Due to an unforeseen problem, some of our readers could not access the last newsletter in full. We regret the inconvenience caused and will rectify the error as quickly as possible.
This week we are re-issuing a tribute written by our Editorial Adviser MG Radhakrishnan to mark the first death anniversary of Dr MS Valiathan, who founded the Sree Chitra Tirunal Institute for Medical Sciences & Technology, Trivandrum. The article was first published by Mathrubhumi on July 17.
Decades before “Make in India” became a national slogan, Dr MS Valiathan lived its spirit – indigenously developing critical medical devices. Photo courtesy: Social media
Which city is the world’s largest producer of blood bags?
Which city manufactures the world’s most affordable artificial heart valve?
The answer to both: Thiruvananthapuram.
And who deserves credit for these path-breaking achievements in a city often dismissed as a haven of power-hungry politicians, fossilised bureaucrats, and strike-happy trade unions?
The answer: Marthanda Varma Sankaran Valiathan– the Malayali Midas who turned everything he touched into gold.
July 17, 2025 marked the first death anniversary of Dr Valiathan – eminent cardiac surgeon, visionary academician, master teacher, prolific author, and institution builder. He passed away at 90, leaving behind a legacy that transcends medicine.
Despite lucrative offers abroad after training under some of the world’s finest medical minds, Valiathan chose to return to his homeland to serve its underserved millions. In an age when modern medicine was becoming entangled in corporate greed, he remained a steadfast advocate for ethics in medical practice.
Decades before “Make in India” became a national slogan, Valiathan lived its spirit – indigenously developing critical, high-cost medical devices like the heart valve and blood bag to make them affordable and accessible. He led Kerala’s early strides in successful technology transfer from academia to industry.
And his contributions didn’t end with modern medicine. While many of his peers scoffed at traditional systems, Valiathan spent his final years passionately championing Ayurveda, insisting on rigorous research and validation rather than romanticism or rejection.
A Clear Verdict:This June also marked the fiftieth anniversary of the declaration of Emergency, the darkest chapter in post-independent India’s history. Many have often wondered why Kerala re-elected the United Democratic Front (UDF) alliance led by CPI and Congress in the historic 1977 polls held after the Emergency, when most of the country trounced Indira Gandhi's authoritarianism. A reason cited often was the UDF government’s (1970-77) record in the state’s development front notwithstanding its crackdown on freedoms and custodial murders.
Among the government’s achievements was the setting up of a slew of academic centres of excellence, specialising in different fields. Even more impressive was choosing the most suitable persons to head them(a rarity in Kerala), for which the credit went to the visionary and scholarly Chief Minister C Achutha Menon.
Among such centres were the Sree Chitra Tirunal Medical Centre, now known as Sree Chitra Tirunal Institute for Medical Sciences & Technology(SCTIMST), Centre for Development Studies, and Centre of Earth Science Studies, headed respectively by Dr Valiathan, Dr KN Raj, and Dr Harsh Gupta.
Under the right leadership, each of these institutions rose to become among the finest in the country. That Kerala has not seen the emergence of many such institutions since may well be a reflection of the state’s changing priorities in the decades that followed.
Early Days:Born in an aristocratic family in Maveklikkara with rich cultural traditions, Valiathan did his studies at the local government school, after which he joined Thiruvananthapuram’s University College (then known as Maharaja’s), where he studied science. Following in the footsteps of his uncle, Dr VS Valiathan, who studied medicine in Edinburgh at the beginning of the 20th century, MS Valiathan graduated from Trivandrum Medical College in 1957 as a member of its first batch of students.
He left the country for postgraduate studies in surgery at the University of Liverpool in England and obtained a fellowship from the Royal College of Surgeons of Edinburgh in 1960. Despite the abundant opportunities overseas, Valiathan chose to return to India and began his career as faculty in Chandigarh’s Postgraduate Institute of Medical Education and Research.
After a short while, Valiathan left for the USA for specialised training in cardiovascular surgery at the Johns Hopkins Hospital and Georgetown University Hospital.
Inspiring Mentors:In the USA, Valiathan had the opportunity to work under two titans in the field: Dr Vincent L Gott and Dr Charles Hufnagel, eminent cardiac surgeons and inventors of critical biomedical devices implanted on cardiac patients. They were his mentors who kindled Valiathan’s lifelong passion in biomedical engineering.
Hufnagel was the inventor of the first artificial heart valve during the 1950s, and Gott is credited with developing, alongside Ronald Daggert, the Gott-Daggert heart valve prosthesis – the butterfly valve – in the 1960s, used for mitral and aortic replacement.
Valiathan also had the opportunity to learn at Philadelphia’s Thomas Jefferson Medical College about the ground-breaking development of the heart-lung machine. Valiathan obtained a fellowship of the Royal College of Physicians and Surgeons of Canada.
Bumpy Start:Once again, ignoring the opportunities abroad, he returned to India in 1972. But, as Dr Sunil K Pandya, neurosurgeon and medical historian, wrote in his obituary on Valiathan, the bureaucracy-bound Indian system failed to recognise her highly qualified son’s value.
He obtained only an ad-hoc post at New Delhi’s Safdarjung Hospital and could do no cardiac surgery or research. Pandya recalled that Dr Hufnagel told him that he had made a mistake returning to India when he had a promising future in America.
“The Indian virus will destroy you”, said Dr Hufnagel, wrote Pandya. (Unfortunately, Dr Pandya too passed away last December.) Valiathan’s interest in biomedical engineering took him, the next year, to Chennai, where the IIT had launched a new programme on the topic.
He joined as a Visiting Professor there and also took up a part-time honorary surgeon position at Perambur’s Railway Hospital, where he performed one of South India’s earliest open-heart surgical operations.
In Chennai, Valiathan started chasing his dream to make an affordable artificial heart valve in India. He made a project proposal to the Council for Scientific and Industrial Research (CSIR), which, however, was not approved. As Dr M Unnikrishnan and Dr GD Bhuvaneswar, who were Valiathan’s colleagues in Sree Chitra Medical Centre, wrote, this setback made Valiathan “redouble his future efforts”.
Surprise Call:This was exactly when Valiathan received an unexpected call from his home state, which he had left two decades ago. The caller was none other than the Chief Minister Achutha Menon, who invited him to take over the setting up of a super speciality hospital in Thiruvananthapuram. In October 1974, Valiathan took over as the director of the Sree Chitra Tirunal Medical Centre.
Even as he immersed in the heavy work of setting up the centre, Valiathan did not abandon his passion for biomedical engineering. He was determined to develop a low cost, indigenously-built heart valve to replace the highly expensive imported one, which was unaffordable to the large number of Indian patients suffering from rheumatic heart disease. In the 1980s, 6 out of 1000 children had rheumatic fever, and 12 lakh of them were at risk of valvular disease in India.
Valiathan submitted a project proposal to the Government of India’s Department of Science and Technology (DST) for developing artificial heart valves and disposable medical devices, jointly with Dr V Gowarikar of Thiruvananthapuram’s Vikram Sarabhai Space Centre (VSSC) and Dr S Ramaseshan of Bengaluru’s National Aerospace Laboratory (NAL).
DST accepted the project and sanctioned 90 lakh rupees. The Achutha Menon government transferred the Satelmond Palace, once the residence of the erstwhile regent queen of Travancore, along with a grant of 50 lakh rupees, a whopping sum for the state then, for setting up the biomedical wing.
Major Breakthrough:In 1980, the parliament passed an act to make Sree Chitra an Institute of National Importance. A newly recruited multi-disciplinary team began work on the valve, which came into being after three failed attempts that lasted more than a decade. The first Indian-made heart valve, named Sree Chitra Valve, became one of the world’s least expensive too.
Successfully implanted in a patient on December 6, 1990 – who is still doing well – the technology was transferred to the Chennai-based TTK group. Branded TTK Chitra Heart Valve, improved and upscaled over time, is being manufactured in the Kinfra International Apparel Park in Thiruvananthapuram.
It is now being used in 300 cardiac centres across India with over one lakh implantations till now. According to a 2016 report, while an imported mechanical valve costs up to 55,000 rupees, the TTK-Chitra mechanical valve was priced at 20,000 rupees. The second-generation valves were implanted in 42 patients according to a SCTIMST report of 2024.
Igniting a Dream:Even before the development of the heart valve, Valiathan’s team had succeeded in developing the first Indian blood bags in 1983. Until then blood bags were imported in the country at a higher cost. CBalagopal, then a 30-year-old IAS officer belonging to Thiruvananthapuram, was bowled over on his visit to SCTIMST by Valiathan’s passion and his indigenisation projects.
Inspired by Valiathan, who offered him the transfer of technology, the adventurous Balagopal resigned from the coveted civil service to set up the Peninsula Polymers, a company to manufacture the SCTIMST-developed blood bags. In 1999, the Tokyo-based Terumo Corporation acquired the company, which was renamed Terumo Penpol.
The Thiruvananthapuram-based Terumo Penpol, which posted a revenue of 655 crore rupees in 2023-24, is today world’s largest producer of blood bags, selling in 64 countries with a capacity of 38 million bags per year. Terumo Penpol, alongside the public sector
Hindustan Latex (capacity of 13 million) make Kerala’s capital city the world’s blood bag capital.
Balagopal, presently the chairman of the Kerala State Industrial Development Corporation, recalled that he had neither capital nor the entrepreneurial background at the time, but made the leap inspired by Dr Valiathan. Even more products emerged subsequently from SCTIMST.
High Standards:Along with these great strides in “Make in India”, during his two decades at its helm, Valiathan built SCTIMST up as one of the country’s best medical institutes. He set up one of India’s first Institutional Medical Ethics Committees in SCTIMST in 1984 to ensure ethical conduct and high standards of safety and performance.
His other significant contribution was to set up the Achutha Menon Centre for Health Sciences at SCTIMST, named after the visionary who was instrumental in the genesis of the institution, which offered the country’s first postgraduate course in public health during the mid-1990s.
After retiring from SCTIMST, Valiathan served as the vice chancellor of Manipal University (1994-99). Subsequently, Valiathan immersed himself in the study of the “Great Three” of Ayurveda – Charaka, Sushrutha and Vagbhata – with a fellowship from the Homi Bhabha Council. This culminated in a series of books by him now compiled together in his Ayurvedic Inheritance: A Reader’s Companion (2017).
For leading such a full and purposeful life, Dr Valiathan was honoured across the world – showered with accolades and awards by some of the most prestigious institutions which included the Padma Vibhushan, the second-highest civilian award.
Yet one cannot help but ask: has Kerala truly recognised one of her greatest sons in the manner he deserved? When will we see even a single institution in the state bear the name of this visionary who so profoundly enriched our lives – and made it easier for countless others simply to live?
Nisar mission provides some lessons
Indian Space Research Organisation (Isro) and Nasa are set for a historic joint mission this month. They are joining hands to launch the Nasa–Isro Synthetic Aperture Radar (Nisar) satellite, which will orbit the Earth every 12 days and deliver three-dimensional, centimetre-level mapping of land and ice surfaces. The data will be crucial for monitoring ecosystems, natural hazards and climate impacts. Nisar is scheduled to lift off from Isro’s Satish Dhawan Space Centre in the coming days and is expected to generate around 80 terabytes of data daily. One thing Isro could learn from their US counterparts is how to release information ahead of a mission.Unlike the usual Indian briefings that often focus on pleasing the higherups and political leaders, Nasa has made a treasure trove of resources available to the media.
More on space tech. The UAE unit of Hex20 will collaborate with the Technology Innovation Institute and the UAE Space Agency on the ambitious Emirates Mission to the Asteroid Belt (EMA). The 13-year mission includes a six-year spacecraft development phase followed by a seven-year voyage to the main asteroid belt beyond Mars. The MBR Explorer spacecraft will conduct close flybys of seven asteroids, collecting invaluable data, and will ultimately deploy a lander on the seventh asteroid, Justitia. Trivandrum-based Hex20 marked a milestone in India’s private space sector with the launch of its Nila satellite on 15 March 2025.
Systrome enters B2C market
Systrome Technologies is entering the wireless connectivity market with its new Sysmobi range – including routers, access points, mesh systems and Wi-Fi extenders – built for home users, small offices and large enterprises. Announced at the first anniversary of their 100-crore electronics manufacturing facility in Trivandrum, the products are designed to perform reliably even in areas with poor connectivity. The company says Sysmobi devices will cost less than popular Chinese brands and come with cloud-managed features for easier setup, monitoring, and troubleshooting. Systrome is also targeting exports to the Middle East and Africa.
AI models woo Indian users
Airtel just gave all 360 million of its customers a free year of Perplexity Pro (worth 17,000 rupees), while Google is offering Indian students free Gemini Advanced subscriptions after noting the surge in AI use for academic work. With surveys showing Indians now spend over four hours a day on their phones, Western tech giants are racing to tap the country’s massive user base to train their AI models – shut out of China and short on data elsewhere. But with all these foreign freebies flooding in, it’s worth asking: what happened to those Indian LLM startups that once promised platforms built specifically for India?
Uncle Bot is setting the pace
China’s newest viral sensation isn’t a pop star or a panda – it’s “Uncle Bot,” a humanoid robot dressed like your average middle-aged man on a reluctant jog. In baggy shorts and dad sneakers, he went viral after a video showed him jogging downhill like he was late for his evening chai. The clip, originally posted to Douyin (China’s version of TikTok), quickly made its way to X, where it racked up over 80 million views. The internet quickly dubbed him the Adam Sandler of robotics. Now he’s visiting temples and posing for selfies. Who knows – the next big influencer might just be an android uncle.