What the doctor should do

Domestic violence is an epidemic, but physicians say it's not their problem. The A.M.A. disagrees and wants to put them in an uncomfortable new role.     

Urban growth in India: demographic and sociocultural prospects

The numerical and qualitative aspects of the growth of the Indians urban population are discussed with the benefit of data from the last 4 censuses. Thinkers exemplified by M.K. Gandhi believe that urban growth erodes Indian culture, while opponents argue that India's traditional way of life deserves to be obliterated. The "mechanics" of erosion of Indian culture is discussed under 5 headings: its locus, speed, direction, type of population shifts, and types of cities affected by growth. The village, which is the principal locus of Indian culture, is the locus affected by urbanization. The quantitative estimate of urbanization is extremely rapid: between 1951 and 1988, the urban population grew from 62 to 217 million. In this period rural numbers grew from 295 to 618 million. Because of the hugh natural increase of the rural population, the proportion of the urban population grew only from 17.3% to 23.3%. The direction of change is described as a process or cultural accretion or "interpenetration" rather than replacement of tradition by urban culture. Populations shifts account for a large amount of urban increase, a net rise in urban sector of 15 million/decade. While the 4 largest cities received the most immigrants, growing at 3.16%, the intermediate 6 cities with populations 1 million in 1981 grew even faster, at 3.48%. It is likely that India's population after the 1991 census is complete will be 910 million, with 27% urban.