Category: Health

  • Population Covered by Ban on Tobacco Advertising Has Doubled

    At 2.3 billion, the number of people worldwide covered by at least one life-saving measure to limit tobacco use has more than doubled in the last five years, according to the WHO Report on the Global Tobacco Epidemic 2013.

    The number of people covered by bans on tobacco advertising, promotion and sponsorship, the focus of this year’s report, increased by almost 400 million people residing mainly in low- and middle-income countries.

    the Report shows that 3 billion people are now covered by national anti-tobacco campaigns. As a result, hundreds of millions of nonsmokers are less likely to start.

    However, the Report notes, to achieve the globally agreed target of a 30% reduction of tobacco use by 2025, more countries have to implement comprehensive tobacco control programmes.

    Bans on tobacco advertising, promotion and sponsorship are one of the most powerful measures to control tobacco use. As of today, 24 countries with 694 million people have introduced complete bans and 100 more countries are close to a complete ban.

    However, 67 countries currently do not ban any tobacco advertising, promotion and sponsorship activities or have a ban that excludes advertising in national broadcast and print media.

    “If we do not close ranks and ban tobacco advertising, promotion and sponsorship, adolescents and young adults will continue to be lured into tobacco consumption by an ever-more aggressive tobacco industry,” says WHO Director-General Dr Margaret Chan.

    “Every country has the responsibility to protect its population from tobacco-related illness, disability and death.”

    Tobacco is the leading global cause of preventable death and kills 6 million people every year. It can cause cancer, cardiovascular disease, diabetes and chronic respiratory diseases.

    If current trends continue, the number of deaths attributed to tobacco smoking is projected to rise to 8 million a year by 2030.

    In defiance of the deleterious effects of smoking, tobacco companies are spending tens of billions of dollars each year on advertising, promotion and sponsorship.

    “We know that only complete bans on tobacco advertising, promotion and sponsorship are effective,” stresses Dr Douglas Bettcher, the Director of WHO’s Prevention of Noncommunicable Diseases department.

    “Countries that introduced complete bans together with other tobacco control measures have been able to cut tobacco use significantly within only a few years.“

  • WHO Wants HIV Patients Treated Sooner to Save Lives

    Doctors could save three million more lives worldwide by 2025 if they offer AIDS drugs to people with HIV much sooner after they test positive for the virus, the World Health Organisation said on Sunday.

    While better access to cheap generic AIDS drugs means many more people are now getting treatment, health workers, particularly in poor countries with limited health budgets, currently tend to wait until the infection has progressed.

    But in new guidelines aimed at controlling and eventually reducing the global AIDS epidemic, the U.N. health agency said some 26 million HIV-positive people – or around 80 percent of all those with the virus – should be getting drug treatment.

    The guidelines, which set a global standard for when people with human immunodeficiency virus (HIV) should start antiretroviral treatment, were drawn up after numerous studies found that treating HIV patients earlier can keep them healthy for many years and also lowers the amount of virus in the blood, significantly cutting their risk of infecting someone else.

    “We are raising the bar to 26 million people,” said Gottfried Hirnschall, the WHO’s HIV/AIDS department director.

    “And this is not only about keeping people healthy and alive but also about blocking further transmission of HIV.”

    Some 34 million people worldwide have the HIV virus that causes AIDS and the vast majority of them live in poor and developing countries. Sub-Saharan Africa is by far the worst affected region.

    But the epidemic – which has killed 25 million people in the 30 years since HIV was first discovered – is showing some signs of being turned around. The United Nations AIDS programme UNAIDS says deaths from the disease fell to 1.7 million in 2011, down from a peak of 2.3 million in 2005 and from 1.8 million in 2010.

    Swift progress has also been made in getting more HIV patients into treatment, with 9.7 million people getting life-saving AIDS drugs in 2012, up from just 300,000 people a decade earlier, according to latest WHO data also published on Sunday.

    Indian generics companies are leading suppliers of HIV drugs to Africa and to many other poor countries. Major Western HIV drugmakers include Gilead Sciences, Johnson & Johnson and ViiV Healthcare, which is majority-owned by GlaxoSmithKline.

    “IRREVERSIBLE DECLINE”?

    Margaret Chan, the WHO’s director general, said the dramatic improvement in access to HIV treatment raised the prospect of the world one day being able to beat the disease.

    “With nearly 10 million people now on antiretroviral therapy, we see that such prospects – unthinkable just a few years ago – can now fuel the momentum needed to push the HIV epidemic into irreversible decline,” she said in a statement.

    The WHO’s guidelines encourage health authorities worldwide to start treatment in adults with HIV as soon as a key test known as a CD4 cell count falls to a measure of 500 cells per cubic millimetre or less.

    The previous WHO standard was to offer treatment at a CD4 count of 350 or less, in other words when the virus has already started to damage the patient’s immune system.

    The guidelines also say all pregnant or breastfeeding women and all children under five with HIV should start treatment immediately, whatever their CD4 count, and that all HIV patients should be regularly monitored to assess their “viral load”.

    This allows health workers to check whether the medicines are reducing the amount of virus in the blood. It also encourages patients to keep taking their medicine because they can see it having positive results.

    “There’s no greater motivating factor for people to stick to their HIV treatment than knowing the virus is ‘undetectable’ in their blood,” said Gilles van Cutsem, the medical coordinator in South Africa for the international medical humanitarian organisation Médecins Sans Frontières (MSF).

    MSF welcomed the new guidelines but cautioned that the money and the political will to implement them was also needed.

    “Now is not the time to be daunted but to push forward,” MSF president Unni Karunakara said in a statement. “So it’s critical to mobilise international support… including funding for HIV treatment programmes from donor governments.”

    The WHO’s Hirnschall said getting AIDS drugs to the extra patients brought in by the new guidelines would require another 10 percent on top of the $22-$24 billion a year currently needed to fund the global fight against HIV and AIDS.

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  • Bone Marrow ‘Frees Men of HIV Drugs’

    Two patients have been taken off their HIV drugs after bone-marrow transplants seemed to clear the virus from their bodies, doctors report.

    One of the patients has spent nearly four months without taking medication with no sign of the virus returning.

    The team at Brigham and Women’s Hospital, in the US, caution that it is far too soon to talk about a cure as the virus could return at any point.

    The findings were presented at the International Aids Society Conference.

    It is difficult to get rid of an HIV infection because it hides inside human DNA, forming untouchable “reservoirs” in body.

    Anti-retroviral drugs keep the virus in check within the bloodstream – but when the drugs stop, the virus comes back.

    HIV gone?

    The two men, who have not been identified, had lived with HIV for about 30 years.

    They both developed a cancer, lymphoma, which required a bone-marrow transplant.

    Bone marrow is where new blood cells are made and it is thought to be a major reservoir for HIV.

    After the transplant, there was no detectable HIV in the blood for two years in one patient and four in the other.

    The pair came off their anti-retroviral drugs earlier this year.

    One has gone 15 weeks, and the other seven, since stopping treatment, and no signs of the virus have been detected so far.

    Dr Timothy Henrich told the BBC the results were exciting. But he added: “We have not demonstrated cure, we’re going to need longer follow-up.

    “What we can say is if the virus does stay away for a year or even two years after we stopped the treatment, that the chances of the virus rebounding are going to be extremely low.

    “It’s much too early at this point to use the C-word [cure].”

    It is thought that the transplanted bone marrow was initially protected from infection by the course of anti-retrovirals. Meanwhile the transplant also attacked the remaining bone marrow, which was harbouring the virus.

    However Dr Henrich cautioned that the virus could be still be hiding inside brain tissue or the gastrointestinal track.

    “If [the] virus does return, it would suggest that these other sites are an important reservoir of infectious virus and new approaches to measuring the reservoir at relevant sites will be needed to guide the development of HIV curative strategies,” he said.

    Berlin patient
    Timothy Brown, also known as the “Berlin patient” is thought to be the first person cured of Aids. He had a bone marrow transplant from a rare donor who was resistant to HIV.

    The two US cases both received bone marrow from normal donors.

    There was also a report of an HIV cure in a baby born in Mississippi, US. She was treated with anti-retroviral drugs at birth so it is thought the virus was cleared from the body before reservoirs were established.

    Dr Michael Brady, the medical director of the Terrence Higgins Trust, said: “It is too early to know whether HIV has been eradicated from these men’s bodies or whether it might return.

    “However, the case suggests that what happened to Timothy Brown, the Berlin Patient was perhaps not a one-off.

    “A bone marrow transplant is a complex and expensive procedure, which comes with significant risks.

    “For most people with HIV, it would be more dangerous to undergo a transplant than to continue managing the virus with daily medication.

    “So while this is by no means a workable cure, it does give researchers another signpost in the direction of one.”

    The head of the Foundation for AIDS Research, Kevin Frost, said: “These findings clearly provide important new information that might well alter the current thinking about HIV and gene therapy.

    “While stem-cell transplantation is not a viable option for people with HIV on a broad scale because of its costs and complexity, these new cases could lead us to new approaches to treating, and ultimately even eradicating, HIV.”

    BBC

  • UK government backs three-person IVF

    The UK looks set to become the first country to allow the creation of babies using DNA from three people, after the government backed the IVF technique.

    It will produce draft regulations later this year and the procedure could be offered within two years.

    Experts say three-person IVF could eliminate debilitating and potentially fatal mitochondrial diseases that are passed on from mother to child.

    Opponents say it is unethical and could set the UK on a “slippery slope”.

    They also argue that affected couples could adopt or use egg donors instead.

    Mitochondria are the tiny, biological “power stations” that give the body energy. They are passed from a mother, through the egg, to her child.

    Defective mitochondria affect one in every 6,500 babies. This can leave them starved of energy, resulting in muscle weakness, blindness, heart failure and death in the most extreme cases.

    Research suggests that using mitochondria from a donor egg can prevent the diseases.

    It is envisaged that up to 10 couples a year would benefit from the treatment.

    However, it would result in babies having DNA from two parents and a tiny amount from a third donor as the mitochondria themselves have their own DNA.

    ‘Clearly sensitive’
    Earlier this year, a public consultation by the Human Fertilisation and Embryology Authority (HFEA) concluded there was “general support” for the idea and that there was no evidence that the advanced form of IVF was unsafe.

    The chief medical officer for England, Prof Dame Sally Davies, said: “Scientists have developed ground-breaking new procedures which could stop these disease being passed on, bringing hope to many families seeking to prevent their future children inheriting them.

    “It’s only right that we look to introduce this life-saving treatment as soon as we can.”

    She said there were “clearly some sensitive issues here” but said she was “personally very comfortable” with altering mitochondria.

    Scientists have devised two techniques that allow them to take the genetic information from the mother and place it into the egg of a donor with healthy mitochondria.

    BBC

  • Mugabe heads to Singapore for health check before vote

    Zimbabwean President Robert Mugabe left for a medical check-up in Singapore on Tuesday, his spokesman said, a month before an election in which the 89-year-old is looking to extend his 33 years in power.

    Africa’s oldest leader – who denies reports he has received treatment for prostate cancer – will return at the weekend after a routine visit to an eye specialist, his spokesman George Charamba said in a statement.

    Mugabe has said he has cataracts but no other major health problems and regularly dismisses media allegations that his condition is deteriorating as wishful thinking by his enemies.

    He has often gone to Singapore for check-ups and passed through the southeast Asian city state during a trip to Japan three weeks ago.

    Mugabe’s main political rival, Prime Minister Morgan Tsvangirai, has called for a delay of at least two weeks to the vote, currently scheduled for July 31.

    Tsvangirai has appealed to the 15-nation Southern African Development Community (SADC) to prod Mugabe into delaying the poll to allow media and security reforms designed to prevent a repeat of the bloodshed that marred a 2008 vote.

    The government has asked the Constitutional Court to move the date and a ruling is expected by the end of the week.

    Mugabe accuses his political rivals of seeking to delay elections because they fear defeat, a charge dismissed by Tsvangirai’s Movement for Democratic Change (MDC).

    The MDC says reforms to restrictive media and security laws are essential for a credible vote, and accuses Mugabe of using violence to win previous elections.

    Besides the quarrel over reforms and the election date, Finance Minister Tendai Biti from Tsvangirai’s party also says the southern African state does not yet have the $132 million needed to fund the election.

    Mugabe has been in power since independence from Britain in 1980.

    wirestory

  • Condom Supply To Be Intensified

    More condoms are expected to reach deeper at grassroots points in new distribution efforts that will involve small community groups to complement the normal channels.

    The national programme officer of HIV/Aids and Comprehensive Condom Programme at the UN Population Fund, Mr. Andrew Gasozi Ntwali noted ; “Previously, health centres were the last distribution outlet for free condoms, yet with the increasing demand, these alone cannot fully reach out to all the people in communities, except the few who only visit them when they are faced with other health complications.”

    He further explained that Health facilities and partners at the district level have not distributed enough to their target populations and sometimes ration the available stock, probably because they are not aware of existing stock at the central level.

    Between 2009 and 2012, a total of 77,962,520 condoms were distributed in the country, and more than 52 million were distributed through social marketing and more than 25 million condoms freely.

    Also 2,673,057 condoms were distributed in Rwanda via social marketing between January and March 2013 through Society for Family Health (SFH).

  • Drug Abuse Causing More Mental Illnesses

    Mental illness cases are on the rise in the country most of which are directly linked to drug abuse as shown by reports from Mental Health Department in the Ministry of Health.

    The Ndera Neuropsychiatric Hospital has reportedly registered an increased number of patients with mental illness seeking services at the facility.

    Statistics provided by the Ministry of Health indicate that that mental illness cases have spiked from 440 in 2009 to over 994 cases in 2010.

    Reports also indicate that the Neuropsychiatric Hospital has received 1,099 cases of mental illness related to drug abuse representing about 8% of cases at the facility.

    The head of Mental Health Division at Rwanda Biomedical Centre, Dr. Yvonne Kayiteshonga, said 7.46% of the Rwandan youth are alcohol dependent with 4.88 % depending on tobacco while 2.54% of them are cannabis dependant.

    She has urged all stakeholders to play a role in combating the vice, noting that the biggest drug abusers in Rwanda are youth.

    The Newtimes

  • 42% of Ugandans Living with Malaria Parasite

    Experts have reported that about 42% of Ugandans are host to the malaria parasite, even though they do not show any signs of sickness..

    During the 2009 malaria indicator survey said tests showed that children under five years ranged from five per cent in Kampala to 63% in the Northern region.

    Dr Okul Albert Peter, the Malaria Control Programme manager in the Ministry of Health, Uganda, said that this is because Uganda has a high prevalence to malaria and in order for a person to fall sick, they need to have a high level of parasitamia.

    Even though there are many other causes of fever such as flu, pneumonia and meningitis among others, there is need for mass screening, testing and treatment.

    Dr Okul added that after treatment, getting rid of malaria would also call for confinement of people in a treated area to avoid re-infections.

    Transmission of malaria is high in 95 per cent of the country.
    Five per cent of highland areas have low malaria transmission, but in case of occurrence, it develops as an epidemic.

    Malaria cases are highest in parts of eastern Uganda such as Tororo, Busia, parts of Mbale and areas at the shores of Lake Kyoga.

    The Ministry of Health is now emphasising the use of a multi-pronged approach to fight malaria in Uganda.

    Dr Ruth Jane Aceng, the director general Health Services, recommended the use of mosquito nets and indoor residual spraying whose effect has been dramatic especially in northern Uganda.

    Minister for Health Ruhakana Rugunda said they are continuing with the distribution of 21 million mosquito nets countrywide. He said they hoped that there will be a 40-60 per cent reduction in infection.

    NV

  • Malnutrition Biggest Killer of African Children

    Sub-Saharan Africa is losing slightly above 1.5 million children under the age of five annually due to malnutrition, according to non-governmental organisation Save the Children.

    On June 8, thousands of people including Bill Gates gathered in Hyde Park for the Big IF London rally aimed at reversing the situation, estimated to cost two million lives of children under the age of five globally.

    The rally, a coalition of over 200 UK organisations, was campaigning for action by G8 leaders to eliminate hunger and save millions of lives.

    The campaign wanted the G8 leaders, during their June 18 meeting, to act on four issues that mean so many people do not get enough food.

    The issues were enough aid to stop children dying from hunger and help to the poorest families feed themselves and governments to stop big companies from dodging tax in poor countries.

    Others were farmers being forced off their land and growing crops to fuel cars as opposed to feeding people, as well as transparency by governments and big companies about their actions that stop people getting enough food.

    Speaking to media after the rally, Mr Gates said malnutrition is a huge problem because if a child does not get enough to eat, its chances of dying from disease were 10 times higher.

    “In the first two years, if a child doesn’t get enough to eat, the brain is not going to develop as fully as it otherwise could have,” he said.

    He added that even if that child survives, the ability to help oneself realise their potential and help their countries lift themselves out of poverty is diminished.

    “As we improve feeding, as we get the right nutrition to these kids, they will be more and more self-sufficient,” he said.

    According to Enough Food for Everyone: The Need for UK Action on Global Hunger report, published early this year, right now children’s lives around the world are being blighted by malnutrition.

    Water and sanitation

    By not getting the right nutrition, points out the report, children’s development is irreversibly stunted.

    The report says the world knows what works to stop this but like agriculture, the area has been overlooked in recent decades.

    According to the report, some of the solutions include health workers promoting exclusive breastfeeding and hand washing, children and pregnant women taking micronutrient supplements; access to clean water and sanitation and schools providing nutritious food.

    It is estimated that some countries lose two to three per cent of their potential GDP because of under-nutrition.

    According to the UK report, just $10 billion a year could provide a package of measures to improve nutrition that would reach all mothers and children who need help in the 36 countries, mostly from sub-Saharan Africa, that carry 90% of the world’s undernourished children.

    Looking at the period of the UK G8 presidency overall, Ms Sol Oyuela, the spokesperson for the Enough Food for Everyone IF campaign, said the drive has helped put tackling hunger and the issues that drive it like malnutrition, tax evasion and land grabs at the centre of the G8 agenda.

    “We’ve made real progress, thanks to the millions of people who have supported the campaign, but there remains lots of unfinished business,” she said.

    The Nutrition for Growth event, which took place in London on June 8, pledged an additional $6.4 billion to tackle hunger.

    Another spokesperson for the campaign Brendan Cox, said the event was the turning point in tackling what is the biggest killer of children worldwide.

    “If the promises are delivered, they could save the lives of almost two million children – an historic breakthrough in the fight against hunger. We now need to ensure that donors stump up the cash as quickly as possible, hungry children can’t wait,” he said.

    Land grabs

    At the 3Ts (Taxes, Trade and Transparency) event on June 15, British Prime Minister David Cameron announced that all Crown Dependencies and Overseas Territories were ready to sign the Multilateral Convention on Transparency Matters.

    Mr Cameron announced the 3Ts would be priorities during the two-day G8 Summit.

    Enough Food for Everyone official Jenny Ricks said Mr Cameron cleared a big obstacle to a clampdown on tax dodging by getting Britain’s Crown Dependencies and Overseas Territories to sign up to share information with more countries.

    “This will help developing countries access more information and retain more of the money they are owed,” she said.

    The campaign drivers said they were pleased that land grabs were firmly put on the G8 agenda for the first time.

    “But far more is needed and the G8 needs to show it will really get to grips with the problem by regulating G8-based companies involved in land deals, and leading more ambitious global efforts to tackle land grabs.”

    With regard to agriculture, Ms Oyuela said G8 missed an opportunity to boost public investment in the small farmers that feed a third of the world’s population.

    “The expansion of the New Alliance is not the answer to decades of declining aid to agriculture. It urgently needs to reform further and faster to ensure it helps small-scale farmers, particularly women and respects land rights.”

    NMG

  • U.S. Embassy Kigali Donates Blood for Rwandan Hospitals

    U.S. Embassy Kigali Donates Blood for Rwandan Hospitals

    U.S. Embassy staff, in conjunction with the Rwandan National Center for Blood Transfusion, collected 102 units of blood for use in Rwandan hospitals and clinics this week as part of their World Blood Donor Day celebration.

    U.S. Embassy Health Unit officials worked with clinicians from NCBT to collect the blood in the embassy’s multipurpose room June 19th. More than 100 American and Rwandan volunteers donated their blood for the cause.

    “Giving blood is an easy step everyone can take to help save a life,” said Deputy Chief of Mission Jessica Lapenn. “The U.S. Embassy is proud to work with the Rwandan National Center for Blood Transfusion to make sure Rwandan hospitals and clinics have the blood supplies they need.”

    The embassy’s blood donation drive helped celebrate World Blood Donor Day, which falls on June 14 of every year. The goal of World Blood Donor Day is for all countries to obtain 100% of their supplies of blood and blood products from voluntary unpaid blood donors by 2020.

    According to the World Health Organization, the need for blood and blood products is increasing every year, and many patients requiring life-saving transfusion do not have timely access to safe blood and blood products.

    Regular voluntary unpaid blood donors are the safest source of blood as there are fewer bloodborne infections among these donors than among people who give blood in exchange for money or who donate for family members in emergencies.

    Do you want to donate in Rwanda? Call the NCBT at 1011 (toll free in Rwanda) to find out how you can help save a life.

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