Text of the Vice-President’s address at the inauguration ceremony of BRONCOCON 2025 in New Delhi (Exceprts)

Good evening, all of you.

Distinguished audience, this conference, BRONCOCON 2025, has come not a day too soon because it addresses issues that are writing on the wall. Issues of huge contemporaneous relevance. It gives me immense pleasure. I take it as an absolute honour to inaugurate the 27th Annual Conference of the Indian Association for Bronchology. The Institute is known for its hallmark excellence in respiratory medicine and innovation.

I'm sure the deliberations will be extremely fruitful. There will be ideation, exchange of ideas and interaction amongst people who are dealing with this menace to humanity that is ballooning by the day. BRONCOCON, according to me, is bound to be a crucible of ideas, redefining the future of pulmonary care in India and beyond, and this is gaining urgency, this is gaining paramountcy, this is gaining absolute attention. 

With over hundreds of brilliant minds dedicated to respiratory care, I'm reminded that each breath, that fundamental act of living that defines that we are living, is what your profession protects. You are protecting our lives. Your theme, very well thought out. Beyond the scope, evolving frontiers in pulmonary procedures. This demonstrates remarkable foresight because the issues are known to one and all.

Everyone is concerned and we live in a city where this dominates our mindset for months together. We know the evil consequences of this issue not being addressed. It is cancerous for society. Much beyond COVID, if we analyse the loss for our children, for our elderly citizens and for our youth, apart from those far before me.

The future of pulmonary care lies at the intersections of medicine, technology, environmental science, public policy and community engagement. All are vital to address this problem. Gone are the days when either education or solutions could be by stand-alone institutions. There has to be concerted effort. There has to be convergence of all stakeholders. They have to be on the same page to find resolution of a problem which is diagnosed by everyone in a city like Delhi and beyond.  Pulmonologists and bronchologists have been silent sentinels of public health, moving to the frontline during, and who knows better than me, as Governor of the State of West Bengal. COVID-19, what a challenge it was.

I salute your tireless efforts across clinics, ICUs, labs, classrooms and policy-making arenas. When the challenge was so huge, humanity in a non-discriminatory fashion came to face this menace, home to one-sixth of humanity in the land of Atharva Ved, showed the way. We could easily find light at the end of a tunnel and also show light to about hundred other countries that are ever beholden to us. Indian pulmonology has transformed through growing clinical expertise, public awareness and technological adoption.

India, distinguished audience is a land which is witnessing at the moment accessibility to technology, adaptability to technology and technology delivering for the people at large, but in this field also much has to be negotiated. As I just indicated a while ago, our ancient texts, particularly Atharva Ved and envisions, health as a perfect balance of body, mind and spirit. It recognises breath as ‘pran’. If it goes, ‘pran’ doesn't exist in us.

The vital life force connecting individual wellness with environmental harmony. The importance of health can be visualised. A talented person, a person with passion, mission, ability for execution, for public causes, can be severely handicapped on account of health not being in order.

So such a well-meaning person whose commitment is not in doubt, passion is on the right path, mission is for people at large, execution ability is recognised, he himself becomes a person in need and therefore health is all-important. Our traditional wisdom teaches that respiratory health is inseparable from nature's equilibrium, reckless exploitation of nature. We are its trustees and we have become its owners and we are exploiting not for optimal need but for our greed.

A time for all of us to think. Our physical prowess, our financial power cannot determine how we use these resources which are meant not only for individual serving having means but have to be utilised equitably for one and all. It is time for us to go back to our wisdom and knowledge that is our treasure recognised by the globe. We have to see indigenous practices of seasonal living. Our elderly people always say to use vegetables which are being grown around the same time. Use fruits which are there around the same time.

Forest conservation and dietary wisdom align remarkably with modern preventive medicine. We therefore have to go back to our roots. No time is better than this because the might of Bharat is being realised, reckoned and recognised by the global powers, by the global fraternity. And it is in this context I remind the distinguished audience the time-tested science of ‘Yoga and Pranayama’. These offer profound solutions but imagine the Indian Prime Minister takes this vision to the global community, makes an appeal to the United Nations. The shortest time the largest number of nations converge to support it and we are now celebrating International Yoga Day.

The population on the planet is uniformly benefiting thereby. Then we have techniques like Anulom Vilom, Bhastrika, Kapalbhati and when I see these being demonstrated on television. I find many people instantly want to take to these, but I will appeal particularly to our youth, impressionable minds to learn it once for all. If you learn the technique once your approach will be stable, sustained, not tentative. These afford not solutions but are recipes for longevity. They enhance immunity, they generate us stress-free, our vitality goes up, the quotient of happiness is enhanced. This will obviously lead to higher productivity.

Modern research has validated that our ancient practices are scientific. Our ancient practices are extremely potent. They afford precautionary, preventive solutions. The integration of traditional wisdom into modern scientific research is the need of the time and I am sure those dealing with contemporary medicine research will address this issue. The surge in interventional pulmonology enables targeted life enhancing interventions. Deploying these at district level health care centres could accelerate our national tuberculosis elimination programme. If metros are fully equipped that is not a solution. We have to reach out up to district level, both in terms of availability and affordability. While lung cancer remains a leading cause of cancer mortality, early detection technologies not only offer hope but confidence that the problem can be addressed.

We must expand from the practice of medicine to the reach of medicine ensuring, as I said earlier, affordability and accessibility. Fortunately the government by affirmative policies has done much in this direction but it is the health and mindset of people of a nation that define the nation and health defines the mindset. If we believe and want everyone to believe that our mindset must be nationalistic, we must always keep nation first. No interest whatsoever personal, partisan or fiscal can have overriding impact or national interest but then that requires the first aspect.

Consider the lived realities and now I seek your attention. Look at the plight of children who are close to industrial areas. Look at those tender souls. The elderly exposed to biomass smoke. The farmer faces parali or crop burning issues. The factory worker inhales chemicals, dust. Invisible citizens whose lives are shaped by the air we breathe.

I still recall a person in another country handling the health department in another country saying a sick child is an assurance to the doctors for their work and pharmaceutical companies for survival. We don't want that scenario. It will be too much for us to go for air purifiers. Selective solutions in democracy do not reflect well on democracy. Solutions have to be for one and all because equality is the hallmark of democracy and we have equality when iniquitous situations are contained in a systemic manner.

As indicated in one report just a year ago in February 2024, respiratory diseases continue India's largest disease category and account for one-sixth of our population. Just imagine what a staggering figure it is. Asthma arises among children. COPD robs adults of productivity. Tuberculosis persists and tuberculosis is a situation that affects the entire family. Fortunately now the treatment is there. There was a time when there was no treatment. So what is more fundamental is diagnosis. Early diagnosis your treatments emanate easily. The psychological toll, just imagine someone suffering from TB, someone suffering from cancer, the psychological toll not on the only patient but on the family's huge.

Fortunately now there is hand-holding for the physical part of it but then also much needs to be done. Then there is stigmatisation. Rather than hand-holding we keep to distance ourselves out of ignorance. Environmental factors include and who doesn't know it, air pollution.

Just reflect today. Air pollution index in this city, you'll be amazed.  When you look at the desirable index and we're getting away from it. But what is concerning is we are not serious about it. Like climate change, existential challenges, we don't have another planet to live, but everyone thinks it is anybody else's job. The job is of one and all. We are cliff hanging. We need to be awake. Then apart from air pollution, vehicular emissions. We don't pool our resources. We would like to show our wealth by having as many cars as we can have. We have to find a systemic solution. Thankfully our public transport system is being strengthened. We are falling back on alternative automobile culture, but let's do it while there is time.

Human behaviour, what we use, our level of nutrition and suddenly a new term has emerged in last few decades. Lifestyle disease is something which is correctionable at the level of an individual, at the level of the family, at the level of the society. The problems are compounded because they get in a stream making life of individuals difficult. But I am not in despair. I am full of hope, optimism and confidence. That when there is convergence of mind like yours, the mind that will ideate, the mind that will engage in research.

Let me caution you, research has to be authentic, research must be connected with ground results. Research is not meant for oneself or self, research is not to be for the self. Research is not assimilation. Research has to be real research that not only the nation but countries beyond us can take benefit of it.

Fortunately in our country there is a revolution of green energy, redotting our rural landscape massively but we need to do more on this. We need accelerated phasing out of old vehicles. People have to understand that an old vehicle has to be discarded for reasons that concern our health. Merely because an old vehicle is functional on the road, does not reflect on its road worthiness, that has to be done.

I said public transportation. We must take pride in using public transportation. Our ego should not come in between. In many countries this is done and here also the safest, fastest, surest way to reach an airport is through a metro. But that is something we need to make a habit of.

Look at our urban lungs – water bodies, forests and tree cover. In our Vedic culture we reward them, we worship them. Now we are using it for our own gain. We are destroying our respiratory system that nature has given to us. People go for indoor plants, air purifiers out of necessity. Not recognising that this is indicative of a deep malice that is permeating in the society. Your miniscule solution is temporary for you. You have to find a systemic solution. Systemic solution is one that improves the world.

I deeply appreciate the medical community in our country. Your role transcends healing, encompassing innovation, advocacy, education and inspiration. When we faced pandemic, this was demonstrated. People came with their own ideas and they were safe from Covid.

I therefore appeal to all of you that we must bridge medicine with data science, environmental studies, engineering and artificial intelligence. Artificial intelligence or let us put it in a broad term, disruptive technologies, these have entered our home, our way of life, our workplace, our research centres.

Disruptive technologies are much beyond the impact of industrial revolutions but the challenges have to be converted into opportunities. According to me, distinguished audience, it is a myth that this technology, when employed, will cut into human resource employability – No. You have to tame the technology, you have to use it for our advantage, and I'm sure you'll work it out. You are working for a robust environment for us all. Your deliberations are bound to be absolutely wholesome for all of us.

Let us resolve on this day to build a future where every citizen breathes easily, breathes clean air, lives longer, and dreams bigger. Health is the first factor that deprives happiness. May your deliberations be fruitful and transformative.

‘सर्वे भवन्तु सुखिनः सर्वे सन्तु निरामयाः’ is something we have got from our scriptures to be practised.

I am grateful for the Vice-President here, who is also chairman of BRONCOCON 2025, Dr. Vivek Nangia, also Dr. R.P. Meena, the president, and the secretary, Dr. Amita Nene, for affording me this opportunity to interact with brilliant minds, minds that have passion without personal interest, a mission that is not selective, and execution that is uniform, that is helping one and all — ‘Vasudhaiva Kutumbakam.’

Thank you.