Experts are concerned about the direction Quebec is taking by increasingly turning to the private sector to provide health care to the popul
Experts are concerned about the direction Quebec is taking by increasingly turning to the private sector to provide health care to the population (care that is often publicly funded).
A new study by Institute for Research and Socioeconomic Information (IRIS) and the Canadian Centre for Policy Alternatives shows that countries with a greater private presence in health care have higher mortality rates and lower life expectancy.
The study published on Thursday, analyzed the health-care systems of 25 member countries of the Organization for Economic Cooperation and Development (OECD). The results conclude that countries that allow more room for private for-profit entities in the health-care sector perform worse on seven mortality indicators.
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A new World Health Organization (WHO) report highlights that 5.6 billion people – 71% of the world’s population – are now protected with at
"A new World Health Organization (WHO) report highlights that 5.6 billion people – 71% of the world’s population – are now protected with at least one best practice policy to help save lives from deadly tobacco – five times more than in 2007.
[Note: Going by the math, that means just (roughly) 14% of people were covered by tobacco control policies in 2007. Talk about a huge increase!]
In the last 15 years since WHO’s MPOWER tobacco control measures were introduced globally, smoking rates have fallen. Without this decline there would be an estimated 300 million more smokers in the world today.
This WHO Report on the global tobacco epidemic, supported by Bloomberg Philanthropies, is focused on protecting the public from second-hand smoke, highlighting that almost 40% of countries now have completely smoke-free indoor public places.
The report rates country progress in tobacco control and shows that two more countries, Mauritius and the Netherlands, have achieved best-practice level in all MPOWER measures, a feat that only Brazil and Türkiye had accomplished until now.
[Note: In late 2021, the former Turkey changed official its name to Türkiye, shedding the English/Anglicized spelling.]
“These data show that slowly but surely, more and more people are being protected from the harms of tobacco by WHO’s evidence-based best-practice policies,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General...
Smoke-free public spaces is just one policy in the set of effective tobacco control measures, MPOWER, to help countries implement the WHO Framework Convention on Tobacco Control and curb the tobacco epidemic.
Smoke-free environments help people breathe clean air, shield the public from deadly second-hand smoke, motivate people to quit, denormalize smoking and help prevent young people from ever starting to smoke or use e-cigarettes.
“While smoking rates have been going down, tobacco is still the leading cause of preventable death in the world – largely due to relentless marketing campaigns by the tobacco industry,” said Michael R. Bloomberg, WHO Global Ambassador for Noncommunicable Diseases and Injuries...
Eight countries are just one MPOWER policy away from joining the leaders in tobacco control: Ethiopia, Iran, Ireland, Jordan, Madagascar, Mexico, New Zealand, and Spain...
This report demonstrates that all countries irrespective of income levels can drive down the demand for deadly tobacco, achieve major wins for public health and save economies billions of dollars in health care and productivity costs."
Ok, so my mom forwarded me an email about some studys. The email will be copy and pasted down below but I'm going to summarize it here
Basically, studys show that if people with ADHD take meds ADHD mortality rates go down. And I just want to say, yeah no shit! This should be a suprize to absolutely no one! If you give people that are impulsive, get easily distracted, and who are hyperactive something to fix that they are less likely to get distracted while driving, spending irresponsibly into financial ruin and doing dangerous thrill seeking activities! Of corse we are going to live longer if we don't accidentally do things that put our lives at risk!
Anyway, study below:
This issue of Attention Research Update reviews 2 recently published
studies that examine whether stimulant medication treatment reduces the
mortality rate in individuals with ADHD. Both are population-based
studies with very large samples so the results are likely to be highly
reliable.
Thanks again for your ongoing interest in the newsletter. I hope that
you enjoy today's issue.
Sincerely,
David Rabiner, Ph.D.
Research Professor
Duke University
==============================================
*ADHD medication treatment linked to reduced mortality rates *
Among the multiple negative outcomes linked to ADHD, there is evidence
of an increased risk of premature mortality; this reflects, in part, the
increased rate of unintentional injuries and accidents that people with
ADHD experience. Whether ADHD medication treatment mitigates this
increased mortality risk, however, is not known.
Two recently published studies provide new data on this important
issues. The first study, {Li et al., (2024). ADHD pharmacotherapy and
mortality in individuals with ADHD. /JAMA, 331,/ 850-860] used national
health records to identify over 148K individuals diagnosed with ADHD
between 2007 and 2018; median age at diagnosis was just over 17-years-old.
The follow-up period was from ADHD diagnosis until death, emigration
from the country, 2 years after ADHD diagnosis, or end date of the
study, whichever came first. Mortality rates during the follow-up period
were compared for the roughly 57% of the sample began receiving ADHD
medication within 3 months of diagnosis and the 43% that had not.
The 2-year mortality risk was lower in the initiation treatment strategy
group (39.1 per 10 000 individuals) than in the non initiation treatment
strategy group (48.1 per 10 000 individuals), with a risk difference of
−8.9 per 10 000 individuals . Thus, the reduction in mortality was
approximately 19%.
The authors also examined mortality from natural, e.g., illness, vs.
unnatural causes, e.g, car accident. They found that initiating
medication treatment was only linked to reduced mortality from unnatural
and not natural causes.
Study 2
A related study. *ADHD medication use and risk of mortality and
unintentional injuries: a population-based cohort study* [Vasiliadis et
al., (2024). Translational Psychiatry, 14] provides additional support
for a link between ADHD medication treatment and reduced mortality risk.
The authors used Quebec health administrative data to identify over
217,000 individuals diagnosed with ADHD between 2001 and 20021.
Individuals were followed from diagnosis until turning 25, death, or
study end. Based on the administrative data, the authors determined when
individuals were receiving medication and whether they were receiving
stimulant or non-stimulant ADHD meds.
After controlling for a number of relevant variables, mortality rates
were about one-third lower when individuals were receiving stimulant
medication. Mortality rates for non-stimulant medications were not
lower, however.
In addition, for both stimulants and non-stimulants, rates of injuries
leading to either emergency room visits or hospitalization were
significantly lower compared to non-medication periods, also by about
one-third.
*Summary and implications*- Results from these studies suggest that
stimulant medication treatment reduces the mortality risk associated
with ADHD.. As reported in study 1, this likely operates through
reducing deaths from unnatural causes, i.e., accidents. Results from
study 2 suggest that non-stimulant meds for ADHD, e.g., atomoxetine, do
not provide the same protective effect for mortality risk, but that both
stimulant and non-stimulant meds reduce the risk of injury that lead to
ER visits and hospitalizations. Given that non-stimulant meds reduced
the risk of serious injuries, it is unclear why similar reductions in
mortality risk were not also found.
These findings add to the recent literature showing that ADHD
medications do not increase the risk of sudden deaths due to
cardiovascular events. Thus, both studies contributes to the evidence
that stimulants do not increase overall mortality risk but are
associated with a decreased risk.
As noted above, a possible explanation for the reduced risk of mortality
associated with ADHD medication use include a decreased risk of
impulsive behaviors leading to unintentional physical injuries and motor
vehicle accidents [, as well as brain injuries leading to hospitalizations.
While these studies utilized large, representative samples, there are
limitations to recognize. First, information on the duration of
medication treatment was not provided and this may be an important
factor in reducing mortality risk. Information on other treatments that
participants received was also missing, and it's possible that those
receiving medication were also more likely to be getting additional
treatment, e.g., behavior therapy, that played a role in reducing risk.
Finally, because individuals were not randomly assigned to receive
medication or not, it cannot be conclusively determined that medication
treatment caused the reduction in risk. This is an unavoidable issue,
however, as random assignment to treatment over a sustained period is
neither possible nor ethical.
It is also important to put these results in context, as the link
between medication treatment and reduced mortality risk could lead to
the idea that it should always be implemented. However, mortality risk
in an absolute sense was quite small even without such treatment (in
study 1, 48.1 per 10,000 or 0.48% vs. 39.1 per 10,000 or 0.39% with
treatment). Thus, it seems reasonable to suggest that a consideration of
multiple factors will continue to be important in deciding on the most
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Underlying causes of hunger and malnutrition among children in large pockets of India have often been attributed to verifiable factors such as poverty, social inequity, lack of access to food, sickness, conflicts, a climate emergency and lack of safe drinking water. Recent studies report that Rajasthan, Uttar Pradesh, Bihar and Assam have the highest malnutrition levels in the country despite the substantial drop-in morbidity and mortality rate.
Shankar Das, professor and dean of the School of Health Systems Studies at the Tata Institute of Social Sciences-Mumbai
The most relevant number for assessing a possible pandemic is the absolute number of deaths, regardless of the cause of death they are assigned. If not more people die than usual then there is no dangerous pandemic at all.
