The June issue of the WHO Bulletin includes an editorial on the management of non-communicable diseases in low- and middle-income countries; a public health round-up; an article on anti-smoking measures and tobacco consumption in Turkey; and a research paper on mortality in women in Burkina Faso in the years following obstetric complications (June 2012).
Non Communicable Disease/Chronic Disease
In this post in Management Sciences for Health’s (MSH) “Global Health Impact” blog, Sara Holtz, a senior technical officer at MSH, reports on the 53-page outcome document of the United Nations Conference on Sustainable Development (Rio+20), which took place in Rio de Janeiro, Brazil last week. She highlights several health-related commitments…
“Africa faces a surge in cancer deaths unless action is taken in the next decade to stem rising smoking levels in a continent where anti-tobacco laws remain rare, U.S. scientists said Wednesday,” Reuters reports (Kelland, 11/11).
AllAfrica.com/Guardian examine efforts to prevent and treat cervical cancer among women in Kenya, where an estimated 3,400 women die of the disease each year and only five percent receive screening. “Kenya’s national reproductive health strategic plan has addressed cervical cancer largely through the roll-out of a low-cost screening tool known as VIA (visual inspection of the cervix using ascetic acid),” but experts agree that more widespread use of cervical cancer vaccines and public education campaigns about the disease would be more effective at preventing and catching cases earlier, the news service reports. “Once the public owns this problem and pushes for it, … then the government would be forced to implement [a vaccine] strategy in full,” Lucy Muchiri, a pathologist specializing in cervical cancer at Kenyatta National Hospital and the University of Nairobi, said, the news service notes (Njoroge, 6/12).
The International Agency for Research on Cancer (IARC), the WHO’s cancer arm, on Tuesday announced it has reclassified diesel engine exhaust from “probably carcinogenic” to “carcinogenic,” the U.N. News Centre reports, noting the decision came “after a week-long meeting of international experts, and [the agency] based its decision on sufficient evidence that exposure is associated with an increased risk for lung cancer” (6/12). “IARC said large populations all over the world are exposed to diesel exhaust every day,” Reuters notes. “‘People are exposed not only to motor vehicle exhausts but also to exhausts from other diesel engines … (such as diesel trains and ships) and from power generators,’ it said,” according to the news service (Kelland, 6/12).
“The number of people with cancer is set to surge by more than 75 percent across the world by 2030, with particularly sharp rises in poor countries as they adopt unhealthy ‘Westernized’ lifestyles,” according to a study published Friday in the Lancet, Reuters reports (Kelland, 5/31). “If current population trends continue, the number of people with cancer worldwide will go up to 22.2 million by 2030, up from 12.7 million in 2008,” CNN’s “The Chart” notes, adding, “Cases are expected to surge in poorer parts of the world, which are ill-equipped to handle the burden” (5/31).
“By the end of the 21st century, more than one billion people are expected to die from illnesses related to tobacco use primarily in low to middle income countries,” Amie Newman, communications officer at the Bill & Melinda Gates Foundation and editor of the foundation’s “Impatient Optimists” blog, writes in this blog post in recognition of World No Tobacco Day. “We’ll continue to support efforts which reduce the number of deaths and diseases due to tobacco use — especially in developing countries,” she adds (5/31). An AIDS.gov blog post addresses tobacco use by people living with HIV, writing, “Smoking rates of people living with HIV are estimated to be two to three times higher than the national average, and smoking weakens the immune system, making it harder to fight off HIV-related infections” (5/31).
More than 100 world leaders, along with thousands of participants from governments, the private sector, NGOs and other groups, are meeting in Rio de Janeiro, Brazil, this week for Rio+20, the U.N. Conference on Sustainable Development, to address ways to reduce poverty, advance social equity and ensure environmental protection. The following blog post, opinion piece, and press release address health aspects of the conference.
In this Bloomberg Businessweek opinion piece, Charles Kenny, a fellow at the Center for Global Development and the New America Foundation, examines the global obesity epidemic, writing, “It may seem strange to be worried about too much food when the United Nations suggests that, as the planet’s population continues to expand, about one billion people may still be undernourished,” but “[g]rowing obesity in poorer countries is a sign of a historic global tipping point.” He continues, “After millennia when the biggest food-related threat to humanity was the risk of having too little, the 21st century is one where the fear is having too much.”
Noting that “[n]on-communicable diseases (NCDs) kill four times the number of people in low- and middle-income countries (LMICs) that they do in high-income countries,” Benn Grover, a health communications specialist who manages policy for the National Forum for Heart Disease and Stroke Prevention, and Felicia Knaul, an associate professor at Harvard Medical School and director of the Harvard Global Equity Initiative, write in the Huffington Post Blog, “The right to health of the majority of the world’s inhabitants is severely hampered due to vast inequalities in access to care and many of the social rights that determine their health. These inequalities are not just a matter of health, but issues of social justice and human rights.”