4 Episode results for "Department Of Noncommunicable"
How COVID-19 has forced cancer patients and medics to juggle deadly trade-off
"This is matt wells. The un news while some cancer patients are at high risk from kobe related illness or even death but the world health organization's advice his clear. Do not stay away from going to see your doctor if you need treatment or professional diagnosis in an interview with daniel johnson. The un health agencies doctor andrei elbow from. Who's department of noncommunicable. Diseases explains how the coronavirus has had a profound impact on cancer care in rich and poor countries and how some coming up with solutions to this potentially deadly tradeoff impact of covert on cancer. Care has in profound because it has impacted all dimensions of cancer control from diagnosis to survivorship care and in that regard it has been a high impact and unfortunately very challenging time for the most vulnerable cancer patients. Have you seen this is worldwide as it. In rich and poor countries. Mrs correct receiving this impact in both countries and in the middle income countries. Is it the case that health authorities have scaled back their cancer care after reports that gave it. Nineteen outcomes are significantly worse among patients with cancer. There is a variety of responses that governments have taken on many of them have had in fact a positive benefit. Most governments are avoiding his concept of. Let's reduce cancer care because we know cancer is a time sensitive disease if we in fact delay cancer care either because of a government order or because of patient choice or because of the situation in quarantine the consequences can be detrimental and for this reason. We've seen governments respond favorably to the extent that they are encouraging cancer patients to pursue care to continue with care and to complete their right. So let's put ourselves in a patient shoes cancer patients shoes. They have cancer so they should carry on going to the hospital even though they might have heard somewhere that if they catch kobe they have a greater chance of being at risk. Is that right. That is correct. The first starting point as you rightly point out is the understanding dead. Some cancer patients are at higher risk for covid related disability or death if they contract the virus but because it has to do with immunosuppression we believe the exact mechanism for which the viruses causing this increased risk of death for the cancer population. We are still trying to understand from a disease perspective but one of the primary drivers is weakened immune system and likelihood that the virus will take great hold spread more rapidly within the body and by extent cause greater damage. That is the hypothesis. But we're also trying to understand which cancer patients are at greatest risk is not all cancer. Patients are experiencing the potential harm of covid and cancer to the same extent for example we have noted at some cancer patients that have what we call blood cancers or human to logic cancers are those that are experiencing greater risk as compared to some other types of cancers that are solid or the oregon based cancers like breast or colorectal that may be lower risk but the exact likelihood that each cancer type incurs greater risk is something that again. We don't have a clear understanding because the data are still not well available for us to understand who is at greatest risk. The general message though is we know as a general group that cancer patients are experiencing greater disability and death from covert. And because of this there is a tradeoff at many cancer. Patients are making sometimes in isolation certainly in discussion with their healthcare provider to understand. What is the right course of action for treatment given his trade off potential harm from increase exposure from covid and also harm from delaying or interrupting your cancer therapy. So if you a cancer specialist oncologists. It must be very difficult for you because caveat has meant that you've had to change your approach in the sense that you're still needing to catch these cancers early but you also have to give the palliative care to those whose cancer cannot be cured. It is a very challenging time for patients and we should think about that first and foremost people who have cancer or who are fearful that they have cancer and are unable to get to a healthcare clinic or hospital to better understand their condition but also it has been a very challenging time for cancer providers because they are also a difficult tradeoff where there are needs to respond to the greater epidemic that is a threat to hospitals at her overburdened with increased number of patients and yet at the same time still need to be able to provide care for the cancer patients that they have and in that regard the options that they have whether it is. The timing of surgery is number of cycles of chemotherapy or the availability of medicines including dosing for radiotherapy. All of these decisions are meeting to be made by cancer providers and their patients in a very intimate yet also very challenging discussion that is happening in clinics around the world. Could you maybe give some advice from the world health organization on which of these kobe. Vaccines are best for cancer patients to take or is it just too soon to say this is unfortunately too soon to say but it is an important discussion that can patient should take on with their providers because there are some emerging studies that are helping us understand is there increased risk for cancer patients to take the vaccine. This suspicion is that cancer patients will be in fact benefiting from access to vaccines rather than being harm but unfortunately as you rightly said mrs too early to say conclusively we have regulatory authorities around the world that are actively following this and we of course w. joe or during the same. Thank you. maybe you could give me an idea. About some countries. He's managed to work with covid and find solutions to getting treatment to cancer sufferers. More quickly than others. Yeah this is an area where we've been working hard with governments stakeholders to understand these types of responses or mitigation strategies. Cancer has not been included as a priority mitigation strategy as part of the central services. But this is changing and we are starting to see governments take on new innovative approaches to ensure they cancer patients are able to access and remain on therapies that they need as an example. We've seen in the netherlands. They've taken on an approach in which there has been outreach to the cancer community to the general public to say if you have any high risk symptoms please come to clinic. Please report your symptoms to a provider and this could be again in clinic using an innovative approach telemedicine. This type of encouragement to the general public has in fact reduced the delays that. We've seen that are also very common around the world so this is a best practice that seems to have a very positive impact which is again use of messaging to the general public to cancer patients. Say services remain available. Please continue to reach out to the healthcare system treating the care. They need another best practice. That we're seeing is a strong response from civil society so we identified some best practices related to an area known as patient navigation which means that either advocacy organizations hospitals or broader communities are providing cancer patients with a focal person. To say. here's how we can help you. Continue with your therapy. We can help you get to the clinic. Rather than take public transportation and increase the potential risk of exposure will. have someone. Come to your house and pick you up and drive you to hostile and these types of approaches vac can also reduce central harm cancer patients. Thank you dr ilbo for sharing that best practices finally. Can i just ask you what the latest thinking is from the world health organization on what you eat being linked to cancer is still the case that we should be eating five fruit and veggies days steering clear of red meat trying not to gain too much weight. It is very confusing. So what is the latest advice from the u. n. health agency. Please you raise the wisdom of yesteryear. That in fact is still true. Today these healthy lifestyle choices are very important to reduced cancer risk over time but it's also important to set the stage for. What are the most common behavioral choices that impact cancer risk because we hear often from communities this tired concept of well. Everything causes cancer. So why should i change my behavior. It's therefore important to also think about what are the major risk factors that continue to drive the cancer burden number one tobacco. Tobacco is still responsible for almost one quarter of cancer deaths. Twenty five percent of cancer deaths tobacco but we are also now seeing some increased risk factors that include obesity and this is true particularly in high income countries but again increased trends in obesity in almost every country around the world and this will drive the cancer burden for the decades ahead alcohol. Another important factor consider and less group just to remind people the importance of thinking even about vaccination is discussing earlier that infectious causes of cancer is still are responsible for at least ten or more present of cancer cases around the world and for that reason we talk about vaccination like human papillomavirus each v vaccine that can in fact drive us towards the elimination of cervical cancer as public health. Problem this is a priority for our director general And for other agencies that have now committed to the elimination of cervical cancer. Vaccination is important public health measure for variety of reasons. And of course in this situation as we talk about today it can help us towards reducing the cancer burden so these are some of the important factors but there are others emerging one that is also true in many places around the world. Air pollution misses something that people don't necessarily associated with cancer but it is a risk factor. We must pay attention to because it will drive cancer risks in the decades ahead.
News in Brief 2 February 2021
"This is the news in brief from the united nations. The covid nineteen pandemic has had a profound impact on cancer. Diagnosis and treatment. Globally the u. n. health agency said on tuesday. Fifty percent of the government's survey have had cancer services partially or completely disrupted because of the pandemic said dr andrea it'll bowie from the world. Health organization department of noncommunicable diseases delays in diagnosis have become common and interruptions in therapy or abandonment of treatment have increased significantly the. Who official told journalists in geneva adding that this would likely have an impact on the total number of cancer. Deaths in coming years as professionals have been great stress to deliver services and their significant reduction in research and clinical trial rome simply the consequences at dynamic on cancer. Control efforts have been profound. Although countries of all income levels have been affected. Dr ilbo said that wealthy nations including the netherlands had counted the pandemic's impact on cancer. Care with special programs offering speedier access to diagnosis and treatment for those displaying symptoms and alert over potential crimes against humanity in eastern democratic republic of the congo drc after the un rights office. Oh eight hr said that. It has been appalled by spike in attacks against civilians there. The warning issued on tuesday specifically cited one armed group the democratic forces. Atf operating in cheery province as well as beni territory in north kivu province. But oh hcc said that it was also concerned about human rights violations and violations of international humanitarian law by security and defence forces in the drc spokesperson motherhood explained why the human rights office believed that the armed group was potentially guilty of such serious international crimes. Why we are saying that because they are widespread and systematic and they're being consistent and they are targeting the civilian population. You can say that these crimes could amount if we're going in a court to crimes against humanity. According to a new report by the you enjoy human rights office in the country at least eight hundred and forty. Nine civilians were killed last year in the areas of concern in attacks by the f. The report also documents serious violations by security and defence forces during operations against competence with twenty two civilians killed in the first half last year. Nine women and twelve children sexually abused and eighty-one arrested arbitrarily finally to career commonly referred to as north korea. Where human rights chief. Michelle basch light has called for new efforts to seek justice for victims of gross human rights. Violations tuesday's call by the high commissioner for human rights comes as hell office published a new report indicating that serious crimes including torture and enslavement unlikely. Still being committed inside the country's prisons bright's office. Hgh also that it had received consistent and credible accounts of these systematic infliction of severe physical and mental pain or suffering upon detainees in the ordinary prison system. These may amount to the crime against humanity of torture. Chr said adding that prisoners were beaten forced into stress positions for prolonged periods and subject to psychological abuse forced labor and starvation. The un report also reiterates a lack of progress on the urgent need to establish the truth and ensure accountability cases of abductions and enforced disappearances of ethnic koreans japanese nationals and others since the korean war until today lasting peace on the korean peninsula can be achieved only if such violations and and the rights of victims to truth. Justice reparations and guarantees of non-recurrence are fulfilled. The report noted daniel. Johnson you're news.
Podcast: UN Catch-Up Dateline Geneva - COVIDand cancer,Myanmarcrisis latest
"Hello and welcome to you and catch up dateline. Geneva your weekly review of international news from the united nations so daniel johnson and this week's show top stories from the un covering new corona virus developments and at the human rights council will also hear how covid nineteen has had a profound impact on cancer care everywhere from world health organization expert. Who explains that. What that has meant for sufferers and doctors grappling with a treatment tradeoff and questions over vaccination and not forgetting piercing insight from regular guests salons take qatar's and alfred yellow thanks for listening Covid nineteen has affected cancer care in all countries rich and poor. Say what should the advice be to cancer patients who still need diagnosing treatment and potentially a coronavirus vaccine to to get some answers and to highlight how health authorities have been ensuring continuity of care. I've been speaking to dr andre bowie from the world health organizations department of noncommunicable diseases in geneva the impact of covid on cancer care profound because it has impacted all dimensions of cancer control from diagnosis to survivorship care and in that regard it has been a high impact and unfortunately very challenging time for the most vulnerable cancer patient seven this is worldwide as it in rich and poor countries. This impact in both high income countries and in some countries is that the case that health authorities have scaled back their cancer care after reports that covid nineteen outcomes are significantly worse among patients with cancer. Most governments are avoiding this concept of. Let's reduce cancer care because we know cancer is a time sensitive disease if we in fact delay cancer care either because of a government order or because of patient choice or because of the situation in team the consequences can be detrimental and for this reason. We've seen governments spun favorably to the extent that they are encouraging cancer patients to pursue care right. So let's put ourselves in a patient shoes a cancer patients shoes so they should carry on going to the hospital even though they might have heard somewhere that if they catch kobe they have a greater chance of being at risk. Is that right. That is the first starting point. As you rightly point out is the understanding bed. Some cancer patients are at higher risk for covid related disability or death if they can track the virus but because it has to do with immunosuppression the exact mechanism for which the viruses causing this increased risk of death for the cancer population. We are still trying to understand from disease perspective but one of the primary drivers is weakened immune system and the likelihood that the virus will take a greater hold spread more rapidly within the body and by extend to cause greater damage. That is the hypothesis but we are also trying to understand which cancer patients are at greatest risk is not all cancer. Patients are experiencing you potential harm of covid and cancer to the same extent. For example you've noted at some cancer patients that have what we call blood cancers or human to logic cancers are those that are experiencing grizz as compared to solid or the oregon based cancers like breast colorectal that may be lower risk but the exact likelihood that each cancer type incurs greater risk is something that again. We don't have a clear understanding because the data are still not well available for us to understand who is at greatest risk. The general message though is we know as a general group that cancer patients are experiencing greater disability and death from covid and because of this there is a tradeoff at many cancer. Patients are making sometimes in isolation but importantly in discussion with their healthcare provider. Understand what is it the right course of action for treatment. So if you're a cancer specialist and oncologist. It must be very difficult for you because caveat has meant that you've had to change your approach in the sense that your still needing to catch these cancers early but you also have to give the palliative care to those whose kansas cannot be cured it is a very challenging time for patients and we should think about that first and foremost but also it has been a very challenging time for cancer providers because they are also a difficult tradeoff where the options that they have whether it is. A timing of surgery is a number of cycles of chemotherapy or the availability of medicines including dosing for radiotherapy. All of these decisions are meeting to be made by cancer providers and their patients in very intimate yet also very challenging discussion that is happening in clinics around the world. Could you maybe give some advice from the world health organization which of these vaccines of best for cancer patients to take. Who is it just too soon to say. This is unfortunately too soon to say but it isn't important discussion. That cancer patients should take on with their providers because there are some emerging studies that are helping us understand is there increased risk for cancer patients to take the vaccine. This suspicion is that cancer patients will be in fact benefiting from access to vaccines rather than being harm we have regulatory authorities around the world that are actively following this and we of course w. jewelry during the same. Thank you. maybe you could give me an idea about. Some countries who've managed to work with covid and find solutions to getting treatment to cancer sufferers. More quickly than others. Yeah this is an area where we've been working hard with governments with stakeholders to understand these types of responses or mitigation strategies. Cancer has not been included as a priority mitigation strategy as part of a central health services. But this is changing as an example. We've seen in the netherlands. They've taken on an approach in which there has been outreach to the cancer community to the general public to say if you have any high risk symptoms please come to clinic. Please report your symptoms to a provider and this could be again in a clinic. We're using an innovative approach. Telemedicine this type of encouragement to the general public has in fact reduced the delays that. We've seen that are also very common around the world. Another best practice that we're seeing is a strong response from civil society so advocacy organizations hospitals or broader communities are providing cancer patients with a focal person to say. Here's how we can help you. Continue with your therapy. We can help you get to the clinic. Rather than take public transportation and increase the potential risk of exposure will. have someone. Come to your house and pick you up and drive you to hostile and these types of approaches vac also reduce potential harm to cancer patients. Dr andre bowie from the world health organization in geneva. There thanks to him. You can hear the longer version of that interview on your news ford slash audio hub. Now the news. The un human rights council debated call on friday for the internet release of mass democratically elected leader. Aung sang suu along with other senior officials in a special session at the geneva-based council which is the preeminent forum for international rights issues. The united kingdom and european union presented a draft resolution condemning last week's military takeover the draft text urges the lifting of restrictions on the internet and unimpeded humanitarian access. Here's another al chief. Deputy high commissioner for human rights the indiscriminate use of lethal or less than lethal weapons against peaceful protesters is unacceptable more violence against me and must people will only compound the illegitimacy of the cool and the culpability of its leaders. Special reporter on the human rights situation in myanmar. Thomas andrews also urged the international community not to recognize the country's military leaders me on mars ambassador to responded by underscoring his country's commitment to democratic values and justified the military's intervention as necessary a constellation of sometimes debilitating symptoms among people who've recovered from cave nineteen is set to impact on global health systems. That's the message from the world health organization. Who on friday. Which said that post covid. Nineteen condition can occur after the acute illness has passed. Symptoms include neurological and physical problems. And these are prevented suffers from returning to work occurring up to six months after the initial recovery period said dr janet diaz head of healthcare readiness at the un agency will there. Comprehensive data is not yet available. Doctor the insisted that these symptoms were real numbers. Even if it's we don't know how how common it is how uncommon it is but the numbers just by the magnitude of the pandemic will impact health systems staying with covid nineteen health organization. Expert panel has counted concerns over the efficacy of the astra zeneca covid vaccine and urged countries to use it including those where there have surfaced the development comes after a study in south africa indicated that the astra zeneca job provided little protection against as roma virus variant among all people at a press conference in geneva on wednesday the strategic advisory group of experts on immunisation or. Sage said that. The study's findings were inconclusive. Dr kato brian head of immunization at the u. n. health agency explained the astra zeneca inoculation like other vaccines works best on the police patients. The highest response is against the most severe disease and then somewhat lower efficacy for moderate and then further down for mild disease so given only evidence on mild moderate disease. We would expect that whatever the efficacy is. It would be higher against severe disease than than mild and moderate the week's headlines there before that dr andrei ilbo from the world health organization's noncommunicable diseases department salons behind qatar's an audio from the information service at geneva to you both and thanks for joining me to wrap up the show. I don't know about you. But what struck me was the frankness of dr elbaradei's comments that there's this really impossible decision for doctors and patients about the need to treat cancer sufferers quickly knowing that it would be a wise idea to keep them well away from any potential contact with covid nineteen alpha. What are your main takeaways from the interview with dr allowing just now and she's done for me what was clear was the impact of covid nineteen on counselor kick globally enrich and developing countries. This is not surprising. Given the folks up in the bandini the world health organization sounds up in one hundred and twenty two out of one hundred and sixty three countries. Noncommunicable diseases services had been disrupt. Who survey found up to fifty percents of governments have had cancer services by off completely disrupted because of the pandemic and for some countries means shortage of council brags many have seen a significant drop in new concert. Genesis even in countries alpha. You'd also like to highlight another world. Health organization study this time on breast cancer in africa and in fact the wider impacts of deaths from breast cancer in sub saharan africa. Yes dunn's who international agency for research on gaza base in leo reports in sub saharan africa. Breast cancer is a first or second most common cause of cancer deaths in woman in most countries of the region. Even more worrying. The study shows that the number of children who are often because of breast cancer in sub saharan africa is greed is the number of deaths from breast cancer so almost eight hundred breast cancer deaths in full sub saharan countries produce almost one thousand often this finding underlines the need for sustained action to improve breast cancer survival in the region. Thank you for the insight on breast cancer. And dr larry also talking about the need to overcome cervical cancer and get everyone vaccinated as well boys and girls. So thank you for that alpha over to salange. What did you think about what dr elbow was saying. You're interview with dr andrew l. We made me think about the notion of time. We know that the earlier the cancer is detected. The more likely the patient is to survive but we also know thanks to the world health organization data that because of the pandemic an additional fifty thousand people are missing a cancer. Diagnosis and others are having their appointments disrupted. The question of time is crucial. Either your time or you are too late and this will have an impact on the total number of cancer deaths in coming years. Someone told me that we are in the middle of a cross road which is nice way of saying crisis. Cancer is also a leading cause of death for children and adults since with an estimated. Four hundred thousand children diagnosed with cancer each year on that. I would like to mention the bulk of our former. Un colleague muriel scibilia couldn meet quotas. Soleil in which she collects testimonies of ten children with cancer between three and eighteen years old for many of them by all law. Or ray j me at least or send. The victory against the disease has led them to look at the future with and release to develop new projects to feel that they have not survived for nothing anyway in the end time always catch up with us. Goodness mesa launch. How can anybody fuller. That time always catches up with us. So that's it for this week's you catch datelined geneva but we will be back next week. Thank you to guests solange. He'll take your quarters and alfred yellow for your precious thoughts once again and to just steam. Bryce who's behind the scenes keeping everything going on air. Once our mics have been turned off. Thank you listeners. Happy to have you with us. We hope that you've enjoyed the show. Where everywhere and we would like to catch you next time. But before we do. I can see alpha just wants to quickly add something. Finally go ahead alpha darn little advance. Happy world your day a celebrity on certain february saturday. it's saturday also good reminder for valentine's if you haven't thought about that as well on the fourteenth by everybody.
News in Brief 16 October 2020
"This is the news in brief from the United, nations results from a UN coordinated international trial looking at four cave nineteen therapeutics have shown little or no positive impact on preventing death in patients infected with new corona virus, the Solidarity Therapeutics Trial, overseen by the world. Health Organization who found that REMM disappear hydroxy chloroquine, Lapenne Aveer. Rootin- and Interferon. appeared to have little or no effect on twenty eight day mortality or the hospital course of covid nineteen among hospitalized patients. The study involved more than thirty countries and investigated the effects of the treatments on mortality ventilation and length of stay in hospital. It did not examine other uses of the drugs such as preventive treatment, which would. Require further trials in a related announcement. The WHO said that Covid nineteen had also highlighted the increased vulnerability of people with high blood pressure to the coronavirus. The warning is based on data for more than one hundred twenty countries showing significant caveat related disruption to treatment for people suffering from chronic health conditions with findings showing these patients make up fifty to sixty percent of all deaths through covid. Dr Bent Mickelson director of WHO's Department of noncommunicable diseases said that more than one point one, billion people around the world suffer from hypertension mainly in low and middle income countries when it comes to call it nine, thousand, nine, hundred, hypertension, one, hundred and twenty two countries that has reported. US that in over fifty percent of the country's the healthcare services disrupted fully or partially fifty percent of the country's, and in addition we see a high number of is we don't have global figures yet, but we see in the rain show fifty, sixty percent of the people that are severely ill and died in hospitals from code have hypertension diabetes, and so forth and the working on the global targets. An airlift of hope agreed by Yemen's warring parties to return more than one thousand detainees to their families has been welcomed by U N Special Envoy Griffiths, whose urged both sides to agree to further peacebuilding measures in a briefing to the Security Council on Thursday Mr, Griffiths confirmed that the extraordinary operation had begun in line with an agreement reached last month in Switzerland between the government of Yemen and Hootie opposition representatives although the prisoner swap which continued on Friday will bring immense relief and comfort to many. Families said the veteran you negociator. He noted that it does not include many thousands more Yemenis detained during the course of this conflict likely numbering. Some fifteen thousand while appealing for further prisoner release talks the UN special envoy also called for face to face meetings between the warring parties so that they can agree on a joint declaration to end more than five years of catastrophic fighting. If agreed, the development would prepare the ground for a nationwide ceasefire economic and humanitarian measures and the resumption of the political process. Hate speech has no place in this. Sunday's general elections in Bolivia you're in high commissioner for Human Rights. Michelle Bachelet said on Friday in an appeal for a peaceful and inclusive national poll Misbash let urged Bolivia's authorities political and other actors to refrain from any actions that could spark a repeat of violent political clashes over the disputed election. Last year that left at least thirty people dead and more than eight hundred injured. The High Commissioner expressed serious concern at inflammatory language and threats made in recent weeks as well as. An increasing number of physical attacks. I welcomed the Bolivia in people's determination to participate in the elections. Miss Bachelet said in a statement she added that the elections represent an opportunity to move forward on social and economic fronts and diffuse the extreme polarization that's been plaguing Bolivia in recent years. The UN Human Rights Office deployed mission to Bolivia in November twenty, nine, thousand, nine it remains in the country to monitor and report on any human rights violations and abuses including in the context of the elections Daniel, Johnson, U. N. News.