Around 17 percent of American children from age 2 to 19 are classed as “obese”. That’s a level that has remained fairly steady over the last decade. And it’s growing.
Obesity is measured in terms of Body Mass Index (BMI) – a measure that can be used to compare children in terms of their weight. BMI is calculated by dividing a person’s weight in kilograms by the square of their height in meters. For children and teens, BMI is so age- and gender-specific that it is referred to as BMI-for-age. BMI levels among children and teens need to be expressed relative to other children of the same age and gender. Every child is different and that makes it difficult to generalize on something like this.
Overweight is defined as a BMI at or above the 85th percentile and below the 95th percentile for children and teens of the same age and gender. Obesity is defined as a BMI at or above the 95th percentile for children and teens of the same age and gender.
To give an illustration, a 10-year-old boy of average height (56 inches) who weighs 102 pounds would have a BMI of 22.9 kg/m2. He would be considered obese because this calculation puts him in the 95th percentile for BMI-for-age. His BMI is greater than the BMI of 95% of 10-year-old boys in his “reference population”.
The historic rainfall dumped by Hurricane Harvey has already led to deaths by drownings and the destruction of many homes.
Houston’s drinking water system is being stressed by overflowing water reservoirs and dams, breached levees and possible problems at treatment plants and in the water distribution system. Failure of drinking water systems could lead to water shortages.
As a civil engineer who has studied how flooding affects water systems, I also see a number of public health concerns. Raw sewage, dead bodies in the water and release of dangerous chemicals into the floodwaters could lead to the spread of disease through contact with contaminated water and to infection through open wounds.
Caesarean sections have been lifesaving procedures for hundreds of thousands of women across the world who experience complications during labour.
Globally, it’s estimated that just under 20% of births take place via caesarean section – a percentage that’s gone up over the last three decades. This has raised concerns, particularly in high-income countries where generally too many caesarean sections are performed.
But in many African countries women who are medically required to have caesarean sections are not able to access them. This is due to several reasons, the most prominent being weak health systems and a lack of resources.
This needs to be fixed as women in sub-Saharan African suffer from the highest maternal mortality ratio in the world. Close to 550 women die for every 100 000 children that are born. This amounts to 200 000 maternal deaths a year – or two-thirds of all maternal deaths per year worldwide.
Today’s guest post is from Seeds, a tech startup with a female founder working to build social good through microlending into every app that exists.
Most of us know what microloans are, right? They’re small loans — say $5 or $25 — given to people in need. These people can use the loans to buy livestock or supplies for their small businesses, and then pay back the loans with their proceeds.
What usually comes to everyone’s mind when they think about microloans is Kiva, the highly successful microlending nonprofit. (Fun fact: Bill Draper, one of Kiva’s investors, and Sam Birney, Kiva’s former Director of Engineering are investors in Seeds!) Kiva is awesome, but there’s actually a lot more to the world of microfinance than just what they do. We wanted to shed some light on this broader landscape today.
1. Microloans are not a type of nonprofit.
Because Kiva is a nonprofit, what seems to be a big misconception has propagated: that microlending is a category of nonprofit. In fact, it’s a type of lending and finance that happens to do a lot of social good. We think the “social good” part is what confuses people. People often don’t realize that social good doesn’t just come from nonprofits — it can also come from financial institutions, businesses and startups (like Seeds!)
But Trump wants to go even further than his GOP predecessors by slashing spending on global health efforts funded through the United States Agency for International Development (USAID). Deeper family planning retrenchment would, however, put millions of lives at risk.
Imagine going through your day without ready access to clean water for drinking, cooking, washing or bathing. Around the world, 663 million people face that challenge every day. They get their water from sources that are considered unsafe because they are vulnerable to contamination, such as rivers, streams, ponds and unprotected wells. And the task of providing water for households falls disproportionately to women and girls.
I have carried out research in India, Bolivia and Kenya on the water and sanitation challenges that women and girls confront and how these experiences influence their lives. In my field work I have seen adolescent girls, pregnant women and mothers with small children carrying water. Through interviews, I have learned of the hardships they face when carrying out this obligatory task.
An insufficient supply of safe and accessible water poses extra risks and challenges for women and girls. Without recognizing the uneven burden of water work that women bear, well-intentioned programs to bring water to places in need will continue to fail to meet their goals.
So, what is it like for women who live in places where sufficient and safe water is not readily accessible?
After eight years of practicing obstetrics and researching childbirth in the United States, I know as well as anyone that the American maternal health system could be better. Our way of childbirth is the costliest in the world. Our health outcomes, from mortality rates to birth weights, are far, far from the best.
The reasons we fall short are not obvious. In medicine, providing more care is often mistaken for providing better care. In childbirth the relationship between more and better is complicated. Texan obstetricians, when compared to their counterparts in neighboring New Mexico, are 50% more likely to intervene on the baby’s behalf by performing a cesarean section. Nonetheless, Texas babies still have a lower survival rate than New Mexican babies.
I long assumed that our most puzzling American health care failures were idiosyncrasies–unique consequences of American culture, geography, and politics. But a trip to India for the 2017 Human Rights in Childbirth meeting led me to a humbling realization: when it comes to childbirth, both countries fall short in surprisingly similar ways.
Human rights in childbirth
I take care of patients in at a well-funded teaching hospital in Boston, where pregnant women seem well-respected and have clear, inviolable rights.
Giving birth is a significant life event that should aim for a healthy baby and mother. There are growing calls for women to give birth in their preferred birth positions. But this requires midwives to be trained in a way that enables them to respect the choices that women make. The Conversation Africa’s health editor Joy Wanja Muraya asked Lydia Mwanzia to explain why women have the right to make choices, and the important role played by midwives.
More than likely you have heard about the Global Gag Rule also known as the Mexico City Policy this week. You can learn more about it in a previous post: Why the Global Gag Rule Will Increase Maternal Mortality. To get right to the point, however, Planned Parenthood released this video: What is the Global Gag Rule that explains it succinctly. Continue reading Video: The Global Gag Rule Explained
Nutrition of women before and during pregnancy and when breastfeeding is critical in determining the health and survival of the mother and of her unborn baby.
Undernourished pregnant women have higher reproductive risks. They are more likely to experience obstructed labour, or to die during or after childbirth. Poor nutrition in pregnancy also results in babies growing poorly in the womb and being born underweight and susceptible to diseases. These mothers also invariably produce low quality breast milk.
Maternal malnutrition has inter-generational consequences because it is cyclical. Poor nutrition in pregnancy is linked to undernourishment in-utero which results in low birth weight, pre-maturity, and low nutrient stores in infants. These babies end up stunted and, in turn, give birth to low birth weight babies. Optimal maternal nutrition is therefore vital to break this inter-generational cycle.
In Kenya, women’s nutritional needs during pregnancy has not received much attention. This has exposed a gap in efforts to improve maternal and child health.
The United Nations has, at long last, accepted some responsibility that it played a part in a cholera epidemic that broke out in Haiti in 2010 and has since killed at least 9,200 people and infected nearly a million people.
This is the first time that the UN has acknowledged that it bears a duty towards the victims. It is a significant step forward in the quest for accountability and justice.
Haiti is one of the poorest countries in the world. It is frequently devastated by disasters – both natural and man-made. Yet cholera was not one of its problems before 2010. Then a group of UN peacekeepers was sent to help after an earthquake.
Every year just over 500,000 women die from complications in pregnancy and childbirth across the world. Another 20 million experience severe complications. But many of these complications are entirely avoidable – including obstructed and protracted labour and one of its side-effects, obstetric fistula.
An obstetric fistula is a hole in the birth canal between the vagina and the rectum or between the vagina and the bladder that is largely caused by obstructed and prolonged labour. This can occur when the mother’s pelvis is too small or the baby is too large.
In sub-Saharan Africa for every 100,000 deliveries there are about 124 women who suffer an obstetric fistula in a rural area. Obstetric fistulas predominantly happen when women do not have access to quality emergency obstetric-care services. Antenatal care could help to identify potential problems early but will not have an impact if there is no skilled surgeon to assist with the labour.
South Africa has extremely high maternal mortality levels. This is true when compared with developed countries as well as other developing countries.
According to the World Health Organisation, for every 100,000 live births in the country in 2015, 138 women died due to pregnancy and childbirth complications. In Sweden, fewer than five women die for every 100,000 live births. In Brazil, the estimate is 44 women for every 100,000 live births.
The Syrian civil war has entered its fifth year with few signs of ending.
The fighting has forced more than 13.5 million Syrians to flee their homes. Most of the displaced have not left Syria, but have simply moved around the country in an attempt to get out of the way of the fighting.
But approximately 4.8 million others have traveled beyond their nation’s borders in a search for security.
In my book Cultures of Migration, I argue that mass migrations and refugee crises don’t simply happen. They have a history and a trajectory. That work has led me to ask: Who are the Syrian refugees? What made their migration happen?
Launched four years ago, the two clinical trials, known as ASPIRE and The Ring Study, set out to determine how safe and effective the ring was in prevention of HIV infection in women. The ring, which is used for a month at a time, contains an antiretroviral drug called dapivirine that acts by blocking HIV from multiplying.
The studies enrolled close to 4500 women aged 18 to 45 in South Africa, Uganda, Malawi and Zimbabwe. Each study found that the ring helps reduce the risk of HIV infection in women. In ASPIRE, the ring reduced the risk of HIV infection by 27% overall. In The Ring Study, infections were reduced by 31% overall.