Showing posts with label medical. Show all posts
Showing posts with label medical. Show all posts

Sunday, May 17, 2015

Siege limits options for Gaza's chronically ill

A good article showing what ill Gazans have to live through in the enclosed & occupied land.
 
There was a good Canadian-produced 2012 movie, "Inch'Allah," showing how a Canadian doctor sees the life on the Israeli side of the border & in the Palestinian territories. The movie starts with a Palestinian girl blowing herself up in an Israeli city. Now, we all know the Western newspapers always telling the world how suicide bombers killed so many innocent Israeli civilians. That's what the movie showed. But, the movie didn't stop there. It went back & then showed all the events which led to that specific suicide bombing.

In one of the scenes near the end, which really tested the sympathy of Canadian doctor, it is shown that how a pregnant Palestinian woman, who recently got the news that her husband has been sentenced to 20 years in an Israeli prison, is trying to get to a hospital where she can deliver her first child (& who will be the only thing she has any hope to live for, since her husband is now jailed for 2 decades), but the Israeli military is not letting her through. The Canadian doctor, who by the way, is a Canadian non-Muslim woman, is pleading with the Israeli military to let her through right away. She also has her doctor colleague, who is also her supervisor, & who is shown to be a European non-Muslim. Both are pleading as that pregnant girl is losing a lot of blood & needs to be hospitalized right away.

Of course, as you can imagine, that young woman gives birth in the car, steps away from the hospital. By the way, that hospital was not even across from a checkpoint. Israeli military just felt like closing access to that hospital that day. Anyway, as soon as baby is delivered, that Canadian woman cuts the umbilical cord & runs towards the military closure so to plead them, so they can let her through with the newborn. But, unfortunately, the newborn dies in her arms. That's the scene that any person, who is not biased towards Israel & watches it with an objective eye, will cry.

You can imagine what that young Palestinian woman has to live for, at that moment? What she has left to live for at that moment? Husband is imprisoned, rightly or wrongly. Her first newborn dies right after birth. Does she has anything to live for?

So, if she doesn't have anything to live for now, then what do you think she will do?

What people forget that nobody likes to die in this world. Everyone wants to live as long for as they can. But everyone also wants to live freely with his/her loved ones. Killing yourself requires a lot of courage & anger. It's not easy to blow yourself up. Heck, Islam strictly forbade Muslims from committing suicides. There is no reward for blowing yourself up.

I am not excusing suicide bombers from killing other innocent civilians, but what I am trying to say is that we, very easily, forget to ask what & why a person will blow themselves up. We, right away, start blaming religions & people, & start labelling them with such choice words, as "barbarians" & "uncivilized". Everyone loves life. But when a person has taken everything away from him/her & feel he/she has nothing to live for, & has no control whatsoever over his/her life, he/she will try to regain a modicum of control by blowing him/herself up.
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Residents of the Gaza Strip are facing tighter restrictions on obtaining medical care outside of the besieged coastal enclave, according to a recent monthly report issued by the World Health Organisation's Eastern Mediterranean Regional Office.
 
According to the report, the closure of the Rafah border with Egypt has "virtually eliminated access to specialised medical treatments outside of Gaza for private patients", while 20% of patients applying for permits to travel through Israel's Erez checkpoint for medical care last month were not approved.
 
Ashraf Alkdra, a spokesman for Gaza's health ministry, said restrictions on these border crossings have exacerbated the health conditions of Gazans living with chronic illness. "Increasingly, we are unable to provide them treatment," he said.
 
In 2006, after Hamas won elections & took power in Gaza, Israel imposed a strict embargo on the densely populated Palestinian territory. This embargo, coupled with 3 Israeli wars on Gaza since 2009, has affected the lives of everyone in Gaza. But those suffering from chronic illness face an added layer of hardship.
 
Dr. Akihiro Seita, the health department director of the United Nations Relief & Works Agency for Palestine Refugees in the Near East (UNRWA), told Al Jazeera that chronic illnesses "are highly prevalent in Gaza", & that continued restrictions on the movement of Gaza's population worsen public health problems.
 
Given Israeli Prime Minister Benyamin Netanyahu's recent electoral victory, & Egypt's President Abdel Fattah al-Sisi labelling Hamas a terrorist organisation, it seems likely that Gaza's borders will remain closed for the foreseeable future.
 
Fikr Shaltoot, Medical Aid Palestine's director of programmes in the Gaza Strip, concurred with Seita, explaining that the closed borders have severe consequences for those living with chronic illness.
 
"If the crossings were open, including the Rafah crossing, some medicine would be donated through international Arab organisations," Shaltoot said. "Also, [Palestinians] would have purchased Egyptian medication at a lower cost."
 
Drugs coming from Israel are far more expensive than what used to come through Rafah, she said, adding that their delivery also takes longer.
 
Speaking from a doctor's clinic near Khan Younis, Aisha Aborjela, a 57-year-old mother of four, told Al Jazeera that her hypertension & Type 2 diabetes cause her great difficulty in everyday life.
 
Her husband makes "barely enough" to provide for their family, despite workdays that last up to 14 hours, & Aborjela maintains the household in his absence.
 
"I am on my feet from sunrise to sunset," she told Al Jazeera. "The diabetes causes me to become very tired. There are times when I can't see, & I'm always hungry," Aborjela said, citing common symptoms of the chronic illness.
 
The United Nations Relief & Works Agency (UNRWA) provides free medication for Gaza's refugees, who account for 1.2 of the more than 1.5 million people living there.
 
Although this has helped Aborjela, the living conditions in Gaza can lead to additional health problems: For example, the stress she experienced during the past 3 wars caused her blood pressure to rise for extended periods, which can lead to heart disease, a condition common in her family.
 
"During the last war, I was trapped inside Dr Qdeih's clinic for weeks. We were being bombed, & I was so worried about my family, I couldn't eat or sleep," Aborjela recalled. "Now, I worry that if I have heart problems, I won't be able to leave Gaza [for treatment]."
 
Gaza's long blackouts - there are 18 hours of scheduled electrical outages a day, due to lack of energy supplies & infrastructure damaged by Israeli bombings - also have major effects on public health, according to the United Nations Office for the Coordination of Humanitarian Affairs in the Occupied Palestinian Territories.
 
Ibrahim Arjela, 22, was diagnosed with Type 1 diabetes last summer, during Israel's Operation Protective Edge offensive on Gaza. The insulin he must take daily to treat his condition requires constant refrigeration, stored between 2.2 & 7.8 degrees Celsius, for it to retain its effectiveness over long periods.
 
"When it's too hot, or too cold, it's useless. My electricity goes out for nearly 9 hours every day, so when it's hot outside I can't keep it cool. When it's cold, it doesn't stay warm enough," Arjela complained, adding that he often has to travel to the UNRWA centre in Gaza City to replace spoiled insulin, as temperatures in Gaza were uncharacteristically harsh this past winter, with 5 children reportedly dying as a result of cold & lack of shelter.
 
Compounding Gaza's public health problems is its food crisis, caused by years of siege. The price of chicken rose from 10 NIS ($2.83 US) to 15 NIS ($4.24 US) in August 2014, & both farmers & fishermen suffer from Israeli military attacks, making it difficult for Gazans to find fresh vegetables or fish.
 
Diabetics are advised to eat lean meats, fish & vegetables; & to stay away from foods high in carbohydrates, such as bread & rice, which are staples of the Palestinian diet.
 
But Seita, the UNRWA health department director, said the siege causes "people with diabetes to have no choice but unhealthy diet, e.g. they can only eat bread as it [is] subsidised".
 
Nevertheless, Arjela is hopeful that he will be able to adjust to the reality faced by him & other Gazans suffering from chronic illness. "I've got to work with what I've got. I'll figure it out," he concluded optimistically.

Tuesday, April 28, 2015

Souvenir Ultrasound scans should be banned for first 10 weeks of pregnancy

In this modern race of narcissism & ego-boasting, a selfie stick may not harm you or your loved ones as much as collecting souvenir pregnancy ultrasound scans.

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Souvenir scans of the unborn baby should not be carried out in the first 10 weeks of pregnancy, say doctors.
 
Such keepsake images are shown off by proud parents-to-be, who can buy special wallets & photo frames to mark every stage of pregnancy.
 
But new advice from the Royal College of Obstetricians & Gynaecologists rules against the growing trend when there is no medical reason for doing an early-stage scan.
 
A new scientific review says ultrasound – which uses high-frequency sound waves to provide images of the foetus – could expose it to unknown risks.
 
Although there is no evidence of harm, the ‘precautionary principle’ should apply, it says.
 
Dr. Christoph Lees, Reader in Obstetrics & Fetal Medicine at Imperial College London & lead author of the paper said the review looked specifically at the first 10 weeks in the womb.
 
Normally a scan would be ordered only for a potential problem identified by a clinician & in those circumstances it was perfectly safe, he said.
 
But an increasing number of clinics were offering keepsake images from as early as 6 weeks, he said.
 
He said: ‘Ultrasound scanning in the embryonic period is an invaluable resource in several important scenarios where the embryo is at possible risk.

There are presently no grounds for questioning the safety of diagnostic ultrasound in this context.

However, ultrasound imaging is increasingly being used without obvious medical justification & we have to be aware of the possibility of subtle long-term adverse effects, particularly in the first weeks of gestation when the embryo is potentially the most vulnerable.’

The review was produced by the Scientific Advisory Committee at the RCOG to provide doctors with up-to-date information about the issue.
 
The US Food & Drug Administration issued similar advice in December, saying excess ultrasound at any stage in pregnancy should be avoided.
 
Dr. Lees said one of the possible harms might come from the slight heating effect produced by ultrasound which was more easily dissipated by the placenta after 10 weeks of pregnancy.
 
He said the safest period for taking souvenir scans was 20 weeks of pregnancy & beyond.
 
The review highlights the various types of ultrasound, including B-mode – the most commonly used form of ultrasound in obstetrics – colour & pulse wave Doppler.
 
Colour & pulsed wave Doppler involve greater average intensity & power outputs than B-mode & are not recommended at all during the first 10 weeks.
 
Additionally, there has been a move to perform 3D & 4D ultrasound scans earlier in pregnancy, states the paper.
 
4D ultrasound is ‘real time’ scanning & involves higher power outputs as the scanning time is longer, typically by several minutes, & should not be the sole purpose of souvenir images or video recordings in early pregnancy.
 
Dr. Sadaf Ghaem-Maghami, chair of the RCOG’s Scientific Advisory Committee, said ‘B-mode ultrasound used for clinical reasons from conception to 10 weeks of gestation is safe & the benefits outweigh any theoretical risks.

We are adopting a precautionary approach & are highlighting the small but possible risks to women so that they can make informed choices.

Hormone-disrupting chemicals 'cost billions'

Although, I agree with the scientists' statements that these findings are "informed speculation", I still firmly believe that all these chemicals in our food & consumer products are adversely affecting our health in the developed world.
 
At least, the agriculture in the developing world is still done the old way, so the concept of "organic" food is still prevalent in the developing world. The hormone-disrupting chemicals / steroids given to animals flow through into our bodies & disrupt our hormones, causing several kinds of diseases, for which researchers haven't been able to find the root causes because it'd due to what we are putting in our mouths.
 
Now, people will say, well, then buy organic. There are several problems with that, too. Some "organic" food is not organic at all. The rise of the organics industry has also given rise to people who are passing off non-organics as organics. On top of that, organic food is expensive (unlike, in developing world), & thanks to the free trade deals, economy, class segregation etc etc in the society, it's usually the poor who relies on non-organics & consequently, suffers from its long-term consequences.

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The data suggests the high economic impact of chemicals in pesticides, plastics & flame retardants.
 
The team, led by New York University, said the estimates were conservative.
 
However, experts cautioned the findings were "informed speculation" & called for more detailed research.
 
Endocrine-disrupting chemicals (EDCs) can be physically similar to the hormones that naturally control our body's physiology so mimic their function. They can also block the function of hormones.
 
They have been linked with declining sperm counts, some cancers, impaired intelligence, obesity & diabetes. The main concern surrounds their impact during early development.
 
The authors of the study argued that limiting exposure would have significant benefits.
 
Many of the conditions linked to EDCs are also influenced by a wide range of other environmental influences. And some scientists contest the levels in the environment are not high enough to influence health.
 
The international research team acknowledge "there is uncertainty" & adapted techniques used by the International Panel on Climate Change to balance the uncertainty with the potential scale of the impact.
 
Their mathematical models suggested that across the 27 members of the EU, the most likely cost was €157bn ($173bn; £113.6bn) a year, but could be much higher. That equates to 1.2% of Europe's GDP.
 
This included healthcare costs as well as lost economic potential.
 
Their calculations said it was more than 99% certain that at least one of the chemicals was indeed having an impact on health.
 
The major economic impact was from pesticides (€120bn; $132.3bn; £86.8bn), followed by chemicals found in plastics (€26bn; $28.7bn; £18.8bn) & flame retardants (€9bn; $9.9bn; £6.5bn).
 
Dr Leonardo Trasande, a paediatrician at the New York University school of medicine, told the BBC: "These results suggest that regulating endocrine disrupting chemicals could produce substantial economic benefit that would be less than the cost of implementing safer alternatives & produce net economic benefits."
 
The studies looked at less than 5% of suspected EDCs & did not look at conditions such as cancer & female reproductive diseases. Hence the scientific team argue that these are conservative estimates.
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The team's conclusions:

• Male reproductive disorders cost €4bn ($4.4bn; £2.9bn) per year
• Premature deaths, including through cardiovascular disease, cost €6bn ($6.6bn; £4.3bn) per year
• Obesity & diabetes cost €15bn ($16.5bn; £10.9bn per year)
• Neurological impact, including reduced intelligence, cost €132bn (£145.6bn; £95.5bn) per year
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