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.
International lead Poisoning Prevention week of action – Ban lead paint !!
The International Lead Poisoning Prevention week of action is an initiative of the Lead Paint Alliance.
- Raise awareness about lead poisoning;
- Highlight countries and partners’ efforts to prevent childhood lead poisoning; and
- Urge further action to eliminate lead paint.
[24 October 2016]
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.
![Promoting health through the life-course [2016 World Polio Day] 6 NIP%2BSchedule page 001](https://1.bp.blogspot.com/-XfThdpwABhk/VviWv8LlGMI/AAAAAAAAGHw/BhEsLwa9tG8wgJCrUoa1IESecoKm3MO2w/s1600/NIP%2BSchedule-page-001.jpg)
- 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.
- 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.
- 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.
- 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.
American Cancer Society
With a broken heart
? and tears
? 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.
?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…️?
?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
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.

- 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
- 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.
- 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.
- 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
- 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.
[Research Article] Should low-income countries invest in breast cancer screening?
Gyawali, B., Shimokata, T., Honda, K. et al. Cancer Causes Control (2016). doi:10.1007/s10552-016-0812-8
![[Research Article] Should low-income countries invest in breast cancer screening? 62 destop%2B%25281%25291](https://4.bp.blogspot.com/-hF60uN8Wx2Y/V_ZatjAJKTI/AAAAAAAAIk0/hxwo2lTb33Ysq15FItF17sKHrmvEUJAYgCLcB/s1600/destop%2B%25281%25291.png)
If you want to share your research paper in this blog, feel free to share your research articles. I will help you to share your work with public health professionals network belonging with this Blog. Contact: mail4sagun@gmail.com or Message :www.facebook.com/sagun.paudel
''Take A Stand Against Ageism'' – International day of older people 2016
- 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.
- 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.
- 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.





















































![[Research Article] Should low-income countries invest in breast cancer screening? 63 destop%2B%25281%25292](https://3.bp.blogspot.com/-0Li-vZaZ5JU/V_ZasX-0H1I/AAAAAAAAIkw/oE63_f_deHASQdzcGgSfCqh8gJmEMUqTACLcB/s1600/destop%2B%25281%25292.png)
