Podcasts about non communicable diseases

As any parent knows, it is really important to help our children to make healthy food choices. I know as a father who cooks for my child, it is really critical that I introduce her to fruits and vegetables and encourage whole grains and try to manage the amount of additional sugars, but it's hard. We do this with the goal of trying to make sure that our child is able to eat healthy once she leaves the home. That she's able to make healthy choices there. But it's not just about the future. My child is making choices even today at school and outside of school, and the question is, can we help her make those choices that are going to lead to healthy food outcomes? Do food labels on products encourage children to make healthy food choices if it indicates good ingredients? Or would labels that warn against nutrients of concern actually discourage kids from using those or consuming those products? Today we're going to actually explore those questions in a particular context- in Chile. In 2016, the Chilean government implemented a comprehensive set of obesity prevention policies aimed at improving the food environment for children. Last year on this podcast, we actually explored how the Chilean food laws affected school food purchases. But now today, we're going to explore how food labels are influencing youth outside of school. It is my pleasure to welcome back my colleagues, Gabriela Fretes, who is an associate research fellow at the International Food Policy Research Institute, or IFPRI; and Sean Cash, who is an economist and chair of the Division of Agriculture, food and Environment at Tufts University at the Friedman School of Nutrition, Science and Policy. Interview Summary Gabi and Sean, I'm excited to discuss our new paper, Front of Pack Labels and Young Consumers an Experimental Investigation of Nutrition and Sustainability Claims in Chile that was recently published in a Journal of Food Quality and Preference. Gabi, let's begin with you. So why look at Chile? Can you explain the focus of the Chilean labeling and food environment policies there? So, the setting of our study, as in the previous study, was Chile because recently the country implemented the law of food labeling and advertising, which includes three main components. The first one being mandatory front of package warning labels on packaged goods and beverages. The second one being restrictions on all forms of food marketing directed to children younger than 14 years. So, including printed media, broadcast, and also all digital media. And the third component being at school regulations at different levels including preschool, elementary, and high school levels. Briefly, food manufacturers in Chile must place front of package labels on packaged foods or beverages that are high in specific nutrients of concern, including added sugars, saturated fats, sodium, and or energy. This law was implemented in three stages, starting in June 2016. The last stage was implemented in June 2019. So, it has been already six or seven years since the full implementation of the regulation. Specifically talking about the school component because this, yeah, it relates to children and adolescents. The law mandates that foods and beverages with at least one front of pack warning label cannot be sold, promoted, or marketed inside schools. And this includes the cafeteria, the school kiosks, and even events that are happening inside the schools. And additionally, food and beverages that have at least one front pack warning label cannot be offered as part of school meal programs. In addition to this front of pack warning label regulation, Chile also implemented voluntary eco labels starting in 2022 that provide information about the recyclability of food packages specifically. There is a certification process behind this labeling regulation and the eco label can be displayed if the food or beverage package is at least 80% recyclable. Wow. This is a really comprehensive set of policies to encourage healthier food choices, both at the school and then also outside of the school. I'm excited to discuss further what this may do to food choices among children. Sean, that really brings up the question, why is it important to look at young consumers and their food choices and what makes them unique compared to adults? Thanks for asking Norbert. This is an area where I've been interested in for a while. You know, young consumers play a crucial role in shaping the demand for food and long-term dietary habits. And young consumers might be more open to incorporating dietary advice into those long-term habits than adults might be. Just perhaps kids are less set in their ways. Children and adolescents are both current, but also future consumers with growing autonomy in what they choose around food as they get older. To marketers, we sometimes would say they might represent a three-in-one market. First, they spend their own money on snacks. What you could think of as the primary market. And how children spend money autonomously is really something that hasn't been studied enough by researchers. Although it's an area where I have tried to make a contribution. Second, kids influence household purchases. This is sometimes called pester power. You can think of a kid in the supermarket begging a parent to buy a favorite snack or a certain brand of cereal. But this can also be more socially positive in that kids might be agents of change within their households. Encouraging perhaps other family members to buy healthier food items if they get more interested in that. And third, this three-in-one market is rounded out by the fact that children represent future purchasing power as future adults. So, the habits that they're forming now might influence what they do when they're older. Despite this importance for marketers, but also for pro-social behavior change, there really hasn't been a lot of research on youth food purchasing behaviors. And this question that we are looking at here of how kids might respond to front to package labels has been particularly limited. In this project, we wanted to understand how Chilean adolescents might respond both to nutrition warning labels, but also eco labels, and how they consider price when choosing snacks. We were lucky to be able to recruit a sample of over 300 kids, aged 10 to 14, to participate in these experiments. I know we're going to chat a bit more about what we found, but in general, our results suggest that while price is perhaps the biggest factor in explaining what the kids chose in our experiment, that some of these youth showed preferences for the eco labels, which could be indicative of an emerging interest in sustainability issues. But overall, understanding these behaviors is really important because the food choices made during childhood and adolescence can persist in adulthood. And this can be really something that helps change long-term health outcomes.   Gabi, let's talk a little bit more about eco labels for a moment. What are they, and how do these echo labels influence children's snack choices? What did they tell us about their awareness of sustainability? That's a great question, Norbert. Thanks. In our study specifically, we found that eco labels, had a greater influence on adolescents' snack choices than nutrition warning labels these black and white octagons that are displayed on the front of the package of products in Chile. And this suggests that some young consumers are becoming more aware of environmental issues, or at least in our sample. One possible explanation for this could be that eco labels suggest positive emotions rather than warnings, as with the nutrition labels. Which might feel more restrictive. Unlike the nutrition labels that tell consumers what not to eat, eco labels, on the other hand, highlight a product's benefits, making it more appealing. This could be one of the reasons. Related to that, adolescents may also associate eco-friendly products with social responsibility aligning with increasing youth-driven environmental movements that are very prevalent around the world. However, not all adolescents in our sample responded equally to the eco labels that were presented to them in the snacks. Our study specifically found that those who receive pocket money were more likely to choose eco label snacks. And this could be possibly because they have more autonomy over their purchases and their personal values could be playing a bigger role in their choices. If eco labels are really influencing children and adolescents with choices, one intervention that could be potentially beneficial could be to incorporate sustainability messaging in school food and nutrition education in order to reinforce those positive behaviors. And make them part of the daily food choices that they make. In making sustainable food more affordable, government incentives or retailer promotions could encourage youth to choose more eco-friendly snacks. Given that price, as we saw in our study, remains a key factor for choice. Lastly, not all eco labels are created equal. And this suggests that clear standardization and regulation are needed to prevent misleading claims. And ensure that adolescents receive accurate information about the sustainability of their food choices. Ultimately, the eco labeling, of course, is not a silver bullet. It's not going to solve all the environmental issues, but it represents a promising tool to nudge consumers. So our better dietary and environmental behaviors. Gabi, you talked about how the eco labels have a bigger effect than nutrition warning. And overall, the nutrition warning labels didn't really have that big of an effect on snack food choices. Why do you think that's the case? Yes, this was really one surprising finding in our study. That front of pack nutrition warning labels did not significantly impact children's and adolescents' snack choices. And this kind of contradicts some previous research suggesting that warning labels can help consumers make healthcare choices. And there are several possible explanations for why this could be happening. The first one could be just lack of interest. So compared to adults, children and adolescents may be just more responsive to positive rather than negative messaging. Because negative messages related to nutrition might not seem relevant to them because they feel healthy in the present. They just are not interested in those kinds of messages. The second could be label fatigue. We discuss this in our paper and basically it is because Chile's regulation was already introduced in 2016. Given that it has been already some time since implementation, young consumers may have become habituated to seeing the warning labels on food products. So, like how adults also experience label fatigue, and this is documented in the evidence, children and adolescents might no longer pay attention or pay less attention to the warning. Third possible explanation is it relates to taste and brand loyalty. For this point, research shows that for youth specifically, taste remains the top priority when they choose food. So often outweighing any other factors including health concerns. If a favorite snack, for example, has warning labels but remains tasty and familiar to the kid, the label alone may not discourage them from choosing that snack. And lastly, social and environmental factors. Our study found, as we already mentioned, that eco labels had a stronger influence that nutrition warnings, and this could indicate that children and adolescents are just more responsive to messages about sustainability than to warnings, which they may perceive as less immediate. Thank you for sharing that. And at this moment in the US there is a conversation about front of pack labels. And the work that you are showing in this paper may even point to some of the things that may happen if we see similar front of pack labels here in the US. I'll be looking forward to see what happens with that effort right now. Sean, I want to turn to you and ask an economist type question. What role does price play in adolescent food choices? Not only price, but the availability of pocket money? And how do you think that should influence policy? Our study shows that price is the most significant factor influencing the snack choices of the kids in our study. And higher prices definitely reduce the likelihood of seeing a certain product being selected. It was kind of interesting. Interestingly, this effect was consistent regardless of whether the kids regularly received pocket money. Suggesting that even those that don't receive spending money still are paying attention to price. And this was a little bit different from what we found in some other studies that I've been able to work on, in the US and Germany, that suggested that previous experience with pocket money, or getting an allowance, was really important for understanding which kids might be most careful about spending their own money. I don't know if that's something different in the Chilean context than those other contexts. Or if that was just about what the kids in this particular study were paying attention to because we're asking about different things. But when we look more closely at the kids in our Chilean study, we found some important differences. As Gabi already mentioned, those kids who received pocket money were the ones who were more positively inclined to choosing products with the eco labels. And that suggests that they might be valuing sustainability a little bit more when making their own choices. Perhaps because they're already a little bit more familiar with some of those dynamics of spending their own money. Whereas those without pocket money were more likely to choose cheaper options or sometimes the healthier options like the apples that we provided as an option in our study. And suggesting they're focused more on affordability or health. So, what this means for policy, given the strong influence of price, it means that policy interventions that focus on price, like taxes on unhealthy foods or perhaps subsidies for healthier options, might be effective tools in guiding better choices for these kids. But also, programs promoting budgeting skills and food literacy might help adolescents make more informed decisions both about the nutrition and the sustainability of the foods they're eating. Finally, since some kids are responding positively to eco labels, integrating sustainability messages with the nutrition education could enhance the impact of food labeling policies. Overall, combining price policies and education labeling strategies could be really effective in driving meaningful changes in children and adolescent food choices. Sean, thank you. And it's really important to appreciate the differences that may occur when we think about a country like Chile versus the US or in some of your other work in Germany. And understanding that youth culture may be different and may be shaping these behaviors. But it's very clear that all people, it sounds like, are responding to price. And that's a constant that we're seeing here. Sean, here's my final question for you. What is the take home implications of this study? Well, first and foremost, our findings here suggest that nutrition labeling alone isn't necessarily going to be enough to drive healthier choices among children and adolescents. It can be part of an answer, but policymakers looking to promote healthier food choices might need to compliment labeling with education campaigns that reinforce the meaning of these warnings and integrate them into school-based nutrition programs. That said, I think that Chile has already been a leader in this regard, because the food items that get the warning labels in the Chilean context are the same ones that are subject to different restrictions on marketing or sales in schools, as well. I do think that we're going to see kids and eventually adults just become more familiar with these categorizations because of the consistency in the Chilean law. Also, on the eco label side, leveraging that kind of eco labeling alongside nutrition messaging might be an effective combination to help promote both healthier and more sustainable food choices. And finally we've been talking about new front to pack labeling schemes here in the United States. And it's really important to make sure we learn as much as possible from the experiences with such policies in other countries. Chile's really been a world leader in this regard and so I'm very happy to have tried to contribute to an understanding of how people use these labels through this study and through some of the other projects that Gabi, you and I have all been involved in. Bios Gabriela (Gabi) Fretes is an Associate Research Fellow in the Nutrition, Diets, and Health (NDH) Unit of the International Food Policy Research Institute. She received her PhD in Food and Nutrition Policies and Programs at the Friedman School of Nutrition Science and Policy, Tufts University, USA in 2022 and holds a master's in food and nutrition with a concentration on Health Promotion and Prevention of Non-Communicable Diseases from the Institute of Nutrition and Food Technology, University of Chile. Her research interests are at the intersection of child obesity prevention, food policy and consumer behavior, and her doctoral thesis involved evaluation of a national food labeling and advertising policy designed to improve the healthfulness of the food environment and address the obesity epidemic in Chile, particularly among children. She has worked with a broad range of government, international organizations, academia, public and private sector stakeholders and decision-makers in Paraguay, Chile, and the United States of America. Sean Cash is an economist and Chair of the Division of Agriculture, Food and Environment at the Friedman School of Nutrition Science and Policy at Tufts University. He conducts research both internationally and domestically on food, nutrition, agriculture and the environment. He is interested in environmental impacts on food and beverage production, including projects on crop quality and climate change, consumer interest in production attributes of tea and coffee, and invasive species management. He also focuses on how food, nutrition, and environmental policies affect food consumption and choice, with specific interest in children's nutrition and consumer interest in environmental and nutritional attributes of food. He teaches courses in statistics, agricultural and environmental economics, and consumer behavior around food. He is currently Specialty Chief Editor of the Food Policy and Economics section of Frontiers in Nutrition, and has previously served as an Editor of the Canadian Journal of Agricultural Economics as well as the Chair of the Food Safety and Nutrition Section of the Agricultural and Applied Economics Association.

South Africa currently faces a dire health crisis. Diabetes now ranks as the second leading cause of death in South Africa after tuberculosis, with a concerning 25 000 deaths attributed to the disease in 2022. Diabetes affects 12 percent of the adult population in South Africa, wreaking havoc to the family’s livelihood and the individual’s health, workplace productivity, – as well as the national fiscus. Diabetes, on diagnosed patients alone, costs South Africa’s health system a whopping R2.7 billion. And this is where increasing the sugar tax from 10 to 20 percent would help. The Healthy Living Alliance (HEALA) still maintains that the South African government has an opportunity to curb the prevalence of NCDs in South Africa, including diabetes, obesity, and related health issues. Zukiswa Mzimela, Heala Comms Manager. See omnystudio.com/listener for privacy information.

I denne episoden er hovedtema spiseforstyrrelser og gjesten vår heter Therese Mathisen. Therese jobber som førsteamanuensis for Høgskolen i Østfold og er utdannet som ernæringsfysiolog. I tillegg har hun skrevet en doktorgrad på spiseforstyrrelser og hvordan behandle de med spiseforstyrrelser. I sin doktorgrad tester hun ut en ny behandlingsmetode som baserer seg på trening og ernæringsterapi. Kan man behandle de med spiseforstyrrelser med de to arenaene, sett ut i fra et tilsynelatende logisk perspektiv, burde unngå?I tillegg kommer vi innpå hva en spiseforstyrrelse er, hvilke populasjoner i samfunnet får det, og hvordan sosiale medier er med på å påvirke vårt syn på kropp samt mye mer. Kontaktinformasjon og nyttige linker:https://www.researchgate.net/profile/Therese_Mathisen⁠⁠www.tfmathisen.no⁠⁠Relevante artikler:Mathisen, T. F., Rosenvinge, J. H., Pettersen, G., Friborg, O., Vrabel, K., Bratland-Sanda, S., ... & Sundgot-Borgen, J. (2017). The PED-t trial protocol: The effect of physical exercise–and dietary therapy compared with cognitive behavior therapy in treatment of bulimia nervosa and binge eating disorder. BMC psychiatry, 17(1), 180.Mathisen, T. F., & Olsen, T. (2016). Når kroppsfokus blir patologisk: Sosiale medier, fitness og spiseforstyrret atferd. Norsk tidsskrift for ernæring, 3.Mathisen, T. F., Rosenvinge, J. H., Friborg, O., Pettersen, G., Stensrud, T., Hansen, B. H., ... & Bratland‐Sanda, S. (2018). Body composition and physical fitness in women with bulimia nervosa or binge‐eating disorder. International Journal of Eating Disorders, 51(4), 331-342.Mathisen, T. F., Bratland-Sanda, S., Rosenvinge, J. H., Friborg, O., Pettersen, G., Vrabel, K. A., & Sundgot-Borgen, J. (2018). Treatment effects on compulsive exercise and physical activity in eating disorders. Journal of eating disorders, 6(1), 43.Mathisen, T. F., Sundgot-Borgen, J., Rosenvinge, J. H., & Bratland-Sanda, S. (2018). Managing Risk of Non-Communicable Diseases in Women with Bulimia Nervosa or Binge Eating Disorders: A Randomized Trial with 12 Months Follow-Up. Nutrients, 10(12), 1887.Mathisen, T. F., Rosenvinge, J. H., Friborg, O., Vrabel, K., Bratland‐Sanda, S., Pettersen, G., & Sundgot‐Borgen, J. (2020) Is physical exercise and dietary therapy a feasible alternative to cognitive behavior therapy in treatment of eating disorders? A randomized controlled trial of two group therapies. International Journal of Eating Disorders.

In response to the increasing mortality associated with Non-Communicable Diseases (NCDs) and their risk factors, the National NCD Committee has convened a high-level stakeholder consultation aimed at fostering collaboration and strengthening national strategies for prevention and control. The consultation is taking place at the 5th Floor Conference Room, Finance Administrative Centre, Pointe Seraphine. The event brings together key stakeholders to engage in knowledge sharing and explore a whole-of-society approach to combatting NCDs. The consultation seeks to improve the visibility of the Ministry of Health's efforts in addressing NCDs, raise awareness of their significant impact on morbidity and mortality, and strengthen community-based initiatives through partnerships with athletic clubs and other organizations. 

Non-communicable diseases such as diabetes, hypertension, heart disease, and cancer are increasingly becoming a public health crisis in South Africa. Diabetes, particularly Type 2, is the leading cause of death, making up over 90% of all diabetes cases. According to Percept, a Cape Town-based consulting firm, nearly 5.6 million South Africans were living with diabetes in 2019, with projections indicating this number could rise to 8.75 million by 2040. The primary driver of diabetes is obesity, which stems from poor lifestyle choices, with almost half of the adult population being overweight or obese. For more on this, Elvis Presslin spoke to Healthy Living Alliance (HEALA) programme manager Dr Petronell Kruger 

Chances are, you know someone who has a non-communicable disease, like diabetes, hypertension, high cholesterol or obesity. In fact, you probably know someone who has all four of these conditions. The National Health and Morbidity Survey 2023: Non-Communicable Diseases and Healthcare Demand, reveals that more than half a million Malaysian adults (2.5% of population), suffer from all four diseases, and are at risk of stroke or heart disease. On this Public Health episode, Professor Dr Sharifa Ezat Wan Puteh, Professor in Health Economics, Hospital & Health Management, from Universiti Kebangsaan Malaysia, joins Azrul Mohd Khalib to unpack the findings of NHMS 2023, which also revealed startling statistics about other health parameters, including sleep, health screening, and mental health disorders.Image credit: National Health and Morbidity Survey 2023, Ministry of Health

Confronting the scourge of non-communicable diseases by Radio Islam

Caribbean Wellness Day is held annually in all CARICOM countries, on the second Saturday of September. This event is geared towards increasing awareness and promoting activities to address Non-Communicable Diseases including mental health. The theme for Caribbean Wellness Day is, “Power Through Collective Action”, which spans the period 2020 to 2024.   In keeping with this theme, the Ministry of Health, Wellness and Elderly Affairs will collaborate with partners throughout the month of August and early September to undertake several precursor activities building up to Caribbean Wellness Day which will be observed on September 9th, 2023. Please take note of this important date. These precursor activities will complement many of the initiatives undertaken by the Ministry of Health to improve the health and wellbeing of the nation in accordance with its mandate to improve health for all. Many activities hosted by partnering agencies will contribute to the “St. Lucia Moves” initiative which encourages increase in age-appropriate physical activity across the island and in workplaces. This is in keeping with regional and global health strategies to reduce and to manage non-communicable diseases through exercise. Persons should take advantage of the many health screening programmes that are being conducted at health facilities and through community and workplace outreach activities. This will contribute to the “Know Your Numbers” initiative where all Saint Lucians are encouraged to know their blood pressure, blood sugar, weight and cholesterol level, among others. Knowing these numbers will allow for the early detection and management of chronic health conditions like hypertension and diabetes, which can lead to premature death.  There will also be activities that speaks to our nutrition and mental health. For us to succeed as a nation in the prevention and management of non-communicable diseases, we must contribute in whatever way we can to make this a reality. As a result, the Ministry of Health is calling on all public and private sector agencies, faith-based organization and non-profit organizations to be involved in the many activities leading up to Caribbean Wellness Day.  These activities will include healthy competitions and fun filled and relaxation moments. The precursor activities will commence with a Bike Ride on August 1st, Emancipation Day, which will be hosted by Move2Live of the St. Lucia Mission of Seventh Day Adventists. On the August 11th, the Vieux Fort Wellness Centre will host a workplace wellness health screening session for our Police Officers and Firemen in the south of the island. The technical team at the Ministry of Health will use the various media houses and social media platforms to inform you of the many more activities planned by our partners for August and early September. The Ministry of Health encourages everyone to engage in healthy lifestyle like being physically active, engage in healthy eating, to quit smoking if you do, to reduce your alcohol consumption to recommended safe levels, to get annual checks and to improve your relationship with family and friends.  Let us embrace a culture that values and supports the holistic well-being of every citizen, for a healthier, happier, and more prosperous Saint Lucia.

In this podcast Dr. Rakesh Gupta signifies the risk factors for many non-communicable diseases like diabetes, hypertension, kidney diseases and coronary artery disease and how to take care of patients in most effective ways possible.

During the session, listeners can understand the rising tide of various non-communicable diseases like Diabetes, Heart attacks, Obesity, Cardiovascular Diseases and what to do in such cases and how to take control of our lives back.

In 2016, the Chilean government implemented a comprehensive set of obesity prevention policies aimed at improving the food environment for children. Results from a multi-year study of that regulation, published in the International Journal of Behavioral Nutrition and Physical Activity, can now tell us if Chilean children are better off as a result of the policy. Guests on this podcast include: Dr. Gabriela "Gabi" Fretes. She is an Associate Research Fellow at the International Food Policy Research Institute. Dr. Camila Corvalan is the Director of the Center for Research in Food Environments and the Prevention of Chronic Diseases Associated with Nutrition at the University of Chile. And, Dr. Sean Cash is an economist, Associate Professor of Agriculture, Food, and the Environment, and the Bergstrom Foundation Professor in Global Nutrition at Tufts University. Interview Summary   Sean, let's set the stage for this conversation. When crafting food policy, what should policymakers consider with respect to children and adolescents, both as current and future consumers in the food system?   I would argue that children and adolescents should be a priority, if not the priority in how we consider dietary policy for a few reasons. In the United States and elsewhere, we often argue quite heatedly about the proper role of government, with the arguments for health-promoting policies seemingly running into conflict with concerns about paternalistic interventions and restrictions on personal choice. These are important and perhaps unavoidable discussions to have. But when it comes to kids, we've already long had standards for school meals, what packaged snacks can be sold in schools, etc. We don't treat children as legally independent in other ways. So while there's still a lot of room for disagreement, it may be less daunting to actually keep child nutrition in the forefront when we consider how food policies around diet need to evolve. Perhaps more importantly, I would note that food marketers have long seen children as an important three-in-one market. One, kids have influence over food choices within their households. Think of a kid shopping with a parent in a supermarket and pointing at things she'd like mom or dad to buy. We sometimes call this pester power. Two, kids have their own spending money, and much of what they choose to spend it on is food. Often the types of energy-dense, nutrition-poor snack foods that are exactly the foods subject to labeling under the Chilean law we're talking about today. And three, kids grow up to be adult consumers, and their preferences and knowledge are heavily influenced by the things to which they're exposed in childhood. For the same reasons that food marketers are interested in children, policymakers should be. Kids have influence in in their households now. They're buying food on their own now. What they do now will influence their future behaviors and future health.   Thank you, Sean. I have got to say, I went grocery shopping with my child yesterday and I appreciate your thoughts on how we should think about what policymakers should engage, not just in the U.S. but anywhere when we are thinking about helping kids make good choices that will have long-term implications. Thank you for that. I want to turn our attention to the research paper that we're discussing now, titled, "Changes in Children's and Adolescent's Dietary Intake "After the Implementation of Chile's Law "of Food Labeling, Advertising, and Sales in Schools." So, Gabi, my question to you is this. One of the key components of the Chilean law was regulating food offerings in schools. Can you explain the focus of that policy and how it is intended to work?   Yes. Before we speak about schools, we should speak about Chile's law in general. Chile's law of food labeling and advertising includes three main components. The first one being mandatory front-of-package warning labels on packaged foods and beverages. The second being restrictions on all forms of food marketing directed to children younger than 14 years. The third one is school regulations at the preschool, elementary, and high school levels. Briefly, food manufacturers must place front-of-pack warning labels on packaged foods and beverages that are high in added total sugars, saturated fats, sodium, and energy. This law was implemented in stages starting in June, 2016. The law mandates that food and beverages with at least one front-of-pack warning label cannot be sold, promoted, or marketed inside schools. That includes school kiosks, cafeterias, and events that happen inside schools. Additionally, food and beverages with front-of-pack warning labels cannot be offered as part of the school meals program or as free samples or gifts. Chile's set of regulations is unique because it includes a package of interventions covering several aspects of the school food environments, such as the availability of foods for sale inside schools, school meal program standards, and restrictions on food marketing directed to children.   Wow, Gabi, this is a very comprehensive law. So what did the team hope to test in the longitudinal study? Could you explain the main findings?   Yes. So with this study, our team aimed to assess if children and adolescents' intake of total sugars, saturated fats, and sodium consumed at school changed after the initial implementation of the regulation. The team was also interested in exploring how children navigated different food environments. We also evaluated changes in intake at home and different settings from home and school. So, what did we find? Intake of most nutrients of concern, those nutrients under the scope of Chile's law, including total sugars, saturated fats, and sodium significantly declined at school both for kids and adolescents. At home, we also found significant declines in kids' total sugar intake, but no changes for adolescents. What makes this more interesting even is that we found evidence of partial compensatory behavior at restaurants, corner stores, street food, among others. Which means that kids and adolescents were consuming less healthy foods outside their school and home.   Thank you, Gabi. I want to now turn to Camila. I'm really curious about this compensatory behavior. The study found this evidence of students compensating somewhat for the healthy foods at school by eating more sugars, saturated fats, and sodium at other locations outside of school. Why do you think this happened?   Norbert, I believe this is a very interesting finding, and there are probably three main reasons why we observed this result in the study. First of all, we know that children, as they age, start to consume much more food from places outside of home. This is something that has been shown previously. We know that when kids start to age, they start to get more sugar, more saturated fat, more energy from restaurants and fast food outlets. This is something that we would expect in a longitudinal study such as the one that we conducted. Secondly, the Chilean law did not include regulation around the schools - so in the neighborhoods that surround the school. This was originally part of the regulation. But, during the discussion and designing, we had to drop this component of the regulation. Basically what we approved is that there were restrictions in the schools, but outside there was no restriction in terms of marketing or the offer of unhealthy foods to children. Finally, it's likely that the regulation influenced some kids in a positive way. They really changed their behavior. But it's also possible that other kids did not really change their behavior. Once they had the opportunity of going outside of the school, they just kept buying unhealthy foods with high content of sugar, saturated fat, and sodium.   Thank you so much for that. It does reflect the complexity of the decision patterns that children have in terms of how they eat. I think this is true for all of us. If we are trying to improve in one area, there may be some changes in other areas. But I want to pick up on something you said about why you believe the result occurred the way it did. It had to do with dialogue that went on in Chile about the law. So, I want to ask now, how can we best center the needs and voices of communities in the development of similar regulations? It sounds like some of this happened in Chile. Could you share your thoughts about this?   Yes. So, during the process of developing the regulation in Chile, the Ministry of Health held some participatory discussion throughout the country with families, parents, school teachers, and different stakeholders to actually get their ideas and also assess their concerns about the different components of the regulation. We do believe it's very important to include the community's views when we define this kind of policies or programs because what we actually want to modify is people's behaviors. We really want to understand what is the best way of actually achieving that transformation. We really need to get their view for doing that. In Chile, we did not have a very strong civil society organization that could coordinate these views, and that is why the Ministry of Health had to actively engage the community through participatory dialogues that actually delay a little bit the implementation of the law. But, we believe that certainly strengthened their application.   It's really interesting to hear about this deliberative process and to see what ultimately came out of that. I want to turn my attention back to Gabi. In the big picture of policymaking, what can we actually learn from Chile's experience with the food labeling law?   Thank you, Norbert, and I think that we can learn a lot. But, I will highlight three things that we learned from this study. First, I want to say that Chile was the first country in the world that implemented front-of-pack warning labels on packaged foods and beverages high in sugar, sodium, saturated fats, and calories. So, the first thing that I want to highlight is that what's unique about Chile is that it wasn't only a labeling regulation but a comprehensive set of actions that included restrictions on marketing as well as school regulations. Food environments as a whole should be conducive to healthier and sustainable diets, and therefore isolated actions would be limited in scope. However, we need to acknowledge that the policy process in Chile was not without complications because there was significant pushback from the food and beverage industry. This is something that countries in the process of designing or implementing similar regulations should expect to happen. They should be prepared to respond with arguments based on evidence. The second highlight is that our results showed that the set of policy interventions may be promising to improve kids and adolescents' diets at school, but that actions in out-of-school settings should be strengthened to improve overall diets. So for example, I will cite some actions that could complement these regulations, such as the introduction of junk food taxes, the reinforcement of nutrition education in schools and the community, particularly relevant now as we move into the post-COVID-19 era, social marketing campaigns, actions in other settings such as menu labeling in restaurants, improving the availability and acceptability of healthier foods by street vendors, among other actions. And lastly, the third point that I want to highlight is that moving forward, countries should consider equity aspects to overcome structural barriers that limit people's ability to choose healthier foods and combine mutually-reinforcing strategies to stimulate a holistic food systems response where everyone has access to and can afford healthier foods.   Thank you for those comments, and I really do appreciate this idea of even though this was a comprehensive law, that there are some other spaces that the law could touch on or think about because of the results that we saw with this compensatory behavior. Thank you for sharing that. Sean, my last question is for you. I'm wondering if you could share your thoughts on whether Chile might serve as an example to inform the current front-of-package label discussions we're having right now in United States.   Oh, absolutely. Chilean law has already served as a model for consideration in many other countries in the region and around the globe, including in our top food trading partner, Mexico, which enacted a Chilean-style labeling law in 2020. Several multilateral health organizations have also expressed support for the Chilean approach to be used elsewhere. And it's hard to argue against the logic of policymakers in the United States paying close attention to what works well and what doesn't work in other countries in considering any policies around dietary guidance that we choose to pursue here. But for me, one particularly compelling part of the Chilean law that we should pay attention to in the U.S. is how the standards are consistent, and that the same foods that bear the front-of-pack warning labels are those that are restricted in schools and cannot be marketed to children. Looking for opportunities for similar types of harmonization across different areas of dietary guidance and policy within the U.S. moving forward would certainly help with consumer education, and I think would make sense in other ways. And one interesting thing to keep in mind when talking about the use of mandatory warning labels in a U.S. context is that there are some potentially binding limits on what the government can or can't compel food manufacturers to put on a food pack. Think of cigarette labels for a moment. We've long required that cigarette packages have the rather bland, plain text Surgeon General's warning that we're all familiar with seeing. But in the late 2000 aughts, the FDA proposed rolling out a series of graphic warning labels modeled, in part, on similar images used in other countries. And in that case, the effort was scrapped because of a widespread concern that requiring tobacco manufacturers to put a picture of a body in a morgue with a body tag on it, for example, is interpretive language that appeals to an emotional response, and that this would actually be a form of government-compelled speech that runs up against our First Amendment protections in a way that a scientifically-factual, text-only statement would not. While I personally don't know that the Chilean labels would be interpreted in the same way here, I'm quite certain that legal challenges would be raised to clarify this question in the U.S. context. So, it might be a little bit tougher to take some warning label approaches here in the United States than what we've seen enacted elsewhere.     Bios   Gabriela (Gabi) Fretes is an Associate Research Fellow in the Nutrition, Diets, and Health (NDH) Unit of the International Food Policy Research Institute. She received her PhD in Food and Nutrition Policies and Programs at the Friedman School of Nutrition Science and Policy, Tufts University, USA in 2022 and holds a Masters in Food and Nutrition with a concentration on Health Promotion and Prevention of Non-Communicable Diseases from the Institute of Nutrition and Food Technology, University of Chile. Her research interests are at the intersection of child obesity prevention, food policy and consumer behavior, and her doctoral thesis involved evaluation of a national food labeling and advertising policy designed to improve the healthfulness of the food environment and address the obesity epidemic in Chile, particularly among children. She has worked with a broad range of government, international organizations, academia, public and private sector stakeholders and decision-makers in Paraguay, Chile, and the United States of America.   Camila Corvalán is a surgeon, a Master in Public Health, and holds a PhD in Nutrition. She is the Director of the Center for Research in Food Environments and the Prevention of Chronic Diseases Associated with Nutrition (CIAPEC), at the Public Health Unit of the Institute of Nutrition and Food Technology (INTA) of the University of Chile. CIAPEC is dedicated to the population study of the early nutritional determinants of obesity and associated chronic diseases, particularly metabolic diseases and breast cancer. Their work focuses on carrying out longitudinal epidemiological studies (both observational and intervention) in stages considered critical for the appearance of these diseases, such as pregnancy, childhood, and adolescence, considering various determining factors in both the environment food (set of factors that define population feeding patterns) as individual. CIAPEC is a part of the international network INFORMAS for monitoring food environments, and also carries out policy evaluations such as the Chilean Labeling Law; CIAPEC works in coordination with several governmental bodies.   Sean Cash is an economist and associate professor of agriculture, food and environment at Tufts University. He conducts research both internationally and domestically on food, nutrition, agriculture and the environment. He is interested in the environmental impacts in food and beverage production, including projects on crop quality and climate change, consumer interest in production attributes of tea and coffee, and invasive species management. He also focuses on how food, nutrition, and environmental policies affect food consumption and choice, with specific interest in children's nutrition and consumer interest in environmental and nutritional attributes of food. He teaches courses in statistics, agricultural and environmental economics, and consumer behavior around food. He is currently Editor of the Canadian Journal of Agricultural Economics and on the editorial board of Agribusiness, and has served as the Chair of the Food Safety and Nutrition Section of the Agricultural and Applied Economics Association.  

In this episode of the reimagine mental health podcast series, we examine the relationship between mental and physical health. We are joined by some of the top minds in this field; Nicola Tager, Global Head of Investec Careers and Employee Experience at Investec, Dr Joseph Mwangi, MD, PhD. Medical Officer and Advisor for Non-Communicable Diseases and Mental Health World Health Organization (WHO), Professor Lesley Robertson, a professor in the department of psychiatry at University of Witwatersrand.

Dr. John Bergman our chiropractor joined us in studio for an awesome show about lots of different issues. Before I get started if you feel our work is benefiting you in some way, would you consider signing up (takes about 2 minutes if you have a Facebook account) on Patreon and making a small donation? […]

Nalini Saligram is the Founder & CEO of Arogya World, a global health non-profit committed to changing the course of chronic disease. Arogya World designs and implements scalable, science-based diabetes prevention programs in schools, workplaces, and the community. Nalini is a tireless advocate for Non-Communicable Diseases which are becoming a threat to global health. Here is a talk with her learning her vision for public health. Host: Saankhya

Every two seconds someone is dying of a preventable disease: WHO  Famine looms in Somalia, but many ‘hunger hotspots' are in deep trouble – FAO, WFP Ukraine crisis: UN refugee agency unveils digital refugee support hub

Pakistan floods update: 6 month wait for floods to recede, agencies say OHCHR alarmed at Iranian woman's death after hijab arrest Every two seconds someone is dying of a preventable disease – WHO 

The World Health Orgnization's European Regional Obesity Report makes grim reading. It says nearly two-thirds of European adults are obese, a third of children are overweight or obese, and crucially, the numbers are rising. The WHO says no European country is on track to stop obesity rising by 2025. For UK readers, the standout headline is that Britain is on course to have the worst obesity rate in Europe by 2033. But there is one line within the report that offers a glimpse of hope. It says: "Europe can reverse its obesity epidemic." In this episode of the Food Matters Live Podcast, we interview one of the authors of the report, Kremlin Wickramasinghe, Acting Head of the WHO European Office for the Prevention and Control of Non-communicable diseases. For decades obesity has been a major global health issue and as time has ticked on, despite research, government health legislation, campaigns, changes within the food industry, things continue to get worse. It's a topic we've covered before on the podcast, but when we have asked where the solutions are coming from, convincing answers have often been in short supply.      In order to understand how we might reverse rising obesity rates, we first need to understand how we ended up here in the first place. This WHO report is the first we've had for 15 years and some of the changes that have happened in that time, appear to be contributing to the obesity crisis. The Coronavirus pandemic is highlighted in the report as having increased our consumption of fast-food, led to more screen time, and a more sedentary lifestyle. The increased use of food delivery apps is also playing a role, says the report, and in more ways than might immediately be obvious. Listen to the full episode to get some answers to questions such as; why are all of Europe's nations failing to get a grip of the obesity crisis? Whose responsibility is it to reverse the current trend? And where can European countries look to for inspiration? And then there's that slight glimmer of hope. If Europe really can reverse its obesity epidemic, how exactly does it go about doing it? Dr Kremlin Wickramasinghe, Acting Head, WHO European Office for the Prevention and Control of Noncommunicable Diseases Kremlin leads the Nutrition, Physical Activity and Obesity Programme which is responsible for providing support to the 53 Member States of the WHO European Region on the implementation of the European Food and Nutrition Action Plan and Physical Activity.  Prior to this position he worked as a Technical Officer on Noncommunicable Diseases (NCD) Risk Factors, since 2017 in the same office.  Before joining WHO, he was a researcher and the co-director of the WHO Collaborating Centre on Population Approaches to NCD Prevention at the University of Oxford, United Kingdom.  He co-edited the text book “An Introduction to Population-level Prevention of Non-Communicable Diseases” published by the Oxford University Press.  He has a special interest in multisectoral responses to health promotion, quantifying the outcome of health policies and implementation research. Kremlin graduated as a medical doctor with MBBS from the University of Colombo.  He holds an MSc in Global Health Science and a DPhil (PhD) in Public Health from the University of Oxford.

In this series we are talking about responding to the challenge of non-communicable disease in East Africa together  In recent decades, rates of non-communicable diseases (NCD), such as diabetes and high blood pressure have risen sharply in sub-Saharan Africa and are now linked to approximately 2 million deaths per year. Countries across the continent are rapidly looking to address this new epidemic, but this is difficult with much of the healthcare system still focused on the treatment of communicable disease, such as HIV. This podcast series will explore many aspects of the problems related to NCDs across sub-Saharan Africa, including how African & European researchers from the RESPOND-Africa group, and healthcare providers and governments in East Africa are working with local communities to better understand the issues related to NCDs and how we can best address their care. In particular, we're interested in how integrating the care of NCDs with other, currently well treated conditions, like HIV can benefit the patients and local healthcare systems by improving care whilst saving them both time and money.  In this week's episode we hear from Dr Flazia Zalwango from the Medical Research Council/ Uganda Virus Research Institute and LSHTM and from Dr Anu Garrib, a consultant in public health medicine working at LSTM in the RESPOND Africa/NIHR Group for the prevention and management of HIV-infection and non-communicable diseases. Our guests discuss:  Barriers to engaging community groups across the life cycle, including children, adolescents, and older people to inform prevention, treatment and management of disease conditions like NCDs.   How to best engage policy makers in research uptake   The problem of NCDs in sub-Saharan Africa and how they are being addressed currently  How communities can be involved in addressing the problem of NCDs going forward  Why and how can integrated NCD & HIV benefit these communities Our guest host for this series is Dr Joseph Okebe Senior Research Associate, LSTM  My research looks at how primary healthcare services for people living with chronic health conditions such as diabetes, HIV-infection and hypertension can be improved. We recently completed a study in Tanzania and Uganda where we looked at the impact of having all these services together in the same clinic affect patient's retention in care and control of their health conditions.   https://www.lstmed.ac.uk/about/people/dr-joseph-okebe (https://www.lstmed.ac.uk/about/people/dr-joseph-okebe)   twitter@ jo_okebe  Linkedin: https://www.linkedin.com/in/joseph-okebe-a049399/ (https://www.linkedin.com/in/joseph-okebe-a049399/)   Dr Anu Garrib Principal research associate, RESPOND-Africa partnership, LSTM I am a consultant in public health medicine and have been working at LSTM in the RESPOND Africa/NIHR Group for the prevention and management of HIV-infection and non-communicable diseases in Africa since 2017.   My current research focusses on evaluating strategies for the integrated delivery of HIV and non-communicable disease care, as well as clinical studies on the prevention of diabetes. The study on integration of HIV and NCD services was a feasibility study aimed at determining if an integrated delivery of care for these conditions was acceptable to patients and healthcare workers, and involved extensive engagement with these groups to determine how best to structure the service. Although the clinical trial is a very different kind of study, the continued engagement of patients is critical as we try to determine how best to support patients so that they are able to continue the trial treatment for an extended period. Wider communication within the community and engagement with community leaders about aims of the trial is really important to pre-emptively address concerns that patients and their families may have...

Diet influences the aetiology of 7 of the 10 most globally prevalent Non-Communicable Diseases. Most individuals do not have a diet that adheres to guidelines for the prevention of disease. Nutrition care has been shown to be an effective way of reducing biomarkers of diabetes, cardiovascular disease (CVD), and excess body weight. However, the cost-effectiveness of nutrition care within primary care settings remains unknown. As such, this review aims to synthesize and evaluate the findings of CEAs of nutrition care interventions provided in primary care settings. Join us this episode as we speak to Dr. Katelyn Barnes and Dr. Lauren Ball from Griffith University, Nathan, QLD, Australia.

The Fiji government is being criticised for continuing to withhold funding support to a regional university; Pasifika health providers are being urged to unite in the fight against non-communicable diseases; Cook Islanders are doing their bit to support victims of the Ukraine invasion..but have some taken things a step too far?

In this episode we speak with Dr Catherine Smallwood, WHO/Europe's COVID-19 incident manager, to get the latest on the Omicron variant which continues to cause record cases across the Region. And WHO's European Office for the Prevention of Non-Communicable Diseases explore how we can stay healthy in the metaverse.Watch the full COVID-19 briefing on the WHO/Europe YouTube channel: https://www.youtube.com/watch?v=DilcsteUr88Want to know more about staying healthy in the metaverse? Check out this article on the WHO/Europe website: https://www.euro.who.int/en/health-topics/Life-stages/pages/news/news/2022/01/healthy-metaverse-how-can-we-promote-health-online/

We’ve experienced 18 months of living through an infectious disease pandemic, but we’ve been living with the global epidemic of non-communicable diseases for far longer. Yet, we’ve struggled to effectively address NCDs over the decades, particularly at the policy, strategic and financing levels. Do we want to exit the COVID-19 pandemic, only to walk right back into a worse NCD epidemic? We ask Prof Dr Nur Aishah Taib, Consultant Breast Surgeon, Universiti Malaya Medical Centre; and Prof Dr Teo Soo Hwang, Chief Scientific Officer, Cancer Research Malaysia, what our national planning and budgeting should focus on when it comes to NCDs, through the lens of cancer prevention and care.Image credit: Shutterstock

This episode explores strategies to empower healthier eating habits in low-income communities, food insecurity, and food deserts. Empowerment of healthier food options and choices is explored from adolescence into adulthood as a preventive measure to decrease disease incidence in addition to public health strategies to combat these issues. This episode features special guests: Dr. Rahmatu Kassimu, PhD, MPH, CHES and Adebusola Ogunnaike, MPH. Adebusola Ogunnaike, MPH who completed her Master of Public Health degree at Emory University and is currently pursuing a doctoral degree in Public Health at the University of South Carolina. Busola is passionate about reducing Non-Communicable Diseases, particularly in Low Middle Income Countries. Dr. Rahmatu Kassimu is an educator, a researcher, a public health consultant, and a change agent. Dr. Kassimu possess a heart for public health and kids, a desire for health equity, and a passion for advocacy. She created Dr. K.'s Health Minute to serve as a source of easily accessible and digestible health and wellness information. Her work focuses on reduction of health disparities and increasing the quality of life in POC, particularly African American/Black people.

All of us have heard of subliminal messaging in advertising, but we may not be aware of the impact the ads we see everyday have on our health. Luckily, young people are fighting back. Our first episode will look at the challenges around regulating marketing to children, especially in the digital sphere.The episode is hosted by Faith Newsome, student researcher and founder of OCEANS Support and Advocacy Group. She speaks to Katy Cooper, public health consultant and chair of the UK Working Group on Non-Communicable Diseases. Faith also chats with youth campaigner Tasha Mhakayakora who is part of Biteback 2030. Check out Biteback's social experiment video, The Shocking Effects of Junk Food Advertising!We also hear clips from school children describing the power of food advertising , which are taken from the Food Diaries project led by UCL's Centre for Gender and Health.Other resources linked to the topic discussed:Learn more about people first language in this great summary by the Obesity Action Coalition.World Obesity's Policy Dossier UNICEF report on Children and Digital MarketingWHO report on Food MarketingThanks to Marina Poole for production and editing. The artwork for the series was designed by multi-talented woman in global health Lilly Khorsand.

Paanyaya ng Diyos na sumunod sa Kanya upang maging alagad.

As the world battles against the worst pandemic in a hundred years, cancer didn't just go away. In 2020, over 19 million people worldwide were affected by cancer, and almost ten million people died.Cancer doesn't wait for anyone. Not even a pandemic.  Where early detection had to be delayed... where medical care was affected or simply overwhelmed in it's struggle to cope with rising Covid-19 numbers... or continuing treatment became more remote and more difficult, cancer carried on regardless and unperturbed.  According to the World Health Organization, over 50 percent of all countries partially or totally interrupted cancer care services to respond to the Covid-19 emergency.Welcome to a new episode of Voices for Health. In acknowledgement of World Cancer Day, we spoke with Gilberto Lopes about the initiatives of the Union for International Cancer Control, UICC, to provide continuity of care for cancer during this pandemic. We discussed the importance of promoting cancer prevention, detection, and treatment as a public health priority, facing the growth of Non-Communicable-Diseases and their impact on health systems.

We have a conversation with Dr. Riaz, a Johannesburg based cardiologist having an interest and focusing on cardiac-endocrinology and preventive cardiology. He is a founding member of the first Cardiovascular Risk Institute in Africa. He has recently become the brainchild of Brandmed, a digital health company that intergrates a wealth of medical expertise with ground-breaking technology to produce the first comprehensive, patient-centric, end-to-end cardiovascular risk reduction and treatment approach for patients dealing with Non-Communicable Diseases. We explore his discoveries and understand what healing means for him and how we accomplish healing in our modern society. Dr. Ela Manga · BrandMed · Human.

We have a conversation with Dr. Riaz, a Johannesburg based cardiologist having an interest and focusing on cardiac-endocrinology and preventive cardiology. He is a founding member of the first Cardiovascular Risk Institute in Africa. He has recently become the brainchild of Brandmed, a digital health company that intergrates a wealth of medical expertise with ground-breaking technology to produce the first comprehensive, patient-centric, end-to-end cardiovascular risk reduction and treatment approach for patients dealing with Non-Communicable Diseases. We explore his discoveries and understand what healing means for him and how we accomplish healing in our modern society. Dr. Ela Manga · BrandMed

“NCDs have raised the risk of and the severity of the COVID-19 infection,” says Dr. Belén Garijo, Executive Board Member and CEO of Healthcare at Merck KGaA Darmstadt, Germany, in this week’s Friday Podcast. Women living with NCDs like cardiovascular disease, hypertension, cancer, mental health disorders, multiple sclerosis, and diabetes, have an increased risk of severe complications and death from COVID-19. “When you take a look at the mortality rate for one million inhabitants, you see a lot of diversity, and what has been consistent amongst all the countries is the association between severity of the infection and underlying diseases,” says Garijo. “We know that this pandemic is affecting women in a number of ways that are very harsh compared to men,” says Dr. Felicia Knaul, an international health economist and founder of Tómatelo a Pecho. Since the onset of the COVID-19 pandemic, women have experienced “more unemployment, more lack of access to jobs in all but the health sector, more issues of caregiving and less ability to earn income, more exposure to domestic violence.” “In the U.S., women accounted for up to 55 percent of the 20.5 million jobs that have been lost in April. In February, the unemployment rate for adult women was 3.1 [percent], in April this has gone up to 15 percent. In the same period, the unemployment rate for adult men was of 3.6 percent. And in April, this rate, 13 percent,” says Garijo. “The risk that we're facing is that we will see the gains of decades—which were not enough, but were still gains—in gender equality being eroded if we're not careful,” says Knaul. “This pandemic has really changed the way we are looking at our research focus,” says Garijo. “I can tell you that we have, right now, almost completely focused our efforts in finding solutions for pandemics. I am hoping that we will never forget this, and that our pandemic preparedness will stay strong for the future in any and every continent. As an industry, we can never do that alone. We need to collaborate with others. We need to collaborate with governments. We need to collaborate with academic institutions, with healthcare professionals, with patient associations.” “You cannot have strong health systems if you don't include women, not least which, because they are the majority of providers today.” says Knaul. “We've been working on some ideas around how to strengthen health systems in the face of COVID-19 and the first and key lesson is that this cannot be done without a gender transformative response.” A gender transformative response requires the inclusion of all genders, “otherwise we would never be strong enough, not only to respond to the COVID-19 onslaught, but what we're talking about today, which is the incredible onslaught of NCDs that face low- and middle-income populations and countries, as well as, high-income countries.” “I am absolutely sure that you are aware of the articles highlighting that countries that have performed better against COVID-19 are led by women. I have to say that I don't believe this is by chance,” says Garijo. “Female leaders promote the more inclusive leadership model and they are willing to listen. They are willing to listen to diverse opinions and voices. They don't believe they know it all.” This podcast is part of the Maternal Health Initiative’s CODE BLUE series, developed in partnership with EMD Serono, a business of Merck KGaA, Darmstadt, Germany.

I denne episoden er hovedtema spiseforstyrrelser og gjesten vår heter Therese Mathisen. Therese jobber som førsteamanuensis for Høgskolen i Østfold og er utdannet som ernæringsfysiolog. I tillegg har hun skrevet en doktorgrad på spiseforstyrrelser og hvordan behandle de med spiseforstyrrelser. I sin doktorgrad tester hun ut en ny behandlingsmetode som baserer seg på trening og ernæringsterapi. Kan man behandle de med spiseforstyrrelser med de to arenaene, sett ut i fra et tilsynelatende logisk perspektiv, burde unngå? I tillegg kommer vi innpå hva en spiseforstyrrelse er, hvilke populasjoner i samfunnet får det, og hvordan sosiale medier er med på å påvirke vårt syn på kropp samt mye mer. Kontaktinformasjon og nyttige linker: https://themanutrition.no/ https://www.researchgate.net/profile/Therese_Mathisen https://twitter.com/tfmathisen https://nettros.no/ https://www.spisfo.no/ www.tfmathisen.no www.sunnidrett.no Relevante artikler: Mathisen, T. F., Rosenvinge, J. H., Pettersen, G., Friborg, O., Vrabel, K., Bratland-Sanda, S., ... & Sundgot-Borgen, J. (2017). The PED-t trial protocol: The effect of physical exercise–and dietary therapy compared with cognitive behavior therapy in treatment of bulimia nervosa and binge eating disorder. BMC psychiatry, 17(1), 180. Mathisen, T. F., & Olsen, T. (2016). Når kroppsfokus blir patologisk: Sosiale medier, fitness og spiseforstyrret atferd. Norsk tidsskrift for ernæring, 3. Mathisen, T. F., Rosenvinge, J. H., Friborg, O., Pettersen, G., Stensrud, T., Hansen, B. H., ... & Bratland‐Sanda, S. (2018). Body composition and physical fitness in women with bulimia nervosa or binge‐eating disorder. International Journal of Eating Disorders, 51(4), 331-342. Mathisen, T. F., Bratland-Sanda, S., Rosenvinge, J. H., Friborg, O., Pettersen, G., Vrabel, K. A., & Sundgot-Borgen, J. (2018). Treatment effects on compulsive exercise and physical activity in eating disorders. Journal of eating disorders, 6(1), 43. Mathisen, T. F., Sundgot-Borgen, J., Rosenvinge, J. H., & Bratland-Sanda, S. (2018). Managing Risk of Non-Communicable Diseases in Women with Bulimia Nervosa or Binge Eating Disorders: A Randomized Trial with 12 Months Follow-Up. Nutrients, 10(12), 1887. Mathisen, T. F., Rosenvinge, J. H., Friborg, O., Vrabel, K., Bratland‐Sanda, S., Pettersen, G., & Sundgot‐Borgen, J. (2020) Is physical exercise and dietary therapy a feasible alternative to cognitive behavior therapy in treatment of eating disorders? A randomized controlled trial of two group therapies. International Journal of Eating Disorders.

The conversation on cancer and other non-communicable diseases has taken centre stage after the death of high profile Kenyans in recent weeks – Safaricom CEO Bob Collymore, Bomet Governor Joyce Laboso, and Kibra MP Ken Okoth. According to the Ministry of Health, Kenya in undergoing an epidemiological transition marked by a decline in morbidity and mortality due to communicable conditions, and an increase in the burden of non-communicable diseases (NCDs), which include diseases such as diabetes, cancers, cardiovascular diseases and chronic respiratory infections. We’re joined by Dr. Laura Muambayi, a medical doctor with experience treating NCDs, as well as a primary healthcare giver, to discuss non-communicable diseases and their health implications in Kenya. Resources Kenya National Strategy for the Prevention and Control of Non-Communicable Diseases (2015 - 2020) Lifestyle Diseases - An Increasing Cause Of Health Loss (Policy Brief) Kenya Case Study: NCD Situation Analysis of Non-Communicable Disease Prevention Policies in Kenya Noncommunicable diseases: Fact Sheet (WHO) Noncommunicable diseases country profiles 2018 Kenya: Cancer Profile National Cancer Screening Guidelines National Guidelines for Cancer Management Why many Kenyans are dying of cancer Woman with breast cancer commits suicide in Naivasha In East Africa, a cancer diagnosis means a death sentence Pancreatic tumour fastest-growing cause of Kenya’s cancer deaths IDF Diabetes Atlas - 8th Edition Taking Diabetes to Heart - Report Diabetes and Cardiovascular Disease - executive summary Cost-effective solutions for the prevention of type 2 diabetes Kenya National Diabetes Strategy (2010 - 2015) Kenya faces rising burden of diabetes Cases of diabetes have doubled in Kenya, warn experts The Sugar Wars How the Sugar Industry Shifted Blame to Fat How Big Business Got Brazil Hooked on Junk Food Kenya National Guidelines for Cardiovascular Diseases Management The emerging problem of coronary heart disease in Kenya Ignorance fueling spread of heart diseases in Kenya The danger that rheumatic heart disease poses in Kenya Kenyans at risk of heart disease due to unhealthy lifestyles Addressing NCDs to Fast-Track Achievement of Universal Health Coverage Episode 10: Dereva, Chunga Maisha! Episode 82: Debunking Mental Health Myths Episode 89: The Air We Breathe Image Credit: Roche

On July 14th 2019, NTV aired a feature titled Red Alert, which revealed that Kenyan supermarkets and retail outlets were using sodium metabisulfite to increase the shelf life of meat products by making them look fresher for longer, so as to prevent losses. They were also found to repackage these products and change the dates so as to dupe their customers into buying these products past their sell-by date. The conversation that arose after was intense, pointing out that supermarkets were using excess quantities of the compound, without disclosing it to consumers, which was exacerbated by changing the dates on products to deceive customers. This is not the first time we have had widespread panic and anxiety over food in Kenya. We have had reports of sukuma wiki and spinach being grown next to sewers and being toxic and containing heavy metals, water containing microplastics, chicken being fattened using antibiotics, formalin being used to preserve meat, maize with aflatoxin, sugar containing mercury, and fruits being ripened using calcium carbide. This is in addition to pesticide use in farm products that elicits the same concerns. We’re joined by Wanjiru Kamau, an agricultural and environmental policy expert, to discuss food safety in general in Kenya. Resources The Kenya Food Control System The Kenya Food and Drugs Authority Bill (2019) Kenya National Strategy for the Prevention and Control of Non-Communicable Diseases (2015 - 2020) Kenya Plant Health Inspectorate Service (KEPHIS) Pest Control Products Board (PCPB) Dietary risk factors for non-communicable diseases in Kenya: findings of the STEPS survey, 2015 Food safety and quality management in Kenya: An overview of the roles played by various stakeholders Food Safety in Kenya: Focus on fruits and vegetables SBS Senior Lecturer Publishes Case Study on Food Safety Concerns in Kenya Why food safety is a major national issue Lifestyle Diseases: An Increasing Cause Of Health Loss Heavy Metal Concentration in Vegetables Grown around Dumpsites in Nairobi City County, Kenya Coca-Cola admits presence of plastic in Dasani Antibiotics in meat: why Kenya needs to do more Keep birds free from antibiotics, use supplements Kenya's 'contaminated sugar' row: What we know Report reveals seized sugar contains Mercury Tests show dangerous levels of toxins in foods sold in Nairobi Could your fruit vendor be selling you poison?   Experts poke holes in proposed food and drugs law How safe is your food? Be careful what you eat Conversation on food safety is long overdue Study warns of highly contaminated fruits,vegetables in open markets and supermarkets How safe is your sukuma wiki? The local food revolution in Brazil's schools Learning from Brazil’s Food and Nutrition Security Policies The road to restoration: Cuba’s modern farming revolution Cuba's organic revolution How does organic agriculture contribute to food security of small land holders?: A case study in the North of Thailand Image Credit: Wikimedia Commons

Libby looks at Non-Communicable Diseases for your GCSE Biology exam. In this episode, she will look at the difference between non-communicable and communicable diseases, disease interactions and sampling. Ideal for preparing your for GCSE Biology exam. For more info visit https://www.senecalearning.com/blog/gcse-biology-revision/

Non-Communicable Diseases are a group of diseases that you can't catch you have to earn through a toxic deficient lifestyle, and these diseases are responsible for 60% of deaths  on our planet and you can prevent and reverse these diseases if caught in time. If you know someone with heart disease , cancer, respiratory disease, or diabetes, there are effective solutions. Don't miss this life saving episode!!

In this episode, David is joined by Dr. Bobby Cheema.   Dr. Bobby Cheema is an Accredited Exercise Physiologist, Senior Lecturer and Researcher at Western Sydney University, and an Associate Researcher at the National Institute of Complementary Medicine.  He has 25 years of experience in exercise physiology and prescription, and is internationally recognized for the quality of his work. Bobby is also a former elite level ice-hockey player in his native Canada.   Dr. Cheema’s academic background consists of:   PhD (Exercise Physiology), University of Sydney, Australia, 2006 Accredited Exercise Physiologist (AEP), 2009-present MSc (Exercise Physiology), University of Victoria, Canada, 2002 Bachelor of Human Kinetics (Exercise Science), UBC, Canada, 1999 David & Bobby discuss:   Topic 1: NCD's   Q1. What is a non-communicable disease? Q2. What is the current state of public health? What is the current level of Non-communicable diseases?    Topic 2: Exercise / Exercise Physiologists    Q3. Is the role exercise underestimated in the treatment and prevention of disease? Why?  Q4. What role can the exercise physiologist play in disease prevention & management? Q5. Is there a need for a global shift in our attitude towards healthcare?   Topic 3: Disease-Specific Focus, Exercise and Cancer   Q6. What does the current body of evidence say about exercise in cancer patients? Q7. Is there a hesitancy about allowing cancer patients to engage in exercise? Q8. What modalities of exercise appear to be most beneficial?    Topic 4: The Importance of Muscle Mass   Q9. How important is the maintenance of muscle mass in disease treatment and prevention?   For full show notes see: www.hpascience.com/episode42          

Silvia Stringhini discusses a research article which highlights how low socioeconomic status should be considered alongside other established risk factors for non-communicable diseases.

Dr Alessandro Demaio (Global Health Fellow at Harvard Medical School) talks about the growing burden of Non-Communicable diseases (NCDs).

CliffCentral.com — We explore Non-Communicable Diseases and other public health issues with Public Health Registrar Dr Lehlohonolo Majake. Dr Majake specialises in Public Health and is a member of the South African Medical Association.

NCD's Non-communicable Diseases like High Blood pressure, diabetes type 2, mental disorderes, pulmonary diseases, etc... These diseases used to be "western diseases" but now they are being exported to developing nations. These diseases are affecting younger and younger ages. By 2030 the cost of NCD's will be $47 trillion US dollars and will bankrupt the world, 70% of the wolrd population die from these diseases These are diseases that are caused by medication and life style choices so they are earned You wll learn how to reverse these diseases and prevent them Don't miss this life saving episode

In recent years, non-communicable diseases (NCDs) have globally shown increasing impact on health status in populations with disproportionately higher rates in developing countries. NCDs are the leading cause of mortality worldwide and a serious public health threat to developing countries. Recognizing the importance and urgency of the issue, a one-day symposium was organized on NCDs in Developing Countries by the CIHLMU Center for International Health, Ludwig-Maximilians-Universitat, Munich on 22nd March 2014. The objective of the symposium was to understand the current situation of different NCDs public health programs and the current trends in NCDs research and policy, promote exchange of ideas, encourage scientific debate and foster networking, partnerships and opportunities among experts from different clinical, research, and policy fields. The symposium was attended by more than seventy participants representing scientists, physicians, academics and students from several institutes in Germany and abroad. Seven key note presentations were made at the symposium by experts from Germany, UK, France, Bangladesh and Vietnam. This paper highlights the presentations and discussions during the symposium on different aspects of NCDs in developing countries. The symposium elucidated the dynamics of NCDs in developing countries and invited the participants to learn about evidence-based practices and policies for prevention and management of major NCDs and to debate the way forward.

A high burden of tuberculosis (TB) occurs in sub-Saharan African countries and many cases of active TB and drug-resistant TB remain undiagnosed. Tertiary care hospitals provide an opportunity to study TB co-morbidity with non-communicable and other communicable diseases (NCDs/CDs). We evaluated the burden of undiagnosed pulmonary TB and multi-drug resistant TB in adult inpatients, regardless of their primary admission diagnosis, in a tertiary referral centre. In this prospective study, newly admitted adult inpatients able to produce sputum at the University Teaching Hospital, Lusaka, Zambia, were screened for pulmonary TB using fluorescent smear microscopy and automated liquid culture. The burden of pulmonary TB, unsuspected TB, TB co-morbidity with NCDs and CDs was determined. Sputum was analysed from 900 inpatients (70.6% HIV infected) 277 (30.8%) non-TB suspects, 286 (31.8%) TB suspects and 337 (37.4%) were already receiving TB treatment. 202/900 (22.4%) of patients had culture confirmed TB. TB co-morbidity was detected in 20/275 (7.3%) NCD patients, significantly associated with diabetes (P = 0.006, OR 6.571, 95%CI: 1.706-25.3). 27/202 (13.4%) TB cases were unsuspected. There were 18 confirmed cases of MDR-TB, 5 of which were unsuspected. A large burden of unsuspected pulmonary TB co-morbidity exists in inpatients with NCDs and other CDs. Pro-active sputum screening of all inpatients in tertiary referral centres in high TB endemic countries is recommended. The scale of the problem of undiagnosed MDR-TB in inpatients requires further study.

LONDON—Heart disease, stroke, cancer, diabetes and other non-communicable diseases pose a looming threat to low- and middle-income countries just as in the rich world according to experts meeting in London. At the Global Health Lab symposium in London Martin McKee and Erica Richardson of the London School of Hygiene and Tropical Medicine with Richard Horton Editor of The Lancet told Peter Goodwin about the importance of the issues raised by the experts contributing to the session: Allison Beattie of the UK Department for International Development, Philip James from the International Association for the Study of Obesity and David Stuckler from the University of Cambridge.