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By Dr.J.K. Bhutani
Obesity in children is rapidly spreading across the globe as public health problem. The prevalence of over-weight and obesity has increased steadily over the past 30 years, almost doubling in the children and more so in adolescents where it has probably trebled. Earlier the problem of developed economies like USA and Europe, the epidemic is fast increasing in developing economies like India and China. India, a developing economy is already burdened with more than 20 million obese people and the number is increasing every year.
What are the etiological risk factors?
Obesity is essentially a state of excess adipose tissue mass. Overweight and obesity are the result of “caloric imbalance” mostly which means too few calories expended for the amount of calories consumed. In addition, it is also affected by various genetic, behavioral, and environmental factors. Globally, there has been an increased intake of energy-dense foods that are high in fat, salt and sugars but low in fiber, vitamins, minerals and other micro-nutrients. With increased prosperity there has been a decrease in physical activity due to the increasingly sedentary and luxurious inactive life. The calories consumed are far more than are spent in “Computer/TV/Car and lack of physical activity routine” of most of the children. The lack of patronage to sports by elected governments in furthering careers has decreased interest of young people in physical activity. The developing urban clusters, with less open spaces and parks also have put physical activity and street-park games to almost oblivion. The most important consequence of childhood obesity is its persistence into adulthood with all its health risks. The health risks include diabetes, hypertension and cardio-vascular diseases, stroke, gall bladder disease, osteoarthritis and sleep apnea etc.
Public health intervention strategies
World Health Organization (WHO) has developed the 2008-2013 Action Plans for the global strategy for the prevention and control of non-communicable diseases including the WHO Global Strategy on diet, physical activity and health. The aim is to address the common public health problem of obesity and its consequent morbidity and mortality. India is experiencing a rapid health transition with a rising burden of non-communicable diseases for which a National Program for Prevention and Control of Cancer, Diabetes, CVD and Stroke has been launched in 2008. The emphasis of this program is to educate about overweight and obesity as well.
National Sports Development Code of India -2011, lays stress on encouraging and patronizing sports at school/college levels and suggesting legislation to include sports and physical education/activity as an essential activity at CBSE/ISC curriculum schools. The NCERT is forming the guidelines for the schools regarding compulsory physical education.
What can be done in India
We all know the cause of obesity epidemic and we all know that if appropriate actions are taken, it can be prevented. Large scale awareness about the weight and BMI targets can easily be spread taking help of media (print, TV/Satellite and web resources).
The elected governments can provide supportive environment and participation at community level regarding healthier choices of foods and regular physical activity to prevent overweight and obesity.
The provision of parks/playgrounds and open spaces in urban development should be a priority for new urban clusters. The compulsory physical education and sports periods in school/college curriculum can be combined with no entry to fast-food joints and cola rich snacks in the schools premises. The food industry can play a significant role in promoting healthy diets by reducing the fat, sugar and salt content of processed foods. The glamour of advertising by industry should be in the message of healthy foods and not in selling the unhealthy calorie-dense foods.
At the individual level, people can be educated by print and television media regarding limiting energy intake, avoiding saturated fats and fast foods, increasing consumption of fruit and vegetables. Engaging in regular physical activities, at work place or home, should be encouraged.
The ultimate goal is to have a healthy weight and a physically fit body and mind. It only requires acting at all the levels simultaneously and in unison. The concept of ‘deep practice’ postulated by Daniel Coyle if practiced in changing our food habits and physical activity levels at individual, community and national levels can surely make healthy citizens in India and globally too.
The Supreme Court on Tuesday agreed to examine a seeking direction to the Election Commission to de-register a political party, which fails to comply with the court's direction to disclose criminal antecedents of candidates fielded in polls. Advocate Ashwini Upadhyay requested a bench headed by Chief Justice N.V. Ramana and comprising Justices A.S. Bopanna and Hima Kohli to list the petition urgently, against the backdrop of the ongoing election process. He contended that nomination for the first phase of the Uttar Pradesh Assembly election has started, and the political parties and candidates are brazenly violating the top court judgments.
After briefly hearing Upadhyay, the bench said: "We will consider it... will give a date".
The plea argued that allowing criminals to stand for election threatens democracy and secularism. | Wikipedia
The plea claimed that the cause of action for filing the plea arose after the Samajwadi Party fielded alleged gangster Nahid Hasan from Kairana but neither published his criminal records in electronic, print and social media nor the reason for his selection within 48 hours. On February 13, last year, Shamli police imposed the Gangster Act on Nahid Hasan, who is a two-time MLA from Kairana. "He (Hasan) has multiple criminal cases and is the 'mastermind' behind the Hindu exodus from Kairana. There are many criminal cases including fraud and extortion, and he was declared a fugitive by Special MLA-MP Court," the plea said.
The plea argued that the consequences of permitting criminals to contest and become legislators are extremely serious for democracy and secularism. The plea sought a direction to the Election Commission to take steps to ensure that every political party publishes the details regarding criminal cases of each candidate along with the reason for such selection on the homepage of its official website in bold letters within 48 hours in the spirit of top court orders passed on September 25, 2018, and February 2, 2020. (IANS/ MBI)
(Keywords: uttar pradesh assembly election, hima kohli, justices a.s. bopanna, chief justice n.v. ramana, political party, election commission, the supreme court, tainted candidates, action, plea)
There will be no chief guest at the Republic Day parade this year also as the plan to host state heads of five Central Asian countries -- Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan and Uzbekistan -- seems to have been cancelled due to the Covid situation in India as well as in the respective nations. Though the Ministry of External Affairs is yet to confirm this officially.
If the guests arrive, then this would be the second time when India hosts a group of state heads as the chief guests on the Republic Day. In 2018, state heads of ASEAN countries graced the occasion with their presence. Apart from Kazakhstan, none of these countries' state heads had been invited as the chief guests on the Republic Day. In 2009, Kazakhstan's then president Nursultan Nazarbayev was the Chief Guest.
The Government of India is in no mood to take any risk to invite any foreign guest.Unsplash
As per sources, due to the corona situation, the Government of India is in no mood to take any risk to invite any foreign guest, so the plan seems to have been cancelled. Last year, British Prime minister Boris Johnson was invited for the same, but later cancelled due to rising corona cases in the UK.
In the past, there have been occasions when the Republic Day ceremony was celebrated without any foreign guest. In 1966, there was no foreign chief guest in the Republic Day parade ceremony as the then Prime Minister Lal Bahadur Shastri had passed away in Tashkent in January, and Indira Gandhi took oath as Prime Minister on January 24. (IANS/SP)
(Keywords : chief, guest, Republic Day, parade, India, January, pandemic, 2022, host, nation, guest, invite, foreign, occasion, presence, celebrate.)
A team of scientists from the Banaras Hindu University (BHU) have found a cure for those suffering from chronic wounds, particularly with diabetic foot ulcers. The team led by Prof Gopal Nath of the department of Microbiology, Institute of Medical Sciences, said that wounds that took months and years to heal, could now be cured in days or months. The findings of study have been published in the National Centre for Biotechnology Information, National Institutes of Health, US.
Prof Nath said that a wound is defined as a breach in the skin or body tissues due to injury. An acute wound is defined as a "recent break that is yet to progress through sequential stages of healing". The wounds where normal healing process is stalled due to underlying pathology (vascular and diabetes) or infection beyond three months is defined as chronic wound. While chronic wounds always get infected, the contaminated wounds are reasonably susceptible to infection.
A significant improvement could be achieved in the form of complete wound epithelization within a few weeks.Towfiqu barbhuiya / Unsplash
Infection with antibiotic-resistant bacteria and biofilm formation halt healing progress. These wounds cause significant psychological and physical morbidity. The traditional treatment strategies often succeed in healing wounds, he said adding that many wounds have been observed recalcitrant to them, leading to persistence and recurrent infections. Search for alternatives to antibiotics has now become a compulsion. Fortunately, bacteriophage therapy is a re-emerging solution to antibiotic-resistant bacteria.
Prof Nath's team carried out phage therapy of acute and chronic infected wounds in animals and clinical studies. It showed efficacy against Pseudomonas aeruginosa in a mice wound model. Furthermore, they evaluated the efficacy of phage cocktails in animal models' acute and chronic osteomyelitis caused by methicillin-resistant Staphylococcus aureus. They also observed biofilm eradication from K wire in rabbits' wound infection model. Clinical trials of phage therapy initiated by the BHU have reported the efficacy of topical phage in healing chronic wounds in three prospective exploratory studies and no adverse events mimicking the results in vivo animal models.
Scientists have found a cure for those suffering from diabetic foot ulcers. Unsplash
A clinical study by Gupta demonstrated the significant role of bacteriophage therapy in the chronic wounds associated with antibiotic-resistant bacteria. The study employed a total of twenty patients with chronic non-healing ulcers for more than six weeks duration. A significant improvement could be achieved in the form of complete wound epithelization within a few weeks. Another study, employing 48 patients having a minimum of one eligible full-thickness wound that did not heal in six weeks with convention wound management, showed the promising result, and significant improvement was observed in the wound healing.
The study projected that specific phage therapy is equally effective regardless of the diabetic or non-diabetic status of the patient though the healing was relatively delayed in diabetic patients. Another successful study has shown encouraging results on healing process of infected acute traumatic wounds. The average number of days required for complete granulation of wounds and attaining sterility and healing was half compared to conventional therapy. (IANS/SP)
(Keywords : scientists, cure, chronic, wound, suffer, ulcer, diabetes, healing, pathology, health, infection, bacteria, study, patient, therapy, successful.)
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