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Low-cost vitamin D supplement blocks
tuberculosis (TB) for six weeks after a single
dose
Thursday, May 17, 2007 by: Staff writer


Scientists have shown that a single 2.5mg dose of vitamin D may be enough to boost the immune
system to fight against tuberculosis (TB) and similar bacteria for at least 6 weeks. Their findings
came from a study that identified an extraordinarily high incidence of vitamin D deficiency
amongst those communities in London most at risk from the disease, which kills around two
million people each year.

The research, funded by the Wellcome Trust, the Department of Environmental Health at
Newham Council and Newham University Hospital NHS Trust Respiratory Research Fund, is
published online in the American Journal of Respiratory and Critical Care Medicine.

Whilst a diet of oily fish can provide some vitamin D, the main source of the body's vitamin D
comes from exposing the skin to sunlight. In Britain, however, the amount of sunlight is usually
insufficient to make vitamin D in the skin between October and April, and much of the
population becomes deficient during the winter and spring.

Researchers from Queen Mary's School of Medicine and Dentistry, London, and the Wellcome
Trust Centre for Research in Clinical Tropical Medicine, Imperial College London, studied
patients at Newham University Hospital and Northwick Park Hospital in London who had been
exposed to TB. They found that over 90% of such patients had a vitamin D deficiency.

Vitamin D was used to treat TB in the pre-antibiotic era, when special sanatoria were built in
sunny locations, such as the Swiss Alps. But until now, no study has evaluated the effect of
vitamin D supplementation on immunity to mycobacteria, the family of bacteria that cause TB.

The researchers performed a randomised control trial on a group of volunteers who were given
either a 2.5mg supplement or a placebo. Samples of the volunteers' blood were then tested in Dr
Robert Wilkinson's Wellcome Trust-funded laboratory at Imperial College, to see whether the
supplement affected the immune system's ability to withstand infection by mycobacteria.

"We found that a single large dose of vitamin D was sufficient to enhance a person's immunity to
the bacteria," says Dr Adrian Martineau from the Division of Medicine at Imperial College
London, who co-ordinated the study. "This is very significant given the high levels of vitamin D
deficiency in people at the highest risk of TB infection, and shows that a simple, cheap
supplement could make a significant impact on the health of people most at risk from the
disease."
According to the Health Protection Agency, the incidence of TB in the UK is increasing, with
around 8,000 new cases a year. Cases in the UK are predominantly confined to the major cities
and about 40 per cent of all cases are in London. TB is also a major global problem: an estimated
one-third of the world's population – nearly two billion people – are infected. Nine million
people a year develop the active disease worldwide, which kills two million each year.

"Most cases of TB in London arise from people who have already become infected with the
bacteria but in whom it lies latent," says Professor Chris Griffiths from Queen Mary’s School of
Medicine and Dentistry. "Our results indicate that vitamin D supplementation may prevent
reactivation of latent TB. Identifying people with latent TB and providing supplements could be
an important strategy for tackling the disease."

Treatment is both very cheap – about 60p per dose or 10p per week – and safe. Vitamin D
supplements could be prescribed for patients with or at risk of latent TB through GP surgeries.

Dr Martineau points out: "Our work adds to the growing evidence that vitamin D may have a
wide range of important health benefits, including preventing falls and fractures and reducing
risk of cancer and diabetes, as well as boosting the immune system against infection. Population-
wide supplementation needs to be considered by public health planners."

"Milk and orange juice could be fortified with vitamin D, as in the US and Canada," he says. "At
present only margarine is supplemented in the UK, and recent studies show that this is not an
effective way to prevent vitamin D deficiency."

Additional information about the healing effects of vitamin D are found in the exclusive
NaturalNews guide, "The Healing Power of Sunlight and Vitamin D."

Learn more:
http://www.naturalnews.com/021855_tuberculosis_vitamin_D.html#ixzz1YQbDDPB4




New deadly TB strain threatens to sweep the
globe; WHO warns nations to prepare
Monday, October 23, 2006 by: Jerome Douglas



(NaturalNews) The World Health Organization (WHO) has released a warning regarding several
deadly new strains of the tuberculosis (TB) virus. The new strains appear to be untreatable using
current drug therapy, and are making their way rapidly across the globe.
Paul Nunn -- who heads the tuberculosis resistance team for WHO -- estimated the situation as a
serious one, encompassing 9 million TB cases worldwide. WHO estimates that 180,000 of these
cases -- roughly two percent -- could be XDR-TB, one of the newer strains. Nunn says "This is
raising the spectre of something that we have been worried might happen for a decade -- the
possibility of virtually untreatable TB."

The XDR-TB virus is resistant to conventional drug treatment, and it's been linked to deaths in
several countries -- including the United States, Eastern Europe and Africa. If the XDR-TB virus
spreads in Africa, it could affect the containment of the AIDS pandemic currently underway on
that continent.

In the United States alone, 33 percent of those who have been diagnosed with XDR-TB have
died. In March 2006, the Center for Disease Control (CDC) concluded there had been 64 cases of
XDR-TB at that point, and 21 of those cases ended in the patient's death.

One of the most serious situations is in Africa, where all XDR-TB patients who could be tested
were found to be HIV positive. With AIDS causing patients to become susceptible to any and all
types of infection, tuberculosis is a major cause of death in people who already have AIDS. In
addition, most African countries either do not have emergency plans in place or medical
laboratories capable of collecting and analyzing data to track and deal with TB-infected citizens.

WHO officials and global TB experts will meet in an emergency two-day meeting in
Johannesburg tomorrow to discuss recommendations for containment and to ensure all known
TB patients take a full six-month course of drugs. This effort's goal will be to try and prevent
drug resistance from developing. Those efforts have met with limited success so far.



75 Filipinos still die of tuberculosis every day
By                                             Dateline                                      Philippines
Posted on Mar. 24, 2010 at 7:20pm



MANILA, Philippines – The World Health Organization (WHO) said the “Philippines has a long way to go”
in eradicating tuberculosis (TB), even as the Health department confidently announced that the country
will be able to attain the millennium development goal of reducing TB deaths by 50% within five years or
2015.



The number of deaths due to TB stands at an average of 75 Filipinos every day. Diagnosed as curable, it
ranks 6th among the top leading causes of mortality and morbidity in the Philippines.



DOH assistant secretary Nemesio Gako said the “Philippines has made great strides in combating TB.”
Citing recent statistics, Gako said that DOH reported a decrease in the number of mortality due to TB
from 38.2 deaths per 100,000 population to a rate of 31 per 100,000.



“While the Philippines is still included in the WHO watch-list of 22 high-burdened countries, it has
lowered its ranking in TB prevalence from 7th to 9th,” Gako said in a press conference at the Lung
Center of the Philippines in Quezon City.



In 2006, the Philippines signed the Global Plan on TB, which seeks to reduce the prevalence and
mortality of tuberculosis by 50% between 2006 and 2015. The Global Plan outlines a benchmark figure
of 70% case detection rate (CDR), 85% treatment success rate (TSR) and 85% cure rate.



National TB program manager Rosalind Vianzon said that midway to the 2015 goal, the Philippines
already breached the benchmark figures set by the WHO in terms of CDR and TSR.



She said that about 75% of TB-carrying Filipinos were already detected while 90% were successfully
treated since the health department implemented its early detection program for TB in the 1990s.



Vianzon noted the DOH saw an increase in TB case detection in the past five years from 134,000 to
150,000 per year. She explained that the best way to stop TB disease from further spreading in the
community is to have TB-carrying patients detected, treated and finally cured.



Despite the optimism of health officials, a 2010 technical briefer on the National TB Program prepared
by the DOH showed a declining trend in three benchmarks.



Only 72% of TB cases were detected and 89% were treated as of 2008. DOH records showed that the
cure rate is pegged at 79%, or six percent short of the 85% cure rate targeted by 2015.



As early as 2006, the Philippines already attained the 75% target for case detection and maintained that
rate until 2007. But figures dropped to 72% in 2008. Treatment success rate also slightly dropped from
90% in 2006 to 89% in 2008.
Cure rate registered the biggest decline among the three benchmarks. The technical briefer on TB
showed the cure rate reaching 83% in 2006, slightly dipped to 82% the following year, and dropped to
79% in 2008.



Health officials said the declining trend on TB statistics coincided with the government’s heavy fund
allocations to eradicate the disease. Vianzon said state funding for TB prevention increased five folds, to
P1.1 billion in 2010 from P100 million in the past three years.



Dr. Woojin Lew, medical officer at WHO-Philippines, said the Philippine government has “a long way to
go” in terms of detecting, treating and curing highly infectious TB patients.



“Although prevalence rate is decreasing, I think there is not enough to achieve the target by 2015,” Lew
said during the press conference.



Lew said that mortality among highly infectious TB patients remains high in the Philippines, a fact
admitted by Health officials.



Vianzon said that detection of high-risk TB patients is “difficult.”



Based on the 3rd National Prevalence Survey on TB conducted by the DOH in 2007, Multi-Drug Resistant
Tuberculosis or MDRTB among new cases increased from 1.5% in 1997 to 2.1% ten years later.



The survey also showed that MDRTB among re-treatment cases slightly decreased from 14.5% in 1997 to
13% in 2007, while prevalence of smear-positive TB and culture-positive TB almost dropped by 100%
between 1997 and 2007.



Health activists claim the Philippine government failed to bring down the morality rate due to TB despite
advances in technology and heavy state funding.
“After more than five decades, TB still ranks among the top causes of disease and death in this country,”
said Dr. Geneve Rivera, secretary-general of Health Alliance for Democracy. “This, despite advances in
medicine and in health-related technologies, and amidst government programs.”



Rivera said in a statement that TB is the “real measure of the quality of lives of Filipinos today…. It
reflects the extent of our underdevelopment – our inability to provide the quality of life necessary for
our people to be healthy enough to resist being infected. As such, social determinants of health should
be addressed with equal, if not more, importance.”

Incidence of Type 1 and Type 2 Diabetes in the Philippines and Worldwide

Diabetes Mellitus (DM) or simply diabetes is a disease in which the body does not produce or
properly use insulin. Insulin is a hormone that is needed to convert sugar, starches and other food
into energy needed for daily life. This is the reason why diabetics need an insulin injection if the
disease is already severe.

The cause of diabetes continues to be a mystery, although both genetics and environmental
factors such as obesity and lack of exercise appear to play roles.

Statistics on Diabetes Mellitus, obesity and hypertension are startling. In the United States, a
report says that 2 out of 3 (66.6%) adult Americans, and 15% of the children, are overweight. In
the United States alone, there are about 17 million diabetics. Five to 10% have Type I (juvenile),
and the rest, Type II (adult onset) diabetes. Before insulin was discovered in the early 1920s,
type 1 diabetes had 100% mortality. In the past 10 years, there has been a 33% increased in the
number of diabetic patients. It is indeed scary.

In another report by the Medical Observer, “Diabetes is not only a disease of the middle age.
More and more, high school and elementary students [are being affected]. At age 22, bulag na e
hindi pa kumikita (blind already while not yet earning money). At age 20 plus, nagda-dialysis na,
possibly stroke and heart attack,” says Dr. Tommy Ty Willing, president of the Philippine
Diabetes Association (PDA), during the recent observance of World Diabetes Day in November.

Pediatric endocrinologist Sioksoan Chan-Cua said that patients as young as five years old are
coming to her clinic with type 2 diabetes, a disease usually associated with people 40 years old
and above. “I’m getting patients with blood sugar of more than 1,000. They come in with
diabetic ketoacidosis, a breakdown of fat tissues when the body cannot utilize the glucose very
well anymore,” she said.

While there are no clear data yet among the young on the running incidence of type 2 diabetes,
related statistics add up to a grim scenario. Type 1 diabetes, an autoimmune condition normally
affecting the young, is rising by three percent worldwide, with 17 percent of children 14 and
below developing the disease each year.
Chan-Cua said the Philippines is still low on this score compared with other countries, especially
Scandinavian nations like Finland, Sweden, and Norway, but we are also seeing an increase
every year. My perception on this is simple – Filipinos love sweets and fatty foods. Also, our
staple food is rice, which is a starchy food item. This makes diet as the primary risk factor to
diabetes in the Philippines in my view.

Moreover, mathematical modelling on projection yields that 380 million people are expected to
develop diabetes by 2025 based on International Diabetes Federation/World Health Organization
data, a good percentage will be coming from Southeast Asian countries, including the
Philippines. This finding is no longer astonishing considering the latest statistics on Pinoys
afflicted with diabetes and hypertension which continues to increase on the scale of medical
records. This goes to show that statistics on Diabetes Mellitus in the Philippines continues to be
unfavorable to the general population because of the continuous rise in the number of Filipinos
developing diabetes every year which adds to the number of people who cannot enjoy life and
are becoming less productive due to this disease.


Possible Link Between Two Diabetes Drugs
And Pancreatic Cancer
Main Category: Diabetes
Also Included In: Pancreatic Cancer
Article Date: 17 Sep 2011 - 0:00 PDT

Two newer drugs used to treat Type 2 diabetes could be linked to a significantly increased risk of
developing pancreatitis and pancreatic cancer, and one could also be linked to an increased risk of
thyroid cancer, according to a new UCLA study.

Researchers from the Larry L. Hillblom Islet Research Center at UCLA examined the U.S. Food and Drug
Administration's database for adverse events reported between 2004 and 2009 among patients using
the drugs sitagliptin and exenatide. They found a six-fold increase in the odds ratio for reported cases of
pancreatitis with these drugs, compared with four other diabetes therapies they used as controls. They
also found that patients who took the two drugs were more likely to have developed pancreatic cancer
than those who were treated with the other therapies.

The study is published in the journal Gastroenterology.

"We undertook these studies because several studies in animal models by several investigators had
suggested that this form of therapy may have unintended actions to promote growth of the ducts
(tubes) in the pancreatic gland that convey digestive juices from the pancreas to the gut," said Dr. Peter
Butler, director of the Hillblom Center and a study co-author. "This is a concern if it happens in humans
since it might be expected to increase the risk for pancreatitis and pancreatic cancer. While the FDA
data base has limitations, it does have advantages in being very large, openly accessible and
independent from companies that market the drugs.

"Taken together the animals studies and the FDA data base analysis suggest that further work needs to
be undertaken to at least rule out that this now widely available new drug class for diabetes does not
increase the risk of pancreatic cancer," Butler, who is also a member of UCLA's Jonsson Comprehensive
Cancer Center, added.

Sitagliptin and exenatide are drugs that enhance the actions of a gut hormone known as glucagon-like
peptide 1 (GLP-1), which has been shown to be effective in lowering blood sugar in individuals with Type
2 diabetes. Sitagliptin, marketed as Januvia by Merck & Co. Inc., works by inhibiting dipeptidyl
peptidase-4 (DDP-4), an enzyme that degrades GLP-1. Exenatide, manufactured by Amylin
Pharmaceuticals and sold as Byetta, mimics the action of GLP-1 and resists DDP-4 degradation.

Previous research by UCLA Hillblom Center researchers suggested there might be a link between drugs
that enhance the actions of GLP-1 and pancreatitis, possibly resulting from an increase in the rate of
formation of cells that line the pancreatic ducts. That research, based on studies in rats, was published
in 2009 in the journal Diabetes.

In addition to the six-fold increase in reported cases of pancreatitis, the researchers also found a 2.9-fold
greater rate of pancreatic cancer in patients using exenatide and a 2.7-fold higher rate of pancreatic
cancer in patients on sitagliptin, compared with the other therapies. Additionally, they found a
statistically significant increase in the risk of thyroid cancer among the exenatide group, but not among
the sitagliptin group.

The FDA data did not indicate links between the two diabetes drugs and any other form of cancer.

The researchers caution that the FDA's adverse events database "is not the ideal mechanism to compare
adverse event rates between drugs," given its known limitations, such as incomplete data and reporting
biases. They stress that more study is needed.

"Randomized, controlled clinical trials remain the gold standard for such assessment," the researchers
wrote.




Teens Who Consume Milk Reap Health
Benefits Through Adulthood, Less Likely To
Develop Type 2 Diabetes
Main Category: Nutrition / Diet
Also Included In: Pediatrics / Children's Health; Diabetes; Obesity / Weight Loss / Fitness
Article Date: 16 Sep 2011 - 0:00 PDT

Developing healthy habits like drinking milk as a teen could have a long-term effect on a woman's risk
for type 2 diabetes, according to new research in this month's issue of the American Journal of Clinical
Nutrition (1). Researchers found that milk-drinking teens, were also likely to be milk-drinking adults - a
lifelong habit that was associated with a 43 percent lower risk for type 2 diabetes compared to non-milk
drinkers. Diabetes affects more than 25.8 million people, or nearly 1 out of 10 Americans.

The Harvard University study studied teenage and adult food intake patterns (including milk and milk
products) and health risk in more than 37,000 women. Researchers found the women who drank the
most milk as adults and consumed the most milk products in their teen years (about 4 servings per day)
had a lower risk of type 2 diabetes than those who consistently had a low dairy intake (about 1 serving
per day during the teen years). The milk-drinking teens were also more likely to maintain their dairy
habit through adulthood and gained less weight over time - nearly 4 pounds less than milk-skippers.
Weight gain is another important risk factor for type 2 diabetes.

A second large Harvard study reinforced the lifelong benefits of milk - particularly as a protein source.
Studying more than 440,000 adults, researchers found that swapping lowfat dairy for meat as a protein
source, could reduce risk for type 2 diabetes by 17%. (2)

Each glass of fat free milk provides 8 grams of high-quality protein, along with eight other essential
nutrients Americans need, including calcium and vitamin D for just 80 calories. The Dietary Guidelines
for Americans recommend three servings of fat free or lowfat milk each day.

About the National Milk Mustache "got milk?"® Campaign

The Milk Processor Education Program (MilkPEP), Washington, D.C., is funded by the nation's milk
processors, who are committed to increasing fluid milk consumption. The National Fluid Milk Processor
Promotion Board, through MilkPEP, runs the National Milk Mustache "got milk?"® Campaign, a multi-
faceted campaign designed to educate consumers about the health benefits of milk.* Deutsch, A Lowe
and Partners Company, is the creative agency for the National Milk Mustache "got milk?"® Campaign.

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Articles

  • 1. Low-cost vitamin D supplement blocks tuberculosis (TB) for six weeks after a single dose Thursday, May 17, 2007 by: Staff writer Scientists have shown that a single 2.5mg dose of vitamin D may be enough to boost the immune system to fight against tuberculosis (TB) and similar bacteria for at least 6 weeks. Their findings came from a study that identified an extraordinarily high incidence of vitamin D deficiency amongst those communities in London most at risk from the disease, which kills around two million people each year. The research, funded by the Wellcome Trust, the Department of Environmental Health at Newham Council and Newham University Hospital NHS Trust Respiratory Research Fund, is published online in the American Journal of Respiratory and Critical Care Medicine. Whilst a diet of oily fish can provide some vitamin D, the main source of the body's vitamin D comes from exposing the skin to sunlight. In Britain, however, the amount of sunlight is usually insufficient to make vitamin D in the skin between October and April, and much of the population becomes deficient during the winter and spring. Researchers from Queen Mary's School of Medicine and Dentistry, London, and the Wellcome Trust Centre for Research in Clinical Tropical Medicine, Imperial College London, studied patients at Newham University Hospital and Northwick Park Hospital in London who had been exposed to TB. They found that over 90% of such patients had a vitamin D deficiency. Vitamin D was used to treat TB in the pre-antibiotic era, when special sanatoria were built in sunny locations, such as the Swiss Alps. But until now, no study has evaluated the effect of vitamin D supplementation on immunity to mycobacteria, the family of bacteria that cause TB. The researchers performed a randomised control trial on a group of volunteers who were given either a 2.5mg supplement or a placebo. Samples of the volunteers' blood were then tested in Dr Robert Wilkinson's Wellcome Trust-funded laboratory at Imperial College, to see whether the supplement affected the immune system's ability to withstand infection by mycobacteria. "We found that a single large dose of vitamin D was sufficient to enhance a person's immunity to the bacteria," says Dr Adrian Martineau from the Division of Medicine at Imperial College London, who co-ordinated the study. "This is very significant given the high levels of vitamin D deficiency in people at the highest risk of TB infection, and shows that a simple, cheap supplement could make a significant impact on the health of people most at risk from the disease."
  • 2. According to the Health Protection Agency, the incidence of TB in the UK is increasing, with around 8,000 new cases a year. Cases in the UK are predominantly confined to the major cities and about 40 per cent of all cases are in London. TB is also a major global problem: an estimated one-third of the world's population – nearly two billion people – are infected. Nine million people a year develop the active disease worldwide, which kills two million each year. "Most cases of TB in London arise from people who have already become infected with the bacteria but in whom it lies latent," says Professor Chris Griffiths from Queen Mary’s School of Medicine and Dentistry. "Our results indicate that vitamin D supplementation may prevent reactivation of latent TB. Identifying people with latent TB and providing supplements could be an important strategy for tackling the disease." Treatment is both very cheap – about 60p per dose or 10p per week – and safe. Vitamin D supplements could be prescribed for patients with or at risk of latent TB through GP surgeries. Dr Martineau points out: "Our work adds to the growing evidence that vitamin D may have a wide range of important health benefits, including preventing falls and fractures and reducing risk of cancer and diabetes, as well as boosting the immune system against infection. Population- wide supplementation needs to be considered by public health planners." "Milk and orange juice could be fortified with vitamin D, as in the US and Canada," he says. "At present only margarine is supplemented in the UK, and recent studies show that this is not an effective way to prevent vitamin D deficiency." Additional information about the healing effects of vitamin D are found in the exclusive NaturalNews guide, "The Healing Power of Sunlight and Vitamin D." Learn more: http://www.naturalnews.com/021855_tuberculosis_vitamin_D.html#ixzz1YQbDDPB4 New deadly TB strain threatens to sweep the globe; WHO warns nations to prepare Monday, October 23, 2006 by: Jerome Douglas (NaturalNews) The World Health Organization (WHO) has released a warning regarding several deadly new strains of the tuberculosis (TB) virus. The new strains appear to be untreatable using current drug therapy, and are making their way rapidly across the globe.
  • 3. Paul Nunn -- who heads the tuberculosis resistance team for WHO -- estimated the situation as a serious one, encompassing 9 million TB cases worldwide. WHO estimates that 180,000 of these cases -- roughly two percent -- could be XDR-TB, one of the newer strains. Nunn says "This is raising the spectre of something that we have been worried might happen for a decade -- the possibility of virtually untreatable TB." The XDR-TB virus is resistant to conventional drug treatment, and it's been linked to deaths in several countries -- including the United States, Eastern Europe and Africa. If the XDR-TB virus spreads in Africa, it could affect the containment of the AIDS pandemic currently underway on that continent. In the United States alone, 33 percent of those who have been diagnosed with XDR-TB have died. In March 2006, the Center for Disease Control (CDC) concluded there had been 64 cases of XDR-TB at that point, and 21 of those cases ended in the patient's death. One of the most serious situations is in Africa, where all XDR-TB patients who could be tested were found to be HIV positive. With AIDS causing patients to become susceptible to any and all types of infection, tuberculosis is a major cause of death in people who already have AIDS. In addition, most African countries either do not have emergency plans in place or medical laboratories capable of collecting and analyzing data to track and deal with TB-infected citizens. WHO officials and global TB experts will meet in an emergency two-day meeting in Johannesburg tomorrow to discuss recommendations for containment and to ensure all known TB patients take a full six-month course of drugs. This effort's goal will be to try and prevent drug resistance from developing. Those efforts have met with limited success so far. 75 Filipinos still die of tuberculosis every day By Dateline Philippines Posted on Mar. 24, 2010 at 7:20pm MANILA, Philippines – The World Health Organization (WHO) said the “Philippines has a long way to go” in eradicating tuberculosis (TB), even as the Health department confidently announced that the country will be able to attain the millennium development goal of reducing TB deaths by 50% within five years or 2015. The number of deaths due to TB stands at an average of 75 Filipinos every day. Diagnosed as curable, it ranks 6th among the top leading causes of mortality and morbidity in the Philippines. DOH assistant secretary Nemesio Gako said the “Philippines has made great strides in combating TB.”
  • 4. Citing recent statistics, Gako said that DOH reported a decrease in the number of mortality due to TB from 38.2 deaths per 100,000 population to a rate of 31 per 100,000. “While the Philippines is still included in the WHO watch-list of 22 high-burdened countries, it has lowered its ranking in TB prevalence from 7th to 9th,” Gako said in a press conference at the Lung Center of the Philippines in Quezon City. In 2006, the Philippines signed the Global Plan on TB, which seeks to reduce the prevalence and mortality of tuberculosis by 50% between 2006 and 2015. The Global Plan outlines a benchmark figure of 70% case detection rate (CDR), 85% treatment success rate (TSR) and 85% cure rate. National TB program manager Rosalind Vianzon said that midway to the 2015 goal, the Philippines already breached the benchmark figures set by the WHO in terms of CDR and TSR. She said that about 75% of TB-carrying Filipinos were already detected while 90% were successfully treated since the health department implemented its early detection program for TB in the 1990s. Vianzon noted the DOH saw an increase in TB case detection in the past five years from 134,000 to 150,000 per year. She explained that the best way to stop TB disease from further spreading in the community is to have TB-carrying patients detected, treated and finally cured. Despite the optimism of health officials, a 2010 technical briefer on the National TB Program prepared by the DOH showed a declining trend in three benchmarks. Only 72% of TB cases were detected and 89% were treated as of 2008. DOH records showed that the cure rate is pegged at 79%, or six percent short of the 85% cure rate targeted by 2015. As early as 2006, the Philippines already attained the 75% target for case detection and maintained that rate until 2007. But figures dropped to 72% in 2008. Treatment success rate also slightly dropped from 90% in 2006 to 89% in 2008.
  • 5. Cure rate registered the biggest decline among the three benchmarks. The technical briefer on TB showed the cure rate reaching 83% in 2006, slightly dipped to 82% the following year, and dropped to 79% in 2008. Health officials said the declining trend on TB statistics coincided with the government’s heavy fund allocations to eradicate the disease. Vianzon said state funding for TB prevention increased five folds, to P1.1 billion in 2010 from P100 million in the past three years. Dr. Woojin Lew, medical officer at WHO-Philippines, said the Philippine government has “a long way to go” in terms of detecting, treating and curing highly infectious TB patients. “Although prevalence rate is decreasing, I think there is not enough to achieve the target by 2015,” Lew said during the press conference. Lew said that mortality among highly infectious TB patients remains high in the Philippines, a fact admitted by Health officials. Vianzon said that detection of high-risk TB patients is “difficult.” Based on the 3rd National Prevalence Survey on TB conducted by the DOH in 2007, Multi-Drug Resistant Tuberculosis or MDRTB among new cases increased from 1.5% in 1997 to 2.1% ten years later. The survey also showed that MDRTB among re-treatment cases slightly decreased from 14.5% in 1997 to 13% in 2007, while prevalence of smear-positive TB and culture-positive TB almost dropped by 100% between 1997 and 2007. Health activists claim the Philippine government failed to bring down the morality rate due to TB despite advances in technology and heavy state funding.
  • 6. “After more than five decades, TB still ranks among the top causes of disease and death in this country,” said Dr. Geneve Rivera, secretary-general of Health Alliance for Democracy. “This, despite advances in medicine and in health-related technologies, and amidst government programs.” Rivera said in a statement that TB is the “real measure of the quality of lives of Filipinos today…. It reflects the extent of our underdevelopment – our inability to provide the quality of life necessary for our people to be healthy enough to resist being infected. As such, social determinants of health should be addressed with equal, if not more, importance.” Incidence of Type 1 and Type 2 Diabetes in the Philippines and Worldwide Diabetes Mellitus (DM) or simply diabetes is a disease in which the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. This is the reason why diabetics need an insulin injection if the disease is already severe. The cause of diabetes continues to be a mystery, although both genetics and environmental factors such as obesity and lack of exercise appear to play roles. Statistics on Diabetes Mellitus, obesity and hypertension are startling. In the United States, a report says that 2 out of 3 (66.6%) adult Americans, and 15% of the children, are overweight. In the United States alone, there are about 17 million diabetics. Five to 10% have Type I (juvenile), and the rest, Type II (adult onset) diabetes. Before insulin was discovered in the early 1920s, type 1 diabetes had 100% mortality. In the past 10 years, there has been a 33% increased in the number of diabetic patients. It is indeed scary. In another report by the Medical Observer, “Diabetes is not only a disease of the middle age. More and more, high school and elementary students [are being affected]. At age 22, bulag na e hindi pa kumikita (blind already while not yet earning money). At age 20 plus, nagda-dialysis na, possibly stroke and heart attack,” says Dr. Tommy Ty Willing, president of the Philippine Diabetes Association (PDA), during the recent observance of World Diabetes Day in November. Pediatric endocrinologist Sioksoan Chan-Cua said that patients as young as five years old are coming to her clinic with type 2 diabetes, a disease usually associated with people 40 years old and above. “I’m getting patients with blood sugar of more than 1,000. They come in with diabetic ketoacidosis, a breakdown of fat tissues when the body cannot utilize the glucose very well anymore,” she said. While there are no clear data yet among the young on the running incidence of type 2 diabetes, related statistics add up to a grim scenario. Type 1 diabetes, an autoimmune condition normally affecting the young, is rising by three percent worldwide, with 17 percent of children 14 and below developing the disease each year.
  • 7. Chan-Cua said the Philippines is still low on this score compared with other countries, especially Scandinavian nations like Finland, Sweden, and Norway, but we are also seeing an increase every year. My perception on this is simple – Filipinos love sweets and fatty foods. Also, our staple food is rice, which is a starchy food item. This makes diet as the primary risk factor to diabetes in the Philippines in my view. Moreover, mathematical modelling on projection yields that 380 million people are expected to develop diabetes by 2025 based on International Diabetes Federation/World Health Organization data, a good percentage will be coming from Southeast Asian countries, including the Philippines. This finding is no longer astonishing considering the latest statistics on Pinoys afflicted with diabetes and hypertension which continues to increase on the scale of medical records. This goes to show that statistics on Diabetes Mellitus in the Philippines continues to be unfavorable to the general population because of the continuous rise in the number of Filipinos developing diabetes every year which adds to the number of people who cannot enjoy life and are becoming less productive due to this disease. Possible Link Between Two Diabetes Drugs And Pancreatic Cancer Main Category: Diabetes Also Included In: Pancreatic Cancer Article Date: 17 Sep 2011 - 0:00 PDT Two newer drugs used to treat Type 2 diabetes could be linked to a significantly increased risk of developing pancreatitis and pancreatic cancer, and one could also be linked to an increased risk of thyroid cancer, according to a new UCLA study. Researchers from the Larry L. Hillblom Islet Research Center at UCLA examined the U.S. Food and Drug Administration's database for adverse events reported between 2004 and 2009 among patients using the drugs sitagliptin and exenatide. They found a six-fold increase in the odds ratio for reported cases of pancreatitis with these drugs, compared with four other diabetes therapies they used as controls. They also found that patients who took the two drugs were more likely to have developed pancreatic cancer than those who were treated with the other therapies. The study is published in the journal Gastroenterology. "We undertook these studies because several studies in animal models by several investigators had suggested that this form of therapy may have unintended actions to promote growth of the ducts (tubes) in the pancreatic gland that convey digestive juices from the pancreas to the gut," said Dr. Peter Butler, director of the Hillblom Center and a study co-author. "This is a concern if it happens in humans since it might be expected to increase the risk for pancreatitis and pancreatic cancer. While the FDA data base has limitations, it does have advantages in being very large, openly accessible and
  • 8. independent from companies that market the drugs. "Taken together the animals studies and the FDA data base analysis suggest that further work needs to be undertaken to at least rule out that this now widely available new drug class for diabetes does not increase the risk of pancreatic cancer," Butler, who is also a member of UCLA's Jonsson Comprehensive Cancer Center, added. Sitagliptin and exenatide are drugs that enhance the actions of a gut hormone known as glucagon-like peptide 1 (GLP-1), which has been shown to be effective in lowering blood sugar in individuals with Type 2 diabetes. Sitagliptin, marketed as Januvia by Merck & Co. Inc., works by inhibiting dipeptidyl peptidase-4 (DDP-4), an enzyme that degrades GLP-1. Exenatide, manufactured by Amylin Pharmaceuticals and sold as Byetta, mimics the action of GLP-1 and resists DDP-4 degradation. Previous research by UCLA Hillblom Center researchers suggested there might be a link between drugs that enhance the actions of GLP-1 and pancreatitis, possibly resulting from an increase in the rate of formation of cells that line the pancreatic ducts. That research, based on studies in rats, was published in 2009 in the journal Diabetes. In addition to the six-fold increase in reported cases of pancreatitis, the researchers also found a 2.9-fold greater rate of pancreatic cancer in patients using exenatide and a 2.7-fold higher rate of pancreatic cancer in patients on sitagliptin, compared with the other therapies. Additionally, they found a statistically significant increase in the risk of thyroid cancer among the exenatide group, but not among the sitagliptin group. The FDA data did not indicate links between the two diabetes drugs and any other form of cancer. The researchers caution that the FDA's adverse events database "is not the ideal mechanism to compare adverse event rates between drugs," given its known limitations, such as incomplete data and reporting biases. They stress that more study is needed. "Randomized, controlled clinical trials remain the gold standard for such assessment," the researchers wrote. Teens Who Consume Milk Reap Health Benefits Through Adulthood, Less Likely To Develop Type 2 Diabetes
  • 9. Main Category: Nutrition / Diet Also Included In: Pediatrics / Children's Health; Diabetes; Obesity / Weight Loss / Fitness Article Date: 16 Sep 2011 - 0:00 PDT Developing healthy habits like drinking milk as a teen could have a long-term effect on a woman's risk for type 2 diabetes, according to new research in this month's issue of the American Journal of Clinical Nutrition (1). Researchers found that milk-drinking teens, were also likely to be milk-drinking adults - a lifelong habit that was associated with a 43 percent lower risk for type 2 diabetes compared to non-milk drinkers. Diabetes affects more than 25.8 million people, or nearly 1 out of 10 Americans. The Harvard University study studied teenage and adult food intake patterns (including milk and milk products) and health risk in more than 37,000 women. Researchers found the women who drank the most milk as adults and consumed the most milk products in their teen years (about 4 servings per day) had a lower risk of type 2 diabetes than those who consistently had a low dairy intake (about 1 serving per day during the teen years). The milk-drinking teens were also more likely to maintain their dairy habit through adulthood and gained less weight over time - nearly 4 pounds less than milk-skippers. Weight gain is another important risk factor for type 2 diabetes. A second large Harvard study reinforced the lifelong benefits of milk - particularly as a protein source. Studying more than 440,000 adults, researchers found that swapping lowfat dairy for meat as a protein source, could reduce risk for type 2 diabetes by 17%. (2) Each glass of fat free milk provides 8 grams of high-quality protein, along with eight other essential nutrients Americans need, including calcium and vitamin D for just 80 calories. The Dietary Guidelines for Americans recommend three servings of fat free or lowfat milk each day. About the National Milk Mustache "got milk?"® Campaign The Milk Processor Education Program (MilkPEP), Washington, D.C., is funded by the nation's milk processors, who are committed to increasing fluid milk consumption. The National Fluid Milk Processor Promotion Board, through MilkPEP, runs the National Milk Mustache "got milk?"® Campaign, a multi- faceted campaign designed to educate consumers about the health benefits of milk.* Deutsch, A Lowe and Partners Company, is the creative agency for the National Milk Mustache "got milk?"® Campaign.