Read Full Story Rates of diabetes and hypertension are high among middle-aged and elderly people across all geographic measures and sociodemographic groups in India, according to the first nationally representative study of those conditions in the country. The study, led by researchers at Harvard T.H. Chan School of Public Health, also found unexpectedly high rates of hypertension among young adults.“Understanding how diabetes and hypertension prevalence varies within a country as large as India is essential for targeting of prevention, screening, and treatment services,” said lead author Pascal Geldsetzer, doctoral student in the Department of Global Health and Population.The study appears online Jan. 29, 2018 in JAMA Internal Medicine.India, home to more than a sixth of the world’s population, is in the midst of a rapid epidemiological transition. Rates of noncommunicable diseases have risen in recent decades and are likely to continue as India’s population ages and urbanizes. Meanwhile, many areas of India still face…infectious diseases and poor maternal and child health.The researchers wanted to find out how the prevalence of diabetes and hypertension in India varied by state, rural vs. urban location, and by sociodemographic characteristics such as education and household wealth. They used health data collected from 1,320,555 adults across India between 2012 and 2014, which included plasma glucose and blood pressure measurements.The findings showed that diabetes and hypertension were prevalent across all geographies and sociodemographic groups.Overall, prevalence of diabetes was 6.1 percent among women and 6.5 percent among men; for hypertension, 20.0 percent among women and 24.5 percent among menRates of diabetes and hypertension varied widely among statesHousehold wealth and urban location were positively associated with both conditions, and the prevalence of diabetes and hypertension among middle-aged adults in the poorest households in rural areas was also high (5.9 percent had diabetes and 30 percent had hypertension)Hypertension was higher among adults under 45 than previously estimated and was higher than in Central and Eastern Europe, the region previously estimated to have the highest rates for young adults“India has a window of opportunity to invest in its health system to effectively tackle hypertension and diabetes—both major killers. The potential for harnessing new technologies to reach the millions affected by these diseases and reverse the course of these epidemics is real. However, because the epidemics are worsening rapidly, now is the time for urgent action,” said Rifat Atun, co-senior author and professor of global health systems in the Department of Global Health and Population.“Diagnosis of hypertension and diabetes is straightforward but mostly untapped due lack of awareness and regular medical checkups,” added Ashish Awasthi, co-author and faculty at the Indian Institute of Public Health, Gandhinagar, India. “India needs to focus on these two silent killers as well as other non-communicable diseases to reduce the burden of preventable premature morbidity and mortality. If unchecked, we will see a lot more victims of these two diseases in next two decades.”Other Harvard authors included Jennifer Manne-Goehler, Sebastian Vollmer, Lindsay Jaacks, and Till Bärnighausen.Funding was provided by Harvard Medical School Center for Global Health Delivery–Dubai, and Harvard Chan School.
View Comments Colin Quinn: The New York Story Saturday Night Live and Trainwreck star Vanessa Bayer was in a New York state of mind on July 23, 2015, when she paid a visit to her pal Colin Quinn, writer and star of the new off-Broadway show The New York Story. Directed by Jerry Seinfeld, The New York Story features Quinn’s observations about growing up in Brooklyn and the changes that have happened in the Big Apple since he was a kid. Check out this Hot Shot of Bayer and Quinn hanging out after the show, then see Colin Quinn: The New York Story at the Cherry Lane Theatre! Related Shows Show Closed This production ended its run on Jan. 31, 2016
A self-sufficient member is a good thing. Do-it-yourself folks don’t need expensive help, are more likely to be satisfied, and are sticky — they are in it for the long run with their favorite financial cooperative. As long as that cooperative is meeting their needs. So, how docredit unions ensure they meet the needs of members?Two leading cooperatives — Langley Federal Credit Union ($3.0B, Newport News, VA) and Wright-Patt Credit Union ($4.9B, Beavercreek, OH) — have found that technology and education are two key ingredients in creating a corps of self-sufficient member-owners.“We start by educating the member at the time they open an account,” says Kim Riley, vice president of service delivery at Wright-Patt, the Buckeye State’s largest cooperative. continue reading » ShareShareSharePrintMailGooglePinterestDiggRedditStumbleuponDeliciousBufferTumblr
FHFA: Debt Reduction is ‘Still Under Consideration’ FHFA Director Mel Watt has been talking about mortgage debt reduction for underwater borrowers who have mortgages backed by Fannie Mae and Freddie Mac almost since he took over that position in January 2014.Housing advocates and Democratic lawmakers have been pressuring Watt to offer some sort of principal mortgage reduction for underwater borrowers since Watt took office. Offering debt reduction to homeowners on GSE-backed loans would be highly controversial because taxpayers remain on the hook for Fannie Mae and Freddie Mac loans while the GSEs remain in conservatorship. More than two years into his tenure as FHFA Director, Watt has still not made a move or a policy change regarding principal forgiveness.The Wall Street Journal reported on Monday, citing “people familiar with the matter,” that FHFA had approved a plan to cut mortgage balances for thousands of eligible homeowners. When contacted by MReport, the FHFA did not confirm or deny the Wall Street Journal story; an FHFA spokesperson did, however, tell MReport on Monday that “The issue of debt reduction is still under consideration and we’re looking for a responsible solution.”The FHFA decided not to offer principal forgiveness to homeowners under the direction of Watt’s predecessor, Ed DeMarco, according to an announcement in July 2012, the FHFA’s website said.”FHFA announced that after extensive analysis of the revised Home Affordable Modification Program Principal Reduction Alternative, including the determination by the Treasury Department to begin using Troubled Asset Relief Program monies to make incentive payments to Fannie Mae and Freddie Mac, we concluded the anticipated benefits do not outweigh the costs and risks,” FHFA said in the announcement. “We concluded the HAMP (Treasury’s Home Affordable Modification Program) alternative program did not clearly increase foreclosure avoidance while reducing costs to taxpayers relative to the approaches currently in place.”Watt has been reluctant to offer principal forgiveness due to the risk it poses to taxpayers, despite pressure from lawmakers and housing advocates. Senator Elizabeth Warren (D-Massachusetts) in particular drilled the Director in a Senate Banking Committee hearing in November 2014. Watt told the committee at that time regarding principal forgiveness that “We have to do this in a way that is responsible, otherwise we just reduce principal for everybody across the board.” Fannie Mae FHFA Freddie Mac Mortgage Debt Reduction 2016-03-22 Seth Welborn in Headlines, News, Secondary Market March 22, 2016 477 Views Share