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PH Important DayPublic Health

Stroke is treatable – World Stroke Day 2016

by Public Health Update October 29, 2016
written by Public Health Update
World Stroke Day – October 29th 2016

Stroke is the leading cause of disability and the second leading cause of death globally. Stroke can happen to anyone at any age. Stroke affects everyone: survivors, family and friends, workplaces and communities.

17M – Strokes 6M – deaths 5M – Permanently Disabled
Stroke is treatable.
Stroke is a complex medical issue. But there are ways to significantly reduce its impact. Recognizing the signs of stroke early, treating it as a medical emergency with admission to a specialized stroke unit, and access to the best professional care can substantially improve outcomes.
http://www.worldstrokecampaign.org/


Prevent brain stroke

A ‘brain stroke’ or a ‘brain attack’ is an event and condition that many of us know little about, but each one of us has the capacity to prevent and detect.
When the brain is deprived of blood and the oxygen it carries, or when bleeding inundates surrounding tissue and causes the brain to swell, its effective operation becomes compromised. Both incidents can cause lasting vision problems, seizures, fatigue, loss of speech, memory loss, and paralysis among other adverse effects. If severe enough, they can also cause death.
In low-and middle-income countries, which include those of the WHO South-East Asia Region, over 11 million strokes occur every year. This causes 4 million deaths annually, and leaves approximately 30% of survivors seriously disabled. For the 70% of survivors who recover, the likelihood of suffering further strokes is greatly increased.
People with high blood pressure, high cholesterol, heart disease, diabetes or a high blood-sugar level are vulnerable to brain stroke. So are people that are obese, smoke or consume alcohol in large volumes and are physically inactive. In addition, the risk of stroke increases with age, while males are more likely to suffer a stroke than females.
Most of the lifestyle-related risks can be reduced to prevent brain stroke. People who smoke should quit, and those who drink heavily should cease. These two factors alone significantly multiply the likelihood of stroke.
A diet high in vegetables and fruit and low in salt should be consumed. Doing so will decrease fatty deposits in the arteries that can cause blockages, as well as diminish the prospect of burst vessels that high blood pressure brings.
Regular exercise should be undertaken – at least 30 minutes of moderate-intensity aerobic activity at least five times a week.
Blood pressure, blood-sugar and cholesterol levels should be checked regularly, with associated conditions managed in consultation with a health care provider.




These simple but effective habits can help prevent brain stroke and other noncommunicable diseases such as heart disease and diabetes.
Identifying stroke’s early warning signs is equally important to prevent disability or death. There are three key signs to watch out for – Is the face drooping on one side? Is there weakness in one arm? Is the speech slurred? If the answer is yes to one or all of the above, the person may be having a stroke and needs urgent medical care. 
Out health systems must be in a position to act decisively.
On World Stroke Day, we need to spread awareness on stroke prevention, understand the symptoms and when to seek immediate care, and have a well-prepared health system to save lives and prevent lifelong disability.

Dr Poonam Khetrapal Singh, WHO Regional Director for South-East Asia



October 29, 2016 0 comments
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PH Important DayPublic HealthPublic Health Events

International lead Poisoning Prevention week of action – Ban lead paint !!

by Public Health Update October 28, 2016
written by Public Health Update
The International lead Poisoning Prevention week of action is observed From 23 to 29 October 2016, with a particular focus on eliminating lead paint. 

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The International Lead Poisoning Prevention week of action is an initiative of the Lead Paint Alliance.


The major objectives of this campaigns are;

  • Raise awareness about lead poisoning;
  • Highlight countries and partners’ efforts to prevent childhood lead poisoning; and
  • Urge further action to eliminate lead paint.
Lead is a naturally occurring toxic metal found in the Earth’s crust. It has many uses, including in the manufacture of lead-acid batteries for motor vehicles, in pigments and paints, solder, ammunition, ceramic glazes, jewellery, toys and also in some cosmetics and traditional medicines. It also continues to be used in gasoline in a small number of countries. The processing, use and disposal of lead can result in environmental contamination and human exposure. As lead is an element, once released into the environment it is persistent. 

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Lead poisoning refers to excessive human exposure to lead. The most common route of exposure is ingestion. Exposure may occur over a short space of time (acute poisoning) or over a prolonged period (chronic poisoning). No safe level of exposure to lead has so far been identified. As a consequence some health authorities define excessive exposure as having a blood lead concentration above the reference value for the population as a whole. This reference value is usually the geometric mean blood lead concentration found in the highest 2.5% or 5% of the population, i.e. the 97.5th or 95th percentile respectively. 
Health effects of lead exposure
Lead accumulates in the body and affects practically all organ systems. Lead exposure can cause chronic and debilitating health impacts in all age groups, but it is particularly harmful to young children. This is because the developing nervous system is vulnerable to the toxic effects of lead, even at levels of exposure that do not cause obvious symptoms and signs. Lead exposure in early childhood can result in reduced cognitive abilities, dyslexia, attention deficit disorder and antisocial behaviour. Lead exposure can also cause hypertension, renal impairment, immunotoxicity and toxicity to the reproductive organs. Absorption of large amounts of lead can cause coma, convulsions and even death. Children who survive severe lead poisoning can be left with permanent neurological injury such as deafness and mental retardation.  

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The Institute for Health Metrics and Evaluation (IHME) has estimated that in 2013 lead exposure accounted for 853 000 deaths due to long-term effects on health, with the highest burden in low and middle income countries. IHME also estimated that lead exposure accounted for 9.3% of the global burden of idiopathic intellectual 2 disability (i.e. intellectual disability not due to known causes such as genetic factors), 4% of the global burden of ischaemic heart disease and 6.6% of the global burden of stroke. 
[http://vizhub.healthdata.org/gbd-compare]
Sources of human exposure to lead
Lead has many uses; therefore, there are many potential sources of exposure. Important sources are environmental contamination from the informal recycling of lead acid batteries and from poorly controlled lead mining and smelting operations; the use of lead-containing traditional remedies; lead ceramic glazes used in food containers; and lead paint. Leaded gasoline used to be an important source of exposure but it is no longer used in most countries. 
WORLD HEALTH ORGANIZATION



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October 28, 2016 0 comments
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PH Important DayPublic HealthPublic Health Programs

Promoting health through the life-course [2016 World Polio Day]

by Public Health Update October 25, 2016
written by Public Health Update

[24 October 2016]

World Polio Day was established by Rotary International over a decade ago to commemorate the birth of Jonas Salk, who led the first team to develop a vaccine against poliomyelitis. Use of this inactivated poliovirus vaccine and subsequent widespread use of the oral poliovirus, developed by Albert Sabin, led to the establishment of the Global Polio Eradication Initiative (GPEI) in 1988. As of 2013, GPEI had reduced polio worldwide by 99%.

Polio is a crippling and potentially fatal infectious disease. There is no cure, but there are safe and effective vaccines. Polio can be prevented through immunization. Polio vaccine, given multiple times, almost always protects a child for life. The strategy to eradicate polio is therefore based on preventing infection by immunizing every child until transmission stops and the world is polio-free.

WHO

Nepal has been maintaining certificate standard AFP surveillance since 2001. The surveillance system is sensitive enough to detect polio cases and circulating derived poliovirus. Nepal was declared polio -free by the Regional Certification Commission on 27 March 2014. Nepal adopted the strategies developed by the WHO such as active AFP surveillance, Routine Immunization, SIAs and Mop-up to achieve the goal of Polio eradication. The CHD took lead in planning, delivering and managing the National Immunization Program including polio throughout the country. The community based interventions together with the national and international learning have been accounted for this success in the functional partnership and community based approaches.

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Key Strategies for polio eradication 
  1. Routine immunization: Routine immunization is the cornerstone of polio eradication. Uniform and 95% OPV3 routine coverage increases the immunity level in community and thus interrupts the circulation of WPV transmission. Hence, the access of routine immunization services should be expanded at grass-root level. 
  2. Supplementary Immunization Activity (SIA) – (National Immunization Days & Sub National Immunization Days)  National Immunization Days aiming to improve universal coverage should be conducted on regular basis. It is an additional national or subnational mass vaccination campaign designed to vaccinate all children under five which helps in interruption of transmission of wild poliovirus. It aims to vaccinate everyone under five, regardless of their previous immunization status. 
  3. Surveillance of acute flaccid paralysis (AFP) – All AFP cases (suspected polio) are detected, reported and investigated. This allows for the identification of any remaining reservoirs of wild polio virus and helps in the decision making for the SIAs need. 
  4. Mop-up campaigns – These are intensive, house to house campaigns that are conducted during the final stage of polio eradication. Mop up is conducted when the polio virus is confined in a limited geographical area, where all children are tracked and vaccinated reaching each house hold, even after successful implementation of NIDs and routine immunization.
  • Introduction Of The Injectable Inactivated Polio Vaccine (IPV) IPV is being introduced in Nepal in order to quickly maximize childhood immunity to polio and maintain the country’s polio-free status. IPV has been proven an extremely safe and effective vaccine and has been used successfully in many developed countries for several decades. It is important to note that IPV is recommended in addition to the oral vaccine and does not replace the oral vaccine.

 (UNICEF)

Related Post: 27th March 2014 : Historical Day in field of Public Health to end Polio in Nepal


October 25, 2016 0 comments
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PH Important DayPublic HealthPublic Health Events

22nd National Condom Day – 2073

by Public Health Update October 22, 2016
written by Public Health Update
National Condom day is observed on the first Saturday following the Kojagrat Poornima every year. The 22nd National Condom Day was marked today with the slogan ‘Condom use for dual protection’. The Objective of this day is to raise awareness and to promote the use of condom for dual Protection; Prevent HIV and sexually transmitted infections as well as unwanted pregnancies. In coordination with local nongovernmental organizations, DPHO-Kaski organized rally & Info desk in Pokhara.
 

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October 22, 2016 0 comments
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Public HealthPublic Health Events

October: Breast Cancer Awareness Month

by Public Health Update October 17, 2016
written by Public Health Update
October: Breast Cancer Awareness Month

October is Breast Cancer Awareness Month, a worldwide annual campaign involving thousands of organisations, to highlight the importance of breast awareness, education and research.

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download
Breast cancer is a malignant tumor that starts in the cells of the breast. A malignant tumor is a group of cancer cells that can grow into (invade) surrounding tissues or spread (metastasize) to distant areas of the body. The disease occurs almost entirely in women, but men can get it, too.

American Cancer Society

Viral Message #CancerAwarenessMonth

With a broken heart1f494? and tears 1f622? in my eyes, nothing is more painful than trying to smile and remain positive, but after many tests, being poked and prodded, chemo and radiation, the person physically changes and they suffer with sadness. I know many of you do not give a hoot about this message because, of course, the cancer has not affected you. You do not know what it’s like to have fought the fight, or have a loved one who leads or has lead a battle against cancer. 1f49c?For all the men and women I know, I ask you a small favor- I know only some of you will do it. If you know someone who has led a battle against cancer, still struggling, or who passed, please add this to your status for one hour as a mark of support, respect, and remembrance…️?1f496?Copy and paste to support those affected by cancer. Do Not Share. From your phone or tablet, hold your finger on the message to copy and paste.
#CancerAwarenessMonth
 

Lets unite all & passes this message


The Breast Cancer Awareness Month helps to increase attention and support for the awareness, early detection and treatment as well as palliative care of this disease.
Cancer of the breast is among the most common cancers for women in the SEAR Region.

Early detection of the disease remains the cornerstone of breast cancer control. When breast cancer is detected early, and if adequate diagnosis and treatment are available, there is a good chance that breast cancer can be cured.
World Health Organization South-East Asia Region – WHO SEARO

October 17, 2016 0 comments
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PH Important DayPublic Health

“Make Handwashing a Habit!” – Global Hand washing Day 2016

by Public Health Update October 15, 2016
written by Public Health Update
October 15 is Global Handwashing Day!!


A global advocacy day dedicated to increasing awareness and understanding about the importance of hand washing with soap as an effective and affordable way to prevent diseases and save lives.

The 2016 Global Handwashing Day theme is “Make Handwashing a Habit!” For handwashing to be effective it must be practiced consistently at key times, such as after using the toilet or before contact with food. While habits must be developed over time, this theme emphasizes the importance of handwashing as a ritual behavior for long-term sustainability. Habit formation is currently a hot topic in behavior change and the water, sanitation, and hygiene sector. This theme taps into that interest and is also a gateway to discussing what the sector knows about how habits are formed.

Global Handwashing Day is an annual global advocacy day dedicated to increasing awareness and understanding about the importance of handwashing with soap as an easy, effective, and affordable way to prevent diseases and save lives.
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Handwashing with soap is an easy, effective, and affordable do-it-yourself protection that prevents infections and saves lives.
Handwashing with Soap is Easy
Everyone can protect themselves, their families, and their communities through handwashing with soap. It requires few resources—just soap and a small amount of water—yet the benefits are huge.
Handwashing with Soap is Effective
When handwashing with soap is practiced regularly at key times, such as after using the toilet or before contact with food, it can dramatically reduce the risk of diarrhea and pneumonia, which can cause serious illness and death. Handwashing with soap also helps prevent the spread of other infections such as influenza and Ebola.
Handwashing with Soap is Affordable
Cost is not the principal barrier to handwashing with soap. Almost everyone in the world can afford multipurpose bar soap, or detergent to make soapy water, though recent surveys have found a soap access equity gap, meaning the world’s poorest households are less likely to have access to soap. Furthermore households which do have access to soap commonly use it for laundry, dish washing or bathing, rather than for handwashing. Investments in hand washing promotion are very cost effective, and can also maximize the health benefits of other interventions from access to clean water and sanitation infrastructure to nutrition promotion.
Source of Info: http://globalhandwashing.org/global-handwashing-day/
hand hygiene the facts 7 728

Hand washing is easy to do and it’s one of the most effective ways to prevent the spread of many types of infection and illness in all settings—from our home and workplace to child care facilities and hospitals. Clean hands can stop germs from spreading from one person to another and throughout an entire community.

Learn more about when and how to wash your hands.
When should you wash your hands?
  • Before, during, and after preparing food
  • Before eating food
  • Before and after caring for someone who is sick
  • Before and after treating a cut or wound
  • After using the toilet
  • After changing diapers or cleaning up a child who has used the toilet
  • After blowing your nose, coughing, or sneezing
  • After touching an animal, animal feed, or animal waste
  • After touching garbage
What is the right way to wash your hands?
  • Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap.
  • Lather your hands by rubbing them together with the soap. Be sure to lather the backs of your hands, between your fingers, and under your nails.
  • Scrub your hands for at least 20 seconds. Need a timer? Hum the “Happy Birthday” song from beginning to end twice.
  • Rinse your hands well under clean, running water.
  • Dry your hands using a clean towel or air dry them.
SOURCE OF INFORMATION
CENTER FOR DISEASE CONTROL AND PREVENTION

October 15, 2016 0 comments
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PH Important DayPublic Health

World Mental Health Day- 2016 : Psychological First Aid

by Public Health Update October 10, 2016
written by Public Health Update
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 theme of this year’s World Mental Health Day, observed on 10 October, covers “psychological first aid”. Efforts in support of the day will focus on basic pragmatic psychological support by people who find themselves in a helping role whether they be health staff, teachers, firemen, community workers, or police officers. 

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Despite its name, psychological first aid covers both psychological and social support. Just like general health care never consists of physical first aid alone, similarly no mental health care system should consist of psychological first aid alone. Indeed, the investment in psychological first aid is part of a longer-term effort to ensure that anyone in acute distress due to a crisis is able to receive basic support, and that those who need more than psychological first aid will receive additional advanced support from health, mental health and social services.

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. 

What is Psychological First Aid?
  • When terrible things happen, we want to reach out a helping hand to those who have been affected. Psychological First Aid (PFA) is a humane, supportive and practical response to people suffering exposure to serious stressors and who may need support. It is an approach to help people recover by responding to their basic needs and showing them concern and care, in a way that respects their wishes, culture, dignity and capabilities. 
What does PFA involve? 
  • giving non-intrusive, practical care and support 
  • assessing people’s needs and concerns 
  • helping people address basic needs (food, water) 
  • listening, but not pressuring, people to talk  
  • comforting people and helping them to feel calm 
  • helping people connect to information, services and social support 
  • protecting people from further harm 

Who can offer PFA?
  • Perhaps you are called upon as a staff member or volunteer to help in a major disaster, or you find yourself at the scene of an accident where people are hurt. You may be a health worker helping someone who has been the victim of violence, or you may be a teacher, firefighter, police officer or emergency medical technician. Learning about PFA will help you to know the most supportive things to say and do for people who are very distressed. It will also give you information on how to approach a new situation safely for yourself and others, and not to cause harm by your actions. 

Who can benefit from PFA?

  • Although many people cope well enough in crisis situations, others may feel overwhelmed, confused, fearful, sad,
    angry or numb. PFA may be helpful for people who feel emotionally distressed after a crisis event. However, some people may need specialized help, such as those in need of emergency medical care or with very serious emotional reactions such as being disoriented or unable to care for themselves. If you are providing PFA, know your limits! If possible, refer people in need of specialized help, to, for example, a health-care professional or psychologist. 
WORLD HEALTH ORGANIZATION



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October 10, 2016 0 comments
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Public Health

[Research Article] Should low-income countries invest in breast cancer screening?

by Public Health Update October 6, 2016
written by Public Health Update
[Research Article]
Should low-income countries invest in breast cancer screening?
[FULL PAPER]

Gyawali, B., Shimokata, T., Honda, K. et al. Cancer Causes Control (2016). doi:10.1007/s10552-016-0812-8

Abstract
With the increase in incidence and mortality of breast cancer in low-income countries (LICs), the question of whether LICs should promote breast cancer screening for early detection has gained tremendous importance. Because LICs have limited financial resources, the value of screening must be carefully considered before integrating screening programs into national healthcare system. Mammography—the most commonly used screening tool in developed countries—reduces breast cancer-specific mortality among women of age group 50–69, but the evidence is not so clear for younger women. Further, it does not reduce the overall mortality. Because the women in LICs tend to get breast cancer at younger age and are faced with various competing causes of mortality, LICs need to seriously evaluate whether mammographic screening presents a good value for the investment. Instead, we suggest a special module of clinical breast examination that could provide similar benefits at a very low cost. Nevertheless, we believe that LICs would obtain a much greater value for their investment if they promote primary prevention by tobacco cessation, healthier food and healthier lifestyle campaigns instead.destop%2B%25281%25291

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October 6, 2016 0 comments
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Notice

Important Notice – Nepal Health Professional Council (NHPC)

by Public Health Update October 3, 2016
written by Public Health Update
Important Notice – Nepal Health Professional Council (NHPC)
NHPC
Kantipur (1 July 2016)

October 3, 2016 0 comments
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PH Important DayPublic Health

''Take A Stand Against Ageism'' – International day of older people 2016

by Public Health Update October 1, 2016
written by Public Health Update
[1st October, 2016]
International day of older people 2016 ”Take A Stand Against Ageism” 

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It is an opportunity to highlight the important contributions that older people make to society and raise awareness about the issues and challenges of ageing in today’s world. As a result of declining fertility rates and increased life expectancy, ageing is emerging as a key policy issue around the world. There are around 600 million people, or 10% of the world’s population, over the age of 60. 
By 2050, 80% of older people will be living in low and middle-income countries. It is estimated that nearly 142 million people or about 8% of the total population in the South-East Asia Region is over 60 years old and lives in urban areas. 
– Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia
[Download full Message]

What is ageism?

  • Ageism is the stereotyping and discrimination against individuals or groups on the basis of their age; ageism can take many forms, including prejudicial attitudes, discriminatory practices, or institutional policies and practices that perpetuate stereotypical beliefs. 

1st October is the United Nations International Day of Older Persons. The theme for this year’s day is “Take A Stand Against Ageism”. Ageism, the stereotyping and discrimination against people on the basis of age, which causes serious social prejudice with significant consequences for older people.

Is ageism really a problem?
  • Today, there are around 600 million people aged 60 years and over worldwide. This number will double by 2025 and will reach two billion by 2050, with the vast majority of older people in the developing world.
  • Ageism is widely prevalent and stems from the assumption that all members of a group (for example older adults) are the same. Like racism and sexism, ageism serves a social and economic purpose: to legitimize and sustain inequalities between groups. It’s not about how we look. It’s about how people that have influence, assign meaning to how we look. In 2014, governments around the world recognized ageism as “the common source of, the justification for, and the driving force behind age discrimination.”
  • Negative ageist attitudes are widely held across societies and not confined to one social or ethnic group. Research suggests that ageism may now be even more pervasive than sexism and racism. This has serious consequences both for older people and society at large. For example ageism limits the questions that are asked and the way problems are conceptualized and is hence a major barrier to developing good policies.


What is the impact of ageism on health?

  • Ageism has harmful effects on the health of older adults. Research shows that older adults with negative attitudes about ageing may live 7.5 years less than those with positive attitudes.
  • Ageism has been shown to cause cardiovascular stress, lowered levels of self-efficacy and decreased productivity.
  • Negative attitudes are also widely present even within the health and social-care settings where older adults are at their most vulnerable.
  • Some of this prejudice arises from observable biological declines and may be distorted by awareness of disorders such as dementia, which may be mistakenly thought to reflect normal ageing.
  • Ageism can become self-fulfilling by promoting in older people stereotypes of social isolation, physical and cognitive decline, lack of physical activity and economic burden.
  • Negative attitudes about providing long-term care for those who need it also make it difficult to recruit paid care workers in many countries. This may reflect ageism in the broader culture, the tendency to equate long-term care with poor-quality working conditions, or the low status accorded to caregiving.

How can we combat ageism?

  • Tackling ageism will require a new understanding of ageing by all generations. This understanding needs to counter outdated concepts of older people as burdens, and acknowledge the wide diversity of the experience of older age, the inequities of ageism, and demonstrate a willingness to ask how society might organise itself better.
WORLD HEALTH ORGANIZATION



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