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New WHO Report: More Than 1 Billion People Are Disabled – Could You Be Next?

The World Health Organization (WHO) and the World Bank just revealed the first-ever global estimate of disability. The report suggests that at least 1 billion people are currently disabled, and about 1/5 of those are experiencing significant difficulties with their activities of daily living. Since  people with disabilities experience poorer health, lower educational achievements, fewer economic opportunities and higher rates of poverty than people without disabilities, this vulnerable segment of the population needs much closer attention.

I’m a physical medicine and rehabilitation (PM&R) specialist by training, and there are only about 8000 of us in the United States. Some have called PM&R specialists: “primary care physicians for the disabled” and I think that’s a reasonable description. The task before us is daunting – with hundreds of millions of people who are not living their lives at maximum functional capacity, rehab physicians should be in great demand.

My experience is that while the demand is great, funding is limited. I’ve seen tragic cases of children being denied critical wheelchair parts, and Read more »

Scary Images On Cigarette Packages Do Make People Think About Quitting

The World Health Organization (WHO) says graphic health warnings on tobacco packages are a powerful “best buy” in decreasing tobacco use and its many health consequences.

Photo by Bill Branson, National Cancer InstituteThe Centers for Disease Control and Prevention outlined the research in the MMWR.

The World Health Organization (WHO) created a treaty for tobacco product labels that many countries have ratified. Among other requirements, these warnings are expected to appear on at least 30%, and ideally 50% or more, of the package’s principal display areas, and preferably use pictures.

To assess how cigarette package labels impact quitting smoking, researchers used data from the Global Adult Tobacco Survey (GATS) in 14 countries from 2008 to 2010 that had ratified WHO’s tobacco control treaty. Current smokers of manufactured cigarettes were asked whether they had noticed health warnings on a cigarette package in the previous 30 days, and whether the label led them to think about quitting smoking.

Among men in 12 of the countries and women in seven countries, more than 90% of smokers reported noticing a package warning in the previous 30 days. Read more »

*This blog post was originally published at ACP Internist*

WHO’s First Social Media Effort: Making Hospitals Disaster-Safe

I got an email from Mari (M4ID_Mari on Twitter) on behalf of the World Health Organization’s (WHO) Emergencies and Humanitarian Action team in South East Asia, based in New Delhi about WHO’s first social media-driven effort, aiming to engage 1 million people in the issue of making hospitals safe in disasters. From WHO

“Floods, tsunamis, earthquakes, cyclones – the WHO South-East Asia Region is particularly vulnerable to natural disasters. In 1996-2005, such events led to the deaths of more than half a million people in this region. This makes up 58% of the total number of people killed worldwide due to natural disasters.

Hospitals are lifelines in the aftermath of a disaster, when large numbers of people are critically injured or vulnerable. It is particularly vital that they remain intact and functional to save lives. In addition to treating disaster victims, hospitals must also quickly resume treatment of everyday emergencies and routine care. When hospitals are damaged or destroyed during disasters, it has a social, economic as well as health impact. Hospitals and health facilities are at the core of the structure of every community. They also protect health workers and the most vulnerable people – the sick – all the time. When these are damaged, it can have a psychological impact on the entire community. Read more »

*This blog post was originally published at scan man's notes*

Cervical Cancer Screening: The Jade Goody Effect

The Telegraph reports that the number of screening pap smears performed in the UK has declined after an 8 percent blip upwards in 2009 when publicity surrounding the death of Jade Goody from cervical cancer may have led more women to have this important screening test:

NHS laboratories processed 415,497 tests in 2009-2010, about 35,000 fewer than the previous year when 450,522. Miss Goody’s death in March last year prompted a 20 percent increase in the number of Scottish women taking tests. More than 122,000 were processed between April and June last year, the statistics revealed.

The irony of course, is that British reality TV star Jade Goody did have pap smears, but chose to ignore her doctor’s recommendations for treatment when her pap smears came back abnormal.

Nonetheless, the decline in pap smears has led NHS of Scotland to initiate a campaign to reach the up to 25 percent of young women who do not respond to invitations to have pap smears. Read more »

*This blog post was originally published at tbtam*

WHO Partners With Traditional Healers In Africa

There’s an AIDS epidemic in Africa, and efforts to fight it are hampered by the endemic social problems of that continent. Chief among them are the lack of sufficient modern health resources, the spread of destructive rumors and myths about HIV/AIDS, and even the persistence of HIV denial in Africa (although this last factor is better than in the past).

The World Health Organization (WHO) and the International HIV/AIDS Alliance are teaming up with the Traditional Health Practitioners Association of Zambia (THPAZ) to address the first problem –- the lack of health services.

Most Zambians use traditional healers for primary healthcare. The WHO has therefore decided to utilize traditional healers in the fight against AIDS. There are interesting pros and cons to this policy, but it must first be recognized that there is no ideal solution to the problem. The resources to provide optimal modern health care to treat and prevent HIV/AIDS (which would need to include a massive education program) in Zambia and the rest of Africa simply do not exist. One might argue that the world should provide those resources, but let’s put that issue aside and focus on what to do in the meantime. Read more »

*This blog post was originally published at Science-Based Medicine*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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