IHP news 508: NCDs

By on February 8, 2019

WHO Bulletin – Prevention and control of noncommunicable diseases: lessons from the human immunodeficiency virus experience

Seye Abimbola et al; https://www.who.int/bulletin/online_first/18-216820.pdf?ua=1

“…In many low- and middle-income countries, the challenges of scaling up successful localized projects to achieve national coverage are well recognized. However, because of the widely acknowledged success of national efforts to scale up interventions to prevent and control human immunodeficiency virus (HIV) infection, the disease is now largely managed as a chronic condition. The shift means that lessons from the HIV experience may be transferable to the rollout and scale-up of effective interventions for noncommunicable diseases in low-and middle-income countries….

…. However, acknowledging that significant differences exist between HIV and noncommunicable diseases and that these differences influence implementation and scale-up is important… …. In addition to the specific lessons gained from the HIV field, efforts to adopt lessons and innovations from the HIV experience to scale up noncommunicable disease interventions should be informed by several approaches…

“….While there is much to learn from the HIV experience, noncommunicable diseases have peculiarities that may limit the transferability of learnings or require significant adaptation of such learnings. The same applies to the transferability of learnings on noncommunicable disease prevention and control between high-income and low- and middle-income countries. However, the scale-up of interventions to prevent and control noncommunicable diseases, especially in low- and lower-middle-income countries, presents an opportunity for the use of research to facilitate quick and potentially global spread of effective and innovative interventions. We therefore call for the development of research and practice platforms that allow for progressive and systematic accumulation and sharing of field learnings from scale-up efforts. These platforms will maximize learning from the experience of scale-up of HIV interventions and from the scale-up of noncommunicable disease interventions between settings.”

Lancet Public Health (Editorial) – A bleak look at mental health in the Americas


Is it really a massive wall along the border between the USA and Mexico that the American continent needs the most today? A series of reports published in this issue of The Lancet Public Health strongly suggests that there might be more pressing issues for people living in the Americas—from North to South, these reports paint a worrying portrait for the state of mental health….”

Plos Med – Lifetime risk and multimorbidity of non-communicable diseases and disease-free life expectancy in the general population: A population-based cohort study


“M. Arfan Ikram & colleagues assess the burden and preventability of co-occurring non-communicable diseases in the population-based Rotterdam Study.”  This study got quite some attention in media.

BMJ News – WHO proposes rescheduling cannabis to allow medical applications


The World Health Organization has proposed rescheduling cannabis within international law to take account of the growing evidence for medical applications of the drug, reversing its position held for the past 60 years that cannabis should not be used in legitimate medical practice. The WHO Expert Committee on Drug Dependence met late last year to critically review available evidence on cannabis and related substances and to agree the most appropriate level of international control.”

Guardian – Delete your account: leaving Facebook can make you happier, study finds


New study from Stanford and NYU finds logging off causes ‘small but significant improvements in wellbeing’”.

As for what happens when you quit Twitter, that study still needs to take place : )

HPW – Beat NCDs: Rwanda Celebrates First Car-Free Day, While Kenya Plans Air Pollution Sensors


Rwanda’s capital city, Kigali, celebrated its first car-free day today, while a Kenyan telecom company was reported to have launched a major initiative to install 3,000 low-cost air pollution sensors around the country, in response to growing fears about air pollution’s health impacts….”

Globalization & Health – The effect of community-based programs on diabetes prevention in low- and middle-income countries: a systematic review and meta-analysis

M Shirinzadeh et al; https://globalizationandhealth.biomedcentral.com/articles/10.1186/s12992-019-0451-4

The increasing prevalence of type 2 diabetes mellitus (T2DM) can have a substantial impact in low- and middle-income countries (LMICs). Community-based programs addressing diet, physical activity, and health behaviors have shown significant benefits on the prevention and management of T2DM, mainly in high-income countries. However, their effects on preventing T2DM in the at-risk population of LMICs have not been thoroughly evaluated….” Hence this systematic review.

BMJ Journal of Sports Medicine – Walking on sunshine: scoping review of the evidence for walking and mental health

Paul Kelly et al; https://bjsm.bmj.com/content/52/12/800

Results & conclusion: “For the 8 mental health outcomes (identified a priori), there were a total of 5 systematic reviews and 50 individual papers included. Depression had the most evidence and existing systematic reviews were reported. Evidence for anxiety, psychological stress, psychological well-being, subjective well-being and social isolation and loneliness varied in volume and effectiveness, but no harmful effects were identified. There were no studies for walking and resilience. The setting and context of walking seems to be important variables. … …The evidence base that suggests walking benefits mental health is growing, but remains fragmented and incomplete for some important outcomes. Policy and national guidelines should promote the known mental health benefits of increased walking and future research should directly address the gaps we have identified.”

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The ConversationHow easy access to alcohol, and adverts, affect women in South Africa

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