At any given time during daylight hours, elderly Chinese gather in large groups to exercise and socialise.

It was one of my thought-provoking discoveries during my visit last month to the East Asian nation where life expectancy is 77.47 years.

At almost every place of interest, delegates of the Seminar for National Press Officers and Journalists from Belt and Road Countries, who were in Beijing from July 12 to July 25, witnessed scores of senior citizens working up a sweat. 

No matter their physical structure or gender, many of them engaged in a variety of exercise routines – some simple, others testing their mental and physical strength. Others engaged in dance sessions, sang or played musical instruments. 

The game Ti Zian Ji, during which players use their feet instead of racquets to hit a shuttlecock, appeared to be a favourite. According to unofficial reports, some Chinese would spend hours playing the game.

But whatever they were doing, these seniors all looked stress-free and relaxed.

It was explained to the 14 delegates that China’s elderly care policy plans request local governments to set up facilities for senior education and leisure, including parks, green spaces, and sporting facilities.

Some of us remarked that we would love to see similar spaces being created for elderly citizens in our own countries.

It made me think that even though the elderly in Barbados flock to the beaches for water therapy and exercise, local authorities could perhaps follow China’s lead and develop additional safe recreational spaces across the island for older folk.

While on a visit to the Temple of Heaven, some of us joined in a dancing session in the recreational area there.

The Temple of Heaven is the place where the emperors of the Ming and Qing dynasties “worshipped the heaven” and “prayed for the good harvest”.

Tour guide Lili Yang said that almost every day, retirees visit the location, which is also used as a public park, to exercise.

“We have a lot of public parks in Beijing provided by the local government and they are open to retired people to go for morning and evening exercise. We have a lot of retired people, so going to the parks is a kind of social life for Chinese local elderly people,” Yang said. 

“They dance and they play musical instruments and they do all kinds of activities that help them to entertain themselves. Whether they are dancing, singing or exercising, you can see on their faces that they are very happy with what they are doing. The retired people are very happy that they have these parks where they can go.”

Another highlight of the two-week seminar was the visit to the Yunnan Ethnic Village, located on the south side of Kunming. 

The village is one of the most popular tourist attractions in the Yunnan province’s capital and largest. 

Ethnic minority villages, including those of the Dai, Bai and Yi people, have their own folk customs and craft performances. 

During minority festivals such as the Songkran Festival in April and the Torch Festival in July and August, the ethnic village also hosts lively celebrations which thousands travel from far and near to see. 

Tomorrow, we bring the final installment of Anesta Meets China, a five-part series about the experience of Barbados TODAY journalist Anesta Henry in China.

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Speaking at the 7th Annual General Meeting of the Breastfeeding & Child Nutrition Foundation at the Sandy Lane Hotel on Saturday, July 15, Dr Sonia Browne, Minister of State in the Ministry of Health & Wellness, emphasised the potential of breastfeeding in mitigating the risk of chronic noncommunicable diseases in children throughout their lives.

Dr Browne highlighted that breastfed children experience a reduced risk of developing various conditions including but not limited to, asthma, severe respiratory diseases, obesity, ear infections, and gastrointestinal infections. She explained that breastfeeding also fosters a profound bond between mother and child while offering numerous benefits to the mother such as a lower risk of type 2 diabetes, hypertension, breast and ovarian cancer, and postpartum weight loss. 

Expressing her admiration for the Breastfeeding & Child Nutrition Foundation’s initiatives, Dr Browne acknowledged their efforts in empowering women and promoting effective breastfeeding practices. 

“I am particularly impressed by the many initiatives of the Foundation…including programmes such as the Baby and Me Breastfeeding Support Group, the Baby and Me WhatsApp Group, breastfeeding classes and consultations, advocacy for breastfeeding-friendly workshop policies, and community outreach.”

Echoing her sentiments, Dr Alison Bernard, the Executive Director of the Breastfeeding & Child Nutrition Foundation, commented, “We came up with this year’s theme, Achieving our Vision: Building Community Capacity for the Future, very quickly, because empowering our beneficiaries to optimise their children’s nutrition is a high-priority objective for the BCNF.”

Providing families with the necessary tools, education, and skills to improve their children’s nutrition lies at the core of the organisation’s mission.

 Dr. Bernard further stressed the need for employers to implement supportive measures for new mothers in the workplace, including the provision of clean and private spaces for pumping and storing breast milk. She advocated for flexible work hours and remote work options, which can lead to benefits for employers such as decreased absenteeism, improved productivity, employee satisfaction, retention, and reduced medical insurance claims.

Recognising the significance of breastfeeding on public health and well-being, the World Health Assembly has set a target of achieving a breastfeeding rate of at least 50 per cent by 2025. However, a critical aspect lacking in Barbados’ breastfeeding efforts is up-to-date breastfeeding data. The last available data is from 2012, which hinders accurate assessment and progress tracking on a national level. The Breastfeeding & Child Nutrition Foundation urges the ministry to prioritise the collection of current and comprehensive breastfeeding data, stressing the need for understanding breastfeeding practices, duration, and the transition to solid foods.

Breastfeeding plays a vital role in the development and long-term health of children, and it is essential to support and encourage breastfeeding practices at all levels. By championing breastfeeding and empowering mothers, Barbados can enhance the well-being of its population and achieve lasting positive impacts. It is estimated that for every $1 spent on breastfeeding, there is a return on investment of $35, and upscaling breastfeeding globally could potentially save $300 billion annually. Implementing a range of policies and actions will allow Barbados to reach national and international health goals for the population.

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Health and education officials in Barbados are sharing ideas on how to accelerate the removal of ultra-processed products from schools across the region.

They are hoping this will be one of several strategic approaches to address the issue of childhood obesity, which they said has become very worrisome.

They are holding discussions at a two-day event which opened on Tuesday at the Courtyard by Marriott Bridgetown, hosted by the Healthy Caribbean Coalition (HCC) and the Pan-American Health Organisation (PAHO), and attended by several local and regional stakeholders.

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SEATTLE (AP) — The next big advance in cancer treatment could be a vaccine.

After decades of limited success, scientists say research has reached a turning point, with many predicting more vaccines will be out in five years.

These aren’t traditional vaccines that prevent disease, but shots to shrink tumors and stop cancer from coming back. Targets for these experimental treatments include breast and lung cancer, with gains reported this year for deadly skin cancer melanoma and pancreatic cancer.

“We’re getting something to work. Now we need to get it to work better,” said Dr. James Gulley, who helps lead a center at the National Cancer Institute that develops immune therapies, including cancer treatment vaccines.

More than ever, scientists understand how cancer hides from the body’s immune system. Cancer vaccines, like other immunotherapies, boost the immune system to find and kill cancer cells. And some new ones use mRNA, which was developed for cancer but first used for COVID-19 vaccines.

For a vaccine to work, it needs to teach the immune system’s T cells to recognize cancer as dangerous, said Dr. Nora Disis of UW Medicine’s Cancer Vaccine Institute in Seattle. Once trained, T cells can travel anywhere in the body to hunt down danger.

“If you saw an activated T cell, it almost has feet,” she said. “You can see it crawling through the blood vessel to get out into the tissues.”

Patient volunteers are crucial to the research.

Kathleen Jade, 50, learned she had breast cancer in late February, just weeks before she and her husband were to depart Seattle for an around-the-world adventure. Instead of sailing their 46-foot boat, Shadowfax, through the Great Lakes toward the St. Lawrence Seaway, she was sitting on a hospital bed awaiting her third dose of an experimental vaccine. She’s getting the vaccine to see if it will shrink her tumor before surgery.

“Even if that chance is a little bit, I felt like it’s worth it,” said Jade, who is also getting standard treatment.

Progress on treatment vaccines has been challenging. The first, Provenge, was approved in the U.S. in 2010 to treat prostate cancer that had spread. It requires processing a patient’s own immune cells in a lab and giving them back through IV. There are also treatment vaccines for early bladder cancer and advanced melanoma.

Early cancer vaccine research faltered as cancer outwitted and outlasted patients’ weak immune systems, said Olja Finn, a vaccine researcher at the University of Pittsburgh School of Medicine.

“All of these trials that failed allowed us to learn so much,” Finn said.

As a result, she’s now focused on patients with earlier disease since the experimental vaccines didn’t help with more advanced patients. Her group is planning a vaccine study in women with a low-risk, noninvasive breast cancer called ductal carcinoma in situ.

More vaccines that prevent cancer may be ahead too. Decades-old hepatitis B vaccines prevent liver cancer and HPV vaccines, introduced in 2006, prevent cervical cancer.

In Philadelphia, Dr. Susan Domchek, director of the Basser Center at Penn Medicine, is recruiting 28 healthy people with BRCA mutations for a vaccine test. Those mutations increase the risk of breast and ovarian cancer. The idea is to kill very early abnormal cells, before they cause problems. She likens it to periodically weeding a garden or erasing a whiteboard.

Others are developing vaccines to prevent cancer in people with precancerous lung nodules and other inherited conditions that raise cancer risk.

“Vaccines are probably the next big thing” in the quest to reduce cancer deaths, said Dr. Steve Lipkin, a medical geneticist at New York’s Weill Cornell Medicine, who is leading one effort funded by the National Cancer Institute. “We’re dedicating our lives to that.”

People with the inherited condition Lynch syndrome have a 60% to 80% lifetime risk of developing cancer. Recruiting them for cancer vaccine trials has been remarkably easy, said Dr. Eduardo Vilar-Sanchez of MD Anderson Cancer Center in Houston, who is leading two government-funded studies on vaccines for Lynch-related cancers.

“Patients are jumping on this in a surprising and positive way,” he said.

Drugmakers Moderna and Merck are jointly developing a personalized mRNA vaccine for patients with melanoma, with a large study to begin this year. The vaccines are customized to each patient, based on the numerous mutations in their cancer tissue. A vaccine personalized in this way can train the immune system to hunt for the cancer’s mutation fingerprint and kill those cells.

But such vaccines will be expensive.

“You basically have to make every vaccine from scratch. If this wasn’t personalized, the vaccine could probably be made for pennies, just like the COVID vaccine,” said Dr. Patrick Ott of Dana-Farber Cancer Institute in Boston.

The vaccines under development at UW Medicine are designed to work for many patients, not just a single patient. Tests are underway in early and advanced breast cancer, lung cancer and ovarian cancer. Some results may come as soon as next year.

Todd Pieper, 56, from suburban Seattle, is participating in testing for a vaccine intended to shrink lung cancer tumors. His cancer spread to his brain, but he’s hoping to live long enough to see his daughter graduate from nursing school next year.

“I have nothing to lose and everything to gain, either for me or for other people down the road,” Pieper said of his decision to volunteer.

One of the first to receive the ovarian cancer vaccine in a safety study 11 years ago was Jamie Crase of nearby Mercer Island. Diagnosed with advanced ovarian cancer when she was 34, Crase thought she would die young and had made a will that bequeathed a favorite necklace to her best friend. Now 50, she has no sign of cancer and she still wears the necklace.

She doesn’t know for sure if the vaccine helped, “But I’m still here.”

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Director of the Barbados Drug Service (BDS), Maryam Karga-Hinds, has provided an update regarding some of the drugs which have been affected by recent supply challenges.

Karga-Hinds stated that with respect to the steroid Prednisolone, which is used to treat several conditions, including asthma and Long-COVID, there have been a number of delays in shipment from the contracted supplier, causing the need for a second supplier to be contracted. The shipment of this drug is now scheduled to arrive in two to three weeks. The Drug Service is also currently searching for stock that is readily available.

Additionally, she said there has been an issue with the drug Androcur (Cyproterone), which is used to treat prostate cancer, where the manufacturers have been experiencing shortages with obtaining the raw materials. This has resulted in rationing, leading to buyers not receiving the amounts ordered from the suppliers.

Karga-Hinds noted that the Barbados Drug Service contracted a generic supplier to fill the need, but the product has to be manufactured and the generic is not expected to be ready before the end of June. There is a limited supply on island.

She further stated that in the past few months, there have been significant challenges with Epilim which is used to treat epilepsy. She pointed out that this is not a product which can be easily interchanged.

The local agent has indicated that small quantities of the 300 mg and 500 mg have been shipped, however, the 300 mg strength is scheduled for discontinuation by year-end. The Drug Service is actively looking for a replacement product.

The Director indicated that the supplier of Ibuprofen, an anti-inflammatory drug, has advised that a limited supply is available on island and should be ready for sale shortly.

She also shared that a shipment of Ventolin liquid, which is used to treat asthma, is on its way to the island adding that, recently, a quantity of this drug expired and had to be destroyed because of the lack of demand. Ventolin tablet is no longer on the Barbados national drug formulary.

Karga-Hinds expressed regret over any challenges experienced by the public as it relates to availability of medication. She stated that the management and staff of the Barbados Drug Service will continue to do all in their capacity to re-establish supply of the items that are out of stock.

The Ministry of Health and Wellness is committed to updating the public with relevant information as it becomes available.

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Tobacco use remains a major public health concern in the Caribbean Region. There is no safe level of exposure to tobacco smoke. The use of tobacco products in any form harms nearly every organ of the body, irrespective of whether it is smoked, smokeless, or electronic. Of all the forms of tobacco use, most common in the Caribbean region is cigarette smoking. Cigarette smoking is the number one risk factor for lung cancer. Using other tobacco products such as cigars or pipes also increases the risk for this disease.

Second-hand smoke exposure causes stroke, lung cancer, and coronary heart disease in adults; and acute respiratory infections and severe asthma in children. It is a preventable risk factor for noncommunicable diseases (NCDs), which are the leading cause of death, disease and disability among Caribbean people. 

This year, World No Tobacco Day focuses on Grow Food, Not Tobacco. This campaign advocates for ending tobacco cultivation and switching to more sustainable crops that improve food security and nutrition. The campaign observed annually on 31 May, also informs the public on the dangers of direct use, and exposure to tobacco.

In the Caribbean Region, non-communicable diseases (NCDs) are the leading cause of death and disability – 76.8 per cent of the total deaths (non-Latin Caribbean, excluding Haiti) were due to NCDs in 2016. Cardiovascular diseases 30.8 per cent and cancer 17.2 per cent are the leading causes of death due to NCD, both linked to tobacco use. Many of these persons die in the prime of their lives before the age of 70 years old. The prevalence of smokers for overall tobacco products ranged from 57.2 per cent prevalence (95 per cent CI 48.4 to 65.4 percent ) to 16.2 per cent (95 percent CI 11.2 to 23.0 per cent ). 

According to the Report on Tobacco Control in the Region of the Americas (2018) Caribbean countries have the highest levels of tobacco experimentation before the age of 10.

Dr. Joy St. John, Executive Director at the Caribbean Public Health Agency (CARPHA) warned: “Smokeless does not mean harmless. Nicotine in e-cigarettes is a highly addictive drug and can damage children’s developing brains. Children and adolescents who use e-cigarettes at least double their chance of smoking cigarettes later in life. Preventing tobacco product use among youth is therefore critical. It is important that we educate children and adolescents about the harms of nicotine and tobacco product use. We must work to prevent future generations from seeing such products as ‘normal.’”

In 2008, the Caribbean Community (CARICOM) endorsed the recommendation to ban smoking in public spaces. Later, in 2012, CARICOM regulated a standard for labelling retail packages of tobacco products with health warnings. Caribbean civil society organisations (CSOs), working in collaboration with local governments and international partners, have led the charge in fighting for significant gains in tobacco control in the Caribbean region.

Dr Heather Armstrong, Head, Chronic Disease and Injury said: “At CARPHA, we believe that reducing the harm caused by tobacco use requires a collective approach, where government, civil society, and the individual play a critical role. CARPHA promotes the prevention of tobacco use in all forms and commitment to the WHO FCTC. The focus on tobacco control deals with the youth of the Region. Children and adolescents who use e-cigarettes at least double their chance of smoking cigarettes later in life.”

The Chronic Diseases and Injury Department of CARPHA provides leadership, strategic direction, coordinates and implements technical cooperation activities directed towards the prevention and control of NCDs in CARPHA Member States. CARPHA’s message for prevention of tobacco product use has spread across its Member States.

In 2018, CARPHA in partnership with the University of the West Indies (UWI), Global Health Diplomacy Program at the University of Toronto, the Pan American Health Organization (PAHO), and the Healthy Caribbean Coalition evaluated the Port of Spain Declaration to learn which mandates helped to prevent and control NCDs. Taxation, smoke-free public places mandate, and mandatory labelling of tobacco products are some of the leading policies making the biggest impact on reduction of tobacco use in the Caribbean regions.

CARPHA urges Member States to work together to prevent and reduce the use of all forms of tobacco products, and scale-up efforts to implement their commitments under the WHO Framework Convention on Tobacco Control (FCTC). By doing so, the negative impact of smoking and its consequences on the health of our people, especially the younger generation, and the tremendous burden on the economies of the countries in our Region, will greatly be reduced. (CARPHA) 

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Barbadian men need to come forward and be tested for prostate cancer. This was the plea made by president of the Barbados Cancer Society, Professor R David Rosin, as he spoke during Sunday’s Prostate Cancer Walk.

The walk was recently launched to encourage more men to get tested for the disease.

Professor Rosin said even though more Barbadians are coming forward to be tested, the numbers among men are still worryingly low, and needed to see a change.

“Men I think don’t like to show weakness, so they don’t come forward. That’s why we really [need] more education … cancer is not such a disaster, in fact in the rest of the world [prostate cancer] is the least worrying, because men can live with it. Unfortunately, in men of African descent it’s more aggressive, so they need to come forward and they need to be sensible. Forget the idea that it’s showing weakness … come forward,” he said.

While noting the results of a recent trial which involved 565 men over 40 that showed thousands of Barbadian men as young as 40 have a specific DNA (deoxyribonucleic acid) molecule gene that predisposes them to the development of prostate cancer, Rosin stressed it was vital for men to come out in their numbers and get tested as soon as possible in order for necessary treatment to take place.

“In Barbados, prostate cancer is the most common cancer that we have. We roughly have in the last census in 2018, 325 men with prostate cancer. When you consider that it’s only half the population being men, that is a very high percentage. I think Barbados is the third highest in the world for prostate cancer [so] it’s vital that we diagnose this as early as possible.

“As with any [other] cancer, if we diagnose it early, then of course it’s very treatable. The whole idea of today’s walk is to really bring everybody’s attention to come forward and be screened.” (SB)

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There was a steady stream of men into the Cancer Support Services Dayrells Road office on Saturday as they took part in its Prostate Specific Antigen (PSA) screen.

Reporting that over 150 men had been screened since the doors opened at 9 a.m., Executive Director Janette Lynton said the organisation is seeing an increase in the number of men coming forward to be tested for prostate cancer, the number one killing cancer in the island.

“We are pleased because we are seeing first timers and younger men coming forward, which means the message is getting out there. However, we would love to see more ,” she said.

Pointing out that the PSA test is a blood test, which checks the level of PSA, she reminded people that if a high level is detected, this does not always mean that a male has prostate cancer, as infections and other conditions could be the cause.

“It is always best to take the results to your physician and your physician will determine what further assessment you will need,” she said.

Speaking to Barbados TODAY on the importance of men getting tested, Lynton said that early detection means that treatment will be more successful.

“Early detection is the key,” she said, adding that the next screening will be held in six weeks. (JB)

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Nurses need opportunities and resources to ensure they can sustainably protect the health of the nation, says acting Chief Nursing Officer Annastacia Jordan.

She said it’s critical that nurses are further trained in various skills to enhance what they offer professionally and are equipped with the necessary tools.

“We must protect and support our nurses by providing the needed education and the resources to deliver safe and effective nursing care. As we look to the future, we must transform our profession from invisible to invaluable in the eyes of the public… We must chart the future direction of nursing, to build capacity in all areas, to ensure the sustainable growth of our profession [and] to meet the ever changing complex health-care needs of our citizens,” she said, while addressing a ceremony at Savannah Hotel on Friday to launch Nurses’ Week 2023.

“As such, our goal is to strengthen our health-care systems by investing in our workforce to address the changing and growing health needs of our population. Upscaling our nursing skills and capacity is an important step in giving nurses a greater say in decisions, affecting scopes of practice, competence and safety.

“Nurses will be better able to manage client conditions using innovative ways to work within existing constraints and perform their jobs more effectively. Consequently, our practice will play a strategic role in the future delivery of more efficient, accessible, affordable, acceptable health-care services for Barbadians and those visiting our shores through the pandemic.”

In his remarks, Minister of Health and Wellness, Senator Dr Jerome Walcott said that although the local nursing fraternity is faced with a myriad of issues, including fighting non-communicable diseases and the migration of health-care workers, Government is committed to putting measures in place to ensure the health-care industry is a desirable sector in which to work.

“In order to adequately address these challenges, we must pay close attention to the entire health workforce and especially the nursing component while ensuring that it remains fit-for-purpose to effectively deal with the aforementioned multitude of changing health concerns.”

The Health Minister said: “My Government has and continues to make significant investments in improving the capacity of the nursing profession. We recognise that nurses are critical in the government’s road map to achieving the sustainable development goals and ensuring Barbados’ commitment to universal health coverage.”

Walcott explained that his ministry has been listening to the complaints of health-care workers and is addressing them.

“We have been listening to your complaints about nursing shortages and conditions of work and lack of opportunities. We will work with you in this regard.”

He added that training opportunities are being provided and nurses are being trained in the areas of dermatology and public health. He said that midwifery training will resume next January.

Walcott also indicated that 40 people will soon be trained in pediatric nursing at  the diploma level.

The theme for Nurses’ Week this year is Our Nurses, our Future. The week is internationally recognised from May 6 to May 12. (SZB) 

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Clad in blue t-shirts bearing the words ‘Accept’, ‘Understand’, ‘Love’, the Autism Association of Barbados took to the streets this morning to help build awareness of Autism Spectrum Disorder (ASD).

Dozens of people participated in the Autism Awareness Heroes Walk, which is part of a series of events to mark Autism Awareness Month. A workshop on the tested tools for ASD and an awareness drive were among the other events held throughout April.

President of the association, Frank Johnson, said the annual walk is a means of educating the public on many traits and forms of the disorder.

“Being a spectrum disorder, of course, it affects people profoundly as well as lightly, but we are here to cover all of the bases today,” he told Barbados TODAY.

Under the watchful eye of the Barbados Police Service, participants walked from the headquarters of the  Barbados Council for the Disabled located at Garrison, St Michael, to Hastings Road, through Dayrells Road and back. (JB)

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