Natural and manmade disasters often result in the breakdown of social system and services with pronounced effects on human development and economy. They also cause illhealth and deaths either directly or through the disruption of health systems, leaving the affected communities without access to healthcare in times of emergency. Empirical evidence shows that these negative effects are dispropor...

Objective: T h e mortality for men is not only greater than that of women as indicated by the life expectancy but of the five leading cause of death in the nation (malignant neoplasms; cerebrovascular disease; heart disease; diabetes mellitus and homicides), the rates for men were greater in four (malignant neoplasms; cerebrovascular; hea rt d is e a se and homicides). Despite these realities ,...

This was a hospital based study done to see the demographic profile of patients with metabolic syndrome in Bangladesh. A total of 334 patients attending in medicine OPD BSMMU were included in this study. According to modified NCEP ATP III criteria 27.2% of subjects aged ≥ 20 years had the metabolic syndrome and it was more commonly seen in women than in men (32.4% vs 21.7%). The metabolic syndr...

This paper concerns urban health systems in developing counties (the South) and considers the determinants and outcomes of urban health and the activities that link them. It also identifies challenges for action and priorities for research. Because cities are particularly complex in terms of the range of poverty, environmental, social and service factors that can determine health, it helps to h...

Many population subgroups that are at high risk of illhealth have multiple micronutrient deficits. These subgroups include the elderly, the socially and economically deprived, hospital patients and the mentally ill, among others. Placebo-controlled trials of simple micronutrient supplements have shown that they can improve immune function and reduce time suffering from infections in older peopl...

In 1986, Whittaker wrote ‘Churchill-Davidson’s editorial entitled “The succinylcholine story” in 1963, highlighted probably for the first time in the UK, the role of serum protein polymorphism in drug sensitivity’ [1]. Following a series of detailed family studies, in 1959 Kalow [2] concluded that individuals who had prolonged apnoea following succinylcholine administration were homozygous for ...

T he determinants of health and well-being include a wide range of environmental and social factors. Increasingly recognized drivers of injuries and illhealth are the consequences of changing weather patterns, climate extremes, and climate change. The evidence of such effects is, however, under-researched in lowand middle-income countries. For the majority of studies, originating from high-inco...

P5 Table 1 n Current symptoms Preventer inhaler Median FEV1 Definite asthma 16 8 (50%) 12 (75%) 106% Equivocal asthma 6 1 (17%) 5 (83%) 109% Normal 18 6 (33%) 10 (55%) 107% REFERENCE 1. Stenton SC, et al. Occup Med 1993;43:203e6. P6 WORK-RELATED RESPIRATORY SYMPTOMS IN THE UK; DO PRIMARY CARE PHYSICIANS MISS DIAGNOSTIC OPPORTUNITIES IN OCCUPATIONAL ASTHMA? doi:10.1136/thx.2010.150961.6 J Hoyle,...

Chronic homelessness is a red flag symptom, marking a significantly increased risk of ill-health and premature death. For too long the NHS has dismissed homelessness as simply an issue of housing and social care, but there is a growing body of evidence that long-term homelessness is fundamentally an issue of health. A recent study of homeless patients (including hostel-dwellers) admitted to hos...

Depressed mood in young people is common, with a prevalence of up to 20% among teenagers consulting their GP. Depression during the teenage years is associated with functional impairment and health risk behaviours; episodes can be severe and prolonged, often not resolving over 18 months. Adolescent depression is a chronic and relapsing condition with a high level of continuity into adulthood, w...