Draft EU research programme doesn't deal with disease risk factors, say public health doctors

BMJ ◽  
2013 ◽  
Vol 347 (oct07 2) ◽  
pp. f6057-f6057 ◽  
Author(s):  
R. Watson
2020 ◽  
Vol 20 (2) ◽  
pp. 860-870
Author(s):  
Monica Ewomazino Akokuwebe ◽  
Clifford Odimegwu ◽  
Femi Omololu

Background: Kidney disease (KD) is increasingly recognized as a major public health problem worldwide with rising inci- dence and prevalence. Early identification of KD risk factors will slow down progression to kidney failure and death. Objective: To determine the prevalence, risk-inducing lifestyle and perceived susceptibility among Nigerians in South-west- ern Nigeria. Methods: A pretested structured questionnaire was employed to draw information on socio-demographic, knowledge, risk-inducing lifestyle and perceived susceptibility to conventional risk factors of KD from 1757 residents aged ≥15 years. Results: The mean age of the respondents was 47.61±13.0 years with a male-female ratio of 1.13:1. Knowledge of KD was low (mean score 2.29; 95% CI: 2.18, 2.32). The prevalence of some established KD risk factors was regular use of herbal medications, 26.8% and physical inactivity, 70.0%. Females with factors such as use of herbal drink [RRR: 1.56; CI=1.06- 2.30; p=0.02] and smoking [RRR: 2.72; CI=1.37-5.37; p=0.00] predicted increased odds of perceived susceptibility to KD than their male counterparts. Conclusion: The prevalence of KD risk-inducing lifestyles was high. More emphasis should be placed on effective public health programmes towards behavioural change in order to adopt lifestyle modification as well as to reduce the tendency to develop KD. Keywords: Kidney disease; risk-inducing lifestyles; perceived susceptibility.


2021 ◽  
Vol 1 (2) ◽  
pp. 88-94
Author(s):  
Emma Novita Emma ◽  
Agita Diora Fitri ◽  
Tia Sabrina ◽  
Andyra Priandhana ◽  
Muhammad Musa ◽  
...  

Health istitha'ah is the health ability of the pilgrims physically and mentally with a measurable health assesment. It is essential for every citizen who will perform the hajj pilgrimage. The Indonesian Ministry of Health through the Non-Infectious Disease Integrated Service Post (Posbindu PTM) implements an early detection and prevention program for non-infectious diseases in sub-districts, schools or colleges, institutions or workplaces, and Hajj guidance groups (KBIH) especially for pilgrims. The department of public health and community medicine (IKM-IKK) of the Faculty of Medicine, Sriwijaya University perform an education on the detection of risk factors for non-infectious diseases and physical fitness assesment of prospective pilgrims in the context of community service activities at KBIH Bisri Palembang. Examinations were done on 40 prospective pilgrims using the Rockport test method. The results of the examination showed that the 24 pilgrims had moderate fitness level (60%). The blood pressure test results showed that 9 pilgrims had hypertension (22%) and the nutritional status test showed that 20 pilgrims were overweight and obese (38.5%). In addition, there is an assesment for prospective hajj pilgrims in order to understanding risk factors for non-infectious diseases. The result shows that there is a significant increase in understanding about non-infectious diseases in the adaptation of new habits.      


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e044707
Author(s):  
Helen E Clough ◽  
K Marie McIntyre ◽  
Grace E Patterson ◽  
John P Harris ◽  
Jonathan Rushton

ObjectivesReporting of COVID-19 cases, deaths and testing has often lacked context for appropriate assessment of disease burden within risk groups. The research considers how routine surveillance data might provide initial insights and identify risk factors, setting COVID-19 deaths early in the pandemic into context. This will facilitate the understanding of wider consequences of a pandemic from the earliest stage, reducing fear, aiding in accurately assessing disease burden and ensuring appropriate disease mitigation.SettingUK, 2020.ParticipantsThe study is a secondary analysis of routine, public domain, surveillance data and information from Office for National Statistics (ONS), National Health Service (NHS) 111 and Public Health England (PHE) on deaths and disease.Primary and secondary outcome measuresOur principal focus is ONS data on deaths mentioning COVID-19 on the death certificate. We also consider information provided in NHS 111 and PHE data summaries.ResultsDeaths with COVID-19 significantly contributed to, yet do not entirely explain, abnormally elevated all-cause mortality in the UK from weeks 12–18 of 2020. Early in the UK epidemic, COVID-19 was the greatest threat to those with underlying illness, rarely endangering people aged under 40 years. COVID-19-related death rates differed by region, possibly reflecting underlying population structure. Risk of COVID-19-related death was greater for healthcare and social care staff and black, Asian and minority ethnic individuals, having allowed for documented risk factors.ConclusionEarly contextualisation of public health data is critical to recognising who gets sick, when and why. Understanding at-risk groups facilitates a targeted response considering indirect consequences of society’s reaction to a pandemic alongside disease-related impacts. COVID-19-related deaths mainly mirror historical patterns, and excess non-COVID-19-related deaths partly reflect reduced access to and uptake of healthcare during lockdown. Future outbreak response will improve through better understanding of connectivity between disease monitoring systems to aid interpretation of disease risk patterns, facilitating nuanced mitigation measures.


Author(s):  
Irfan Sharif Shakoori ◽  
Fauzia Aslam ◽  
Gohar Ashraf ◽  
Hammad Akram

Chronic diseases and multimorbidity are becoming an alarming public health problem of this century. Multimorbidity is defined as “having two or more chronic diseases at one time in a person” and a result of complex biological, psychological and social phenomenon. The risks of multimorbidity can be divided into modifiable (behavioral factors) and non-modifiable (age, genetics) factors. Socioeconomic disadvantage and environmental factors can also influence on causation of it. Strategies aligned with primary, secondary and tertiary stages of prevention can help in the prevention of multimorbidity and reduction in complications among diseased. Multimorbidity requires multidimensional programs implemented through multiple stakeholder and policymaker’s collaboration.


Crisis ◽  
1999 ◽  
Vol 20 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Annie Mino ◽  
Arnaud Bousquet ◽  
Barbara Broers

The high mortality rate among drug users, which is partly due to the HIV epidemic and partly due to drug-related accidental deaths and suicides, presents a major public health problem. Knowing more about prevalence, incidence, and risk factors is important for the development of rational preventive and therapeutic programs. This article attempts to give an overview of studies of the relations between substance abuse, suicidal ideation, suicide, and drug-related death. Research in this field is hampered by the absence of clear definitions, and results of studies are rarely comparable. There is, however, consensus about suicidal ideation being a risk factor for suicide attempts and suicide. Suicidal ideation is also a predictor of suicide, especially among drug users. It is correlated with an absence of family support, with the severity of the psychosocial dysfunctioning, and with multi-drug abuse, but also with requests for treatment. Every clinical examination of a drug user, not only of those who are depressed, should address the possible presence of suicidal ideation, as well as its intensity and duration.


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