The Cancer Train

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.

At the Wagah-Atari Border

Smuggled Salaams At Wagah

Nirupama Dutt


Till 50 years ago, Wagah was just another village in the Majah region of Punjab, located between the historic cities of Amritsar and Lahore. Today, the very mention of Wagah conjures up a different image. The image is one of locked gates, barbed wire and armed guards. It spells the finality of a parting. For, it is here that the ceremonial India-Pakistan border is situated. The two iron gates stand firmly on either side of the narrow stretch of the no-man's land. It was on this stretch of land that Saadat Hasan Manto's Bishan Singh breathed his his last looking for his village called Tobah Tek Singh. The act of dying on the no-man's land was the refusal to accept the Radeliffe Line, which cut one country into Hindustan and Pakistan.

But Wagah still has its share of stories, some written and many others unwritten. Only some days ago, an 85-year-old woman approached the border. Security Force (BSF) jawans with the request that she be allowed to meet her sister who was left behind in Pakistan in 1947 and had been traced only recently. The sister met the Pakistan Rangers with a similar request. Both sides granted the request and the two sisters, one a Hindu woman and the other a Muslim, met for four minutes. Recalling the meeting, BSF Commandant H S Rai says: ``Of those four minutes, the two old ladies spent over a minute just weeping, and in the rest they exchanged a few worlds.''

That's Wagah for you, the last border village of Pakistan. The village this side is called Atari. For some time it was called the Wagah-Atari border. But Wagah was closer to the border than Atari. So why name the divide after two villages? Wagah alone would do. And there is a very interesting side of Wagah. It is not just relatives who reach here to meet. Nor the messiahs of peace and brotherhood bearing torches and candles, and led by Kuldip Nayar and other secular Punjabis as was done last year on August 14, the day of Pakistan's independence – and is being done again this year with an equal participation from across the fence unlike last year.

Nor just the tribe of writers and poets who chose to go sentimental here on the night of December 31 last year. The venue was chosen for the Raja Porus Mela. Yes, the same Porus of Sikandar ne Porus se ki hi ladai fame. Well, Porus was defeated a second time, thanks to the lack of coordination among the Indian hosts, so the Pakistani delegation reached a bit too soon and moved into Calcutta.

Neverthless, the result of the one-sided Mela was the setting up of a memorial, still half-built, which comprises a large marble slab inscribed with two celebrated Partition poems. On one side, there's Amrita Pritam calling out to Waris Shah, the Sufi poet who put in verse the story of Heer, one of Punajb's greatest love legends,in ``Ajj akhan waris shah nu kite kabran vichon bol'' ( I call out to Waris Shah to speak from the grave); on the other, it's Faiz Ahmad Faiz speaking on those who died on the road to history in ``Hum jo tarik rahon mein mare gaye''.

What makes Wagah special is that every evening at sunset there assemble thousands of anonymous Indians and Pakistanis on both sides of the border to watch the beating retreat ceremonials, which for the past many decades, but for the unhappy times of war, are held jointly, in complete harmony, right from the march past, the blowing of the bugle and lowering of the two respective flags. The ceremony over, people on both sides are allowed to stand at the gates and simply look at each other.

It is for the glimpse of the other that people come with children in their arms and stand there looking at each other in silence and smiles. For, if anyone tries to wave or speak, the guards cry out, ``No waving, no talking. Just stand and look at each other.'' BSF officials explain: ``Smugglers use the waving of hands for a code indicating whether their goods are reaching or not. So, we do not allow the gesture.'' Incidentally, Amristar is known for its smuggled goods market. Pakistani dupattas and scarves, which are particularly popular here, are supplied all over Punjab.

The crowds start gathering there much before sunset and the time is spent over a cold drink and coffee listening to patriotic songs being piped on our side. A popular number that BSF officials like to play is Mohammad Iqbal's Saare jahan se achha Hindustan hamara. One wonders if the other side is playing a latter-day composition of Iqbal's: Cheen-o-Arab hamara.

On a recent visit to Wagah, though, I came across another kind of music. No longer the patriotic songs. The popular numbers in this the golden jubilee year of the parting are Pardesi, pardesi, jaana nahin from the blockbuster Raja Hindustani and Chappa chappa charkha chale from Gulzar's Maachis. But what's behind the popularity of this speck on India's map? To this query, Commandant Rai answers with a smile: ``For one thing, Wagah is included in the Punjab Tourism package. We have at least one honeymoon couple a day. The other reason is the curiosity the people of the two countries have for each other.''

Regular visitors to the border say the atmosphere is very relaxed and the vibes friendly. Says writer Prem Avtar Raina: ``It has to be. The berlin Wall has crumbled and the barbed wire too will melt. The whole world is moving into an era of ethnic states. And it is good that there is a Punjabi for a prime minister here, and there.'' There are others, too, who like to do such wishful thinking. Gurdip Singh, an aged farmer from Bhullar village, stands there muttering: ``It was one Punjab which was cut into two. People on either side speak the same language.''

As the ceremony is taking place, one hears cries of Pakistan Payamdabad from the other side and soon enough people this side cry out, Bharat Mata Ki Jai, with an occasional Bole So Nihal, Sat Sri Akal thrown in. But these are not war cries of death and destruction as they were in 1947, but a hail-fellow-well-met kind of exchange.

``Ladies and children first,'' cry the guards soon after the beating retreat ceremonials. Women and children run to the gates on both sides to stand and just gaze at each other. ``Look at the Pakistani children, they're just like us,'' cries a child from our side.

Standing in the midst of the crowd my eyes meet those of a young Pakistani woman. I smile and she returns the smile, raising her hand in a salam. I too raise my hand in the return greeting of wahlekum salam. The guards do not notice and the thrill is of having smuggled a salam there on the border. Until the barbed wire sprouts folwers, as a Punjabi poet hopes, it will have to be a salam smuggled across the Wagah border.



The border outpost of Wagah today is a honeymoon destination, its greatest attraction being the daily beating retreat ceremonials watched by thousands from both sides of the divide. Swept by the bonhomie. Nirupama Dutt wonders whether Partition was worth the bloodshed.



``ladies and children first,'' cry the guards soon after the beating retreat ceremonials. Women and children run to the gates on both sides. ``Look at the Pakistani children, they're just like us,'' cries a child from our side.