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DECCAN HERALD 11
Arbitrary, opaque
But bureaucrats cannot and do not represent the interests of citizens very well, especially when they keep moving from one
department or agency to another. Moreover, these ex-officio members include
headsof bodiesthat are potentialpolluters,
such as the Sewerage Boards, whose failures in sewage treatment have been in the
news recently. And can one imagine a body
dominated by IAS/IFS officers holding a
fellow IFS officer properly accountable?
Finally, the process of appointing the
chairman and the three non-official members has been quite arbitrary and opaque.
Only once in the history of KSPCB has
there been a Selection Committee set up
to seek nominations to this position and
then make recommendations based on
some criteria. This process needs to be
restarted and regularised. The number of
non-official members needs to probably
triple, and must include civil society members and pollution control experts who
would speak on behalf of the polluters.
When multiple foundational assumptionsare violated,thetheory ofsecond best
tells us that moving away from optimality
in other dimensions may be called for.
When member-secretaries are deputed
from other services and transferred out at
the whims of the state government, having
an independent, fixed-term chairman with
executive powers can be, and has actually
been, the saving grace of the PCBs at
least, a few past chairmen have taken their
responsibilities seriously and tried to deliver pollution control for citizens.
Trying to make improvements along
just one dimension while ignoring core
structural problems is a bad idea; in fact, it
hints at an attempt by the bureaucracy to
Being transgender
as a fact of nature
A mismatch between gender identity and biological sex is not something people choose
By Jane E Brody
n1952,GeorgeJorgensen,aBronx-bornGI,
underwent surgical and hormonal treatment in Denmark to become Christine Jorgensen, a nightclub entertainer and advocate
for gender identity rights. Ever since, health
professionalsandlaypeoplealikehavedebated
the origins of gender identity, the wisdom of altering ones biologically determined sex, and
whethersocietyshouldacceptthetransgender
community as a fact of nature.
There is even disagreement over whether
the Civil Rights Act of 1964, which bars discriminationbecauseofsex,alsoprotectsgender
identity,apersons innersenseofbeingmaleor
female.Manymoretransgenderpeople,whose
identity does not match their biological sex,
have come forward in recent years. Some seek
sex change treatment. Olympic gold-medalist
Bruce Jenner made a high-profile announcementlastyearofhistransitiontoCaitlynJenner,
including a cover story in Vanity Fair.
Yet the controversy over the rights of transgender students to use bathroom and locker
roomfacilitiesthatmatchtheirgenderidentity
rather than their birth sex reflects the persistence of prejudice and misinformation about
thenatureandbehaviourofpeoplewhoidentify
as transgender.
Thosewhoinsistthatpeopleshoulduseonly
the facilities that match the sex on their birth
certificates may not realise that most states allow those who change their sexual assignment
to change the sex on their birth certificates.
Furthermore, a transgender individual using a
facility matched to his or her gender identity is
nomoreofasexualthreattoothersthananyone
elseusingthatbathroommightbe.Psychosocial
distressorembarrassmentcanbeavoidedsimplybyprovidingclosed-doortoiletandchanging
areas in public bathrooms and locker rooms.
I recently read a most illuminating article,
Care of Transsexual Persons, that answered
many of the questions and concerns that have
beenraisedaboutwhatisnowmorecommonly
referred to as being transgender. Written by
Dr Louis J Gooren, an endocrinologist at VU
University Medical Centre in Amsterdam and
a leading expert in the field, it was published in
2011 in The New England Journal of Medicine.
Perhaps the most important point Gooren
and others make is that a mismatch between
gender identity and biological sex is not something people choose. The most common description given by transgender individuals is a
persistent, painfully distressing belief that they
arefemalestrappedinamalebody,orviceversa.
Although being transgender is classified in
the psychiatric literature as gender identity
disorder,Gooren pointed out that a substantial proportion of the transgender population
does not have a clinically significant coexisting
psychiatric condition other than chronic sufferingfromfeelingtheyarenotwhattheirbodies tell them they are.
No chromosomal or hormonal causes of be-
VICTIMS OF PREJUDICE: The controversy over the rights of transgender students to use bathroom and locker room facilities that match
their gender identity rather than their birth sex reflects the persistence of misinformation about people who identify as transgender. NYT
surgeryandcomparedthemwithmatchedcontrolsinthegeneralpopulation.Afteranaverage
follow-up of 11.4 years, men and women who
had sex reassignments had death rates three
times higher from all causes.
Suiciderateswereespeciallyhigh,suggesting
the need for continued psychiatric follow-up
among those undergoing sex change, the authors wrote. Cancer deaths were doubled in
thesurgicalgroup, thoughtheyappearedtobe
unrelated to hormone treatments.
The recent Danish study, by researchers in
Copenhagen, investigated postoperative diseases and deaths among 104 men and women
representing 98% of those who underwent sex
reassignment surgery in Denmark from 1978
through 2010. One person in three had developedanailment,mostoftencardiovasculardisease, and one in 10 had died, with deaths occurring at an average age of 53.5.
The authors suggested that a host of societal factors, including social exclusion, harassment and negative experiences in school
and at work, could largely contribute to the
patientshealth problems. The findings underscore the importance of better postoperative
support and closer attention to factors like
smoking and alcohol abuse.
International New York Times
Culling animals, an
ill-advised solution
By P U Antony
psychiatric diagnoses
and premature death
in 1,475,030 Danes
born from 1971 to 1997.
The study correlated
these problems with
the number of times each person had changed
residences before age 15. It followed the group
until some were in their early 40s. The likelihood
of adverse psychosocial problems or outcomes
rose the more someone moved in childhood, in
both lower and higher socioeconomic groups.
Though the study controlled for age, sex,
parental age, degree of urbanisation and history
of mental illness in a parent or sibling, the separate effect of moving was still apparent.
We cant say that there is a causal relationship
between moving and negative outcomes,said lead
author Roger Webb of University of Manchester.