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Women With Gestational Diabetes During Pregnancy Have A Substantial And Persistently Elevated Risk Of Type 2 Diabetes Post-Birth
Women who develop gestational diabetes (GD) during pregnancy have a seven-and-a-half times increased risk of developing type 2 diabetes post-birth, which lasts throughout their lifetime. However, there is no agreed policy on the long-term follow up of these women and many do not return for the currently recommended 6-week post-birth diabetes check. An Article in this week"s diabetes special issue of The Lancet says that the strength of the association suggests that both disorders have an overlapping cause-and this should act as an incentive for women to attend the recommended post-birth check. This attendance could be an opportunity to provide advice on diet and exercise, and treatments to delay or prevent onset of diabetes-as well as alerting these women to symptoms of future diabetes, and to alert general practitioners responsible for their long-term care.
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Fishing Industry Contributing To Spread Of HIV Around Africa's Lake Victoria
The fishing industry and some cultural practices in communities living around Africa"s Lake Victoria are contributing to the spread of HIV/AIDS and other sexually transmitted infections in the area, according to a panel of experts at a recent meeting in Kisumu, Kenya, The Citizen reports. According to the panel, cultural practices such as widow inheritance, commercial sex work for fish and the long-distance trucking industry have led to the spread of HIV/AIDS. HIV/AIDS prevalence among women and people who live along the beaches of the lake is particularly high, the meeting participants noted.The four-day meeting was held by the Lake Victoria Basin Commission and involved members of the East African Community and other officials. Meeting delegates were taken to cross-border control posts along the Kenya-Uganda border to interact with people living with HIV/AIDS, commercial sex workers, long-distance truck drivers and district government officials. Doreen Othero, HIV/AIDS technical specialist at the LVBC Secretariat, said that the group "managed to bring together organizations working in HIV/AIDS along transport corridors to share information, improve coordination and build synergy among the various programs so as to have maximum impact on the corridors" most at risk populations."Jean Claude Nsengiyumva, EAC deputy secretary general in charge of productive and social sectors, said that the fight against HIV/AIDS will be successful through a coordinated and collaborative effort among all stakeholders. He said that EAC has introduced a four-year Regional Multisectorial HIV/AIDS Strategic Plan, ending in 2012, that aims to address HIV/AIDS in the region. The region also is undergoing efforts to create more collaboration between regional, international and multisectorial organizations that have projects for HIV/AIDS education, care, treatment and testing. Othero said there are more than four million HIV-positive people and more than 3.5 million orphans and vulnerable children in EAC partner states (The Citizen, 5/27).
News of the day
St. Jude Medical Completes Implants In U.S. Study Of Deep Brain Stimulation For Parkinson's Disease
St. Jude Medical, Inc. (NYSE:STJ) announced the completion of patient implants in its U.S. pivotal clinical study of deep brain stimulation (DBS) for the symptomatic treatment of Parkinson"s disease, a neurological disorder affecting approximately 6.3 million people worldwide that progressively diminishes a person"s control over his or her movements. The announcement was made at the Movement Disorder Society"s 13th International Congress of Parkinson"s Disease and Movement Disorders in Paris.
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Op-Ed: Pres. Obama's Ghana Trip, Africa Policy

Obama"s Policy Could Make U.S.-Africa Relations "Flower" Although critics have said that President Obama"s speech in Ghana "sounded a familiar refrain" echoing "the same message about good governanceň€¦ from presidents Clinton and George W. Bush" and "[n]o new programs or initiatives" for the continent, "just because the message is old doesn"t mean it"s not worth repeating," according to a Los Angeles Times editorial. Obama "made it clear last weekend that those who expect him to shower the continent with gifts will be disappointed," according to the newspaper. "Obama is building on a solid aid network that Bush created on the African continent," writes the Los Angeles Times. "Although it was Bush who planted the seeds for a more mutually beneficial partnership between the U.S. and Africa, his foreign policy elsewhere made him deeply unpopular from Madagascar to Morocco; under Obama, the relationship has a chance to flower," the editorial concludes (7/15). How U.S. And European Aid Could "Converge" In a Guardian opinion piece, Paul Collier of Oxford University writes that Obama"s message in Ghana -- "America will help, where it can, to tilt the balance towards brave people struggling for change" -- can provide "the basis for a new, common approach" to African aid. The U.S. and Europe have "chosen different mechanisms for aid: Europe has favoured budget support, in which the recipient government decides how the money is spent; America has preferred project aid, where the money is tied to a specific expenditure," writes Collier. An independent assessment of "satisfactory" governance and "integrity of budget systems," would allow Europe and America to "safely converge on budget support. Where it was found unsatisfactory, aid would be conditional upon accountants. Governments would know that to get foreign accountants off their backs they need to build systems that withstand scrutiny." He concludes, "The rationale for cleaning up budgets is not that it would safeguard our money, but that it would clean up politics" in Africa (7/14). This information was reprinted from globalhealth.kff.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Global Health Policy Report, search the archives and sign up for email delivery at globalhealth.kff.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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