Tag: Health

Maldives holds joint venture discussions with Sri Lankan dental hospital

The Maldives government has held discussions over establishing a dental surgery through a joint venture with a private Sri Lanka-based medical service provider, according to media reports.

Sakura Dental Hospital Chairman Gamini Rajapaksa told the Ceylon Daily News publication Sunday (December 30) that the Maldives government had agreed to provide land for a proposed dental surgery in the country.

The company claimed its ambitions to provide dental care were part of wider expansion plans including the establishment of its first dental nurse training institute in Sri Lanka during 2013.

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Sick Indian prisoners in the Maldives denied treatment: The Hindu

More than a year after India and the Maldives signed an agreement on transfer of convicted prisoners, as many as 14 Indian inmates in the archipelago are losing hope of being transferred to prisons in their country, reports Indian newspaper The Hindu.

“We have no problems. From our side, there is no delay. We welcome India taking back sentenced prisoners,” a Maldivian official told The Hindu last week, when asked about the delay in paperwork.

Just as in the case of 33 Indian prisoners in Sri Lanka, the Indians in Maldives prisons are also at the receiving end of Indian bureaucracy. But unlike in the case of Indian prisoners in Sri Lanka, most of the 14 prisoners in the Maldives are ill and have almost no access to treatment. Access to treatment for most islanders in the Maldives consumes time, energy and money. Vacancies for specialist-doctors exist even in the country’s main hospital, the Indian-built Indira Gandhi Memorial Hospital, Male.

“I do not know what my disease is,” said a woman prisoner who has been jailed in the Central North province of Maafushi, in Kaafu Atoll. “After I have been brought to Maafushi, I have never met a doctor. Every month, they take me to Male and bring me back. Soon after that they take a signature of mine in a paper with something written in Dhivehi [the official language of the Maldives],” said the woman, in a letter to the Indian High Commissioner in the Maldives.

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Comment: The price of an expat life in the Maldives

As a Bangladeshi colleague was wheeled into the operating theatre of Indira Gandhi Memorial Hospital for emergency life-saving treatment, I knew where my thoughts should have been.

We seek to assure ourselves that even in a cynical commercial world, you cannot put a price on life. Is such a phrase anything more than sound logic for those in the privileged position to afford the finest Singaporean inpatient treatment, or the insurance to cover hundreds of thousands of dollars of emergency medical evacuation to tax-payer funded Western healthcare?

Life after all is precious. Yet all too often, the true value of precious things is rarely understood until it, or in this case they, are threatened or lost.

The introduction of the complex and troublesome Aasandha universal health insurance program this year by the government of former President Mohamed Nasheed, so far retained by President Dr Mohamed Waheed Hassan, has started a new era in Maldives healthcare.

Maldivians can now obtain treatment and surgery in their own country without relying on the vastness of their own wealth or savings, the kindness of friends, or the mercy of elected politicians and wealthy resort tycoons.

While the execution of such a system should always be open to scrutiny, there is much to be admired in the concept of ensuring every person in the country will be cared for when at their weakest.

But what of the country’s immigrant population? How are an ever-growing group of people in the Maldives – mainly in the form of unskilled workers from Bangladesh trafficked into the country – to be cared for?

For many of the foreign workers who make up a third of the country’s population, and are expected in coming years to equal the number of indigenous employees, the price of life can be counted down to the very last laari.

This is no more apparent when insurance companies can only reimburse treatments for foreign workers that have already been paid for – no matter the level of upfront expense.

What happens when companies or employers, whether out of negligence or limited finances, are unable to bare the initial costs needed for a life saving operation?

Who is there to purchase and provide these patients with the medicines and saline drips from for hospital staff to administer? In the absence of close friends and family, where is the assistance in journeying to a hospital toilet and what alternate options does a low-income expatriate have? In short, who is there to care?

The concern was born – not altogether altruistically – whilst spending Tuesday night sleeping on the floor of a post-operation ward at Indira Gandhi Memorial Hospital (IGMH) in Male’, in case a signature or saline drip was required.

Thankfully, he is well.

Barring “unexpected complications”, he will recover, as will the company’s finances once it is reimbursed from the employee’s insurance policy – only a recent mandatory requirement for obtaining a visa for foreign workers.

As a company representative, the initial costs for vital surgery, though not insignificant, can be reclaimed and more importantly, have to be met.

As an individual and friend, without the financial capabilities and resources of a company, the alternatives would otherwise be unthinkable.

A friend and room-mate of my colleague later explained that over half of his month’s wages were spent Tuesday morning on emergency medicines, scans and x-rays alone – all just to identify the scale of the problem – even before an operation. The price of life, I realise, is appallingly low for the wrong person.

In the wards, visiting hours are 24/7. Family members must maintain constant vigil over their bedridden loved-ones, taking full responsibility for everything from toilet assistance to buying and supplying hospital staff with needed medicines.

It is anyone’s guess how foreign workers – many of them far from home and family and unable to even afford the upfront deposit for treatment – are able to survive the system.

Ultimately my friend appears lucky. As the days pass, colleagues and acquaintances have, in either desperation or adversity, been transformed into an unusual though much appreciated surrogate family of makeshift nursing staff in the ward.

They have become well acquainted with pharmacies and their respective costs, and learned to recognise when saline solutions for drips are urgently in need of replacement. Some have even had to contemplate how best to preserve a friend’s dignity in toilet situations, that are not “always ideal” in maintaining a professional relationship.

Small blessings indeed.

Contemplating such a situation after days spent outside the operating theatres and waiting rooms of IGMH, perhaps there is much to be said for the hospital prayer room.

We are only human after all, but surely there are few times of feeling as completely powerless than when watching another person’s suffering.

Is it right then, that a person – regardless of skills or social standing – should amidst moments of extreme fear and anxiety have to pray for their economic, as well as physical well-being?

Surely some great deeds are not beyond human intervention.

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Doctors raise concerns over medicine shortages

Medical doctors, for the second time in 2012, have publicly expressed concern over medicine shortages in the Maldives.

In addition to official routes of raising concerns with relevant authorities, doctors have brought the issue of essential drugs shortage to the public’s attention and appealed to the government and the legislature through social media.

Dr Abdulla Niyaf, Chief Medical Officer and Senior Pediatric Consultant at ADK Hospital, has repeatedly expressed concern about the issue, specifically noting the recurrent problem of stock shortages in essential drugs such as neostigmine and phenobarbitone.

“As a paediatrician, we go in after each birth or cesarean to check on the newborn, full of concern that something might happen to the baby. If, say, the child’s heart malfunctions, and we are out of adrenaline, then there is nothing more that even us doctors can give,” explained Niyaf to Minivan News.

Niyaf said that the systematic issue of running out of stock of critical drugs was very serious, posing risks to the lives of many. He said that it is a huge concern as a doctor that he would be unable to provide immediate medication to patients who are in crucial need of specific medicines, due to complications with stock renewal.

Niyaf further said that he had previously sat down to discuss the matter with the State Trading Organisation (STO), the sole company licensed to import controlled drugs, and other relevant authorities. The answer had always been that the suppliers were facing issues of licensing, permits, delays in customs and so on.

“For how long can we, as doctors, keep listening to these justifications? All I want is for the issue to be resolved and for patients to have the chance of getting the best possible medical attention,” Niyaf said, expressing concern that the relevant authorities had so far not been able to resolve the issue.

Dr Faisal Saeed, another practicing doctor, told Minivan News that the matter was “a very real concern”.

“It is true that many medicines are often out of stock, but that doesn’t lessen the gravity of the problem. I don’t believe it is an option to be ever out of stock. What will any patient do if a critical medicine is unavailable at the time they most need it?”

Saeed further confirmed that there was a current shortage, stating: “As doctors, we worry about this. If something happens, it is we who must take responsibility. Our question is, when this country runs out of medicine, who is to be held accountable? Who will take responsibility for this?”

Dr Fathimath Nadhiya stated that the issue of shortages of even the most essential drugs has been a longstanding concern for a long period of time, further saying that if shortages were such an issue in the capital island Male’, then the loss must be felt even more harshly at remote island health facilities.

“Hospitals and health centres store the minimum required amounts of critical medicines at any given time. But we are not aware who carries the oversight responsibility to check whether this minimum is always maintained,” Nadhiya said.

She further spoke of her worry that with the lack of monitoring, island health facilities may have an even harder time to obtain many of the critical medicines. She said that in many islands, there were only one or more pharmacies run by private businessmen, who would prioritse medicine supplies not based on their medical importance, but rather on their sales statistics.

Ahmed Afaal, Managing Director of ADK, has also expressed concern on the matter on social media network, Twitter. He sent a message to President Dr Mohamed Waheed Hassan, urging him to look into the matter, stating that “tomorrow we may have to stop surgeries [because of an] injection neostigmine shortage. The only supplier is out of stock. Please help.”

Not yet a “doomsday scenario”: government

While many practicing clinicians have expressed concerns on the matter, the government denies the issue is as serious as claimed by the doctors.

“Checked with Health Minister and STO MD. There is no reason to worry about medicines,” President Waheed said,  in a short statement on Twitter.

Minister of Health, Dr Ahmed Jamsheed, backed the statement, saying at a press conference on Sunday that “although some social media messages on Twitter by practicing doctors may make the public dread a doomsday scenario, things aren’t all that bad yet”.

Jamsheed however did confirm that medicine shortages were a recurring problem in the health sector, stating that the Ministry of Health was planning to start a programme with the assistance of UNOPS and WHO to create a procurement/supply chain management system. Jamsheed said he believed that all the current concerns would be addressed and found a solution to through this programme.

“There is a common misconception that I would like to clarify. Although people usually assume otherwise, the health sector has never been involved in importing and supplying medicines. This is left to the private sector and the government-owned company STO,” Jamsheed explained.

“What we are seeing is that those responsible are not able to sufficiently supply medicines. I think we need to change this system if we are to find a solution. If we are to get a permanent solution, then we must make supplying medicines to patients the responsibility of the service provider, regardless of who imports it.”

Although some local practitioners say that the complaint is that the first choice medicines are unavailable, Jamsheed alleged that some of the complaints were because brands of medicine preferred by an individual doctor were not widely for sale.

“If there is an emergency, then the routine is that hospitals or the government flies in the medicine from neighbouring countries at the earliest,” Jamsheed said.

“If those staff in medical facilities who are responsible for these tasks are able to perform their jobs correctly, then it wouldn’t come to such a critical stage where provision of services are interrupted,” he stated.

Meanwhile, some doctors who spoke to Minivan News rejected the idea that emergency stocks were a solution, insisting that stock records ought to better kept and that patients in critical conditions do not have the option of waiting for medicine stocks to be flown in.

Legislative intervention

Maldives Democratic Party (MDP) MP Ibrahim Rasheed ‘Bonda’ submitted an emergency motion to the parliament on Monday, calling on the legislature to take action to “immediately resolve” the problem of medicine shortages.

Rasheed claimed that this failure to provide critical “life-saving medicines” to patients in crucial need of them was causing loss of lives.

“When practising doctors take the initiative to raise concerns, we realised the gravity of this problem. We then researched the issue in depth,” Rasheed told Minivan News.

“Millions of rufiya worth medicines need to be disposed of due to the failure to manage stocks. The stock is still managed manually. There is also a lot of corruption involved in the procurement and supply of medicines,” he said.

“There are permanent parliament committees within whose mandate this issue will fall. The problem is there are already a large number of pending bills that need to be worked on by these committees. We are now discussing within our party to determine what the most effective course of action will be,” Rasheed said.

During the one hour debate that ensued after the submission of the motion, Dhivehi Rayyithunge Party MP Ahmed Mohamed claimed that health services in his constituency had deteriorated, calling the condition of health care provision “regrettable”.

Progressive Party of Maldives (PPM) MP Adam Ahmed Shareef stated that health centres in the constituency he represented did not have the capacity for “the most basic tests”, adding that the pharmacy was managed by the women’s committee.

STO Spokesperson Ismail Sadiq was unavailable to speak to Minivan News this afternoon, and was not responding to calls.

Minivan News was not able to contact the Director General of Maldives Food and Drug Authority, Shareefa Adam, as her phone was switched off up to the time of press.

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Website aims to connect blood donors and thalassamia patients with SMS registraton

A website launched this month will enable thalassaemia patients in the Maldives to find blood donors by sending a single text message, according to developers of the service.

With almost 18 percent of the population registered as carriers, the Maldives has the world’s highest incidence of the crippling genetic blood disorder.  Patients diagnosed with thalassaemia major must receive regular blood transfusions and treatment throughout their life.

Currently, over 500 patients with the condition are registered  at the National Thalassaemia Centre (NTC) in Male’.

According to the developers of  “Blood Donor Online Database”, the new system will ease the burden of thalassamia patients and their families by helping to find willing blood donors quickly and easily.

“By using this unique online directory, available blood donors can be identified quickly and contacted via a simple SMS, saving valuable time for you and your loved ones. Also a simple SMS would enable to register blood donors,” local IT firm, Shell Tech claimed on their website.

The system has been designed in collaboration with national telecom service provider Dhiraagu, which supports the automated SMS system linked to the database website.

Blood donors can register with the database by sending an SMS to 678 with the keyword “REG” and their Identity Card (ID) number.

Meanwhile, thalassaemia patients or their relatives seeking donors can type the allocated atoll code and island name (location), along with their required blood group and send via SMS to 678.  This text will be sent to a donor with the needed blood type.

Listed blood donors names will be automatically forwarded to the blood seekers, once registered and will be available for searching on the website.

Each SMS sent through the blood donor service, will be charged at Rf1 (US$0.60).

According to the Chief Executive of Dhiraagu Ismail Rasheed, all revenue raised through the SMS charges will be donated to the NGO, Maldives Thalassaemia Society (MTS).

He added that the company supported the development  of the online blood donor database as part of their Corporate Social Responsibility (CSR) program.

The other telecom service provider in the country, Wataniya, will also soon join the initiative allowing its customers to register to the database, Shelltech company noted.

Meanwhile, Thalassaemia Society welcomed the initiative as a “good beginning”, and urged potential donors to register as soon as possible.

On World Thalassaemia Day, 8 May, this year, Minivan News reported on the current challenges facing the country’s thalassaemia patients, as well as inequalities in the services available for them in Male’ and the wider atolls.

The Maldivian Thalassaemia Society contended that authorities have “largely neglected” the rights of local patients, who face numerous challenges to stay alive, especially those in the Maldives’ smaller inhabited islands.

“We see huge inequalities in the provision of medical treatments and services to thalassaemia patients living in the islands and services available from the centre established by the government in Male.”

Even though the government has arranged for blood transfusions on the islands, the MTS claimed that for various reasons, the service and necessary medications are unavailable, forcing patients to cover the high costs of travelling to other islands or the capital in order to get blood transfusions.  These transfusions are often a matter of life or death for patients.

In response to multiple concerns raised by the group, the government has decided to revamp the system by joining the Nastional Thalassamia Center and the National Blood Transfusion Center to create the “Thalassaemia and Other Hemoglobinopathy Center” – which needs to established under the Thalassamia Control Act.

Health Minister Dr. Ahmed Jamsheed told local media earlier this month that all necessary administration work had now been completed and the centre would soon start functioning. He said at the time that the utmost importance was being given to ensure Thalassaemia patients from the islands receive free health care.

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Aasandha finances almost depleted: MD Shafaz

The government-owned corporation running the Aasandha universal health insurance scheme has warned that is nearly bankrupt, reports Haveeru, following a delay in payment by the government.

Aasandha Mohamed Shafaz was reported as saying that the last payment received by the corporation was in February.

“Earlier the Finance Ministry used to give us around four payments every month. But since February we are yet to receive a single payment. They have said that they would make the payments soon. At present we are using our own funds to cover Aasandha expenses,” Shafaz was reported as saying.

Asandha payments to government institutions had been halted, he said.

“We are only making payments of private and institutions in the islets. The reason is that if the islets don’t receive payments the services in the entire island would be disrupted,” he said.

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Superboys and supergirls at heart of charity focus ahead of Ramazan

It is a fairly uncommon site in Male’, if not anywhere else in the world.  A young Superman is sliding down the banisters of the capital’s national stadium, closely followed by a no-less fearless Snow White, several fairies and a princess, all while several marching bands provide a regimented soundtrack to the high-energy goings-on.

Rather than a colourful breakdown of order in Male’ amidst present political tensions, the event held in the capital yesterday represents attempts by a growing number of NGOs to provide fundraising and awareness programmes aimed at children in the run-up to the holy month of Ramazan that begins in August.

Local NGO Tiny Hearts of Maldives and the Advocating the Rights of Children (ARC) organisation have both this weekend launched initiatives designed to capitalise on the charitable spirit said to be at the heart of Ramazan.

Tiny Hearts race

Tiny Hearts, which was set up three years ago to help local youngsters suffering with Congenital Heart Defects (CHD), yesterday organised a fancy dress run attended by 400 pre-school children.  The event was supported by a number of organisations like the Diabetic Society of Maldives, Maldivian Red Crescent, the Scout Association of Maldives and the Maldives Girl Guide Association.

Five pre-schools participated in the race, including the Galolhu Madhrasa, Hulhumale Preschool, Maafannu Madharsa, Sheikh Abdul Rahman Preschool and Zaailing Preschool.

Music during the event was also provided by the brass bands of Iskandhar School, Jamaaludheen School and Imaadhudheen School.

According to the local charity, the ‘Race for Tiny Hearts 2012’ project was focused mainly on promoting physical activity in young Maldivians, whilst trying to encourage parents to do more at the family level to promote heart health.

Having previously been involved with high-profile attempts in the country to raise funds for its work, including an ultimately unsuccessful attempt to make the record books last year, CHD was not the sole focus of yesterday’s event for Tiny Hearts.

The charity nonetheless said that it had been able to raise awareness of both its own and other charitable organisations’ commitments and aims during the two hour event.

“We aimed and managed to engage various other institutions to work actively alongside charitable organisations to achieve goals that benefit society,” Tiny Hearts stated.

While yesterday’s series of races served as a fun family event for participants, Tiny Hearts has claimed that during the last three years, it has not only provided advice and awareness campaigns regarding CHD, but to also provide logistical and financial support in ensuring there is hope for child sufferers of heart defects.

The NGO estimates that 250 CHD patients have been able to fly abroad for specialist surgeries and healthcare, while the group has also worked to bring paediatric cardiologists to the Maldives for more direct assistance.

ARC Ramazan collection scheme

Yesterday also saw the ARC charity launch its 2012 Ramazan collection campaign designed to collect goods and other essentials for children of all ages that are raised in shelters.

A spokesperson for the charity today told Minivan News that the scheme, which had also been run back in 2011, was designed to aid the work of three key children’s shelters in the Maldives.   These shelters include; Kudakudhinge Hiya on Villingili, the Education and Training Centre for Children (ETCC) on Maafushi and Feydhoo Finolhu’s Correctional Training Centre for Children.

“Ramazan in the Maldives is a time where the majority of people went to help others and are in a giving mood. We have aimed this for now, as families will be buying lots of new things and we ask them to think of less fortunate children,” an ARC spokesperson said.

“We ran this project last year as well and found a lot of interest in people wanting to help, though not knowing how to. We looked at the needs of these shelters and have compiled a list. Collections opened yesterday (July 6) and will continue until next Saturday (July 14).”

The collections are taking place at the ARC office located on the second floor of M. Nooraaneeaage on Orchid Magu in Male’. Collection hours are between 2:00pm to 6:00pm from Saturday until Thursday. On friday, collection will occur between 4:00pm and 6:00pm local time.

According to the charity, the collection will take a large range of goods from clothing and apparel, to toiletries, toys, foods, books and stationery.

A full list of the goods needed can be read here.

Looking to its aim for the year ahead beyond Ramazan, a spokersperson for ARC said the organisation did not have a clear strategy regarding specific fund-raising events.

“We tend to work on a project-by-project basis, which has mainly seen us helping the shelters such as through capacity building initiatives and providing Parental Effectiveness Training (PET) projects for care-workers. It is important to support these care-workers as they are effectively parents to children as these shelters,” the spokesperson said.

ARC is presently involved in establishing a 
PET
 scheme amongst staff at the ETCC
 site in
 Maafushi.

The programme, which is being overseen by certified instructors has been devised by the charity in an attempt to give caregivers the means to better understand and deal with issues facing the children they look after. A similar PET programme was provided at Kudakudhinge
 Hiya in July 2011, the charity added.

Alongside focusing on national awareness projects relating to areas such as health and nutrition and child abuse, ARC claimed it also had a secondary function of providing sports programmes in fields such as badminton and chess to children living in the environment of a shelter.  The charity has also been involved in the provision of additional assistance and tutoring to assist underprivileged children with their school work and studies.

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Planning statistics show surge in unhealthy eating

Statistics for Maldives household food expenditure show a disturbing shift towards an “adverse dietary pattern”, with increased intakes of high-fat and sugary products, the Planning Department has revealed.

Health experts in the country have blamed the unhealthy diet of Maldivians for the high prevalence of cardiovascular diseases and metabolic disorders such diabetes among Maldivians, which account for almost 50 percent of the all deaths in the country. The comparative figure for the US is 25 percent.

According to the Household Income and Expenditure Survey, the structure of the Maldivian diet has shifted towards a “higher energy density diet with a greater role for fat and added sugars in foods, greater saturated fat intake, reduced intakes of complex carbohydrates and dietary fiber, and reduced fruit, vegetable and fish intakes.”

Eating less vegetables, fruits and fish

Overall, household expenditure on all the food groups has increased except for fruits and nuts, fish and vegetables.

The food expenditure on fruits and nuts reduced by 41.8 percent in the Maldives, although the percentage of the decline was higher among atolls, where a 45 percent reduction in fruits and nuts was recorded compared to the 30 percent decline in the capital Male’.

Within this group, food expenditure on bananas, tender coconut, papayas, coconut and apples declined by 50 percent or more in in 2010 compared to 2003, while the statistics further flagged a growing trend of substituting natural fruits with preserved or canned fruits.

“The household food expenditure on fruit cocktail and other canned and preserved fruits has increased over the period significantly,” the report read.

Household expenses on vegetables meanwhile recorded a 4 percent decline nationally, although an 18 percent and 33 percent increase was recorded in the atolls and Male’ respectively.

The Planning Department explained that expenditure on vegetables such as breadfruit, curry leaves and green chilli had reduced significantly, while spending on vegetables such as cabbage, onion and other fresh vegetables had “increased significantly.”

The department concluded: “If the changes in the prices are taken into account, in real terms, there is a decline in the household expenditure on fruits and vegetables. It is likely that there is an under-reporting of the consumption of own-produced fruits and vegetables such as breadfruits, green chili, curry leaves, coconut, papaya, etc, particularly in the atolls, as there is a difficulty valuing them in monetary terms.”

In the fish category – the traditional source of food for Maldivians – a net decrease of eight percent was recorded nationally in 2010.

In the same period, the spending patterns shows that eating fish declined by 23 percent in the atolls and in Male’ by 28 percent.

According the Planning department, the decline has most likely been caused by the decline in the overall fish catch since 2007 – therefore, shifting the people’s demand to the available alternative, imported meat.

“The household expenditure on frozen chicken and chicken products increased by 105 percent while the demand for sausages has increased by 306 percent,” the report observed.

“Sugar high”

According to the planning department, the food category that showed a “huge increase” in expenditure was sugar, jam, honey, syrups, chocolate and confectionery.

The major food products in this category that had a huge increase in the household expenditure included ice-creams, accounting to a staggering 4,630 percent increase in 2010, while chocolate increased by 1,071 percent, jelly by 1,332 percent and honey by 719 percent.

Although the planning department’s report does not specify, demand for caffeine, and energy drinks made with high fructose syrups or added sugar is on the rise among young.

Studies have concluded that added sugar is one of the greatest factors in the rise in obesity and other health conditions such as diabetes, tooth decay, poor nutrition and elevated triglycerides.

Furthermore, recent studies have also found eating too much sugar can make people forgetful and potentially cause permanent brain damage.

Meanwhile, spending on spices, short-eats and other snacks such as chicken rings, potato chips, popcorn – high in saturated fats –  increased substantially over the period.

Health concerns

Growing consumption of high-fat and sugary products, combined with behavioral risk factors such as physical inactivity and tobacco use,  has put a high number of people at the risk of non-communicable diseases such as heart and blood-related diseases, diabetes mellitus and other degenerative and chronic diseases, according to health experts.

Statistics from Health Mininstry show that in 2009, a total of 459 people (39 percent) died from circulatory system diseases which includes strokes, placing it at as the most common cause of death among all age groups, followed by respiratory diseases (12.3 percent).

Speaking to Minivan News, Internist Dr Ahmed Razee noted that consumption of healthy foods such as vegetables and fruits never reached the “preference levels” in the Maldives.

“Spending on vegetables or fruits have not declined. In fact, the truth is that it never increased,” Dr Raazee argued. “Junk food is commercially marketed and made available easily while the same thing has not be done for the vegetables and fruits,” he added.

Meanwhile, with unhealthy eating habits more people are in the having high levels of cholesterol and blood glucose, resulting in a higher risk of endocrine abnormalities leading to strokes and metabolic disorders among young people, said Dr Raazee, who has a special interest in diabetes and kidney diseases.

In an earlier interview to Minivan News, Public Health Programme Coordinator for the Center for Community Health and Disease Control (CCHDC), Dr Fathmath Nazla Rafeeq, also observed that malnutrition in the country was “quite alarming” considering the number of medical advances made in the country over the last few years.

Her comments, made on World Health Day, related specifically to fears over the national promotion of healthy diets, including issues of vitamin deficiency in expectant mothers and children, to the consumption of high-calorie junk food and energy drinks by young people.

According to figures published in 2009 by the World Health Organisation (WHO), 17.8 percent of children under five years of age were found to be underweight in the Maldives according to international standards for ascertaining health in young people. The same figures found that 6.5 percent of children were classed as overweight in the country. 20.3 percent of children in the same age group were found to be suffering from ’stunting’, a term describing children suffering growth retardation as a result of poor diet and infection.

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Criminal court employees screened amid tuberculosis scare

Public health workers screened Criminal Court staff for tuberculosis (TB) and conducted awareness sessions about the disease on Thursday after an employee tested positive for the infectious disease.

A court employee told Minivan News today that staff were relieved health officials were now working to put a stop to the potential spread of tuberculosis at the court.  However, the member of staff said their colleagues were  “seriously concerned after one employee was tested positive”.

The employee speculated that the disease may have been transmitted to the court employee from a TB patient, who was brought to the court two months ago for a police custody extension.

Local media has reported that three court employees are thought to have tested positive for the disease so far.  These reports were today dismissed by court workers.

The staff member observed that the local media had picked up on the TB case because of the awareness session being held at the court today, while claiming that reports of multiple confirmed cases was misleading.

“It was just one confirmed but everyone was very scared.  All the employees have been screened now and nobody else was tested positive. But since there was widespread scare, doctors came to the court today and gave us information on TB,” the employee noted on condition of anonymity. “There was some concerns but everything is normal at the court now,” he added.

The potentially serious disease spreads from person-to-person through the air, for example, if someone coughs or sneezes.  It primarily attacks the lungs.

Despite, the TB scare at the Criminal Court, the Maldives has achieved notable success in TB control since the establishment of a National TB control programme (NTP) by the Department of Public Health in 1976. Maldives has an estimated incidence of 47 per 100,000 population of all forms of TB and has sustained the global targets for TB control since 1996, according to the World Health Organisation (WHO’s) communicable disease department for South East Asia.

Tuberculosis, which had a prevalence in the Maldives of 35 cases per thousand people in 1974, had declined in 1996 to about 0.66 per 1000. Childhood TB (under 5 years) is almost nil for the past three years due to the high rate of BCG vaccination, the report added.

The WHO also observed that upon adopting the recommended Directly Observed Treatment Short-course (DOTS)  in 1997, the TB patients in the Maldives continues to receive effective treatment.

However, the Health Ministry has recently raised concerns over a growing number of multidrug-resistant tuberculosis (MDR-TB) in Maldives. The rate of TB prevalence among the country’s  expatriate population is also reportedly on the rise as well.

“Large migrant workforce from high TB-burden countries,” is identified by the WHO as major challenge for local health bodies. However, the WHO has claimed that “MDR-TB and TB-HIV are not major problems in Maldives.”

Meanwhile, a growing diagnoses of multi drug-resistant tuberculosis (MDR-TB) and treatment sites are being established in the region. In 2010, almost 4000 MDR-TB patients were put on treatment.  There are currently 105,000 MDR-TB cases estimated of affecting the region.  These figures were taken from the WHO annual report on tuberculosis titled “Tuberculosis Control in the South-East Asia Region 2012”.

The South-East Asia Region registered an estimated five million prevalent, and about 3.5 million incident TB cases in 2010.  Though the death rates in the region have declined due to successful implementation of the DOTS (directly observed treatment, short course), the disease still claims about half a million lives a year in the Region, the report read.

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