Every year, on 14^th November, the world comes together to recognise World Diabetes Day.  Created by the International Diabetes Federation and the World Health Organisation in 1991 to address the escalating threat that diabetes poses, this is a day that aims to raise awareness by reaching a global audience. This year’s theme is: ‘Women and Diabetes – Our Right to a Healthy Future.’  ‘Why the focus on women?’  You may ask. The stats say it all.

Women and Diabetes

Currently there are over 199 million women living with diabetes throughout the world and research suggests that this could rise to a staggering 313 million women by 2040. Diabetes is the ninth leading cause of death in women with 2.1 million deaths per year being due to this condition.  Forty per cent of women with diabetes, around 60 million women, are of reproductive age. The complication here is that women with diabetes are more likely to have fertility problems and without access to pre-conception planning there is a higher risk of death and illness for both mother and child during pregnancy.

Additionally, one in seven pregnant women develop gestational diabetes. This is a type of diabetes that only develops during pregnancy. If it is not managed properly it can negatively affect both the expectant mother‘s and baby’s health.  In most cases, after pregnancy, gestational diabetes resolves on its own, but the mother is then at a higher risk of developing type two diabetes.

Finally, women with type 2 diabetes are ten times more likely to have coronary heart disease than  women who don’t have diabetes.

Due to these facts and figures there is a need to focus on women, raise awareness and ensure that health services are equipped to address the specific needs of women with regards to diabetes.

Black Women and Diabetes

Black women are at a significantly higher risk of developing diabetes than their white counterparts. In the US, diabetes affects 25% of black women in the 55 and over age group and it is the fourth leading cause of death in black American women of all ages.

Black women in the UK are also at increased risk of developing diabetes  and diabetes rates in the Caribbean and Africa are also high.

It is thought that the increased risk in black women is due to multiple factors including genetics and black women being more likely to have high blood pressure,  to be obese and be physically inactive.

What Can We Do?

Diabetes can be prevented by adopting a healthy lifestyle. We should endeavour to:

• Maintain a healthy weight
• Eat a healthy diet
• Get active: it doesn’t have to be structured exercise, just anything that increases your heart rate such as gardening, brisk walking, dancing, cycling, playing with the kids

Let’s all spread the word about the prevention of diabetes so that we can stop more women, especially black women, from developing this condition.

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References

International Diabetes Federation

American Diabetes Association. Diabetes in African American Communities Advocacy Fact Sheet.

With 1 in 4 people in the UK suffering from a mental health issue, there is a need to find experienced counsellors who provide an effective and high quality service, OH Services does just that.

Founded in 2010 by counsellor Olivia Haltman, OH Services aims to support people through the difficult periods of their life. They are committed to providing a safe, confidential and non-judgemental environment where people can open up and get the support they need.

They provide one-to-one counselling, EMDR therapy, group therapy, workshops and seminars for adults and young people from all walks of life. They understand that people have different needs and deal with traumatic experiences in different ways, and therefore provide a tailored programme of support that ensures the right approach for each individual.

Founder, Olivia Haltman, is an accredited Integrative Humanistic Counsellor and an Eye Movement Desensitization Reprocessing (EMDR) Therapist.  She is also a member of British Association for Counselling and Psychotherapy (BACP), EMDR UK & Ireland and BAATN (Black and Asian Therapist Network). Ms Haltman has over 10 years experience working in the mental health sector having worked for organisations like Mind and established her organisation to support people who want to develop their lives on a personal level and reach their best potential. Of her approach to tackling mental health issues she says:

“I believe everyone is different, with unique needs and aspirations so I use an integrative approach to apply and integrate the most suitable solutions for my clients. Within my practice, I also apply (where necessary) a holistic approach to help clients enjoy the essential benefits of wellbeing and healing processes.”

OH Services works with a range of clients and issues, and if you’re experiencing some form of anxiety or trauma, or just need someone to talk you through an issue then please contact OH services. You can find their contact details here and for more information visit their website.

We are delighted to announce our next fibroids Twitter chat will be on  Wednesday  29th  November 2017 from 7pm-8pm (UK time). We will be joined by special guest Imani Sorhaindo with host, our own Abi Begho, founder of The Lake Foundation.

Imani Sorhaindo is a teacher, Curriculum Manager, Life Coach and Facilitator of the Ipswich Black Sisters Fibroid and Womb-Wellness Support Group.

Imani has been working as a community development worker for the upliftment of the African community for over 28 years.

Imani has her own personal life experience of working towards shrinking fibroids, and eradicating stress and toxicity through a range of life-changing techniques and lifestyle living including breathing, meditation and energy balancing.

Over the past 13 years she has been researching the world of women’s health; particularly around fibroids and healing. The Black sister’s fibroid group which she runs in Suffolk has been running for its first year; with pleasing results. She has recently delivered a short lecture at the Black History Walks Nzingha Lectures in London.

Imani is also half-way through writing her book around the theme ‘Holistic approaches towards the elimination of fibroids. In 2018, Imani will be hosting her first Fibroids conference in the Caribbean island of Dominica.

This Twitter chat has been organised to allow for an in-depth discussion with Imani on her personal experience with fibroids, her work facilitating the Ipswich Black Sisters Fibroids and Womb-Wellness Support Group, her upcoming book on holistic approaches to fibroids and her first fibroids conference in Dominica.

We’ll be putting questions to Imani and you can put your questions to her too. So if you have a burning question about fibroids or just want to get involved in the discussion then do join us on the day. To take part in the conversation please use the hashtag #FibroidsChat.

We look forward to tweeting with you!

We recently came across this really interesting video on TED and thought we’d share it with you.  In this video you’ll hear from Dr Elizabeth Wayne, a biomedical engineer, who discusses the work her lab is undertaking to explore a more effective method to treat cancer. They researching  how they can develop “a mean killing machine on wheels” by using cells in our immune system to target cancer cells.

The Healthy Caribbean Coalition published an excellent report on non-communicable diseases (NCDs) and trade policy in the Caribbean. This briefing document discusses how trade policies affect the public’s health and what needs to be done to ensure that policies have a positive effect on the health of countries’ citizens.

The report clearly explains, with examples, how specific policies can influence our health. For example, low taxes on items like sugary drinks, alcohol, tobacco and processed foods lowers their cost enticing the public to purchase them. The consumption of these items, over time, increases our risk of developing non-communicable diseases such as  type 2 diabetes, cancer and cardiovascular disease. The report details how policies like this in the Caribbean have had a detrimental effect with families shifting from a traditional plant-based, home-made diet to a processed, meat-based diet.

The report states that the Caribbean shockingly has the highest mortality due to NCDs in the Americas,  the Caribbean has some of the highest rates of obesity and there are significant levels of tobacco use and binge drinking.  There is an urgent need to address these issues and exploring trade policies is just one strategy that can be introduced to improve the public’s health.

The Healthy Caribbean Coalition’s report explores policies around three main areas:

• Unhealthy/healthy food
• Alcohol
• Cigarettes

These recommendations are based on global approaches such as the WHO Framework Convention for Tobacco Control, the WHO strategy to reduce alcohol consumption and the ICN2 Framework for Action. The HCC’s recommendations for the Caribbean are illustrated below.

This report was an excellent, comprehensive, clear and informative report that gives concrete actions that can be taken to tackle NCDs through policy changes.

You can download the report below.

Climate change has been a controversial topic since Al Gore’s 2006 documentary, an Inconvenient Truth, with people passionately defending both sides of the debate – climate change deniers and climate change believers.  Over the past year climate change has become very topical due to the United States pulling out of the Paris Agreement. This is an agreement that aims to facilitate a global response to climate change by “keeping a global temperature rise this century well below 2 degrees Celsius above pre-industrial levels and to pursue efforts to limit the temperature increase even further to 1.5 degrees Celsius.” Countries throughout the world have committed to working towards this aim and will report regularly on their emissions.

Why are we so concerned about climate change? Researchers have been able to demonstrate that climate change will have a significant impact on the weather, agriculture and a range of other areas. This week, The Lancet Countdown report has demonstrated the impact of climate change on our health.

What is the Lancet Countdown?

The Lancet Countdown is an international research collaboration consisting of 26 institutions tracking the world’s response to climate change and in so doing have been able to reveal the impact that climate change has on the public’s health.

Some of the research findings

In this week’s report, researchers stated that climate change is “already a significant public health issue and a looming global health emergency.”

Some of their key findings were:

• Between 2000 and 2016, the number of vulnerable people exposed to heatwave events had increased by around 125 million.
• Annual weather-related disasters increased by 46% from 2000 to 2013.
• Vectorial capacity for the transmission of dengue increased by 9.4% (Aedes aegypti) and 11.1% (Aedes albopictus) due to climate trends since the 1950s.
• The number of undernourished people in 30 countries vulnerable to climate change and highly dependent on regional food production has increased from 398 million in 1990 to 422 million in 2016.
• Over 803,000 premature and avoidable deaths in 2015 as a result of air pollution across 21 Asian countries, attributable to just one type of air pollution from coal power, transport and use of fossil fuels in the home.

The report highlights the progress that has been made to tackle climate change and this includes:

• Many countries now have a climate change risk assessment in place
• Over a third of countries in the study have developed plans to increase the climate resilience of their health infrastructure
• The total primary energy supply of coal peaked in 2013 and has been rapidly declining, showing a movement towards cleaner energy supplies

Prof. Anthony Costello, Co-Chair of the Lancet Countdown and a Director at the World Health Organization concluded that:

 “Climate change is happening and it’s a health issue today for millions worldwide. The outlook is challenging, but we still have an opportunity to turn a looming medical emergency into the most significant advance for public health this century.”

The Lancet Countdown will continue to report on climate change annually with the aim of ensuring that governments continue to pursue efforts to prevent climate change.

Our Thoughts

The Lake Foundation was happy to see this report published which provided an update on the progress being made to tackle climate change and clearly explained the impact on our health. It was sad to read that climate change is disproportionately affecting communities least responsible for climate change and those most vulnerable in society. We need to understand how we can encourage those that are most responsible for climate change to take responsibility and act now.  There is work to be done to discuss climate change with those who believe it doesn’t exist, many people with this view are very influential and there needs to be some form of compromise so that progress can be made.  The take home message should be that regardless of your view, we need to respect and take care of the planet.  Reducing pollution and preserving our wildlife is the right thing to do, you can’t really argue with that.

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For more information on the Lancet Countdown report please visit their website here

The Healthy Caribbean Coalition in collaboration with the NCD Alliance have released an  action plan for preventing childhood obesity in the Caribbean. This action plan is based on a number of frameworks developed by organisations around the world to ensure consistency. The plan aims to foster a collaborative approach to tackling childhood obesity with recommendations for civil society working in partnership with governments and the private sector.

This action plan is of utmost importance as a third of children in the Caribbean are overweight or obese. Children who are overweight or obese are at an increased risk of being overweight or obese adults and of developing a non-communicable disease (NCD) later in life.

The Priorities of the Plan

Rates of childhood obesity are increasing in the Caribbean; this needs to be addressed to improve the health of the Caribbean community. If left unchecked the Caribbean will see a huge increase in NCDs leading to avoidable ill-health and premature death. The Healthy Caribbean Coalition’s action plan aims to address this. Their plan focuses on seven priority areas. These include:

Trade and fiscal policies e.g. taxation of unhealthy food

Nutrition literacy e.g. mandatory front-of-package nutrition labelling

Early childhood nutrition e.g. interventions related to breastfeeding and complementary foods

Marketing of healthy and unhealthy foods and drinks e.g. banning of marketing of unhealthy foods and drinks to children

School and community based interventions e.g. mandatory physical activity in schools  

Resource mobilisation for interventions addressing childhood obesity

Strategic planning, monitoring and evaluation: e.g monitoring progress through the use of the CSO Childhood Obesity Prevention Scorecard

Next Steps

The Healthy Caribbean Coalition team, based in Barbados, will take the lead on implementing this action plan and will form a regional Steering Committee with members coming from the around the Caribbean representing the private sector, government and civil society organisations. They will also form a civil society organisation action network for childhood obesity prevention who will work on promoting relevant policies and interventions.

We’re really happy to see this action plan published. It provides a good foundation on which to start work on the prevention of childhood obesity in the Caribbean and we look forward to getting involved in this work.

More Information

For more information please visit the HCC website here, download the action plan below or email  hcc@healthycaribbean.org

A couple of weeks ago government representatives from across  the world met in Montevideo, Uruguay for the World Health Organisation’s Global Conference on NCDs (Non-communicable diseases, e.g: cancer, diabetes,  cardiovascular disease etc).  The objectives of the conference were: to guide countries on how to reach sustainable development goal target 3.4 by 2030; to launch a new set of global initiatives to help countries accelerate progress in tackling NCDs; to share and exchange experiences; and to discuss how the health sector can be a key example of the benefit of enhancing policy coherence to achieve the sustainable development goals.

Making A Commitment to Tackle NCDs

At this conference governments endorsed the Montevideo Roadmap 2018-2030 on NCDs as a Sustainable Development Priority. By endorsing this roadmap they have made a commitment to take significant steps towards reducing the premature deaths due to NCDs by a third. They recognised that NCDs are one of the major challenges of the 21^st century and that progress to tackle them has been uneven and insufficient. The roadmap states that 15 million 30 to 69 year olds per year die from a NCD and 80% of these premature deaths occur in developing countries.  There are a number of challenges associated with tackling NCDs and with this is mind they committed to the following actions:

• Reinvigorate political action
• Enable health systems to respond more effectively to NCDs
• Increase significantly the financing of national NCD responses and international cooperation
• Increase efforts to engage sectors beyond health
• Reinforce the role of non-State actors
• Seeks measures to address the negative impact of products and environmental factors harmful for health and strengthen the contribution and accountability of the private sector and other non-State actors
• Continue relying on WHO’s leadership and key role in the global response to NCDs
• Act in unity

Our Thoughts

We were delighted to see world leaders come together and make this commitment and look forward to seeing these actions being taken forward.

We’re particularly happy to see that efforts will be made to engage with a variety of stakeholders. As a small organisation that is passionate about improving the health and well-being of our community we do get frustrated at the lack of engagement with grassroots organisations. We have many times reached out to local and national governments with our enthusiasm and ideas, ready to play a role but have received lukewarm responses or no responses at all. We hope that governments will see the value of working with small organisations and we have been grateful for the funding provided by Croydon Council, Sports England, Macmillan and Eli Lilly for some of the work we’ve conducted on NCDs. We look forward to continuing to work in this area and making our own small contribution.

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You can read the complete Montevideo Roadmap below.

Yesterday, the Healthy Caribbean Coalition launched an online portal of all the non-communicable disease  (NCD) commissions in the Caribbean. The portal gives information on all active boards, groups or bodies that have been established to coordinate their countries’ plans for the prevention of NCDs. The aim of this portal is to raise awareness of the work being conducted on NCDs so that those interested in this area can learn more about the work being conducted in the Caribbean, and by whom.

The development of the portal was developed to support one of the recommendations of the 2007 Port of Spain Declaration: Uniting to Sport the Epidemic of NCDs which stated that:

 “We strongly encourage the establishment of National Commissions on NCDs or analogous bodies to plan and coordinate the comprehensive prevention and control of chronic NCDs.”

This portal highlights the progress that governments across the Caribbean have made in taking forward this recommendation and the Healthy Caribbean Coalition will keep the portal updated to ensure it gives a true reflection of the work being conducted across the Caribbean.

For more information about the portal and to access it, please click here

Today is World Stroke Day giving us the perfect opportunity to put the spotlight on this condition.  The organisers of World Stroke Day, the World Stroke Organisation, as part of this year’s campaign are asking the question: what’s your reason for preventing stroke? Our reason is because strokes are more common in the black community and we would like to prevent this condition from affecting so many people in our community. This is achievable as 90% of strokes are linked to avoidable risks.

Stroke is the second leading cause of death in the world with 6.2 million deaths per year being due to stroke. It is also the leading cause of disability with 5 million people being permanently disabled every year after suffering a stroke.

What is a Stroke?

A stroke occurs when the blood supply to part of the brain is cut off resulting in damage to or death of brain cells. You can think of a stroke as a similar to a heart attack, but it takes place in the brain, people sometimes refer to it as a brain attack.

There are two types of stroke:

Ischaemic strokes – this is where something blocks an artery to the brain. The blockage can be caused by a blood clot, air bubble or fat globule.

Haemorrhagic strokes – these occur when a blood vessel bursts and bleeds into the brain.

It is estimated that members of the black community are twice as likely to suffer from a stroke as the white population. This is thought to be related to the fact that stroke is a complication of diabetes, high blood pressure and sickle cell; these are all common conditions in the black community.

You can watch the video below to find out more about what a stroke is.

Warning Signs of a Stroke

When someone has a stroke it is very important that they get medical care quickly to ensure that any damage to the brain is kept to a minimum. Strokes happen suddenly so the person who has the stroke or those around him/her may not recognise what is happening until it is too late.  There may be warning signs just before  a stroke occurs so it is very important that everyone is aware of what these are so that you can get help immediately from the emergency services.

The warning signs of a stroke are:

• Numbness or weakness in your face, arm, or leg, especially on one side
• Confusion or trouble understanding other people
• Trouble speaking
• Trouble seeing with one or both eyes
• Trouble walking or staying balanced or coordinated
• Dizziness
• Severe headache that comes on for no known reason

Who is at risk of having a stroke?

• Older people – most strokes occur in people over the age of 65 but younger people have strokes too with 25% of strokes being in younger people
• People with a family history–if a close family member has had a stroke your risk of having a stroke is higher
• Particular ethnic groups – South Asians, Africans and Caribbeans are more likely to have a stroke
• People with a medical history – if you’ve already had a stroke, heart attack or a mini-stroke you are more likely to have a stroke. Also if you have diabetes, high blood pressure and sickle cell.
• Smokers – smoking doubles your risk of having a stroke
• Drinkers – alcohol can increase your risk of having a stroke

Prevention of Strokes

You can reduce your risk of having a stroke by:

• Eating a healthy diet – a low fat, high fibre diet is recommended including plenty of fruits and vegetables
• Regular exercise – this will make your heart and blood circulation more efficient
• Not smoking
• Reducing your alcohol intake

Think FAST

If you or someone you know are ever worried that you may be having a stroke it is important to think FAST:

Face: weakness of the face. Can you or the person smile? Has your face fallen on one side?

Arms: weakness in the arms. Can you or the person lift their arms?

Speech: has your speech been affected. Are you experiencing slurred speech?

Time: if any of the above are experienced then call 999/911 immediately

 More information

This World Stroke Day let’s all make a commitment to work towards preventing stroke by changing our lifestyle and being aware of the symptoms. This is so important for the black community as we are twice as likely to develop stroke.

For more information on stroke you can visit the following websites:

• World Stroke Day
• Stroke Association
• Centres for Disease Prevention