•   
  •   

US News People in poor countries are living longer but with more diseases

03:25  24 may  2020
03:25  24 may  2020 Source:   qz.com

How polar explorers survived months of isolation without cracking

  How polar explorers survived months of isolation without cracking Their “vital mental medicine” included strict routines, sprightly tunes, and a vision of a happy ending.With his ship the Endurance being crushed by pack ice and sinking fast, Antarctic explorer Sir Ernest Shackleton ordered his men over the side, telling them to take only the barest of personal possessions, a limit of no more than two pounds each.

Working-age people in poorer countries have little access to preventive care and more exposure to health risks, such as air pollution, poor nutrition and lax antismoking laws Chronic diseases that are treatable in developed countries are often death sentences in developing countries , the report notes.

People are living longer but spending more years in ill health. Obesity is one of the major reasons. More than a billion people worldwide are living with mental health and substance misuse disorders . Depression features in the top 10 causes of ill health in all but four countries .

TOPSHOT - A man carries a bucket filled with meat at a market in Dakar on May 23, 2020, as residents shops on the eve of the Islamic festivity of Korite. Korite marks the end Muslim Holy month of Ramadan. (Photo by JOHN WESSELS / AFP) (Photo by JOHN WESSELS/AFP via Getty Images) © Getty TOPSHOT - A man carries a bucket filled with meat at a market in Dakar on May 23, 2020, as residents shops on the eve of the Islamic festivity of Korite. Korite marks the end Muslim Holy month of Ramadan. (Photo by JOHN WESSELS / AFP) (Photo by JOHN WESSELS/AFP via Getty Images)

With aging come many benefits, including freedom, wisdom, perspective, and—in many cultures—respect. Unfortunately, the downside is that aging also brings medical ailments. Many people in wealthy countries have multiple co-existing, chronic conditions. This is known as multi-morbidity. In 2016, chronic conditions accounted for over two-thirds of deaths worldwide. Many of these people had more than one condition.

People's Congress: China's long way back to normal

 People's Congress: China's long way back to normal © dpa The recovery from the corona shock takes longer than the official figures suggest. The Chinese economy is recovering more slowly than expected from the corona crisis. Economists fear a second wave of infection. The country is waiting for the signals from the People's Congress. From Friday, China will be the first country to celebrate a major political event in the middle of the corona crisis: the National People's Congress.

In some parts of the country , adults with the lowest incomes die on average as young as people in much poorer nations like Rwanda, and their life spans are getting The top 1 percent in income among American men live 15 years longer than the poorest 1 percent; for women, the gap is 10 years.

The countries where the majority of the world's poor people live are not included: China, India, Indonesia, Brazil, Argentina, Mexico, the Philippines, Pakistan HIPC addressed its shortcomings by expanding its definition of unsustainable debts, making greater relief available to more countries , and

The number of medical conditions that people accrue increases with age. The concept of multi-morbidity is well known to healthcare providers in high-income countries where there are large numbers of older people. In poorer parts of the world, such as sub-Saharan Africa, populations are younger. The focus of healthcare has been on diseases affecting these younger populations such as infectious diseases and maternal and child ill-health.

But the world is changing. The number of older people in lower income countries is growing. These countries’ health systems are not designed to care for people with chronic conditions. They are more focused on single, acute diseases. This may need to change towards more individual-based health care for chronic conditions. This is why it’s important to establish if multi-morbidity is also an issue in lower income countries.

Coronavirus: Trump threatens to cut food at WHO for good

 Coronavirus: Trump threatens to cut food at WHO for good © Provided by Le Point US President Donald Trump threatened Monday to cut food at WHO for good and revealed that he was taking hydroxychloroquine as a preventive measure, when encouraging results for an experimental vaccine against the coronavirus are emerging. The pandemic has already killed more than 316,000 people worldwide, and the United States is the most affected country with more than 90,000 deaths and at least 1.5 million infections.

Yet people living in countries like the Central African Republic, Burundi or the Democratic Republic of the Congo—the three poorest in the world—continue to live in It is sadly unsurprising that all 10 of the world's poorest countries are found in Africa. Three of them are within the Sahel region, where

People in Morogoro live much as they have since agriculture first reached Tanzania. Additional funds would do more good, the researchers concluded, if spent on neglected diseases for More countries should copy the Morogoro model. And donors should pay heed that, while more money is

Women walk past stalls at the deserted fish market in Rufisque on APril 9, 2020. - The World Bank warned Thursday sub-Saharan Africa could slip into its first recession in 25 years because of coronavirus and called for debt relief to ease the impact on the world's most impoverished region. (Photo by SEYLLOU / AFP) (Photo by SEYLLOU/AFP via Getty Images) © Getty Women walk past stalls at the deserted fish market in Rufisque on APril 9, 2020. - The World Bank warned Thursday sub-Saharan Africa could slip into its first recession in 25 years because of coronavirus and called for debt relief to ease the impact on the world's most impoverished region. (Photo by SEYLLOU / AFP) (Photo by SEYLLOU/AFP via Getty Images) Our work shows that the impact of multi-morbidity on individuals living in lower income countries is substantial. This should inform the planning of health system development which will need different medical skills, facilities, policies and resources to care for individuals with multiple chronic conditions in addition to acute single conditions.

Multi-morbidity

Previous investments into health challenges in lower income countries are paying off. Fewer women are dying in childbirth, more children are reaching adulthood, and people are living long lives with HIV.

Donald Trump announces the withdrawal of the United States from the Open Skies Treaty

 Donald Trump announces the withdrawal of the United States from the Open Skies Treaty © REUTERS / Leah Millis US President Donald Trump during a visit to Michigan on May 21, 2020. Donald Trump announced the American withdrawal from the international military treaty "Open Skies". Negotiated in 1992 after the collapse of the Soviet Union and entered into force in 2002, the agreement allows the 34 signatory countries to fly over their respective territories to verify arms control and to detect possible military movements.

d. Most people in the world today live in countries poorer than the United States was in 1907. 3. Long -run economic growth depends primarily on: a 20. Those who question whether long -run economic growth is sustainable emphasize that: a. technological innovations have more of an impact

Countries by percent of population living below .25 per day in 2011 in dollars. For example, rich nations generally employ more generous standards of poverty than poor nations. Diseases of poverty.

 By 2050 most of the world’s elderly will be living in developing countries. But aging population means chronic diseases and multi-morbidity will rise. These healthcare successes have conspired positively with increasing country wealth and change in lifestyle and diets to result in life expectancy increasing worldwide, especially in the lower income countries. In fact, by 2050 most of the elderly population will be living in developing countries. But an aging population means that chronic diseases and multi-morbidity will increase.

A trader opens his shop in Rood Wokos great market in Ouagadougou on April 20, 2020, after the market was closed since March 25, 2020, as a preventive measure against the spread of the COVID-19 coronavirus. (Photo by OLYMPIA DE MAISMONT / AFP) (Photo by OLYMPIA DE MAISMONT/AFP via Getty Images) © Getty A trader opens his shop in Rood Wokos great market in Ouagadougou on April 20, 2020, after the market was closed since March 25, 2020, as a preventive measure against the spread of the COVID-19 coronavirus. (Photo by OLYMPIA DE MAISMONT / AFP) (Photo by OLYMPIA DE MAISMONT/AFP via Getty Images) Multi-morbidity in lower income countries has so far been given little attention by researchers. Most research and development funding still goes to infectious diseases and those that predominantly affect mothers and young children. We recently did a study in Burkina Faso, one of the poorest countries in the world. We found that 20% of people over 40 years of age had multi-morbidity – one or more infectious, non-infectious, or mental health conditions.

Corona reconstruction plan by Merkel and Macron: Four states submit counter-proposal

 Corona reconstruction plan by Merkel and Macron: Four states submit counter-proposal © dpa One of the Austria, Sweden, Denmark and the Netherlands want to help crisis-hit countries with loans instead of grants. The EU budget should not be increased. Four states submit counter-proposal Austria, Sweden, Denmark and the Netherlands have submitted a counter-proposal to the Franco-German proposal for a corona reconstruction plan. The countries that call themselves "The Economical Four" are in favor of a one-off emergency fund to strengthen the EU economy.

Most of human history has been blighted by poor survival rates among children, and that Many showed the effects of trauma from hard labour, as well as diseases we would associate with later They argue that if we think we ’ re living longer than ever today, this is because our records go back to

Out of 56 zoonoses studied, the researchers found 13 that were most important in terms of their impact on human deaths, the livestock sector and the severity of disease in people , along with their amenability They found many livestock were infected with these zoonoses in poor countries , where

We also found that the chance of having multiple conditions increased with age, being female, or being unmarried. This is in line with other studies which have shown that increasing age is a risk factor for multi-morbidity. People over 60 or 65 years are particularly vulnerable. In addition, research suggests that the combination of mental health conditions and physical conditions is more common among women then men. But more research is needed to map the extent of multi-morbidity in different population groups. The evidence is especially low in low-income countries.

In our study, multi-morbidity was more common among people with higher socioeconomic status (education and wealth). This differs from what is usually seen in high-income countries, where it is more common among poorer or less educated people. It may be that in lower income countries people who are wealthier can afford the unhealthy lifestyles that lead to multi-morbidity.

Traders enter Rood Wokos great market in Ouagadougou on April 20, 2020, after the market was closed since March 25, 2020, as a preventive measure against the spread of the COVID-19 coronavirus. (Photo by OLYMPIA DE MAISMONT / AFP) (Photo by OLYMPIA DE MAISMONT/AFP via Getty Images) © Getty Traders enter Rood Wokos great market in Ouagadougou on April 20, 2020, after the market was closed since March 25, 2020, as a preventive measure against the spread of the COVID-19 coronavirus. (Photo by OLYMPIA DE MAISMONT / AFP) (Photo by OLYMPIA DE MAISMONT/AFP via Getty Images) More troubling, we found that multi-morbidity is associated with increased disability, low quality of life, and poor physical performance in Burkina Faso. These are all outcomes that are very important to older people, as they capture health in a broader sense than just assessing medical conditions. We also found that the combination of non-communicable diseases and mental health conditions is particularly negative.

Virus: Tunisia, in full deconfinement, records its first death in 10 days

 Virus: Tunisia, in full deconfinement, records its first death in 10 days © FETHI BELAID Passers-by, mostly wearing a mask, on Avenue Habib Bourguiba, in the center of Tunis, on May 12 2020 A man who died in Mahdia (center) tested positive for the new coronavirus, said Tuesday the Ministry of Health, the first death related to this disease in ten days in Tunisia, where a deconfinement began on May 4. This death brings the number of deaths in Tunisia to 46, where early and strict confinement had been decreed on March 22.

If we found these results in such a poor country, it is highly likely that multi-morbidity is a major problem for older people in all parts of the world.

The double burden

Large improvements have been made in tackling infectious diseases and those that affect younger people. But lower income countries are still struggling with these conditions, in addition to an increasing burden of chronic diseases and multi-morbidity. This double burden of disease is overwhelming the health services. This is especially pertinent, given that health services in many developing countries are organized only to handle single conditions, and not to care for patients with multiple chronic conditions.

Senegalese buy meat at a market in Dakar on May 23, 2020, on the eve of the Islamic festivity of Korite. Korite marks the end Muslim Holy month of Ramadan. (Photo by JOHN WESSELS / AFP) (Photo by JOHN WESSELS/AFP via Getty Images) © Getty Senegalese buy meat at a market in Dakar on May 23, 2020, on the eve of the Islamic festivity of Korite. Korite marks the end Muslim Holy month of Ramadan. (Photo by JOHN WESSELS / AFP) (Photo by JOHN WESSELS/AFP via Getty Images)

There’s a lack of health service factors – for example, follow-up systems and availability of doctors or nurses – needed to take care of patients with multi-morbidity. There are also patient-side barriers to care – for example, the understanding of chronic conditions and their treatment. These factors culminate in other unpublished findings from our study that fewer than 10% of the people with the chronic conditions of hypertension or diabetes had their conditions adequately managed.

The prevalence of multi-morbidity, the fact that conditions are not being adequately treated, and the association with outcomes that matter to patients (quality of life, physical function, and disability) mean that without rapid development of adequate health services to prevent and manage it, multi-morbidity will be especially devastating in these settings.

The way forward

Senegalese are seen buying meat at a market in Dakar on May 23, 2020, on the eve of the Islamic festivity of Korite. Korite marks the end Muslim Holy month of Ramadan. - . (Photo by JOHN WESSELS / AFP) (Photo by JOHN WESSELS/AFP via Getty Images) © Getty Senegalese are seen buying meat at a market in Dakar on May 23, 2020, on the eve of the Islamic festivity of Korite. Korite marks the end Muslim Holy month of Ramadan. - . (Photo by JOHN WESSELS / AFP) (Photo by JOHN WESSELS/AFP via Getty Images) Our research from Burkina Faso adds to a growing body of evidence that highlights multi-morbidity as a global health issue of major significance. Investments are needed by researchers, development agencies and national governments to prioritize understanding of this emerging global epidemic.

The aim is to prevent the increasing burden that multi-morbidity could put on health systems, individuals, families and societies worldwide in the years to come

Shame on this Prime Minister and his hopeless Government .
DonaldTrump asked a reporter to remove his 'politically correct' face mask at a press conference on the coronavirus pandemic being held at the White House.

—   Share news in the SOC. Networks
usr: 0
This is interesting!