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PH Important DayPublic Health

Mental health in the workplace – World Mental Health Day 2017

by Public Health Update October 10, 2017
written by Public Health Update

Mental health in the workplace – World Mental Health Day 2017

Mental health in the workplace – World Mental Health Day 2017


World Mental Health Day – 10 October

World Mental Health Day is observed on 10 October every year, with the overall objective of raising awareness of mental health issues around the world and mobilizing efforts in support of mental health.
The Day provides an opportunity for all stakeholders working on mental health issues to talk about their work, and what more needs to be done to make mental health care a reality for people worldwide.

Mental health in the workplace is the theme of World Mental Health Day 2017. 

Mental health in the workplace

During our adult lives, a large proportion of our time is spent at work. Our experience in the workplace is one of the factors determining our overall well being. Employers and managers who put in place workplace initiatives to promote mental health and to support employees who have mental disorders see gains not only in the health of their employees but also in their productivity at work. A negative working environment, on the other hand, may lead to physical and mental health problems, harmful use of substances or alcohol, absenteeism and lost productivity.
Depression and anxiety disorders are common mental disorders that have an impact on our ability to work, and to work productively. Globally, more than 300 million people suffer from depression, the leading cause of disability. More than 260 million are living with anxiety disorders. Many of these people live with both. A recent WHO-led study estimates that depression and anxiety disorders cost the global economy US$ 1 trillion each year in lost productivity.

Key facts

  • Work is good for mental health but a negative working environment can lead to physical and mental health problems.
  • Depression and anxiety have a significant economic impact; the estimated cost to the global economy is US$ 1 trillion per year in lost productivity.
  • Harassment and bullying at work are commonly reported problems, and can have a substantial adverse impact on mental health.
  • There are many effective actions that organizations can take to promote mental health in the workplace; such actions may also benefit productivity.

Work-related risk factors for health

There are many risk factors for mental health that may be present in the working environment. Most risks relate to interactions between type of work, the organizational and managerial environment, the skills and competencies of employees, and the support available for employees to carry out their work. For example, a person may have the skills to complete tasks, but they may have too few resources to do what is required, or there may be unsupportive managerial or organizational practices.
Risks to mental health include:

  • inadequate health and safety policies;
  • poor communication and management practices;
  • limited participation in decision-making or low control over one’s area of work;
  • low levels of support for employees;
  • inflexible working hours; and
  • unclear tasks or organizational objectives.

Risks may also be related to job content, such as unsuitable tasks for the person’s competencies or a high and unrelenting workload. Some jobs may carry a higher personal risk than others (e.g. first responders and humanitarian workers), which can have an impact on mental health and be a cause of symptoms of mental disorders, or lead to harmful use of alcohol or psychoactive drugs. Risk may be increased in situations where there is a lack of team cohesion or social support.
Bullying and psychological harassment (also known as “mobbing”) are commonly reported causes of work-related stress by workers and present risks to the health of workers. They are associated with both psychological and physical problems. These health consequences can have costs for employers in terms of reduced productivity and increased staff turnover. They can also have a negative impact on family and social interactions.
Creating a healthy workplace
An important element of achieving a healthy workplace is the development of governmental legislation, strategies and polices as highlighted by recent European Union Compass work in this area . A healthy workplace can be described as one where workers and managers actively contribute to the working environment by promoting and protecting the health, safety and well-being of all employees. A recent guide from the World Economic Forum suggests that interventions should take a 3-pronged approach:

  • Protect mental health by reducing work–related risk factors.

  • Promote mental health by developing the positive aspects of work and the strengths of employees.
  • Address mental health problems regardless of cause.

The guide highlights steps organizations can take to create a healthy workplace, including:

  • Awareness of the workplace environment and how it can be adapted to promote better mental health for different employees.
  • Learning from the motivations of organizational leaders and employees who have taken action. 

  • Not reinventing wheels by being aware of what other companies who have taken action have done.

  • Understanding the opportunities and needs of individual employees, in helping to develop better policies for workplace mental health. 

  • Awareness of sources of support and where people can find help.

Interventions and good practices that protect and promote mental health in the workplace include:

  • implementation and enforcement of health and safety policies and practices, including identification of distress, harmful use of psychoactive substances and illness and providing resources to manage them;
  • informing staff that support is available;
  • involving employees in decision-making, conveying a feeling of control and participation; organizational practices that support a healthy work-life balance;
  • programmes for career development of employees; and
  • recognizing and rewarding the contribution of employees.

Mental health interventions should be delivered as part of an integrated health and well-being strategy that covers prevention, early identification, support and rehabilitation. Occupational health services or professionals may support organizations in implementing these interventions where they are available, but even when they are not, a number of changes can be made that may protect and promote mental health. Key to success is involving stakeholders and staff at all levels when providing protection, promotion and support interventions and when monitoring their effectiveness.
Available cost-benefit research on strategies to address mental health points towards net benefits. For example, a recent WHO-led study estimated that for every USD $1 put into scaled up treatment for common mental disorders, there is a return of USD $4 in improved health and productivity.

SOURCE OF INFO & READ MORE WORLD HEALTH ORGANIZATION

World Mental Health Day- 2016 : Psychological First Aid

World Mental Health Day- 2015 (Photos: Pokhara)

World Mental Health Day 2014- “Living with schizophrenia”

Public Health Important Days:
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October 10, 2017 1 comment
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National Plan, Policy & GuidelinesPublic Health ProgramsResearch & Publication

Mental Health Policy, Nepal

by Public Health Update October 10, 2017
written by Public Health Update

Mental Health Policy, Nepal

Mental Health Policy, Nepal: The Government of Nepal adopted a National Mental health policy in 2052 but mental health programs was in low priority on the national health agenda.  Now, The Ministry of Health has drafted a new National Mental Health Policy- 2073 to scale up mental health activities and make mental health as a priority health agenda. 

National Mental Health Policy – 2052

 

The Ministry of Health has drafted a new National Mental Health Policy,

The Ministry of Health has drafted a new National Mental Health Policy, which it said would soon be tabled at the Cabinet for approval. Minister for Health Gagan Kumar Thapa said the policy was drafted in line with the constitution, which guarantees citizens’ right to remain mentally sound and live a dignified life. Over two million children and teenagers are estimated to be affected by mental health problems of some form. Various studies show that mental problem is the leading cause of suicide among women of reproductive age (15-49 years).
Similarly, prevalence rates of mental illness in Nepal suggest that about 20 per cent of the general population suffers from mental illnesses. The policy aims to create an environment in which mental health is valued and promoted, mental disorders are prevented, and persons affected by these disorders are able to exercise full range of human rights and access high-quality, culturally-appropriate health and social care in a timely way. It has adopted five policies in area of mental health to ensure easy availability and accessibility of basic quality mental health services for all citizens, prepare necessary human resources in order to deliver mental health and psycho-social service, protect the fundamental human rights of the people with psycho-social disability and mental illness, enhance public awareness to promote mental health and combat stigma resulting from mental illness, and promote and manage health information system and research. According to a statement issued by the MoH, the policy also provides for a provision of allocating budget to the federal and provincial level on the basis of the burden of mental illness. The budget so allocated will be used for promotional, preventive, remedial and rehabilitation sectors.
Similarly, the government will gradually establish a separate mental health unit in each government-run hospital, besides setting up mental health division under the ministry. As per the policy, mental health care facilities will be developed not as passive recipients of mentally ill  patients for treatment, but as dynamic institutions actively engaged in interaction with the communities they serve. This interaction will include assessment of the communities’ mental health needs, the provision of intervention measures, and action as a coordinating agency for promoting mental health. “The ministry has already instructed its subordinates to make necessary preparation to incorporate mental health in the budget and programme of upcoming fiscal to set up necessary institutional mechanism and formulate programmes for the implementation of the policy,” Minister Thapa said.
The Himalayan Times.(April 10, 2017)

Draft National Mental Health Policy – 2073

Mental Health Policy, Nepal 

Mental Health Policy, Nepal

National Plan Policies & Documents:
[catlist id=33 numberposts=35]
Public Health Programs :
[catlist id=132 numberposts=35]

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Presentation SlidesPublic HealthPublic Health NotesPublic Health Programs

National Annual Review 2073/74 – DoHS, Ministry of Health

by Public Health Update October 7, 2017
written by Public Health Update

National Annual Review 2073/74 – DoHS, Ministry of Health- Presentation Slides 

National Annual Review 2073/74 – DoHS, Ministry of Health- Presentation Slides 

MINISTRY OF HEALTH

DOHS

Province No. 1

Province No. 2

Province No. 3

Province No. 4

Province No. 5

Province No. 6

Province No. 7

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Global Health NewsPublic Health

Global Burden of Disease Study 2016 (NEPAL COUNTRY PROFILE)

by Public Health Update October 7, 2017
written by Public Health Update

Global Burden of Disease Study 2016 (GBD 2016)

Global Burden of Disease Study 2016 (GBD 2016) The Global Burden of Disease Study (GBD) is a comprehensive regional and global research program of disease burden that assesses mortality and disability from major diseases, injuries, and risk factors. (TEDMED)

NEPAL

Global Burden of Disease Study 2016 (GBD 2016), NEPAL

Global Burden of Disease Study 2016 (GBD 2016)


Global burden of disease: The WHO global burden of disease (GBD) measures burden of disease using the disability-adjusted-life-year (DALY). This time-based measure combines years of life lost due to premature mortality and years of life lost due to time lived in states of less than full health. The DALY metric was developed in the original GBD 1990 study to assess the burden of disease consistently across diseases, risk factors and regions.(WHO)
Burden of disease: Disease burden is the impact of a health problem as measured by financial cost, mortality, morbidity, or other indicators. It is often quantified in terms of quality-adjusted life years (QALYs) or disability-adjusted life years (DALYs), both of which quantify the number of years lost due to disease (YLDs). (Wikipedia)
The disability-adjusted life year (DALY) is a measure of overall disease burden, expressed as the number of years lost due to ill-health, disability or early death. (Wikipedia)

Global Burden of Disease Study 2016 (GBD 2016), NEPAL from Sagun Paudel

The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) is the single largest and most detailed scientific effort ever conducted to quantify levels and trends in health. (Health Data)

 Terminologies
Acute incidence
The number of new cases of acute sequelae that develop in a population in given period of time. Acute sequelae are those sequelae with a duration of less than three months.
Acute prevalence
The number of cases of acute sequelae that are present in a particular population at a given time. Acute sequelae are those sequelae with a duration of less than three months.
Age-standardization
A statistical technique used to compare populations with different age structures, in which the characteristics of the populations are statistically transformed to match those of a reference population. Useful because relative over- or under-representation of different age groups can obscure comparisons of age-dependent diseases (e.g., ischemic heart disease or malaria) across populations.
Alcohol use
Any alcohol consumption
All-cause under-5 mortality
The probability (expressed as the rate per 1,000 live births) that children born alive will die before reaching the age of 5 years
Ambient particulate matter pollution
Ambient concentration of particles with an aerodynamic diameter smaller than 2·5 μm at levels greater than 5.8-8.8 μg/m³
Amenable burden
Disease burden that could be avoided in the presence of high-quality personal health care. To be considered a cause amenable to personal health care, widely available and effective interventions must exist for the disease.
Antenatal care (ANC4) coverage
The proportion of women 15 to 49 years old who had four or more antenatal visits at a health facility during pregnancy
Attributable burden
The share of the burden of a disease that can be estimated to occur due to exposure to a particular risk factor.
Avertable burden
Disease burden that could be avoided in the presence of high-quality personal health care in addition to disease burden that could be prevented through effective public health (i.e., non-personal) interventions.
Avoidable burden
The reduction in future disease burden if observed levels of risk factor exposure were decreased to a counterfactual level.
BCG immunization coverage
The proportion of children under 5 years old who have been vaccinated against tuberculosis
Childhood underweight
The proportion of children under 5 years old who are two or more standard deviations below the international anthropometric reference population median of weight for age
Chronic prevalence
Prevalence of chronic sequelae. Chronic sequelae are those sequelae with a duration three months or longer.
Diet high in processed meat
Consumption of any processed meat (includes meat preserved by smoking, curing, salting, or addition of chemical preservatives, including bacon, salami, sausages, or deli or luncheon meats like ham, turkey, and pastrami).
Diet high in red meat
Consumption of more than 1 serving (4 ounces total) per week of red meat (includes beef, pork, lamb, and goat but excludes poultry, fish, eggs, and all processed meats).
Diet high in sodium
Consumption of more than 1,000 milligrams of sodium per day.
Diet high in sugar-sweetened beverages
Consumption of any beverage with ≥50 calories of sugar per one-cup serving, including carbonated beverages, sodas, energy drinks, fruit drinks but excluding 100% fruit and vegetable juices.
Diet high in trans fatty acids
Consumption of more than 0.5% of total calories from trans fatty acids (includes trans fat from all sources, mainly hydrogenated vegetable oils and animal products).
Diet low in calcium
Intake of less than 1200 milligrams of calcium per day from all sources, including milk, yogurt, and cheese.
Diet low in fiber
Consumption of less than 30 grams of fiber per day from all sources including fruits, vegetables, grains, legumes, and pulses.
Diet low in fruits
Consumption of less than 3 servings (11 ounces total) of fruits per day (includes fresh, frozen, cooked, canned, or dried fruit but excludes fruit juices and salted or pickled fruits).
Diet low in milk
Consumption of less than 2 cups per day of milk including non-fat, low-fat, and full-fat milk but excluding soy milk and other plant derivatives.
Diet low in nuts and seeds
Consumption of less than 4 servings (4 ounces total) of nuts and seeds per week, such as peanut butter.
Diet low in polyunsaturated fatty acids
Less than 12% of total calories from polyunsaturated fatty acids (includes polyunsaturated fatty acids from all sources, including liquid vegetable oils such as soybean oil, corn oil, and safflower oil).
Diet low in seafood omega-3 fatty acids
Less than 250 milligrams per day of seafood omega-3 fatty acids (eicosapentaenoic acid and docosahexaenoic acid) in tablet or fish form.
Diet low in vegetables
Consumption of less than 4 servings (14 ounces total) of vegetables per day (includes fresh, frozen, cooked, canned, or dried vegetables including legumes but excluding salted or pickled, juices, nuts and seeds, and starchy vegetables such as potatoes or corn).
Diet low in whole grains
Consumption of less than 2.5 servings (4 ounces total) per day of whole grains (bran, germ, and endosperm in their natural proportions) from breakfast cereals, bread, rice, pasta, biscuits, muffins, tortillas, pancakes, and others.
Disability weights
Numerical representations of the severity of health loss associated with a health state. Derived from a worldwide, cross-cultural study to compare the relative severity of health problems, disability weights are numbers between 0 and 1 that are multiplied by the time spent living with a health loss to determine the years lived with disability associated with the cause of that loss.
Disability-adjusted life years (DALYs)
The sum of years lost due to premature death (YLLs) and years lived with disability (YLDs). DALYs are also defined as years of healthy life lost.
DPT3 coverage
The proportion of children 12 to 59 months old who have received three doses of the diphtheria-pertussis-tetanus (DPT) vaccine
Drug use
Use of cannabis, opioids, or amphetamines, or use of injecting drugs.
Exclusive breastfeeding coverage
The proportion of children who were exclusively breastfed during their first six months after birth
Expected value
Value predicted by probability (for example, how many questions one might get right if one guessed on a multiple choice test); these are used in comparison to values that are actually observed. Statistical tests are used to measure the difference between the observed and expected values.
Frontier analysis
An econometric method whereby maximum output is measured on the basis of inputs.
Garbage codes
Cause codes assigned by physicians on death certificates that cannot or should not be considered the actual underlying cause of death.
Health states
Groupings of sequelae that reflect key differences in symptoms and functioning.
Healthy life expectancy (HALE)
The number of years that a person at a given age can expect to live in good health, taking into account mortality and disability.
High blood pressure
Blood pressure higher than 110-115 mm Hg

High body mass index (BMI)
Body mass index higher than 21.0-23·0 kg/m²
High fasting plasma glucose
Fasting plasma higher than 4.9-5.3 mmol/L

High total cholesterol
Total cholesterol greater than 3.8-4.0 mmol/L*
Incidence
The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from prevalence, which refers to all cases, new or old, in the population at a given time.
Indoor residual spraying coverage
The proportion of households that were sprayed with an insecticide-based solution in the last 12 months
Insecticide-treated net (ITN)
A net treated with an insecticide-based solution that is used for protection against mosquitos that can carry malaria
Intermittent preventive therapy in pregnancy, two doses (IPTp2)
The proportion of pregnant women who received at least two treatment doses of Fansidar (sulfadoxine/pyrimethamine) at antenatal care visits during pregnancy
Intervention coverage
The proportion of individuals or households who received an intervention that they needed
ITN ownership
The proportion of households that own at least one ITN
ITN use by children under 5
The proportion of children under 5 years old who slept under an ITN the previous night, as reported by household heads
Life expectancy
Number of years a person is expected to live based on their present age. For GBD, the life expectancy for an age group (e.g., 50- to 54-year-olds), is determined from the first year in the age range.
Maternal mortality ratio (MMR)
The number of maternal deaths per 100,000 live births. GBD defines maternal deaths as any death of a woman while pregnant or within one year of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes. Ages included range from 10 to 54 years.
Measles immunization coverage
The proportion of children 12 to 59 months old who have received measles vaccination
Pentavalent immunization coverage
The proportion of children 12 to 59 months old who have received the pentavalent vaccine, which includes protection against diphtheria-pertussis-tetanus (DPT), hepatitis B, and Haemophilus influenzae type b
PHMRC
Population Health Metrics Research Consortium. A project that aims to address Grand Challenge #13: Develop technologies that permit quantitative assessment of population health.
Physical inactivity and low physical activity
Less than 8,000 metabolic equivalent (MET)-minutes per week, with one MET being the energy spent while sitting quietly.
Polio immunization coverage
The proportion of children 12 to 59 months old who have received three doses of the oral polio vaccine
Prevalence
The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.
Prevention of mother-to-child transmission of HIV (PMTCT)
The receipt of antiretroviral drugs as prophylaxis to reduce the risk of mother-to-child transmission of HIV among HIVpositive pregnant women
Rate per 100K
This estimate shows in a single country-year-age-sex, the deaths due to cause X divided by the population.
Risk factors
Potentially modifiable causes of disease and injury.
Risk standardization
A process of removing the joint effects of environmental and behavioral risk exposure on cause-specific mortality rates at the country or territory level for each year of analysis, and then adding back the global average of environmental and behavioral risk exposure for every geography-year in order to eliminate geographic or temporal differences in cause-specific mortality due to variations in risk factors that are not immediately targeted by health care.
Sequelae
Consequences of diseases and injuries.
Skilled birth attendance coverage
The proportion of pregnant women 15 to 49 years old who delivered with a skilled birth attendant (a doctor, nurse, midwife, or clinical officer)
Socio-demographic Index (SDI)
A summary measure that identifies where countries or other geographic areas sit on the spectrum of development. Expressed on a scale of 0 to 1, SDI is a composite average of the rankings of the incomes per capita, average educational attainment, and fertility rates of all areas in the GBD study.
Summary exposure value (SEV)
A measure of a population’s exposure to a risk factor that takes into account the extent of exposure by risk level and the severity of that risk’s contribution to disease burden. SEV takes the value zero when no excess risk for a population exists and the value one when the population is at the highest level of risk; we report SEV on a scale from 0% to 100% to emphasize that it is risk-weighted prevalence.
Tobacco smoking
Any tobacco smoking
Uncertainty interval
A range of values that reflects the certainty of an estimate. Larger uncertainty intervals can result from limited data availability, small studies, and conflicting data, while smaller uncertainty intervals can result from extensive data availability, large studies, and data that are consistent across sources.
Years lived with disability (YLDs)
Years of life lived with any short-term or long-term health loss.
Years of life lost (YLLs)
Years of life lost due to premature mortality.

SOURCE OF INFO (HEALTH DATA.ORG)

World health statistics 2017: Monitoring health for the SDGs, Sustainable Development Goals – WHO

International Plan Policies & Documents:
[catlist id=124 numberposts=15]

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National Plan, Policy & GuidelinesPublic Health Notes

SDGs Booklets in Nepali and English – UNFPA

by Public Health Update October 3, 2017
written by Public Health Update

SDGs Booklets in Nepali and English – UNFPA

UN System in Nepal has published two easy-to-read SDG booklets in both Nepali and English and they are now available for download.
The Sustainable Development Goals (SDGs) are a bold, universal agreement to end poverty in all its dimensions and craft an equal, just and secure world – for people, planet and prosperity by 2030.
The 17 SDGs and 169 targets are a part of Transforming our world: the 2030 Agenda for Sustainable Development, which was adopted by 193 Member States at the historic UN General Assembly Summit in September 2015, and came into effect on January 1, 2016. The SDGs have been developed through an unprecedented consultative process that brought national governments and millions of citizens from across the globe together to negotiate and adopt this ambitious agenda. UNFPA.

DOWNLOAD IN NEPALI DOWNLOAD IN ENGLISH 

  • RELATED POSTS – SDG PROFILE OF NEPAL

  • RELATED POSTS: SDG TARGET & INDICATORS NEPAL

SDGs Booklets in Nepali and English – UNFPA
 

October 3, 2017 1 comment
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Public Health

12 tips you can do to be healthy

by Public Health Update October 2, 2017
written by Public Health Update
12 tips you can do to be healthy:
Here are 12 tips you can do to be healthy:
1- Eat a healthy diet
2- Be physically active
3- Get vaccinated
4- Don’t use any form of tobacco
5- Avoid or minimize use of alcohol
6- Manage stress
7- Practice good hygiene
8- Don’t speed or drink and drive
9- Wear a seat-belt when driving and helmet when cycling
10- Practice safe sex
11- Regularly check your health
12- Breast feeding: best for babies
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October 2, 2017 1 comment
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PH Important DayPublic Health

Vegetarian Diets & nutrients to consider in a vegetarian diet- World Vegetarian Day

by Public Health Update October 1, 2017
written by Public Health Update

Vegetarian Diets & nutrients to consider in a vegetarian diet- World Vegetarian Day

Vegetarian Diets & nutrients to consider in a vegetarian diet- World Vegetarian Day
World Vegetarian Day is an annual observation that spreads awareness about the health, environmental, and ethical benefits of following a vegetarian lifestyle. World Vegetarian Day was founded in 1977 by the North American Vegetarian Society (NAVS) and was endorsed by the International Vegetarian Union in 1978. October 1st is the annual kick-off of Vegetarian Awareness Month; October. 

Vegetarian Diets

  • Reduce the risk of major killers such as heart disease, stroke and cancer while cutting exposure to foodborne pathogens
  • Provide a viable answer to feeding the world’s hungry through more efficient use of grains and other crops
  • Save animals from suffering in factory-farm conditions and from the pain and terror of slaughter
  • Conserve vital but limited freshwater, fertile topsoil and other precious resources
  • Preserve irreplaceable ecosystems such as rainforests and other wildlife habitats
  • Decrease greenhouse gases that are accelerating global warming
  • Mitigate the ever-expanding environmental pollution of animal agriculture

Source of Info (WORLD VEGETARIAN DAY)

What is a vegetarian diet?

Some people follow a “vegetarian” diet, but there’s no single vegetarian eating pattern. The vegan or total vegetarian diet includes only foods from plants: fruits, vegetables, legumes (dried beans and peas), grains, seeds and nuts. The lactovegetarian diet includes plant foods plus cheese and other dairy products. The ovo-lactovegetarian (or lacto-ovovegetarian) diet also includes eggs. Semi-vegetarians don’t eat red meat but include chicken and fish with plant foods, dairy products and eggs.

Are vegetarian diets healthful?

Most vegetarian diets are low in or devoid of animal products. They’re also usually lower than nonvegetarian diets in total fat, saturated fat and cholesterol. Many studies have shown that vegetarians seem to have a lower risk of obesity, coronary heart disease (which causes heart attack), high blood pressure, diabetes mellitus and some forms of cancer.  Vegetarian diets can be healthful and nutritionally sound if they’re carefully planned to include essential nutrients. However, a vegetarian diet can be unhealthy if it contains too many calories and/or saturated fat and not enough important nutrients.

What are the nutrients to consider in a vegetarian diet?

  • Protein: You don’t need to eat foods from animals to have enough protein in your diet. Plant proteins alone can provide enough of the essential and non-essential amino acids, as long as sources of dietary protein are varied and caloric intake is high enough to meet energy needs.
  • Whole grains, legumes, vegetables, seeds and nuts all contain both essential and non-essential amino acids. You don’t need to consciously combine these foods (“complementary proteins”) within a given meal.
  • Soy protein has been shown to be equal to proteins of animal origin. It can be your sole protein source if you choose.
  • Iron: Vegetarians may have a greater risk of iron deficiency than nonvegetarians. The richest sources of iron are red meat, liver and egg yolk — all high in cholesterol. However, dried beans, spinach, enriched products, brewer’s yeast and dried fruits are all good plant sources of iron.
  • Vitamin B-12: This comes naturally only from animal sources. Vegans need a reliable source of vitamin B-12. It can be found in some fortified (not enriched) breakfast cereals, fortified soy beverages, some brands of nutritional (brewer’s) yeast and other foods (check the labels), as well as vitamin supplements.
  • Vitamin D: Vegans should have a reliable source of vitamin D. Vegans who don’t get much sunlight may need a supplement.
  • Calcium: Studies show that vegetarians absorb and retain more calcium from foods than nonvegetarians do. Vegetable greens such as spinach, kale and broccoli, and some legumes and soybean products, are good sources of calcium from plants.
  • Zinc: Zinc is needed for growth and development. Good plant sources include grains, nuts and legumes. Shellfish are an excellent source of zinc. Take care to select supplements containing no more than 15-18 mg zinc. Supplements containing 50 mg or more may lower HDL (“good”) cholesterol in some people.

What meal plans are recommended?

Any type of vegetarian diet should include a wide variety of foods and enough calories to meet your energy needs.

  • Keep your intake of sweets and fatty foods to a minimum. These foods are low in nutrients and high in calories.
  • Choose whole or unrefined grain products when possible, or use fortified or enriched cereal products.
  • Use a variety of fruits and vegetables, including foods that are good sources of vitamins A and C.
  • If you use milk or dairy products, choose fat-free/nonfat and low-fat varieties.

Source of Information : American Heart Association

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October 1, 2017 0 comments
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PH Important DayPublic Health

Health services must stop leaving older people behind – WHO

by Public Health Update October 1, 2017
written by Public Health Update

International Day of Older Persons 2017, 1 October 

Health services must stop leaving older people behind – WHO
The theme of the International Day of Older Persons 2017 is; 

“Stepping into the Future: Tapping the Talents, Contributions and Participation of Older Persons in Society.”

This year’s day is about enabling and expanding the contributions of older people in their families, communities and societies at large. It focuses on the pathways that support full and effective participation in old age, in accordance with old persons’ basic rights, needs and preferences.
This year’s theme underscores the link between tapping the talents and contributions of older persons and achieving the implementation of the 2030 Agenda and the Madrid International Plan of Action on Ageing, which is currently undergoing its third review and appraisal process.

Between 2015 and 2030, the target date for the Sustainable Development Goals, the number of older persons worldwide is set to increase by 56 per cent — from 901 million to more than 1.4 billion. By 2030, the number of people aged 60 and above will exceed that of young people aged 15 to 24.

Stepping into the future with pledges that no one will be left behind, it is starkly evident that the need to tap into the often overlooked and under-appreciated contributions of older persons is not only essential to older persons’ well-being, but also imperative for sustainable development processes.
The 2017 theme will explore effective means of promoting and strengthening the participation of older persons in various aspects of social, cultural, economic and civic and political life. UN.ORG

Health services must stop leaving older people behind – WHO

News release

29 SEPTEMBER 2017 | GENEVA – On the International Day of the Older Person – 1 October – WHO calls for a new approach to providing health services for older people. WHO highlights the role of primary care and the contribution community health workers can make to keeping older people healthier for longer. The Organization also emphasizes the importance of integrating services for different conditions.
“By the year 2050, 1 in 5 people in the world will be aged 60 and older,” says Dr Tedros Adhanom Ghebreyesus, Director-General of WHO. “It’s our goal to ensure that all older people can obtain the health services they need, whoever they are, wherever they live.”
Yet, even in the rich world, people may not be getting the integrated services they need. In a survey of 11 high-income countries, up to 41% of older adults (age ≥65 years) reported care coordination problems in the past two years.
WHO’s new Guidelines on Integrated Care for Older People recommend ways community-based services can help prevent, slow or reverse declines in physical and mental capacities among older people. The guidelines also require health and social care providers to coordinate their services around the needs of older people through approaches such as comprehensive assessment and care plans.
“The world’s health systems aren’t ready for older populations,” says Dr John Beard, Director of the Department of Ageing and Life course at WHO.
“Everyone at all levels of health and social care, from front-line providers through to senior leaders, has a role to play to help improve the health of older people. WHO’s new guidelines provide the evidence for primary care workers to put the comprehensive needs of older people, not just the diseases they come in to discuss, at the centre of the way they provide care.”
Older adults are more likely to experience chronic conditions and often multiple conditions at the same time. Yet today’s health systems generally focus on the detection and treatment of individual acute diseases.
“If health systems are to meet the needs of older populations, they must provide ongoing care focused on the issues that matter to older people – chronic pain, and difficulties with hearing, seeing, walking or performing daily activities,” adds Beard. “This will require much better integration between care providers.”
Some countries are already making smart investments guided by WHO’s Global Strategy on Ageing and Health.
Brazil has implemented comprehensive assessments and expanded its services for older adults; Japan has integrated long -term care insurance to protect people from the costs of care; Thailand is strengthening the integration of health and social care as close as possible to where people live; while the Ministry of Health in Vietnam will build on its comprehensive health care system and the large number of elderly health care clubs to better meet the needs of older people in their communities. In Mauritius, the Ministry of Health provides universal health coverage for older adults including a network of health clubs and primary care clinics with more sophisticated services in hospitals. The United Arab Emirates are meeting the health needs of older people by creating more age-friendly cities. In France, a new WHO Collaborating Centre called Gerontopole, located in the Toulouse University Hospital, is helping to advance research, clinical practice and training on Healthy Ageing.
“Integrated care can help foster inclusive economic growth, improve health and wellbeing, and ensure older people have the opportunity to contribute to development, instead of being left behind,” concluded Dr Beard.

News release (WHO Media Center)

October 1, 2017 0 comments
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Global Health NewsPublic Health NewsTobacco Control

Sri Lanka has been selected to receive dedicated international support on tobacco control

by Public Health Update September 30, 2017
written by Public Health Update

Sri Lanka has been selected to receive dedicated international support on tobacco control

Sri Lanka to receive new international support on tobacco control
Press release, Colombo, 28 September 2017
Sri Lanka has been selected to receive dedicated international support through the United Nations to take action to reduce tobacco use. Tobacco use is extremely harmful for health and is one of the world’s leading causes of premature death. Tobacco use is a cause of many life-threatening diseases including cancer, heart and lung diseases. Tobacco can also present a significant barrier to national development, as it causes significant economic and environmental impacts. Tobacco control will contribute to Sri Lanka’s efforts to achieve the 2030 sustainable development agenda.
The World Health Organization Framework Convention on Tobacco Control (WHO FCTC) is the world’s only health treaty, and is dedicated to ending the global tobacco epidemic. The WHO FCTC is a comprehensive blueprint for governments to stop tobacco use in their countries, and 181 countries have ratified the treaty. In November 2003, Sri Lanka became the fourth country in the world to ratify the WHO FCTC.
Through the “FCTC 2030” project, Sri Lanka will receive assistance to undertake a government-wide programme of work to strengthen tobacco control. The project, to run for five-years, will bring international support to Sri Lanka from the WHO FCTC Secretariat, United Nations Development Programme (UNDP) and WHO. This will include expert advice, technical assistance and peer support to strengthen tobacco control action.
In welcoming the project to Sri Lanka, the Honorable Minister of Health, Dr Rajitha Senaratne said “Sri Lanka is committed to the WHO Framework Convention on Tobacco Control and is very grateful to be selected to receive this new support to strengthen our tobacco control efforts. The Government is committed to further reducing smoking rates as well as supporting tobacco farmers to transition to healthier and more productive livelihoods.”
The Government of the United Kingdom has generously provided funds under a new project to promote the accelerated implementation of the WHO FCTC in low- and middle-income countries. Sri Lanka is one of 15 countries that will receive dedicated assistance to strengthen tobacco control.
“The United Kingdom is pleased to be supporting Sri Lanka to implement strong tobacco control policies that will promote public health and national development. Sri Lanka was selected to receive this new support in recognition of the political commitment in the country to tackling tobacco use,” said the British High Commissioner, Mr James Dauris.
“While Sri Lanka has been able to make strong progress already on tobacco, almost one in two men still use tobacco which puts the health and wellbeing of themselves and their families at risk. Tobacco continues to place a heavy burden on Sri Lanka’s health system,” said Dr Razia Pendse, WHO Representative to Sri Lanka.
Dr Palitha Abeykoon, the Chairman of the National Authority on Tobacco and Alcohol (NATA) said “Strengthening tobacco taxation, banning the sale of single cigarettes and plain packaging for tobacco are measures that would help significantly reduce tobacco use in Sri Lanka.”

Press release, Colombo, 28 September 2017

September 30, 2017 0 comments
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PH Important DayPublic Health

Scale up prevention of heart attack and stroke- World Heart Day 2017 

by Public Health Update September 29, 2017
written by Public Health Update

Scale up prevention of heart attack and stroke- World Heart Day 2017 


Scale up prevention of heart attack and stroke- World Heart Day 2017 : World Heart Day on 29 September is the world’s biggest platform for raising awareness about cardiovascular disease (CVD). World Heart Day is the World Heart Federation’s biggest global awareness raising platform for cardiovascular disease. Since it was launched in 2009, it has grown rapidly and now enjoys huge global participation and support. 
Cardiovascular diseases (CVDs) take the lives of 17.7 million people every year, 31% of all global deaths. Triggering these diseases – which manifest primarily as heart attacks and strokes – are tobacco use, unhealthy diet, physical inactivity and the harmful use of alcohol. These in turn show up in people as raised blood pressure, elevated blood glucose and overweight and obesity, risks detrimental to good heart health.

Key messages to protect heart health

  • Tobacco use, an unhealthy diet, and physical inactivity increase the risk of heart attacks and strokes.
  • Engaging in physical activity for at least 30 minutes every day of the week will help to prevent heart attacks and strokes.
  • Eating at least five servings of fruit and vegetables a day, and limiting your salt intake to less than one teaspoon a day, also helps to prevent heart attacks and strokes.


What can I do to avoid a heart attack or a stroke?

(WHO: Online Q&A Updated September 2015)

Q: What can I do to avoid a heart attack or a stroke?

A: WHO estimates that more than 17.5 million people died of cardiovascular diseases such as heart attack or stroke in 2012. Contrary to popular belief, more than 3 out of 4 of these deaths occurred in low- and middle-income countries, and men and women were equally affected.
The good news, however, is that 80% of premature heart attacks and strokes are preventable. Healthy diet, regular physical activity, and not using tobacco products are the keys to prevention. Checking and controlling risk factors for heart disease and stroke such as high blood pressure, high cholesterol and high blood sugar or diabetes is also very important.
Eat a healthy diet: A balanced diet is crucial to a healthy heart and circulation system. This should include plenty of fruit and vegetables, whole grains, lean meat, fish and pulses with restricted salt, sugar and fat intake. Alcohol should also be used in moderation.
Take regular physical activity: At least 30 minutes of regular physical activity every day helps to maintain cardiovascular fitness; at least 60 minutes on most days of the week helps to maintain healthy weight.
Avoid tobacco use: Tobacco in every form is very harmful to health – cigarettes, cigars, pipes, or chewable tobacco. Exposure to second-hand tobacco smoke is also dangerous. The risk of heart attack and stroke starts to drop immediately after a person stops using tobacco products, and can drop by as much as half after 1 year.
Check and control your overall cardiovascular risk: An important aspect of preventing heart attacks and strokes is by providing treatment and counselling to individuals at high risk (those with a 10 year cardiovascular risk equal to or above 30%) and reducing their cardiovascular risk. A health worker can estimate your cardiovascular risk using simple risk charts and provide the appropriate advice for managing your risk factors.

  • Know your blood pressure: High blood pressure usually has no symptoms, but is one of the biggest causes of sudden stroke or heart attack. Have your blood pressure checked and know your numbers. If it is high, you will need to change your lifestyle to incorporate a healthy diet with less salt intake and increase physical activity, and may need medications to control your blood pressure.
  • Know your blood lipids: Raised blood cholesterol and abnormal blood lipids increase the risk of heart attacks and strokes. Blood cholesterol needs to be controlled through a healthy diet and, if necessary, by appropriate medications.
  • Know your blood sugar: Raised blood glucose (diabetes) increases the risk of heart attacks and strokes. If you have diabetes it is very important to control your blood pressure and blood sugar to minimize the risk.

WORLD HEALTH ORGANIZATIONResolveWorld heart day 2017Reduce CVD risks1 billion

HAPPY HEART DAY (NEPALI)

September 29, 2017 0 comments
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