Showing posts with label developing countries. Show all posts
Showing posts with label developing countries. Show all posts

Tuesday, December 9, 2014

Could light Pollution be another hazardous consequence of urban living?

Living in cities has always been known to increase most individual's stress level. The busy streets, crazy traffic, high noise level and air pollution are some of the things that might be adding to the toll a fast paced city life can take on one's health. Now scientists are adding the super bright nightlights of cities to the list and calling it 'Light Pollution'.
In the article Urban light pollution: why we're all living with permanent 'mini jetlag'(The Guardian) Ellie Violet Bramley writes about studies that have shown that exposure to light after dusk is quite literally unnatural, and may be detrimental to health. Astronomer Dr Jason Pun of the Hong Kong University department of physics has been studying light pollution and has done several studies on the subject. Recently  they set up 18 stations around Hong Kong stretching from commercial urban sector to residential neighborhoods and on to rural areas. When they compared the levels of light to the standard (meaning how bright the sky would be without artificial lights),  they found that the lit areas were about a 1000 times brighter.

Hong Kong Skyline By Barry Chum (Own work) [CC-BY-3.0 (http://creativecommons.org/licenses/by/3.0)], via Wikimedia Commons

According to Dr. Pun, “Similar studies in major capitals like Berlin and Vienna, would find something more of the order of 100 to 200 times brighter.” 

Most cities like Hong Kong, New York, Tokyo and Las Vegas may be proud of their super bright nightscapes and get many visitors who come to see these illuminated cities. But these brightly lit skies may also be causing health problems. Steven Lockley,  a neuroscientist and an associate professor of medicine at Harvard Medical School has been studying the effect of light on alertness, sleep, melatonin levels and its overall impact on human physiology.


Lockley calls any light after dusk as unnatural, he says that with any such exposure "our daytime physiology is triggered and our brains become more alert, our heart rates go up, as does our temperature, and production of the hormone melatonin is suppressed".

The article also mentions Ken Wright at the University of Colorado in Boulder who conducted studies on camping. He found that for campers midnight meant middle of the night, whereas in urban areas the constant presence of light prolongs the daytime, thus leading people living in cities to stay awake longer, sleep later and hence sleep less. This could be causing health problems not yet clearly documented.

Lockley raises a thought-provoking question; "As a society we need to think, do we really need some of these amenities that are putting light pollution into the environment?" adding "Do we need 24/7 garages, do we need 24/7 supermarkets, do we need 24/7 TV? It was only in 1997 that the BBC turned off and there was the national anthem and we all went to bed."

Here are some excerpts of Ellie's article;

The International Dark Sky Association is an organisation of astronomers that aims to teach how to preserve the night sky. Member Scott Kardel says he believes in balance: “While we need certain amounts of light at night for safety, commerce and more, we also need to be more careful about how much light we use, where we use it and for how long.”
But at a more abstract level, Kardel also believes that “having bright skies takes something away from us. All of our ancestors had star-filled skies that inspired countless people in art, literature, religion, science and philosophy.”

It might not be plausible to put the metropolis to bed at dusk, but cities can mitigate some of the worst light pollution. “Proper outdoor lighting,” says Kardel, “conserves energy, reduces glare” and cuts back on so-called light trespass, for example when your neighbour’s bedroom light bleeds into your sitting room.

Lockley thinks LEDS are the “problem, but also the solution: they allow much more sophisticated lighting systems.” The blueness can be fixed, he says. “It is possible to create LED light with multiple colours – you can alter the colours for the right time of day and the right application.” 

“We might not quite be at the point where cities are putting in those types of tuneable street lamps,” he adds. But many communities in the UK have either adopted or trialled “part night lighting”, switching off the lights where they’re not needed or lowering illumination levels for part of the night. Motion-sensing technologies are being tested in the Netherlands and Ireland.

At the centre of this shift is a change in the attitudes of city residents and their governments. In Hong Kong, until only a few years ago the government avoided even using the term “light pollution”, says Pun. “They wouldn’t even admit such a thing exists. If you call it something else, like ‘light nuisance’, then I guess it will make life a little easier. Even though it seems like a gloomy situation, no pun intended, I do see a change of mindset.”

In the end the article has some wonderful tips on how to reduce light pollution.

It’s an obvious one, but switch off any lights you are not using.
Ensure indoor and outdoor lighting is directed at what you’re trying to light and that it’s shaded. Table and floor lamps are better for this than overhead lights.
Use low-watt lightbulbs – you’ll save on bills and reduce glare.
Install dimmer switches so you can alter brightness to suit ambient light.
Use motion sensors or timers so outdoor lights are only on when they need to be.
Install thick curtains or blinds to minimise light escaping your home at night.
Ask your local councillor to get street lamps fitted with directional, low energy lights – after all, residential areas don’t need to be lit up like football pitches 24 hours a day.


References:
 Urban light pollution: why we're all living with permanent 'mini jetlag' (The Guardian- Oct 23rd 2014)
 

Monday, February 17, 2014

Cancer on the rise in the world

Since the release of the  World Cancer Report 2014 by the WHO, we have been seeing headlines like 'Cancer 'tidal wave' on horizon, warns WHO' (BBC World) and for good reason.

The stats in the report have gotten everyone's attention. It suggests that the number of cancer cases might reach 24 million by 2035. It also points out that world health issues such as smoking, drinking, and obesity must be effectively dealt with to reduce that number. 
The International Agency for Research on Cancer (WHO) press release states:

Global battle against cancer won’t be won with treatment alone.
Effective prevention measures urgently needed to prevent cancer crisis.
Based on the latest statistics on trends in cancer incidence and mortality worldwide, this new book reveals how the cancer burden is growing at an alarming pace and emphasizes the need for urgent implementation of efficient prevention strategies to curb the disease.
Despite exciting advances, this Report shows that we cannot treat our way out of the cancer  problem,” states Dr Christopher Wild, Director of IARC and co-editor of the book. “More commitment to prevention and early detection is desperately needed in order to complement improved treatments and address the alarming rise in cancer burden globally.”
In 2012, the worldwide burden of cancer rose to an estimated 14 million newcases per year, a figure
expected to rise to 22 million annually within the next two decades. Over the same period, cancer deaths are predicted to rise from an estimated 8.2 million annually to 13 million per year.
According to the report globally the highest number of diagnosed cancers were lung cancer, breast cancer and cancer of the large bowel. The highest number of cancer deaths were caused by cancer of the lungs, followed by cancers of the liver and stomach.

This World Cancer Report 2014 highlights the presence of a cancer divide.

As a consequence of growing and ageing populations, developing countries are disproportionately affected by the increasing numbers of cancers. More than 60% of the world’s total cases occur in Africa, Asia, and Central and South America, and these regions account for about 70% of the world’s cancer deaths, a situation that is made worse by the lack of early detection and access to treatment.

 Many of the cancers seen in developing countries are high infection related cancers (cancer of liver, cervix and stomach) or are cancer known to be associated with the industrialized lifestyles (cancer of lungs, breast and large bowel). Therefore high mortality from cancer in these countries could be significantly reduced if they have access to effective and affordable cancer treatments but also by implementation of vaccination programs (Hep B and HPV) and preventive efforts towards the spread of tobacco.
The rising number of cancer cases is proving to be detrimental to the economy of even the richest countries. According to the report 'In 2010, the total annual economic cost of cancer was estimated to reach approximately US$ 1.16 trillion. Yet about half of all cancers could be avoided if current knowledge was adequately implemented.'

Last but not least the report stresses on the need for widespread efforts towards early detection and treatment and the promotion of adequate legislation to reduce exposure and risk behaviours.



P.S:
Cancer 'tidal wave' on horizon, warns WHO (BBC World February 4th 2014)
International Agency for Research Cancer  
World Cancer Research Fund International 

Friday, January 31, 2014

Millions living with leprosy in spite of being curable

On January 26th The World Day of Leprosy, I saw a video on The Guardian global development news page by Maria Zupello  titled Leprosy in Brazil: Uncovering a hidden disease. Realizing that leprosy is still around was rather disturbing, especially because this is a curable disease and therefore there should be no such thing as living with leprosy in these times, but after doing some research it became apparent that is not the case.

WHO: Leprosy Statistics:

According to the World Health Organization's latest stats on leprosy in the world, there are still around 200,000 reported new cases of leprosy every year in the world. Also known as Hansen's Disease, leprosy is endemic in 91 countries around the world. The highest concentration of reported new cases (at the start of 2012) being in South East Asia (117,147). The majority of which are in India. The second highest incidence is in the Americas (34,801),  of these reported new cases the majority are from Brazil. But because of its long incubation period and the lack of tools to allow early detection leading to late diagnosis, the exact prevalence of Hansen's disease is not clear.

India:
Although the Indian Government declared it has eliminated leprosy in 2005. It has since then become clear that the claim was premature. Of the total leprosy cases in the world 55% are in India, and about 127,000 new cases were reported between 2010-2011. Besides lack of access to basic healthcare services, leprosy patients also suffer socioeconomic isolation as a result of the stigma and discrimination that still exists in India.

Brazil: 
Leprosy is more prevalent in Brazil than in any other country except India. More than 30,000 new cases are diagnosed each year. Despite economic development, expansion of public healthcare, and efforts of the leprosy control program in the past 30 years, this disease has not been eliminated, and new cases are still being detected. The leprosy control program in Brazil distributes free drugs as part of the World Health Organization multidrug regimen for treatment of leprosy. Unfortunately health care services are not available in rural parts of the country. The amazon region of Brazil where leprosy has been endemic for more than a century is almost deprived of such health services.
Leprosy is particularly prevalent among the poorest and most marginalised communities due to their lack of access to healthcare, poor sanitation and congested living spaces. - See more at: http://www.tlmindia.org/index.php/about-leprosy/facts#sthash.zlOMnaBW.dpuf

Government statistics under estimate the extent of leprosy according to research organisations, NGOs and some medical personnel who argue that leprosy cases are on the rise - See more at: http://www.tlmindia.org/index.php/about-leprosy/facts#sthash.zlOMnaBW.dpuf
Government statistics under estimate the extent of leprosy according to research organisations, NGOs and some medical personnel who argue that leprosy cases are on the rise - See more at: http://www.tlmindia.org/index.php/about-leprosy/facts#sthash.zlOMnaBW.dpuf
Government statistics under estimate the extent of leprosy according to research organisations, NGOs and some medical personnel who argue that leprosy cases are on the rise - See more at: http://www.tlmindia.org/index.php/about-leprosy/facts#sthash.zlOMnaBW.dpuf
To understand why the stigmatization, socioeconomic isolation, discrimination leading to leprosy communities in countries like India and Brazil is so wrong, here are some basic facts about Leprosy( Hansen's Disease);

What is Leprosy?

Leprosy is a chronic bacterial disease caused by Mycobacterium leprae and Mycobacterium lepromatosis. This infection primarily affects the skin, peripheral nerves and upper airway. It is well known that leprosy is not spread through casual contact. 

About 95% of human beings are naturally immune making leprosy the 'least contagious communicable disease'. The World Health Organization suggests that it is transmitted through moisture from the nose and mouth during frequent and close contact with an untreated leprosy-affected person. It might also happen if you are exposed to other nasal fluids (also known as secretions). Droplets and other secretions can contain the bacteria that cause Hansen’s disease. If you breathe these in, you can become sick with the disease.

According to the CDC,  as incubation period of the bacteria is long , it may take up to 2-10 years for signs and symptoms to appear. The disease mainly affects the skin, nerves and the mucous membranes. Common signs and symptoms include; disfiguring skin sores, lumps, or bumps that do not go away after several weeks or months. The skin sores are pale-colored. Nerve damage can lead to loss of feeling in arms and legs and muscle weakness. Without treatment, leprosy can permanently damage your skin, nerves, arms, legs, feet, and eyes.

Treatment of Leprosy

Leprosy can be cured. In the last two decades, more than 14 million people with leprosy have been cured. The World Health Organization provides free treatment for all people with leprosy.
Treatment depends on the type of leprosy that you have. It is treated with a combination of antibiotics. The treatment may last anywhere from 6 months to 2 years. People with severe leprosy may need to take antibiotics longer. Antibiotics cannot treat the nerve damage.
Anti-inflammatory drugs are used to control swelling related to leprosy. This may include steroids, such as prednisone.
Patients with leprosy may also be given thalidomide, a potent medication that suppresses the body's immune system. It helps treat leprosy skin nodules. Thalidomide is known to cause severe, life-threatening birth defects and should never be taken by pregnant women.

According to the WHO 'Access to information, diagnosis and treatment with multidrug therapy (MDT) remain key elements in the strategy to eliminate the disease as a public health problem, defined as reaching a prevalence of less than 1 leprosy case per 10,000 population. Only a couple of endemic countries have still to achieve this goal at the national level; most are now applying the same elimination strategy at regional, district and sub-district levels. MDT treatment has been made available by WHO free of charge to all patients worldwide since 1995, and provides a simple yet highly effective cure for all types of leprosy.
Most countries that were previously highly endemic for leprosy have achieved elimination at the national level and are intensifying their efforts at regional and district levels.'

Information campaigns about leprosy in high risk areas are crucial so that patients and their families, who were historically ostracized from their communities, are encouraged to come forward and receive treatment. The most effective way of preventing disabilities in leprosy, as well as preventing further transmission of the disease, lies in early diagnosis and treatment with MDT. (WHO)







P.S: 
The Leprosy Mission India 
The Leprosy Mission Canada  
Hansen's Disease (CDC) 
Leprosy (WebMD)
Leprosy Today (WHO) 
National Hansen's Disease Program (HRSA) 
Watch Video: Leprosy in Brazil: Uncovering a hidden disease (The Guardian)
Watch Video: Battling leprosy in Brazil(BBC World)
Watch Video: Leprosy: India's Hidden Disease (The Guardian)
Photo Gallery: Colonia Antonio Alexio - Leprosy community in Manaus, Brazil (Photojournalist: Sharon Steinmann)
 

Saturday, January 4, 2014

Obesity spreads to developing countries

A UK think tank The Overseas Development Institute  report concludes that number of obese and overweight adults in the developing world has  almost quadrupled to about one billion since 1980.
According to the report, there are almost as many overweight or obese adults in North Africa, Middle East and Latin America as there are in Europe. It also highlights the fact that one in three adults in the world (1.46 billion) were overweight or obese in 2008, up by 23% since 1980.
 If these figure are not enough to make us realize that obesity is no longer a rich countries' problem instead is more of a worldwide health issue, then I do not know what is going to!
A major change seen in worldwide diets is the increasing consumption of sugar and sweeteners, which has risen by over 20% per person between 1961 and 2009. One big culprit for that is the increased consumption and marketing of processed foods everywhere.
In countries with emerging economies, people are making bigger incomes and hence now can chose more varied foods and change diets. A huge majority of these individuals in developing countries live in highly congested urban settings and get very little exercise.

South Korea's Health Wellness efforts at a national level have resulted in a 300% increase in fruit and 10% increase in vegetable consumption.  Major campaigns by the government and nutrition specialists to advertise and teach the public that the traditional diet which is low fat is a healthy diet. The most common ingredients in Korean traditional cuisine are vegetables along with use of ginger, garlic, herbs, and various condiments, the health benefits of which are well-known.  The educational and campaigning efforts also focused on providing new approaches to maintaining a traditional yet contemporary Korean diet. These efforts to improve the national diet has helped South Korea keep its obesity rate at 4%. This is the lowest in the OECD (The Organisation for Economic Co-operation and Developmen) but unfortunately it too is rising gradually and is expected to increase by about 5% in ten years.

I am sure that reasons and solutions as well, are far more complex and numerous then the ones I list, but it is clear that if we do not take major steps to change these dangerous dietary and lifestyle trends for the better, we are heading for a disastrous worldwide health catastrophe.


P.S:

Tuesday, December 31, 2013

Reduce risk of diabetes by making small lifestyle changes...

A recent trial by researchers at University of Edinburgh specifically focusing on individuals of South Asian descent, has shown that even small changes in lifestyle can lead to weight loss and significantly reduce the risk of type 2 Diabetes. It has been seen that men of Pakistani and Indian descent are three times more likely to develop diabetes as compared to men from the general population with similar body mass indexes.

This trial titled "Culturally adapting the prevention of diabetes and obesity in South Asians (PODOSA) trial", included 171 individuals of Pakistani and Indian descent living in Scotland with impaired glycemia thus at high risk of developing Type 2 diabetes.

As most South Asian cultural activities and traditions revolve around family and food. Participants were given detailed dietary advice by dieticians and provided culturally relevant lifestyle change plans and resources. The trials made use of professional translators and multilingual professionals for communicating instructions to participants. Also many of the manual and pamphlets were translated into participants' preferred languages, such as Urdu, Hindi, and Punjabi. In contrast, the control group was given basic instructions on weight control and management, it was not culturally specific.

According to Professor Raj Bhopal of Edinburgh University's Population Health Sciences Center 'These differing approaches show us that a more family-centred strategy, with culturally tailored lifestyle advice, can produce significant benefits to people's health through weight loss.'

 Although trials in Europe and North America have not so far reported on the impact on South Asian populations separately or provided the details of their cross-cultural adaptation processes. But there might be a more positive outcome of such efforts when instructions and advice are culture specific.



P.S: Small Lifestyle changes 'lower type 2 diabetes risk' (BBC World: Health)