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A new study by <keyword id="5069783" type="General" weightage="20" keywordseo="Centre-for-Chronic-Disease-Control" source="Orion">Centre for Chronic Disease Control</keyword>, India (CCDC) on cardiovascular risk reduction in South Asia has demonstrated significant long-term benefits of a multi-faceted quality improvement (QI) strategy, comprising of task sharing, and clinical decision support software (CDSS) with electronic health records, in managing type-2 diabetes in India and Pakistan. The study, published in the prestigious journal PLOS Medicine, highlights the sustained impact of QI interventions on <keyword id="21411276" type="General" weightage="100" keywordseo="diabetes-care" source="keywords">diabetes care</keyword> and associated complications over a median follow-up period of 6.5 years. The burden of diabetes Diabetes control remains a global challenge, leading to severe complications such as <keyword id="22908" type="General" weightage="20" keywordseo="heart-disease" source="Orion">heart disease</keyword>, <keyword id="25191" type="General" weightage="20" keywordseo="stroke" source="Orion">stroke</keyword>, <keyword id="16753" type="General" weightage="20" keywordseo="blindness" source="Orion">blindness</keyword> or visual impairment, and kidney and nerve damage. LMICs are often faced with challenges such as inadequate infrastructure and trained healthcare staff with digital literacy. In that respect, the study's findings are crucial for integrating care models sustainably and identifying relevant organizational barriers. Previous studies from high-income countries showed improvements in diabetes care, but their long-term impact on vascular complications and mortality was unclear. This study aimed to address the critical gap in data regarding the long-term effectiveness of QI strategies and their impacts on vascular complications in LMICs. Professor Nikhil Tandon, Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, and senior author of the study explained the relevance of these findings in the context of national efforts to combat non-communicable diseases (NCDs). He said, "The <keyword id="22511956" type="General" weightage="20" keywordseo="National-Programme-for-NCDs" source="keywords">National Programme for NCDs</keyword> [NP-NCDs] operationalized by the Government of India has already a functional portal which provides an electronic health record functionality. Integrating the CDSS in this portal will provide significant incremental benefit to the impact of the National Programme, and bolster governmental efforts to battle the scourge of NCDs including diabetes and hypertension." Speaking about the findings, Prof. (Dr) Dorairaj Prabhakaran, Executive Director, CCDC, and one of the study authors, said, "Through the trial, we've demonstrated that a sustained quality improvement strategy can significantly enhance diabetes care and reduce complications in South Asia. For every 13 patients treated with this strategy, one major adverse cardiovascular event like heart attacks or strokes- or a microvascular event -like eye disease or decline in kidney function- was prevented, showcasing its profound impact on patient outcomes." Professor MK Ali, William H. Foege Distinguished Professor of Global Health, Emory University and one of the key authors of this article, said, "This study is an exemplar of trans-national collaboration for benefits of both, the global south and global north." Study Design and Findings The randomized clinical trial included 1,146 patients with poorly controlled type 2 diabetes across ten outpatient diabetes clinics from January 2011 through September 2019. Participants were randomized to receive either the QI strategy, which involved trained non-physician care coordinators and a clinical decision support software (CDSS) integrated into the electronic health record form, for physicians, or the usual care. Some of the key findings from the study include: <ul><li>At 6.5 years, patients in the QI strategy group were nearly twice as likely to achieve and maintain target levels for HbA1c (&lt;7%), systolic blood pressure (&lt;130mmHg), and LDL-cholesterol (&lt;100mg/dl), compared to the usual care group. </li><li> The incidence of first microvascular complications, such as diabetic eye disease, decline in kidney function, and nerve pain was notably 32% lower in the QI group. </li><li>There was a significant 28% reduction in the combined occurrence of microvascular and macrovascular events in the QI group.</li></ul> Importantly, these benefits were sustained only in clinics that continued the QI strategy for 6.5 years. With diabetes accounting for one in seven deaths in South Asia, the study provides unique insights into the sustainability of QI strategies in achieving diabetes care goals in low- and middle-income (LMICs) and the effects of these improvements on reducing vascular complications and diabetes-related deaths.

CCDC study reveals multi-pronged diabetes care improves patient outcomes in India, Pakistan

Having been declared a global health emergency by <keyword id="6366244" type="General" weightage="20" keywordseo="who" source="Orion">WHO</keyword> just a few weeks ago, the dreaded <keyword id="20965747" type="General" weightage="20" keywordseo="mpox" source="keywords">Mpox</keyword> (formerly <keyword id="7616951" type="General" weightage="20" keywordseo="monkeypox" source="Orion">monkeypox</keyword>) has slowly been closing in on India. And now, days after our neighbour <keyword id="19899252" type="General" weightage="20" keywordseo="pakistan" source="keywords">Pakistan</keyword> confirmed its second Mpox case this month, India has also reported its first one this season. While feeling uncertain is understandable, the situation is far from dire just yet. On Monday, September 9, 2024, the <keyword id="19896140" type="General" weightage="20" keywordseo="health-ministry" source="keywords">Health Ministry</keyword> confirmed that a previously suspected case of Mpox was a travel-related infection. The patient, a young male, recently returned from a country experiencing ongoing Mpox transmission. Laboratory tests confirmed the presence of the West African clade 2 of the Mpox virus, which is distinct from the more dangerous clade 1 currently under a public health emergency. In its statement, the Ministry emphasised that this case is isolated and in line with the 30 previous Mpox cases reported in India since July 2022. The Ministry clarified that this case does not contribute to the WHO-declared public health emergency associated with clade 1 of Mpox, which has spread primarily in parts of <keyword id="19924003" type="General" weightage="20" keywordseo="africa" source="keywords">Africa</keyword>. <div type="Article" hostid="261" msid="112542249" title="WHO has declared mpox a global health emergency. What happens next?" mstype="2" mssubtype="0"></div> <h2>Patient condition and response measures </h2>The infected individual is isolated at a designated tertiary care isolation facility. The Ministry reports that the patient is clinically stable, with no systemic illness or pre-existing conditions. Public health authorities have initiated contact tracing and monitoring to ensure the infection remains contained, stating that no widespread public health risk exists at this time. <h2>Mode of transmission and symptoms </h2>The global Mpox outbreak has primarily affected young males, with a median age of 34. The main mode of transmission has been sexual contact, followed by non-sexual person-to-person contact. The most commonly reported symptom is a rash, which can manifest either systemically or in the genital region, followed by fever. WHO data shared by the Ministry indicates that approximately 51.9% of Mpox cases involve individuals living with HIV. This underscores the need for targeted healthcare and awareness, especially in high-risk populations. <div type="Article" hostid="261" msid="112561654" title="WHO calls for increased surveillance, sharing of data, vaccines to combat monkeypox outbreak" mstype="2" mssubtype="0"></div> <h2>Increased vigilance and preparedness </h2>Following the confirmation of this case, the Health Ministry has issued directives to all states and union territories, urging healthcare workers, particularly those in skin/STD clinics and NACO (<keyword id="20887701" type="General" weightage="20" keywordseo="national-aids-control-organisation" source="keywords">National AIDS Control Organisation</keyword>) clinics, to stay alert to the signs and symptoms of Mpox. These clinics must be prepared for immediate isolation, clinical management, and treatment of complications, adhering to established protocols. The Ministry has also advised enhanced screening and testing of suspected Mpox cases, especially at airports and other points of entry, to prevent further transmission. <h2>Awareness and risk communication </h2>The Ministry has issued guidelines to state AIDS control societies, urging them to be vigilant in identifying suspect cases, especially among vulnerable populations such as female sex workers (FSW) and men who have sex with men (MSM). Communities must be made aware of the disease’s transmission and symptoms, as well as the importance of timely reporting. Clear risk communication, particularly to healthcare workers and intervention sites such as skin and paediatric clinics, is crucial to prevent the spread of the virus. While the Ministry advocates for robust preventive measures, it also stresses the importance of avoiding undue panic among the general public. For now, the Ministry’s actions aim to ensure that India remains well-prepared to handle isolated Mpox cases, while working to prevent any major outbreak in the country. <div type="Article" hostid="261" msid="112550492" title="Danish monkeypox-vaccine maker surges 17% after global health emergency declared" mstype="2" mssubtype="0"></div>

Mpox has finally infiltrated India, but how worried should we be about the viral disease?

<ul><li>Delhi has reported a surge in <keyword id="20233512" type="General" weightage="20" keywordseo="Dengue-cases" source="keywords">dengue cases</keyword>, with 300 new cases reported in the last seven days.</li><li>This takes the total number of dengue cases reported in Delhi to 1,229 in 2024.</li><li>There has also been a rise in malaria and <keyword id="22649903" type="General" weightage="20" keywordseo="Chikungunya-cases" source="keywords">chikungunya cases</keyword>.</li></ul>Delhi has reported over 300 dengue cases in the past seven days, taking the total number of cases in the national capital so far this year to 1,229 as mosquito-borne diseases seemingly are on a slow but steady rise in the city, according to official data. Cases of malaria are considerably higher so far when compared to last year. Delhi has reported 363 malaria cases till this month while the figure stood at 294 in the corresponding month in 2023. As per a PTI report, the total malaria cases last year were 426. Most malaria cases are reported from the West Delhi zone. As for Chikungunya, 43 cases have been reported so far. This is nearly double than last year when the figure stood at 23. A total of 65 cases of the virus were reported last year. The most number of chikungunya cases have been reported from the South Delhi zone this year. Last week, the city witnessed a spike of nearly 250 cases of dengue in seven days. As per Municipal Corporation of Delhi's (MCD) data from January till September 21, a total of 1,229 dengue cases have been reported in the city with the death of a 54-year old registered in Lok Nayak Hospital, a senior official at the hospital had confirmed. Delhi reported 651 cases of dengue this month. Last month, a total of 256 dengue cases were reported in the city. The number of cases has become three-digit since August, it said. Last year, Delhi reported 3,013 dengue cases till the corresponding month, a manifold increase from 525 in 2022. A total of 9,266 cases were reported in the entire year while 19 dengue deaths were registered in the city last year. In September alone, the figure stood at 2,141 cases in 2023. The most number of cases this year are reported from the Najafgarg zone at 180. In a week, 45 cases have been reported in the area, the highest of all the zones besides the south zone where an equal number of cases were reported this week. The non-MCD areas governed by other agencies like NDMC, Delhi Cantt, and Railways, reported 312 dengue cases to the total tally, as per the data. To enforce mosquito control laws, the MCD has issued over 1.14 lakh legal notices and 39,338 challans to those who allowed mosquito breeding on their properties. Repeat offenders have been fined Rs 24.82 lakh, and police complaints have been filed against 9,241 people who didn't follow the rules, as per the data. The civic body also plans to increase fogging operations at major upcoming public events like Dussehra and Durga Puja and step up inspections and anti-larval measures in areas with high mosquito populations to curb the infectivity of the virus. SEE ALSO: <a href="https://www.businessinsider.in/stock-market/news/sebi-report-reveals-the-ugly-truth-of-fo-trading-in-india-93-of-retail-traders-incurred-losses/articleshow/113620397.cms">SEBI report reveals the ugly truth of F&amp;O trading in India – 93% of retail traders incurred losses</a> <a href="https://www.businessinsider.in/tech/news/gopro-hero-the-companys-smallest-4k-camera-launched-at-23990/articleshow/113591944.cms">GoPro Hero, the company’s smallest 4K camera launched at ₹23,990</a> <a href="https://www.businessinsider.in/business/telecom/news/jio-and-airtel-lost-subscribers-in-july-after-tariff-hike-bsnl-records-growth/articleshow/113548793.cms">Jio and Airtel lost subscribers in July after tariff hike, BSNL records growth</a>

Delhi reports over 300 dengue cases in a week; malaria and chikungunya cases on the rise

<ul class="summary-list"><li>Sleeping in on weekends can reduce heart disease risk by up to 20%, new research shows.</li><li>Quality sleep also boosts fitness, aids weight management, and improves overall longevity.</li></ul>Forget <a target="_blank" class="" href="https://www.businessinsider.com/stem-cell-injections-knee-joints-longevity-wellness-industry-bryan-johnson-2024-7">expensive longevity hacks</a> — one of the best ways to prevent disease and extend your lifespan doesn't cost a thing.Evidence is piling up that hitting the snooze button is great for your health. And if you struggle to get enough shut-eye during the work week, catching up on your days off can help, science suggests.People who slept in on the weekends to make up for lost rest were 20% less likely to develop heart disease than peers who stayed sleep deprived, according to new research to be presented at the European Society of Cardiology Congress 2024 on September 1st.The findings were based about 14 years of data from more than 90,000 UK residents, analyzed by a team of scientists from the National Centre for Cardiovascular Disease in Beijing."Our results show that for the significant proportion of the population in modern society that suffers from sleep deprivation, those who have the most 'catch-up' sleep at weekends have significantly lower rates of heart disease than those with the least," Zechen Liu, coauthor of the study and researcher at the Centre, said in a press release.But sleep isn't just good for your heart. It's become such a <a target="_blank" class="" href="https://www.businessinsider.com/how-to-get-better-sleep-millionaire-advice-2024-6">longevity trend</a> that the wealthy are paying big money to upgrade their bedtime routine.<a target="_blank" class="" href="https://www.businessinsider.com/guides/health/how-to-sleep-better">Sleeping better</a> doesn't have to cost a thing, though, and research suggests quality rest is key for supporting a long life, better fitness, and even a healthier diet.Here's all the evidence you should sleep in this weekend.<h2 id="11af3708-4321-4271-ac78-b3aa7a71ce58">Skipping sleep can lead to a weakened immune system and higher risk of early death</h2>Nearly 22% of people in the latest study were regularly sleep deprived, defined as getting less than seven hours of sleep per night.Adults need between <a target="_blank" class="" href="https://www.businessinsider.com/guides/health/how-much-sleep-do-you-need">seven to nine hours of sleep</a> nights to be well-rested, according to neuroscientists.Sleep too little, and you risk <a target="_blank" class="" href="https://www.businessinsider.com/how-much-sleep-is-enough-health-risks-dangers-of-sleep-deprivation-2017-11">serious consequences</a> like a weaker immune system, increased cancer risk, and reduced focus (which can be deadly if you're doing activities like driving).People who consistently sleep less than six hours a night have a higher risk of dying early of any cause, <a target="_blank" class="" href="https://www.ahajournals.org/doi/10.1161/JAHA.119.013043">studies suggest</a>.Skimping on rest also ages your brain, with research suggesting a <a target="_blank" class="" href="https://www.businessinsider.com/bad-sleep-increased-alzheimers-dementia-risk-2017-7">higher risk of dementia</a> and cognitive decline among people who don't get enough rest.<h2 id="a29f2f1d-1e6c-404d-b89e-43062fc673cc">Sleep can help you manage your weight and build muscle</h2>There's good reason to think getting enough sleep can help you live better, not just longer.Sleep goes hand in hand with fitness, another crucial factor in longevity, since <a target="_blank" class="" href="https://www.businessinsider.com/weightlifting-strength-training-mistakes-stall-muscle-gains-expert-tips-2021-12#losing-sleep-can-prevent-muscles-from-growing-back-stronger-2">resting between workouts</a> is what allows your muscles to grow back stronger.Sleeping well can make you more likely to stick to a healthy diet and even <a target="_blank" class="" href="https://www.businessinsider.com/if-you-want-to-lose-weight-get-more-sleep-scientists-2023-3">lose weight</a>, if that's a goal. A recent study found people who slept less than six and a half hours nightly tended to eat between 270 and 500 calories a day more than peers who slept an hour longer.<h2 id="0b0bfee4-c831-410d-9965-86a2f738472d">If you can't fit in more hours, aim for consistency</h2>When a busy schedule keeps you from sleeping well, the good news is that quality can matter as much or more than quantity.<a target="_blank" class="" href="https://www.businessinsider.com/tips-easy-simple-boost-longevity-live-longer-healthier-habits-2024">Sleep consistency</a>, or aiming to go to bed around the same time, can help you get more out of your hours of sleep even if you can't add more hours to the night, a doctor previously told Business Insider.The caveat is that a regular sleep schedule does mean trying to stick to a routine even on the weekends.So, while the latest research says you can stay in bed on Sunday if it helps you catch up, don't count on intentionally staying up late Friday or Saturday just because you know you can sleep in.

Sleep in this weekend — it may help you live longer and avoid heart disease

Amid the unrest in <keyword id="6354759" type="General" weightage="100" keywordseo="Bangladesh" source="Orion">Bangladesh</keyword>, which led to Prime Minister <keyword id="66026" type="General" weightage="20" keywordseo="Sheikh-Hasina" source="Orion">Sheikh Hasina</keyword> resigning and fleeing to India, all Indian visa application centres in Bangladesh have been closed until further notice. The online portal to apply for Indian visa now has a message, which reads: “All IVACs will remain closed till further notice, due to the unstable situation. Next application date will be informed through SMS &amp; It is requested to pick up the passport on the next working day.” This update arrives a day after India evacuated non-essential staff and their families from its High Commission and consulates in Bangladesh. However, Indian diplomats are still in the neighbouring country, with missions still operating, according to government sources. India has a High Commission in Dhaka, the capital of Bangladesh, and consulates in Chittagong, Rajshahi, Khulna and Sylhet. EAM. S. Jaishankar, discussing the situation in the Parliament on Tuesday, 6 August, said there are about 19,000 Indian nationals in Bangladesh—including 9,000 students, despite many returning to India after the protests began. He assured that the government is in close contact with the Indian community and is also monitoring the situation of minorities living there. As of Tuesday, the death toll in the anti-government protests rose to 440, with 100 more deaths reported after Sheikh Hasina fled the country, according to local media. The army is trying to control the situation in the violence-hit nation. However, in Dhaka, things were mostly calm on Tuesday, with public transport running and schools and shops open. <div type="Article" hostid="261" msid="112289999" title="Bangladesh coup: A timeline of critical events that led to PM Sheikh Hasina’s resignation and alleged flight" mstype="2" mssubtype="0"></div> An interim government supported by the Army is being set up in Bangladesh. Nobel Peace Prize winner and Grameen Bank founder <keyword id="83501" type="General" weightage="20" keywordseo="Muhammad-Yunus" source="Orion">Muhammad Yunus</keyword> will lead this caretaker government. He will be sworn in as the leader on Thursday. On Wednesday, the United States expressed confidence that Yunus's interim government will bring long-term peace and political stability to Bangladesh. "We think the interim government will play a vital role in establishing long-term peace and political stability in Bangladesh," US State Department spokesperson David Miller said that the US is ready to work with Bangladesh. To contextualise the overall situation, the protests in Bangladesh initially started because of a controversial quota system in government jobs. However, they quickly turned into a country-wide movement of sorts against the Awami League government, after Prime Minister Hasina's 'razakar' comments and the harsh police response. The initial protests calmed down after the Supreme Court reduced the quotas, but unrest resumed as many students demanded Hasina's resignation. SEE ALSO: <a href="https://www.businessinsider.in/international/news/bangladesh-protests-mob-continues-to-kill-arson-vandalise-and-storm-jails-even-after-pm-hasina-resignation/articleshow/112304482.cms" data-type="tilCustomLink" target="_blank">Bangladesh protests: Mob continues to kill, arson, vandalise and storm jails even after PM Hasina resignation</a>

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CCDC study reveals multi-pronged diabetes care improves patient outcomes in India, Pakistan

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Mpox has finally infiltrated India, but how worried should we be about the viral disease?

BI India Bureau

Delhi reports over 300 dengue cases in a week; malaria and chikungunya cases on the rise

BI India Bureau

Sleep in this weekend — it may help you live longer and avoid heart disease

Gabby Landsverk

Indian visa centres in Bangladesh closed till further notice; Muhammad Yunus to be sworn in today to lead interim govt

Ayush Mehrotra

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