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Fishing Industry Contributing To Spread Of HIV Around Africa's Lake Victoria
The fishing industry and some cultural practices in communities living around Africa"s Lake Victoria are contributing to the spread of HIV/AIDS and other sexually transmitted infections in the area, according to a panel of experts at a recent meeting in Kisumu, Kenya, The Citizen reports. According to the panel, cultural practices such as widow inheritance, commercial sex work for fish and the long-distance trucking industry have led to the spread of HIV/AIDS. HIV/AIDS prevalence among women and people who live along the beaches of the lake is particularly high, the meeting participants noted.The four-day meeting was held by the Lake Victoria Basin Commission and involved members of the East African Community and other officials. Meeting delegates were taken to cross-border control posts along the Kenya-Uganda border to interact with people living with HIV/AIDS, commercial sex workers, long-distance truck drivers and district government officials. Doreen Othero, HIV/AIDS technical specialist at the LVBC Secretariat, said that the group "managed to bring together organizations working in HIV/AIDS along transport corridors to share information, improve coordination and build synergy among the various programs so as to have maximum impact on the corridors" most at risk populations."Jean Claude Nsengiyumva, EAC deputy secretary general in charge of productive and social sectors, said that the fight against HIV/AIDS will be successful through a coordinated and collaborative effort among all stakeholders. He said that EAC has introduced a four-year Regional Multisectorial HIV/AIDS Strategic Plan, ending in 2012, that aims to address HIV/AIDS in the region. The region also is undergoing efforts to create more collaboration between regional, international and multisectorial organizations that have projects for HIV/AIDS education, care, treatment and testing. Othero said there are more than four million HIV-positive people and more than 3.5 million orphans and vulnerable children in EAC partner states (The Citizen, 5/27).
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New Nice Guideline For Type 2 Diabetes Recognises Benefits From Newer Agents For Blood Glucose Control
Merck Sharp & Dohme Limited (MSD) welcomes the publication of the guideline for type 2 diabetes newer agents1 from the National Institute for Health and Clinical Excellence (NICE) in the UK, which recommends considering a range of newer therapy options, including "Januvia" (sitagliptin). The guideline recommends that the DPP-4 inhibitor class, which includes sitagliptin, should be considered as a second line therapy instead of a sulphonylurea (SU) when blood glucose control remains or becomes inadequate (HbA1c ð‰¥ 6.5% or other higher level agreed with the individual) with metformin in patients at significant risk of hypoglycaemia or its consequences, or if a patient does not tolerate an SU or an SU is contraindicated.1
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Testosterone Replacement For Men With Low Testosterone Improves Liver Function, Metabolic Syndrome
In middle-aged and older men with low testosterone levels, long-term testosterone replacement therapy greatly improves their fatty liver disease and their risk factors for cardiovascular disease and diabetes, a new study found. The results were presented at The Endocrine Society"s 91st Annual Meeting in Washington, D.C.
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Eight To 14 Weekly Units Of Booze Boosts Overall Tally Of Days Spent In Hospital

Downing between eight and 14 units of alcohol a week boosts the total number of days spent in hospital, finds research published ahead of print in the Journal of Epidemiology and Community Health. Twenty one weekly units is the government"s recommended maximum weekly tally of alcohol for men. The study included almost 6,000 working men, aged 35 to 64 during the early 1970s, from West and Central Scotland. Participants underwent a comprehensive health screen to check for underlying and potential health problems and were quizzed about their weekly alcohol consumption. This was categorised as none; 1 to 7 units; 8 to 14; 15 to 21; 22 to 34; and 35 or more. Their health was then tracked for an average of 28 years, using national hospital activity data, focusing on heart and respiratory diseases, stroke and alcohol related illness/conditions. The results showed that men drinking over 22 units a week had a 20% higher rate of admissions into acute care hospitals than non-drinkers. But relatively low levels of alcohol consumption gave rise to a higher number of bed days. Drinkers of eight or more weekly units spent longer in hospital than non-drinkers, with length of stay progressively increasing the higher the weekly consumption. Those drinking the most chalked up a 58% higher use of beds. The number of admissions for stroke, and more time spent in hospital as a result, started with a weekly tally of 15 units, and progressively increased the more weekly units were consumed. Those downing 22 or more weekly units had more admissions for respiratory illness, but they had the lowest rates of admission for coronary heart disease. Non-drinkers had the highest rates of admission for this. Men drinking 22 or more units a week had more admissions for mental health problems. But non-drinkers had a higher rate of admissions for mental ill health than those who drank between 1 and 14 units a week. The authors conclude that alcohol has a "notable effect" on health service use and therefore overall costs to the NHS. Journal Of Epidemiology And Community Health


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