Keeping in mind that in this sprawling city of Karachi, scores of ambulances from various hospitals and welfare services are on the roads daily, round-the-clock, ambulance drivers must have felt enormously relieved on Friday. Vehicular traffic was mercifully thin due to the strike, as it is with all strikes that are observed partially or wholly. One assumes that the ambulances moved without the usual hurdles, hindrances, and congestion on that day.
There were fewer maddening obstructions in a kind of chaos that seems to define and characterize the flow of our traffic. One is impatient to observe here that of late time spent on the city's roads for even short distances has risen alarmingly, and with an element of despair.
Ambulance drivers, who seem to go unnoticed as a category of workers for the tough job that they do, must have heaved a sigh of relief on Friday. They were neither being elbowed out by larger vehicles nor bulldozed into perilous corners. The role these ambulance drivers play in saving life is oftenly underplayed, that is something to be thought about.
There is, of course, much more to think about the way the city's ambulances face challenges as they try and find their way through recurring, (as if recycled) traffic jams. These vehicles are sometimes poorly maintained, which is another point to note in passing. One believes that the ambulance drivers undergo a nerve shattering experience each time they rush a patient from his home to a hospital. The very thought of this is harrowing, to say the least.
Somehow, one assumes that this is something that happens to the other person and one is going to be exempted from this forever. Like theft or burglary or car-snatching, which one imagines only happens to the other person, to one's neighbour. Some citizens do talk about it, this trapping of an ambulance, and sometimes newspapers focus on the problem.
In fact, one is reminded of an advertisement from the State Life Insurance Company of Pakistan that calls upon citizens to let ambulances move freely and easily. Here, one would like to express a public appreciation for this kind of public service advertising, and wonder why other public sector organizations, especially those that are doing well financially, not pick up this theme and do a kind of a crusade on this.
Or something like wrong parking that completely blocks vehicles in residential and shopping areas. Sometimes, one wonders whether this society has got its priority list right. For all the sustained focus there is on polio or AIDS for that matter it surely makes one, ask whether our planners, and decision makers, the big ones and the small, have their agenda in order.
Let's face it. To see an ambulance trapped in the Sindh capital is a familiar sight - a disturbing sight- with which many of us can identify ourselves right away. "It can happen to any family, whose patient can get caught in that frustrating traffic jam on the main arteries of the Sindh capital. And he can lose the battle for life only because that ambulance wasn't allowed to move freely, as was its right," says this outspoken resident of Gulistan-i-Jauhar, Tariq Zuberi.
Another person, a working woman, reminds me that one has heard many times about the patients who died on their way to the National Institute of Cardiovascular Diseases; or others who suffered serious damage to their medical emergency because they could not reach the hospital on time due to traffic congestion, especially during the day. Mind you it is during the day that the traffic jams are infinitely worse for understandable reasons.
With reference to this battle for time and life, in the stifling tearful context of a traffic standstill, let me refer to one particular road called the Rafiqui Shaheed Road on which are located the following: As you enter from the Sharea Faisal, (assuming you have had a clean field on that main artery), there is the National Institute of Cardiovascular Diseases (NICVD).
Then there is the Children's Hospital, another large set up; next to it is the Jinnah Postgraduate Medical Centre, and the Nursing School within the JPMC. After this is located the Sindh Medical College, and opposite that building is the Kidney Centre, another large facility; second only to the Sindh Institute of Urology and Transplantation.
Perhaps there is no other road or street in the country, which has so many hospitals on it, and which is maintained in a perpetual state of traffic congestion, particularly during working hours. And the manner in which a traffic signal on Sharea Faisal (near Regent Plaza) is automatically operated is awfully disgusting, to say the least. It is, if one is coming from the "hospital road" (Rafiqui Road) and going to Sharea Faisal, an avoidable waste of time, making one wonder why that signal is not manually operated at peak time. That is, if the road is to be retained as a dual carriage.
The question that is appropriately being asked in relevant quarters is whether this road should be retained as a dual carriage, and why is it not possible to make it one way only. That is only traffic coming from Sharea Faisal to Rafiqui Road, is allowed and then made to move out from the other end, via school road in the cantonment area, where apartments of Askari Housing Scheme are located.
However, this brings in another problem, that has recently surfaced. This relates to the parking of those long coaches (which are presumably inter-city coaches) near the Cantt Railway Station on the School Road at various times of the day. And if there is VIP movement at that end, citizens have had it. And only God can help them if they are going to one of the hospitals in an emergency with sudden road closures around the area. Or diversions, the kind of which are faced by residents of Gulshan-i-Iqbal when there is VVIP movement in their area.
Having said all this, let us look at this week's story which details that "govt to ensure free movement of ambulances". Of course, there are the usual cynics amongst us who argue that in a city where the number of vehicles is rising (as indeed is the level of indiscipline), it is impossible to ensure a free movement even for ambulances, unless they are given VIP status and an armed escort is made to move with them. Public opinion is not ready for showing consideration for patients and their ambulances.
However, what the provincial government has said is that it will try to ensure the "uninterrupted movement of ambulances in the city so that patients could get timely medical care." It is reported that the provincial government has directed the city government to find out the solution of traffic jams in connection with ambulance services.
A recent meeting also took into account the fact that most major hospitals, including the Civil Hospital, Jinnah Postgraduate Medical Centre, NICVD, NICH, Seventh Day Adventist, Abbasi Shaheed Hospital, Holy Family Hospital, Liaquatabad Hospital are located in congested areas, which can render access to them, absolutely impossible, because of traffic bottlenecks and jams. Or as we have seen in the case of the road repair and road sinking that took place on the Rafiqui Shaheed Road, right outside the NICVD premises. That was a terrible experience, I might recall, and underline.
Let us, however, see the whole scenario with optimism for a change. The provincial government has asked the Nazim to convene a special meeting of the concerned departments and work out a feasibility after a "necessary survey" of the surroundings of our major hospitals. This is a good news and so welcomed. But let us keep our fingers crossed. (Bear in mind that another report says that there has not been a traffic survey conducted for the last 12 years in Karachi despite the huge rise in the number of vehicles).
Finally, administrative steps are of course required to ensure that ambulances move freely. But, one would like to insist that without a considerate public opinion and sympathetic people, it is asking for too much to expect other drivers and their vehicles to make way for those siren-blowing ambulances, which are trying to save a human life, in the face of growing complexity. A hopeless complexity!