Myanmar's dual public health challenge: TB and Diabetes

Lwin Lwin Thant, CNS Correspondent, Myanmar
Photo credit: CNS: citizen-news.org
Diabetes Mellitus (DM), a chronic disease, is not only increasing globally but is also associated with higher risks of TB and adversely impacts the outcomes of TB treatment. Like other developing countries, Myanmar too faces the double burden of communicable and non-communicable diseases, due to the socio-economic transition that occurred in recent times.

TB and diabetes co-morbidity is a public health challenge in Nepal

Photo credit: CNS: citizen-news.org
Chhatra Karki, CNS Correspondent, Nepal
Three years ago, Hitesh Chhetri (name changed), a resident of Nuwakot, Nepal and truck driver by profession, was diagnosed with diabetes. He then consulted a doctor and started taking medicines. Being the sole bread winner of his family Hitesh was struggling economically. Yielding to economic burden, he worked even though he was on medicines.

Menstruation is a natural sign of health, not an 'incident' to be shamed!

Shobha Shukla, Citizen News Service - CNS
Photo credit: CNS: citizen-news.org
[हिंदी] UP State Health Department data shows that 28 lakh adolescent girls in UP miss school because of menstruation. Poor menstrual hygiene leads to infections, inflammations, menstrual cramps and vaginal discharges – which often pushes these girls into the trap of faith healers and quacks. Menstruation is a natural sign of health for a young girl or woman, and not an 'incident' for which we should feel shamed or scared or terrified!

Young Voices: Prabhjyot Kaur speaks on 'Young people and HIV and TB'


Coordinated and inter-sectoral response is a must to end TB

Clarity Sibanda, CNS Correspondent, Zimbabwe
Photo credit: CNS: citizen-news.org
A call has been made for governments to act for the prevention of TB-diabetes, a public health challenge that will become more serious unless action is taken now to prevent it in the quest to meet one of the 2015 sustainable development goals which aims to end the TB epidemic by 2030. Paul Jensen, Senior Advisor (Policy) of the International Union Against Tuberculosis and Lung Disease (The Union) said in a webinar organized by Citizen News Service (CNS) that a large proportion of people with diabetes and TB are either not diagnosed, or diagnosed too late.

Lung health beyond 2015: Is there a future?

Alice Tembe, CNS Correspondent, Swaziland
Photo credit: CNS: citizen-news.org
As we usher in a new era for public health and social equity response globally, it is equally essential to look back and learn from the successes and failures encountered in the path that has been travelled so far, in order to enhance the strategies that worked, conclude targets that were achieved and rethink about methods that failed. Mr. Sibusiso Phungwayo (name changed), a teacher who is living with HIV and is a survivor of Multi Drug Resistant TB (MDR-TB), said that, “I knew I would live with HIV, but my worst fear was surviving TB.

New insights into treatment and prevention of HIV

Shobha Shukla, Citizen News Service - CNS
The 8th IAS Conference on HIV Pathogenesis, Treatment and Prevention, that was recently held in Vancouver, brought together a broad cross section of more than 6,000 HIV professionals from around the world, with a focus on moving science into practice.

Early TB testing is vital to saving lives

Pretty Chavango, CNS Correspondent, Zimbabwe
Photo credit: CNS: citizen-news.org
According to the WHO Global Tuberculosis report 2014, TB remains one of the world’s deadliest communicable diseases, with an estimated 9.0 million people developing TB and 1.5 million dying from it in 2013. Also, an estimated 480 000 people developed multi drug resistant TB (MDR-TB) and extensively drug resistant TB (XDR-TB)  in 2013. If all notified TB patients (6.1 million) had been tested for drug resistance in 2013, an estimated 300,000 cases of MDR-TB would have been detected.

Detecting anti-TB drug resistance upfront is a public health imperative

Lwin Lwin Thant, CNS Correspondent, Myanmar
Photo credit: CNS: citizen-news.org
TB is a curable disease, but only when treated with complete course of drugs effective for a particular individual. If a person is resistant to one or more of anti-TB drugs given in a therapy then it can spell a public health disaster. So it is a public health imperative to detect drug resistance if any at the time of TB diagnosis and treat the person with drugs-that-work for her/him.

Call to register: Webinar for media - Lung health beyond 2015

[Webinar recording] We welcome you to register for an exclusive media webinar, on: Lung health beyond 2015, in the wake of intergovernmental negotiations on post-2015 development agenda currently taking place. Get connected with noted lung health experts from lead agencies such as the International Union Against Tuberculosis and Lung Disease (The Union), TB Alliance (Global Alliance for TB Drug Development) who will present and respond to questions live!

Xpert MTB/RIF: Will it help end TB ?

Dr Richa Sharma, CNS Correspondent, India
Photo credit: CNS: citizen-news.org
TB continues to scar the face of public health even today with India harboring the highest burden of TB cases in the world. The WHO Global Tuberculosis Report (2014) quotes 21 lakh as the estimated incidence of all forms of TB in India and 60,000 MDR-TB among notified cases. Recently there have been renewed efforts to address the scary upsurge of MDR-TB that is thwarting attempts of TB control in the global and Indian context.

Nigeria adopts new strategy to end spread of TB

Humphery Chikezie, CNS Correspondent, Nigeria
Photo credit: CNS: citizen-news.org
Nigeria is ranked third among the 22 high TB burden countries in the world. A survey conducted in 2014 by the National TB and Leprosy Control Programme revealed over 600,000 new cases of TB in Nigeria with just about 92,000 cases placed on treatment. This figure is worrisome, because according to health experts, one person with TB can transmit the disease to around 12 persons in a single year.

The elusive goal of education for all

Dr Sandeep Pandey, Magsaysay Awardee and CNS Columnist
Image credit:CNS:citizen-news.org
Jean Dreze and Amartya Sen in their book 'An Uncertain Glory: India and its Contradictions' have very clearly shown that while India has been leading the world in terms of GDP growth rate, its performance in social indices can only be compared with some sub Saharan African countries. At the time of Independence we were second behind Sri Lanka in South Asia with respect to social indices, today we are barely above Pakistan. Rest of the South Asian coutries, like Bangladesh, Bhutan, Nepal, etc. have moved ahead of us.

Early detection of MDR-TB is important

Catherine Mwauyakufa, CNS Correspondent, Zimbabwe
Photo credit: CNS
In Zimbabwe, cases of multi drug resistant TB (MDR-TB) have reportedly been on the increase—from 5 cases in 2011 to more than 120 in 2014. It can be argued that this phenomenal increase in the number of MDR-TB cases detected is not a true reflection of the incidence of MDR-TB in the country. It could rather be blamed on the limited diagnosis of the disease in the past, due to poor availability of quality diagnostic tools.

Early diagnosis of drug resistance is crucial to ending TB

Shobha Shukla, Citizen News Service - CNS
Image credit: CNS: citizen-news.org
 Despite being treatable, TB remains a major global public health problem. As Dr Mario Raviglione, Director Global Tuberculosis Programme of WHO, informed, in 2013, 9 million people fell ill with TB in; 1.5 million men, women and children died from it; 480,000 people developed multi drug resistant TB (MDR-TB), with 210,000 associated deaths. Also, 60% of all MDR-TB cases can be attributed to India, China, Russia, Pakistan and Ukraine.

Sending them home to die: Tuberculosis in the mines

Photo credit: CNS
Alice Tembe, CNS Correspondent, Swaziland
“You could easily share a room with sixteen other mine workers, if one develops TB he will take his medication and complete treatment while staying in the same room”, these were the words of Mr. Musa Ndlangamandla, a Swazi ex-miner who developed Multi-Drug Resistant Tuberculosis (MDR-TB) after working in the mines for seven years in South Africa.

Drug Resistant TB: Healthcare delayed is healthcare denied

Alice Tembe, CNS Correspondent, Swaziland
Photo credit: CNS  
Tuberculosis (TB), has been around for centuries, but drug resistant TB (DR-TB) seems to be a more recent development.  As defined by Dr Sarabjit S Chadha from the International Union against Tuberculosis and Lung Disease (The Union) in India, DR-TB occurs when a patient with TB is resistant to at least one main drug used to treat TB.

Warmongering?

Dr Sandeep Pandey and Bobby Ramakant, CNS
Photo credit: CNS: citizen-news.org
On June 4, 2015, twenty Indian soldiers of 6 Dogra Regiment got killed by NSCN (Khaplang) insurgent group in Chandel district of Manipur. The Information and Broadcasting Minister of State Rajyavardhan Singh Rathore, a retired Colonel from Army whose claim to fame is a shooting silver medal in Olympics, informed citizens through media that this was a message to other countries which might be inimical to India.

Wrong development priority in spite of Socio-Economic Census and National Sample Survey findings

Dr Rahul Pandey, CNS Columnist
Graph credit: Dr Rahul Pandey
Partial results of two important official surveys were released recently. They point to dismal living standards of India’s rural population and rising cost of health and education beyond the means of ordinary citizens. In spite of this reality the Modi government is undermining the public health and public education sectors among other social infrastructures, as reflected in its funding priorities. This does not bode well for future living standards of India’s ordinary citizens who are already struggling with meeting basic needs.

Long walk to justice: Transgender voices from across India

Shobha Shukla, Citizen News Service (CNS) 
Photo credit: Shobha/ CNS
[CNS images] I had been there at the 1st National Hijra Habba in 2012. Witnessing the Third National Transgender Hijra Habba in 2015 was indeed a humbling experience as lot of water has flown during these 3 years. From 30 community participants in 2012, the number this year had swelled to a whopping 350+. The landmark Supreme Court (SC) judgement of 2014, recognizing transgenders as the third gender and granting them constitutional rights, seemed to have filled them with a new found confidence that was writ all over their beautiful and smiling faces. And they were just too eager to talk about their experiences and expectations.

Join the crusade: Big push for transgender and hijra welfare

Shobha Shukla, Citizen News Service (CNS)
Photo credit: Shobha/ CNS
[CNS images] It was indeed a humbling experience for me to be part of the Third National Hijra Habba (festival of transgenders) held recently in the capital city of India. Organised by India HIV/AIDS Alliance’s Pehchan programme, it was the first event of its kind at the national level since the Supreme Court’s landmark judgement in 2014 recognizing transgenders as the ‘third gender’.

'Pehchan' has given transgender people a new 'Pehchan' (Identity)...

Shobha Shukla, Citizen News Service (CNS)
Priya, Transgender leader
Photo credit: Shobha/CNS
So said Priya when I met her at the community dinner on the eve of the recent 3rd Hijra Habba (Habba is a Kannada word meaning festival) event organized by Pehchān project in association with India HIV/AIDS Alliance in Delhi, that brought together over 350 hijras and transgenders from across the country to focus attention and demand implemenation of their constitutional rights. Her serene poise and calm demeanour immediately attracted my attention. Priya, a transgender from Hyderabad, and now a Training Officer with India HIV/AIDS Alliance’s Pehchan Project, had to tread a thorny path before reaching this respectable position.

Why is tobacco still an issue ?

Diana Wangari, CNS Correspondent, Kenya 
(First published in The Star, Kenya) 
I must confess, there are health concerns that amaze me – not because they are complex or a rare find, but because I simply cannot understand how they are still an issue. These often fall under lifestyle choices, and a good example is cigarette smoking. When in primary school, we used to have a drug awareness week and the last day would be dedicated to tobacco. The reason behind it was that the session utilized what many would refer to as graphic images of the effects of smoking – from yellowing of teeth to a darkened lung in the late stages of lung cancer.

Call to register: Webinar for media - Is detecting drug resistance at the time of TB diagnosis important?

[Webinar recording] We welcome you to register for an exclusive media webinar in wake of largest-study published recently to guide us on: Is detecting drug resistance at the time of TB diagnosis important? Get connected with study author(s) and lead TB experts from the World Health Organization (WHO) and International Union Against Tuberculosis and Lung Disease (The Union), who will present and respond to questions live!

"A woman of substance": Kalawati

Shobha Shukla, Citizen News Service - CNS
Photo credit: Rahul/ CNS

[CNS Images] Kalawati comes from a family of small farmers. Hers is a ‘joint and happy family’ where she lives with her husband, 1 daughter, 2 sons, 1 daughter-in-law and 1 granddaughter. Her postgraduate sons working outside the village are doing fairly well and have helped her construct their own house in the village. Kalawati has been into farming for the last 30-35 years since her early childhood.

Parliamentarians on 'world we want beyond 2015': Sexual and reproductive health and rights in focus

Shobha Shukla, Citizen News Service - CNS
The Sustainable Development Goals or SDGs are a new, universal set of 17 proposed goals, with 169 targets that 193 countries (who are members of the UN) will be expected to use to frame their post-2015 development agendas and policies over the next 15 years, once the MDGs expire at the end of this year. 

Periyar is no Ambedkar

Dr Sandeep Pandey, Magsaysay Awardee and CNS Columnist 
The Human Resources Development Minister Smriti Irani coerced the IIT Madras Dean into banning the Ambedkar Pariyar Students Circle, which has now been lifted after a nationwide outcry from progressive organizations and individuals. The group was charged with spreading hatred against Narendra Modi and Hindus as it had criticised the decisions by some state governments to ban beef, make use of Hindi compulsory and the 'ghar wapsi' programme of RSS affiliated organisations.

Call for applications for CNS Young Correspondents Programme

Citizen News Service (CNS) is pleased to announce that it is currently accepting applications for CNS Young Correspondents Programme. CNS Young, is a network of under-30 correspondents sharing their viewpoints, perspectives and opinions on issues related to health, gender and development justice. This programme offers mentorship, peer support, networking opportunities, and capacity-building to under-30 writers. Last date to apply is Sunday, 28th June 2015.

Turning tables: Growing support against corporate capture of climate policy-making

In the final days of the Bonn Climate Change Conference of the United Nations Framework Convention on Climate Change (UNFCCC), Corporate Accountability International delivered a resounding call to the governments who have ratified the UNFCCC: protect the treaty and climate policymaking from the undue influence of the globe’s biggest polluters. The call endorsed by over 224,000 sends a strong message to kick big polluters out of climate policy.

People are living longer but sicker and unhealthier lives

Shobha Shukla, Citizen News Service - CNS
Photo credit: CNS: citizen-news.org
So says a report published recently in the Lancet by an international consortium of researchers and led by the Institute for Health Metrics and Evaluation (IHME) at the University of Washington. "Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013" is the first of its kind study to examine the extent, pattern, and trends of nonfatal health losses across countries and provides a comprehensive description of morbidity levels and patterns worldwide.

"Be the change you want to see in the world": Pushpa Devi

Shobha Shukla, Citizen News Service - CNS
Photo credit: Rahul/CNS
[CNS images] Pushpa lives with her skilled-worker husband and four children—2 girls and 2 boys. Apart from being a woman farmer, she also doubles up as an ASHA bahu (Accredited Social Health Activist worker). Pushpa was born in a family of farmers in a village of Jalaun district. They were 6 siblings. Her father passed away when she was very young, and her mother and brothers took up to farming so that family sustenance could be maintained. She studied till class 8 and then marriage brought an end to her education.

Cannabis smoking-a risk factor for lung cancer

Zehru Nissa, Jammu and Kashmir
(First published in The Greater Kashmir
Cannabis abuse is reaching alarming levels across Kashmir. According to data maintained by De-addiction Centre at SMHS Hospital, 71% of people being treated for substance abuse are using multiple drugs, of which cannabis is the most commonly abused.

Road Safety Bill: Dying due to slow drive

Alka Pande, CNS Correspondent
Photo credit: CNS: citizen-news.org
On June 3, 2014, the Indian Minister for Rural Development, Gopinath Munde died in a car accident. Reacting swiftly, the Indian government assured the nation to bring a stringent Road Safety Law to curtail road accidents. Since then, in the last one year, road accidents have reportedly killed nearly 500 people, including women and children, and have left almost double the number with serious injuries. The alarming part is that this number represents only those accidents which were major and which were reported in the media.