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Archives for Prevention Better than Cure category

drink drivingThe festive season is fast approaching and there will be numerous parties where you’ll be having a great deal of fun. When there are parties, there are always alcoholic drink and many reasons for one to drink more. Before you take another shot, think again, “Am I going to drive later?” If you are, most probably you want to be more discipline. If you are not, drink all you want and make sure you have someone to see you home safely.

During this time, you’ll see a lot of commercials, banners and posters to remind individual to drink responsibly. I believe that most people are responsible … at least all my friends drink responsibly. When they are drunk, they always make sure that someone else who is sober will be at the wheel. Probably next time, if you know that your friends are drunk or have been drinking a lot, you may also want to exercise a little social responsibility to stop him/her from driving.

Drunk driving is an offence in most countries around the world. Anyone who is convicted of injuring or killing someone while under the influence of alcohol can be heavily fined, in addition to being given a lengthy prison sentence. In Singapore, repeated offence of drunk driving can cause you to be fined up to $30,000 SGD and three years’ imprisonment. For an offender causing death or serious injuries can also be caned up to 6 strokes.

In a report from CNN, a man in LA was charged with three counts of murder when he ran a red light and struck a car, killing a Major League Baseball pitcher and two others while under the influence of alcohol. Just for that split seconds he had caused lost and miseries to three families.

death-finitionAccording to the Office for National Statistics of UK, “There were 8,724 alcohol-related deaths in 2007, lower than 2006, but more than double the 4,144 recorded in 1991. The alcohol-related death rate was 13.3 per 100,000 population in 2007, compared with 6.9 per 100,000 population in 1991.”

In the US, in 2006, an estimated 17,602 people died in alcohol-related traffic crashes—an average of one every 30 minutes. These deaths constitute 41 percent of the 42,642 total traffic fatalities (from National Highway Traffic Safety Administration)

In Singapore, there was a significant rise in drink-driving arrests recording a 7% rise from 3,733 cases in 2006, to 4,009 cases in 2007. From a speech by Dr. Teo Ho Pin, dated 13 December 2006; he cited an accident which happened earlier in March that year. Two colleagues were on their way home together on a motorcycle and they crashed into the centre divider along Bukit Timah Expressway and their bodies were found lying along the road. It was found later that both men had a high concentration of alcohol in their blood. In that tragedy, two families lost not only their sole breadwinners but also their husbands and fathers. Indeed as what he mentioned, “The penalties of drink-driving are very high – with the ultimate penalty being death.

Often time, you may think that you are still sober enough to drive after drinking but there are too many cases where drunk drivers caused death of their loved ones and innocent parties.

Prevention is always better than cure. If you are going out on a group, there can be a designated driver to send the rest home. And in the case when even the designated driver had a few drinks, there is always public transport or a cab instead. Never leave things to chance. Please do not ruin your night of fun and enjoyment and be sentenced to a lifetime of guilt and regret.

Photo by engindeniz

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junk food
Photo by idesign-er

Eat all and whatever you desire … then pop this quick fix diet pill and you will slim down.‘ Frightening thought! This was something I heard in the news a few months ago about obese children. The question is, “can the damages already done to the body, by eating all the junk foods, be reversed so easily?”

According to a news report in The Huffington Post (April 6 2009), a new study by Ohio State-Temple University says almost 1 in 5 American 4-year-olds is obese. The study suggests that overall, more than half a million 4-year-olds are obese.”

Another updated report (2 September 2009) in BBC states, “The number of under-18s in the UK being prescribed weight-loss drugs rose 15-fold between 1999 and 2006.” Not to mention that these drugs are licensed only for adults.

In the book ‘Food, Inc,’ Robert Wood Johnson Foundation wrote, “Childhood obesity is a serious public health problem in the United States. Over the past three decades, obesity rates have soared among all age groups, increasing more than four times among children ages six to eleven.

If we do not do something about this rising trend, our children will end up with higher risk for heart disease, high blood pressure, cancers, joint diseases and other obesity related problems like pulmonary problems, type II diabetes, psychological (self esteem, confidence issues, and depression) etc. Not only that, obese adolescents are much more likely to become obese adults. Thus these health problems will follow them through their lives.

It is important to prevent childhood obesity not only because of the above mentioned health problems, but also because of the financial strain it causes in the economy. According to the Robert Wood Johnson Foundation, “Childhood obesity alone carries a huge price tag - up to $14 billion annually in direct health-care costs.” Isn’t this another important reason for us to look into this seriously?

To reverse this rising trend, you guess it, we need to lead by example. We need to change both our lifestyles and the food that we are feeding them and ourselves. Remember “Children See, Children Do?

In changing our lifestyles, we need to involve children in more outdoor games and activities that will make them sweat and move around. Be creative and remember to make it fun for them. End of the day, these games and activities will benefit you too.

The next part is changing the foods that we are feeding them and ourselves. As the saying goes, “We are what we eat.” We must cut down the in-take of high calories items like French fries and sodas. Then what should we be feeding on?

Quoting something from Dr. Marion Nestle, a doctorate in molecular biology and a master’s in public health nutrition, both from the University of California, Berkeley:

“…basic dietary principles are not in dispute: eat less (means to consume fewer calories); move more (need to balance calorie intake with physical activity); eat fruits, vegetables and whole grains; and avoid too much junk food (highly processed sweets and snacks laden with salt, sugars, and artificial additives).”

Last but not least, since children are spending a lot of their time in school, school has to make sure that the foods that are served to the children meet healthy standard too.

It is the responsibilities of both school and us to ensure the good health of children. With this combine effort, we can definitely reverse the rising trend of child obesity.

Fresh Fruits
Image Courtesy of Hong Lee Toh

Frankly speaking, I am no expert or medical doctor and thus I cannot give you the answer to that. I guess no one can give you the definite answer too. According to a Yahoo! News by Associated Press, “… it’s too soon to tell.

A prominent expert on global flu outbreaks, with the University of Minnesota, Michael Osterholm said, “What makes this so difficult is we may be somewhere between an important but yet still uneventful public health occurrence here — with something that could literally die out over the next couple of weeks and never show up again — or this could be the opening act of a full-fledged influenza pandemic.

Yesterday, I was talking to a friend and the first thing she asked me is, “Have you read about the swine flu?” She is concerned and worried about how the swine flu can potentially kill a lot of people. Hopefully this will not go on to kill millions around the world, as pandemics did in 1918, 1957 and 1968.

Besides being concerned and worried about this, it is more important to take proactive measures to secure yourself and your family. Everyone has an important part to play to prevent the swine flu pandemic from happening.

Although flu shots have been offered in different nations, new types of flu viruses have remained a threat. So what can we do? The best bet will be to work on your immune system. With a stronger immune system, you body has a higher chance of winning battles against viruses.

How do we boost our immune systems? (These are not the only things you can do to boost your immune system. I am sure you can add more to this list. The important thing we should focus on is boosting our immune systems)

1. In a previous article, ‘C is the Alphabet to Healthy Life,’ which I posted, increasing your intake of Vitamin C could be a good start to boosting your immune system.

The good thing is Vitamin C is easily available in fruits and vegetables. The foods that are very rich in Vitamin C include green peppers, citrus fruits and juices, strawberries, tomatoes, broccoli, turnip greens and other leafy greens, sweet and white potatoes, and cantaloupe. I believe there are more foods which you can add to the list.

2. Drink plenty of water. How many times have you heard about the important of drinking water? And how many of us are doing it? The usual guideline is about 6-8 glasses of water everyday. My body has a way to let me know that it needs water - it protests by giving me headaches. Headaches and thirst are both signs of dehydration.

3. Get a full night’s sleep. Depending on individual, your body may need anywhere from 6 to 10 hours of sleep each night. According to an article on Vibe Health dated 27 February 2009, “Medical researchers are discovering that sleep may be the body’s way of recharging your immune system, explaining why poor sleepers are prone to infections and heart disease.”

4. Exercising. Exercise can make a noticeable difference to your health and happiness by releasing Endorphins. Moderate and consistent exercise help one to boost immune system and to sleep better. If you overdo it, it may do harm to your immune system instead.

5. Drinking Tea. Immunologists at Harvard University discovered that people who drank five cups of black tea a day for 2 weeks transformed their immune system T cells into “Hulk cells” that pumped out 10 times more cold and flu virus - fighting interferon — proteins that defend against infection — than did the immune systems of those who didn’t drink black tea. Green tea should work just as well.

While five cups a day may seem like a lot, Dr. Jack Bukowski of the Harvard Medical School thinks fewer cups may still offer some valuable protection. Moderation is important.

Besides following these points to boost immune system, we must also adopt good hygiene practices and be socially responsible:

1. Washing hands thoroughly and often especially if you have been out in the public.
2. People should avoid touching their mouth, nose or eyes with their hands unless they’ve washed their hands.
3. Using a serving spoon when sharing food.
4. Not spitting on the floor, covering nose and mouth with a tissue when coughing or sneezing and to throw it into garbage immediately.
5. Wearing masks when unwell.

Those who have flu-like symptoms are advised to seek medical help promptly, and inform the doctors of their travel history.

Although there is no way to control 100 percent on how the swine flu pandemic may evolve, we can do our parts to prevent it from affecting ourselves, our immediate families and friends. I hope these few points can inspire you to take proactive measures to boost your immune system. Wishing everyone great health!

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Bloggers UniteDecember 1st is the World AIDS Day 2008. There was a TV series being produced in Singapore, in conjunction to the World AIDS Day 2008 on December 1st. In the TV series, the leading actor was infected with AIDS through a single account of unsafe casual sex. The TV series attempted to raise the awareness of AIDS by informing the viewers to be faithful to a single sex partner and not to indulge in casual sex. Fortunately, the leading actor eventually gained the support of his family and friends.

This leads me to the questions, “How many people infected with AIDS can be forgiven by their family” and “How many of them have gotten support from their family and friends eventually?” I certainly hope the answers are as heartening as the case portrayed in the TV series. However, I understand that, I for once can be part of the heartening answers. As what Gandhi said, “Be the change you want to see in the World.” The good news is, you too can join me in this change.

Over the weekend, there was a special report on AIDS in the newspaper and there is a particularly disturbing headline which read, “HIV infection rates in Singapore have spiked, rising tenfold from 42 in 1991 to 423 in 2007.” While in Thailand, they have fallen from 143,000 to 17,000.

According to the report, “Education, awareness and safe sex helped in Thailand. So did easy access to generic drugs that can keep people with HIV healthy for many years.” In Singapore, without subsidies, the medication can amount to more than $1,000 a month. HIV patients either have to smuggle cheaper generic drugs from Thailand, or do without medication and there are cases where patients just give up and wait to die. Can we just leave people to die?

There was a move by the Singapore government recently, to provide HIV testing to all patients aged 21 and above who are admitted to the six public hospitals here by the end of the years. Patients are allowed to opt out of the test. This strategic move by the government aims to identify more HIV-positive patients in the early stages of the disease. Would this move be effective in getting people to opt for the voluntary testing but without availability of treatment?

Under the current scheme, HIV patients can use up to $550 from their Medisave accounts monthly for their HIV medication. But patients here pay $353 and $511 while their counterparts in Thailand and China pay only $65 and between $200 and $300 for patented drugs respectively. “These prices are well beyond what HIV patients here - mostly from lower socioeconomic backgrounds - can afford,” according to the report.

On one account, a part-time cashier, who believes she was infected by a former boyfriend, had to be hospitalised for HIV-related complications such as pneumonia. She used up almost all of her $7,000 in her Medisave account and said that she wouldn’t be around, if not for her social worker who told her how to get drugs from Thailand.

I tend to agree with one of the doctors who pointed out the irony that on one hand we promote Singapore as a medical hub but on the other hand, we are telling our HIV patients to go elsewhere for treatment.

It is ashamed that Singapore signed the 2006 UNAids declaration to scale up universal access to HIV prevention, treatment care and support by 2010. “I don’t think we have made any headway since. We are the only developed nation which does not provide free or subsidised medication for HIV patients, ” according to Mr. Brenton Wong, former vice-president of non-government organisation Action For Aids. He brought out another point, “Patients won’t come forward to be tested when they know they won’t get treatment. Why risk the discrimination?

You may not agree with this, but the discrimination HIV patients are experiencing is something we can never hope to understand by putting ourselves in their shoes.

Besides having treatment made available to HIV patients, also important are education and awareness programs to the general public so they can learn more about AIDS. And hopefully with education and awareness, the general public can eventually remove their discrimination against HIV patients.

As the saying goes, “Prevention is better than cure,” we can play our parts to be faithful to one partner and not have casual sex regardless of safe or unsafe.

How is the AIDS support and treatment in your country? Are they facing the same problem as in Singapore? Do the HIV-positive patients face similar discrimination as in the HIV-positive patients here?

*Updated March 28, 2009: I really should have updated this sooner. Singapore is already making plan to subsidise HIV patients for their medication.

For help and support in Singapore, please go to: Action For AIDS