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Skinny people at elevated risk of heart diseases

People assume that if you are skinny, you are healthy- people only get diabetes if they’re overweight or obese. Right? Well, no. No matter how thin you are, you can still get heart diseases.

Many recent studies show that cardiovascular diseases are also experienced by individuals who are underweight; they are more at risk than people of a normal body mass index value. Cardiovascular diseases are influenced by a lot of factors other than excessive weight.
A person is classified as underweight if his or her Body Mass Index BMI value is less than 18.5. a lack of weight can be caused by malnutrition, infection or genetics.

Keep in mind that overweight and obesity are not the only conditions that can cause cardiovascular disease, which is in fact generally caused by an unhealthy lifestyle characterised by smoking, a lack of physical activity, or a high intake of fat or salt, which gives rise to high blood pressure and fat deposition around the veins and heart. Skinny people are at risk. Many recent studies show that underweight people also suffer from cardiovascular diseases, and that they are at a greater risk than those with a normal BMI value.

A study from Bali shows that underweight people are 3.6 times more likely to experience coronary heart disease than those of normal weight. If the coronary artery is affected, underweight individuals are at greater risk of an early death than those who are either of normal weight or overweight. Research shows that women with coronary artery disease are twice as likely as their healthy counterparts to die early. It also shows that for overweight individuals who are not in the process of gaining weight, the risk of death related to the coronary artery drops by 64 per cent.

Meanwhile, underweight people who are still losing weight are at an increased risk of death. Causes that may lead to cardiovascular diseases in people who are underweight are congenital heart disease, which is indicated by a low heart function due to disorder of the valve’s wall and the heart’s arteries. Based on research, people with congenital heart disease and low body weight are 12 times more at risk of cardiovascular disease.

There is a tendency of no physical activity with people who are underweight. Physical activity is one way to reduce the risk of cardiovascular disease. A lack of physical activity, on the other hand, can cause fat deposition in the blood that can lead to cardiovascular diseases. Further, it was noted that it is easy to have low body fat and having unhealthy eating habits, and underweight people tend to not worry about consuming fast food and failing to strike a balance. Even though it may not immediately show in their body, they may still have an elevated blood sugar level. So, low body fat with unhealthy eating habit has been proved to be one of the causes of cardiovascular disease in underweight people.

Furthermore, research underlined that a condition known as central obesity is not uncommon in people with low body weight. Compared evenly distributed fat, people who have fat around the abdomen are more at risk of cardiovascular disease than those with regular obesity. It was indicated that lack of haemoglobin serum is also one of the conditions that cause heart disease. This condition is higher in people who are underweight.

Research in Ethiopia showed that the haemoglobin level can significantly affect heart failure and that a normal level of its serum reduced the risk of heart failure by 23 per cent. Body weight is not the only cause of cardiovascular diseases. Overall body health, along with your diet and physical activity, are things one needs to pay attention to in order to maintain a healthy heart and blood vessels, regardless of whether you are underweight, normal or overweight.

Meanwhile, according to World Health Organization WHO, the world today has more obese than underweight people. A staggering 1.9 billion adults around the world are currently carrying excess weight as the obesity epidemic continues to spread. In addition, 340 million children of school age and 41 million children below the age of five years are also overweight and obese, and this was said by Dr Leanne Riley, team leader for surveillance of non-communicable diseases at the WHO.

‘’Sadly, the figures are even worse in the UAE, with the prevalence of overweight and obese schoolchildren in the UAE being roughly double the global prevalence. One in every three school-age children is obese or overweight, and 17 per cent of schoolchildren are known to be obese’’ Dr Riley said. According to experts, there are more people in the world today carrying excess weight than underweight people, and this has happened for the first time in human history.

Not only are nearly two billion adults carrying excess weight but 650 million of them are obese, and the prevalence of obesity has tripled in the last four decades. ‘’Obesity is spreading like wildfire across the world, and the Gulf region has proved to be particularly susceptible. By implementing a comprehensive obesity prevention and management plan, combating obesity stigma, making healthy food available and providing safe spaces to exercise, we can stop the epidemic from spiralling out of control’’ said Dr Ian Caterson, President of the World Obesity Federation.

The WHO has already set targets of a zero increase in the proportion of overweight children internationally by 2025, and of halting the rise in prevalence of diabetes and obesity among adolescents and adults by the same period. To that end, experts commended the UAE’s implementation of a 50 per cent tax on sugary drinks, a move which is seen as the first step towards combating the scourge of excess weight and unhealthy eating.

‘’We know that multi-sector engagement is key to achieving our goal, and we have a number of initiatives aimed at improving nutritional standards, enhancing the urban environment and even measuring the impact of the taxon sugary drinks’’ Dr Farida Al Hosani, Director of Communicable Diseases at the Abu Dhabi Department of Health said.

For his part, Dr Doug Betcher, Head of Non-Communicable Diseases at the World Health Organization, stressed that the environment itself should support the fight against obesity. ‘’The environment cannot be obesogenic in a way that promotes sedentary lifestyles and the consumption of high-calorie diets. We must also encourage more childhood activity and effective weight management in primary health acre settings’’ he said.

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Gov’t shy to shame failing ministers

22nd February 2021

Minister of Presidential Affairs, Governance and Public Administration, Kabo Morwaeng together with Permanent Secretary to the President (PSP) Elias Magosi, this week refused to name and shame the worst performing Ministries and to disclose the best performing Ministries since beginning of 12th parliament including the main reasons for underperformance.

Of late there have been a litany of complaints from both ends of the aisle with cabinet members accused of providing parliament with unsatisfactory responses to the questions posed. In fact for some Botswana Democratic Party (BDP) backbenchers a meeting with the ministers and party leadership is overdue to address their complaints. Jwaneng-Mabutsane MP, Mephato Reatile is also not happy with ministers’ performance.

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Bokamoso, Gov’t in P10M womb removal suit

22nd February 2021

Bokamoso Private Hospital is battling a P10 million legal suit for a botched fibroids operation which resulted in a woman losing an entire womb and her prospects of bearing children left at zero.

The same suit has also befallen the Attorney General of Botswana who is representing the Ministry of Health and Wellness for their contributory negligence of having the unlawful removal of a patient, Goitsemang Magetse’s womb.

According to the court papers, Magetse says that sometimes in November 2019, she was diagnosed with fibroids at Marina Hospital where upon she was referred to Bokamoso Private Hospital to schedule an appointment for an operation to remove the fibroids, which she did.

Magetse continues that at the instance of one Dr Li Wang, the surgeon who performed the operation, and unknown to her, an operation to remove her whole womb was conducted instead.
According to Magetse, it was only through a Marina Hospital regular check-up that she got to learn that her whole womb has been removed.

“At the while she was under the belief that only her fibroids have been removed. By doing so, the hospital has subjected itself to some serious delictual liability in that it performed a serious and life changing operation on patient who was under the belief that she was doing a completely different operation altogether. It thus came as a shock when our client learnt that her womb had been removed, without her consent,” said Magetse’s legal representatives, Kanjabanga and Associates in their summons.

The letter further says, “this is an infringement of our client‘s rights and this infringement has dire consequences on her to the extent that she can never bear children again”. ‘It is our instruction therefore, to claim as we hereby do, damages in the sum of BWP 10,000,000 (ten million Pula) for unlawful removal of client’s womb,” reads Kanjabanga Attorneys’ papers. The defendants are yet to respond to the plaintiff’s papers.

What are fibroids?

Fibroids are tumors made of smooth muscle cells and fibrous connective tissue. They develop in the uterus. It is estimated that 70 to 80 percent of women will develop fibroids in their lifetime — however, not everyone will develop symptoms or require treatment.

The most important characteristic of fibroids is that they’re almost always benign, or noncancerous. That said, some fibroids begin as cancer — but benign fibroids can’t become cancer. Cancerous fibroids are very rare. Because of this fact, it’s reasonable for women without symptoms to opt for observation rather than treatment.

Studies show that fibroids grow at different rates, even when a woman has more than one. They can range from the size of a pea to (occasionally) the size of a watermelon. Even if fibroids grow that large, we offer timely and effective treatment to provide relief.

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Masisi warned against a sinking Botswana

22nd February 2021
Ndaba GAolatlhe

The Alliance for Progressives (AP) President Ndaba Gaolathe has said that despite major accolades that Botswana continues to receive internationally with regard to the state of economy, the prospects for the future are imperilled.

Delivering his party Annual Policy Statement on Thursday, Gaolathe indicated that Botswana is in a state of do or die, and that the country’s economy is on a sick bed. With a major concern for poverty, Gaolathe pointed out that almost half of Botswana’s people are ravaged by or are about to sink into poverty.  “Our young people have lost the fire to dream about what they could become,” he said.

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