Monday, September 17, 2007

Measures forthcoming to curb Chronic Non-Communicable Diseases

PORT OF SPAIN, Trini-dad and Tobago – The government will consider legislating a ban on smoking in public places, improve physical education facilities at public schools and provide tax incentives for the creation of on-the-job exercise facilities, all as part of its ongoing commitment to stemming the incidences of chronic non-communicable diseases (CNCDs) in The Bahamas, Prime Minister Hubert Ingraham said Saturday.

Prime Minister Ingraham's remarks came during an interview with Trinidad and Tobago's C-News Station at CARICOM's Summit on Chronic Non-Communicable Diseases – diseases the Caribbean Community has dubbed one of the greatest threats to development in the region.

Back in 2001, CARICOM Heads adopted the Nassau Declaration that The Health of the Region is the Wealth of the Region, which was designed to accelerate the response to various health conditions facing the region. The 2007 summit in Trinidad was the result of progress from the Declaration adopted in The Bahamas.

"Specifically, we have a problem with respect to hypertension," Ingraham indicated. "We have high levels of diabetes.

"Apart from the fact that we are going to put in place a national program for the provision of medicines for all persons irrespective of ability to pay for their prescriptions, we are also going to have a major effort in terms of prevention."

Diseases such as hypertension, heart disease, diabetes and cancer, coupled with obesity and a lack of physical activity, are the leading cause of death and disability in The Bahamas, with the summit revealing that Bahamians are 10-times more likely to die of hypertension than their Canadian counterparts.

Highlighting the government's recent announcement of a new dietary program for all public schools, the prime minister also foreshadowed improvements to public school exercise facilities, adding that the government is going to seek to have health promotion as a major part of initiatives within the public health sector.

"We are going to seek to duplicate what we have in a few government offices, that is rooms with exercise equipment in many more government facilities and we are going to seek to encourage employers to do so by providing incentives and tax exemptions for them to acquire equipment to be able to facilitate people engaging in exercise," Prime Minister Ingraham said.

Emphasising that most CNCDs can be prevented through lifestyle changes in diet and exercise, the Trinidad summit also placed emphasis on the role of tobacco consumption in the incidences of cancer and heart disease in the region, and the need to enact tobacco control measures such as increased import taxation and the prohibition of smoking in public places.

A 2005 Ministry of Health study on CNCDs revealed that just over seven percent of the Bahamian population smokes cigarettes.

The Prime Minister pointed out that The Bahamas currently has a 200 percent tax on cigarettes and that during its previous terms in office, his government made the now Lynden Pindling International Airport a smoke-free environment.

He indicated that decisions will now have to be made regarding the way forward for tobacco control measures in The Bahamas.

"We are now going to consider banning (smoking) in public places period," the prime minister noted. "We have casinos (and) we have conflicting views as to whether or not a casino should be exempted from a policy.

"We are going to make some decisions about that but I think at the end of day we will either have a total ban on smoking in all public places, or the number of public places will be very minimal and even if that happens that will have to be for a minimal period of time, I think."

Seconded by The Bahamas, CARICOM Heads adopted its Trinidad summit declaration entitled, "Uniting to Stop the Epidemic of Chronic NCDs" Saturday afternoon.

The Declaration included the commitment from the Heads of Government to give full support for the initiatives and mechanisms aimed at strengthening regional health institutions; immediate pursuance of a legislative agenda for passage of the legal provisions related to the International Framework Convention on Tobacco Control and the development of public education programs on lifestyle management as well as through the formal education system.

The Declaration also called for the mandating of the re-introduction of physical education in schools where necessary; provide incentives and resources to effect this policy and ensure that our education sectors promote programs aimed at providing healthy school meals and promoting healthy eating.

Doc's White Coats Spread Contagious Diseases, Says Britain

LONDON — British hospitals are banning white coats, neckties, and jewelry in an effort to stop the spread of deadly hospital-born infections, according to new rules published Monday.

Hospital dress codes typically urge doctors to look professional, which, for male practitioners, has usually meant wearing a tie. But as concern over hospital-born infections has intensified, doctors are taking a closer look at their clothing.

"Ties are rarely laundered but worn daily," the Department of Health said in a statement. "They perform no beneficial function in patient care and have been shown to be colonized by pathogens."

The new regulations would mean an end to doctors' traditional white coats, Health Secretary Alan Johnson said. Fake nails, jewelry and watches, which the department warned could harbor germs, are also out.

Johnson said the "bare below the elbows" dress code would help prevent the spread of Methicillin-resistant Staphylococcus aureus, or MRSA, the deadly bacteria resistant to nearly every available antibiotic.

Popularly known as a "superbug," MRSA accounts for more than 40 percent of in-hospital blood infections in Britain. Because the bacteria is so hard to kill, health care workers have instead focused on containing its spread through improvements to hospital hygiene.

A 2004 study of doctors' neckties at a New York hospital found that nearly half of them carried at least one species of infectious microbe. In 2006, the British Medical Association urged doctors to go without the accessories, calling them "functionless clothing items."

The dress code comes into force next year.

Babies to get jabs against 11 diseases

Babies will soon be immunised against a type of meningitis that kills about 10 under-fives each year and leaves dozens more permanently disabled.

Health Minister Pete Hodgson has confirmed the National Immunisation Schedule for 2008. It includes the pneumococcal vaccine Prevenar for all babies born from January 1.

The acting manager of the National Immunisation Programme, Dr Alison Roberts, said all babies would now have free access to immunisations protecting against 11 serious diseases.

"A baby's immune system responds very well to multiple vaccines at one visit," she said.

"The ministry's advice is that it is safe and effective."

High cost for treatment of non-communicable diseases

ACCORDING to a recent study, the proper treatment of diabetes and high blood pressure in this country would cost US$89.4 million.

Outlining such figures for select regional countries from the report conducted by the Caribbean Commission on Health and Development was Prime Minister of Trinidad and Tobago Patrick Manning as he addressed the media summit on non-communicable diseases held in Port of Spain on Saturday.

The report also points out that based on available statistics, if these diseases were to be properly treated, the combined economic burden of diabetes and high blood pressure, would be US$59.4 million in the Bahamas, US$89.4 million in Barbados, US$419.3 million in Jamaica and US$496.7 million in Trinidad and Tobago, he cited.

Speaking on the grave issue, he said the study had shown that five times as many people died from such diseases as from all the other illnesses combined.

In term of the health, per se, of the people of our region, there is a major challenge on our hands, he stressed.

Pointing to the economics effect, he noted that the Caribbean had a great cause for concern.

Saying that it was necessary to identify strategies for the primary prevention of these diseases, Manning noted that these would be located by acknowledging that the use of tobacco and alcohol, inadequate physical education and diets that lead to obesity were the most significant factors.

We are hoping to establish a collective approach for accelerating the management and control of non-communicable diseases, including making provisions for screening for early detection and treatment, strengthening our health services infrastructure, ensuring uninterrupted provision of medication especially for those financially challenged. There is a range of issues requiring collective attention, he said.

Commenting on the last Heads of Government Conference held in July, he said a decision had been made that the leaders would pursue functional co-operation as a basis for achieving our community goals and aspirations, and therefore urged the co-operation of the media in helping to outline these required lifestyle changes to the masses.(JM)