Following the launch of Caribbean Moves, a new initiative based on the successful Jamaica Moves campaign, the Ministry of Health and Wellness in Barbados launched their Barbados Moves campaign.

The launch took place on 20^th October 2018 and was led by Lieutenant Colonel Jeffrey Bostic, Barbados’ Minister of Health and Wellness. In attendance was Dr Christopher Tufton Jamaica’s health minister, who said:

‘Caribbean Moves’ is an attempt to mobilise the region one country at a time, and one person at a time through taking personal responsibility for your health and by doing the things that are responsible for a healthy life.

“Finally, it’s about uniting the Caribbean through one message, one method, one approach and by extension strengthening us as a people.”

Barbados Moves will form the island’s national approach to tackling non-communicable diseases and will focus on three key areas, similar to Jamaica Moves,  which are physical activity, healthy eating and knowing your health status.

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Image Credit: Barbados Moves (Instagram)

On 27^th September 2018, Caribbean leaders hosted a breakfast meeting at the UN High Level Meeting on Non-Communicable Diseases (NCDs) in New York. The theme for this meeting was “Moving the Caribbean Towards Healthier Lives – Step It Up!”

Chaired by Dr Timothy Harris,  the Prime Minister of St Kitts and Nevis, leaders used this meeting to announce the launch of Caribbean Moves, an initiative that aims to re-energise health promotion efforts across the Caribbean through creative  and innovative partnerships.

Caribbean leaders recognised that progress has been made in tackling NCDs but with the Caribbean’s mortality rate for NCDs being the highest in the Americas, a more coordinated approach is needed. Caribbean Moves aims to achieve this.

Caribbean Moves will build on the very successful Jamaica Moves campaign which focuses on physical activity, healthy eating and age appropriate health checks.  The Jamaica Moves campaign is led by Dr Christopher Tufton, Jamaica’s Minister of Health, who is a very active participant in the Jamaica Moves campaign. He said of Caribbean Moves:

“This programme is intended to scale up the efforts of ongoing national programmes for increasing physical activity and healthy eating across the Caribbean. Among other things, Caribbean Moves will galvanise countries under one vision but each countries project will be unique fostering a cultural and social movement for regular physical activity within the Caribbean.”

Over the next few months a secretariat will be established for the Caribbean Moves initiative and their remit will be to develop an implementation schedule, coordinate activities and strengthen existing work in the Caribbean Region.

We look forward to seeing the Caribbean Moves initiative develop and are currently working on our own efforts to tackle NCDs in St Kitts and Nevis through a new piece of work  we are undertaking with the FIT Wellness Centre in Nevis. More information about this project will be available soon.

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Picture Credit: CARICOM

Our Chronic Disease Self-Management Course which was due to start on 2^nd October 2018 has been postponed until November. We are very sorry for any inconvenience caused and will release the November dates soon.

If you would like further information or would like to book a space on to the course, please email events@lakehealthandwellbeing.com

In the meantime, below is video that discusses the benefits of attending a chronic disease self-management course.

Lake Health and Wellbeing in collaboration with the Department for Gender Affairs in St Kitts are aiming to provide support to men in St Kitts with chronic diseases such as heart disease, diabetes, cancer, high blood pressure and lung disease. This support will be delivered through a free 6-week self-management course, starting on 2^nd October, that will provide men with the information, skills and knowledge to live well with their health condition.

Our project will focus on men, to ensure that men in St Kitts who suffer from a chronic disease receive the support that they need as research suggests that men are less likely to access health services.

The course being utilised for this project is the Stanford University Chronic Disease Self-Management Program (CDSMP). This is an evidence-based prevention and health promotion program that addresses common issues faced by people with chronic conditions. The program will provide patients with information on appropriate exercise, diet, managing symptoms, medication usage, dealing with side effects and improving communication with healthcare providers, friends and family. Classes will be held at the National ICT Centre on the Bay Road and will be facilitated by trainers certified by the Stanford University Chronic Disease Self-Management Program.

The program has been implemented in 19 countries around the globe showing a number of benefits including:

• Improved wellbeing
• Improved health of patient
• Fewer hospitalisations
• Fewer days spent in hospital

If you or anyone you know is living with a chronic disease or caring for someone with a chronic disease then this course may be of interest to you.

For more information and to register, please visit Eventbrite,  email events@lakehealthandwellbeing.com or call 668 1518.

Want to be kept up-to-date on events like this? Then please subscribe to our newsletter here.

Kantar Health is a market research agency that specialises in pharmaceutical research, they regularly speak to physicians, patients and carers and have a wealth of experience in conducting healthcare research.  They work on behalf of pharmaceutical companies to speak to and understand how various health issues impact people’s live. On this occasion, Kantar Health would like to talk to patients who have been diagnosed with ALK+ Non-Small Cell Lung Cancer (NSCLC), and are undergoing treatment.

The research will be individual in-depth interviews that will take approximately 1 hour and will be conducted either via a secure video link (like Skype or FaceTime), or in your home if you feel comfortable doing so. As part of the research the company will also be asking participants to complete a diary or task for 10-15 minutes per day, for 5 days prior to the interview.

The aim of this research is to better understand patient journeys, when, where and with whom they interact before and after their diagnosis, and identify support they may have and / or need.

 All information that is shared as part of the interview will be kept strictly confidential and there will be no attempt to sell you anything. Your decision to participate, or not, will not influence any current or future treatment decisions.

Kantar Health’s interviews are carried out in accordance with current (European: MRS, EphMRA, ESOMAR, BHBIA) guidelines and Data Protection Laws as well as with local UK specific rules.

As an appreciation of your time participants will receive an amount of £200 in your choice of bank transfer or cheque.

If you are interested in taking part, please contact Megan Grendon from Gillian Kenny Associates on 01242 240 842 or MeganGrendon@gilliankenny.com

Gillian Kenny Associates is the medical market research agency that Kantar Health is using to recruit individuals  to see if you are eligible for the study.

The Cancer Centre Eastern Caribbean was launched in July 2015 as part of the Organisation of Eastern Caribbean States’ mandate for its residents.  The centre is based in Antigua, is the first of its kind in the Caribbean and aims to provide the highest quality of care to its patients.  It is equipped with state-of-the-art technology and facilities and the care delivered is based on the Partnered Care Model where the delivery of healthcare involves the private sector, public sector and the general public, making treatment affordable to patients.

Their Services

The centre offers its patients the following services:

Medical Concierge Service – patients will be arriving from a number of Eastern Caribbean countries and having to travel for treatment can be a daunting and draining experience for patients. To ease the burden of travel the centre has set up a medical concierge service. Upon arrival in Antigua patients will be met by a member of the centre’s concierge team. They will be assisted with their luggage and transported to their guest house and transportation can be arranged to take patients to  and from their appointments at the centre.

Treatment Consultations –  all patients will have a professional and comprehensive consultation with an oncologist. At this appointment the patient’s test results and medical records will be reviewed and a treatment plan developed,  any additional tests that are required will be done in-house at the centre.

Chemotherapy –  a wide range of chemotherapy is available and the highest standards of delivery can be expected from the centre.

Radiotherapy –  External beam radiation therapy is also available using state-of-the-art equipment.

Who can access the centre?

The cancer centre serves all residents of the OECS member states as well as patients from outside the OECS. They see insured patients, private patients and government sponsored patients.

More Information

For more information about the centre please contact them using the details below:

The Cancer Centre Easter Caribbean
The Medical Pavilion Antigua
Michael’s Mount
Queen Elizabeth Highway
P.O. Box W599
St John’s, Antigua, W.I.

Tel: 1-268-460-6000
Fax: 1-268-460-6000
Email: info@TMP-Antigua.com
Website: http://www.thecancercentreeasterncaribbean.com

The black community has a higher risk of developing type 2 diabetes and this increased risk was thought to be due to a combination of factors with genetics playing a significant role.

 In a study recently published in JAMA it has been shown that there is no genetic reason linking black people to an increased risk of diabetes. The increase in risk is due to lifestyle factors like obesity.

This study looked at 4,251 black and white men and women, aged 18 to 30 without diabetes.  Forty-nine per cent were black (2,066 participants) and 54% were women (2,304 participants). Participants were followed for an average of 25 years and over time 504 cases of diabetes were identified – 189 white participants and 315 black partcipants developed type 2 diabetes.

The study found that overall black men and women were more likely to develop diabetes but when they took into account factors like biology, neighbourhood, psycho-social, socioeconomic and behavioural, both black and white people had the same risk of developing type 2 diabetes.  If there was an underlying genetic reason then when all those factors were taken into account then there would have still been an increased risk seen in black men and women.

When exploring what specific factors increased black people’s risk of type 2 diabetes they found that factors that were modifiable were the main culprits – body weight, waist size, blood sugar level, blood pressure and others.

Researcher Prof Mercedes Carnethon said:

“Obesity is driving these differences. The findings surprised us, because for the past 20 years there was a narrative that there must be something we haven’t found that was causing this higher rate. Blacks gained more weight over time. It was the accumulation of this and other risk factors that eliminated the so-called mysterious cause of the disparity.”

The findings for this study are empowering, in a way, as it means that clear steps can be taken to reduce the high risk seen in the black community by promoting a healthy lifestyle with lead study author Michael Bancks stating:

“To eliminate the higher rate of diabetes, everybody needs to have access to healthy foods, safe spaces for physical activity and equal economic opportunity to have enough money to afford these things and live in communities that offer this.”

The focus now has to be on ensuring that more black people live a healthy lifestyle so that health inequalities like this can be addressed. This means delving into the social and economic inequalities which may act as barriers to living a healthy lifestyle.

Scientists at the Nanjing University Medical School in China have published the results of their study exploring the effect of ginkgo biloba extract on stroke patients.

Their study was a fairly small one with 342 patients taking part. The average age of participants was 64. Participants were given ginkgo biloba extract daily for six months after their stroke along with aspirin.  The participants took a cognitive assessment test at the start of the trial and at regular intervals.

The researchers found that those patients taking the ginkgo biloba extract performed better on the cognitive assessment test showing better memory and reasoning.  Based on these findings the researchers concluded that:

“GBE in combination with aspirin treatment alleviated cognitive and neurological deficits after acute ischaemic stroke without increasing the incidence of vascular events.”

They recommended “ginkgo biloba extract for patients with acute stroke for its ability to improve cognition and quality of life.”

The scientists did caution that more work is needed as their study was a small one. They recognised that a large and longer piece of work is needed, but their results were promising.

Other studies have had conflicting results – some show improved brain function, whilst other don’t.

What is Ginkgo Biloba?

The scientists explained that ginkgo biloba is an ancient Chinese tree and the extract has been used in China for many years for memory, depression, tinnitus and confusion.  It is one of the oldest living tree species in the world and has numerous health benefits.

Ginkgo Biloba is not just used in China but it is available in the UK, Europe, Canada and the US as a food supplement. It does have side effects such as nausea, vomiting, headache and constipation. There can be serious side effects such as bleeding in the eye or brain, bleeding after surgery and severe allergic reactions, and  it shouldn’t be taken if you’re on certain medication.

Take Home Message

The study was promising but further work is needed to fully assess the effects of ginkgo biloba on stroke patients.

More Information

You can download the full research paper below.

This week scientists in the Netherlands published the results of their research exploring social isolation and type 2 diabetes. They assessed whether particular aspects of a person’s social network like the size of their social network, how often they are in contact with friends and family, the types of relationships they are in and whether they live alone are linked to pre-diabetes, a new diagnosis of diabetes or a previous diagnosis of diabetes.

Their research looked at people between the ages of 40 and 75 living in the south Netherlands. The study is still ongoing and the aim is to recruit 10,000 participants by the end of the study period.

This current piece of work includes 2861 people with an average age of 60, 57% were not diabetic and 43% of the participants either had pre-diabetes, a new diagnosis of diabetes or had previously been diagnosed with diabetes.

They found that the more socially isolated a person was (i.e. the smaller their social network was) the more likely they were to have a recent or previous diagnosis of type 2 diabetes.  They found  that for each fewer network member in a social group there was a 12% higher chance of being newly diagnosed with type 2 diabetes and a 8% higher chance of having a previous diagnosis in women; in men it was 10% and 5% respectively.

In women they found that higher percentages of social network members living within walking distance and higher percentages of household members were linked to newly and previously diagnosed diabetes.  Researchers concluded that for women “a more centralised social network was associated with type 2 diabetes.”

In men, living alone was associated with significantly higher odds (59% higher odds) of being newly diagnosed with diabetes or being previously diagnosed. In women there was no association between living alone and diabetes.

They also found that a lack of social participation was associated with a 60% higher chance of being pre-diabetic and a 112% higher chance of being previously diagnosed with type 2 diabetes in women. For men a lack of social participation was associated with a 42% higher chance of having a previous diagnosis of type 2 diabetes.

They also found that having more emotional support, practical support and support during sickness were all associated with lower odds of having type 2 diabetes.

What does all this mean??

Simply put, people who are lonely are more likely to develop diabetes. Therefore if we can focus on addressing loneliness we may be able to prevent type 2 diabetes in some people.

It isn’t clear why specifically there is a link between social isolation and diabetes but the researchers feel that their work suggests that:

 “High risk groups for type 2 diabetes should broaden their network and should be encouraged to make new friends, as well as become members of a club.”

Type 2 diabetes is more common in the black community and if we can identify whether  social isolation is also linked to diabetes in the black community then this could be an effective approach to  reducing the high risk in the black community.

Story update:  The Canadian government’s alcohol  and  cancer warning label experiment has been halted due to pressure from the alcohol industry who threatened legal action for defamation and trademark infringement.

Many drinkers are unaware that alcohol causes a number of cancers including breast and bowel cancer. In order to raise awareness of this the Yukon government, in collaboration with researchers, has introduced labels on alcoholic drinks warning that alcohol causes cancer. The labels also provide recommendations on safe alcohol consumption for men and women as well as advising that people should plan to have two or more non-drinking days a week.

This new initiative was a challenge to implement as Yukon is a small jurisdiction and couldn’t influence drinks manufacturers to change their labelling. Therefore the Yukon Liquor Corporation and Public Health Ontario researcher, Erin Hobin, affixed the labels to thousands of bottles themselves.

These labels are a world’s first. No other country warns drinkers, through labelling on drinks, that alcohol causes breast or bowel cancer; South Korea highlights the link between alcohol and liver cancer and the US only warns of the dangers of drunk driving and risks of drinking while pregnant.

Researcher Erin Hobbs explained the reasoning behind the labelling:

“Alcohol is such a big part of our culture in Canada. We’re inundated with alcohol marketing that shows us how much fun alcohol is. It’s part of most of our celebrations … (But) consumers have a right to know the health risks if they do choose to drink alcohol. If they do choose to drink, they can do so in a safer manner.”

Alcohol is not just linked to breast and bowel cancer, but has also been linked to cancers of the mouth, upper throat, food pipe, voice box and liver.  The number one cancer impacted by alcohol is breast cancer.

The International Agency for Research on Cancer  has classified alcohol as a type 1 carcinogen, which means there is the highest level of evidence to suggest that it does cause cancer.

It is hoped that governments will follow Yukon’s example as awareness of the link between alcohol and cancer is very low and people need to have this information so they can make an informed decision about their drinking habits, and hopefully protect their health.