Archive for ‘Health’

16/02/2016

India and China Have Most Deaths From Pollution – China Real Time Report – WSJ

More than half of the 5.5 million deaths related to air pollution in 2013 happened in India and China, according to a new study.

About 1.4 million people in the South Asian nation and 1.6 million in its northern neighbor died of illnesses related to air pollution in 2013, researchers at the University of British Columbia in Canada said.

The Indian and Chinese fatalities accounted for 55% of such deaths worldwide, the study said.

Researchers studied risk factors for death and disease around the world and found that air pollution, both indoors and outdoors, was one of the leading contributors to global fatalities.

The inhalation of emissions from power plants, vehicles, the burning of crop stubble before replanting, and wood or open fires in homes are some of the leading causes of deaths from air pollution, the report said.

The number of premature deaths linked to air pollution worldwide will increase over the next two decades unless more aggressive targets are set to curb it, researchers studying India and China’s air said at a meeting Friday in Washington D.C.

A major contributor of poor air quality in India is linked to the burning of wood and cow dung for cooking and keeping warm, particularly in the winter months. These methods are popular among India’s rural and urban poor, who don’t have access to electricity or cleaner fuels.

Household air pollution from cooking with wood “is primarily a problem in rural areas of developing countries of the world,” said Michael Brauer, a professor at the University of British Columbia’s School of Population and Public Health, in Canada.

Over the past few months, levels of tiny insidious particles, known as PM 2.5, in the Indian capital New Delhi have often exceeded amounts deemed safe by the United Nations World Health Organization.

Taking their lead from Beijing, Indian authorities in January experimented with restricting cars on roads for two weeks in New Delhi to reduce emission levels. Delhi Chief Minister Arvind Kejriwal said Thursday the city would revive the restrictions for 15 days, starting April 15.

Scientists said vehicle emissions contribute only 20% to 40% of pollution in Delhi, saying other sources of the particulate matter include the burning of dung, rubbish and leaves and the use of diesel backup generators, which kick in when Delhi’s patchy electricity supply cuts out, as well as emissions from small-scale industries such as brick kilns.

A federal environmental court in New Delhi said Feb. 4 it wanted officials to improve air quality by asking authorities to reduce the number of traditional cremations that use wood to burn bodies, a widespread practice in majority Hindu India.

In China, outdoor air pollution from burning coal was found to be the biggest contributor to poor air quality, causing an estimated 366,000 deaths in the country in 2013. Scientists predict 1.3 million premature deaths will take place in China by 2030 if coal combustion remains unchecked.

“One of the unique things about air pollution is you cannot run, you cannot hide from it. We know that if you improve air quality everybody benefits, so from a health perspective reducing levels of air pollution is actually an incredibly efficient way to improve the health of the entire population,” Mr. Brauer said.

Source: India and China Have Most Deaths From Pollution – China Real Time Report – WSJ

02/08/2015

China to expand medical insurance for major illnesses | Reuters

China will expand medical insurance to cover all critical illnesses for all urban and rural residents by the end of the year, the cabinet said on Sunday, the latest step in a plan to fix a healthcare system that has sparked public discontent.

The State Council said 50 percent of the medical costs will be covered by insurance in a bid to “more effectively reduce the burden of medical expenses”, in a statement posted on the government’s website.

President Xi Jinping‘s government has touted access to affordable healthcare as a key platform of his administration, underscoring the importance of meeting the needs of the nearly 1.4 billion people, many of whom have often complained of large out-of-pocket expenses due to low levels of insurance coverage.

Many people say the cost of serious illnesses such as cancer and diabetes can bankrupt households under the current system.

The aim of expanding health insurance was to “effectively alleviate poverty caused by illness” and to build a strong universal healthcare system, the State Council said.

Since 2009, China has spent 3 trillion yuan ($480 billion) on healthcare reform, but the system still struggles with a scarcity of doctors, attacks by patients on medical staff and a fragmented drug distribution and retail market.

Economists say it is crucial for China to improve the quality of its healthcare if it wishes to remake its economy and boost domestic consumption. They say a stronger safety net will encourage Chinese to spend more and save less.

China’s healthcare spending is set to hit $1 trillion by 2020, up from $357 billion in 2011, according to McKinsey & Co, attracting a rapid inflow of money from private insurers, hospital operators and other investors.

via China to expand medical insurance for major illnesses | Reuters.

29/06/2015

India’s Victory Over Polio Has an Unexpected Consequence – India Real Time – WSJ

India’s aggressive eradication of polio established the template for moving a disease from endemic to eliminated and has been lauded by the World Health Organization.

But in the process, a rise in the prevalence of another polio-like condition, acute flaccid paralysis, has been recorded.

Known as AFP, the condition is the sudden onset of muscle weakness or the inability to move limbs, and can be a tell-tale sign of polio, but is also a symptom of other diseases, including transverse myelitis, which causes injury to the spinal cord, Guillain Barre Syndrome, a nerve disorder, and Japanese Encephalitis, a mosquito-borne virus.

Since 1997, children in India who present with AFP are immediately tested for polio to comply with polio-eradication protocol and doing so has been one of the foundation stones for eradication.

Just this month, more than 200 young patients in the country’s most-populous state Uttar Pradesh, suffering from AFP were tested for polio. They didn’t have the virus, the federal Health Ministry said in a statement.

Such surveillance has resulted in a huge rise in reported cases of AFP.

In 2003, when polio was endemic in India, 8,500 cases of AFP were recorded. So far in 2015, a year after India was declared polio free, there have been nearly 18,000 reported instances but none linked to polio.

Often the cause of AFP remains unknown.

via India’s Victory Over Polio Has an Unexpected Consequence – India Real Time – WSJ.

31/03/2015

China aims to double doctor numbers as cure for healthcare woes | Reuters

China will almost double the number of its general doctors by 2020, trim its public sector and improve technology as it seeks to fix a healthcare system plagued by snarling queues and poor rural services, its main administrative authority has said.

People queue at a hospital in Shanghai, September 2, 2014.  REUTERS/Aly Song

China’s fast-growing healthcare market is a magnet for global drug makers, medical device firms and hospital operators, all looking to take a slice of a healthcare bill expected to hit $1 trillion by 2020, according to McKinsey & Co.

“Healthcare resources overall are insufficient, quality is too low, our structures are badly organized and service systems fragmented. Parts of the public hospital system have also become bloated,” China’s State Council said in a five-year roadmap announced late on Monday.

The roadmap, which laid out targets for healthcare officials nationwide between 2015 and 2020, said Beijing wanted to have two general doctors per thousand people by 2020, close to double the number at the end of 2013, as well as increasing the number of nursing and support staff.

China suffers from a scarcity of doctors – partly caused by low salaries – which has created bottlenecks at popular urban hospitals leading to rising tension between medical practitioners and often frustrated patients.

The roadmap said China would also look to use technology such as mobile devices and online “cloud systems” to meet some of the issues, a potential boost to tech firms like Alibaba Group Holding Ltd and its healthcare subsidiary Alibaba Health Information Technology Ltd.

China should also have digital databases for electronic health records and patient information covering the entire population to some degree by 2020, it said.

Providing access to affordable healthcare is a key platform for President Xi Jinping‘s government. However, recent probes have turned the spotlight on corruption in the sector, while patients often have large out-of-pocket expenses due to low levels of insurance coverage.

The roadmap said China would push forward the development of grassroots healthcare, a fast-growing business segment, while reining in some large public hospitals in urban centers.

The document also suggested further opening to the private sector, where Chinese and international firms have been taking a growing role in running hospitals.

“The role of public health institutions is too big, with the number of beds accounting for around 90 percent of the total,” the State Council said.

via China aims to double doctor numbers as cure for healthcare woes | Reuters.

28/07/2014

Improving health care: Congratulations! Inoculations! | The Economist

FANS of the China model frequently say that, for all the disadvantages of a one-party state, there are also benefits. Enforcing basic health care is one—and by no means a small one. Last year China’s mortality rate for children under five years old was just one-fifth the rate it was in 1991, down from 61 deaths per 1,000 live births to 12. The maternal mortality rate has also dropped substantially—by 71%—since 1991. In 1992, one in ten Chinese children under five contracted hepatitis B. Today fewer than one in 100 of them carry the disease.

China’s advances have not gone unnoticed. Last month a group of four international bodies, including the World Health Organisation (WHO) and the World Bank, said China was one of ten countries to have made exceptional progress in reducing infant and maternal mortality (see chart). Not all of the ten—which included Egypt, Peru, Bangladesh and Vietnam—are one-party states.

China’s improvement lies in two basic, connected areas: better care at birth and countrywide immunisation. Since 2000 the government has offered subsidies to mothers who give birth in hospitals, thereby reducing health dangers from complications—especially the risk of neonatal tetanus. The scheme also brought hard-to-reach people and groups into contact with the health-care system.

From 2001 to 2007, the share of births that took place in hospitals rose by 46%, making it easier to give a hepatitis B vaccine immediately. China now has one of the highest usage rates of the birth dose of the vaccine in the world: 96% of Chinese babies receive it on their first day of life. In 2012 the WHO commended China for a “remarkable” public-health achievement. That year it declared China free of maternal and neonatal tetanus.

Margaret Chan, the WHO’s director-general, this month said that China’s regulatory system for vaccines had passed the WHO’s evaluation with outstanding results. Dr Chan says she has “full confidence” in the safety of vaccines made in China. Last year the WHO approved one for the first time for use by UNICEF. (That has not dispelled suspicions within China itself, however, about the safety of Chinese vaccines.) China and the WHO claim that about 95% of children are vaccinated for measles, rubella and polio. In 2008 the government added eight new vaccines, including hepatitis A and meningitis, to its national programme. All are administered to children free of charge. Just as important has been the mobilisation of a network of health-care workers, at provincial, county and township levels.

via Improving health care: Congratulations! Inoculations! | The Economist.

17/07/2014

Four of every 10 Asians living with HIV are Indian – U.N. report – India Insight

India has the third-highest number of people living with HIV in the world, with 2.1 million Indians accounting for four of every 10 people infected in Asia, the United Nations said in a report on Wednesday.

People walk near a red ribbon sand sculpture created by Indian sand artist Patnaik on the eve of World AIDS Day in Odisha

The epidemic has killed about 39 million of the 78 million people it has affected worldwide since it began in the 1980s, the U.N. AIDS programme said, adding that the number of people infected with HIV was stabilising around 35 million.

Here are some facts and figures on India from the report:

India accounted for 51 percent of AIDS-related deaths in Asia in 2013 and 8 percent of deaths worldwide.

via India Insight.

06/06/2014

Telemedicine in India might be just what the doctor ordered | India Insight

Between surgeries and hospital rounds one recent day, Dr. Rajiv Parakh made a dash into his Gurgaon office for an appointment he couldn’t miss: a consultation with a patient who lives hundreds of kilometres away.

Seated before his laptop in this city on the outskirts of India’s capital, the surgeon listened as a patient in Bangladesh’s capital Dhaka described his swollen legs. For the next 20 minutes, Parakh examined the patient via Web camera, made a diagnosis and prescribed treatment.

The bespectacled Parakh, a practising doctor for nearly 30 years, spoke in Hindi during the session, enunciating his words for clarity.

Medanta, the multi-specialty hospital where he works, started its free telemedicine service about a year ago as an outreach service for patients who cannot visit the hospital.

“In-person consultation is obviously the gold standard,” Parakh told India Insight. “But if we have a doctor at the patient’s end, especially somebody who he trusts and who he knows, we can be reasonably comfortable about prescribing treatment.”

Medanta is one of several e-health providers that say they want to change how healthcare is delivered in India, and address the industry’s two biggest problems: accessibility and lack of manpower.

India has 0.7 physicians per 1,000 people — BRIC peers Russia (5), Brazil (1.5) and China (1.5) have better ratios — and most Indians travel about 20 kilometres to reach a hospital, according to a 2012 report by accounting firm PricewaterhouseCoopers (PwC).

via Telemedicine in India might be just what the doctor ordered | India Insight.

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11/04/2014

Beijing seeks to ban purchase of cigarettes with public funds | Reuters

Good news for Chinese health, bad news for the cigarette industry.

“China’s capital Beijing is proposing to ban the use of government money to buy cigarettes, either as gifts or to be provided at official functions, state media said on Friday, in the latest move to try and curtail smoking.

Extinguished cigarettes are seen in an ashtray at the Shanghai Railway Station December 23, 2013. REUTERS/Aly Song

China, home to some 300 million smokers, is the world’s largest consumer of tobacco, and smoking is a ubiquitous part of social life, particularly for men. Cartons of cigarettes are commonly given as presents or provided at formal events.

The Beijing government rules, currently in the proposal stage, would ban cigarettes being provided or given at any official event, the official Xinhua news agency reported.

The rules also seek a ban on promotional sales activities or advertising for cigarettes and a ban on smoking in public places like train stations, hospitals and schools, with fines of up to 200 yuan ($32), the report said.

Beijing, along with other parts of China, already bans smoking in many public places, though the rules are generally ignored.

Xinhua did not say when the new rules may go into effect.

Tougher regulation of smoking is a priority this year, officials from the National Health and Family Planning Commission said in January, adding that the agency was pushing lawmakers to toughen laws on tobacco use.

The ruling Communist Party said last year that officials must not light up in schools, workplaces, stadiums, and on public transport, among other places, so as to set a positive example.

($1 = 6.2125 Chinese yuan)”

via Beijing seeks to ban purchase of cigarettes with public funds | Reuters.

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16/01/2014

India Is Polio-Free for 3rd Year, but It Can’t Afford to Be Complacent | TIME.com

Good news does not always flow freely in India. Too many children still go hungry. Violence against women endures. Inflation is soaring, and gay sex was just criminalized, again.

india_polio_ap0112

But today India got a boost: Jan. 13 marks the country’s third year of being free of polio, the highly infectious disease that attacks the nervous system of children in particular and can paralyze within hours. The last child to be crippled by polio in India was a 2-year-old girl in West Bengal, whose case was confirmed on Jan. 13, 2011. The fact that none have been found since is a stunning turnaround from 2009, when India hosted nearly half the world’s cases. That polio has been wiped from this vast, crowded country is arguably one of the greatest achievements in modern public health — and a stirring reminder that sheer determination can, in fact, change lives.

People used to say that ridding India of polio simply couldn’t be done. The virus has used the subcontinent as an incubator for centuries, and some experts argued that the slow process of vaccinating every child could never outpace the rapid transmission of the disease. Happily, they were wrong. Teaming up with groups like Rotary International, the Bill & Melinda Gates Foundation and the World Health Organization (WHO), the Indian government launched yearly national vaccination drives carried out by millions of volunteers and, eventually, backed up by sophisticated disease-surveillance and population-monitoring systems. In 2002, there were 1,600 polio cases in India. By 2009, there were 741. Today, there are none.

via India Is Polio-Free for 3rd Year, but It Can’t Afford to Be Complacent | TIME.com.

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08/01/2014

China aims to ban smoking in public places by end of the year | Reuters

China aims to impose a nationwide ban on smoking in public places this year, as authorities move to stamp out a widespread practice that has taken a severe toll on citizens\’ health.

Students pose for pictures with ''big cigarette models'' during a campaign ahead of the World No Tobacco Day, at a primary school in Handan, Hebei province, May 29, 2013. REUTERS/China Daily

China, home to some 300 million smokers, is the world\’s largest consumer of tobacco, and smoking is a ubiquitous part of social life, particularly for men.

Tougher regulation of smoking is a priority this year, officials from the National Health and Family Planning Commission said this week, adding that the agency was pushing lawmakers to toughen laws on tobacco use.

\”Compared to the damage to health that smoking causes, tobacco\’s economic benefits are trivial,\” Mao Qun\’an, a spokesman for the commission, told a news conference on Tuesday.

The drumbeat to reduce tobacco use has grown steadily louder in the past few years, but experts say China\’s powerful tobacco industry, which has resisted raising cigarette prices and use of health warnings on cigarette packs, has been a tough opponent.

The nationwide smoking ban has long been in the works. Several cities have banned smoking in public places, but enforcement has been lax.

Beijing pledged in 2008 to prohibit smoking in most public venues, including government offices, but no-smoking signs are frequently ignored.

Steps recommended by the commission range from beefing up education on the dangers of tobacco to banning smoking in schools and hospitals.

An official in the tobacco control office of the Chinese Centre for Disease Control and Prevention said in December that lawmakers would consider the nationwide ban on smoking in public places this year.

The commission\’s statement follows a government circular urging Communist Party cadres and government officials not to light up in schools, workplaces, stadiums, and on public transport, among other places, so as to set a positive example.

via China aims to ban smoking in public places by end of the year | Reuters.

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