Many private sector doctors in India miss the signs of tuberculosis and therefore provide patients inadequate treatment, according to a new study published Tuesday (25) involving people hired to act out the symptoms.
Tuberculosis or TB, an airborne infection, remains a major public health issue in India, China and Indonesia, among other countries.
It killed 1.7 million people in 2017, according to the World Health Organization, and a global health summit will be held at the United Nations on Wednesday (26) to raise funds to eradicate the disease.
But the primary care physicians who see patients when they start coughing are the weak link in the fight against the pandemic - at least in the two cities where the study took place, the metropolis of Mumbai and eastern Patna.
The experiment was financed by the Bill and Melinda Gates Foundation and led by a team of researchers from McGill University, the World Bank and Johns Hopkins University. The results were published in PLOS Medicine.
It took place across 10 months between 2014 and 2015. Twenty-four "simulated patients" went to 1,288 private sector doctors, presenting symptoms ranging from a simple cough to a cough presented as a possible relapse.
- 'Doing too little' -
In 65 percent of interactions, medical practitioners - which includes both qualified doctors, unqualified ones and those who practice traditional medicine - responded in a manner inconsistent with Indian and international standards of care.
In some cases where a doctor suspected a problem linked to air pollution, they prescribed an antibiotic or syrup and asked the patient to return a few weeks later.
Doctors with formal medical training, particularly in Mumbai, did slightly better, offering the correct course of treatment in roughly half of the cases, according to the results.
Doctors without formal training, who are very common in rural zones, are doing worse, as are those who provide traditional medicine including ayurveda, unani, and Siddha medicine, collectively known as "ayush."
Jishnu Das, a World Bank economist, explained that the problem wasn't so much that doctors were following one alternate treatment course as much as just doing "everything you can find."
"Some guy is giving antibiotics and fluoroquinolone, somebody else is giving steroids and fluoroquinolone, and some others are giving cough syrup and antibiotics," Das said, explaining that such haphazard methods can harm patients, not to mention boost antibiotic resistance.
By 2040, 12.4 percent of TB cases in India will be multidrug-resistant strains, said one study published in 2017 in the medical journal The Lancet, especially as medications like antibiotics are easy to buy without a prescription there.
The most common mistake, according to Tuesday's study, is that doctors simply do not order the tests necessary to make a diagnosis, such as testing lung fluid or a chest x-ray.
"Doctors are actually doing too little," said Das. "They are not just picking up that the guy might have TB."
On the bright side, doctors who make mistakes consistently make the same mistakes.
In theory, that "coherence" makes it possible to correct the pattern, if training was upgraded and harmonised.
In the near future, according to McGill professor Madhukar Pai, it's vital to refer patients to the right doctors and provide them with subsidised public programs for the most effective anti-TB drugs - instead of sending them home with the wrong pills.
India's overburdened public health system suffers from a lack of doctors and hospitals. Medical treatment is largely free in government-funded hospitals but long queues and poor service force many to seek private care.
The private sector provides almost 80 per cent of outpatient care, and is the first point of contact for tuberculosis for 50 to 70 per cent of patients.
Temperatures may hit 34°C in Greater London and Bedfordshire
Amber alert in place across five regions due to health risks
Wimbledon’s opening day to be hottest on record
Risk of wildfires in London labelled “severe”
Scotland and Northern Ireland remain cooler
Hottest June day in years expected as second UK heatwave peaks
The UK is bracing for potentially one of the hottest June days on record, with temperatures expected to reach 34°C on Monday (30 June). The ongoing heatwave, now in its fourth day, is most intense across the South and East of England, particularly in Greater London and Bedfordshire.
Although there is a small chance of temperatures hitting 35°C, they are unlikely to surpass the all-time June record of 35.6°C set in 1976.
Amber health alerts and travel impact
The UK Health Security Agency (UKHSA) has kept an amber heat-health alert in place across London, the East of England, the South East, South West and East Midlands. The alert, in effect since Friday, warns of increased strain on health services and a higher risk of death among vulnerable groups.
Yellow alerts have been issued for the West Midlands and Yorkshire and the Humber, where the impact is expected to be less severe.
The high temperatures may cause travel delays, particularly in the areas covered by the amber alert.
Events issue heat guidance
Glastonbury Festival organisers have advised attendees to leave the site before early Monday to avoid the rising heat. Wimbledon is also expected to experience its hottest opening day in the tournament's history.
Night-time temperatures will offer little relief, staying around 20°C into Tuesday in many southern regions.
Wildfire threat in London
The London Fire Brigade has described the wildfire risk as “severe”. Assistant Commissioner Thomas Goodall said the combination of intense heat and low rainfall in recent weeks has created dangerous conditions for fires to spread quickly.
Cooler in Scotland and Northern Ireland
While much of England swelters, Scotland and Northern Ireland are expected to remain relatively cool, with temperatures between 17°C and 22°C and rain moving in later on Monday.
This is the UK’s second official heatwave of the year. A heatwave is defined by the Met Office when specific regional temperature thresholds—between 25°C and 28°C—are met for three consecutive days.
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Air India's Boeing 787-8 aircraft, operating flight AI-171 to London Gatwick, crashed into a medical hostel complex shortly after take-off from Ahmedabad on June 12.
INDIA’s junior civil aviation minister said on Sunday that all possible angles, including sabotage, were being looked into as part of the investigation into the Air India crash.
All but one of the 242 people on board the Boeing 787-8 Dreamliner were killed when it crashed in Ahmedabad on June 12. Authorities have identified 19 others who died on the ground. However, a police source told AFP after the crash that the death toll on the ground was 38.
Minister of State for Civil Aviation Murlidhar Mohol told NDTV that the investigation was examining “all angles”, including sabotage, in response to a specific question about the possibility.
“It has never happened before that both engines have shut off together,” Mohol said in the same interview, referring to speculation about a dual-engine failure.
He said it would be premature to draw conclusions before the final report is released.
A team investigating the crash began extracting and analysing data from the plane’s cockpit voice recorder and flight data recorder this week to reconstruct the events leading to the crash.
Air India said the aircraft was “well-maintained” and that the pilots were experienced.
“It (the plane crash) was an unfortunate incident. The AAIB has begun a full investigation into it... It is being probed from all angles, including any possible sabotage. The CCTV footage is being reviewed and all angles are being assessed... several agencies are working on it,” Mohol told NDTV.
Mohol said the extraction and analysis of the data was underway at a new state-of-the-art laboratory in Delhi.
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Moglai Bap and Mo Chara of Kneecap perform at Glastonbury Festival at Worthy Farm in Pilton, Somerset, Britain, June 28, 2025. REUTERS/Jaimi Joy
BRITISH police said they were considering whether to launch an investigation after performers at Glastonbury Festival made anti-Israel comments during their shows.
"We are aware of the comments made by acts on the West Holts Stage at Glastonbury Festival this afternoon," Avon and Somerset Police, in western England, said on X late on Saturday (28).
Irish hip-hop group Kneecap and punk duo Bob Vylan made anti-Israeli chants in separate shows on the West Holts stage on Saturday. One of the members of Bob Vylan chanted "Death, death, to the IDF" in a reference to the Israel Defense Forces.
"Video evidence will be assessed by officers to determine whether any offences may have been committed that would require a criminal investigation," the police statement said.
The Israeli Embassy in Britain said it was "deeply disturbed by the inflammatory and hateful rhetoric expressed on stage at the Glastonbury Festival".
Prime minister Keir Starmer said earlier this month it was "not appropriate" for Kneecap to appear at Glastonbury.
The band's frontman Liam Óg Ó hAnnaidh was charged with a terrorism offence last month for allegedly displaying a flag in support of Iran-backed militant group Hezbollah at a concert in November. He has denied the charge.
A British government minister said it was appalling that the anti-Israel chants had been made at Glastonbury, and that the festival's organisers and the BBC broadcaster - which is showing the event - had questions to answer.
Health secretary Wes Streeting said he was also appalled by violence committed by Israeli settlers in the occupied West Bank.
"I'd also say to the Israeli Embassy, get your own house in order in terms of the conduct of your own citizens and the settlers in the West Bank," Streeting told Sky News.
"I wish they'd take the violence of their own citizens towards Palestinians more seriously," he said.
(Reuters)
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Police officials visit the site after a stampede near Shree Gundicha Temple, in Puri, Odisha, Sunday, June 29, 2025. (PTI Photo)
AT LEAST three people, including two women, died and around 50 others were injured in a stampede near the Shree Gundicha Temple in Puri, Odisha, Indian, on Sunday (29) morning, according to local officials.
The incident occurred around 4am (local time) as hundreds of devotees gathered to witness the Rath Yatra (chariot festival), Puri district collector Siddharth S Swain confirmed.
The injured were taken to a nearby hospital. Six are in a critical condition, and remain unconscious, hospital officials said.
According to authorities, chaos broke out after two trucks carrying materials for religious rituals entered the densely packed area near the temple chariots of Lord Jagannath and his sibling deities. Many devotees had assembled in the early hours to catch a glimpse of the deities when the 'Pahuda' (ceremonial cloth) covering their faces was to be removed.
The victims were identified as Basanti Sahu (36) from Bolagarh, and Premakant Mohanty (80) and Pravati Das (42) from Balipatna.
Chief minister Mohan Charan Majhi issued a public apology via social media platform X, seeking forgiveness from devotees for the tragedy.
"Due to the intense eagerness of devotees to see Mahaprabhu (Lord Jagannath), an unfortunate incident occurred amid the jostling and confusion. My government and I apologise to all devotees. We extend our condolences to the bereaved families and pray to Lord Jagannath to give them strength to bear this grief," he posted.
Majhi added that any security lapses would be thoroughly investigated, and those responsible would face strict action.
“This negligence is unpardonable. I have ordered an immediate inquiry and directed officials to take strong, exemplary action against those found guilty,” he said.
Odisha’s law minister, Prithviraj Harichandan, confirmed that the director general of police, Y B Khurania, is leading the investigation. He also said the situation at the Gundicha Temple has returned to normal and devotees are now offering prayers peacefully.
Majhi chaired an emergency meeting with his deputies to assess the situation and review safety measures.
Opposition leader and Biju Janata Dal (BJD) chief Naveen Patnaik criticised the state government, calling the stampede “a glaring failure of administration.”
“I offer my heartfelt condolences to the families of the three devotees who lost their lives. This tragedy, coming a day after chaotic scenes during the Rath Yatra in which hundreds were reportedly injured, shows the government’s inability to manage the event,” he wrote on X.
Congress president Mallikarjun Kharge also condemned the incident, blaming it on “negligence and mismanagement.”
“I am deeply saddened by the stampede during the Rath Yatra, which has claimed three lives and left at least 50 injured. This comes after reports that 500 devotees were injured just a day earlier. The failure to ensure crowd safety is inexcusable,” he posted.
Health officials said one critically injured person has been transferred to SCB Medical College in Cuttack, while five others remain in intensive care.
A bereaved husband, whose wife died in the stampede, told reporters that many people fell while rushing to see the deities. “There were no police officers around. An ambulance was parked about a kilometre away, and we had to carry the injured to it ourselves,” he said.
On Saturday (28), the chariots of Lord Jagannath, Lord Balabhadra, and Devi Subhadra had reached the Gundicha Temple, considered the “aunt’s home” of the deities. The chariots had begun their journey from the 12th-century Jagannath Temple, 2.6 km away, as part of the annual festival.
The return journey, known as the 'Bahuda Yatra', is scheduled to take place on July 5.
(Agencies)
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The UK has agreed to move the aircraft to the Maintenance Repair and Overhaul (MRO) facility at the airport.
UK AVIATION engineers are arriving in Thiruvananthapuram to carry out repairs on an F-35B Lightning jet belonging to the Royal Navy, which has remained grounded after an emergency landing 12 days ago.
The jet is part of the HMS Prince of Wales Carrier Strike Group of the UK's Royal Navy. It made the emergency landing at Thiruvananthapuram airport on June 14. The aircraft, valued at over USD 110 million, is among the most advanced fighter jets in the world.
According to a spokesperson for the British High Commission, the aircraft is currently awaiting repairs at the Thiruvananthapuram international airport after it developed an engineering issue.
The UK has agreed to move the aircraft to the Maintenance Repair and Overhaul (MRO) facility at the airport.
"The aircraft will be moved to the hangar once UK engineering teams arrive with specialist equipment, thereby ensuring there is minimal disruption to scheduled maintenance of other aircraft," the spokesperson said.
The F-35B is the only fifth generation fighter jet with short takeoff and vertical landing capabilities, which allows it to operate from smaller decks, austere bases and ships.
The official said the aircraft would return to active service once the repairs and safety checks are completed.
"Ground teams continue to work closely with Indian authorities to ensure safety and security precautions are observed. We thank the Indian authorities and Thiruvananthapuram international airport for their continued support."
The aircraft was unable to return to HMS Prince of Wales due to adverse weather conditions.
Engineers from HMS Prince of Wales had assessed the aircraft after the emergency landing and determined that support from UK-based engineering teams was required.
The Indian Air Force had said a few days after the incident that it was providing all necessary support for the "rectification and subsequent return" of the aircraft.
Earlier this month, the HMS Prince of Wales Carrier Strike Group conducted military exercises with the Indian Navy.
In British service, the F-35B is referred to as the 'Lightning'. It is the short takeoff and vertical landing (STOVL) variant of the fighter jet, designed for use from short-field bases and air-capable ships.
Moglai Bap and Mo Chara of Kneecap perform at Glastonbury Festival at Worthy Farm in Pilton, Somerset, Britain, June 28, 2025. REUTERS/Jaimi Joy
Police may probe anti-Israel comments at Glastonbury
BRITISH police said they were considering whether to launch an investigation after performers at Glastonbury Festival made anti-Israel comments during their shows.
"We are aware of the comments made by acts on the West Holts Stage at Glastonbury Festival this afternoon," Avon and Somerset Police, in western England, said on X late on Saturday (28).
Irish hip-hop group Kneecap and punk duo Bob Vylan made anti-Israeli chants in separate shows on the West Holts stage on Saturday. One of the members of Bob Vylan chanted "Death, death, to the IDF" in a reference to the Israel Defense Forces.
"Video evidence will be assessed by officers to determine whether any offences may have been committed that would require a criminal investigation," the police statement said.
The Israeli Embassy in Britain said it was "deeply disturbed by the inflammatory and hateful rhetoric expressed on stage at the Glastonbury Festival".
Prime minister Keir Starmer said earlier this month it was "not appropriate" for Kneecap to appear at Glastonbury.
The band's frontman Liam Óg Ó hAnnaidh was charged with a terrorism offence last month for allegedly displaying a flag in support of Iran-backed militant group Hezbollah at a concert in November. He has denied the charge.
A British government minister said it was appalling that the anti-Israel chants had been made at Glastonbury, and that the festival's organisers and the BBC broadcaster - which is showing the event - had questions to answer.
Health secretary Wes Streeting said he was also appalled by violence committed by Israeli settlers in the occupied West Bank.
"I'd also say to the Israeli Embassy, get your own house in order in terms of the conduct of your own citizens and the settlers in the West Bank," Streeting told Sky News.
"I wish they'd take the violence of their own citizens towards Palestinians more seriously," he said.
(Reuters)