IHP news 521: NCDs

By on May 10, 2019

Stat – Study pulls back curtain on contracts between Coca-Cola and the researchers it funds


When it funds scientific research, Coca-Cola includes a provision in its contracts with academic institutions that allows the beverage giant to pull its funding for a study at any point, according to a group of researchers who obtained several such agreements. The policies could pressure recipients of the funding to pursue research that dovetails with Coca-Cola’s goals out of fear of having their project canceled, the researchers said in a paper published Tuesday, though they added that they found no example of that occurring. The paper, which was published in the Journal of Public Health Policy, comes amid increasing scrutiny of the food and beverage industry’s funding of and influence over academic research. …”

For the paper, see “Always read the small print”: a case study of commercial research funding, disclosure and agreements with Coca-Cola  (by S Steele et al).

BMJ (Analysis) – Gambling and public health: we need policy action to prevent harm


Prevention of harms related to gambling requires investment in population based approaches, say Heather Wardle and colleagues.”

Some of the key messages of this paper:  “Current approaches targeting affected individuals substantially underestimate the harms of gambling; Gambling places a major burden of harm on individuals, communities, and society; Harms from gambling are generated through a range of political, legislative, commercial and interpersonal actions; Public health approaches to reduce harms related to gambling should encompass a range of population based approaches supported by regulation, legislation. and funding.”

HPW – WHO Secures Commitment From Food & Beverage Industry To Phase Out Trans Fats


The World Health Organization says it has secured a commitment from the International Food and Beverage Alliance (IFBA) to phase out industrially-processed trans fat from the global food supply by 2023….”

Devex – Opinion: 3 actions to address the PTSD crisis in global development


Aid workers on the front line in humanitarian crises are liable to suffer from a hidden and largely ignored problem — a mental health crisis. Seventy-nine percent of global development professional respondents in a mental health and well-being survey reported experiencing mental health issues that have compromised the quality of their lives and relationships….”

“…Working on the frontline of humanitarian crises, these men and women may have witnessed human suffering first-hand. As a result, they are more likely to suffer from symptoms such as flashbacks, severe and often debilitating anxiety, depression, substance abuse, and nightmares. One of the most common disorders is post-traumatic stress disorder….”

CJASN -An International Analysis  of Dialysis Services Reimbursement


“The prevalence of patients with ESKD who receive extracorporeal kidney replacement therapy is rising worldwide. We compared government reimbursement for hemodialysis and peritoneal dialysis worldwide, assessed the effect on the government health care budget, and discussed strategies to reduce the cost of kidney replacement therapy.”   “Cross-sectional global survey of nephrologists in 90 countries to assess reimbursement for dialysis, number of patients receiving hemodialysis and peritoneal dialysis, and measures to prevent development or progression of CKD, conducted online July to December of 2016.”

Conclusions: “In low- and middle-income countries, reimbursement of dialysis is insufficient to treat all patients with ESKD and has a disproportionately high effect on public health expenditure. Current reimbursement policies favor conventional in-center hemodialysis.”

Cfr a tweet by Kalypso Chalkidou: “Dialysis not an MDG/SDG priority; has no dedicated vertical; flagged by WHO as least cost-effective buy for health systems – #UHC; yet increasingly covered by LMICs, inadequately, at great cost to health systems and families ; Time to pay attention to tech? “

Science News – Chronic kidney disease epidemic in agricultural workers: High heat, toxins

Science Daily;

“A mysterious epidemic of chronic kidney disease among agricultural workers and manual laborers may be caused by a combination of increasingly hot temperatures, toxins and infections, according to researchers at the University of Colorado Anschutz Medical Campus.” See a new review article in NEJM.

“…the disease could be caused by heat, a direct health impact of climate change, as well as pesticides like glyphosate….”

“Newman and Johnson believe the epidemic is caused by a combination of heat and some kind of toxin and they recognize the need to take preventative action immediately. That means ensuring workers get adequate breaks, drink enough fluids and spend time in the shade. It also means maintaining a clean water supply, free of chemicals toxic to the kidneys.”

Lancet Editorial –Malaysia’s Pain Free programme


Malaysia’sPain Free programme incorporates three clinical approaches: reducing surgical or procedural pain, integrating non-pharmacological approaches, and modifying anaesthetic and analgesic techniques to minimise pain and need for opioids….”

“…the challenge for any country looking to improve pain control and opioid access is to prevent an opioid epidemic, especially given concerns that as regulations tighten in the USA, pharmaceutical companies might look to other markets and continue questionable marketing practices. Malaysia’s Pain Free programme has taken a holistic, coordinated, national approach, and the results should be eagerly anticipated by those interested in tackling pain without overprescribing.”

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