Benefits of Fruit and Vegetable Consumption on Prevalence of Metabolic Syndrome Are Independent of Physical Activity Behaviors in Older Adults

Although consumption of fruits and vegetables (FV) is suggested to reduce metabolic risk, there is a paucity of studies taking advantage of objectively assessed physical activity (PA) behaviors when exploring links between FV intake and metabolic syndrome (MetS) in older adults. The aim of the present study was to determine the relationship between FV intake and MetS prevalence in a population of older community-dwelling adults, while considering time spent being sedentary and health-enhancing PA. Prevalence of MetS was determined in a population of 93 men and 152 women (age: 65–70 years). FV intake was determined by self-report and PA behaviors (time spent in moderate-to-vigorous PA (MVPA) and in sedentary) were assessed by accelerometry. Likelihood of having MetS by FV intake was determined using logistic regression with stepwise backward elimination including age, sex, educational level, total energy intake, adherence to MVPA guideline and total sedentary time as covariates. A main finding was that lower FV intakes were significantly related to higher prevalence of MetS (odds ratio [OR]: 1.23; 95% confidence interval [CI]: 1.03–1.47) after considering potential influences by covariates. Additionally, we found that lower intake of vegetables but not fruits was significantly related to higher prevalence of MetS (OR: 1.47; 95%CI: 1.04–2.07). In conclusion, lower intakes of FV in general, and of vegetables in particular, significantly increased likelihood of MetS, regardless of time spent sedentary and adherence to the MVPA guideline. From a public health perspective, our findings emphasize adequate intakes of FV as an independent contributor to metabolic health status in older adults.

Vaccinating children against COVID-19: commentary and mathematical modelling

With the recent licensure of mRNA vaccines against COVID-19 in the 5-11 year old age group, the public health impact of a childhood immunization campaign is of interest. Using a mathematical epidemiological model, we project that childhood vaccination carries minimal risk and yields modest public health benefits. These include large relative reductions in child morbidity and mortality, although the absolute reduction is small because these events are rare. Furthermore, the model predicts altruistic absolute reductions in adult cases, hospitalizations, and mortality. However, vaccinating children to benefit adults should be considered from an ethical as well as a public health perspective. From a global health perspective, an additional ethical consideration is the justice of giving priority to children in high-income settings at low risk of severe disease while vaccines have not been made available to vulnerable adults in low-income settings.

Monoclonal Antibody Therapy for COVID-19: A Public Health Perspective From Arkansas

COVID-19 monoclonal antibodies revolutionized the treatment for eligible patients who have tested positive for SARS CoV-2 infection in an ambulatory setting. In this short report, we describe our experience assisting in the distribution of monoclonal antibodies in Arkansas during the summer surge of the delta variant.

Independent and Supplementary Prescribing

Written by a group of multi-professional authors, this fully updated third edition builds on the success of this classic text. The book explores a number of key areas for prescribers, including prescribing within a multidisciplinary team context, consultation skills, ethical and legal issues surrounding prescribing, the psychology and sociology of prescribing, and applied pharmacology. Among the other topics featured are monitoring skills, medicines concordance, evidence based prescribing, prescribing within a public health perspective, calculation skills, prescribing in dermatology, and minimizing the risk of prescribing errors. Each chapter has been revised and additional chapters on antimicrobial prescribing, education and training to become a prescriber, and a new section on renal impairment have been added. This book is an essential resource for both new and experienced prescribers and anyone undertaking the non-medical prescribing (NMP) programme including nurses, pharmacists, allied health professionals and optometrists.

Depoliticizing And Humanizing Climate Change Through A Public Health Frame: A Case Study Of Ontario’s Climate Change Policy Discourse

The relevance of a public health frame in supporting the climate change impact awareness and consensus on actions is well recognized but largely underutilized. Overall, supporting public health’s capacity in climate change has focused on projecting and highlighting public health impacts due to climate change, identifying public health policy responses, and emphasizing public health role. The integration of the public health perspective in the discussion and communication of climate change ideas has remained elusive.<div>Climate change is also a complex social problem whose construction of meaning and actions is rooted in institutionalized language, discourse, and human interactions. Thus, understanding of the construction of the relevance of public health in climate change discourse is central to understanding the impediments of the public health frame application. Unfortunately, this has been a neglected area of research, and the dissertation responded to that gap. </div><div>To delineate the impediments of the public health frame, the study used the case study of the context of climate change policy discourse in the Province of Ontario (Canada) to examine the construction of public health relevance, the extent of public health frame application, and the systematic influences in the discourse.</div><div>The analysis of policy documents and key informant interviews revealed that the public health frame remained isolated from the primary focus of Ontario’s climate change policy discourse. Instead, Ontario’s historically and socially constructed climate change as an economic and political issue solved through market strategies and technological innovations forwarded by political, bureaucratic, and technological elites. The focus substantiated the types of structures and processes of policies and decisions, the relevant actors and knowledge, and the values supporting the discursive, normative, and strategic practices. Ontario’s focus also limited the utilization of the public health frame and the supporting capacities through the misalignment between public health and the provincial strategic actions, the lack of recognition and integration of public health roles, mandate and structures, and limited public health capacity building initiatives.</div><div>Therefore, public health framing as an endpoint of climate change discourse requires legitimation of public health in the underlying institutional structures for, and governance of, climate change. </div>

Depoliticizing And Humanizing Climate Change Through A Public Health Frame: A Case Study Of Ontario’s Climate Change Policy Discourse

The relevance of a public health frame in supporting the climate change impact awareness and consensus on actions is well recognized but largely underutilized. Overall, supporting public health’s capacity in climate change has focused on projecting and highlighting public health impacts due to climate change, identifying public health policy responses, and emphasizing public health role. The integration of the public health perspective in the discussion and communication of climate change ideas has remained elusive.<div>Climate change is also a complex social problem whose construction of meaning and actions is rooted in institutionalized language, discourse, and human interactions. Thus, understanding of the construction of the relevance of public health in climate change discourse is central to understanding the impediments of the public health frame application. Unfortunately, this has been a neglected area of research, and the dissertation responded to that gap. </div><div>To delineate the impediments of the public health frame, the study used the case study of the context of climate change policy discourse in the Province of Ontario (Canada) to examine the construction of public health relevance, the extent of public health frame application, and the systematic influences in the discourse.</div><div>The analysis of policy documents and key informant interviews revealed that the public health frame remained isolated from the primary focus of Ontario’s climate change policy discourse. Instead, Ontario’s historically and socially constructed climate change as an economic and political issue solved through market strategies and technological innovations forwarded by political, bureaucratic, and technological elites. The focus substantiated the types of structures and processes of policies and decisions, the relevant actors and knowledge, and the values supporting the discursive, normative, and strategic practices. Ontario’s focus also limited the utilization of the public health frame and the supporting capacities through the misalignment between public health and the provincial strategic actions, the lack of recognition and integration of public health roles, mandate and structures, and limited public health capacity building initiatives.</div><div>Therefore, public health framing as an endpoint of climate change discourse requires legitimation of public health in the underlying institutional structures for, and governance of, climate change. </div>

Geographical Landscape and Transmission Dynamics of SARS-CoV-2 Variants Across India: A Longitudinal Perspective

Globally, SARS-CoV-2 has moved from one tide to another with ebbs in between. Genomic surveillance has greatly aided the detection and tracking of the virus and the identification of the variants of concern (VOC). The knowledge and understanding from genomic surveillance is important for a populous country like India for public health and healthcare officials for advance planning. An integrative analysis of the publicly available datasets in GISAID from India reveals the differential distribution of clades, lineages, gender, and age over a year (Apr 2020–Mar 2021). The significant insights include the early evidence towards B.1.617 and B.1.1.7 lineages in the specific states of India. Pan-India longitudinal data highlighted that B.1.36* was the predominant clade in India until January–February 2021 after which it has gradually been replaced by the B.1.617.1 lineage, from December 2020 onward. Regional analysis of the spread of SARS-CoV-2 indicated that B.1.617.3 was first seen in India in the month of October in the state of Maharashtra, while the now most prevalent strain B.1.617.2 was first seen in Bihar and subsequently spread to the states of Maharashtra, Gujarat, and West Bengal. To enable a real time understanding of the transmission and evolution of the SARS-CoV-2 genomes, we built a transmission map available on https://covid19-indiana.soic.iupui.edu/India/EmergingLineages/April2020/to/March2021. Based on our analysis, the rate estimate for divergence in our dataset was 9.48 e-4 substitutions per site/year for SARS-CoV-2. This would enable pandemic preparedness with the addition of future sequencing data from India available in the public repositories for tracking and monitoring the VOCs and variants of interest (VOI). This would help aid decision making from the public health perspective.