Wednesday October 18, 2017
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New proposals should come from developed nations

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New Delhi : Ahead of the environment summit in Paris, Environment Minister Prakash Javadekar  said the developed countries should come out with “more reasonable proposals” to fight climate change.

“India has pledged for an ambitious action plan to fight climate change. We hope for an equitable and just climate agreement in Paris, but the developed world will have to come out with more reasonable proposals,” he said during an online discussion with experts and citizens on ‘MyGov’ platform.

The minister referred to French President Francois Hollande’s statement that unless the developed world committed more finance and technological support, the Paris meeting could be a failure.

“I think, with this warning, coming from the French president, who is the host, the developed world will come out with more reasonable proposals,” he added.

Meanwhile, the minister also invited suggestions from people on various issues related to the environment.

Javadekar also announced that the best ideas would be awarded with a cash prize and a visit to a wildlife sanctuary.

The modalities of the contest would be announced on ‘MyGov’ platform soon, he said.

On October 2, India in its climate action plan pledged to cut emission intensity by 33-35 percent over the next 15 years.

The action plans of different countries would serve as the basis of negotiating an agreement, applicable to all countries, with an aim of keeping global warming below two degrees Celsius during the crucial 21st meeting of the Conference of Parties on Climate Change due in Paris, France, from November 30 to December 11.

(IANS)

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Can Pain Make You Feel Better ? Understanding Deliberate Self Harm Practices Among Adolescents

What do children and young adults do when the level of emotional pressure becomes increasingly high? According to studies, an increasing number of adolescents indulge in self harm to relieve stress.

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Societal pressure and lack of support often forces young adults to indulge in impulsive self-harm mechanisms like drug overdose and self cutting. Pixabay

– by Dr. Rajeev Nagpal, Australia

  • Deliberate self harm (DSH), also known as self injury is the act of intentionally inflicting damage to the body
  • It has become a common practice among children and teenagers across the globe
  • DSH among teenagers can be attributed to lifestyle and technology changes, peer pressure and lack of support

Australia, September 1, 2017: Dr. Rajeev Nagpal expresses his opinion on the dangerous practice of self-harm increasingly affecting children and young adults across the world.

What is Deliberate Self-Harm (DSH)?

Self-harm is described as an expression of situational crisis or personal distress which leads to harming oneself. NICE clinical guidelines from the UK have defined it as self-poisoning or injury, irrespective of the apparent purpose of the act.

Deliberate Self Harm (DSH) is not a clinical condition but a response to a stressful situation in the life of a young child or adolescent. It can occur after long term stress like abuse or domestic violence or after an acute single event like the loss of a near one or failure in examinations. It is primarily a coping mechanism in which they try to release tension by trying to self-harm.

Self harm
Dr. Nagpal views self-harm not as a clinical condition, but as a coping mechanism adopted by children and young adults to vent their tension.

Already there are reports of Indian children losing their life after playing games like the blue whale challenge on the internet. It is time for the general population, including the parents of young children to understand the issues of this very complex condition called deliberate self-harm.

Public Health Issue

In recent years DSH has become a major public health issue in most developed countries. However, although less reported, this problem is a major under-recognized epidemic in low and middle –income countries like India, Nepal.

According to a retrospective study conducted at the Emergency department of CMC, Vellore, India from Jan 2011 to Dec 2013, among the total 1228 patients who were admitted, consumption of pesticides was the most common cause of DSH in men. Consumption of plant poisoning and drug overdose was more common in women.The study involved all population, therefore, the actual number of pediatric population was difficult to ascertain.

Other international studies have also revealed that adolescents, who experienced anxiety or low mood, were six times more at risk of self-harm in young adulthood compared to those without depression or anxiety disorders.

Approximately a million lives are lost to suicide annually, worldwide.

Deliberate self-harm (DSH) is the single most important risk factor for suicide and is associated with huge health service resource utilization. Deliberate self-poisoning in children continues to remain a significant part of the workload of emergency departments, especially in adolescents, even though fewer children need admission now as compared with earlier decades.

Presentation of DSH

Many young adults find it difficult to express their feelings. Some examples of self-harm behavior are:

  • Self-cutting or scratching
  • Burning or scalding
  • Poisoning with drugs like paracetamol, anti-depressants
  • Swallowing objects

Relatively little information is available about the characteristics and long-term outcome of children and adolescents aged under 15 years who present to general hospitals because of deliberate self-harm (DSH).

Depressive disorders in pediatrics fall in ranges from mood changes in response to persistent mood change accompanied by suicidal ideation or intent.

The difficulties faced by adolescents are getting more complex with lifestyle and technology changes globally. Peer pressure along with family expectations can aggravate this sense of worthlessness.

Deliberate self harm
Feelings of helplessness, stemming from a variety of social and cultural factors can force an adolescent to indulge in self-harm. Pixabay

Lack of support networks can lead them to opt for impulsive self-harm mechanisms like poisoning. Intentional overdose to commonly implicated drugs like Paracetamol in the UK, or organo- phosphorous compounds in Nepal and is a cause of grave concern.

How to Deal with this Issue

As young children are unable to deal very well with emotional stresses, they will need a supportive team to help them in understanding their feelings and the possible outcomes from them.

This requires a multidisciplinary team approach.

  • Understanding the issues by holding awareness sessions of this condition in schools and other organizations
  • Creating referral pathways that all school staff are aware of
  • Confidential telephone lines /NGOs dealing with mental health of adolescent’s
  • Government policies and procedures for treatment of acute cases in Accident and Emergency departments
  • Provision of developing CAMHS(Child and adolescent mental health services ) like services at state level in Indian government hospitals.
  • Increased research particularly in pediatrics and adolescent’s needs to be conducted at state and national level.

ALSO READ Suicide is Preventable: Alarming Effects of Self-harm on Families, Communities, Societies

Conclusion

DSH is an under-recognized, major public health problem in low and middle-income countries. National level medical protocols and increasing the awareness amongst the public and agencies dealing with such conditions can be the first step in saving millions of lives from the untimely death of the most vulnerable yet productive younger sections of the society.

Dr. Rajeev Nagpal  is a Pediatrician and MHID (Masters OF Health and International Development-Flinders University, Adelaide, Australia) 

 


 

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Paris inaugurates International bidding for 2024 Olympics

The Paris 2024 Bid Committee has marked a milestone in its bid to host the 2024 Olympic and Paralympic Games with a special presentation here

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Pixabay Paris

France, Feb 4, 2017: The Paris 2024 Bid Committee has marked a milestone in its bid to host the 2024 Olympic and Paralympic Games with a special presentation here.

The event was participated by Paris 2024 leadership, top athletes, political and business leaders.

 Speaking at the event, Paris 2024 Co-Chair Tony Estanguet said Paris has launched the bid 18 months ago, the bidding team has put athletes at the heart of the plans and has developed a compact plan with 85 per cent of venues being within 10 km, Xinhua news agency reported.

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Details of the ultra-compact, city-centre inspired concept were the highlights of the candidature file the bidding team submitted to International Olympic Committee.

Paris’ 2024 has a bold vision to deliver the most sustainable Games ever, with 95 per cent of venues either pre-existing or temporary structures, in addition, a ground breaking carbon emissions strategy closely aligned with Olympic Agenda 2020 and the Paris Climate Agreement is also under plan.

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Mayor of Paris, Anne Hidalgo said Paris embodies a belief in the human spirit and an absolute commitment to protect the environment.

“Paris has always stood on the cutting edge of progress and that is why the Games in Paris will be the first ever to be aligned with the Paris Agreement,” she said.

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The event also defined the city’s approach to legacy which will see Paris 2024 Olympics become a model of sustainable development, innovation and social purpose.

The Paris 2024 bid will also build on the city’s global leadership and the positive role sport can play in society to deliver legacies for future generations and to be shared with future host cities. (IANS)

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French Authorities Evacuate over 2000 Migrants From a Camp Near Stalingrad Station

According to BFM TV, the evacuation started at 8 a.m. local time in the 19th district of Paris

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Migrants at the jungle migrant camp in Calais, France. Wikimedia Commons

Paris, November 1, 2016: French authorities on Monday evacuated over 2,000 migrants from a camp in Paris, a media report said.

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The authorities evacuated the migrants from a makeshift camp located near the Stalingrad metro station in northern Paris, Sputnik News reported.

According to BFM TV, the evacuation started at 8 a.m. local time in the 19th district of Paris. The police divided the migrants into two groups, one of those who have no official documents for asylum, and the second of legal asylum seekers.

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At least 2,000 to 2,500 migrants are reported to live in the camp.

In September, forced evacuation resulted in relocation of at least 1,400 migrants from the camp at the Stalingrad Metro station.

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On Saturday, French President Francois Hollande promised to evacuate all the refugee camps in France, following the start of the Calais camp dismantling on October 24. (IANS)