The Lancet regional health. Southeast Asia最新文献

Reimagining India's National Telemedicine Service to improve access to care

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The Lancet regional health. Southeast Asia Pub Date : 2024-09-17 DOI: 10.1016/j.lansea.2024.100480

{"title":"Reimagining India's National Telemedicine Service to improve access to care","authors":"","doi":"10.1016/j.lansea.2024.100480","DOIUrl":"10.1016/j.lansea.2024.100480","url":null,"abstract":"<div><p>India's free-to-use National Telemedicine Service, eSanjeevani, has provided over 276 million consultations and shown promise to reduce systemic inequalities in access to care. However, recent reports of dropping footfall have raised questions about the potential of eSanjeevani to bridge service provision gaps in India. We reveal important problems linked to the design and practice of triage and tele-referral nationally within eSanjeevani, corroborated by the experience of one of the co-authors’ practice of Obstetrics and Gynaecology on the platform since 2022. Some of these factors include sub-optimal integration of general practitioners within the tele-referral pathway; inadequate training of health-workers leading to inappropriate and ineffective consultations; outdated or absent technological support; the absence of mechanisms for re-referrals; and lack of feedback loops. We propose measures to re-imagine eSanjeevani to become a more effective tool towards improving public health outcomes and achieving universal health coverage in India.</p></div>","PeriodicalId":75136,"journal":{"name":"The Lancet regional health. Southeast Asia","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772368224001306/pdfft?md5=35274016ca1b13b1b87df940e8e28716&pid=1-s2.0-S2772368224001306-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142240442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evolving dengue serotype distribution with dominance of dengue virus- 3 in Bangalore: critical insights for vaccine efficacy and implementation 班加罗尔登革热血清型分布不断变化，登革热病毒 3 占主导地位：对疫苗功效和实施的重要启示

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The Lancet regional health. Southeast Asia Pub Date : 2024-09-14 DOI: 10.1016/j.lansea.2024.100485

引用次数: 0

Thailand – how far are we from achieving a healthy and sustainable diet? A longitudinal ecological study 泰国--我们离实现健康和可持续饮食还有多远？一项纵向生态研究

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The Lancet regional health. Southeast Asia Pub Date : 2024-09-13 DOI: 10.1016/j.lansea.2024.100478

{"title":"Thailand – how far are we from achieving a healthy and sustainable diet? A longitudinal ecological study","authors":"","doi":"10.1016/j.lansea.2024.100478","DOIUrl":"10.1016/j.lansea.2024.100478","url":null,"abstract":"<div><h3>Background</h3><p>Newly industrialized countries like Thailand have been influenced by globalization, westernization, and urbanization over the last decades, leading to changes in dietary habits as well as food production. Consequences of these changes include rising non-communicable diseases (NCDs) and environmental degradation, which are defined as the leading global challenges today. The objectives of this study are to identify Thailand's dietary changes, considering health and sustainability aspects, and to determine correlations between these changes and NCD cases as well as environmental impacts (GHG emissions, land-, nitrogen-, phosphorus-use). In this way, diet-related adjustments can be identified to promote planetary and human health.</p></div><div><h3>Methods</h3><p>In this longitudinal ecological study, relative differences between the average food consumption in Thailand and the reference values of a healthy and sustainable diet, the Planetary Health Diet (PHD), were calculated. Furthermore, a bivariate correlation analysis was conducted, using data, based on Food and Agriculture Organization's (FAO's) data, results from the Global Burden of Disease Study (GBD), and PHD's reference values.</p></div><div><h3>Findings</h3><p>The consumption quantities of meat, eggs, saturated oils, and sugar increased significantly since 1961. The food groups, that have exceeded PHD's upper reference values, include sugar (+452%), red meat (+220%), grains (+143%), saturated oils (+20%) and eggs (+19%), while vegetables (–63%), and unsaturated oils (–61%) have fallen below PHD’s lower limits. Concerning the bivariate correlation analyses, all investigated variables show significant correlations. The most significant correlations were found in NCD cases (r = 0.903, 95% CI 0.804–0.953), nitrogen use (r = 0.872, 95% CI 0.794–0.922), and land use (r = 0.870, 95% CI 0.791–0.921), followed by phosphorus use (r = 0.832, 95% CI 0.733–0.897), and green-house gas (GHG) emissions (r = 0.479, 95% CI 0.15–0.712).</p></div><div><h3>Interpretation</h3><p>The results show, that the determined differences of unhealthy or unsustainable food groups have increased concurrently with NCD cases and environmental impacts over the last decades in Thailand. A shift towards a reduced intake of sugar, red meat, grains, saturated oils and eggs along with an increase in vegetables and unsaturated oils, might support environmental and human health.</p></div><div><h3>Funding</h3><p>None.</p></div>","PeriodicalId":75136,"journal":{"name":"The Lancet regional health. Southeast Asia","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772368224001288/pdfft?md5=863d76851f59511c7fdabb427637cdbf&pid=1-s2.0-S2772368224001288-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142228959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Learning from the Indian National Family Health Survey to assess population based oral, cervix and breast cancer screening in low-and-middle income countries 学习印度全国家庭健康调查，评估中低收入国家基于人口的口腔癌、宫颈癌和乳腺癌筛查情况

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The Lancet regional health. Southeast Asia Pub Date : 2024-09-13 DOI: 10.1016/j.lansea.2024.100483

引用次数: 0

177Lu-PSMA-617 for metastatic prostate cancer in India 177Lu-PSMA-617 在印度治疗转移性前列腺癌

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The Lancet regional health. Southeast Asia Pub Date : 2024-09-12 DOI: 10.1016/j.lansea.2024.100484

引用次数: 0

Economic burden of suicide deaths in India (2019): a retrospective, cross-sectional study 印度自杀死亡的经济负担（2019 年）：一项回顾性横断面研究

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The Lancet regional health. Southeast Asia Pub Date : 2024-09-12 DOI: 10.1016/j.lansea.2024.100477

{"title":"Economic burden of suicide deaths in India (2019): a retrospective, cross-sectional study","authors":"","doi":"10.1016/j.lansea.2024.100477","DOIUrl":"10.1016/j.lansea.2024.100477","url":null,"abstract":"<div><h3>Background</h3><p>India has the highest number of suicide deaths in the world. Suicide prevention requires policy attention and resource allocation. Evidence of economic losses due to disease burden can influence such allocations. We assessed the economic burden and its distribution across states and demographic groups in India.</p></div><div><h3>Methods</h3><p>We used the human capital approach in this retrospective cross-sectional analysis to assess the economic burden of suicide in India for the year 2019 for 28 Indian states and 3 union territories (UTs). We calculated the monetary value for the years of life lost disaggregated by states, age groups, and sexes. For sensitivity, we present a library of estimates using different discount rates, life expectancy thresholds, and estimates specific to the populations that can participate in the workforce.</p></div><div><h3>Findings</h3><p>The national economic burden of suicide was US$ 16,749,079,455 (95% Uncertainty Interval: 11,913,034,910–22,404,233,468). The top three states, Karnataka, Tamil Nadu, and Maharashtra, contributed to 44.82% of the total burden in India. The age group 20–34 years had the largest suicide burden and contributed to 53.05% of the overall national economic burden (US$ 8,885,436,385 [6,493,912,818–11,694,138,884]). Twenty states and UTs had a greater economic burden for females than males.</p></div><div><h3>Interpretation</h3><p>The current analysis ascertains a high economic burden of suicide among the Indian youth and females, necessitating concerted multisectoral efforts and immediate investments.</p></div><div><h3>Funding</h3><p>None.</p></div>","PeriodicalId":75136,"journal":{"name":"The Lancet regional health. Southeast Asia","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772368224001276/pdfft?md5=f3f420bf992727bc720efd9e7e068098&pid=1-s2.0-S2772368224001276-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Anthropometric indices in predicting 10-year cardiovascular risk among males and females aged 40–74 years in south and southeast Asia: analysis of 12 WHO STEPS survey data 预测南亚和东南亚 40-74 岁男性和女性 10 年心血管风险的人体测量指数：对 12 项世界卫生组织 STEPS 调查数据的分析

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The Lancet regional health. Southeast Asia Pub Date : 2024-09-12 DOI: 10.1016/j.lansea.2024.100481

{"title":"Anthropometric indices in predicting 10-year cardiovascular risk among males and females aged 40–74 years in south and southeast Asia: analysis of 12 WHO STEPS survey data","authors":"","doi":"10.1016/j.lansea.2024.100481","DOIUrl":"10.1016/j.lansea.2024.100481","url":null,"abstract":"<div><h3>Background</h3><p>The relevance of anthropometric indices in predicting cardiovascular disease (CVD) or CVD risk factors is established across different countries, particularly in the high-income countries. However, past studies severely lacked representation from the south and southeast Asian countries. The main aim of this study was to determine the performance of conventional and new anthropometric indices to best predict 10-year cardiovascular disease (CVD) risk in south Asian and southeast Asian populations.</p></div><div><h3>Methods</h3><p>The present study examined data from 14,532 participants in three south Asian and 13,846 participants (all aged between 40 and 74 years) in six southeast Asian countries, drawn from twelve cross-sectional studies (WHO STEPwise approaches to NCD risk factor surveillance [STEPS] survey data from 2008 to 2019). A Predictive performance of ten anthropometric indices were examined for predicting 10-year CVD risk ≥ 10% (CVD-R ≥ 10%). The 10-year CVD-R ≥ 10% was calculated by utilising the WHO CVD risk non-laboratory-based charts. Receiver operating characteristic (ROC) curve analysis was used to identify the optimal anthropometric index.</p></div><div><h3>Findings</h3><p>Among the ten anthropometric indices, a body shape index (ABSI), body adiposity index (BAI), body roundness index (BRI), hip index (HI), and waist-height ratio (WHtR) performed best in predicting 10-year CVD risk among south Asian males and females. Improved performances were found for ABSI, BRI, conicity index (CI), WHtR, and waist-hip ratio (WHR) for 10-year CVD-R ≥ 10% predictions among southeast Asian males. Contrastingly, among southeast Asian females, ABSI and CI demonstrated optimal performance in predicting 10-year CVD-R ≥ 10%.</p></div><div><h3>Interpretation</h3><p>The performance of anthropometric indices in predicting CVD risk varies across countries. ABSI, BAI, BRI, HI, and WHtR showed better predictions in south Asians, whereas ABSI, BRI, CI, WHtR, and WHR displayed enhanced predictions in southeast Asians.</p></div><div><h3>Funding</h3><p>None.</p></div>","PeriodicalId":75136,"journal":{"name":"The Lancet regional health. Southeast Asia","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772368224001318/pdfft?md5=d218fee105d08df194888f8292dc4b64&pid=1-s2.0-S2772368224001318-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The South Asian phenotype: greater clarity would help to improve cardiometabolic health 南亚表型：进一步明确有助于改善心脏代谢健康

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The Lancet regional health. Southeast Asia Pub Date : 2024-09-11 DOI: 10.1016/j.lansea.2024.100482

引用次数: 0

Incidence of Kawasaki disease among children in Chandigarh, India during 2015–2019: a trend analysis 2015-2019 年印度昌迪加尔儿童川崎病发病率：趋势分析

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The Lancet regional health. Southeast Asia Pub Date : 2024-09-10 DOI: 10.1016/j.lansea.2024.100474

{"title":"Incidence of Kawasaki disease among children in Chandigarh, India during 2015–2019: a trend analysis","authors":"","doi":"10.1016/j.lansea.2024.100474","DOIUrl":"10.1016/j.lansea.2024.100474","url":null,"abstract":"<div><h3>Background</h3><p>Only limited information exists regarding the epidemiology of Kawasaki disease (KD) in low-income and middle-income countries. The present study provides the incidence of KD during 2015–2019 in Chandigarh, north India. Our centre follows the largest KD cohort in India.</p></div><div><h3>Methods</h3><p>Children with KD at Chandigarh diagnosed during January 2015–December 2019 were enrolled in the study. Annual incidence rates were determined using decadal growth rates of the National Census 2011. We computed the incidence of KD in children aged <5, and <15 years. We also undertook linear trend analysis using our incidence data from 1994 to 2019.</p></div><div><h3>Findings</h3><p>During 2015–2019, 83 patients (66 males, 17 females) were diagnosed with KD in Chandigarh. Incidence rates during these 5 years were 5.64, 9.25, 9.11, 9.87, and 9.72/100,000 in children aged <5 years, and 2.65, 4.44, 3.86, 5.07, 4.74/100,000 in children aged <15 years. The median age at diagnosis was 48 months (range: 12 days to 15 years). Compared to previous data (2009–2014), there was a 53.1% increase in annual incidence of KD in children aged <5 years, and a 53.7% increase in children aged <15 years. Coronary artery abnormalities during acute phase were noted in 16.9%, and in 7.2% of patients at 6 weeks of follow-up. The trend analysis indicated a monthly rise of 0.002 cases per 100,000 children aged <5 years, and 0.0165 cases per 100,000 children aged <15 years.</p></div><div><h3>Interpretation</h3><p>The incidence of KD has continued to show an upward trend in Chandigarh over the period 2015–2019. This may indicate a true rise in the occurrence of KD or may reflect better disease ascertainment as a result of greater awareness about KD amongst healthcare professionals.</p></div><div><h3>Funding</h3><p>None.</p></div>","PeriodicalId":75136,"journal":{"name":"The Lancet regional health. Southeast Asia","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772368224001240/pdfft?md5=c0c09c983cef3a5e1a297a58054e86e4&pid=1-s2.0-S2772368224001240-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Engaging non-state providers towards PHC in South Asia: considerations for policymakers 让非国家提供者参与南亚初级保健：决策者的考虑因素

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The Lancet regional health. Southeast Asia Pub Date : 2024-09-01 DOI: 10.1016/j.lansea.2024.100454

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