It was well over a decade ago that pollen allergy was first recognized as a health problem in the capital. If untreated, it often resulted in serious impairment of quality of life, and in extreme cases even death, for pollen allergy sufferers.
Now at long last, the Islamabad Capital Territory administration has embarked on what seems to be the first concerted effort to tackle the problem. The ICT administration has recently formed a Pollen Allergy Relief Management Society (Parms) to counter the problems.
Similar allergy relief societies already exist in many other temperate countries like the US, Europe, Australia and South Africa, etc., where airborne tree, grass and weed pollen cause debilitating allergies in susceptible people. (The word pollen is derived from the Greek word meaning fine flour.)
One measure undertaken by Parms is the establishment of a pollen allergy camp (March 22-27) at Aabpara Community Centre where doctors and paramedical staff from Islamabad's major public health institutions, as well as local homoeopathic doctors and hakeems, were at hand to provide free treatment and advice to people suffering from pollen allergy. Several hundreds of allergy patients were reported to have visited the camp on the first day.
Parms intends to increase the number of such medical camps during the next autumn and spring seasons, which are also the pollen seasons. It also intends to hold the camps earlier, before the start of the pollen season, which in spring lasts from about the beginning of March until mid-April at least.
The print and electronic media, together with some vocal allergy specialists in the capital, have helped to increase public awareness about pollen allergy in the last couple of years.
Last year in spring, for the first time the daily pollen count (per cubic metre of air) for Islamabad was monitored by the Pakistan Meteorological Department, and the pollen count index was published in the newspapers daily. This, together with talks and programmes over television and radio on pollen allergy, have helped to intensify public awareness about the problem.
Only last spring, it was a rare sight to see somebody moving around the capital wearing a white mask to shield himself from pollen. This spring, however, it has been common to see people moving around with white masks on from the beginning of March, whether he be a poor worker riding to work on his bicycle or a middle class man shopping at Jinnah Supermarket.
Previously, action undertaken by the ICT administration to tackle pollen allergy was limited to ad hoc (and controversial) felling of the paper mulberry tree, whose large amounts of highly allergenic pollen is believed to be mainly responsible for the rising incidence of allergy.
This time, in addition to establishing Parms, the administration is reported to be also considering a plan to systematically remove the mulberry trees, replacing them with other low- or non-allergen trees.
Recently, some large-scale felling of trees in certain green belts were undertaken. But this appeared to have been done more for VIP security reasons rather than to reduce pollen. Thus, any attempt to portray the felling of trees which is primarily done for security reasons as an effort to alleviate pollen allergy would, therefore, be tantamount to deceiving the public.
In any case, wanton destruction of the mulberry trees as a preventive measure to pollen allergy has long been opposed by local environmentalists. Some allergy specialists say that the patients suffering from mulberry pollen allergy could very well develop allergy to another kind of plant once the mulberry was eliminated, and therefore it is not practical to eliminate one plant after the other.
One medical practitioner argued in a letter-to-the-editor in Dawn last spring that nowhere in the world were trees being eliminated to solve the allergy problem. Instead of destroying the mulberry trees, he suggested promotion of the more scientific preventive measure of vaccinations for allergy sufferers.
Many allergy specialists tend to agree that immunotherapy, which attempts to switch off the allergic reaction by repeatedly injecting small doses of allergen extracts, given over many months or even years, is the only treatment that treats the cause of the allergy instead of just the symptoms.
Allergy patients in Islamabad are fortunate to have this immunotherapy facility at their doorsteps in the National Institute of Health.
Generally, however, awareness and knowledge of pollen allergy plus appropriate medication can reduce the severity of allergic symptoms and help sufferers to cope with the disease. This is where the newly established society has an important role to play, providing free medical guide and support for people suffering from allergy.
It would even be better if the society can have a telephone helpline, where allergy sufferers can call up for information. Parms could also consider setting up stores at the allergy camps, offering patients a complete range of allergy relief products like masks, nebulizers, inhalers, air purifiers, air filters, etc.
Delay in textbook publishing
By Abbas Jalbani
Kawish recalls that the Sindh chief minister had promised among other things that textbooks would be provided to schoolchildren free of cost. However, it writes, only a few days are left for the beginning of new academic year in schools and the Sindh Textbook Board has yet to publish textbooks.
According to information, the process of printing the books will continue in April and due to the cumbersome supply system, they will arrive in schools in May. In June and July, schools will be on summer vacations. Thus a large number of students will begin receiving the books only in August.
The daily says that last year also the government had planned distribution of free textbooks, but due to the flawed procedure, the students received the books in September and wherever the books were distributed, they did not include the entire course. Time lost in waiting for the books was more valuable than the price of the books and the children had to suffer.
Ibrat points out that Federal Finance Minister Shaukat Aziz told a National Finance Commission meeting that the federal government was not in a position to give 50 per cent of the divisible pool to provinces which would get 40 to 45 per cent under the coming NFC award.
Finance ministers of Sindh, Balochistan and the NWFP opposed the idea and asked what justification the federal government had in backing out of its earlier promise of giving 50 per cent of the divisible pool to the provinces, particularly since it was claimed that the financial position of the country had strengthened.
The paper argues that devolution of power is a cornerstone of government policy and this will remain incomplete without making the provinces financial viable. It also backs the demand of the provinces to consider revenue generation for deciding the share of each province and adds that throughout the world, revenue generation by federating units is kept in view while distributing resources among them. But this is not so in Pakistan where population is made the sole basis for resource distribution.
Awami Awaz writes that Federal Water and Power Minister Aftab Sherpao, while seeking a loan for the Kalabagh Dam, has told the World Bank country manager that a consensus has been evolved on the project in the country.
The daily terms the statement a travesty of facts and says that the minister has chosen to ignore opposition to the project in Sindh, the NWFP and Balochistan.