Recent government expenditures to improve access to effective health care in Delhi, India, have been insufficient to overcome the impact of poverty and inequalities, leading to a rise in deaths from preventable illness such as septicemia and tuberculosis in the capital city, according to a study led by Rutgers School of Public Health researcher Michael K. Gusmano. In a paper recently published in the journal Public Health , Gusmano and researchers from New York University and Columbia University found that compared to similar large middle-income nations, India has failed to achieve minimal sanitation and public health standards, resulting in a climbing rate of amenable mortality .