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Smoking down worldwide, but tobacco use still a major cause of death, disease: WHO

Agencies
May 31, 2018

Geneva, May 31:  Fewer people are smoking worldwide, especially women, but only one country in eight is on track to meet a target of reducing tobacco use significantly by 2025, the World Health Organization (WHO) said on Thursday.

Three million people die prematurely each year due to tobacco use that causes cardiovascular diseases such as heart attacks and stroke, the world's leading killers, it said, marking World No Tobacco Day. They include 890,000 deaths through second-hand smoke exposure.

The WHO clinched a landmark treaty in 2005, now ratified by 180 countries, that calls for a ban on tobacco advertising and sponsorship, and taxes to discourage use.

"The worldwide prevalence of tobacco smoking has decreased from 27 percent in 2000 to 20 percent in 2016, so progress has been made," Douglas Bettcher, director of the WHO's prevention of noncommunicable diseases department, told a news briefing.

Launching the WHO's global report on trends in the prevalence of tobacco smoking, he said that industrialised countries are making faster progress than developing countries.

"One of the major factors impeding low- and middle-income countries certainly is countries face resistance by a tobacco industry who wishes to replace clients who die by freely marketing their products and keeping prices affordable for young people," he added.

Progress in kicking the habit is uneven, with the Americas the only region set to meet the target of a 30 percent reduction in tobacco use by 2025 compared to 2010, for both men and women, the WHO said.

However, the United States is currently not on track, bogged down by litigation over warnings on cigarette packaging and lags in taxation, said Vinayak Prasad of the WHO's tobacco control unit.

Parts of Western Europe have reached a "standstill", particularly due to a failure to get women to stop smoking, African men are lagging, and tobacco use in the Middle East is actually set to increase, the WHO said.

Overall, tobacco kills more than 7 million a year and many people know that it increases the risk of cancer, the WHO said.

But many tobacco users in China and India are unaware of their increased risk of developing heart disease and stroke, making it urgent to step up awareness campaigns, it said.

"The percentage of adults who do not believe smoking causes stroke are for example in China as high as 73 percent, for heart attacks 61 percent of adults in China are not aware that smoking increases the risk," Bettcher said. "We aim to close this gap."

China and India have the highest numbers of smokers worldwide, accounting for 307 million and 106 million, respectively, of the world's 1.1 billion adult smokers, followed by Indonesia with 74 million, WHO figures show. India also has 200 million of the world's 367 million smokeless tobacco users.

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Agencies
February 10,2020

Washington D.C, Feb 10: Children's vulnerability towards depression, anxiety, impulsive behaviour, and poor cognitive performance could be determined by considering the hours of sleep they manage to get.

Sleep states are active processes that support the reorganisation of brain circuitry. This makes sleep especially important for children, whose brains are developing and reorganising rapidly.

In a study by researchers from the University of Warwick -- recently published in the journal Molecular Psychiatry -- cases of 11,000 children aged between 9 and 11 years from the Adolescent Brain Cognitive Development dataset were analyzed to find out the relationship between sleep duration and brain structure.

The study was carried out by researchers Professor Jianfeng Feng, Professor Edmund Rolls, Dr. Wei Cheng and colleagues from the University of Warwick's Department of Computer Science and Fudan University.

Measures of depression, anxiety, impulsive behaviour and poor cognitive performance in the children were associated with shorter sleep duration. Moreover, the depressive problems were associated with short sleep duration one year later.

The reduced brain volume of areas such as orbitofrontal cortex, prefrontal, and temporal cortex, precuneus, and supramarginal gyrus was found to be associated with the shorter sleep duration.

Professor Jianfeng Feng, from the University of Warwick's Department of Computer Science, comments: "The recommended amount of sleep for children 6 to 12 years of age is 9-12 hours. However, sleep disturbances are common among children and adolescents around the world due to the increasing demand on their time from school, increased screen time use, and sports and social activities."

A previous study showed that about 60 per cent of adolescents in the United States receive less than eight hours of sleep on school nights.

Professor Jianfeng Feng further added: "Our findings showed that the total score for behavior problems in children with less than 7 hours sleep was 53 per cent higher on average and the cognitive total score was 7.8 per cent lower on average than for children with 9-11 hours of sleep. It highlights the importance of enough sleep in both cognition and mental health in children."

Professor Edmund Rolls from the University of Warwick's Department of Computer Science also commented: "These are important associations that have been identified between sleep duration in children, brain structure, and cognitive and mental health measures, but further research is needed to discover the underlying reasons for these relationships."

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Agencies
July 7,2020

The World Health Organization (WHO) is reviewing a report that suggested its advice on the novel coronavirus needs updating after some scientists told the New York Times there was evidence the virus could be spread by tiny particles in the air.

The WHO says the Covid-19 disease spreads primarily through small droplets, which are expelled from the nose and mouth when an infected person breaths them out in coughs, sneezes, speech or laughter and quickly sink to the ground.

In an open letter to the Geneva-based agency, 239 scientists in 32 countries outlined the evidence they say shows that smaller exhaled particles can infect people who inhale them, the newspaper said on Saturday.

Because those smaller particles can linger in the air longer, the scientists - who plan to publish their findings in a scientific journal this week - are urging WHO to update its guidance, the Times said.

"We are aware of the article and are reviewing its contents with our technical experts," WHO spokesman Tarik Jasarevic said in an email reply on Monday to a Reuters request for comment.

The extent to which the coronavirus can be spread by the so-called airborne or aerosol route - as opposed to by larger droplets in coughs and sneezes - remains disputed.

Any change in the WHO's assessment of the risk of transmission could affect its current advice on keeping one-metre physical distancing. Governments, which also rely on the agency for guidance policy, may also have to adjust public health measures aimed at curbing the spread of the virus.

"Especially in the last couple of months, we have been stating several times that we consider airborne transmission as possible but certainly not supported by solid or even clear evidence," Benedetta Allegranzi, the WHO's technical lead for infection prevention and control, was quoted as saying in the New York Times.

WHO guidance to health workers, dated June 29, says that SARS-CoV-2, the virus that causes Covid-19, is primarily transmitted between people through respiratory droplets and on surfaces.

But airborne transmission via smaller particles is possible in some circumstances, such as when performing intubation and aerosol-generating procedures, it says.

Medical workers performing such procedures should wear heavy-duty N95 respiratory masks and other protective equipment in an adequately ventilated room, the WHO says.

Officials at South Korea's Centers for Disease Control said on Monday they were continuing to discuss various issues about Covid-19, including the possible airborne transmission. They said more investigations and evidence were needed.

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Agencies
February 20,2020

Tirupur, Feb 20: Nineteen people died in a collision between a Kerala State Road Transport Corporation bus and a truck near Avinashi town of Tirupur district on Thursday morning here.

The bus was on its way to Ernakulam in Kerala from Bengaluru in Karnataka when the mishap occurred.

Deputy Tehsildar of Avinashi Town informed, "19 people that include 14 men and 5 women, died in the collision between the bus and the truck near Avinashi town."

The bodies have been taken to Tirupur government hospital.
Further details are awaited.

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