Overeating, stress = high BP, diabetes = chronic kidney diseases: Dr Vivek Pathak

[email protected] (CD Network | Photos by Suresh)
June 15, 2015

Mangaluru, Jun 15: Stating that diabetes and high blood pressure are the two primary reasons for chronic kidney diseases (CKD), Dr Vivek Pathak, a renowned nephrologist, said that the prevention of such diseases is cheaper to undergoing treatment later.

Dr Pathak, a consultant nephrologist at Kovai Medical Center and Hospitals, Coimbatore, known for steroids-free kidney transplantations, was speaking at the inauguration of Kidney Patients’ Association in the city on Sunday.

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“Overeating leads to obesity which in turn leads to diabetes and high BP. No one dies by eating less,” he reminded, adding that stress also would invariably contribute to diabetes and high blood pressure.

Besides diabetes and high BP, such diseases could also happen hereditarily, especially when marriages were done among close relatives. Such practices should stop, he said.

Earlier, the association was formally inaugurated by A B Ibrahim, Deputy Commissioner, DK. Speaking on the occasion, he said that CKD were not included in health schemes because of the alleged involvement of kidney rackets.

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However, it was true that patients were forced to undergo physical and financial ordeal, he said. “I will send a proposal to the government to bring them under the Vajpayee Arogyashree scheme,” Mr. Ibrahim said.

In his introductory address, Umar U.H., one of the members of Mangalore Nephro-Urology Charitable Trust that is promoting the association, said unlike other diseases, kidney disease would not be known till both the kidneys were damaged. While many other diseases were covered under government health schemes, chronic kidney diseases were not part of them.

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Those undergoing dialyses as well as transplantation would have to spend thousands of rupees every month for medicines and treatment, he said.

Mohammed Saleem, chairman of the Trust, said it had been conducting awareness programmes on kidney diseases for the past three years. So far, help from society — associations, organisations, temple committees, Masjid jamats etc. — was being taken for treatment or dialysis of poor kidney patients. However, such a practice cannot go for long and the association was conceptualised.

Besides creating a corpus for the financial needs of patients, the association would also work as a collective to demand facilities for them, Dr. Saleem said.

Every dialysis centre would have information centres of the association where new patients would be informed about the procedure of treatment and available alternatives. It would primarily aim at disseminating information, he said.

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News Network
May 10,2020

Bengaluru, May 10: Amid the coronavirus lockdown, two police inspectors were suspended for their alleged involvement in the illegal sale of cigarettes.

"Two police inspectors suspended after an enquiry found their involvement in illegal sale of cigarettes during the lockdown in Bengaluru," informed Joint Commissioner of Police (Crime) Sandeep Patil while speaking to news agency.

More details in this regard are awaited.

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News Network
August 5,2020

Bengaluru, Aug 4: Deputy Chief Minister Dr.CN Ashwathnarayan instructed the Bruhat Bengaluru Mahanagara Palike (BBMP) Commissioner Manjunatha Prasad to set up a separate high-level committee to ascertain the exact cause of coronavirus-related deaths in the state.

He spoke to reporters after a meeting with Prasad on Tuesday.

"The committee, headed by senior officials will audit the reason for the increase in death cases. Has there been a death due to treatment delay? Or are there any shortcomings in the treatment process?" the deputy chief minister said.

He pointed out that based on the report, the committee should try to correct the deficiency and reduce the death rate.

"How many beds are in which hospital? How many patients are on a ventilator? How many have gone home from the hospital? Etc. All information needs to be updated online at the moment. He suggested that this information should be made available to the public online," Ashwaththanarayana said.

Stating that some hospitals are not giving details about the number of beds correctly, he instructed the commissioners to take legal action if differences in their data are found.

He said that there is a shortage of ASHA workers in the city and it needs to be hired immediately.

According to the Ministry of Health and Family Welfare, there are 74,477 active COVID-19 cases in Karnataka and the death toll in the state is at 2,594. 

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Agencies
February 20,2020

India ranked 77th on a sustainability index that takes into account per capita carbon emissions and ability of children in a nation to live healthy lives and secures 131st spot on a flourishing ranking that measures the best chance at survival and well-being for children, according to a UN-backed report.

The report was released on Wednesday by a commission of over 40 child and adolescent health experts from around the world. It was commissioned by the World Health Organization (WHO), UN Children's Fund (UNICEF) and The Lancet medical journal.

In the report assessing the capacity of 180 countries to ensure that their youngsters can survive and thrive, India ranks 77th on the Sustainability Index and 131 on the Flourishing Index, it said.

Flourishing is the geometric mean of Surviving and Thriving. For Surviving, the authors selected maternal survival, survival in children younger than 5 years old, suicide, access to maternal and child health services, basic hygiene and sanitation, and lack of extreme poverty.

For Thriving, the domains were educational achievement, growth and nutrition, reproductive freedom, and protection from violence.

Under the Sustainability Index, the authors noted that promoting today's national conditions for children to survive and thrive must not come at the cost of eroding future global conditions for children's ability to flourish.

The Sustainability Index ranks countries on excess carbon emissions compared with the 2030 target. This provides a convenient and available proxy for a country's contribution to sustainability in future.

The report noted that under realistic assumptions about possible trajectories towards sustainable greenhouse gas emissions, models predict that global carbon emissions need to be reduced from 39·7 giga­ tonnes to 22·8 gigatonnes per year by 2030 to maintain even a 66 per cent chance of keeping global warming below 1·5°C.

It said that the world's survival depended on children being able to flourish, but no country is doing enough to give them a sustainable future.

"No country in the world is currently providing the conditions we need to support every child to grow up and have a healthy future," said Anthony Costello, Professor of Global Health and Sustainability at University College London, one of the lead authors of the report.

"Especially, they're under immediate threat from climate change and from commercial marketing, which has grown hugely in the last decade," said Costello – former WHO Director of Mother, Child and Adolescent health.

Norway leads the table for survival, health, education and nutrition rates - followed by South Korea and the Netherlands. Central African Republic, Chad and Somalia come at the bottom.

However, when taking into account per capita CO2 emissions, these top countries trail behind, with Norway 156th, the Republic of Korea 166th and the Netherlands 160th.

Each of the three emits 210 per cent more CO2 per capita than their 2030 target, the data shows, while the US, Australia, and Saudi Arabia are among the 10 worst emitters. The lowest emitters are Burundi, Chad and Somalia.

According to the report, the only countries on track to beat CO2 emission per capita targets by 2030, while also performing fairly – within the top 70 – on child flourishing measures are: Albania, Armenia, Grenada, Jordan, Moldova, Sri Lanka, Tunisia, Uruguay and Vietnam.

"More than 2 billion people live in countries where development is hampered by humanitarian crises, conflicts, and natural disasters, problems increasingly linked with climate change," said Minister Awa Coll-Seck from Senegal, Co-Chair of the commission.

The report also highlights the distinct threat posed to children from harmful marketing.

Evidence suggests that children in some countries see as many as 30,000 advertisements on television alone in a single year, while youth exposure to vaping (e-cigarettes) advertisements increased by more than 250 per cent in the US over two years, reaching more than 24 million young people.

Studies in Australia, Canada, Mexico, New Zealand and the US – among many others – have shown that self-regulation has not hampered commercial ability to advertise to children.

Children's exposure to commercial marketing of junk food and sugary beverages is associated with purchase of unhealthy foods and overweight and obesity, linking predatory marketing to the alarming rise in childhood obesity, it said.

The number of obese children and adolescents increased from 11 million in 1975 to 124 million in 2016 – an 11-fold increase, with dire individual and societal costs, the report said.

To protect children, the authors call for a new global movement driven by and for children.

Specific recommendations include stopping CO2 emissions with the utmost urgency, to ensure children have a future on this planet; placing children and adolescents at the centre of global efforts to achieve sustainable development, the report said.

New policies and investment in all sectors to work towards child health and rights; incorporating children's voices into policy decisions and tightening national regulation of harmful commercial marketing, supported by a new Optional Protocol to the UN Convention on the Rights of the Child, it said.

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