Tag: public awareness

International Day of Persons with Disabilities – Inclusivity is Critical to Achieving Health for All

Photo by Elevate on Unsplash

The United Nations International Day of Persons with Disabilities (IDPD) is celebrated annually on 3 December, aiming to promote an understanding of disability issues and to mobilise support for the dignity, rights and well-being of persons with disabilities. An estimated 1.3 billion people experience significant disability.1a This represents 16% of the world’s population, or 1 in 6 of us.1a In South Africa, that figure is 15%, or 8,9 million.2a

Persons with disabilities face many health inequities, including stigma, discrimination, poverty, and exclusion from education and employment. They also face barriers in all aspects of the health system, such as negative attitudes and discriminatory practices and lack of information or data collection and analysis on disability.1b+c

“Disability inclusion is critical to achieving the Sustainable Development Goals (SDGs) and global health priorities to achieve health for all, as envisioned in the 2030 Agenda for Sustainable Development,” says Prudence Selani, Head of Corporate Affairs at Sanofi South Africa. On this International Day of Persons with Disabilities, Sanofi is celebrating its commitment to the 2023 theme, ‘United in Action to Rescue and Achieve the Sustainable Development Goals (SDGs) For, With, and By Persons with Disabilities,’ through several initiatives.

In collaboration with its implementation partners, Sanofi has launched a unique external training programme for persons with disabilities, especially those from disadvantaged communities. This programme is designed to break barriers to education post-matriculation, offering management training and entrepreneurship skills in areas like financial literacy and marketing. This initiative also supports people with post-matric qualifications striving for employment, enhancing their employability and professional growth.

“As part of our commitment to Broad-Based Black Economic Empowerment (B-BBEE), 10% of learners on our Youth Employment Service “Y.E.S.” programme are persons with disabilities, underlining our commitment to diversity and inclusion,” says Selani.

Sanofi’s Diversity, Equity and Inclusion is bolstered through Employee Resource Groups (ERGs). The Ability+ ERG promotes a safe environment for employees to declare their disabilities, offering support and resources. Sanofi is also offering employees the chance to enrol in South African Sign Language courses, to transform its workplace into a disability-friendly space.

“Our partnerships with local and global organisations that are focused on disabilities will enable us to conduct workshops with leaders and employees, fostering a culture of understanding and empathy.”

“Sanofi also emphasises employee wellness and mental health, offering extensive support and wellness programmes,” says Selani. “These initiatives underscore our dedication to the well-being of all our employees.”

“As we mark IDPD 2023, Sanofi encourages organisations across all sectors to join us in these efforts. Together, we can make significant strides towards a more inclusive society and achieving the SDGs for, with, and by persons with disabilities,” concludes Selani.

Together, we are making a difference. Join us in our journey towards an inclusive future.

References:

1. World Health Organisation (WHO). Disability. [Mar 2023]. Available from: https://www.who.int/news-room/fact-sheets/detail/disability-and-health#:~:text=An%20estimated%201.3%20billion%20people%20%E2%80%93%20or%2016%25%20of%20the%20global,diseases%20and%20people%20living%20longer.
2. National Council of and for Person with Disabilities (NCPD). Available from: https://ncpd.org.za/wp-content/uploads/2023/09/NCPD-Infographic_2023.pdf

June Marks Men’s Health Awareness Month

According to the Centers for Disease Control and Prevention, men, on average, die five years earlier than women and die at higher rates from three leading causes of death – heart disease, cancer, unintentional injuries – and, more recently, from COVID. During Men’s Health Month, we encourage men to take control of their health and for families to teach young boys healthy habits throughout childhood.

In June every year, we pay special attention to men’s health. Men’s Health Month aims to heighten the awareness of preventable health problems and encourage early detection and treatment of disease among men and boys. This month allows health care providers, public policymakers, the media, and individuals to encourage men and boys to seek regular medical advice and early treatment for disease and injury.

Men are more reluctant to seek healthcare

A health gap exists – men die younger than women, and they are more burdened by illness during life. They fall ill at a younger age and have more chronic conditions than women. Research by Harvard Health Publishing shows that men are more than three times more likely than women to develop kidney stones, become alcoholics, or have bladder cancer. They are about twice as likely to suffer from emphysema or a duodenal ulcer. Although women see doctors more often than men, the healthcare investment required for caring for men amounts to much more, especially beyond the age of 65.

However, society expects men to be seen as tough, push through pain, and rarely show signs of weakness. This mindset subconsciously trains men to believe that seeking help of any kind – including going to the doctor – exhibits weakness. But it is not only society’s influence that plays a part. Further research shows that 21% of men tend to avoid the doctor because of fear. They worry about an adverse diagnosis or a bad outcome. This same research finds that only 40% of men go to the doctor only when they have a severe health issue and never go for routine check-ups. It is far lower than women’s frequency of doctor visits, and it is a concerning figure.

Unfortunately, mental health is also one of the most stigmatised issues affecting men. The American Psychological Association reports that 30.6% of men have suffered from depression in their lifetime, and their hesitation to seek care may be worsening this issue. As a trend, men are notorious for not talking about their feelings. Psychologists have documented that discussing emotions is just another form of vulnerability that can lead to discomfort for men. It can be scary for many men to begin sharing their feelings. But the payoff is worth it: men who express their feelings verbally are less likely to express them violently.

How Medshield supports men

Medshield offers a variety of plans that suit members of every age and budget. Our Managed Care Programmes assist our members with managing chronic conditions in collaboration with the member’s respective treating practitioners. We encourage men to utilise our Wellness Benefits which include cover for annual tests e.g. cholesterol and PSA Screening, for early diagnosis and treatment. Our benefit plans allow you the freedom to visit your doctor for a general appointment at any time to monitor your overall health, and our plans have robust mental health benefits to ensure holistic care.

Many people feel that medical aid schemes cost too much, but having the right plan means you won’t need to rely on state clinics and hospitals for care. It also means you can have tests, screenings, and procedures done early without waiting to save enough cash for it (and potentially worsening your condition). Healthcare does not always just require hospital stays, either – sometimes other expenses appear in physiotherapy, dental visits, and even costly chronic medication that most would struggle to cover each month. Nobody can predict what the future holds, and unfortunately, sometimes the sudden onset of illness or an accident are common aspects of life.

We encourage men to take charge of their health!

Let’s work together to turn these trends around. This June, we invite all men to take that step toward a healthier lifestyle and to get screened for any potential illnesses. You may be resistant at first, but persistence is powerful, and you’ll be doing your part to improve your health.

Here are ten tips to start on your new health journey:

  • Avoid tobacco in all its forms.
  • Eat well. That means eating more healthful foods and fewer harmful foods.
  • Get at least 30 minutes of moderate exercise nearly every day.
  • Stay lean. It’s equally hard for men and women, but partial success will help.
  • If you choose to drink, limit yourself to one to two drinks a day, counting 150ml of wine, 375ml of beer, and 30 ml of spirits as one drink.
  • Reduce stress by getting enough sleep and building social ties and community support.
  • Avoid risky behaviour, including drug abuse, unsafe sex, dangerous driving, unsafe firearm use, and living in hazardous household conditions.
  • Get regular medical check-ups, screening tests, and immunisations.
  • Seek joy and share it with others – laughter is good medicine. Fun and optimism improve health as well as happiness.

Ridhwaan Suliman on Twitter: Graphs, Insight and Empathy

Photo by Tracy le Blanc from Pexels
Photo by Tracy le Blanc from Pexels

The Daily Maverick interviewed Dr Ridhwaan Suliman, a senior researcher at CSIR who has entered the spotlight by posting his concise, easy-to-understand COVID numbers graphs on Twitter.

Trained as a mechanical engineer and with a PhD in applied mathematics, he develops computational tools to model and simulate physical systems and processes. Equations in real-world contexts and how they govern physical systems are the relationships he translates into code. And from the code and modelling he can find solutions to make things work more optimally.

As a boy, he took apart his brothers’ old toys to see how they worked, and he took the same approach with COVID data to make sense of it. He started tracking the data in early 2020, and wanted to contribute in some way amidst all the growing uncertainty.

“When I started seeing the raw numbers that were being fed to us daily I couldn’t quite make sense of it myself because the raw numbers in isolation don’t show what’s happening, actually.”

As he tweeted his analyses, he drew attention for his concise summaries of the situation, and praise for helping people to understand the trends. However, he stresses that this is all unpaid, with nobody else’s agenda and that he is not a medical expert.

https://twitter.com/rid1tweets/status/1434570126091821062
This week’s update from Dr Ridhwaan

“I’m just comfortable with the numbers.” He gratefully turns to the science experts he engages with on Twitter because “there’s so much more to learn”, he says. That, and a lot of background reading, which he readily dives into.

Dr Suliman’s tracking of the data let him identify gaps and to add to the call for open data, better data collection and smarter analysis. This allows for the factoring in of more variables and laying out of better parameters. “Sure, data can be manipulated to fit a certain narrative, but the benefits outweigh the risks,” he says.

Even in the polarising, easily toxic world of Twitter, Dr Suliman’s interactions show a great empathy.

“We’ve all had numerous moments in this pandemic when things have been depressing and that’s probably something that doesn’t come out on Twitter because you’re generally only sharing things when things are hunky-dory, you don’t share when you’re not okay. There have been many times when I’ve just wanted to stop tweeting, but I get drawn back by people who reach out and say ‘you’re helping me’ – and that’s good enough reason to continue.”

Since he first started on Twitter, he has since appeared numerous times on television to explain the data behind COVID numbers.

Despite his newfound fame however, he looks forward to the time when he can travel again.  “I’ll trade the followers any day for our lives to go back to some sense of normality,” he says.

Source: Daily Maverick

August Poll Results; 18-34s Upbeat on Vaccines

Photo by Mufid Majnun on Unsplash

To date, nearly 12 600 000 vaccinations have been administered in South Africa, with 23.66% of the adult population now fully vaccinated. Quicknews’ August poll revealed that 44% of site visitors felt that the government’s COVID vaccine rollout was “Acceptable”, while 51% felt it was either “Poor” or “Very Poor”. Only 5% rated it “Good” or “Very Good”.

The Department of Health’s COVID-19 and Vaccine Social Listening Report finds that the demand for vaccination had increased, with around 250 000 daily jabs, fuelled by a surge by the recent eligibility of the 18 – 34 age group. The report highlights include:

  • Social media conversations are more positive about the vaccine rollout with improved services, such as free transport and pop-up vaccination sites. Barriers to vaccination seem now to be more of an issue than vaccine hesitancy. It is noticeable that most anti-vax videos originated from other countries (especially the US), while most pro-vax are local (eg celebrating being vaccinated).
  • While vaccination is met with eagerness and discussion among the 18 – 34 age group, they also still appear to be the most vaccine-resistant age group, believing themselves to be healthy and not needing a vaccine. Discussion over whether vaccines should be mandatory is ongoing, eg to go to concerts, with some disinformation suggesting that it is already happening, and a sign of control by the state.
  • There has been increasing media coverage supportive to vaccines. The Department of Health’s vaccine demand acceleration plan has been met positively, as well as favourable coverage of the FDA’s full approval of the Pfizer vaccine. 
  • However, there are some negative views of the government’s vaccine prioritisation, and is seen as neglecting basic services such as sanitation and public transport. 
  • A WhatsApp survey run by Praekelt.org suggests that 90% of 4,000 people who had been vaccinated are willing to encourage others to do so. People reportedly have more rational concerns about vaccines (efficacy, side effects, developed so quickly, reports of deaths) and not the wilder conspiracy theories (eg tracking devices, depopulation).
  • Disinformation and problematic statements such as those from Rev Kenneth Meshoe vaccine-resistant statements and support for anti-vaxxers Dr Susan Vosloo and Prof Tim Noakes have undermined vaccine trust.
  • There is some debate over preferences over currently available vaccines or those that may be available later, eg Astra Zeneca, Sinovac. Confusion on reports that J&J second dose might be required and other booster shots.
  • The report notes some anti-vaccination sentiment in the Muslim community, with messages circulated that vaccines are haram (forbidden by Sharia law), though most Muslim authorities produce responsible evidence-based views.

Source: SA Coronavirus Portal

Impairment Lasts up to 10 Hours After Cannabis

A comprehensive analysis of 80 scientific studies has identified a ‘window of impairment’ of between three and 10 hours caused by moderate to high doses of tetrahydrocannabinol (THC), the cannabis component that causes intoxication. According to the researchers, these results have consequences for drug-driving laws around the world.

How long the impairment lasts depends on the THC dose, whether it is taken orally or inhaled, on the usage habits of the cannabis user and the demands of the task. The psychoactive THC component of cannabis has potential medical applications in treating nausea, sleep apnoea, fibromyalgia and chronic pain, though these applications are controversial and currently difficult to study due to legal issues, though off-label use is common. 
Previous research by Dr Arkell and colleagues has shown that cannabidiol (CBD), one of the medically active components of cannabis, does not cause impairment in driving. CBD has analgesic and anti-inflammatory actions, as well as anxiolytic, antiemetic, antipsychotic, and neuroprotective antioxidant properties

Medical and non-medical legal cannabis use is on the rise worldwide.
THC causes acute impairment in driving and cognitive performance, but there is uncertainty among users about the duration of this impairment and when they can start tasks such as driving after consuming cannabis.
“Our analysis indicates that impairment may last up to 10 hours if high doses of THC are consumed orally,”  said lead author Dr Danielle McCartney, Lambert Initiative for Cannabinoid Therapeutics at the University of Sydney. “A more typical duration of impairment, however, is four hours, when lower doses of THC are consumed via smoking or vaporization and simpler tasks are undertaken (eg, those using cognitive skills such as reaction time, sustained attention and working memory). This impairment may extend up to six or seven hours if higher doses of THC are inhaled and complex tasks, such as driving, are assessed.”

A moderate THC dose is considered about 10 milligrams in this study, but could be higher for a regular user, said the researchers.

Co-author Dr Thomas Arkell, also from the Lambert Initiative, said: “We found that impairment is much more predictable in occasional cannabis users than regular cannabis users. Heavy users show significant tolerance to the effects of cannabis on driving and cognitive function, while typically displaying some impairment.”

Regular cannabis users might consume more to get the same effect, resulting in equivalent impairment, the authors noted.

In the case of oral use as in medical cannabis drops, tablets etc, the impairment takes longer to manifest and has a longer duration than the inhalation route.

The findings have implications for so-called drug-driving laws, the researchers said.

Professor Iain McGregor, Academic Director of the Lambert Initiative, said: “THC can be detected in the body weeks after cannabis consumption while it is clear that impairment lasts for a much shorter period of time. Our legal frameworks probably need to catch up with that and, as with alcohol, focus on the interval when users are more of a risk to themselves and others. Prosecution solely on the basis of the presence of THC in blood or saliva is manifestly unjust.

“Laws should be about safety on the roads, not arbitrary punishment. Given that cannabis is legal in an increasing number of jurisdictions, we need an evidence-based approach to drug-driving laws,” Prof McGregor said.

Source: News-Medical.Net

Journal information: McCartney, D., et al. (2021) Determining the magnitude and duration of acute Δ9-tetrahydrocannabinol (Δ9-THC)-induced driving and cognitive impairment: A systematic and meta-analytic review. Neuroscience & Biobehavioral Reviews. doi.org/10.1016/j.neubiorev.2021.01.003.

A Dozen Accounts Responsible for Majority of COVID Misinformation

Photo by Connor Danylenko from Pexels

According to a report from the Center for Countering Digital Hate (CCDH), the majority of COVID and vaccine misinformation posts emanate from a dozen accounts.

Out of 812 000 anti-vaccine messages shared or posted on social media platforms between Feb 1 and March 16, 2021, 65% were attributed to just a handful of individuals, whom the report authors have dubbed the “Disinformation Dozen”, 13 users spread across 12 accounts (one of the accounts refers to a couple, Ty and Charlene Bollinger, who are alternative medicine activists).

Some of the individuals named include entrepreneur Joseph Mercola, author Robert F Kennedy Jr and chiropractor Ben Tapper, with the report including examples of the COVID misinformation that they shared on various social media platforms.

Mercola for example has shared his views on unproven COVID cures in various anti-vaxxer groups on Facebook, including one article saying “hydrogen peroxide treatment can successfully treat most viral respiratory illnesses, including coronavirus” getting 4600 shares.

The report notes that Robert Kennedy Jr often shares misinformation linked COVID vaccines to deaths, and his organisation, Children’s Health Defense, released a film in March that targeted American black and Latino communities with anti-vaccine messages. 

“According to our recent report, anti-vaccine activists on Facebook, YouTube, Instagram and Twitter reach more than 59 million followers, making these the largest and most important social media platforms for anti-vaxxers,” said CCDH CEO Imran Ahmed.

“Despite repeatedly violating Facebook, Instagram and Twitter’s terms of service agreements, nine of the Disinformation Dozen remain on all three platforms, while just three have been comprehensively removed from just one platform,” the report added.

To combat the disinformation problem, the CCDH urged social media companies to deplatform the Disinformation Dozen, along with key organisations associated with the 12 individuals.

In a statement to Engadet, Facebook took issue with the report, claiming that “it taken action against some of the group”. However, the report contends that Facebook’s algorithm struggle to identify COVID misinformation.

Source: The Star

Heart Doctors’ Twitter Popularity Is Unrelated to Their Publications

Phone with popular social media apps including Facebook and Twitter. Photo by Tracy Le Blanc from Pexels.

Having large numbers of widely cited publications has no bearing on the Twitter popularity of academics in the interventional cardiology community, a new study has found. 

The study, by Davide Capodanno, MD, PhD, Azienda Ospedaliero-Universitaria Policlinico “G Rodolico-San Marco” in Catania, Italy, and colleagues, found that academic impact through papers and citations, as calculated by the Hirsch index (or h-index) was found to be unrelated to whether or not academics were in the top quartile of Twitter followers (> 736 followers).

“Indeed, accounts generating a stream of valuable content are more likely to be followed. In addition, some accounts may take advantage of celebrity to amplify their success, in a kind of incremental cycle,” wrote the authors.
Rather, Twitter followers were defined by factors mostly related to time and effort spent on the platform.

Having abundant tweets (> 505 tweets, adjusted OR 16.39), along with individual charisma (‘Kardashian index’ >5, adjusted OR 8.66), were the most significant predictors. Large number of accounts user follows (> 309 following), tweet rate (> 2.6 tweets per week), a large cooperation network and being affiliated to the US were also predictive of the heart doctors’ Twitter popularity.

“Indeed, accounts generating a stream of valuable content are more likely to be followed. In addition, some accounts may take advantage of celebrity to amplify their success, in a kind of incremental cycle,” according to the authors.

Individual charisma per the ‘Kardashian index‘, which measures discrepancy between social media reputation and publication record, was not a significant factor in the rate at which someone amassed followers.

“In aggregate, our results suggest that a prediction rule for durable popularity on Twitter is to be active and generate valuable contents rather than relying on individual academic or social reputation,” Capodanno’s team concluded.

An earlier study had shown that the reverse was true; the more Twitter followers, the greater their academic standing.
Limitations include not being able to account for anonymous or pseudonym accounts, and the results may not be generalisable to the interventional cardiology community as a whole.

Source: MedPage Today

Journal information: D’Arrigo P, et al “Determinants of popularity and natural history of social media accounts in interventional cardiology” JACC Cardiovasc Interv 2021; DOI: 10.1016/j.jcin.2021.01.021.

Media Imagery Should Match the Safety Message

A new study at Ohio State University (OSU) has shown the importance of using matching imagery to reinforce social media safety messages. After viewing safety messages on social media posts, parents of young children were better able to recall important points such as how to put a baby safely to sleep when the posts’ images aligned with the message being delivered, the researchers found.

An example would be pictures of children wearing safety helmets in messages advising parents to ensure their children wear safety helmets when they ride bicycles. Liz Klein, associate professor of public health at OSU, said: “Many times, scientists and safety experts aren’t involved in decisions about social media for health agencies and other organizations, and we end up seeing images that have nothing to do with the safety message or, worse, images that contradict the guidance.”

“In this study, we were trying to understand how much those mismatches matter — do people understand the message even if the picture isn’t right? Does the picture really matter?” Klein said.

The researchers sought these answers by using eye-tracking technology to assess how 150 parents reacted to three posts with aligned messages and three with messages that were not aligned with the images. Their eyes lingered longer on the aligned posts – (5.3 seconds) than they did on the misaligned posts (3.3 seconds). Klein said that she understood that those managing social media accounts might be tempted to use attention-grabbing imagery over message-aligned imagery, but the research showed that alignment was more important. Additionally, after adjusting for health literacy and social media use, health safety knowledge recall was improved by 2.8% for each additional second spent in viewing the social media post.Klein said that there implications beyond safety messaging for children aimed at adults, to wider health and safety communication. “We need to pay more attention to how we communicate with the people we’re trying to influence with health and safety guidance. All of us can do a better job of thinking about how we use our social media accounts to contribute to better public health,” she said.

Source: Ohio State University