Tag Archives: child health

Can Fitbit Help Kids Gain Steps and Lose Weight?

Around 17 percent of American children from age 2 to 19 are classed as “obese”. That’s a level that has remained fairly steady over the last decade. And it’s growing.

Obesity is measured in terms of Body Mass Index (BMI) – a measure that can be used to compare children in terms of their weight. BMI is calculated by dividing a person’s weight in kilograms by the square of their height in meters. For children and teens, BMI is so age- and gender-specific that it is referred to as BMI-for-age. BMI levels among children and teens need to be expressed relative to other children of the same age and gender. Every child is different and that makes it difficult to generalize on something like this.

heart-rate-monitoring-device-1903997_1280Overweight is defined as a BMI at or above the 85th percentile and below the 95th percentile for children and teens of the same age and gender. Obesity is defined as a BMI at or above the 95th percentile for children and teens of the same age and gender.

To give an illustration, a 10-year-old boy of average height (56 inches) who weighs 102 pounds would have a BMI of 22.9 kg/m2. He would be considered obese because this calculation puts him in the 95th percentile for BMI-for-age. His BMI is greater than the BMI of 95% of 10-year-old boys in his “reference population”.

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How World Vision Promotes Breastfeeding in the Philippines

I am always happy when World Breastfeeding Week rolls around each year. It gives me a chance to hear about the latest programs that are working around the world to increase breastfeeding rates. This year I learned about how World Vision is promoting breastfeeding in the Philippines through its 7-11 Core Intervention Framework which includes 7 interventions for women and 11 for children 0 – 24 months of age.

The way in which we discuss breastfeeding is different depending on the country and the context. While in the United States we talk a lot about infant feeding choices, in other countries, especially those that have thousands upon thousands of yearly infant deaths caused by diarrheal diseases, infections, and sub-optimal feeding, the context changes. In these cases, it is nearly always critical that mothers breastfeed their children up to two years of age.

In the Philippines, parents spend $240 million on breast milk substitutes and multinational formula feeding companies spend $100 million on marketing in the Philippines alone. Those numbers account for the fact that only 34% of infants under the age of six months are exclusively breastfed. While providing the best start in life for infants, many mothers are convinced that formula is better and easier for their lifestyles. But, often times women in low-and-middle-income countries like the Philippines do not always have access to clean water for formula. Dirty water can cause deadly diarrheal diseases that kill infants.

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Three African Countries Chosen for First Malaria Vaccine Trials

For decades, there has been consistent chatter, research, and hope for a potential malaria vaccine. Now, all three are finally coming to fruition to roll out the world’s first clinical malaria vaccine trials. The World Health Organization Regional Office for Africa (WHO/AFRO) announced today that Ghana, Kenya, and Malawi have been chosen for the WHO-coordinated pilot implementation program that will make the world’s first malaria vaccine available in 2018.

“The prospect of a malaria vaccine is great news. Information gathered in the pilot will help us make decisions on the wider use of this vaccine,” said Dr Matshidiso Moeti, WHO Regional Director for Africa, in a statement. “Combined with existing malaria interventions, such a vaccine would have the potential to save tens of thousands of lives in Africa,” she added.

Sub-Saharan Africa records 90% of all global malaria cases. Even though the number of cases and deaths have dropped dramatically since 2001, the rate is still astronomically high. In fact, malaria still remains one of the deadliest killers on the African continent, especially for children under the age of five.

To date, the most effective way to curb malaria cases is via the use of bed nets and indoor residual spraying.  Unfortunately, 43% of sub-Saharan Africans are not protected against either and 429,000 people died from malaria in 2015. After spending time with mothers in Tanzania with Malaria No More, I saw this to be true. I met moms standing in long lines to receive new nets, but the ones they had used for years had holes throughout, rendering them virtually worthless.

There is now new hope to curb child deaths with the injectible malaria vaccine targeted to children within five to 17 months called RTS,S. The vaccine developed by GlaxoSmithKline. Malawi, Kenya, and Ghana were chosen for the following reasons according to the World Health Organization:

  • high coverage of long-lasting insecticidal treated nets (LLINs)
  • well-functioning malaria and immunization programs
  • a high malaria burden even after scale-up of LLINs,
  • and participation in the Phase III RTS,S malaria vaccine trial

The countries themselves will determine the areas in their country where the trials will ultimately take place. The $49.2 million cost of the trials will be taken up by Gavi, the Vaccine Alliance, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and UNITAID. The World Health Organization and GlaxoSmithKline will additionally provide complimentary funds for the malaria trial efforts.

Photo: UN Photo/Marie Frechon

Underserved Residents in Southern Haiti Receive New Access to Quality Health Care

Several vistors wait to be seen at new hospital (1)During my visit to Haiti two years ago I had the privilege of visiting two hospitals: L’Hôpital Albert Schweitzer (HAS) in Haiti’s Artibonite Valley and L’Hôpital Sainte-Thérèse in Hinche, Haiti. Many of the patients at both hospitals, I learned, walked or took public transport over long distances for quality hospital care. As the poorest country in the Western Hemisphere, Haitians need many more hospitals and health workers to care after their sick. There are currently only six health workers for every 10,000 Haitians according to USAID. And, Haiti has the highest rate of infant, child, and maternal mortality in the Western Hemisphere. Most Haitians live on less than $1 a day and their life expectancy is only 64 compared to 74 for its neighbor, the Dominican Republic.

Quality health care in Haiti continues to be one of the country’s greatest problems. In fact, Haiti only spends 6 percent of its expenditures on health care and relies heavily on international funding.

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