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Ripples from The Swine Flu

La Gloria village, Veracruz, Mexico

La Gloria village, Veracruz, Mexico, Image Courtesy of The Guardian

Mid-March, 2009. La Gloria, a town of about 2243 people, in the state of Veracruz, Mexico. Not much of town, though it looks pretty, perched amongst hills. About half of this small population works in Mexico City, about 200 kms away, during the week. About 60% of the town is sickened by a respiratory illness whose cause was unknown. Later, this illness is called the swine flu, caused by a virus, H1N1. Three children die, the cause unknown, because the swine flu has not been identified yet. Only one is later tested for swine flu, the other two buried before the disease is named.

End March, 2009. A nine year old girl living in a California county bordering Mexico is taken ill and is later confirmed to have suffered from the swine flu. Another 10 year old boy in nearby San Diego county also falls victim to the swine flu.

Mid April, 2009. The CDC receives mucus samples from the girl and the boy and identify the virus as a new strain of the swine influenza, A(H1N1).

H1N1 Virus, Image courtesy of Harvard University

H1N1 Virus, Image courtesy of Harvard University

April 21, 2009. The CDC alerts physicians of a new strain of an Influenza A virus, called A(H1N1). This news is the first report of the disease in an English media. The swine flu is also the cause of the deadly 1918 influenza pandemic in which 50 million people were killed and 500 million infected.

End April, 2009. An entire school district just outside San Antonio, Texas, is closed to prevent spreading of the influenza. About 53,000 students are out of school in Texas and more school closures are planned. Some schools in Chicago and New York close to prevent spreading of the disease. A 23-month old Mexican child in Texas dies, the first casualty outside Mexico.

May 1, 2009. Mexico shuts down for five days to battle the epidemic. Fear runs wild through the streets.

May 16, 2009. India confirms its first case of swine flu, in the southern city of Hyderabad.

August 4, 2009. A 14 year old girl in the western city of Pune dies of swine flu, the first reported death due to the disease. Her death is all the more shocking because it is caused by a delay in identifying her illness as the swine flu. The delay also means that a drug, Tamiflu, that could have saved her life, is not given. There is outrage over the incident. Ineffectual enquiries are launched as is the norm. Worldwide, about 800 people have died of the disease so far.

August 13, 2009. Mumbai, India’s commercial capital, begins a week long shutdown of all schools and colleges and a three day shutdown of movie halls to prevent the spreading of the epidemic. 19 people have died in India alone and 1,126 worldwide.

September, 2009. A second wave of the epidemic hits the US, prompting school closures in eight states.

October 23, 2009. US president Obama declares a national emergency over the swine flu.

Eight months after it first surfaced, the ripple effect triggered by the pandemic touches our house. Swine flu vaccines are in short supply and the demand is aplenty. Santa Clara county has received only 55,000 of the expected 211,000 so far. Pediatrician offices have not received any supply of the vaccine, and expect supplies to be delayed even further.

When the vaccine was first announced, Shanthala and I were skeptical of giving it to Maya. We were worried about the possible side effects of a new drug, hardly tested. In 1976, the US government provided mass immunization against a similar swine flu pandemic. 500 people came down with a neurological disorder called Guillain-Barré syndrome and 25 people died. The Daily Mail paper in the UK carried a story that said that a leaked letter by the Govt to senior neurologists linked the new vaccine to the possibility of acquiring GBS. The vaccine was withdrawn within ten weeks of its premiere and the US government paid out millions to settle with those who were affected by the vaccine. But despite intense scrutiny for possible side effects, the current swine flu shot seems to have no serious side-effects, at least not GBS. It’s well past ten weeks by now.

Shanthala is administered the vaccine in her hospital as she is a health care worker. We’re traveling to India shortly and she’d like Maya to get a shot as well. Shanthala rarely stresses on the need for medication and so when she does so this time, I take it seriously. Shanthala and I find out that the Santa Clara county is holding a vaccine clinic on Saturday in multiple places, including the Santa Clara county fairgrounds. We decide to try our luck at a local county clinic that is also participating in the vaccine program.

Saturday, 8:15am. I had read reports of vaccine clinics in New York city running quite empty as few people showed up to get the shot. So, even though Shanthala wanted to go early and wait in line, I dallied and we eventually ended up going around 8:15 or so. I expected some rush, but not the pandemonium that we encountered. The line had circled the building almost twice already. I drop Shanthala off and headed back home. Shanthala reports later that the line had started at 4 am that morning. By 6 am, the parking lot was full. The clinic was not slated to open till 9:30. At the main swine flu clinic at Santa Clara county fairgrounds, people started lining up at 3 am in the morning, according to reports.

9:45 am. Shanthala calls to say that there was chaos and that she and several others had approached the few police officers to fetch reinforcements. People were drifting in and trying to get to the head of the queue, to either sneak by or to ask questions and were pushed and wrestled by the people already waiting in line. She asks me to park the car some distance away and use a stroller to get Maya to the clinic.

10:15 am. Shanthala calls to report that about 70-80 pregnant women were first let in to be administered the vaccine and that the rest were waiting. She says that there was some talk of giving tickets to people in line with kids.

10:30 am. Shanthala asks me to head over right away with Maya because there was talk that the tickets would not be issued to people without kids, even though the shot was for a kid.

10:50 am. I park about half a mile away and walk to the clinic. Maya has had a little meal and is not very fussy, though she protested being put in the stroller. She wanted to push the stroller. As we approach the clinic, passersby tell me that the vaccine is over. When we arrive, Shanthala says that she got a ticket already. She is number 807. How long do we have to wait, I wonder. An hour ? I see an official looking announcer with a bullhorn and approach him for details. He says that only about a 100 people have gotten the shot so far. Someone else asks how long it would be till his turn came up. He has a number in the 500 range. At least four hours, says the official. Four hours ! Are those with a ticket at least guaranteed a shot, I ask. Yes, he says. There are a 1000 vaccines.

I drift back to Shanthala to report the news. She’s gotten acquainted with the other folks in the line. There is a Chinese couple with a three and half year old son and an Indian couple with a four year old daughter. We decide to take turns to go get lunch and relax a bit. The Indian couple take off first, we next. There is a nearby Indian restaurant we’ve not been to. I see a few colleagues from work also waiting in line.

1:00 pm. Lunch is long over as is Maya’s patience. We’ve walked her several times, had her push the stroller a few times. It is her nap time now and she’s getting tired. I had shrugged Shanthala’s suggestion earlier that I take her to the park. People in line are eating take-away meals, mostly burgers and fries. A kid ahead of us plays a mouth organ (harmonica) and Maya watches him in fascination. The official announcer comes around announcing that they’ve vaccinated up to ticket number 450 now. It is a little nippy in the shade, but comfortable in the sun. A mom sits down on the sidewalk and reads a story to her son. A few other kids settle down next to her and it is story time all of a sudden.

1:30 pm. Maya is getting more restless and Shanthala asks me to take her home for a nap. I argue that I can put her down right there, but Shanthala thinks Maya won’t nap with all the noise. Maya really loses it now and I hurry away to the car with her strapped in the stroller. She’s miserable and wails as loudly as she can all the way to the car and all the way home. Her wailing sets me on the edge after a while and I yell at her to be quiet. She falls asleep just as we reach home. She’s exhausted from the crying. It is almost 2 pm. I put her down on the bed and lie down next to her.

2:35 pm. Shanthala calls to say that she’s nearing the head of the line and asks me to head over right away. I pull everything together first before waking Maya. I expect her to start wailing again, but she is quiet. I park in the parking lot of the apartment complex right opposite the clinic. Maya doesn’t want to get in the stroller. I hold her and pushing the stroller race across the street, jaywalking right in front of the cop patrolling the entrance. We reach the clinic closer to 3.

3:25 pm. Maya is given the vaccine, a shot to the thigh. She wails for an instant before quieting. We arrive home by 4, exhausted.

NYT is running an article today speaking of this rift in behavior between parents who’re lining up to receive the vaccine and those who remain skeptical and refuse it. A friend I spoke to expressed similar skepticism and said that most people recovered quickly even if infected and so she didn’t want her three year old daughter to get it. In the NYT article, a historian, David Oshinsky, notes that when polio vaccination was first offered in 1954, more than a million people showed up with their kids for the trial. Dr. Oshinsky says of those parents: “They also had lived through virulent epidemics. That to me is probably the biggest issue of all. You’re dealing with parents [the current generation] who’ve never seen a smallpox epidemic, a polio epidemic.”. A doctor is also quoted in the NYT article saying: Dr. Offit wondered if people were more comfortable with sins of omission than of commission. Rather than inject a foreign substance into your body, he went on, “you’ll take your chances with a natural virus infection, which may or may not kill you.”

Lest you think that this behavior is East Coast schizoid, LA Times reports that only 5% of Californians intend to get inoculated, a number that remains constant across the socio-economic spectrum. And the reason the Californians don’t want to get vaccinated ? Not safety, but convenience (though among the most vulnerable, blacks and Latinos, safety was the number one concern). In the article, a 24-year old is quoted as saying: “A lot of people my age have the mentality they’re invincible and nothing can happen to them”.

Part of what is prompting these fears seems to be the ghost of 1976. Part of it is the drivel in the media from the likes of Bill Maher who oppose even pregnant women (the riskiest category for getting the disease) from getting a vaccine. In the article reported in NYT, I had to support the Republican doctor from Tennessee, Dr. Bill Frist over the unsubstantiated statements of Bill Maher. Maher seemed to forget that scoring points against unscientific Republicans may drive up the ratings, but not just opposing any Republican and unscientific liberals don’t come off sounding any less inane. The pundits in the US are remarkably ignorant and unscientific, be it on the issue of global warming, evolution or in this case, vaccines (I hope I’m not tempting fate by laughing at the skepticism of these people). The LA Times article reported that people who identified themselves as conservative Republicans were twice more likely to suspect vaccine safety compared to liberal Democrats. I guess, Bill Maher wanted to even things out a bit.

References:

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A Toy Around Every Corner

The past few weeks, when I go running, I stop midway and let Maya down from the stroller. Part of it is because I make the first part of my run so fast that I’m winded at the 3.5 mile mark (I run those miles at a 7 minutes/mile pace). The other part is that I let Maya down one day because I was tired for some other reason and since then, she insists on being let down. To run those miles non-stop, I try a different route.

At the 3.5 mile mark, we’re at the edge of the Shoreline marshlands. This close to the bay, Stevens creek is rarely dry, even in summer. I usually lead Maya away from the main track and onto a dirt track that parallels the paved track, but is broken up in places by the creek bed. Some sections are a little steep as they head down closer to the creek. The loose gravel and the descent makes things a little slippery for a 20 month baby. In the beginning, Maya took little steps, bending down the moment she her grip slipped, holding her arms out to balance herself. But, she didn’t want any help as she descended or ascended the path. Only sometimes did she reach out for my hand. Last week, the path was still muddy from the storm of the past week, but Maya went down like a pro, hardly slowing down and continuing to look around as she walked instead of being focused on taking the next step.

As the track levels out, it is quite close to the creek, though the creek is still hidden by the undergrowth in places. I take Maya closer to the water, especially when there are mallards and teals. Maya watches them fascinated. They waddle in the water, a little wary of the sudden interest so close. Maya says “quack, quack” pointing at them. They sometimes fly away from this attention. Sometimes, they put on a show for her. They dip their beaks in the water, to catch some food, becoming almost perpendicular to the liquid plane, their tails pointing straight up at the sky. Sometimes, they quack at each other. A couple of times, they flew in, using their feet to break their fall, making a big, splashing sound. Maya is enthralled.

If it isn’t the ducks, Maya is fascinated by the dead leaves that carpet the path in places. I can’t name most of the plants they belong to. But, Maya knows the word leaf. She points at them as she walks, picking one or two up for a closer examination. She usually selects one or two to carry back to the stroller. Most leaves are dry and brown, but some are still green. Maya examines them all closely, looking at me as she does so, asking me to explain them or name them. I say leaf and yeleh (leaf in Kannada).

This past Thursday, a crane and an egret were resting in the shallow creek. The crane was still on the bank, a little distance away. The white crane looks so beautiful and fragile, with its reedy legs. Maya can hardly contain her excitement after the initial surprise. She breaks into a run to get closer. I ask her to stop a little distance from the bird, to not scare it away. She heeds my message only for a moment or two. Seeing her too close, the crane spreads its wings and majestically glides a little distance away.

Maya’s also drawn to rocks and pebbles. She picks them up and examines them closely, her eyes gleaming. I tell her that we cannot take them with us and she reluctantly drops them back. She then reaches for the trees and massages her hand against the bark, feeling their texture.

These are Maya’s toys. Pebbles, leaves, sand, kitchen utensils. I dramatize. She does have a few of the more mainstream toys (mostly hand-me-downs) and a few puzzles.

Juliet Schor writes in “Born to Buy: The Commercialized Child and the New Consumer Culture” that a typical first-grader in the US can identify 200 brand names, accumulates toys at an average rate of seventy new toys per year, and spends an average of two hours in front of a TV per day. In 2002, children between the ages of 4-12 spent $30 billion of which toys were the number two spending category (sweets, beverages and snacks was the numero uno).

This is the the age of smart toys and edu-toys. When I was growing up, toys were meant for play, not to train (or educate as we like to say) or be smart. Living in the age of anxiety and dog-eat-dog, no instruction can start early enough. 62% of parents surveyed by the Kaiser Family Foundation in 2004 said that educational toys are very important to children’s intellectual development. The anxiety has gotten so out of whack that there are toys such as those made by BabyPlus, which allow a pregnant woman to strap a device to her belly, twice a day, that then proceeds to produce sounds that are supposed to make for smarter babies right out of the womb. In the movie, Baby Mama, Tina Fey’s character wants the surrogate mother to listen to Mandarin tapes, based on the idea that learning a second language helps babies get smarter.

A Fisher-Price advertisement says: “We all want to be parents of the next Einstein” and markets their toys on the mantra that “the right toy at the right time will enrich the play experience of your little genius”. Another toy maker, Neurosmith, says that their toys “..stimulate key areas of the brain and actually help teach your child how to learn”. And parents are lapping these messages up. LeapFrog, a major educational toy vendor, alone notched $640 million in sales in 2004, according to Pamela Paul, author of the incisive “Parenting Inc.”. Baby Einstein, which dominates the baby media market has sales of $200 million annually. $200 million. Just for baby CDs and DVDs. According to a 2003 study, a third of all American babies from 6 months to 2 years old had at least one “Baby Einstein” video.

Are these educational toys “educational” or helpful or are they turning kids into passive consumers who demand that the world entertain them at the press of a button, rather than entertain themselves. Pamela Paul writes: “Many toys on the market today may as well have a sticker on them that says “Imagination Not Included”". She says that these toy manufacturers and parents are misguided in their understanding of “interactive” toys: it is the children that must interact with the toys and not the other way. She tells the story of a kid who asked “What does it do ?” when given an old-fashioned toy, puzzled that play didn’t involve pushing a button. She quotes my favorite pediatric anthropologist, Meredith Small, who fears that we’re either overstimulating our babies or stimulating them in wrong ways. Research supports her concerns.

  • A Harvard researcher, Chuck Nelson, who monitored what goes on inside infant brains, says that babies filter out a lot of what the toy is putting out, that they’re not like a sponge, absorbing everything.
  • Elizabeth Spelke, a famous developmental cognitive scientist says that her studies have found that attempting to teach infants things such as learning to read or count is useless at best, but possibly harmful. We evolved to learn about the world from real people, not the TV or DVD. Patricia Kuhl, a leading expert on child development especially w.r.t language conducted a study in which a native Mandarin speaker played for an hour with one group of babies. Three other control groups of babies were setup: one watched a video of the native Mandarin speaker playing with the babies, one heard an audio recording of the native Mandarin speaker speaking and the third group had no exposure to Mandarin at all. Of these, Dr. Kuhl found that only the group that only the first group of babies (with the live Mandarin speaker) tested as being capable of distinguishing Mandarin sounds from English.
  • Andrew Meltzoff, a co-author of the excellent “Scientist In The Crib”, says that his research has found that a key to language development is the baby’s ability to read the mother’s face, her reaction to various events and actions by the baby. These so-called interactive dolls/toys have an unchanging expression, no matter what the baby does. Another researcher, Catherine Tamis-LaMonda, concludes similarly based on her research with parent-baby interaction in “naturalistic” environments.
  • Laura Schulz, a professor of brain and cognitive sciences at MIT says that once children understand the causal relationship of a toy, they move on (pressing a button produces one of these six sounds). She says that children with these smart toys become passive absorbers and even develop impatience.
  • Alison Gopnik, another prominent developmental cognitive scientist, wrote an op-ed piece in NYT in which she says: “The learning that babies and young children do on their own, when they carefully watch an unexpected outcome and draw new conclusions from it, ceaselessly manipulate a new toy or imagine different ways that the world might be, is very different from schoolwork. Babies and young children can learn about the world around them through all sorts of real-world objects and safe replicas, from dolls to cardboard boxes to mixing bowls, and even toy cellphones and computers. Babies can learn a great deal just by exploring the ways bowls fit together or by imitating a parent talking on the phone. (Imagine how much money we can save on “enriching” toys and DVDs!)”. She writes that kids younger than five have a hard time being goal-oriented which is what so many of the so-called educational toys attempt to do.

On Sunday, NYT reported that Disney is offering refunds to parents who bought the Baby Einstein products, admitting that they did not produce the geniuses they promised.

All these so-called educational toys cost so much more than the old-fashioned ones. What’s worse in the modern world is that with the outsourcing of much of the manufacturing to China, parents are subject to the yearly scare of recalls because many of the toys are toxic. To avoid this, well heeled parents have begun to search for toys not made in China, hand-crafted toys, which are more expensive. No wonder a modern family cannot be supported on a single income. Worse still of course is the lack of time that parents have with their children. An absence that fuels the guilt that causes them to indulge in all these expensive toys. The executive VP of Chicco toy division explains the success of his division:
“My viewpoint is that with so many dual working parents, the guilt factor steps in. They’re looking for toys that make them feel good. They think, if I’m not around enough, something can fill in that void for me, maybe if the toy teaches them something.”

What does help babies ? In the article on Baby Einstein, Vicky Rideout, the VP of the Kaiser Family Foundation says: “To me, the most important thing is reminding parents that getting down on the floor to play with children is the most educational thing they can do.”. Alison Gopnik writes: “But what children observe most closely, explore most obsessively and imagine most vividly are the people around them. There are no perfect toys; there is no magic formula. Parents and other caregivers teach young children by paying attention and interacting with them naturally and, most of all, by just allowing them to play.”

This is what my parents and many parents of my generation and older did. This is how we evolved. Surrounded by people from whom we learnt to make sense of the world.

Maya runs around the dirt track by the Stevens creek, stepping on dry twigs and leaves, relishing the crackling sound that it makes. Sunlight dapples in the creek. A plane flies by overhead and Maya points to it. “Bye Bye”, she says. She spots an acorn on the ground and picks it up. She can’t say acorn yet, but I’m guessing that the smile on her face and her pointing at it is an indication that she recognizes this from the pictures she’s seen in her books. To her, there’s a toy around every corner and the world is a playground.

To see a World in a grain of sand,
And a Heaven in a wild flower,
Hold Infinity in the palm of your hand,
And Eternity in an hour - William Blake, Auguries of Innocence

Another Life Over

On Monday night, another teenager walked on to the railway tracks and into the path of an oncoming train. He is the fourth teenager to commit suicide since spring of this year. A fifth was saved just in time earlier this year. All of them are students at the nearby prestigious Gunn High School. Gunn is located in Palo Alto, one of the most expensive neighborhoods in the Bay Area. At least one of the kids was doing very well academically and well liked at school. I can’t begin to fathom the anguish of the parents of the dead teenagers.

When I was reading about the suicides earlier this year, I was struck by a comment from one of the adolescent counselors. I searched for the article (published in the local San Jose Mercury News), but it is now hidden behind a paid archive. Luckily, I found a cached version on Google. He said:

“Kids are expected to do better than their parents,” he said. “But if you look at where we are, how do you top Silicon Valley? Especially in Palo Alto, where the majority of the community has extremely huge salaries. Most families have college degrees, if not Ph.D. or M.D., and houses with enormous square footage. So how is the next generation expected to do better than that?”

I don’t think anyone yet really knows why the teenagers committed suicide. But if this counselor is right, is this what we aspire for our children ? That they be better than us academically, materially and in their careers ? How do we continue to think, justify, and rationalize that these lead to more satisfying lives ?

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Get Lucky: A Review

September doesn’t just herald the coming change of season. For me and several others around the world, every two years, it heralds the release of a new Mark Knopfler album. Get Lucky, his seventh solo album (including his duet with Emmylou Harris) was released a few weeks back, with just about as much fanfare as his previous releases; that is, almost none. An email about pre-concert ticket sales for a concert next April was how I came to know of this album.

Though the album was to be released only on September 14th (15th in the US), I got lucky and found out that my Rhapsody music subscription service allowed me to listen to the entire album a full week before the release. That alone justified the monthly subscription that I pay for Rhapsody. Coupled with Roku Soundbridge 1001, I listened to the entire album on my hi-fi system.

Compared to his previous album, Kill To Get Crimson, Get Lucky is a more modest effort, a notch or two below his best, especially in song writing, which has become his primary focus.

Across eleven tracks and 52 minutes, Knopfler uses flute, whistle, accordion and strings to produce a sound that is a throwback to the soundtracks of Local Hero and Cal. It is a september record: a few upbeat sunny songs but mostly quiet, midtempo tracks, tracks composed with a knowledge of the coming cold, austere times.

Three tracks stood out immediately. Hard Shoulder, the second song in the album, is a heartbreaking song about an unexpected loss. In a style that he employed on Hill Farmer Blues from The Ragpicker’s Dream, he starts with a workman listing out the things he has, the tools of his trade and then quietly slips in the real subject.

I’ve got latches for windows, handles for doors,
Grinders and scrapers and sanders for floors,
Rake for the gravel, chains for the snow,
Always got the shovel – you never know
I never thought you’d go

A workman, has stopped on the shoulder of a road, trying to recover from the loss. And with beautiful wordplay, he mixes the shoulder of the road with the need for a shoulder to cry on.

A few years back, we were having some repairs done on the house. The workman called to say the morning of the repairs that he had had a family emergency and that he couldn’t make it that day. I’ll call later and reschedule, he said. I was a little miffed (I had to shuffle my schedules so that I could be home when he showed up), but didn’t think much more. He called back a few days later and we rescheduled for him to come a week later.

He was an immigrant, like me, but eking out his existence in a much harder way than I ever had to. As he was doing his work, I remembered his family emergency and asked him if everything was alright. I remember how he looked at me, his clear blue eyes shattering as he said, “My daughter died last week. She was six years old. She had a fever that led to complications she never recovered from. That morning I was to come to your house, we had to rush her to the hospital”. I held him as he cried a little. I thought about my getting a little ruffled over his rescheduling. How little we know of the lives we call upon to care for our needs. Listening to Hard Shoulder reminded me of that man.

In true Knopfler fashion, the loss is never spelled out. A first reading made me think that it was about a lover leaving. But subsequent readings made me revise that opinion: this could be about any loss.

The second stand out track was the gentle waltz, Monteleone. The song is about John Monteleone, who Knopfler calls the world’s greatest living builder of the arch top guitar. The song is about his working of the wood to produce a beautiful musical instrument. I love the line “the chisels are calling”:

The chisels are calling
Its time to make sawdust
Steely reminders of things left to do
Monteleone, a mandolin’s waiting for you

The final standout track is also, in my opinion, the finest on the record, So Far From the Clyde. The song is about a ship taken to a breaker yard, some desolate beach in some impoverished part of India. I felt my insides rip as he sings about the ship as it is first shattered by riding it hard into the ground and then hacked and sawed off “’til there’s only a stain in the sand”. The ship comes alive, becomes a living thing. In one beautiful stanza, he sings:

As if to a wave
from her bows to her rudder
bravely she rises
to meet with the land
Under their feet
they all feel her keel shudder
A shallow sea washes their hands

I love the way he mixes in the metaphor of Pilate’s washing off his hands at the judgement of Jesus to the actions of the people involved in the tearing down of the ship.

Again, the song at one level, can be treated as merely the story of a ship, or it can be treated as an elegy to the end of a way of life. The song reminded me of an article that I had just read on NYT, about the lonely, wretched existence of many elderly immigrants in this country. The lead anecdote was about a Sikh father, living in the not far-off East Bay town of Fremont. Many of these immigrants had been cast aside by their children after being brought to this country. Now far from their social network, their ways of knowing and being, a stranger in a strange land, they seek solace in the company of fellow immigrants in similar positions and return to their rented places to die lonely deaths. Not unlike a ship that sailed proud and free for many years but taken at its end to a strange place. From the article:

Mr. Singh, the widower, grew up in a boisterous Indian household with 14 family members. In Fremont, he moved in with his son’s family and devoted himself to his grandchildren, picking them up from school and ferrying them to soccer practice. Then his son and daughter-in-law decided “they wanted their privacy,” said Mr. Singh, an undertone of sadness in his voice. He reluctantly concluded he should move out.

So when he leaves the Hub, dead leaves swirling around its fake cobblestones, Mr. Singh drives to the rented room in a house he found on Craigslist. His could be a dorm room, except for the arthritis heat wraps packed neatly in plastic bins.

The album is unusual in that it comes with some liner notes by Knopfler, a man known for his understated, taciturn persona. Knopfler writes that this album was a personal one more than usual. His uncle, dead at the age of 20 in WWII, is the piper in “Piper to the End”, his father makes an cameo on “Before Gas and TV” and his own childhood and adolescent life is the fabric from which songs such as Border Reiver and Get Lucky are sown. But I found his songwriting on most of the songs not upto his usual exemplary standard.

Maya likes the three songs that I mentioned as well as the title track and Border Reiver. Especially, Monteleone which is one of her staple goodnight songs now.

There’s so little new music that soothes me. Don’t get me wrong. I continue to find new music that I enjoy, new styles and new artists. But novelty isn’t all that it’s cut out to be. Homecoming is not about novelty, but it is among the most emotionally complex and satisfying experiences. Listening to Knopfler is like a homecoming to me. Not all homecomings are as good and satisfying. But we go home anyways. And so, I’ll listen to this album.

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Culture and Parenting In Kidspeak

The intersection of culture with parenting has been on my mind ever since Maya was born. I’ve written about it a few times already. Today, I read an article on NYT titled Parents Need to Tune In and Engage a Young Child With Talk that once again reminded me of it. The article exhorts parents to engage verbally with their children, because it is good for the children’s language development. If we don’t talk to our kids, they’ll miss out on social and verbal cues and this negatively impacts development. Some quotes from the article:

“‘Talk to your baby whenever you have the chance,’ the American Medical Association advises parents.”

“Help expand your child’s vocabulary by talking about what is done with various objects or why a particular food helps to build healthy bodies.”

“Count the steps as you go up or down. My twin grandsons’ math skills flourished long before they could speak in sentences because they live in a third-floor walk-up.”

“And you can’t introduce books too early. I remember my niece at 3 months paying rapt attention as her mother “read” picture books to her, pointing out objects, their colors and what the characters were doing.”

I was left thinking that if I didn’t talk or read to Maya all the time, she’d be somehow deficient in her verbal and social skills as she grew up. I think that if I hadn’t read as much as I have, I’d feel the pressure to talk to her all the time. And if I didn’t, I’d feel less of a parent, that I’d somehow failed her.

To get a different perspective, let’s turn to Meredith Small’s “Kids: How Biology and Culture Shape The Way We Raise Our Children”, her excellent follow-up to the brilliant, insightful, “Our Babies, Ourselves”, which I’ve written about before.

Small says that anthropologists and other scientists who have studied children and language acquisition across cultures have found that children employ a variety of strategies to start speaking, and that all these strategies work fine. Some examples of these differences:

  • The Gusii of Northern Kenya think that spending as much time as the Westerners do, talking to the children, molds the children to be selfish and self-centered adults. Recognizing from experience that children speak fine without talking to them incessantly, they don’t spend much time talking to them, but carry their children everywhere and thus immerse them in a sea of adult interactions all the time.
  • Similarly, the Kaluli people of New Guinea live in a non-literate society and instead of talking to the child, face the baby towards others and speak for the non-verbal baby in a three-way conversation. Again, the baby is carried everywhere and is awash in conversations all the time.

In the 1950s, when behaviorism ruled the roost, linguists believed that speaking was a learned ability, that children learned to speak by listening to others. Then along came Noam Chomsky who revolutionized linguistics with a convincing argument that language is innate, biological and that we’re hard-wired from birth to speak. Steven Pinker, a leading linguist and science writer says that children instinctively know things about language that no one could have taught them. For example, Patricia Kuhl, a major figure in the study of language acquisition has conducted research that demonstrate that infants as young as 18 weeks are sophisticated in the visual aspects of speech. An infant is shown say two pictures with identical faces, but one making a silent “aah” vowel sound and another making a silent “eee” vowel sound. The infant is then made to hear one of the two vowel sounds i.e. “aah” or “eee”. Infants are shown to stare longer at the picture that corresponds to the vowel sound they’re hearing. Another example that kids know about language without being taught is the ease with which they construct plurals of new words.

While there are several theories about why we as a species acquired language, the predominant one is that language is a tool for socialization, one that takes the place of grooming that other apes use. This theory is borne out by observations that the key for an infant to acquire language is to be exposed to it. And not any exposure will do, it has to be live adults communicating. It cannot be a TV or DVD edutainment program that purports to teach the infants new words or new languages. Andrew Meltzoff, another prominent researcher in the field of infant development is quoted in Parenting Inc.: “From what I’ve seen of the science, there isn’t a tape in the world that can teach a nine-month old baby how to read. It goes against everything we know about the evolution of language in human behavior”.

It is well known that children from rich verbal enviroments tend to possess a larger vocabulary. But this comes at a much later stage in development. Statements such as: “And you can’t introduce books too early. I remember my niece at 3 months paying rapt attention as her mother “read” picture books to her, pointing out objects, their colors and what the characters were doing.” from the NYT article are without basis, according to current research.

But environment does play a critical role in language development. A tragic example of failed language development due to a severely malnourished environment comes from the sad story of a child named Genie. She was locked in a room alone, chained to a potty chair, from the age of 18 months by her mentally retarded father. She was never spoken to or allowed to speak. She eventually escaped from this prison with the help of her (also mentally challenged) mother, when she was thirteen years old. Despite being exposed to language at this stage, her verbal skills never progressed beyond that of a child. Five word sentences is the most that she can make. Stories such as Genie’s sear my mind.

Language is a prism that affects how we view the world and how we construct the world, said Edward Sapir, an anthropologist cum linguist. This is called the Sapir-Whorf hypothesis and after spending some time in the dustbin, is undergoing a revival thanks to the new work conducted by linguists such as Sara Boroditsky. Small agrees with this hypothesis and says that a society’s idea of identity informs the form of verbal coaching that occurs. In Western societies where an individual is considered paramount, nuclear families give rise to the dyadic conversations discussed in the NYT article. Among the Kaluli, an egalitarian society, life is considered to be a multifaceted interaction and so mothers involve children indirectly in conversations with others rather than talking one-on-one with them.

As a reflection of societal norms, language is one important way children learn about gender and status norms sanctioned by the culture. Small says that studies have shown that in the West, fathers speak differently to the children compared to the mothers. About thirty percent of a father’s speech consists of imperatives such as “Do this” or “Don’t do that” and speak that way more with boys than girls. Western mothers tend to talk in longer sentences to the children and talk the same way with both boys and girls. Children mimiced the adults with boys tending to use imperatives and commands. One study found that two year olds were aware of this gender-specific use of language.

When we went to the pediatrician for Maya’s 15th month checkup, she didn’t seem too pleased that Maya didn’t speak any legible words. Despite our nonchalance at this news, Shanthala and I were a little concerned if Maya had any problems. Articles such as the one in NYT exacerbate the concern by throwing guilt into the mix. I remember asking several parents at what age their kids spoke and resting easy when one of them said that their son spoke only when he was two.

In such a culture, books such as Judith Rich Harris’ “Nurture Shock” which I’ve written about earlier, make sense. A lot of culture gets passed on as gospel by the medical association. It is not that parents don’t matter, it is that the issues over which the parenting style is considered paramount are not so.

The NYT article quotes a speech and language specialist, Randi Jacoby:Reward your little one’s communicative attempts with your heightened attention to his/her conversation. Be prepared to put down your cellphone and look them squarely in the eye as they share their thoughts with you.”

Now, that is something I can agree with. Not because it benefits the verbal development of the child, but because we teach them that when conversing, paying full attention and listening is important, that talking to a person, a child, is more important than talking on a cell phone. Given how facile it is to be focused on the cell phone or the laptop, being mindful of interacting fully with the child may set a tone for how they listen and talk, not how soon they talk.