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The cities of the world have been the exploiters of resources and the largest generators of waste. This paper explores the concept of Ecological Urbanism as a framework to convert cities from being waste generators to resource producers. The example of the wastewater from Bengaluru going into the lakes of Kolar is studied. The treated wastewater of the city reaches Kolar to fill its lakes, which subsequently recharges the groundwater. One city's waste becomes another's resource in this process. The case of Kolar-Bengaluru is studied while asking critical questions of urban-rural planning with ecology as a main premise. [ABSTRACT FROM AUTHOR]

Knowledge systems characterised by classification, categorisation, and data collection underlie efforts to govern. This paper critically examines knowledge collected by central governing entities in India about waste in an urban local body – specifically through the National Cleanliness Survey or Swachh Survekshan. Relying extensively on field work in Rajpur (2018–2019), one of the highest ranked urban areas in the survey, we reflect on the process of knowledge creation. We find that, even as we come to know, understand, and treat waste, existing hierarchies of race, class, caste, and gender find ways of re-expressing themselves. Intimately tied to its preoccupation with the occupation of physical space, the state's (and by consequence, the dominant) gaze at waste is primarily a visual one with the central project stripping the knowledge of sensory aspects in efforts to enhance claims of 'scientific' knowledge. Much like the mechanisms of the state, formal processes of research too have privileged ways of seeing and hearing (through photographs, writings, and presentations) as opposed to other sensory means of learning like smell and touch. Smell and touch that shape knowledge systems intimately and are the fundamental organising principle of several social norms, like caste, in South Asia are rather difficult to capture. Drawing on a bricolage of methods – including primary field work, document analysis, and visual data, this paper explores waste as entangled in gender, caste, and colonial histories. Further, it lays a pathway for a multi-sensorial understanding of (in)visibilisation. [ABSTRACT FROM AUTHOR]

Background: Minority social status determined by religion, caste and tribal group affiliations, are usually treated as independent dimensions of inequities in India. This masks relative privileges and disadvantages at the intersections of religion-caste and religion-tribal group affiliations, and their associations with population health disparities. Methods: Our analysis was motivated by applications of the intersectionality framework in public health, which underlines how different systems of social stratification mutually inform relative access to material resources and social privilege, that are associated with distributions of population health. Based on this framework and using nationally representative National Family Health Surveys of 1992–93, 1998–99, 2005–06, 2015–16 and 2019–21, we estimated joint disparities by religion-caste and religion-tribe, for prevalence of stunting, underweight and wasting in children between 0–5 years of age. As indicators of long- and short-term growth interruptions, these are key population health indicators capturing developmental potential of children. Our sample included Hindu and Muslim children of < = 5 years, who belonged to Other (forward) castes (the most privileged social group), Other Backward Classes (OBCs), Schedule Castes (SCs) and Schedule Tribe (STs). Hindu-Other (forward) caste, as the strata with the dual advantages of religion and social group was specified as the reference category. We specified Log Poisson models to estimate multiplicative interactions of religion- caste and religion-tribe identities on risk ratio scales. We specified variables that may be associated with caste, tribe, or religion, as dimensions of social hierarchy, and/or with child growth as covariates, including fixed effects for states, survey years, child's age, sex, household urbanicity, wealth, maternal education, mother's height, and weight. We assessed patterns in growth outcomes by intersectional religion-caste and religion-tribe subgroups nationally, assessed their trends over the last 30 years, and across states. Findings: The sample comprised 6,594, 4,824, 8,595, 40,950 and 3,352 Muslim children, and 37,231, 24,551, 35,499, 1,87,573 and 171,055 Hindu children over NFHS 1, 2, 3, 4, and 5, respectively. As one example anthropometric outcome, predicted prevalence of stunting among different subgroups were as follows- Hindu Other: 34.7% (95%CI: 33.8, 35.7), Muslim Other: 39.2% (95% CI: 38, 40.5), Hindu OBC: 38.2 (95%CI: 37.1, 39.3), Muslim OBC: 39.6% (95%CI: 38.3, 41), Hindu SCs: 39.5% (95%CI: 38.2, 40.8), Muslims identifying as SCs: 38.5% (95%CI: 35.1, 42.3), Hindu STs: 40.6% (95% CI: 39.4, 41.9), Muslim STs: 39.7% (95%CI: 37.2, 42.4). Over the last three decades, Muslims always had higher prevalence of stunting than Hindus across caste groups. But this difference doubled for the most advantaged castes (Others) and reduced for OBCs (less privileged caste group). For SCs, who are the most disadvantaged caste group, the Muslim disadvantage reversed to an advantage. Among tribes (STs), Muslims always had an advantage, which reduced over time. Similar directions and effect sizes were estimated for prevalence of underweight. For prevalence of wasting, effect sizes were in the same range, but not statistically significant for two minority castes-OBCs and SCs. Interpretation: Hindu children had the highest advantages over Muslim children when they belonged to the most privileged castes. Muslim forward caste children were also disadvantaged compared to Hindu children from deprived castes (Hindu OBCs and Hindu SCs), in the case of stunting. Thus, disadvantages from a socially underprivileged religious identity, seemed to override relative social advantages of forward caste identity for Muslim children. Disadvantages born of caste identity seemed to take precedence over the social advantages of Hindu religious identity, for Hindu children of deprived castes and tribes. The doubly marginalized Muslim children from deprived castes were always behind their Hindu counter parts, although their differentials were less than that of Muslim-Hindu children of forward castes. For tribal children, Muslim identity seemed to play a protective role. Our findings indicate monitoring child development outcomes by subgroups capturing intersectional social experiences of relative privilege and access from intersecting religion and social group identities, could inform policies to target health disparities. [ABSTRACT FROM AUTHOR]

Various types of labour providers were employed at the Mughal imperial dining spaces and kitchens that provided food for everyday consumption and on the occasion of feasts. These labour service providers can be classified into two broad categories: the imperial officers in charge of the kitchen and allied departments (such as the water and beverages department), and the domestic servants including food servers, cupbearers and cooks. The location of the kitchen and dining spaces determined which gender and what sartorial fashions would be allowed there. The duties performed by all these service providers, the etiquette they were expected to follow, the knowledge, skills and concomitant training they had to acquire were intrinsically linked to the salient notion of food as the conduit for shaping one's inner-self. It was believed that the food one consumed affected the body's humoral composition and brought about a qualitative – physiological and psychological – change in the being of the consumer. [ABSTRACT FROM AUTHOR]

This paper intended to provide and critical and analytical review of research on workplace information literacy published form South-Asia with a view to inform policy and practice. Library, Information Science and Technological Abstracts (LISTA) was searched to identify the key studies published in the proposed research area using multiple keywords. The search process resulted in 384 citations which was screened for duplication and relevance. As a result, 375 citations were excluded due to duplication and non-relevance. Only nine citations remained to deal with for review. The reference lists of these citations were also examined to identify more related citations which resulted in 3 more citation to be included. Thus, there were only 12 citations included in this review. The results indicated the dearth of studies on workplace information literacy in South-Asia. Most of these studies focused on library and information professionals, followed by scientists, and university teachers using survey research design. There was only a single study that addressed information literacy in visually impaired teachers. The respondents of the reviewed studies were competent to basic levels of information literacy where they were less comfortable in advanced levels of information literacy. There was a critical necessity for a need-based IL curriculum for workplace environments. These results indicated the need for more research on workplace information literacy in South-Asia to information policy and practice. This study would be a great contribution to the existing literature as it can be used a foundational study for workplace information literacy in South-Asia. [ABSTRACT FROM AUTHOR]

Background: Obesity rates are rising rapidly in low-middle-income-countries (LMICs). School-based interventions have shown moderate efficacy in improving diet and lifestyle associated with obesity in high-income countries. However, there is little data available on effective interventions suitable for LMICs. We devised a novel program for primary school children including a simple storybook and sticker-based food-diary (FD) and conducted a pilot study to evaluate the acceptability and short-term effectiveness of the program.Methods: This pre-post intervention study included grade 1 and 2 students from four public schools in Colombo, Sri Lanka. Weight and height were assessed, and participating children self-monitored their diet using sticker-based FDs for one week at baseline (pre-test). The following week, class teachers discussed the storybook, which incorporated the benefits/disadvantages of a healthy/unhealthy diet and lifestyle in classrooms. At the end of the intervention, participating children were self-monitoring their diet again for a week (post-test). A simple scoring system was used to derive a weekly score based on the healthiness of the meals consumed each week (FD-score). The primary outcome of the study was change in eating habits following the story book discussion (post-test FD score - pre-test FD score). Acceptability and effectiveness were also assessed by anonymized feedback questionnaires for parents and teachers.Results: One thousand and forty-two students completed the program. There was an improvement in eating habits of participating children, with FD scores improving by 12% from 51 ± 23 at baseline to 63 ± 24 following the intervention (p < 0.001). Further, when considering BMI category of participants: 69.1% were normal weight (NW), 18.3% underweight (UW), 7.4% overweight (OW) and 5.2% obese (OB). Improvement in eating habits were seen among children of all BMI categories (change in FD-score: UW 13.2%, NW 12.3%, OW 10.4% and OB 12.4% (p < 0.001)). Furthermore,> 90% parents(n = 1028) and > 95% teachers(n = 39) strongly agreed/agreed that the intervention was easy to implement, motivated children and led to an observable improvement in healthy eating.Conclusion: This novel program led to an immediate improvement in eating habits and was well accepted by parents and teachers making it a potentially suitable intervention for wider implementation in primary schools in urban Sri Lanka. [ABSTRACT FROM AUTHOR]

Objectives: The objectives of the study were to evaluate the clinical presentation, cardiac magnetic resonance (CMR) features, and outcomes of patients with dilated cardiomyopathy (DCM). Material and Methods: A retrospective study was conducted at a tertiary care center of Pakistan. All patients who underwent CMR for further evaluation of DCM during the period of 2011-2019 and in whom CMR confirmed the diagnosis of DCM, were included in the study. Patients were followed up in the year 2020 for all-cause mortality and cardiovascular hospitalizations. Results: A total of 75 patients were included in the study. The mean age was 38.7 ± 13 with the majority (n = 57, 76%) being male. Dyspnea was the most common presenting symptom (n = 68, 90.7%). The mean left ventricle ejection fraction (LVEF) by CMR was 29.3 ± 12 and mean left ventricle stroke volume (LVSV) was 66.5 ± 31. Late gadolinium enhanced (LGE) was present in 28 (37.3%) patients. Follow-up was available in 61 patients with the mean follow-up duration of 39.7 ± 27 months. Most patients (40, 65.6%) experienced all-cause major adverse cardiovascular events (MACE) during the follow-up and mortality was observed in 10 (16.4%) patients. LVSV by CMR (P = 0.03), LVEF by CMR (P = 0.02), and presence of pericardial effusion (PE) (P = 0.01) were significantly associated with all-cause MACE. On multiregression analysis, SV by CMR was associated with all cause MACE (P = 0.048). The presence of LGE was associated with higher mortality (P = 0.03). Conclusion: LVSV, LVEF by CMR, and PE were significantly associated with all-cause MACE. LGE was associated with higher mortality. Our cohort had a relatively younger age of presentation and diagnosis, and a greater mortality on follow-up, when compared with other regions of the world. [ABSTRACT FROM AUTHOR]

My artistic inquiries draw from gender and sexuality in public space and use performance as process. In inspiration, the works emerge as aesthetic responses to post-colonial, gendered public identities and as negotiations with the cultural politics of modernity. Dwelling on the interaction of Indian modernity with cultural memory through myth, ritual, traditions and colonial histories, I hope to touch upon multiple influences of the Indian public sphere. Through a fragmented contemplation on guiding impulses, this discussion propositions the production of works as potentials to re-eroticise the public sphere. [ABSTRACT FROM AUTHOR]

The study of regional rainfall trends over South Asia is critically important for food security and economy, as both these factors largely depend on the availability of water. In this study, South Asian summer monsoon rainfall trends on seasonal and monthly (June-September) time scales have been investigated using three observational data sets. Our analysis identify a dipole-type structure in rainfall trends over the region north of the Indo-Pak subcontinent, with significant increasing trends over the core monsoon region of Pakistan and significant decreasing trends over the central-north India and adjacent areas. The dipole is also evident in monthly rainfall trend analyses, which is more prominent in July and August. We show, in particular, that the strengthening of northward moisture transport over the Arabian Sea is a likely reason for the significant positive trend of rainfall in the core monsoon region of Pakistan. In contrast, over the central-north India region, the rainfall trends are significantly decreasing due to the weakening of northward moisture transport over the Bay of Bengal. The leading empirical orthogonal functions clearly show the strengthening (weakening) patterns of vertically integrated moisture transport over the Arabian Sea (Bay of Bengal) in seasonal and monthly interannual time scales. The regression analysis between the principal components and rainfall confirm the dipole pattern over the region. Our results also suggest that the extra-tropical phenomena could influence the mean monsoon rainfall trends over Pakistan by enhancing the cross-equatorial flow of moisture into the Arabian Sea. [ABSTRACT FROM AUTHOR]

Micronutrient deficiencies continue to be a major public health concern worldwide with many South Asian countries suffering a significant proportion of the global burden. A lack of nationally representative data on micronutrient deficiencies hampers sustained action to address the problem. Using data on the national food supply produced by the Food and Agriculture Organisation of the United Nations, and international food composition tables, the present study estimated the prevalence of inadequacy of seven micronutrients (vitamin A, thiamine, riboflavin, folate, vitamin B-12, zinc and calcium) in seven South Asian countries--Bangladesh, India, Iran, Maldives, Nepal, Pakistan and Sri Lanka. The estimated average requirement cut-point method was employed to determine the likelihood of inadequate micronutrient intakes. We report multiple micronutrient inadequacies in the food supply in the region, especially in the low and lower-middle income countries. Of the seven micronutrients investigated, calcium had the highest risk levels of inadequacy. Folate, riboflavin, vitamin B-12 and zinc were also deemed to be at high risk of inadequacy, although results differed markedly between countries. Various strategies to combat micronutrient deficiencies are currently underway in these countries. In order to facilitate the implementation of these efforts, the collection of nationally representative nutritional assessment survey data are urgently required to ascertain the true burden of micronutrient malnutrition. [ABSTRACT FROM AUTHOR]

Background and statement of the problem: There is sufficient evidence to say that female empowerment affects economic and social outcomes, in particular for girls. There is, however, no unified approach to the measurement of female empowerment. The relative economic position of the two spouses, which in turn may reflect the position of the extended families on both sides, may affect the woman's influence on household decisions. And both economic empowerment and the woman's decision-making power will depend on social norms, which in turn vary between and within societies. Research is still needed to understand these complex relations between economic empowerment, female decision-making power, social norms, and economic and social outcomes. Research methodology and data: The relative land ownership of the paternal and maternal sides of the extended family was used as a measure of female economic empowerment, and the measure was, in turn, used as an instrument for female decision-making power within the family. The latter was measured by DHS-type questions on who make important decisions within the family. In the second stage of the instrumental variable (IV) estimation it was investigated whether the general measure of decision making power affected a particular outcome, children's education. Data was collected in an ethnically diverse area of the eastern plains of Nepal, where 480 women were surveyed. Research findings: The findings indicate that economic empowerment and subjective decision-making power have independent effects on children's education. The relations are quite complex, indicating that one should not automatically use economic empowerment as the ultimate measure of female empowerment. In the present context there is a positive association between female empowerment and children's education for both genders, whereas boys are prioritized if the paternal side of the family is economically weak. Furthermore, there is heterogeneity among social groups with respect to the importance men and women assign different levels of education for children of different genders. The main message is that the mother's relative bargaining power matters in different ways - and through different mechanisms - and depends on the gender of the child, the social group and the level of education. Policy implications: Policies for female empowerment need to be tailor-made to specific societies and social groups. The findings indicate that policies for economic empowerment of women, such as education and entrepreneurship programs, may have to be combined with programs that affect social values and norms if the target is to change intrahousehold decisions. [ABSTRACT FROM AUTHOR]

• The review covers livestock genomics of South Asian cattle, buffalo, sheep, goat, pig, camel, horse, yak, mithun, and poultry. • Advancements in next-generation sequencing (NGS) technologies led to the discovery of numerous SNP arrays for different livestock species. • The application of genomics in animal breeding has had the biggest economic impact on livestock production. Livestock plays a central role in sustaining human livelihood in South Asia. There are numerous and distinct livestock species in South Asian countries. Several of them have experienced genetic development in recent years due to the application of genomic technologies and effective breeding programs. This review discusses genomic studies on cattle, buffalo, sheep, goat, pig, horse, camel, yak, mithun, and poultry. The frontiers covered in this review are genetic diversity, admixture studies, selection signature research, QTL discovery, genome-wide association studies (GWAS), and genomic selection. The review concludes with recommendations for South Asian livestock systems to increasingly leverage genomic technologies, based on the lessons learned from the numerous case studies. This paper aims to present a comprehensive analysis of the dichotomy in the South Asian livestock sector and argues that a realistic approach to genomics in livestock can ensure long-term genetic advancements. [ABSTRACT FROM AUTHOR]

The uncertainties in the regional climate models (RCMs) are evaluated by analyzing the driving global data of ERA40 reanalysis and ECHAM5 general circulation models, and the downscaled data of two RCMs (RegCM4 and PRECIS) over South-Asia for the present day simulation (1971-2000) of South-Asian summer monsoon. The differences between the observational datasets over South-Asia are also analyzed. The spatial and the quantitative analysis over the selected climatic regions of South-Asia for the mean climate and the inter-annual variability of temperature, precipitation and circulation show that the RCMs have systematic biases which are independent from different driving datasets and seems to come from the physics parameterization of the RCMs. The spatial gradients and topographically-induced structure of climate are generally captured and simulated values are within a few degrees of the observed values. The biases in the RCMs are not consistent with the biases in the driving fields and the models show similar spatial patterns after downscaling different global datasets. The annual cycle of temperature and rainfall is well simulated by the RCMs, however the RCMs are not able to capture the inter-annual variability. ECHAM5 is also downscaled for the future (2071-2100) climate under A1B emission scenario. The climate change signal is consistent between ECHAM5 and RCMs. There is warming over all the regions of South-Asia associated with increasing greenhouse gas concentrations and the increase in summer mean surface air temperature by the end of the century ranges from 2.5 to 5 °C, with maximum warming over north western parts of the domain and 30 % increase in rainfall over north eastern India, Bangladesh and Myanmar. [ABSTRACT FROM AUTHOR]

An increasing trend in fog frequencies over south Asia during winter in the last few decades has resulted in large economical losses and has caused substantial difficulties in the daily lives of people. In order to better understand the fog phenomenon, we investigated the climatology, inter-annual variability and trends in the fog occurrence from 1976 to 2010 using observational data from 82 stations, well distributed over India and Pakistan. Fog blankets large area from Pakistan to Bangladesh across north India from west to east running almost parallel to south of the Himalayas. An EOF analysis revealed that the fog variability over the whole region is coupled and therefore must be governed by some large scale phenomenon on the inter-annual time scale. Significant positive trends were found in the fog frequency but this increase is not gradual, as with the humidity, but comprises of two distinct regimes shifts, in 1990 and 1998, with respect to both mean and variance. The fog is also detected in ERA-Interim 3 hourly, surface and model level forecast data when using the concept of 'cross-over temperature' combined with boundary layer stability. This fog index is able to reproduce the regime shift around 1998 and shows that the method can be applied to analyze fog over south Asia. The inter-annual variability seems to be associated with the wave train originating from the North Atlantic in the upper troposphere that when causing higher pressure over the region results in an increased boundary layer stability and surface-near relative humidity. The trend and shifts in the fog occurrence seems to be associated with the gradual increasing trend in relative humidity from 1990 onwards. [ABSTRACT FROM AUTHOR]

The link between high fertility and poverty is well established. However, this paper shows how infertility may also generate poverty among childless families in Bangladesh. An ethnographic study was conducted, involving various qualitative research methods that revealed economic consequences to be one of the crucial sequelae of childlessness in Bangladesh. This paper details how the poverty/fertility relationship is dependent on social and institutional characteristics, including patriarchal values, education, urban-rural location and health services. Empirical data show that childlessness generates poverty in various ways, including the deprivation of children's earnings, decline in women's mobility, demoralisation of men to earn an income, marriage devaluation by the husband, disbursements for treatment and denial of microcredit (very small loans to those in poverty, which support them to become self-employed to generate income). The current study shows that the infertility/poverty relationship is mostly contingent upon class and gender. It is therefore the rural poor childless women who are most badly affected economically in Bangladesh rather than the urban middle class childless women. In other words, this study reveal that along with gender, class plays a dominant role in terms of the economic consequences of childlessness in Bangladesh. It sheds light on a different and unusual aspect of poverty and aims to contribute to the gender discussion of livelihood and poverty. [ABSTRACT FROM AUTHOR]

Background: Cardio-metabolic diseases (CMDs) are a growing public health problem, but data on incidence, trends, and costs in developing countries is scarce. Comprehensive and standardised surveillance for noncommunicable diseases was recommended at the United Nations High-level meeting in 2011. Aims: To develop a model surveillance system for CMDs and risk factors that could be adopted for continued assessment of burdens from multiple perspectives in South-Asian countries. Methods: Design: Hybrid model with two cross-sectional serial surveys three years apart to monitor trend, with a three-year prospective follow-up of the first cohort. Sites: Three urban settings (Chennai and New Delhi in India; Karachi in Pakistan), 4000 participants in each site stratified by gender and age. Sampling methodology: Multi-stage cluster random sampling; followed by within-household participant selection through a combination of Health Information National Trends Study (HINTS) and Kish methods. Culturally-appropriate and methodologically-relevant data collection instruments were developed to gather information on CMDs and their risk factors; quality of life, health-care utilisation and costs, along with objective measures of anthropometric, clinical and biochemical parameters. The cohort follow-up is designed as a pilot study to understand the feasibility of estimating incidence of risk factors, disease events, morbidity, and mortality. Results: The overall participant response rate in the first cross-sectional survey was 94.1% (Chennai 92.4%, n = 4943; Delhi 95.7%, n = 4425; Karachi 94.3%, n = 4016). 51.8% of the participants were females, 61.6% < 45 years, 27.5% 45-60 years and 10.9% >60 years. Discussion: This surveillance model will generate data on prevalence and trends; help study the complex life-course patterns of CMDs, and provide a platform for developing and testing interventions and tools for prevention and control of CMDs in South-Asia. It will also help understanding the challenges and opportunities in establishing a surveillance system across countries. [ABSTRACT FROM AUTHOR]

Abstract: Background: The condition of women in third-world countries continues to be dismal. They are constantly exposed to such circumstances which make them prone to sufferings. These sufferings bear an irreparable brunt upon the mental health condition of females which are presented as greater psychological problems in terms of depressive disorders. The impact, in turn is felt by the society as a whole which lags behind due to the huge burden. This study is presented to highlight the various factors affecting the presentation of women in the region. Methods: This is a review of studies in which various issues pertaining to presentation, course, and outcome of depression among women in South-Asian region are discussed. The studies were chosen from Internet-based search. Results: The various factors affecting the problems can be grouped into: social milieu, reproductive health factors, and biological milieu. Limitations: This study incorporates various studies which were undertaken at different time durations; hence, its finding cannot be reproduced in an exact sense. It is worth mentioning that these factors need to be studied comprehensively for better health care. Conclusion: This study gives an indication of specific health care needs of women in the region which are to be customized as per local needs and cultural sanctions. [Copyright &y& Elsevier]

Pharmaceutically active compounds are newly recognized micropollutants which are ubiquitous in aquatic environment mainly due to direct discharge of treated and untreated wastewater from wastewater treatment plants. These contaminants have attracted mounted attention due to their toxic effects on aquatic life. They disrupt biological processes in non-target lower organisms upon exposure. Biodegradation, photo-degradation, and sorption are key processes which determine their fate in the environment. A variety of conventional and advanced treatment processes had been extensively investigated for the removal of pharmaceuticals from wastewater. However, due to structural complexity and varying operating parameters, complete removal seems ideal. Generally, due to high energy requirement of advanced treatment technology, it is considered cost ineffective. Transport of pharmaceutical compounds occurs via aquatic channels whereas sediments and aquatic colloids play a significant role as sinks for these contaminants. The current review provides a critical understanding of fate and toxicity of pharmaceutical compounds and highlights their vulnerability and occurrence in South Asia. Antibiotics, analgesics, and psychiatric drugs were found predominantly in the water environment of South Asian regions. Despite significant advances in understanding pharmaceuticals fate, toxicity, and associated risks since the 1990s, still substantial data gaps in terms of monitoring, human health risks, and legislation exist which presses the need to develop a more in-depth and interdisciplinary understanding of the subject. • Current understanding of fate and toxicity of pharmaceutical compounds • Colloidal interactions are important for pharmaceuticals transport in environment • Toxicity data covering effects on human health is very limited • Antibiotics were predominantly measured in South Asian regions • Comprehensive approach to monitor pharmaceuticals is needed in South Asia [ABSTRACT FROM AUTHOR]