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Diabetes increasing COVID risks, showing need to strengthen health systems 

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Diabetes increasing COVID risks, showing need to strengthen health systems 

“Many efforts have been made to prevent and treat diabetes”, but the disease continues to rise rapidly in low and middle income countries, those “least well-equipped with the diagnostics, medicines, and knowledge to provide life-saving treatment”, said Secretary-General António Guterres. 

A gloomy picture 

Globally, some 422 million adults are living with diabetes (latest figures from 2014), according to the World Health Organization (WHO), compared to around 108 million in 1980 – rising from 4.7 to 8.5 per cent in the adult population. 

This reflects an increase in associated risk factors, such as being overweight or obese.  

Diabetes is a major cause of blindness, kidney failure, heart attack, stroke and lower limb amputation, and the COVID-19 pandemic has brought additional pain to those requiring regular care and treatment who struggle to access therapies for their condition. 

Hope ahead 

A healthy diet, physical activity and not smoking can prevent or delay Type 2 diabetes, formerly called non-insulin-dependent or adult-onset diabetes, the UN said.  

Moreover, the disease can be treated and its consequences avoided or delayed with medication, regular screening and treatment for complications. 

Next year, WHO is launching the Global Diabetes Compact, “a new initiative that will bring structure and coherence to our complementary efforts to reduce the burden of diabetes”, informed Mr. Guterres. 

“Let us work together to make sure that, through this ambitious and much-needed collaboration, we will soon be talking about the decline in diabetes as a public health problem”.   

Hailing nurses 

The theme for World Diabetes Day 2020 is “The Nurse and Diabetes”, which aims to raise awareness around the crucial role of these health care professionals in supporting people living with diabetes. 

Nurses, who currently account for over half of the global health workforce, also help people living with a wide range of health concerns.  

People living with diabetes face a number of challenges, and education is vital to equip nurses with the skills to support them. 

“As we strive to overcome the pandemic, let us do our utmost to ensure Universal Health Coverage, strengthen health systems and advance good health and resilience for all”, the UN chief said.

© WHO / Quinn Mattingly

A 68-year-old diabetes sufferer with her daily medications at home in Doi Son, rural Ha Nam Province, Vietnam.

COVID-19: Consequences of ‘chronic under-investment in public health’ laid bare: Tedros

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COVID-19: Consequences of ‘chronic under-investment in public health’ laid bare: Tedros

Tedros Adhanom Ghebreyesus was making closing remarks at the closing of WHO’s governing body, the World Health Assembly, which finalized its annual session this week after its regular May meeting was cut short by COVID-19 safety requirements.

Historic vaccine advances

The WHO chief highlighted the Pfizer/BioNTech vaccine breakthrough announced this week, which results indicate could be around 90 per cent effective, saying he had “no doubt” that vaccines were a vital tool for controlling the on-going pandemic.

“Never in history has vaccine research progressed so quickly. We must apply the same urgency and innovation to ensuring that all countries benefit from this scientific achievement.

“But we have a long way to go. The world cannot put all its eggs in one basket and neglect the many other tools at our disposal, that countries like Thailand have shown are effective, for bringing this virus under control.”

What works against the virus before inoculation, are isolation, testing and treatment programmes, where the contacts of those infected are traced and then quarantine.

Chronic weakness

The COVID-19 pandemic has “demonstrated the consequences of chronic under-investment in public health”, said Tedros, and the health crisis, “has ignited a socio-economic crisis that has impacted billions of lives and livelihoods and undermined global stability and solidarity. Returning to the status quo is not an option.”

The WHO chief said it wasn’t just more investment that was needed in public health infrastructure, “we must also rethink how we value health.”

New brains trust on health economics

Tedros told the Assembly that that time has now come to think of healthcare as an investment, not a cost, “that is the foundation of productive, resilient and stable economies.”

“To start building that narrative, today I am proud to announce that we are establishing a new Council on the Economics of Health for All, to focus on the links between health and sustainable, inclusive and innovation-led economic growth.”

He said the first virtual session of the Council, which will bring together leading economists and health experts, will likely hold its first virtual session in the coming weeks, to set out its work plan and best way of working.

“The pandemic has also shown that there is an urgent need for a globally agreed system for sharing pathogen materials and clinical samples”, he added, “to facilitate the rapid development of medical countermeasures as global public goods.”

Productive session

Among the Assembly’s achievements through the week were a new roadmap to defeat meningitis by 2030; a new roadmap for neglected tropical diseases; a resolution on scaled-up action on epilepsy and other neurological disorders; the adoption of the Immunization Agenda 2030; the Global Strategy to Accelerate the Elimination of Cervical Cancer as a public health problem; and the Global Strategy for TB Research and Innovation.

“Each of these represents an urgent health priority that affects the lives of millions of people, and which increases the demands on, and expectations of, WHO”, said Tedros.

Ukrainian Greek Church launches “Feeding the poor” campaign – Vatican News

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Ukrainian Greek Church launches

By Vatican News staff reporter

“We want more and more to be a Church that comes out to serve – this is our program, our dream, our guide. First of all, we must serve those who are closest to us and lack attention, support, and comfort.”

This is the message of the Bishops of the Ukrainian Greek Catholic Church, who are inviting the faithful throughout country to participate in a new charity campaign called “Feeding the poor.” The program is focused, in particular, on those who are suffering the consequences of the Covid-19 pandemic.

Recognising the time of God’s visitation

In a sermon, the head of the Ukrainian Greek Catholic Church, Major Archbishop Sviatoslav Shevchuk described the program: “Next Sunday [15 November, the World Day of the Poor], in all our parishes around the world, we will bring food to the churches to feed the poor.”

His Beatitude continued, “How we really need to recognize the time of God’s visitation, as Jesus Christ says! How important it is for us not to miss the moment when the living God comes to us here on this earth! How important it is for us to recognize the saving hand of God that is extended to us today! That is why the Holy Father today draws our attention to the rejected, the forgotten, the despised by modern society.”

A tradition of solidarity

The initiative, coordinated by the Bishops’ department for social services, will be launched on 15 November to coincide with the World Day of the Poor wanted by Pope Francis and is the result of the last meeting of the Synod of Ukrainian Greek-Catholic Bishops.

In a pastoral message entitled “You will be left with only one thing: what you have given to the poor!” the Synod recalls that the Ukrainian Greek Catholic Church has a long tradition of solidarity that has been particularly evident in times of trial: “Our hearts in the free world felt all the pain and oppression experienced by the Greek Catholics under the rule of the communist regime in their native lands,” the Bishops write. “From the diaspora, unceasing prayers were raised to heaven for the persecuted brothers and sisters in the faith, and a merciful and generous hand was extended to them in a gesture of solidarity, which became especially valuable and important after our Church left the catacombs”.

That same solidarity is reciprocated by Church in Ukraine, which today sends her priests to the communities of the Ukrainian diaspora.

Serving the needy

It is on this precious experience of solidarity and mutual support that the Ukrainian Church must build her present and future, the prelates stress – hence the invitation “to serve the needy on an ongoing basis”, which are ever more numerous in Ukraine because of poor economic choices that have impoverished the population, further aggravated by the ongoing war in the East of the country and now by the Coronavirus pandemic. “None of us is so poor that we cannot share anything with others,” the Bishops write. “Only hardness of heart can prevent us from doing so.” They add, “A heart that has a shred of Christ’s thoughts and feelings cannot but say ‘I feel sorry for these people’ in the face of pain and suffering.”

InvestEU Fund for sustainable and social investment ready for negotiations | News | European Parliament

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InvestEU Fund for sustainable and social investment ready for negotiations | News | European Parliament

, https://www.europarl.europa.eu/news/en/press-room/20201112IPR91403/

European values must prevail, even in a state of public emergency, MEPs say | News | European Parliament

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European values must prevail, even in a state of public emergency, MEPs say | News | European Parliament

, https://www.europarl.europa.eu/news/en/press-room/20201109IPR91118/

South Sudan: ‘No child anywhere should suffer from polio’ – UN health agency

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South Sudan: ‘No child anywhere should suffer from polio’ – UN health agency

To stem the outbreak, the Ministry of Health has formed an emergency task force comprised of the World Health Organization (WHO), the UN Children’s Fund (UNICEF) and other partners, for a quick response and to increase surveillance. 

“No child anywhere should suffer from polio, a completely preventable disease”, said Olushayo Olu, WHO Representative for South Sudan. 

While rare, vaccine-derived poliovirus cases can occur when the weakened live virus in the oral polio vaccine, passes through under-immunized populations. If a population is adequately immunized with polio vaccines, it will be protected from both wild polio and circulating vaccine-derived polioviruses. 

Inoculation campaign 

Because immunization is the only way to stop the potentially deadly virus from spreading, South Sudan launched a campaign on Wednesday, aimed at vaccinating 1.5 million children against polio, according to WHO. 

“There is a lot of love in every needle prick, that is how we are protecting the next generation”, said UNICEF South Sudan Representative, Mohamed Ayoya. 

The first round will target children in 45 counties across seven states, including Northern Bahr El Ghazal, Western Bahr El Ghazal, Warrap, Lakes and Eastern Equatoria, where the 15 cases were confirmed. 

Follow-up campaigns covering more states and counties are planned, beginning in December.  

Ahead of and during the campaigns, social mobilizers will increase immunization awareness and participation by engaging communities and community leaders. 

“I urge all parents to take their children for polio vaccination including those who have already been vaccinated”, encouraged the country’s Minister of Health, Elizabeth Achue. “It is safe to receive an additional dose and we want to make sure every child is protected”. 

Preventable polio 

WHO pointed out that less than 50 per cent of the children in South Sudan are immunized against polio and other life-threatening diseases, putting them at risk of lifelong disability and death.  

Moreover, widespread displacement and continual population movements compounded with COVID-19 restrictions, have further aggravated the country’s immunization coverage and have exacerbated children’s vulnerability to polio, especially those in hard-to-reach areas. 

“Despite the ongoing COVID-19 pandemic and flooding [that is] sweeping much of the country, the campaign provides greater opportunity for vulnerable population to receive critical interventions that could avert life threatening disease such as disability from poliomyelitis”, said Dr. Olu. 

On 25 August, South Sudan along with other African countries was declared polio free because there had not been any outbreaks of wild polio virus in the country for more than ten years.  

Stay vigilant 

To keep every child protected, effective and safe vaccines – along with the commitment of parents, other caregivers and health workers – that led to the virus’ eradication in 47 African countries must continue. 

“Immunization is a must and complacency can kill”, the UNICEF representative underscored. “We must ensure all children in South Sudan are taken for routine immunization, which includes the polio vaccine, so this doesn’t happen again when the outbreak is curbed”.

Scores of migrants drown in Mediterranean in separate shipwrecks – Vatican News

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Scores of migrants drown in Mediterranean in separate shipwrecks - Vatican News

By Linda Bordoni

Four shipwrecks in the Mediterranean Sea in the space of three days have claimed the lives of over 110 people who were attempting to flee poverty and conflict in their homelands.

On Thursday, the most recent tragedy that we know of, at least 70 bodies washed up on a beach in western Libya.

According to the International Organization for Migration (IOM), that boat was reported to be carrying more than 120 people, including women and children. Forty-seven survivors were brought to shore by the coastguard and fishermen.

Only a few hours earlier, Médecins Sans Frontières helped three women who were the only survivors of another shipwreck that killed 20 people off the coast of Sorman, also in Libya.

On Wednesday, six people died after the dinghy in which they were travelling with more than 100 migrants capsized off Libya’s coast. They included a six-month-old boy, originally from Guinea.

The day before, another child, whose age is unknown, was among 13 people who died in a separate shipwreck off Libya’s coast. Eleven survivors were taken back to Libya.

An ongoing tragedy

According to charities that scour the deadly waters, people smugglers, taking advantage of mild autumn weather, have sent hundreds of migrants to sea in the last week.

The majority of the journeys have ended in tragedy.

The IOM notes that since the beginning of 2020, almost 600 people have officially died in the central Mediterranean, but says the real number is estimated to be much higher. At least 20,000 people have died in those waters since 2014.

IOM spokesperson Flavio Di Giacomo said: ‘‘Change is necessary now, more than ever, to guarantee effective rescue at sea and prevent new tragedies.’’

Libya not a safe port for return

The UN agency also maintains that Libya is not a safe port for return and reiterates its call on the international community and the European Union to take urgent and concrete action to end the cycle of return and exploitation.

Pope Francis has made the call for protection of migrants and respect for their dignity one of the cornerstones of his pontificate.

Europe prepares for bleak winter as coronavirus rages across nations – Vatican News

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Europe prepares for bleak winter as coronavirus rages across nations - Vatican News

By Stefan J. Bos

With Christmas and other celebrations approaching, much of Europe still faces lockdowns and other measures amid the raging coronavirus pandemic. 

In Sweden, people have been told to prepare for possible travel restrictions during the holiday period.

And Irish Prime Minister Leo Varadkar made clear that people in his Catholic nation might have to celebrate Christmas without loved ones living abroad. “I think in terms of people booking flights to come home for Christmas, I’d advise them not to do that at the moment,” he told legislators. 

“I know that’s difficult . . . tough, but Christmas is six weeks away, and it’s too soon to be booking flights to come home,” he added. “We’re not in a position at this point to advise people that it’s safe to come home for Christmas.” 

ENGLAND DISEASE RECALLED

Varadkar cited the 1967 outbreak of Foot and Mouth disease in England, where Irish people were asked not to come home. “They didn’t come into Ireland, and I’m not saying it’s the same, but certainly, we’re not in the position at this point to advise people that it’s safe to come home for Christmas.”

He added: “I know that’s a tough message to hear, but that’s the case for the short term. International travel is a risk. I think we need to be upfront and honest about that.”

French authorities also said it was too soon to tell if people could make travel arrangements. France is among several nations with tough lockdowns. 

In Italy, for instance, much of the country is in lockdown, and there are calls for stricter measures after authorities reported 636 coronavirus deaths on Thursday. 

Among others is Portugal, which has significantly expanded the number of places subject to a night curfew. From Monday, three-quarters of the country will be under the government’s toughest restrictions.

HUNGARY’S ARMY INVOLVED  

It’s even more challenging here in Hungary. Prime Minister Viktor Orbán has asked the army to help impose an 8 pm to 5 am curfew. 

While Hungary closed its borders to most foreigners in early September, bars and restaurants remained open, and 16,000 people attended a Budapest soccer match in late October. 

But other central or eastern European countries imposed restrictions like those now in effect in Hungary weeks earlier. And this month, neighboring Slovakia administered 3 million tests in a single weekend, while Hungary’s daily number of tests hovered around 18,000.

Prime Minister Orbán, who faces an election in 2022, says he hopes restrictions such as on family gatherings, which are limited to ten people, can be lifted by Christmas. 

But he warns that the effects of the coronavirus measures introduced on Wednesday will only be visible in two weeks. 

Caleb’s Concepts: Many worship it. Too bad science isn’t a religion!

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Caleb’s Concepts: Many worship it. Too bad science isn’t a religion!

“The science says this, the science says that,” drones a pundit from a news station that only cares about viewership. More pathetic than the display of poorly presented empirical evidence are the comments on social media pertaining to climate change. “Science is wrong,” some say. “Well, science says,” respond others. The profound ignorance of many, including educated members in society, is astounding. To think that some body of evidence is infallible and devoid of human bias is, well, ignorant. 

Most scientists will quickly point out that good science is built on the notion of skepticism, where something can only be scientific if it can be proven. Many worship it, saying science will save humanity. Clearly, mainstream culture has misconceptions about science, perceiving it as an unchanging body of evidence devoid of change.

So what exactly is science? Better yet, how can science be defined? In his 1959 book “Logic of Scientific Discovery,” Austrian philosopher Karl Popper described science as “falsifiable.” Put simply, science is a question that can be proven false and predict a wide range of behavior. The first step in the scientific process is to ask a question about a certain event. One particularly famous question asked by Isaac Newton was why does an apple fall? The second requirement is that there must be something against which the hypothesis is being tested against. For example, in statistics we compare the effect of a new hypothesis against an old hypothesis called a null hypothesis. The null hypothesis implies no significance, however, we reject the null hypothesis if the evidence of the new hypothesis shows statistical significance. In other words, scientific ideas can be proven false if new information is presented. 

Now, let’s define pseudoscience. Pseudoscience is any idea that cannot be proven false, like psychoanalysis. In his 1899 book “The Interpretation of Dreams,” Sigmund Freud claims men seek maternal approval out of an unconscious desire to sleep with their mother. This is called the Oedepus complex. According to Freud, if a man’s mother dies and he does not cry at her funeral he is repressing his Oedepus complex. However, if he weeps over his mother’s passing, his Oedipal desires are coming out in the open. Spot the problem yet? Freud’s Oedipus complex cannot be proven false! 

Now, that we have defined what science is, let’s return to the present. Why are people so divided about it? There are political consequences to accepting consequences. This is why many people will deny the severity or existence of climate change because it has serious political and economic consequences. However, ignoring climate change will make it worse, and we will cause irrevocable damage if we don’t act now to fix the damage caused by humans, the Intergovernmental Panel on Climate Change found. If we do nothing, the spillover will change the world as we know it. Unfortunately, climate change has become politicized by both Democrats and Republicans, and will remain this way while the world burns.

History shows us that politicians politicize science to justify their policies. Look at the disastrous economic and social consequences brought to the world by politicizing COVID-19. Though it is unclear whether or not lockdowns work, it is clear that mask requirements do. One study from the University of Toronto found that lockdowns were not associated with mortality per million, while another study from the National Bureau of Economic Research found common mortality patterns wherever COVID-19 was present with or without lockdowns. However, current empirical research suggests that mask wearing is effective in reducing COVID-19. While wearing a mask reduces the risk of contracting COVID, it only works if you and others are wearing a mask. It is still possible to contract COVID-19 at home from a loved one or from friends if you go out. Thus, there is a mathematical positive effect for mask wearing, if people actually wear them when they go out. Though, as Einstein put it, “human stupidity is limitless,” meaning people probably aren’t actually going to wear their masks effectively 100% of the time.

While wearing masks does seem to work, lockdown effectiveness is questionable because the mathematical analysis is inconclusive. This highlights the problem with science: worshipers flock to its altar when it agrees with them and use it to justify their political ideas, yet abandon it the moment its usefulness expires. 

Being a good scientist means educating yourself with the tools needed to understand it, or humble yourself and admit you do not understand it. Never point to something you do not understand and say it is wrong, simply because you do not understand. At the end of the day, science is a testable philosophy about the observable world. It does the scientific community a disservice pretending science is more than that. Do not use science to confirm your own worldview.

Outstanding public health achievements from the WHO European Region receive the highest recognition at the resumed 73rd World Health Assembly

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At the resumed Seventy-third World Health Assembly, 2 individuals and 1 organization from the WHO European Region were awarded prestigious global public health prizes for their significant contribution to population health.

Professor Gunhild Waldemar from Denmark was presented with the His Highness Sheikh Sabah Al-Ahmad Al-Jaber Al-Sabah Prize for Research in Health Care for the Elderly. Both the Equi-Sastipen-Rroma Network of Spain and Professor Dame Sally Davies from the United Kingdom were also awarded with the Nelson Mandela Award for Health Promotion during a ceremony on 13 November.

The prizes are awarded by a selection panel following recommendations received from Member States after an invitation by WHO’s Director-General. The awards are named after well known health professionals, international figures or prominent foundations committed to supporting innovation in international and global public health.

WHO Regional Director for Europe Dr Hans Henri P. Kluge congratulated all the winners of the public health prizes, in particular those from the WHO European Region: “Their continuous dedication to improve the health of people, especially those who are vulnerable and face health inequities, is an inspiration to us all. These are concrete examples, putting into practice the principle of leaving no one behind in health – central to the European Programme of Work ‘United Action for Better Health’. I’m pleased to see the winners given the recognition they thoroughly deserve.”

Award winners from the European Region

Professor Gunhild Waldemar was awarded for her contribution to research in the areas of health care for older people and health promotion. In 2007, Professor Waldemar established the Danish Dementia Research Centre and has supported the development of dementia national care action plans.

The Equi-Sastipen-Rroma Network comprises 21 Sinti and Roma associations who liaise with various governmental agencies in Spain to facilitate access to health and social services as well as to promote health equity in the Roma population. Through its work, including training of health professionals in intercultural competence and increasing awareness about health issues that affect the Roma population, the Network has strengthened trust between Roma communities and health administrations and services.

Until recently, Professor Dame Sally Davies was Chief Medical Officer of the United Kingdom, working to improve the quality of people’s health no matter their location or financial situation. She was pivotal in launching noncommunicable disease risk prevention strategies, including a nationwide sugar levy, standardized tobacco packaging and programmes to ensure access to sports and exercise facilities. She is also a global leader in combating antimicrobial resistance.

Winners from outside the WHO European Region included:

  • Dr Errol R. Alden of the United States of America, awarded the Ihsan Doğramacı Family Health Foundation Prize;
  • Geo-RIS (Sistema Geoespacial de las Redes Integradas de Salud, Geospacial System of Integrated Health Networks) of the Dirección General de Aseguramiento e Intercambio Prestacional del Ministerio de Salud of Peru, presented with the Sasakawa Health Prize; and
  • Dr João Aprigio Guerra de Almeida of Brazil and The Sickle Cell Disease Consortium of the United Republic of Tanzania, both presented with the Dr Lee Jong-wook Memorial Prize for Public Health.
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