Elephantiasis Afflicts 120 Million In Africa

elephantiasis_More than 120 million people worldwide are infected with elephantiasis, and one billion more are at risk of contracting the debilitating and disfiguring ailment.  Infection is rampant in parts of Africa and Asia, but stepped-up efforts to combat the parasitic disease are under way.

Lymphatic filariasis, more commonly known as elephantiasis, afflicts many of the world’s most vulnerable communities.  A parasite that infects the human lymphatic system is responsible for elephantiasis, which causes swelling and deformity of the limbs and other body parts.

Mosquitoes spread the tiny parasitic worm that causes elephantiasis from person to person.

The disease is endemic in 83 tropical countries, and Professor David Molyneux of Britain’s Liverpool School of Tropical Medicine says anyone living in those places is at risk. “The total numbers of people which have been estimated by the World Health Organization to be at risk in these 83 countries is about 1.3 billion people, so let’s say a fifth of the planet is at risk,” he says.

There are few conditions in the world more socially alienating. The Global Alliance to Eliminate Lymphatic Filariasis has been at the forefront of those fighting the disease.  As the group’s video shows, elephantiasis mainly affects the rural poor, forcing infected people – like this man from Uganda – further into poverty.  “I am a carpenter.  It’s quite a problem for me when I have to stand at my work for long periods,” he says.

Washing infected limbs can help ease the suffering, but it does not cure or stop the spread of the condition.

This man comes from a village in Tanzania where elephantiasis is endemic. “I do not mind being seen in public because many other people have this disease, too,” he says.

Set up nine years ago, the Global Alliance aims to eradicate elephantiasis as a public health threat by 2020.

The group has teamed up with the U.N. World Health Organization and major drug companies such as GlaxoSmithKline and Merck.

Andy Wright heads up GlaxoSmithKline’s elephantiasis program. “When the program started, there was a global plan produced by the WHO for how you could achieve this goal within 20 years, and progress against that plan is very much on target.  So there is a lot of very strong evidence that the program is succeeding, and a lot of confidence that in the vast majority of countries, it will be successful before 2020,” he says.

The eradication program consists of two drugs – albendazole, donated by GlaxoSmithKline, and Mectizan, donated by Merck.  Those living in endemic areas take two pills a year for five years.  The drugs significantly reduce the number of worm larvae in the blood, which means far fewer mosquitoes carry the infection to those they bite.  “We made an agreement with the World Health Organization to donate one of our anti-parasitic drugs, albendazole, to every country that needs it, until the disease is eliminated.  And that’s an enormous commitment that will take 20 years or more, and will involve billions [of doses] of … albendazole,” says Wright.

Despite these efforts, there is much more to do in the fight to eradicate lymphatic filariasis.  Populous countries, such as Nigeria and Indonesia, and others face logistical problems in delivering and implementing the program nationwide.

Professor Molyneux says it should be viewed as the most important public health program of our generation.  “If we can’t afford to implement this intervention within existing health financing environments, I don’t believe we could afford to do anything in public health,” he says.

Elephantiasis was once considered one of the world’s most neglected afflictions, but those fighting it hope that by 2020 the disease will be gone. By Rachel Smalley, Voa News.

The Healing Power Of Lemon

the healing power of lemon_Lemon is known, first and foremost, for its tart and tangy taste.  It is bold and, for this reason, we often find it in the culinary arena.  It pleases our palate as a marinade for our meats, as a garnish for our drinks, and as the well known drink – lemonade.  But, what is not often said about lemon is that there is tenderness to it, a beautiful, healing tenderness.

When used in aromatherapy, lemon enhances mood.  In animals, the aroma of lemon alone is known to alter anxiety and decrease pain perception. As essential oil, lemon has a calming effect.  For an insomniac, lemon oil can help induce sleep.

Lemon oil is an anti-fungal, anti-microbial, anti-infection, detoxifying genius.  It has been used to treat stress disorders, skin disorders, and hair disorders.  It is often used in anti-septic soaps and in astringents.  It has been used in deodorizers, in flea tonics, for insect bites, and on greasy skin.

Lemon juice itself is an extremely powerful healing agent.  It aids in digestion, relieves heartburn, relieves bloating, relieves gas, and stimulates the liver.  Lemon juice is known to nourish the brain and nerve cells and aids in the body’s ability to rid itself of toxins.  It helps aid in the treatments used for malaria and it is useful when it comes to asthma, colds, coughs, sore throats, fevers and rheumatism.

The greatest thing about lemon is that it is so east to obtain.  Whether you are looking for candles, soaps, astringents, or the fruit itself, it is not hard to come by. Source: healthrepublic.com

Sexually Transmitted Disease Linked To Aggressive Prostate Cancer

prostate cancer_Men who’ve had a common sexually transmitted disease could, if they go on to develop prostate cancer, run the risk of a more aggressive form of the disease, according to new research. However, trichomoniasis is just one factor among many, as lots of men get this infection without developing more severe prostate cancer.

What do we know already?

Trichomoniasis, sometimes called trich, is a sexually transmitted disease. It’s caused by a single-celled parasite called Trichomonas vaginalis. Around 3 percent of young men carry this infection, although more than half of them will never get any symptoms. When symptoms do occur they’re often mild, such as slight irritation or discharge. The infection can clear up on its own, so you may never know you had it. A 2006 study found a slight link between trichomoniasis in men and a higher risk of getting prostate cancer. One theory is that inflamed tissue is more vulnerable to cancer, and infections could be a cause of inflammation. In a new study, researchers looked at 673 men with prostate cancer and compared them with the same number of healthy men. The average age was 68. All the men had blood samples taken, which were tested for antibodies to trichomoniasis, to find out who’d been infected in the past. The researchers wanted to see if men with prostate cancer were more likely to have had the infection.

What does the new study say?

The new study doesn’t entirely agree with previous research. It found no link between trichomoniasis and developing prostate cancer in the future. However, men with prostate cancer who’d been infected with trichomoniasis did seem more likely to get an aggressive form of cancer that spread outside the prostate gland. Of men with prostate cancer who hadn’t been infected with trichomoniasis, 14 percent had cancer that spread outside their prostate. Of men who’d had the infection, 21 percent had cancer that spread.

How reliable are the findings?

It might be that trichomoniasis leads to a higher risk of aggressive prostate cancer, but it’s difficult to be sure. Finding two things at once doesn’t necessarily mean that one caused the other.

Where does the study come from?

The study was done in the US, with two of the researchers based at Harvard. It appeared in the Journal of the National Cancer Institute, published by Oxford University Press. Funding came from several sources, including the National Cancer Institute and the Harvard University Milton Fund.

What does this mean for me?

It’s possible that trichomoniasis could slightly increase the risk of more severe prostate cancer, but if so, it’s likely to be one factor among many. Of all the men with more serious prostate cancer, only a third had antibodies showing they’d had trichomoniasis, so it obviously doesn’t lead to aggressive cancer in all cases. For most people, trichomoniasis isn’t serious, and can be treated with a short course of a drug called metronidazole; often just one dose.

What should I do now?

For advice about preventing or treating sexually transmitted infections, talk to your GP or visit a genitourinary medicine (GUM) clinic. You can find a clinic near you by visiting http://www.condomessentialwear.co.uk or by calling the NHS sexual health helpline on 0800 567 123. If you’re worried about prostate cancer, talk to you GP. Symptoms such as problems urinating, pain, tiredness, and loss of appetite, should always be investigated. There’s a blood test, called a PSA test, that can be used to screen for prostate cancer in men without any symptoms. However, there are pros and cons to having this test. Your doctor can help you decide if it’s worth you getting tested. BMJ Group News

Cholera/Diarrhoea Outbreak Hits 18,000 In Ethiopia

cholera outbreak_Cholera and other diarrhoeal diseases have infected 18,000 people in Ethiopia over the last three weeks in many parts of the country, including the capital Addis Ababa, according to a document seen by Reuters.

The document — minutes of a meeting attended by international health charities and U.N. agencies last Tuesday — said half of moderate-to-severe cases of the 18,000 infections were cholera. It did not say how many were moderate-to-severe.

Most of the diarrhoeal illnesses that were not cholera were acute watery diarrhoea (AWD), health workers said.

“To date there are approximately 14,000 cases of AWD/Cholera (in the regions) and an additional 4,000 from Addis Ababa,” the minutes of the meeting said.

Addis Ababa usually suffers less from diarrhoea epidemics than other parts of the country, but the city’s health authorities are investigating the hygiene standards of hundreds of hotels and restaurants, according to local media.

Health workers, who declined to be named, told Reuters the fatality rate was 2 percent when the outbreak began but that it had been reduced as local and international agencies stepped up their response.Top of Form

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“The case fatality rate is falling as the response matures,” the minutes of the meeting said. “The epidemic is now in its second phase, case load taking the form of a series of peaks over a protracted period.”

Ethiopia’s Health Ministry said last week that 34 people had died from AWD but it had not yet confirmed any cholera cases.

FESTIVAL FEARS

The government and international charities are distributing antibiotics and emergency treatment centres have been opened across the country — including under tents in the grounds of several hospitals in the capital.

Cholera is caught from contaminated water and food and it causes extreme diarrhoea and vomiting. It can spread quickly and kill an adult in one day without help, but it is easily treated when caught in its early stages. By Barry Malone, ABC News

Exercise As Medicine

exercise as medicine_In the 19th century, most work involved physical activity; in the 20th century, exercise became a leisure pursuit; today, it’s an urgent medical necessity.

Exercise: It’s cheap, readily available, and the single most effective step nonsmokers can take to avoid chronic and potentially fatal diseases. If it were being hawked on late-night television, you’d think the phone lines would be tied up for hours.

But regular physical activity remains a hard sell. Despite mounting evidence that it lowers the risk for obesity, heart disease, diabetes, depression, and many forms of cancer, the average citizen is increasingly sedentary. Still, the U.S. Department of Health and Human Services (HHS) isn’t giving up on us.

In 2007, the agency convened an expert committee to evaluate a decade of scientific evidence on the benefits of physical activity. Committee member Dr. I-Min Lee, who also serves on the Harvard Women’s Health Watch advisory board, said she and her colleagues found an “impressive range of health benefits coming from being physically active.” They submitted their findings, and in the fall of 2008, the U.S. government issued a detailed exercise prescription for the nation.

THE GROUND RULES

The “2008 Physical Activity Guidelines for Americans” (www.health.gov/PAGuidelines) are more extensive than those of most other health organizations, and more extensive than earlier HHS recommendations. While assuring us that a couple of hours a week of moderate activity provides important health benefits, the guidelines also stress that more is indeed more — finding added benefit from exercising longer and doing so with greater intensity. As Dr. Lee puts it, “Any physical activity one can do is good, but more is better.”

The guidelines are also more inclusive. They apply not just to the standard adult audience but to almost everyone age 6 and over — children, adolescents, pregnant women, seniors, and people with chronic diseases and disabilities. This time around, no one gets off the hook. Adults, whether 18 or 81, are urged to get no less than 150 minutes (two and a half hours) of moderate activity or 75 minutes (one hour and 15 minutes) of vigorous activity — or some combination of the two — each week. Sessions should last at least 10 minutes and be spread evenly through the week.

Adults are advised to fit in two weekly sessions of strength training, as well. The authors urge even people with medical conditions to meet these standards, though they acknowledge this may require a gradual buildup.

EXERCISING WITH HEALTH CONDITIONS

The HHS exercise guidelines emphasize that people with chronic medical conditions and disabilities should get just as much exercise as other adults, if they can. This prescription may be daunting, especially for those with disabilities that sap energy or hamper mobility, like depression, multiple sclerosis, and arthritis. But regular exercise can actually improve mood and energy level, increase muscle and bone strength, and reduce the pain associated with many health problems. So even if a health condition makes it difficult to meet the guidelines, you should participate in any activity as best you can and avoid inactivity.

The HHS guidelines advise patients with disabilities or chronic conditions to speak with their health care providers about appropriate kinds and levels of exercise.

The National Institutes of Health and other organizations like the American Heart Association and the National Multiple Sclerosis Society provide specific, condition-based exercise information. For example, the National Osteoporosis Foundation suggests low-impact exercises that build bone and minimize the risk of fracture during workouts. If you’re not sure where to go, just type “exercise” and the name of a condition into an Internet search engine. The most reliable Web sites are those ending in “.gov,” “.org,” or “.edu.”

The American College of Sports Medicine Web site also has detailed advice for people with certain chronic health conditions. It provides topical paperback guides (“Action Plans”) that discuss particular challenges associated with menopause, allergies, arthritis, diabetes, osteoporosis, high cholesterol, and high blood pressure.

The site also offers “Your Prescription for Health” — concise tip sheets on issues related to physical activity, including Alzheimer’s disease, blood clots during exercise, anxiety and depression, heart conditions, cancer, low back pain, and visual impairment. To order or download these materials, go to www.exerciseismedicine.org/public.htm.

Children and adolescents should be getting even more than adults: at least an hour a day (420 minutes per week), including both aerobic activity and exercise that builds muscle and bone.

The guidelines also distinguish between different levels of physical activity. For example, for most middle-aged adults, moderate-intensity aerobic exercise is comparable to walking three to five miles an hour; vigorous exercise is anything higher. Or, on a zero-to-10 scale, with zero as the amount of activity involved in sitting, and 10 as the effort of running at top speed, moderate exercise begins at five and vigorous exercise at seven.

Perhaps the simplest way to distinguish moderate from vigorous exercise is by trying to speak as you work out: if you can talk while working out but have a hard time singing, you’re exercising moderately; if you find it difficult even to talk, that’s vigorous.

Strength training should involve all the major muscle groups of the legs, hips, back, chest, stomach, shoulders, and arms. You should repeat each exercise for each muscle group eight to 12 times. Many aerobic activities also provide strength training: for example, race-walking strengthens legs and hips; rowing builds muscles in the arms, legs, chest, and shoulders.

HOW MUCH IS ENOUGH?

Go beyond the basics if you can, say the guidelines. Once you’re routinely logging the recommended levels of aerobic activity, start to add a few minutes a day. (Ramping up slowly reduces the likelihood of injury.) The HHS committee found that you can get even greater health benefits and more effective weight control when you reach twice the recommended weekly amount — that is, 300 minutes of moderate activity, 150 minutes of vigorous activity, or a combination of the two. More than that may be even better. Hartford Courant.

Prostate Cancer Diagnosed Earlier, Race Gap Narrows

prostate cancer_Men with prostate cancer are being diagnosed at a younger age and earlier stage today than in years past, and the racial disparity in stage at diagnosis has decreased significantly, researchers report today in the Journal of the National Cancer Institute.
“Traditionally, blacks are diagnosed with prostate cancer at a later stage compared with whites,” and are more likely to die of the disease, study co-author Dr. Grace L. Lu-Yao of the University of Medicine and Dentistry of New Jersey in New Brunswick, told Reuters Health.
Lu-Yao and colleagues analyzed 2004-2005 data from the Surveillance, Epidemiology, and End Results Program on more than 82,500 prostate cancer patients.
They compared this group with patients diagnosed in 1988-1989 and 1996-1997. The average age at diagnosis decreased from about 72 years in 1988-1989 to about 67 years in 2004-2005 and the rate of particularly late-stage cases fell from about 53 to 8 per 100,000 among whites and from 91 to 13 per 100,000 among blacks.
Based on the 2004-2005 data, the vast majority of men had cases diagnosed when they had not yet spread, Lu-Yao said.
Lu-Yao credited prostate-specific antigen (PSA) screening for the earlier diagnoses. While that test is recommended by some medical groups, the U.S. Preventive Services Task Force “concludes that the current evidence is insufficient to assess the balance of benefits and harms of prostate cancer screening in men younger than age 75 years” and that men over the age of 75 should not be screened.
The questions over screening come from the fact that many prostate cancers are slow-growing and may not be deadly, while the treatments can have significant side effects.
The current study also “is the first nationwide study to document that the racial disparity in prostate cancer stage at diagnosis has decreased substantially during the period from 1988 to 2005,” Lu-Yao noted.
“Whether the narrowing of the racial disparity in the presentation of advanced prostate cancer will lead to reduced racial disparity in prostate cancer mortality remains to be seen,” Lu-Yao said. By Megan Brooks, The Star.

The Many Benefits Of Tea

benefits of tea_A tall glass of fresh-brewed iced tea does more than cool you off on a sultry summer day. Tea is the world’s second most popular libation (right after good old H2O). In fact, the U.S. guzzles more than 55 billion cups a year.

No wonder: In addition to tasting great, tea also can fight disease and help you slim down. The latest news on tea may be one of its best attributes yet: its ability to improve mental focus and clarity.

Tea is nature’s major source of the amino acid L-theanine. When paired with caffeine, this wonder compound decreases alpha wave activity in your brain and increases focus. In fact, downing two to three cups of tea within an hour or two of each other (the amino acid goes to work within 30 minutes) has been shown to make people more alert and focused. One more upside: You won’t get that jittery feeling you do from other caffeinated drinks.

The fat that could stop stomach trouble

Olive oil — the unsaturated omega-9 fat that’s great for your heart — is making headlines for what it can do for your tummy.

Research suggests that polyphenols in olive oil may inhibit the bacterium that causes most stomach ulcers. Not only could those polyphenols withstand the harsh gastric juices of the stomach, but they also seemed to kill off H. pylori pretty handily — even antibiotic-resistant strains.

But don’t eat truckloads of the stuff because it packs more than 100 calories per tablespoon. To use less, use extra-virgin olive oil, the most flavorful. For cooking, use more-refined olive oil, because the fancier stuff burns more quickly.

Breakfast that takes the pressure off

Want more from your first meal of the day? Adding certain foods to your plate, bowl or baggie can lower your blood pressure. Here’s how:

Sprinkle flaxseed on your cereal. Your whole-grain cereal lowers blood pressure, and ground flaxseeds contain alpha-linolenic acid, a nutrient that relaxes blood vessels.

Stir chopped walnuts into oatmeal. These are loaded with ALA, and their protein and healthy fat profile pushes blood sugar, blood pressure and lousy (LDL) cholesterol down.

Whip berries into your smoothie. One study recorded a seven-point dip in systolic (the top number) pressure from a daily dose of berries.

Toss a tomato onto your egg-white omelet. The lycopene in cooked tomatoes has a talent for tamping down blood pressure.

Grab a yogurt. Making nonfat, no-sugar-added dairy products such as yogurt a regular part of your diet can reduce hypertension risk by 30 percent. By Michael Roizen, MD and Mehmet Oz, M.D of Houston Chronicle.