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.
A health clinic that mistakenly revealed the identity of HIV-positive patients in a group email has been fined £250 by the UK’s data watchdog.
The Bloomsbury Patient Network provides information and support for people who are HIV-positive.
But twice in 2014, staff emailed up to 200 members at a time without obscuring other patients’ email addresses. Read More..
Farmers need to dramatically cut the amount of antibiotics used in agriculture, because of the threat to human health, a report says.
Some infections are becoming almost impossible to treat, because of the excessive use of antibiotics.
And more than half of those used around the world are used in animals, often to make them grow more quickly.
The Review on Antimicrobial Resistance called for new targets on the amount of antibiotics used.
The great threat of excessive antibiotics use in agriculture was highlighted in China last month.
Scientists warned the world was on the cusp of the “post-antibiotic era” after discovering bacteria resistant to the antibiotic colistin – the medication used when all others have failed. (Read more)—-
Uganda Urged to tighten laws on Tobacco consumption
A couple of years ago, Uganda’s Parliament enacted the anti-tobacco consumption legislation. This law bares public smoking and tobacco advertising and puts in place fines for offenders.
At the time of its enactment, this was seen as a step forward towards reducing deaths as a result of tobacco consumption.
However, since then nothing has much changed and health activists are up again demanding for tough measures against tobacco use and production.
Baguma Richard Tinkasimire, the programs coordinator at the Uganda health communication alliance says that this legislation puts light punishments and fines on perpetrators and its implementation is poor. According to Baguma, tobacco advertising, promotion and sponsorship has persisted and this is dangerous.
“Tobacco advertising, promotion and sponsorship encourage people especially the youth to use tobacco, encourage tobacco users to use more, decrease user’s motivation to quit and quitters to relapse,” he sadly adds
Loopholes in the law
Baguma explains that the current law has many loopholes. “Under the current law, every public place must have a no smoking sign but many of our hotels, bars, offices and night spots do not have them.
What is more baffling is that you find ‘smoking zones’ and ash trays in these places and this is unlawful,” Baguma notes. He further reveals that as a result of these loop holes in the current law, public smoking and public tobacco consumption has persisted and this is a great health risk to both the consumer and the people around.
As a result of this trend, health activists have now drafted a private members bill that is before the floor of parliament. Baguma told this mouth piece that this bill (Tobacco control bill 2012) seeks to tighten the grip on tobacco production, advertising and consumption.
The bill at a glance
According to Doctor Hafsa Lukwata, a mental health specialist and one of the brains behind this law in the offing, the act seeks to protect present and future generations from the devastating health, social, economic and environmental consequences of tobacco use and exposure to tobacco smoke.
According to the world health organization (WHO), tobacco is the single greatest preventable cause of death in the world today, killing up to a half of the people who use it.
The world health body estimates that tobacco use causes nearly 6 million preventable deaths each year of which 10 percent are due to exposure to second hand tobacco smoke. “If current trends continue, the number of annual tobacco-related deaths is predicted to increase to 10 million by the year 2020 with 70 percent of those deaths occurring in low and middle-income countries”, the WHO 2011 report warns.
This bill seeks to promote a smoke free environment, place a ban on tobacco advertising, promotion and sponsorship, restrict the sale, supply and use of tobacco products and to place tough fines and punishment on perpetrators.
Part IV of this bill advocates for an increment in taxes on tobacco products in an effort to control their trade. “The object of this part is to provide for price increase through taxation on tobacco products as an effective intervention in reducing demand for tobacco”, clause IV of the bill reads in part.
According to Baguma, there is a strong need to protect the vulnerable people who consume second hand smoke from cigarettes and tobacco. “We must put strong laws in place and implement them because health related problems related to tobacco use when they come, they are irreversible,” he added.
Shocking but true, Baguma does not buy the idea of designating smoking zones in public places like bars and clubs. “Designating smoking zones in public places is hopeless. Smoke from that area will eventually come to the non-smoking areas and affect others. Instead if one wants to smoke, let them go out of the public place and smoke from there.
In Uganda, tobacco growing has for generations been the main source of income for thousands in west Nile region and other areas like Kanungu. However Baguma observes that people in these areas can be helped to get an alternative crop to grow and earn big. He cites Bwambala Sub County in Rukungiri district western Uganda which used to be a tobacco production hub but people have now abandoned the crop in favor of upland rice.
Baguma notes that if people in Tobacco growing areas are well sensitized and given alternative crops to grow, they will definitely abandon tobacco growing.
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.