Emily Sparer may be the first Harvard T.H. Chan School of Public
Health student to have construction workers cheering her on at her
dissertation defense. Sparer, who graduated in May with an SD in
occupational safety and ergonomics, developed a B-SAFE
safety communication program for construction sites built on a simple,
low-cost idea: Take the safety data that managers already gather and
share it with the workers.
Posters at Sparer’s pilot sites around Boston displayed safety scores
each week, broken down by subcontractor, to encourage workers and
managers to look at conditions outside of their own area and trade.
Sites with high ratings earned a free lunch at the end of the month. As a
result of participating in the program, workers are reporting improved
teamwork and better communication around safety—and they want it to
continue.
“At my defense, one of the construction workers in the audience said
that he and his coworkers had met with their corporate-level safety
people to see if they could adopt the program companywide,” Sparer says.
“That felt like completing a circle—I developed the program, tested it,
and now it’s being implemented on work sites. That’s what I want to do
with my work: take it beyond a published paper into the real world.”
Following pope Francis visit to America, the white house had invited transgender activists, the first episcopal gay bishop that openly declared his gay status and a nun activist that is leading the campaign to support abortion, to the popes welcome ceremony in white house south lawn. A situation that the Vatican is seriously frowning at in their recent press release as they claimed that conservative Catholics and denominations around the globe might believe that the pope has endorsed the activities of the guests.
Some priests and Bishops in America are already kicking against the guest list, some even suggesting that the Vatican should seriously question it as it appears that Obama is pushing his sinful agenda too far. "It’s wise of the Vatican to question President Obama’s guest list for
the Pope’s visit next week—that list should raise a lot of eyebrows! The
Wall Street Journal says those invited to the Pope’s welcome
celebration include transgender activists, the first openly gay U.S.
Episcopal bishop, and an activist nun whose organization supports
abortion. This is disgraceful and obviously inappropriate. Is there no
end to the lengths the president will go to in order to push his sinful
agenda?" says Rev Franklin Graham, who shares the same link with Wall street journal.
The wall street journal stated that "The tension exemplifies concerns among conservative Catholics, including
many bishops, that the White House will use the pope’s visit to play
down its differences with church leaders on such contentious issues as
same-sex marriage and the contraception mandate in the health care law".
White house refused to amplify their decision about the guest list when contacted by reporters, however, the press secretary of white house, Josh Earnest said that specific people in the guest list should not be targeted as there will be 15,000 other people in the ceremony to receive the pope.
BREASTFEEDING MAY EXPOSE INFANTS TO TOXIC CHEMICALS.
A widely used class of industrial chemicals linked with cancer and
interference with immune function—perfluorinated alkylate substances, or
PFASs—appears to build up in infants by 20%–30% for each month they’re
breastfed, according to a new study co-authored by experts from Harvard
T.H. Chan School of Public Health. It is the first study to show the
extent to which PFASs are transferred to babies through breast milk, and to quantify their levels over time.
“We knew that small amounts of PFAS can occur in breast milk, but our
serial blood analyses now show a buildup in the infants, the longer
they are breastfed,” said Philippe Grandjean, adjunct professor of environmental health at Harvard Chan School.
The study appeared online August 20, 2015 in Environmental Science & Technology. Other study authors were from Danish universities and the Faroese Hospital System.
PFASs are used to make products resistant to water, grease, and
stains. They’ve been in use for more than 60 years in products such as
stain-proof textiles, waterproof clothing, some food packaging, paints,
and lubricants, and are known to contaminate drinking water in the U.S.
near various production facilities. These compounds—which tend to
bioaccumulate in food chains and can persist for a long time in the
body—are found regularly in the blood of animals and humans worldwide,
and have been linked with reproductive toxicity, endocrine disruption,
and immune system dysfunction.
The researchers followed 81 children who were born in the Faroe
Islands between 1997–2000, looking at levels of five types of PFASs in
their blood at birth and ages 11 months, 18 months, and 5 years. They
also looked at PFAS levels in mothers of the children at week 32 of
pregnancy.
They found that, in children who were exclusively breastfed, PFAS
concentrations in the blood increased by roughly 20%–30% each month,
with lower increases among children who were partially breastfed. In
some cases, by the end of breastfeeding, children’s serum concentration
levels of PFASs exceeded that of their mothers’.
One type of PFAS—perfluorohexanesulfonate—did not increase with
breastfeeding. After breastfeeding was stopped, concentrations of all of
five types of PFASs decreased.
The results suggest that breast milk is a major source of PFAS exposure during infancy.
“There is no reason to discourage breastfeeding, but we are
concerned that these pollutants are transferred to the next generation
at a very vulnerable age. Unfortunately, the current U.S. legislation
does not require any testing of chemical substances like PFASs for their
transfer to babies and any related adverse effects,” Grandjean said.
Short lunch periods in schools linked with less healthy eating.
Students with less than 20 minutes to eat school lunches consume
significantly less of their entrées, milk, and vegetables than those who
aren’t as rushed, according to a new study from Harvard T.H. Chan
School of Public Health.
The study will appear online Friday, September 11, 2015 in the Journal of the Academy of Nutrition and Dietetics.
“Many children, especially those from low-income families, rely on
school meals for up to half their daily energy intake so it is essential
that we give students a sufficient amount of time to eat their
lunches,” said Juliana Cohen, adjunct assistant professor in the Department of Nutrition
at Harvard Chan School, assistant professor in the Department of Health
Sciences at Merrimack College, and lead author of the study.
“Every school day the National School Lunch Program helps to feed
over 30 million children in 100,000 schools across the U.S., yet little
research has been done in this field,” said Eric Rimm, professor of epidemiology and nutrition at Harvard Chan School and the study’s senior author. (Watch Rimm discuss the study on CBS Boston.)
While recent federal guidelines enhanced the nutritional quality of
school lunches, there are no standards regarding lunch period length.
Many students have lunch periods that are 20 minutes or less, which can
be an insufficient amount of time to eat, according to the authors.
The researchers wanted to examine the effect of lunch period length
on students’ food choices and intake. They looked at 1,001 students in
six elementary and middle schools, with lunch periods ranging from 20-30
minutes, in a low-income urban school district in Massachusetts, as
part of the Modifying Eating and Lifestyles at School (MEALS) study, a
collaboration between Project Bread and Harvard Chan School. They
analyzed the students’ food selection and consumption by monitoring what
was left on their plates at the end of the lunch period.
The researchers found that students with less than 20 minutes to eat
lunch consumed 13% less of their entrées, 12% less of their vegetables,
and 10% less of their milk than students who had at least 25 minutes to
eat. While there were no notable differences between the groups in terms
of entrée, milk, or vegetable selections, those with less time to eat
were significantly less likely to select a fruit (44% vs. 57%). Also,
there was more food waste among groups with less time to eat.
Waiting in serving lines or arriving late to lunch sometimes left
children in the study with as little as 10 minutes to actually sit and
eat. The researchers acknowledged that while not all schools may be able
to lengthen their lunch periods, they could develop strategies to move
kids more quickly through lunch lines, such as by adding more serving
lines or setting up automated checkout systems.
“We were surprised by some of the results because I expected that
with less time children may quickly eat their entrée and drink their
milk but throw away all of their fruits and vegetables,” said Rimm. “Not
so—we found they got a start on everything, but couldn’t come close to
finishing with less time to eat.”
Jaquelyn Jahn, a master’s student in the Department of Social and Behavioral Sciences at Harvard Chan School, was a co-author.
The study was funded by a grant from Project Bread and Arbella
Insurance. Cohen was supported by the Nutritional Epidemiology of Cancer
Education and Career Development Program (R25 CA 098566).
Current smokers and people regularly exposed to second-hand smoke have a significantly increased risk for type 2 diabetes
compared with people who have never smoked, according to a new
meta-analysis conducted by researchers from Harvard T.H. Chan School of
Public Health, Huazhong University of Science and Technology, Wuhan, China, and National University of Singapore.
The researchers estimated that 11.7% of cases of type 2 diabetes in men
and 2.4% in women (about 27.8 million cases in total worldwide) may be
attributable to active smoking. They also found that risk decreases as
time elapses after smokers quit.
“Cigarette smoking should be considered as a key modifiable risk
factor for diabetes. Public health efforts to reduce smoking will have a
substantial impact on the global burden of type 2 diabetes,” said
co-author Frank Hu, professor of nutrition and epidemiology.
The study will be published September 18, 2015 in The Lancet Diabetes & Endocrinology.
While the evidence pointing to smoking as a risk factor for cancer, respiratory diseases, and cardiovascular disease
is overwhelming, corroboration of a link between smoking and type 2
diabetes risk has been slower to build. In 2014, the U.S. Surgeon
General’s report for the first time included a section on smoking and
diabetes risk and argued for the causal relation between them, although
it did not discuss the relation of passive smoking and smoking cessation
with diabetes risk.
In this study, the Harvard Chan researchers and colleagues conducted a
meta-analysis of 88 previous studies on the association between smoking
and type 2 diabetes risk, looking at health data from nearly 6 million
study participants. They found that when compared with people who never
smoked, current smoking increased the risk of type 2 diabetes by 37%;
former smoking by 14%; and passive smoking (breathing in second-hand
smoke) by 22%. They also found a 54% increased risk of type 2 diabetes
in people who quit smoking less than 5 years ago, which fell to 18%
increased risk after 5 years and 11% increased risk more than 10 years
after quitting.
Among current smokers, the amount smoked made a difference. The
increased risk of developing type 2 diabetes was 21%, 34%, and 57% for
light, moderate, and heavy smokers, respectively, compared with never
smokers.
“Despite the global efforts to combat the tobacco epidemic, cigarette use remains the leading cause of mortality and morbidity worldwide,”
said An Pan, the first author of the study and professor of
epidemiology at School of Public Health, Tongji Medical College,
Huazhong University of Science and Technology, China. “This study
underscores the importance of implementing and enforcing the provisions
of the WHO Framework Convention on Tobacco Control. The smoke-free policies can provide protections for non-smokers and may lead to increased successful cessation in smokers.”
The authors also called for more research into the mechanisms
underlying the short-term increased risk of diabetes in recent quitters
in order to help develop interventions to improve smoking cessation and
prevent diabetes.
John Southall waters the plants and feeds the fish in his pond every morning,
though he’s not sure why. His partner used to do it, but seven weeks ago,
Gill Pharaoh, a healthy former nurse, with no serious complaints beyond a
bad back and tinnitus, committed suicide at a Swiss clinic at the age of 75.
Explaining her decision, she wrote that she enjoyed life “day by day”, but
felt her life was complete and that she was ready to die a good death. And
so she did, in a doctor-assisted suicide at the Lifecircle clinic in Basle.
The United States faces a shortage of as many as 90,000 physicians
by 2025, including a critical need for specialists to treat an aging
population that will increasingly live with chronic disease, the
association that represents medical schools and teaching hospitals reported Tuesday.
The nation's shortage of primary care physicians has received
considerable attention in recent years, but the Association of American
Medical Colleges report predicts that the greatest shortfall, on a
percentage basis, will be in the demand for surgeons — especially those
who treat diseases more common to older people, such as cancer. [How long you’ll wait for a doctor’s appointment in 15 U.S. cities]
In addition to the growing and aging population, full implementation
of the Affordable Care Act in all 50 states would increase demand for
doctors as more people are covered by insurance. But Obamacare's impact
will be small — just 2 percent of the projected growth in demand, the
organization said. The supply of doctors also will grow but not nearly
as quickly as the need, officials said.
"An increasingly older, sicker population, as well as people living
longer with chronic diseases, such as cancer, is the reason for the
increased demand," Darrell G. Kirch, the AAMC's president and chief
executive, told reporters during a telephone news briefing. Under
numerous scenarios, demand for doctors will outstrip supply, the
Association of American Medical Colleges reported Tuesday. (AAMC)
The organization called on Congress to raise the federal cap on slots
for medical residents at teaching hospitals by 3,000 annually, at a
cost it estimated would be about $1 billion per year. The government
provides its $40,000 share of the cost of training each U.S. physician
— estimated at about $152,000 annually — via the Medicare program.
Currently, those hospitals train 27,000 to 29,000 doctors each year.
In 2013, there were about 767,000 doctors practicing in the United States, according to the report.
Policymakers have debated the doctor shortage for years, with some
arguing that certain types of doctors are clustered in cities and
affluent areas, leaving rural and poor Americans critically underserved.
The government runs programs to encourage doctors, especially primary
care physicians, to practice in shortage areas. Some states help doctors
pay off their medical school debt, which can run into six figures, if
they agree to practice in under served parts of the country.
In a 2013 paper in the journal Health Affairs,
Linda Green, a mathematician who studies the health care system, argued
that the projected shortage of primary care doctors may not occur. The
move toward larger practices, which enable physicians to share support
staff and office space, can allow them to take on more patients. And the
increasing use of physician assistants and nurse practitioners will
have the same effect, she wrote. [Once again, U.S. has most expensive, least effective health care system]
The new AAMC report actually predicts a smaller shortage than a
similar report written five years ago. In 2010, the organization said
the nation would face a shortfall of 130,600 physicians by 2025. But
revised population projections by the U.S. Census and a small increase
in the number of doctors have brought the predicted shortfall down,
according to the report.
Under a better-case scenario, the doctor shortage 10 years from now
would be 46,100, the report notes. That would reflect growth in the
number of advanced practice nurses and physician assistants. If the
shortage is 90,400, the country would need 31,100 primary care
physicians and 63,700 non-primary care doctors — including oncologists,
neurologists, psychiatrists and others — to meet the demand.
The AAMC represents all 141 U.S. medical schools and 17 in Canada, as
well as 400 major teaching hospitals and health systems, including 51
Department of Veterans Affairs medical centers.
Dance for female condom like no one is watching as the world celebrate female condom day, today.
Each year, on September 16, the world comes together to build awareness for increased access to the female condom, the only available woman-initiated protection from both unplanned pregnancy and sexually transmitted infections. Practically, it protects young people and adolescents from contracting HIV infection and as a result, helps us to enhance universal response to HIV/AIDS.
The link here is a step as to how you can enjoy the music of the day, while celebrating the day with your friends or colleagues - https://www.youtube.com/watch?v=YC3Uk7BL3Qw&spfreload=10.
Dance for more, dance for demand to protect yourself from unplanned pregnancy, HIV infection and other diseases.
Lucian Leape, patient safety champion, honored at retirement symposium
Lucian Leape
September 15, 2015 — Colleagues, friends, and family gathered to celebrate the career and legacy of Lucian Leape, adjunct professor in the Department of Health Policy and Management
(HPM) at Harvard T.H. Chan School of Public Health, at a retirement
symposium held September 8, 2015 in Kresge Cafeteria. Leape, who began
his career as a pediatric surgeon, is renowned for his groundbreaking
research on reducing medical errors, and dedicated advocacy for
improving health systems. He is credited with inspiring a patient safety
movement in health care that has contributed to reductions in often
deadly but preventable problems such as central line infections and
medication errors.
Opening the symposium, Katherine Baicker,
C. Boyden Gray Professor of Health Economics and acting chair of the
Department of Health Policy and Management, praised Leape not only for
his research accomplishments but for acting as an “inspiring and
dedicated mentor to generations of students.” She read a statement from Donald Berwick,
a former Harvard Chan School colleague of Leape’s and former head of
the Centers for Medicare and Medicaid Services, who called Leape a
“giant, hands-down,” with a “calm but relentless voice” in advocating
for patient safety.
Professor Robert Blendon, senior associate dean for policy translation and leadership development, with Lucian Leape
Professors Ashish Jha and Atul Gawande both recalled reading Leape’s groundbreaking 1994 JAMA paper Error in Medicine
early in their careers. As young doctors, they found the way Leape
looked at improving health care from a systems perspective profoundly
influential. Jha, K.T. Li Professor of International Health and director
of the Harvard Global Health Institute,
described coming to the realization that his obligation to his patients
doesn’t end with a one-on-one encounter, but with trying to improve the
system in which he works.
Following the publication of Error in Medicine, Leape served
as a member of the Institute of Medicine’s Quality of Care in America
Committee, which published the influential reports “To Err Is Human:
Building a Safer Health System” in 1999 and “Crossing the Quality Chasm”
in 2001. In 2007, The National Patient Safety Foundation selected Leape
to lead its new think tank, naming it the Lucian Leape Institute to honor his efforts.
Leape continued to “rattle the cage” for patient safety, Gawande
said, noting that Leape butted heads with the surgical establishment in
his calls for shorter shifts and an end to the culture of bullying in
the medical workplace. Gawande, professor in the Department of Health
Policy and Management and executive director of Ariadne Labs, praised Leape’s humble and generous spirit. “Even when he was standing alone out there, he was always making room for others.”
True to form, Leape began his closing remarks by thanking others,
from HPM staff to the colleagues and former deans who welcomed him into
the health policy fold back when he was a “middle-aged surgeon.”
Leape said that working with students will be the hardest thing to
give up in retirement. Being able to pass on his passion for patient
safety to the next generation has been “one of the rare privileges in
life,” he said.
Diabetes points Stanford scientists toward old gallstone drug.
A gallstone-related drug, already approved
in Asia and Europe, could enter human clinical trials soon as an
experimental way to block Type 1 diabetes before patients even develop
symptoms.
In a paper published Monday in the Journal of Clinical Investigation, researchers at Stanford University and Seattle's Benaroya Research Institute
at Virginia Mason Hospital said a study of the drug — called
hymecromone — blocked production of a substance that is essential for
the development of Type 1 diabetes. Although the study was in mice, they
believe the drug ultimately could be used to stop a disease that
afflicts one in 300 people in the United States.
Enlarge
Insulin pens are one of several ways for diabetics to keep the disease in check today.…
Whether the
experimental drug is able to wend its way through the
multibillion-dollar, multi-year drug-approval process remains to be
seen. But the study, funded by the Juvenile Diabetes Research Foundation
and the National Institutes of Health, could lay the foundation for
preventing millions of so-called pre-diabetics from joining the ranks of
the 1.25 million Americans with Type 1 diabetes.
Type 1 diabetes,
also known as juvenile diabetes, is an autoimmune disease, where the
pancreas stops producing insulin, a hormone that converts sugars into
energy. More common Type 2 diabetes, in contrast, is a metabolic
disorder in which insulin still is produced but the body can't use it
effectively.
The lab of Dr. Paul Bollyky a Stanford assistant professor of infectious diseases who led the team
exploring hymecromone in Type 1 diabetes, is prepping a human clinical
trial of the drug. It also has received preliminary funding from SPARK, a
Stanford program designed to transform bench research into bedside
drugs and diagnostics.
Beyond the commercial possibilities, hypercromone is exciting scientifically.
Early in Type 1
diabetes, scattered clusters of human pancreas cells, called islets,
become inflamed when otherwise-protective immune cells attack. The
attack eventually spreads to beta cells, halting the production of
insulin.
By the time Type 1 diabetes can be identified, some 90 percent of pancreatic beta cells already have been killed off.
Child mortality rates have fallen by more than half since 1990. Here's why.
UNICEF
There's finally some good news in global health: Over the past 25 years,
the number of children who die before reaching their fifth birthday has
fallen dramatically, from 12.7 million per year in 1990 to 5.9 million
in 2015. And this isn't because of declines in the birthrate; as the
chart above shows, the rate of death has plunged dramatically, too.
This is the first time the figure has dropped below the 6 million mark, according to a new report released from UNICEF, and researchers think there are several reasons for the change.
Safer births and improvements in vaccination and sanitation helped
"In 2014, 71 per cent of births had a skilled attendant, compared to
59 per cent in 1990," the report reads. Also, more mothers are getting
antiretroviral medicines to prevent mother-to-child transmission of HIV.
Vaccines and other preventive health measures have also helped
greatly. "Pneumonia-related deaths have fallen, in part thanks to the
rapid roll-out of vaccines, better nutrition and improved care-seeking
and treatment for symptoms of pneumonia," according to the report.
Diarrhea-related deaths — a huge killer in the developing world — are
dropping because of improvements to drinking water and sanitation, as
well as access to a rotavirus vaccine and treatment with rehydration
therapies.
This good news about children comes a few weeks after a report in the Lancet about the boost in life expectancy worldwide, which has increased by more than six years since 1990.
The dramatic drop fell short of UN development goals
The UNICEF report also warns that there are major barriers to
decreasing childhood deaths even further. Though the dramatic halving in
child mortality is cause for celebration, it still fell short of the UN
Millennium Development Goal of cutting the rate by two-thirds by 2015.
Nearly half of under-5 deaths occur in the first 28 days of life
because of a range of factors — pneumonia, complications during labor
and delivery, diarrhea, and malaria. Many of these deaths are attributed
to under-nutrition.
What's more, while antenatal care is
improving, too many mothers still lack assistance during childbirth. In
2014, 36 million mothers gave birth without a skilled attendant.
Many of these problems are specific to low-income regions where
access to adequate health care, medicines, and food is still a
persistent problem.
UNICEF
"A child born in a low-income country is, on average, 11 times as
likely to die before the age of 5 as a child in a high-income country,"
the report reads. Indeed, the massive gap in outcomes for children in
high- and low-income countries is startling. In sub-Saharan Africa, one
child in 12 dies before his or her fifth birthday. That's more than 12
times higher than the average in high-income countries. So inequality
remains an issue.
"We have to acknowledge tremendous global progress, especially since
2000 when many countries have tripled the rate of reduction of
under-five mortality," UNICEF Deputy Executive Director Geeta Rao Gupta
said in a press release. "But the far too large number of children
still dying from preventable causes before their fifth birthday — and
indeed within their first month of life – should impel us to redouble
our efforts to do what we know needs to be done. We cannot continue to
fail them."
A One-Day Simulation of the Commonwealth Heads of Government Meeting (CHOGM)
The RCS is looking for young
people who want to participate in the London Commonwealth Youth Summit.
This is a unique chance to become a Head of Government for a day for
one of the 53 countries in the Commonwealth, and to role-play
participation in a major international meeting.
Who is it for? Young Londoners aged 16 to 23 years
When? Saturday 3 October 2015 from 10.00 am to 5.00 pm Where? The Council Chamber, Tower Hamlets Borough Council, E14 2BG, East London (DLR: East India)
Why? In this the Year of ‘A Young Commonwealth – New Generation, New Ideas’
and at a time for important global decisions about People and Planet,
now is the moment for young Londoners to have their say and celebrate
the potential of young people to create and debate solutions and help
change their world for the better.
You’ll learn lots about the Commonwealth and how a large
international meeting of governments works. Sometimes, unexpected global
events happen which need countries to work together to find
solutions……. What will happen? The day will be structured much like the biennial CHOGM meeting.
There will be 106 delegates who will work in pairs to represent one
of the 53 Commonwealth countries. They will find out about the country
they are role-playing beforehand. On the day, they will debate issues
that are currently facing the Commonwealth, and then work with other
delegates to come up with solutions to help resolve them. What Roles can you Play? There will be a variety of
ways in which young people (aged 16-23) will be able to get involved
with the 2015 London Commonwealth Youth Summit including:
Be a Delegate and represent a Commonwealth country in the debate, discussing and debating a number of issues facing The Commonwealth.
Join the Summit Statement Team, ensuring that the
discussions held during the debate are recorded and that the Final
Communique is written up in time for the Secretary General to present
it.
Join the Media Team,helping to ensure that as much
awareness of the event as possible is generated both here in London, the
UK and across The Commonwealth.
Who is Organising the Day? This event is being
delivered by a young people’s planning group, supported by The Royal
Commonwealth Society in partnership with the Daneford Trust and Tower
Hamlets Youth Council and Borough Council. Professional youth workers
will support the event. How Do you Apply? Please print and complete the application form and send to education@thercs.org by Friday 18 September 2015. We will confirm your participation in this exciting event as soon as possible. Is there a cost? No, there is no charge for this event and you will be given lunch. You just need to cover your travel costs. Any Questions? Please don’t hesitate to email education@thercs.org or telephone us on 020 3727 4300 and we will get back to you as soon as possible. Download and share the flyer
We look forward to receiving your application and, hopefully, meeting you on Saturday 3rd October! Please note: We regret that the RCS will not be able to
refund any travel expenses for this event. Those under the age of 18
will need parental consent to take part – please see the application
form. Want to know more about the Commonwealth? Watch the video made by the Commonwealth Secretariat and this video made by young Londoners.
Universal Health Coverage in a Generation is Achievable Bertrand Badré
Managing Director and World Bank Group CFO chez The World Bank
As the father of four children, I know how important access to good,
quality health care is. All parents aspire to be able to provide the
same for their children. That’s why we at the World Bank Group (WBG) are
working with our partners around the globe to make universal health coverage (UHC) a reality for all.
Uniting finance and development has been a lifelong passion of mine.
Earlier in my career, I supported then French President Jacques Chirac
with the development of an international airline ticket solidarity tax to provide global public goods for the poor. This kind of innovative thinking eventually led to the creation of UNITAID,
which works to prevent, treat and diagnose HIV/AIDS, tuberculosis and
malaria more quickly, cheaply and effectively. Other innovative
financing mechanisms developed include the International Finance Facility for Immunization (IFFIm) and the Global Vacine Initiative (GAVI).
Universal health coverage means that citizens get the health care
they need without suffering severe financial hardship – a concept
central to reaching our WBG twin goals of ending extreme poverty by 2030
and boosting shared prosperity. Still, 400 million people lack access
to essential health services. In developing countries, 6 percent of
people are impoverished, or further impoverished, paying for the health
care they need for themselves and their families.
Access to quality health care and financial protection from
catastrophic medical expenses is critical to help the poor move up the
economic ladder.
Thailand offers a good example: The Thai Network of Rural Doctors
increased the number of doctors and nurses serving its rural population
while raising basic salaries and introducing incentives to attract and
retain health workers. Consequently, Thailand has seen a significant
decline in catastrophic health expenditures. In fact, in the poorest
rural northeast region of Thailand, the number of impoverished
households dropped from 3.4 percent in 1996 to less than 1.3 percent in
2006-2009.
In Turkey, an economic crisis in the early 2000s prompted major
health reforms that put the country squarely on the path to UHC. Today,
more than 95 percent of the Turkish population is covered by formal
health insurance. Infant mortality rates have declined from 28.5 per
1,000 live births in 2003 to 10.1 per 1,000 live births in 2010, and the
maternal mortality ratio fell from 61 deaths per 100,000 live births in
2000 to 16.4 death per 100,000 live births in 2010.
Worldwide, the health sector has grown at a fast pace, accounting for
about 10 percent of global GDP as well as a major source of employment
even during the recent global recession.
Yet this growth has not always been equitable or efficient.
Investment has been concentrated in urban areas and among higher-income
groups. If we don’t take action to counter this trend, we risk a
widening disparity in access and health outcomes between low- and
high-income countries, and between the poor and the rich.
By shifting investments toward the achievement of UHC, we could close
these gaps. We could end preventable maternal and child deaths by 2030
and save roughly 10 million lives a year, while simultaneously
increasing human productivity and employment, and boosting economic
growth.
We have the technology and resources to help all countries achieve
universally low rates of infections and maternal and child deaths. But
we need leadership and political commitment globally, regionally and
nationally to translate these potential benefits into actual investments
and programs on the ground.
That’s why the World Bank Group and its partners are supporting the Global Financing Facility in support of Every Woman and Every Child.
This country-driven partnership brings together stakeholders in
maternal, newborn, child and adolescent health, to provide smart, scaled
and sustainable financing to accelerate efforts to end preventable
deaths by 2030.
Last week, I was in Oslo for the United Nations-sponsored event, “Building the Path to Universal Health Coverage: Innovative Financing in Access to Medicines.”
The magnitude of the financing challenge should not be underestimated.
For the 63 countries with the highest burdens of maternal and child
mortality, there is an estimated $33 billion shortfall in financing this
year. Mobilizing more domestic and international resources from both
the public and private sectors is critical to close this gap.
Countries must also invest in other sectors beyond health to provide
the essential foundations for a resilient society. For example, putting
money in the hands of poor mothers through conditional cash transfers
can improve child and maternal health.
We know what works and have enormous evidence that investing in
health pays off. Ensuring equal opportunities for the healthy
development of every man, woman and child, everywhere, should be a
cornerstone of the global community’s work to end poverty within a
generation.
Tupac Shakur who was supposedly killed at the age of 25 is now admitting he has been hiding this whole time.
It was Shakur who in 1996 was reportedly attending a special event in
Las Vegas, the Mike Tyson
Benson fight, and then afterwards was
brutally murdered. A day or so later he is autopsied, then quickly
cremated. There is no funeral. Nor is there any record of a tribute or
memorial. Now we know exactly why it was because Tupac Shakur was never
killed it is unclear why he has been hiding. This story is still under
development but Tupac has already been spotted with Celebrities.
He finally returned from Cuba after a long journey of 19 years and spoke
to medias about all the time he was hiding, what he was doing there and
much more..
For those wishing to improve your muscle definition, the Body
Building Diet is an excellent way to both ensure superior muscle
function during your workouts and meet the nutritional requirements
demanded by such rigorous activity. Maintaining a healthy diet is just
as important as any exercise regimen. Like any other machine, the body
will not function properly without a few necessary elements. Making the
effort to eat right along with regular exercise will guarantee maximized
results.
Vegetables and fruits are a staple in many different diet plans. The
Body Building Diet suggests eating a combination of vegetables with high
nutritional value such as broccoli, squash, and spinach on a daily
basis. Not only will these vegetables help strengthen your muscles by
providing much needed proteins
but they also aid in digestion, which will help you to either lose or
maintain your weight, depending upon your goals. Fruits are the natural
counterparts to vegetables. They are a source of natural vitamins and
minerals, particularly Vitamin C which is a natural immunity booster.
Some fruits that are excellent additions to the Body Building Diet
plan are papayas, oranges, strawberries, and grapes. Utilizing these
fruits as a part of a healthy diet will not only protect your immune
system, but also your heart by assisting in maintaining healthy blood
circulation, a key factor in preventing heart disease.
Eating foods that are high sources of protein
is also an extremely important part of the Body Building Diet plan.
Protein is used to maintain strong bones and muscles through growth and
repair. Soy, eggs, fish, and chicken are all excellent sources of protein. If you feel that you are not getting enough protein as part of your regular diet regimen, a good addition is fruit and protein shakes. Protein shakes combine powdered protein,
which is readily available at both health food and nutritional stores,
with fruit and low or non-fat yogurt, producing a quick and easy
alternative to a meal or a snack. Protein shakes represent many of the
necessary elements to a successful diet all in one power package. They
provide necessary protein, calcium, and antioxidants with a minimal amount of effort. There are several different types of protein
powders out on the market some made specifically to target your weight
goals in a variety of flavors to compliment anyone’s particular taste.
Ensuring that your diet also has a complimenting amount of
carbohydrates for energy, the Body Building Diet suggests eating foods
rich in carbohydrates such as pastas, cereals, and whole grains.
Maintaining the right amount of carbohydrates helps to increase stamina
and endurance, two things essential to your exercise program.
On the Body Building Diet, not only are there no meals to skip, but
it’s also highly recommended that you indulge in a few snacks in between
meals to maintain a high energy level and ensure that your body is
receiving all of the necessary nutrients to maintain your active
lifestyle. The important thing to remember about snacking is to make
sure that the foods you’re snacking on are healthy and compliment your
diet. In addition to eating foods with a high nutritional value, you
should also remember to drink plenty of water.
Drinking twelve to fifteen eight ounce glasses of water every day
will not only keep your body well hydrated, but it will also flush out
unwanted toxins. Eating right is always a challenge, but the Body
Building Diet is so easy that it makes sticking to the plan almost
effortless. Take just a few moments to check the nutritional value of
your foods and enjoy the rewards.
Weight Loss Diets are critical to obtaining a healthy weight. What is
the best diet plan for you? How can you evaluate your needs for a new
diet, and match your needs to a weight loss plan? This article about
weight loss diets evaluates five keys to diet success with the best diet
plan for weight loss.
1. You are the key to success with your weight loss diet. Look at
yourself from the inside out… How do you feel about yourself today? How
would you like to feel? Do you deserve to feel your best? Take the time
to journal about your personal situation. Write a story to yourself
about the factors of your life that motivate you. Do you have dreams of a
future without your current health concerns? Is there something
physical you’d like to do but are held back from due to excess weight?
Focus on your motivation, and set realistic healthy goal for weight
loss.
2. Your medical professional is a major part of your team for your
weight loss diet. Your body is a very complex system of hormonal and
chemical processes. Just like you’d never consider yourself qualified to
walk right in to a nuclear powerplant and begin adjusting knobs and
dials for superior power output, be careful when you begin your own
adjustments! We’ve all heard horror stories about people that have
dieted to extremes and trained their bodies to live on extremely low
calories, and gain back the weight they’ve lost. Do your very best and
include your qualified medical professional prior to selecting your new
weight loss plan. You deserve a complete physical to determine your
precise health condition. In addition to your physical condition, your
mental condition is important to consider. If you are not confident in
yourself, look in to the possibility of professional assistance. How you
feel about yourself will determine the long term success of your weight
loss diet.
3. Your past is the blueprint for your new weight loss diet. If you
always do what you’ve always done, you’ll always get what you’ve always
gotten. Are you where you want to be? If not, are you prepared to
change? Your past got you to where you are today, YOU will get you into a
new future! Commit to change. If you’ve determined your motivation, and
gotten a health checkup and go ahead from your health professional,
this is the time to commit to change! If you don’t change, then nothing
changes.
4. Select your new diet. Ready, Set – Begin! There are an amazing
variety of weight loss programs available today. What would you like to
do? Do you feel comfortable in a group meeting, giving and receiving
peer support? Would you be more comfortable in a private setting with a
health professional to guide you? Do you live in a remote area and need
support from the online diet community? This is the time to select the
qualities of your new weight loss diet plan. What types of food are you
restricted from by allergies or religious purposes? You’ll need
specialized weight loss diets for diabetic, lactose intolerant,
vegetarian, vegan, and food allergies. Be sure to take the time to study
the weight loss plans that are available, and select the type of plan
and type of support you are most comfortable with. Gather your support
group, in person or online.
5. Evaluate and adjust your weight loss diet. Track your progress
with your new weight loss diet, and adjust as necessary. Are you feeling
isolated or are you feeling supported? Are you learning new healthy
habits, or are you reverting to old habits? Repeat steps one through
four above, getting to know your needs and your true health, and
continually strive to improve your food and beverage selections, as well
as exercise and rest.
Source: Weight loss diet.
Save the Date
A Celebration of Young
People's Right to Full Choice
Join us in a celebration as we recognize and reaffirm our commitment to
expanding young people's access to long-acting reversible contraception
as part of expanded method choice.
Tuesday, November 10
6:00 - 7:30 PM
Bali Nusa Dua Convention Center
Ground Floor, Building 2, Mengwi 3+5
Refreshments will be served
Share this email with five friends now to spread the word and support
our work.
Following increased rate of Non Communicable Diseases (NCD) in the
country, experts have called on Nigerians to maintain adequate
nutritional diets, as well as abstain from lifestyle that predisposes
one to health issues like diabetes, cancer, respiratory disorders, among
others.
The experts who spoke at a one-day workshop organised by Coca Cola
Nigeria in Lagos recently, tagged: 'Adequate Nutrition and Lifestyle :
Essential for Prevention of Non-Communicable Diseases,' said Nigerians
must make deliberate attempts to prevent the numerous health issues in
the country.
Speaking at the workshop, a Consultant Nutritionist and Dietician, Dr
Chika Ndiokwelu, said eating unhealthy diets have been implicated to
cause a number of preventable diseases, adding that, processed foods
contain more harmful elements than the well known African foods and
vegetables which the country was used to.
While stating that poor food intake, smoking, harmful use of alcohol
and sedentary lifestyle were risk factors responsible for NCDs, she
advised that eating of fruits, legumes, vegetables, engage in regular
physical exercise, reduction of salt intake, reduction in alcohol
intake, as well as quitting smoking, would help a long way in preventing
NCDs.
She described NCDs as chronic but non-contagious medical conditions
which could lead to deformity or death. "NCDs represent a major threat
to health and development in the 21st century, as they account for 60
per cent of all deaths and 43 per cent of disease burden globally," she
said.
She listed four major NDCs to include; cardiovascular diseases (CVDs),
cancer, chronic respiratory diseases and diabetes mellitus, adding that,
these four were the world's biggest killers as they account for 36
million deaths annually.
"With the increasing level of NCDs, if proper measures are not taken,
the country may be forced to allocate more than three per cent of its
healthcare cost for the management of the diseases within the next 10
years," she said.
Ndiokwelu, called on the Federal Government to develop a national
policy and action plan on food and nutrition, including the control of
diets related to non-communicable diseases. Statingthat, manufacturers
and producers of food products should provide accurate nutritional
information on their products to help consumers make informed choices.
In his speech, a Research Fellow, National Institute for Medical
Research, Dr. Bartholomew Brai said with improved healthy lifestyle and
right diets, NCDs will reduce drastically in the country, adding that,
Nigerians must shun risky factors that predisposes them to various kinds
of health issues.
He charged health writers to continue to educate the public on ways to preventing diseases and general health education.
Meanwhile, the Director of Public Affairs and Communication, Coca-Cola
Nigeria, Mr. Clem Ugorji, said that the company has been striving to
provide clear nutritional values, offer low calorie or non-caloric
beverages to the public.
Ugorji said the workshop was organised to educate the public on issues
of nutrition as part of the company’s corporate social responsibility
(CSR).
"The recipe of coca-cola has remained unchanged for 129 years, with
more than 3,600 products in several countries and over 500 brands.
''This was achievable due to our acceptance by the public. We shall
continue to support and provide the public with health information
because a healthy nation is a wealthy nation.
''The only way to reach the public is through the media which is why we
are organising this workshop for them to relate and know our level of
acceptance in the public. The media also have a role to play by ensuring
that they publish accurate and factual information so as not to
misinform the public, '' he said.
The forum had in attendance over 40 health journalists across the
country, who also had a tour of the company's plant facility in Ikeja.
In the capital of Abeuokuta, Ogun state of Nigeria, West Africa, a nine year old girl, claimed she was raped by her neighbor, one Mr. Morufu Sofoluwe and equally contracted HIV as a result of the rape, says the prosecutor of the case, Sunday Eigbejiale to the court.
The prosecutor informed the court that Mr morufu, who was reprimanded in prison on Wednesday, on account of the offence that happened in July, deceived the young female neighbor inside his room to sleep with him. He also informed the court that the offence is against the section 218 of Ogun state criminal law, 2006.
After the sex bout, the young adolescent, became sick for sometime before she was taken to the hospital on August 28, where she was discovered to be HIV+, after series of tests by the hospital staff.
The family of the young adolescents interrogated her before she opened up to explain her ordeal with Mr. Morufu, the neighbor that raped her before she contracted the virus. In addition to her confession, Mr Morufu, the accused was also diagnosed of HIV.
The chief Magistrate of the court, Anthony Araba, who refused the plea of Mr Morufu while passing his judgement. instructed that the accused should remain in Ogun prison.
The Magistrate fixed the case on October, 30 for final judgement.
However, on our own account, this is the rationale for our platform - Youth Global Platform on HIV/AIDS. Using edutainment style of public health campaign to formatively empower the young people and adolescents on how to guide themselves from behavioral challenges that expose them to HIV infections.
Please inform your families, friends, and neighbors that this platform is very beneficial as it gives the young people, mainly adolescents on how to be the change agents in reversing the HIV epidemic. This is to help us enhance universal youth response on HIV by 2030.
You can please follow us on twitter @ygpoh
you can also catch us on facebook: Youth Global Platform on HIV/AIDS.
Watch our video: www.youtube.com/watch?v=Rtq22eQyOR4
Read below to find out
from experts the things you shouldn’t be doing to your vagina.
Steaming it
Gwyneth suggested that “You sit on what is essentially a mini-throne, and a
combination of infrared and mugwort steam cleanses your uterus, et al,” the
Oscar winner explains. “It is an energetic release—not just a steam douche—that
balances female hormone levels.”
However, a gynaecologist argued against it, stating
that “It probably feels good because the heat increases blood flow to the whole
vaginal area, including the clitoris, which could turn some women on,” Also, another gynaecologist argued it saying
that“But if you got too close to the steam, you could end up with second degree
burns down there.”
Supporting Gwyneth argument, a gynaecologist from
Mount Sinai Hospital in New York City, Taraneh Shirazian, MD clearly indicates
that the moisture created by the steam in and around the “nether region” could
cause yeast and bacteria. This is because the steam might not reach the uterus
to cleanse it, leaving the vagina to look after itself.
The best practice would be to go for a complete body massage, rather than
steaming your vagina.
Sunbathing it
Shailene Woodley opined “I like to…give my vagina a little vitamin D”. “If
you’re feeling depleted, go in the sun for an hour and see how much energy you
get. Or, if you live in a place that has heavy winters, when the sun finally
comes out, spread your legs and get some sunshine.”
However, think about this before you go out to the sun to get energised:
“Your vagina will get the exact same vitamin D benefits if you pop a vitamin D
supplement, and you won’t expose your privates to an increased risk of skin
cancers such as melanoma,” Dr. Shirazian explained. In addition to the
sunburn, imagine that scenario?
Inserting sticky edibles into it
Some women love to insert sugar, honey and other edibles into their vagina
to enable their secretions appear sweet and candy. However, gynaecologist
advised against it. Dr. Hutcherson explained that “As a general rule of thumb,
you don’t want to insert anything edible into your vagina that you can’t easily
remove.” “If it stays there, it can upset the balance of good bacteria and
acids in your vagina, setting you up for infection.”
Douching it
Douching is washing or cleaning out the vagina with
water or other mixtures of fluids. In the United States, about one in four
women 15 to 44 years old douche. Many people have advised repeatedly
against douching as it is not healthy for ladies.
Dr Hutcherson succinctly puts it “Douching upsets the natural balance of your
vagina,” Recent studies suggests an
association between frequent douching and vaginal infections such as yeast and bacterial
vaginosis, also it causes the fertility-threatening condition - pelvic inflammatory disease.
Piercing it
Ladies pierce to look attractive and beautiful to their sex mates, which experts
supported, if the genital piercings is done correctly in standardised
clinical conditions. Genital piercing is not properly regulated in many
countries, especially in developing countries, which can make it hard to reduce
infections such as HIV/AIDS, Hepatitis disease or other blood borne diseases as
there is no rationale to determine if the aseptic condition were properly
respected.
In addition, Dr Shirazian explained that while piercings are ostensibly
used to increase sexual pleasure, they can cause irritation or even tears
during sexual activity which would require you to stop your shenanigans and
head to the GP.