Monday, August 10, 2009

Do you know that Diarrhea is Responsible for 2,000,000 deaths per year in Africa

The introduction of genetically modified rice into Africa is being justified by presenting it as a solution to diarrhoea, responsible for 2,000,000 deaths per year (mainly children) in the global South. However there are other very simple means of reducing cases of diarrhoea such as improved sanitation and cleaner, free water supplies.

On 6 March 2007, it was reported in the media that a new variety of Genetically Modified (GM) rice containing human genes obtained preliminary approval from the US Department of Agriculture (USDA) for large-scale planting in Kansas. California-based Ventria Bioscience, the developer of the rice, claims that it can be used to treat diarrhea. A BBC TV report on 6 March 2007 showed images of African children in a hospital as an example of some supposed beneficiaries of the new rice.

Friends of the Earth Africa believes that our continent does not need genetically modified solutions to diarrhea and condemns the use of African children as a tool to promote the new GM rice produced by Ventria Bioscience. Diarrhea is an illness that has well-known causes, and proven, inexpensive solutions. Ventria’s GM rice is unproven, unnecessary, and a distraction from ongoing programmes to save children suffering from diarrhea on our continent.

Monitoring activities undertaken by Friends of the Earth Africa in 2006 revealed that Africa has been contaminated by illegal GM rice LL601 in Ghana and Sierra Leone, main African recipients of rice as commercial imports and food aid from the US.

The dust raised by the revelation of the contamination of the food chain by an illegal rice variety, LibertyLink Rice601 (LLRice 601), had barely settled when news arrived of new contamination episodes in other parts of the world. On the 5 March 2007, the USDA announced that it was prohibiting the planting of another type of long-grain rice after confirmation of a new case of contamination. The genetically modified contaminant detected in a long-grain rice variety known as Clearfield CL131 was not authorised for commercialisation. Therefore, the U.S. Department of Agriculture’s Animal and Plant Health Inspection Service (APHIS) decided to prevent its planting and distribution.

Just a few days before this latest contamination episode, it was reported that the USDA had given preliminary approval to a large-scale planting of a new variety of GM rice containing human genes. The rice, produced by a company called Ventria Bioscience, has been engineered to produce recombinant human milk proteins to be extracted from the rice for a variety of suggested uses. In the media, Ventria claims these proteins will be used in oral rehydration solutions to treat diarrhea. But elsewhere, the company says it will use them as supplements in yogurt, sports drinks and granola bars.

If that earlier contamination was worrisome, the USDA’s support for planting up to 3200 acres of Ventria’s 'pharmaceutical rice' is even more so. We are particularly concerned that this massive planting of drug-containing rice is going forward even though the US Food and Drug Administration has refused to approve Ventria’s recombinant pharmaceutical proteins as safe.

The first GM food crop containing human genes is set to raise many socio-economic, cultural as well as ethical questions, besides environmental and health concerns.

This rice is being produced by Ventria Bioscience, a biotech company based in California, USA. According to Ventria Bioscience, the rice, which will be planted on up to 3,200 acres in Kansas, is endowed with human genes that produce recombinant versions of human proteins, including bacteria-fighting compounds found in breast milk and saliva. If Ventria’s application is fully approved by USDA, this will be the largest planting of a drug-producing food crop in the US.

Ventria has been field-testing rice engineered with human genes since 1996 to produce three pharmaceutical proteins–lactoferrin, lysozyme and serum albumin. When farmers, consumers and food companies protested against their field trials in California and Missouri, concerned that the engineered crops would contaminate rice destined for the food supply, Ventria shifted to Kansas.

According to analysts, pharmaceutical (pharma) crops such as Ventria's rice pose a threat to human food supply and public health, as the proteins they contain are intended to be biologically active in humans, yet have not undergone adequate testing or received FDA approval as drugs, and thus may thus be harmful if eaten accidentally. The chances of contamination are also high when such compounds are produced in food crops grown outdoors. The contamination routes are numerous, including cross-pollination and seed mixing during commercial growing and seed production.

Ventria’s rice has already been publicized in many written and audiovisual media as an important solution to one disease that particularly affects poor children in the Third World: diarrhea. On 6 March, a BBC report showed images of ill African children in a hospital as an example of some of the supposed beneficiaries of that new GM rice.

'We can really help children with diarrhea get better faster. That is the idea', said Scott E. Deeter, president and chief executive of Sacramento-based Ventria Bioscience. The proponents of this GM rice say they want to widely introduce their products into oral hydration solution,'which is consumed by at least half of the world’s children'. They define their product as 'the Holy Grail' of rice and assert 'that is what every mother would want for their child'.

From the company’s sources, an experiment using this technology has already been conducted in Peru on 140 infants from five to 33 months in age, in hospitals attended by the poorest sectors of the population. Several reports indicate that parents of the children were not adequately informed of the experimental nature of the treatment, and at least two mothers of infants in the clinical trial reported that their infants suffered from allergic reactions, causing the Peruvian government to launch an enquiry into the experiment.

Does Africa need a genetically modified solution for diarrhea? Diarrhea is responsible for over 2,000,000 deaths every year, the majority in the Third World. Despite being a major cause of deaths among children, particularly those under five years old, today there are already well-known measures to prevent and treat diarrhea. In fact, these proven and effective measures have already reduced the mortality rate of children suffering from diarrhea from 4.600,000 deaths in 1980 to 1,500,000 to 2,500,000 million deaths today, and is regarded as one of the greatest medical achievements of the 20th century.

Simply put, when a person has loose or watery stools, he has diarrhea. If mucus and blood can be seen in the stools, he has dysentery. It can be mild or very serious and may come suddenly or remain for many days. It is known that the disease is more common among young children and especially so with the undernourished ones. A well nourished child would usually recover from a case of diarrhea even without any medical treatment. For a poorly nourished child, on the other hand, an attack of diarrhea can easily prove fatal.

One of the most prevalent causes of diarrhea is linked to the limited access to safe water supply and sanitation coverage. In Africa, nearly 40 per cent of the population has an unsafe water supply and poor sanitation coverage. The World Health Organisation (WHO) found that a reduction in the number of diarrhea cases and deaths due to diarrhea was directly related to access to safe water supply and sanitation services. As the Water Quality and Health Council indicates, 'if access to safe water and sanitation coverage were improved there would be a smaller frequency of diarrhoea cases', which consequently would mean that patients would avoid costs related to treatment expenditures, drugs, transportation and time spent going to hospital and clinics. The WHO concluded in a 2004 study that simple technologies for improvement of water and sanitation 'would lead to a global average reduction of 10% of episodes of diarrhoea'. WHO concludes that if the level of intervention was higher, the reduction of diarrhea episodes could be higher: 'access to in-house regulated piped water and sewerage connection with partial treatment of waste waters, could achieve an average global reduction of 69 per cent'.

Diarrhea is a symptom of infection caused by a host of bacterial, viral and parasitic organisms most of which can be spread by contaminated water. It is more common when there is a shortage of clean water for drinking, cooking and cleaning, and basic hygiene is important in prevention. Water contaminated with human faeces, for example from municipal sewage, septic tanks and latrines, is of special concern. Animal faeces also contain micro-organisms that can cause diarrhoea. Diarrhea can also spread from person to person, aggravated by poor personal hygiene. Food is another major cause of diarrhoea when it is prepared or stored in unhygienic conditions. Water can contaminate food during irrigation, and fish and seafood from polluted water may also contribute to the disease (World Health Organisation).

It is important to note that diarrhea usually lasts a day or two and goes away on its own without any special treatment. Only prolonged cases, however, present indications of other problems Thus, special treatment for diarrhea is needed only occasionally. What children suffering from this condition need is rehydration as they lose a lot of water through the diarrhea. There are already very cheap and accessible ways of fighting dehydration by simple oral rehydration therapy.

It is obvious from the above that the world does not require rocket science in order to combat incidents of diarrhea. More than anything else, what is needed is basic hygiene, safe water access and the provision of infrastructure that would support that. Moreover, investing in GM solutions when 'simple' solutions exist constitutes a diversion of energies from the already challenging objective to guarantee the right to clean water and sanitation.

Interventions

Key measures to reduce the number of cases of diarrhea include:
- Access to safe drinking water
- Improved sanitation
- Good personal and food hygiene
- Health education about how infections spread.

Key measures to treat diarrhea include:
- Giving more fluids than usual, including oral rehydration salts solution, to prevent dehydration
- Continue feeding
- Consulting a health worker if there are signs of dehydration or other problems
(World Health Organisation).

African children have been used once again in the media in order to facilitate acceptance for a new product which is not needed in our continent. Diarrhea is a disease with well-known causes, as well as solutions. If deaths from a preventable disease such as diarrhea are to be stopped, more efforts should be undertaken to tackle its causes and greater investments should be made in improving basic water and sanitation conditions in our continent.

We once more state that Africans do not need GMOs and by no means want 'medicine crops' beyond the ones already supplied by nature. Africans do not need these expensive, experimental fixes.

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Friday, August 7, 2009

what is your opinion on this issue and what is your solution to minimise the rate?

Sub-Saharan Africa is more heavily affected by HIV and AIDS than any other region of the world. An estimated 22 million people were living with HIV at the end of 2007 and approximately 1.9 million additional people were infected with HIV during that year. In just the past year, the AIDS epidemic in Africa has claimed the lives of an estimated 1.5 million people in this region. More than eleven million children have been orphaned by AIDS.1

The extent of the AIDS crisis is only now becoming clear in many African countries, as increasing numbers of people with HIV are becoming ill. In the absence of massively expanded prevention, treatment and care efforts, it is expected that the AIDS death toll in sub-Saharan Africa will continue to rise. This means that impact of the AIDS epidemic on these societies will be felt most strongly in the course of the next ten years and beyond. Its social and economic consequences are already widely felt, not only in the health sector but also in education, industry, agriculture, transport, human resources and the economy in general.

what is your opinion on this issue?

Sub-Saharan Africa is more heavily affected by HIV and AIDS than any other region of the world. An estimated 22 million people were living with HIV at the end of 2007 and approximately 1.9 million additional people were infected with HIV during that year. In just the past year, the AIDS epidemic in Africa has claimed the lives of an estimated 1.5 million people in this region. More than eleven million children have been orphaned by AIDS.1

The extent of the AIDS crisis is only now becoming clear in many African countries, as increasing numbers of people with HIV are becoming ill. In the absence of massively expanded prevention, treatment and care efforts, it is expected that the AIDS death toll in sub-Saharan Africa will continue to rise. This means that impact of the AIDS epidemic on these societies will be felt most strongly in the course of the next ten years and beyond. Its social and economic consequences are already widely felt, not only in the health sector but also in education, industry, agriculture, transport, human resources and the economy in general.

Friday, July 31, 2009

FIRST AID (Spinal Cord Injury )

Overview
• Spinal cord injury is otherwise called 'myelopathy'
• It results in an injury to the nerve fibers in the cord
• Can cause loss of physical sensation and mobility
• Spinal cord remains intact in most of the injuries
• Complete injury causes no movement/sensation below injury
• Incomplete injury-retains some movement/sensation below injury
• Physical therapy, ventilators, wheel chairs often required
Causes
• Automobile accidents
• Diving accidents
• Falls
• Shot by a gun
• Conditions like
a. Polio
b. Tumor
c. Spina Bifida
d. Friedreich's Ataxia
Symptoms
• Loss of sensation
• Loss of motor functions
• Loss of bowel/bladder functions
• Sexual function can get affected
• Loss of involuntary functions, like breathing
• Inability to control rate of heart beat
• Inability to sweat
• Chronic pain
Treatment
Seek medical help or call for an ambulance as soon as possible. Meanwhile-
• Move the person, if surrounding is not safe
• Immobilize the head, neck and body on both sides
• Movements may dislocate vertebra and cause further injury
• If there is no sign of breathing, perform CPR
• Do not tilt head backward during CPR
Prevention
• Always wear a seat belt while driving
• Use special seat belts for children and babies
• Do not drink and drive
• Do not dive into a shallow pool area

FIRST AID (Snake Bites )

Overview
• Thousands suffer from snake bites, globally, every year
• People who live near wilderness/trekkers - more prone
• Even bite from a harmless snake can cause allergic reaction
Causes
Some common venomous snakes include -
• Viper
• Cobra
• Rattle snake
• Water moccasin
• Coral snake
• Copper head
Symptoms
• Fang marks
• Swelling/severe pain at the site
• Bloody discharge from wound
• Burning
• Diarrhea
• Excessive sweating
• Blurred vision
• Numbness/tingling sensation
• Increased thirst
• Vomiting
• Fever
• Loss of muscle co-ordinations
• Convulsions
• Rapid pulse
• Weakness/Dizziness/Fainting
Treatment
a. Seek Medical help as soon as possible. Meanwhile -
• Wash wound with soap/water
• Immobilize the affected area
• Keep area slightly elevated
• Apply cool compress/wet cloth to affected part
• Apply a firm bandage 2-4 inches above bite to
i. Prevent venom from spreading
ii.Take care of any bleeding
b. Monitor for pulse, respiration and blood pressure
Prevention
• Do not attempt to kill a snake.
• If you spot a snake, leave it alone
• While hiking or in the woods, stay out of tall grass
• Do not put your hand into pits/crevices during treks
• Exercise caution while climbing rocks

FIRST AID (Tooth Ache )

Overview/Causes
• Tooth ache is primarily caused by tooth decay
• Bacteria flourishes on sugar/starch in food particles inside mouth
• A sticky plaque is then formed on teeth surface
• The bacteria in the plaque produces acid
• This acid erodes the enamel or hard covering of the teeth
• This creates a cavity
• The first sign of tooth decay is tooth ache
• This occurs on eating something very cold/very hot/sweet
• Tooth ache can also be caused by injury/trauma
• Tooth ache can occur in children and adults
Symptoms
Pain in the tooth radiates to jaw, cheek, ear
• Pain while chewing
• Increased sensitivity to hot/cold things
• Swelling in the jaw
• Discharge/Bleeding from tooth or gums
Treatment
• Use a floss to remove any particle lodged between teeth
• Learn flossing from a dentist
• Take a pain relieving tablet
• Apply benzocaine containing antiseptic
• Applying clove oil also might help
• Do not place aspirin directly against the gums
• This might lead to burning of gum tissue
Consult a Doctor
If
• Tooth ache persists
• Fever occurs with the ache
• Difficulty in breathing occurs
• Difficulty in swallowing occurs
Prevention
• Brush teeth after every meal
• Floss regularly
• Visit your dentist twice a year
• Wear a mouth gear while playing
• Avoid smoking as it worsens dental conditions
• Eat a balanced meal with reduced starch/sugar content

FIRST AID (Foreign Object In The Nose )

Overview
• Any outside object inserted into nose
• Usually children are the affected ones
• During play, they insert small objects into nostrils
Causes
• Food particles
• Erasers
• Dried seeds
• Objects, like crayons
• Beads
• Buttons
Symptoms
• Irritation
• Infection
• Foul smelling / bloody discharge from nose
• Breathing difficulty
Treatment
• The person must be urged to breathe through mouth
• The person should avoid breathing with force
• Close the unaffected nostril
• Blow out gently through the affected nostril
• Get medical aid if this method fails
Steps to Avoid
• Do not probe an object which is not seen
• Do not probe an object that is not easy to grasp
• Do not blow nose too hard
• Do not use sharp instruments to remove the object
Consult a doctor
• When the object cannot be removed
• When the victim suffers from infection
Prognosis
• No problem expected once the object is removed
Prevention
• Children must be trained not to put objects in body openings
• Small objects must be kept out of reach of children

FIRST AID (Foreign Object In The Skin )

Overview
• When object is lodged in the skin layers
• It may be embedded superficially or deeply
Causes
• Caused by glass
• Wood splinters
• Fiber glass
Symptoms
• Irritation
• Pain
• Abscess
Treatment
• Wash hands well
• Clean the affected area using soap, water
• If object is visible above skin, squeeze the area around
• When object pops out, remove using sterile tweezer
• If embedded under skin, use a sterile needle
• Sterilize needle by flaming/wiping with alcohol
• Use needle to break skin over affected area
• Lift tip of the object
• Use a small tweezer to pull it out
• Gently squeeze the area and let bleed
• Clean the area with soap, water. Pat dry
• Apply an antibiotic
Steps to Avoid
• Do not wet if the object is of wood
• Wet wooden objects swell- becomes difficult to remove
Consult a doctor
• If the object is difficult to remove
• If the object is close to a sensitive body part, like the eye
• In case of infection

FIRST AID (Foreign Object When Swallowed )

Overview
• Most objects swallowed will be eliminated naturally
• Sharp objects/objects like battery are dangerous
• Sharp objects should be removed
• Can happen to all ages
• Common in children of 1-3 years
Causes
• Certain food like popcorn
• Coins
• Small toys
• Small objects like buttons, beads
Symptoms
• Coughing
• Difficulty in breathing
• Wheezing
Treatment
• If breathing is difficult, do Heimlich maneuver
• Seek medical help as quickly as possible

On someone else
• Stand behind the person
• Wrap your arms around victim's waist
• Tilt the person a little forward
• Make a fist with one hand
• Place it just above the navel
• Hold the fist with the other hand
• Give a hard upward thrust into the abdomen
• Repeat if required

On Oneself
• Make fist with one hand
• Place fist above navel
• Hold it with other hand
• Bend over a hard surface like a chair
• Give hard upward thrust
• Repeat if required
Prevention
• Do not give potentially dangerous food to children
• Give small pieces of food to children
• Avoid laughing / talking when eating