumer waste into rivers, cremation practices
near major rivers, government mandated protection of highly polluting old public transport, and
continued operation by Indian government of government owned, high emission plants built
between 1950 to 1980.
Air pollution, poor management of waste, growing water scarcity, falling groundwater tables,
water pollution, preservation and quality of forests, biodiversity loss, and land/soil degradation
are some of the major environmental issues India faces today.
India's population growth adds pressure to environmental issues and its resources.

3. POLLUTION

Water pollution
India has major water pollution issues. Discharge of untreated sewage is the single most
important cause for pollution of surface and ground water in India. There is a large gap between
generation and treatment of domestic waste water in India. The problem is not only that India
lacks sufficient treatment capacity but also that the sewage treatment plants that exist do not
operate and are not maintained.[18] The majority of the government-owned sewage treatment
plants remain closed most of the time due to improper design or poor maintenance or lack of
reliable electricity supply to operate the plants, together with absentee employees and poor
management. The waste water generated in these areas normally percolates in the soil or

evaporates. The uncollected wastes accumulate in the urban areas cause unhygienic conditions
and release pollutants that leaches to surface and groundwater.
According to a World Health Organization study, out of India's 3,119 towns and cities, just 209
have partial sewage treatment facilities, and only 8 have full wastewater treatment facilities.
Over 100 Indian cities dump untreated sewage directly into the Ganges River. Investment is
needed to bridge the gap between 29000 million litre per day of sewage India generates, and a
treatment capacity of mere 6000 million litre per day.
Other sources of water pollution include agriculture run off and small scale factories along the
rivers and lakes of India. Fertilizers and pesticides used in agriculture in northwest have been
found in rivers, lakes and ground water. Flooding during monsoons worsens India's water
pollution problem, as it washes and moves all sorts of solid garbage and contaminated soils into
its rivers and wetlands.

AIR POLLUTION
Air pollution in India is a serious issue with the major sources being fuelwood and biomass
burning, fuel adulteration, vehicle emission and traffic congestion. Air pollution is also the main
cause of the Asian brown cloud, which is causing the monsoon to be delayed. India is the world's
largest consumer of fuelwood, agricultural waste and biomass for energy purposes. Traditional
fuel (fuelwood, crop residue and dung cake) dominates domestic energy use in rural India and
accounts for about 90% of the total. In urban areas, this traditional fuel constitutes about 24% of
the total. Fuel wood, agri waste and biomass cake burning releases over 165 million tonnes of
combustion products into India's indoor and outdoor air every year. These biomass-based
household stoves in India are also a leading source of greenhouse emissions contributing to
climate change.
The annual crop burning practice in northwest India, north India and eastern Pakistan, after
monsoons, from October to December, are a major seasonal source of air pollution.
Approximately 500 million tons of crop residue is burnt in open, releasing smoke, soot, NOx,

SOx, PAHs and particulate matter into the air. This burning has been found to be a leading cause
of smog and haze problems through the winter over Punjab, cities such as Delhi, and major
population centers along the rivers through West Bengal. In other states of India, rice straw and
other crop residue burning in open is a major source of air pollution.
Vehicle emissions are another source of air pollution. Vehicle emissions are worsened by fuel
adulteration and poor fuel combustion efficiencies from traffic congestion and low density of
quality, high speed road network per 1000 people.
On per capita basis, India is a small emitter of carbon dioxide greenhouse. In 2009, IEA
estimates that it emitted about 1.4 tons of gas per person, in comparison to the United States 17
tons per person, and a world average of 5.3 tons per person. However, India was the third largest
emitter of total carbon dioxide in 2009 at 1.65 Gt per year, after China (6.9 Gt per year) and the
United States (5.2 Gt per year). With 17 percent of world population, India contributed some 5
percent of human-sourced carbon dioxide emission; compared to China's 24 percent share.
The Air (Prevention and Control of Pollution) Act was passed in 1981 to regulate air pollution
and there have been some measurable improvements. However, the 2012 Environmental
Performance Index ranked India as having the poorest relative air quality out of 132 countries.

Land or Soil pollution

In March 2009, the issue of Uranium poisoning in Punjab attracted press coverage. It was alleged
to be caused by fly ash ponds of thermal power stations, which reportedly lead to severe birth
defects in children in the Faridkot and Bhatinda districts of Punjab. The news reports claimed the
uranium levels were more than 60 times the maximum safe limit.[44][45] In 2012, the Government
of India confirmed[46] that the ground water in Malwa belt of Punjab has uranium metal that is
50% above the trace limits set by the United Nations' World Health Organization. Scientific
studies, based on over 1000 samples from various sampling points, could not trace the source to
fly ash and any sources from thermal power plants or industry as originally alleged. The study
also revealed that the uranium concentration in ground water of Malwa district is not 60 times

the WHO limits, but only 50% above the WHO limit in 3 locations. This highest concentration
found in samples was less than those found naturally in ground waters currently used for human
purposes elsewhere, such as Finland.[47] Research is underway to identify natural or other sources
for the uranium.
Greenhouse gas emissions
India was the third largest emitter of carbon dioxide in 2009 at 1.65 Gt per year, after China and
the United States. With 17 percent of world population, India contributed some 5 percent of
human-sourced carbon dioxide emission; compared to China's 24 percent share. On per capita
basis, India emitted about 1.4 tons of carbon dioxide per person, in comparison to the United
States 17 tons per person, and a world average of 5.3 tons per person.

4. ADULTRETION
Impure, unsafe
Food adulteration is the addition or removal of any substances to or from food, so that the natural
composition and quality is affected. Adulterated food is impure, unsafe and not wholesome. Food
can be adulterated intentionally and accidentally. Unintentional adulteration is a result of
ignorance or the lack of facilities to maintain food quality. This may be caused by spill over
effect from pesticides and fertilisers. Inappropriate food handling and packaging methods can
also result in adulteration.
Intentional food adulteration is usually done for financial gain. The most common form of
intentional adulteration is colour adulteration. Some examples of intentional adulteration are
addition of water to liquid milk, extraneous matter to ground spices, or the removal or
substitution of milk solids from the natural product. Natural adulteration occurs due to the
presence of certain chemicals, organic compounds or radicals naturally occurring in foods which
are injurious to health and are not added to the foods intentionally or unintentionally. Some of
the examples are toxic varieties of pulses, mushrooms, green and other vegetables, fish and
seafoods. About 5,000 species of marine fish are known to be poisonous and many of these are

among edible varieties.

Beyond safety limit
Mineral oil may be added to edible oil and fats and can cause cancers. Lead chromate added to
turmeric powder and spices can cause anaemia, paralysis, brain damage and abortions. Lead
added to water, natural and processed food can lead to lead poisoning. Lead poisoning causes
foot drop, insomnia, constipation, anaemia, and mental retardation. Cobalt added to water and
liquors and can cause cardiac damage. Copper, tin and zinc can cause colic, vomiting and
diarrhoea. Mercury in mercury fungicide treated grains or mercury contaminated fish can cause
brain damage, paralysis and death. Non-permitted colour or permitted food colour like metanil
yellow, beyond the safe limit in coloured food can cause allergies, hyperactivity, liver damage,
infertility, anaemia, cancer and birth defects.

Adulteration in Food Stuff And Its Harmful Effects