Survival rates for children who get kidney transplants have improved significantly over the last half-century, a new study finds.
“The outlook for infants and children with end-stage kidney disease was once dismal, with poor survival rates after transplant. There has been great progress in pediatric kidney transplantation, and now the patient survival rate is almost 100 percent,” said the study’s principal investigator, Dr. Srinath Chinnakotla.
Chinnakotla is an associate professor of surgery at the University of Minnesota Masonic Children’s Hospital in Minneapolis, where the study was done.
Since 2002, 97 percent of children who had kidney transplants at the hospital were alive a year later. That compares to 85 percent 40 to 50 years ago, the study showed. Read More..
This is absolutely good news and light at the end of the tunnel. With this break-through, more children will survive kidney transplant and this is a strong foundation for further improvements in the entire health system. However, as we celebrate this good news, it is equally important to think about thousands if not millions of disadvantaged children who desperately need a kidney transplant but cannot be saved either because of the poor economic nature of their families or lack of such services in major health facilities nearby.
Comment by: Cliff Abenaitwe
Blood pressure and fluid retention improve in those counseled by dietitians, small study shows
Encouraging people with kidney disease to reduce their salt intake may help improve blood pressure and cut excess fluid retention, at least for a while, a new study suggests.
Study participants lowered their systolic blood pressure (the top number)
by almost 11 points, on average, on a salt-restricted diet versus their usual diet. They also flushed out a liter of water (about one-quart) from their bodies, on average, by slashing salt in their diets, researchers said.
Having high blood pressure and retaining excess salt and water in the body stresses the heart and blood vessels, explained lead author Dr. Rajiv Saran of the University of Michigan.
For kidney disease patients, high blood pressure (or “hypertension”) and excess fluid in the body can be a toxic combination. “They die predominantly of cardiovascular disease,” said Saran, a professor of internal medicine and epidemiology in the nephrology division.
Yet doctors rarely have time or make time to counsel each patient about salt-restricted diets, he said.
Saran and co-investigators wondered whether having trained dietitians talk to patients with chronic kidney disease by phone or in person about ways to lower daily sodium intake would make a difference. Read More
Low back pain affects millions of people in the United States, and the condition is one of the most common reasons for people missing work. New guidelines from the American College of Physicians recommend noninvasive ways of treating nonradicular low back pain.
The American Chiropractic Association (ACA)
report that approximately 31 million U.S. individuals experience low back pain at one point during their lives. The ACA also note that low back pain is the leading cause of disability across the world, as well as one of the most popular reasons why people miss work.
The condition accounts for a large proportion of all doctor visits in the U.S., and almost 25 percent of the entire adult population in the U.S. has experienced at least one day of low back pain in the past 3 months.
Danger Looms As Foodborne Diseases Hit Alarming Levels
Food safety is an increasingly important public health issue and governments all over the world are intensifying their efforts to improve food safety. These efforts are in response to an increasing number of food safety problems like foodborne diseases. According to the world health organization, these are diseases usually either infectious or toxic in nature, caused by agents that enter the body through the ingestion of food.
Magnitude Of Foodborne Illness
Foodborne diseases are a widespread and growing public health problem, both in developed and developing countries. The global incidence of foodborne disease is difficult to estimate, but it has been reported that in 2005 alone 1.8 million people died from diarrhoeal diseases and ever since, this number is believed to have increased. A great proportion of these cases can be attributed to contamination of food and drinking water. Additionally, diarrhoea is a major cause of malnutrition in infants and young children.
In industrialized countries, the percentage of the population suffering from foodborne diseases each year has been reported to be up to 30%. In the United States of America (USA), for example, around 76 million cases of foodborne diseases, resulting in 325,000 hospitalizations and 5,000 deaths, are estimated to occur each year. While less well documented, developing countries bear the brunt of the problem due to the presence of a wide range of foodborne diseases, including those caused by parasites. The high prevalence of diarrhoeal diseases in many developing countries suggests major underlying food safety problems.
While most foodborne diseases are sporadic and often not reported, foodborne disease outbreaks may take on massive proportions. For example, in 1994, an outbreak of salmonellosis due to contaminated ice cream occurred in the USA, affecting an estimated 224,000 persons. In 1988, an outbreak of hepatitis A, resulting from the consumption of contaminated clams, affected some 300,000 individuals in China.
Major Foodborne Diseases A Glance
Salmonellosis: Thisis a major problem in most countries. Salmonellosis is caused by the Salmonella bacteria and symptoms are fever, headache, nausea, vomiting, abdominal pain and diarrhoea. Examples of foods involved in outbreaks of salmonellosis are eggs, poultry and other meats, raw milk and chocolate.
Campylobacteriosis: This is a wide spreadinfection that is caused by certain species of Campylobacter bacteria and in some countries, the reported number of cases surpasses the incidence of salmonellosis. Foodborne cases are mainly caused by foods such as raw milk, raw or undercooked poultry and drinking water. Acute health effects of campylobacteriosis include severe abdominal pain, fever, nausea and diarrhoea. In two to ten per cent of cases the infection may lead to chronic health problems, including reactive arthritis and neurological disorders.
Cholera: This disease is increasingly becoming synonymous with the developing world thus a major public health problem. The disease is caused by the bacterium Vibrio cholerae. In addition to water, contaminated foods can be the vehicle of infection. Different foods, including rice, vegetables, millet gruel and various types of seafood have been implicated in outbreaks of cholera. Symptoms, including abdominal pain, vomiting and profuse watery diarrhoea, may lead to severe dehydration and possibly death, unless fluid and salt are replaced.
The list is endless but what is more important to note is how to lessen the outbreak of these diseases. The world ought to join hands in promoting food safety through senstisation and policy formulation among other initiatives. These efforts should cover the entire food chain from production to consumption should embrace all types of expertise world over.
Ugandan Journalists Trained In Health Reporting
In what appears to be the beginning of a great working partnership with the media, Mak SPH has trained over 25 health journalists from different media houses on accurate health reporting, precise interpretation of health research findings, handling and construing statistical data as well as the policy implications of research findings among others.
The 5 days training ( From May 28-June 1,2012) at the School of Public Health Annex in Kololo, covered a number of captivating topics such as the over view of HIV control and prevention in Uganda, identifying credible sources for health information, summarizing research findings, safe male medical circumcision and epidemiology among others.
The course coordinator Joseph Matovu from the School of public health explained that the main objective of the course was to improve on the skills of journalists in health reporting. “This course is aimed at sensitizing journalists on basic health concepts and build their skills in using them to improve health reporting in Uganda” Matovu explained.
He added that health gurus sometimes are upset by inaccurate media reports about health research findings, inappropriate use of words like prevalence, incidence and rate which among other reasons compelled them to intervene through such training.
Participants expressed utmost happiness about the course and its timing. “For sure, this course has benefited me a lot and I will not repeat the ‘common’ errors I have been committing in health reporting” Olivia Namaloba, a correspondent with UBC radio noted. “Am thankful for this course because i have learnt a lot about epidemiology, interviewing for health reporting, male medical circumcision among many others and I wish this course could be extended to other journalists” a jolly Alomu delux Emmy from Etop radio and paper told this site.
Regarding the continuity of the course, Matovu explained that this is the beginning of ‘things’ and the school together with its partners such as CDC will extend the same training to other journalists at a later time.