First visit to KEM

Amidst the slowdown, I am reminded of my first visit to KEM Hospital – one of the oldest and largest public hospitals in Mumbai run by the municipal corporation. A senior friend had developed serious complications and had to be admitted to the ICU section. The photos below are from December 2018.

There are talks currently of supporting the government, to not be critical, that no government could handle such a situation, that citizens are not doing their bit, that the poor and uneducated should follow rules.

The below commentary is for the well fed citizenry making this commentary. I am not interested in bring critical of Modi or of the government. I have better things to do than waste my time with them. But this is just to provide perspective for those who are saying that the government cannot do anything in such situations. The time to add more ICU beds and ventilators and testing capacity is during non-epidemic times when the temple is the priority.

The conditions in the ICU section were heart rendering. To imagine that the doctors go through this every single day left me sympathising.

There were a total of 15 (yes 15) ICU beds and there was a steady stream of patients pouring in. It was about 9pm that we had reached and in a poorly lit corridor I could see patients being stabilised on the floor of the corridor, on beds, in arms. Through influence of his family members my friend was able to jump the queue and be provided with a bed but not without final mile challenges in that corridor.

Poor families crowded the corridor, everyone of them shouting out for doctors to attend to their family member, at times pulling at a doctor who was already attending to someone else, leading to heated exchanges and security having to step in.

I could realise that some of those brought in would possibly be taking their last breath on the floor of the corridor awaiting help.

In the reception a large portrait of the founder of Shiv Sena the Late Bal Thackeray and his wife adorned. The political party he founded, Shiv Sena has been in control of the Mumbai municipal corporation since 1995 and under whom this public hospital comes. They and other Hindu right wing party BJP have been in coalition since till only recently.

Outside the hospital were political banners where more pressing were attended to – the Shiv Sena putting the BJP on the mat over the Ram Mandir issue and posturing that they were not hungry for power but deeply felt for an early construction of the temple over their coalition with the BJP.

That coalition had till then been in the saddle for three years at the State government level and 20 years in the municipal corporation running the KEM Hospital. And they could not bring the ICU bed tally to a respectable 100 also. Pehle Mandir, phir sarkar. First temple, then government. ICU beds and adequate ventilators would be way bottom in the list.

Inside patients gasped, doctors overstretched. Overstretched seems mild to describe. I am not sure how they could they be having the frame of mind to make an accurate diagnosis and then administer the right course of action. But miraculously they were. During my short visit (Over following 2-3 days) I could see happy recovering patients in the ICU section including my friend.

The hygiene levels were alarming and a health crisis on their own. Toilet facilities inadequate and repulsive.

The ICU bed equipment had paan spit at the bottom. Though air conditioned, I was not sure of the air quality.

After a few days my friend was shifted to the general ward. That was another experience all together.

The architecture and campuses and the very idea of having so much space in a central part of the city devoted for an essential public service makes me happy.

The highlight of the general ward really was one of the toilets. I could just take the photo from the outside for this particular toilet. Inside on the left the condition of the toilet was beyond nauseating. It just left me without any sensation.

I am used to take photos of garbage and bad sanitary conditions but I have never seen anything like that. It was like somebody had taken a spray gun and filled its container with excreta and just sprayed the whole toilet finely with the shit. The shit was all over. People must have come in a state of diarrhea or desperation and just shat on previous piles of shit and whenever they could make place. This was a government toilet facility of a government running Swachh Bharat Abhiyan.

Swacch Bharat – Can we have Work Area Management?

See the two pictures below

First picture from March 2012 in Hong Kong. The truck below is coming out of a major construction site in Kowloon.

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When the trucks leave the construction site they are squeaky clean leaving no trail of dust back on the road.

Now look at the truck below. June 23rd 2016 just before the monsoon started.

Site: Under construction Gundecha School by Gundecha Builders. Next to Mega Mall, Andheri/Jogeshwari (West), Mumbai

The truck comes out of this gate

And leaves a trail of mud on an otherwise clean road

The effect lasts for almost 500 metres. See the three towers come closer.

    

And then there is this man who is then employed to clean up. This is how we do it in India. There was always somebody to pick up our shit. The corporate offices of developers are plush.

How do they do it in Hong Kong? All trucks coming out of a construction sites have their tyres and under parts thoroughly cleaned with powerful hose jet spraying. The trucks only leave the premises when there is no loose mud left anywhere on the tyres. Go back to the very first picture and see the condition of the tyres. They are cleaner than the road.

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All construction trucks leaving the site are thoroughly hosed to remove all mud and dust.

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And that is how the roads a dust free and a pleasure to walk

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Not like this

I have highlighted the issue in past entries as well and for about a decade now. Dust management, mud management, material management, noise management, labour safety management.

I have stopped criticising the Swacch Bharat Abhiyan or the Smart Cities program because both have their fundamentals wrong and are not worth discussing. Addressing issues like work area management is what makes our surroundings clean and our cities smart.

This is an issue to be taken up by MCHI and CREDAI. This is the least Corporate Social Responsibility that large developers can show. And the municipal corporation needs to have some sense of forming and enforcing appropriate rules rather than doing stupid photo ops with celebrities and brooms.