Passage to Life
The Abohar-Bathinda Passenger ferries a large number of cancer patients from the cotton belt of Punjab to Bikaner, a 350-km overnight journey, for specialised treatment. Nirupama Dutt journeys from darkness to light on the wheels of hope
Indians love train journeys. Well, who wouldn’t in a land so vast and with a population as large with very meagre means? So if you want to catch a slice of true Indian life at the very grassroots, the best place would be a 24-hour journey in an unreserved coach of a train in any direction that may catch one’s fancy. I have known journalists who do this arduous task during election time and come back with sparkling stories about what the people are saying and which way the wind is blowing.A train journey any day or night, and one has had a fair share of it when required and sometimes even when it was not even required, but one had not thought that one would shiver through a journey of ten long hours in the coldest February in the past 35 years, in a passenger train from Bathinda to Bikaner. For someone living in Chandigarh, Bathinda is remote enough as it is on the Rajasthan border of Punjab and Bikaner is even more remote. But this train has earned quite a reputation for itself and not for the happiest reasons and has also been given the nomenclature of the ‘Cancer Train’ back home in Punjab. The cotton belt of Punjab in the Malwa region has an abnormally high rate of cancer. The excessive use of pesticides and ground water contamination are the suspected culprits. The specialised institute for cancer treatment and research in the government-run Prince Bijay Singh Memorial Hospital has come to the rescue of the lower middle class and poor people of Punjab because it gives quality treatment at very low rates.Never mind the name the train has earned for itself; one is still sceptical about finding cancer patients on the journey because after all cancer is no epidemic so there cannot be patients travelling everyday. But the Bathindawalas assure you that there will be many. They prove true and hours before the train arrives, patients and their attendants start trooping into the station. There are old men, women and even children who have come from villages close to Bathinda but there are others who have come from places as far as Raikot near Ludhiana. As we sit on a bench sipping hot cardamom tea to keep the chill at bay because the train is an hour and fifteen minutes late, Sukhbir, a 24-year-old woman of Alluwala village on the Punjab-Sirsa border, joins us. Her husband and an elderly neighbour from the village are accompanying her. She is suffering from breast cancer that was discovered recently and is going to the Bikaner hospital for the first time. Balvinder Singh, the older man in the group, says: “My wife had breast cancer but she overcame it with medicine from the Bikaner hospital.”Gurpreet Singh, a resident of Mansa, tells us: “Cancer has become so common in our parts that now people talk of it as they would of influenza and the only hope is medicine and treatment from Bikaner.” Non governmental organisations and the media have been raising the cancer alarm for quite some time but the Punjab government has been apathetic to it. The cotton-growing Malwa region comprising the southwestern districts of Bathinda, Muktsar, Faridkot and Mansa has shown a high incidence of various kinds of cancer. This is also the region that consumes three-fourths of all pesticides used in Punjab. However, there has been no systematic study of cancer and pesticides.
Dr. D.P. Punia, director of the regional cancer institute in the Bikaner hospital, says: “We do not have any scientific study that can link the use of pesticides with cancer. However, a large number of patients come from the cotton belt of Punjab. On an average 30-plus patients are from that region. The hospital, besides the state of Rajasthan, caters to Punjab, Haryana, Uttar Pradesh, Himachal Pradesh and Uttarakhand. Its standing has improved steadily over the years on the back of the quality, yet inexpensive, service that it has been providing.The mood in this passenger train is, quite understandably, sombre and compassionate. Gauri Shankar, the ticket checker, goes around from compartment to compartment making sure the windows are shut and no one catches cold from the draught. “This train is primarily for the sick and the ailing. We try our best to make the journey easy for those who are in so much of pain.” The night’s journey done, the train crawls into Bikaner Junction and anyone in the Punjabi rural attire is plagued by crowds of auto-rickshawalas wanting to be the first to bag all the people heading for the ‘Cancer Hospital’. Kartar Singh, a patient who has come from Faridkot, says: “The train is cheap and it reaches us in time for the hospital. The out patients get themselves examined, take the prescribed medicine and return home by the same train in the night.” There are several dharamshalas around the hospital and attendants can board and lodge there for Rs 20 to 40. The ticket of the train is just Rs 50 from Bathinda. The hospital is well-equipped.However, what strikes one the most is the very humane attitude of the hospital staff. There is no waiting time and treatment is started at once. The sight of a small child receiving radiation can be unnerving but Dr. V.K. Gupta, who is showing us the hospital, smiles and says: “With the treatment the child is going to be completely all right and live a normal life.” Even when the staff is short, patients are treated well and allowed their dignity in the hour of pain. The statistics reveal that a tremendous job is being done at the Institute. In 2007, 6516 new patients received treatment, 51,676 was the number of follow-up patients and the indoor patients were 184,64. As many as 10,961 patients were given chemotherapy in the wards and 15, 753 patients in the outdoor wards and cottages. The day’s job has been done. The patients who had to take the night train back are already there by evening, well before the scheduled departure time. But the train is late as always but sick men and women huddled on benches with blankets covering them wait as they would for a truant child because this train is their partner in the journey of hope from Bathinda Junction to Bikaner Junction.
Indians love train journeys. Well, who wouldn’t in a land so vast and with a population as large with very meagre means? So if you want to catch a slice of true Indian life at the very grassroots, the best place would be a 24-hour journey in an unreserved coach of a train in any direction that may catch one’s fancy. I have known journalists who do this arduous task during election time and come back with sparkling stories about what the people are saying and which way the wind is blowing.A train journey any day or night, and one has had a fair share of it when required and sometimes even when it was not even required, but one had not thought that one would shiver through a journey of ten long hours in the coldest February in the past 35 years, in a passenger train from Bathinda to Bikaner. For someone living in Chandigarh, Bathinda is remote enough as it is on the Rajasthan border of Punjab and Bikaner is even more remote. But this train has earned quite a reputation for itself and not for the happiest reasons and has also been given the nomenclature of the ‘Cancer Train’ back home in Punjab. The cotton belt of Punjab in the Malwa region has an abnormally high rate of cancer. The excessive use of pesticides and ground water contamination are the suspected culprits. The specialised institute for cancer treatment and research in the government-run Prince Bijay Singh Memorial Hospital has come to the rescue of the lower middle class and poor people of Punjab because it gives quality treatment at very low rates.Never mind the name the train has earned for itself; one is still sceptical about finding cancer patients on the journey because after all cancer is no epidemic so there cannot be patients travelling everyday. But the Bathindawalas assure you that there will be many. They prove true and hours before the train arrives, patients and their attendants start trooping into the station. There are old men, women and even children who have come from villages close to Bathinda but there are others who have come from places as far as Raikot near Ludhiana. As we sit on a bench sipping hot cardamom tea to keep the chill at bay because the train is an hour and fifteen minutes late, Sukhbir, a 24-year-old woman of Alluwala village on the Punjab-Sirsa border, joins us. Her husband and an elderly neighbour from the village are accompanying her. She is suffering from breast cancer that was discovered recently and is going to the Bikaner hospital for the first time. Balvinder Singh, the older man in the group, says: “My wife had breast cancer but she overcame it with medicine from the Bikaner hospital.”Gurpreet Singh, a resident of Mansa, tells us: “Cancer has become so common in our parts that now people talk of it as they would of influenza and the only hope is medicine and treatment from Bikaner.” Non governmental organisations and the media have been raising the cancer alarm for quite some time but the Punjab government has been apathetic to it. The cotton-growing Malwa region comprising the southwestern districts of Bathinda, Muktsar, Faridkot and Mansa has shown a high incidence of various kinds of cancer. This is also the region that consumes three-fourths of all pesticides used in Punjab. However, there has been no systematic study of cancer and pesticides.
Dr. D.P. Punia, director of the regional cancer institute in the Bikaner hospital, says: “We do not have any scientific study that can link the use of pesticides with cancer. However, a large number of patients come from the cotton belt of Punjab. On an average 30-plus patients are from that region. The hospital, besides the state of Rajasthan, caters to Punjab, Haryana, Uttar Pradesh, Himachal Pradesh and Uttarakhand. Its standing has improved steadily over the years on the back of the quality, yet inexpensive, service that it has been providing.The mood in this passenger train is, quite understandably, sombre and compassionate. Gauri Shankar, the ticket checker, goes around from compartment to compartment making sure the windows are shut and no one catches cold from the draught. “This train is primarily for the sick and the ailing. We try our best to make the journey easy for those who are in so much of pain.” The night’s journey done, the train crawls into Bikaner Junction and anyone in the Punjabi rural attire is plagued by crowds of auto-rickshawalas wanting to be the first to bag all the people heading for the ‘Cancer Hospital’. Kartar Singh, a patient who has come from Faridkot, says: “The train is cheap and it reaches us in time for the hospital. The out patients get themselves examined, take the prescribed medicine and return home by the same train in the night.” There are several dharamshalas around the hospital and attendants can board and lodge there for Rs 20 to 40. The ticket of the train is just Rs 50 from Bathinda. The hospital is well-equipped.However, what strikes one the most is the very humane attitude of the hospital staff. There is no waiting time and treatment is started at once. The sight of a small child receiving radiation can be unnerving but Dr. V.K. Gupta, who is showing us the hospital, smiles and says: “With the treatment the child is going to be completely all right and live a normal life.” Even when the staff is short, patients are treated well and allowed their dignity in the hour of pain. The statistics reveal that a tremendous job is being done at the Institute. In 2007, 6516 new patients received treatment, 51,676 was the number of follow-up patients and the indoor patients were 184,64. As many as 10,961 patients were given chemotherapy in the wards and 15, 753 patients in the outdoor wards and cottages. The day’s job has been done. The patients who had to take the night train back are already there by evening, well before the scheduled departure time. But the train is late as always but sick men and women huddled on benches with blankets covering them wait as they would for a truant child because this train is their partner in the journey of hope from Bathinda Junction to Bikaner Junction.
1 comment:
Great initiative from Indian Railways. Wonder why Govt can't do similar train for AIIMS or Tata Memorial with on board medical services etc. Extremely useful information. Thanks!!
Manish
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