Saturday December 16, 2017

‘Coordinated action needed to curb hepatitis’

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By NewsGram Staff Writer

The World Health Organisation (WHO) has called for coordinated action to detect, control and treat hepatitis in the wake of 1.5 million deaths occurring every year due to hepatitis, including by liver cancer and cirrhosis.

Nearly one-third of the global hepatitis deaths – 500,000 – occur in the WHO South-East Asia Region (SEAR).

Globally, viral hepatitis (a liver inflammation) kills 4,000 people every day.

“Each one of these numbers carry a potential story of suffering, pain, lost livelihoods, missed opportunities, social, psychological and economic costs,” said Poonam Khetrapal Singh, WHO Regional Director for South-East Asia.

India alone has 40 million people living with chronic hepatitis B infection. Sixty percent of the people living with HIV are co-infected with hepatitis.

“These infections, diseases, deaths and associated hardships for individuals, families, societies and economies can and must be prevented,” she added.

“Governments need to ensure adequate and equitable access to hepatitis prevention and control measures,” she said.

“However, the responsibility also lies with individuals. Nearly 65 percent of the people living with chronic hepatitis B and 75 percent of those with chronic hepatitis C are unaware that they are infected. We are living with this risk and unless we act now, it can be catastrophic,” she noted.

Health promotion initiatives need to be strengthened and people should be made aware of how they risk getting hepatitis and what they need to do to protect themselves and their families from the hepatitis viruses.

“There is need for awareness among health administrators, policymakers, and medical professionals,” she said.

“The health sector needs to strengthen disease surveillance systems, ensure injection and patient safety, reliably and systematically screen all blood products, ensure strict adherence to the new WHO injection safety guidelines and improve infant vaccination rates including birth dose of hepatitis B within first 24 hours of delivery,” she added.

Pointing out that this year’s theme for World Hepatitis Day on July 28 is “Prevent hepatitis. Act now”, Singh said: “The global focus this year will be on preventing hepatitis B and C. With effective vaccine and treatment, as well as a better understanding of how we can prevent hepatitis, we can aim to eliminate these diseases and save lives,” Poonam Khetrapal Singh said.

(With inputs from IANS)

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WHO launches a new global effort to end TB by 2030

The announcement was made in the Global Ministerial Conference in Moscow.

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WHO will start working towards ending Tuberculosis
Dr. Simon Angelo (L) examines Iman Steven suffering from tuberculosis, held by her mother (R) at the hospital of Doctors Without Borders (MSF), June 15, 2016, at the Protection of Civilians (PoC) site in Malakal, South Sudan. VOA

Delegates from 114 countries have agreed to take urgent action to end tuberculosis (TB) by 2030, the WHO said.

The announcement on Friday came as the delegates gathered in Moscow for the first WHO global ministerial conference on ending tuberculosis, Xinhua news agency reported.

The delegates promised to achieve strengthen health systems and improve access to the people regarding TB prevention and care so that no one is left behind.

They also agreed to mobilize sufficient and sustainable financing through increased domestic and international investments to close gaps in implementation and research.

Resources are expected to advance research and development of new tools to diagnose, treat and prevent TB, and to build accountability through a framework to track and review progress on ending TB.

“Today marks a critical landmark in the fight to end TB,” said World Health Organisation (WHO) Director-General Tedros Adhanom Ghebreyesus.

“It signals a long overdue global commitment to stop the death and suffering caused by this ancient killer.”

Though global efforts to combat TB have saved an estimated 53 million lives since 2000 and reduced the TB mortality rate by 37 per cent, progress in many countries has stalled, global targets are off-track and persistent gaps remain in TB care and prevention, according to the WHO.

As a result, TB still kills more people than any other infectious disease. Due to its antimicrobial resistance, TB is also the leading killer of people with HIV.

Representatives at the meeting, which was attended by over 1,000 participants, also promised to minimize the risk and spread of drug resistance and do more to engage people and communities affected by or at risk of TB. (IANS)

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Goodbye Holy Smoke, Vatican City bans Sale of Cigarettes

The Vatican, a tiny walled city-state surrounded by Rome, is one of the few states to ban smoking.

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The faithful gather in front of St. Peter's Basilica at the Vatican. VOA

Vatican City, November 10, 2017 : Pope Francis has ordered a ban on the sale of cigarettes inside the Vatican from next year because of health concerns, a spokesman said on Thursday.

“The motive is very simple: the Holy See cannot be cooperating with a practice that is clearly harming the health of people,” spokesman Greg Burke said in a statement.

He cited World World Health Organization (WHO) statistics that smoking causes more than seven million deaths worldwide every year.

Cigarettes have been sold at a discounted price to Vatican employees and pensioners.

Vatican employees are allowed to buy five cartons of cigarettes a month. Many Italians ask their non-smoking friends who work in the Vatican to buy cigarettes for them because they cost much less than in Italy, where they are subject to heavy taxes.

Burke acknowledged that the sale of cigarettes has been a source of revenue for the Holy See, adding, “However, no profit can be legitimate if it is costing people their lives.”

The spokesman said the sale of large cigars would continue at least for the time being because the smoke is not inhaled.

The Vatican, a tiny walled city-state surrounded by Rome, is one of the few states to ban smoking. Bhutan, where smoking is deemed bad for one’s karma, banned the sale of tobacco in 2005. (VOA)

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Neurologists say rising air pollution can cause stroke among adults

The WHO states that 4.3 million people a year in India die from the exposure to household air pollution, which is among the highest in the world.

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Research bodies estimate that the number of fragments of dead cells in the bloodstream increase with higher levels of pollution. Pixabay

New Delhi, October 29, 2017 : As pollution levels deteriorate in the National Capital Region, health experts have warned that continuous exposure to polluted air has the potential to cause a stroke among adults.

Alhough it was earlier believed that pollution only increased the risk of heart problems, it also possesses the capability to damage inner linings of veins and arteries.

“In the current scenario, the situation is getting worse. Many young patients in the 30-40 age group suffer from stroke. We get around 2-3 patients almost every month. The number of young stroke patients has almost doubled as compared to last few years. Studies suggest major risk factors include soaring air pollution,” said Praveen Gupta, Director Neurology, Fortis Memorial Research Institute, Gurugram.

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Research bodies estimate that the number of fragments of dead cells in the bloodstream increased with higher levels of pollution. Polluted environment promote stroke incidences more pervasively and at an earlier stage than previously thought.

Nearly 15 million people annually suffer a stroke worldwide, of which around six million die and five million are left with permanent disabilities such as loss of sight and speech, paralysis and confusion.

On the occasion of World Stroke Day, October 29, the experts emphasised that indoor air pollution caused by combustion of solid fuels is equally contributing to the stroke burden in the society.

On an average, the internal air pollution in Indian rural homes exceeds the World Health Organisation (WHO) norms by 20 times.

“Women inhaling the household fumes are at a 40 per cent higher risk of getting a stroke. The reason being the carbon monoxide and particulate matter from burning solid fuels tend to reduce the levels of HDL (high density lipoprotein). This in turn prevents the removal of LDL (low density lipoprotein) from the body leading to hardening of the arteries,” said Jaideep Bansal, head neurologist at Saroj Super Speciality Hospital.

He added that the rise in the levels of LDL, or harmful fat, thereby raises the risk of a clot, blocking blood supply to the brain and causing stroke.

More than 90 per cent of the global stroke burden is linked to modifiable risk factors, of which internal air pollution tops the list. Other preventable factors include hypertension, a diet low in fresh fruits and whole grain, outdoor air pollution, high BMI and smoking.

The WHO states that 4.3 million people a year in India die from the exposure to household air pollution, which is among the highest in the world.

According to surveys, over 30 crore people in India use the traditional stoves or open fires to cook or heat their homes with solid fuels (coal, wood, charcoal, crop waste).

Poor ventilation and such inefficient practices, especially in rural India, mean the smoke and ambient air in households exceeds the acceptable levels of fine particles by at least 100-fold.

According to neurologists, recognisable symptoms, known often as a ‘mini stroke’ will occur prior to getting a stroke attack which is often known as a mini-stroke.

“Though it lasts only for a minute but certainly indicates the onset of a major stroke attack within 48-72 hours. Delay in treatment can lead to loss of 2 million neurons each minute. This happens due to the fact that the blood flow to certain part of the brain is blocked by the clot formed due to inhalation of compound like carbon monoxide and particulate matter,” said Atul Prasad, Director and Senior Neurology Consultant at BLK Super Specialty Hospital. (IANS)