• A First Country-Wide Review of Diabetes Mellitus Care in Bhutan: Time to Do Better

      Zam, K; Kumar, A M; Achanta, S; Bhat, P; Naik, B; Zangpo, K; Dorji, T; Wangdi, Y; Zachariah, R (BMC Public Health, 2015-09-21)
      There is an increasing trend of non-communicable diseases in Bhutan including Diabetes Mellitus (DM). To address this problem, a National Diabetes Control Programme was launched in 1996. There is anecdotal evidence that many patients do not visit the DM clinics regularly, but owing to lack of cohort monitoring, the magnitude of such attrition from care is unknown. Knowledge of the extent of this problem will provide a realistic assessment of the situation on the ground and would be helpful to initiate corrective actions. In this first country-wide audit, we thus aimed to determine among type 2 DM patients registered for care the i) pre-treatment attrition ii) one-year programme outcomes including retention in care, died and Lost-to-follow-up (LTFU, defined as not having visited the clinic at least once within a year of registration) iii) factors associated with attrition from care (death + LTFU) and iv) quality of follow-up care, measured by adherence to recommended patient-monitoring protocols including glycaemic control.
    • Global Burden of Rheumatic Heart Disease

      Rossi, G (Massachusetts Medical Society, 2018-01-04)
    • Non-communicable diseases - programmatic and clinical guidelines

      Jobanputra, Kiran; Manson Unit, MSF UK, London (2016-12)
    • Peripheral Neuropathy in a Diabetic Child Treated with Linezolid for Multidrug-Resistant Tuberculosis: A Case Report and Review of the Literature

      Swaminathan, A; du Cros, P; Seddon, J; Mirgayosieva, S; Asladdin, R; Dusmatova, Z (BioMed Central, 2017-06-12)
      Extensively drug-resistant (XDR) tuberculosis (TB) and multidrug resistant (MDR)-TB with additional resistance to injectable agents or fluoroquinolones are challenging to treat due to lack of available, effective drugs. Linezolid is one of the few drugs that has shown promise in treating these conditions. Long-term linezolid use is associated with toxicities such as peripheral and optic neuropathies. Diabetes mellitus (DM), especially when uncontrolled, can also result in peripheral neuropathy. The global burden of DM is increasing, and DM has been associated with a three-fold increased risk of developing TB disease. TB and DM can be a challenging combination to treat. DM can inhibit the host immune response to tuberculosis infection; and TB and some anti-TB drugs can worsen glycaemic control. A child experiencing neuropathy that is a possible complication of both DM and linezolid used to treat TB has not been reported previously. We report peripheral neuropathy in a 15-year-old boy with type 1 DM, diagnosed with MDR-TB and additional resistance to injectable TB medications.
    • Prevalence of non-communicable diseases and access to care among non-camp Syrian refugees in northern Jordan

      Rehr, M; Shoaib, M; Ellithy, S; Okour, S; Ariti, C; Ait-Bouziad, I; van den Bosch, P; Deprade, A; Altarawneh, M; Shafei, A; Gabashneh, S; Lenglet, A (BioMed Central, 2018-07-11)
      Tackling the high non-communicable disease (NCD) burden among Syrian refugees poses a challenge to humanitarian actors and host countries. Current response priorities are the identification and integration of key interventions for NCD care into humanitarian programs as well as sustainable financing. To provide evidence for effective NCD intervention planning, we conducted a cross-sectional survey among non-camp Syrian refugees in northern Jordan to investigate the burden and determinants for high NCDs prevalence and NCD multi-morbidities and assess the access to NCD care.
    • Task Shifting the Management of Non-Communicable Diseases to Nurses in Kibera, Kenya: Does It Work?

      Some, D; Edwards, J K; Reid, T; Van den Bergh, R; Kosgei, R J; Wilkinson, E; Baruani, B; Kizito, W; Khabala, K; Shah, S; Kibachio, J; Musembi, P (Public Library of Science, 2016-01-26)
      In sub-Saharan Africa there is an increasing need to leverage available health care workers to provide care for non-communicable diseases (NCDs). This study was conducted to evaluate adherence to Médecins Sans Frontières clinical protocols when the care of five stable NCDs (hypertension, diabetes mellitus type 2, epilepsy, asthma, and sickle cell) was shifted from clinical officers to nurses.
    • Three Steps to Improve Management of Noncommunicable Diseases in Humanitarian Crises

      Jobanputra, K; Boulle, P; Roberts, B; Perel, P (Public Library of Science, 2016-11-08)
      Kiran Jobanputra and colleagues argue that better evidence, guidance, and tools are needed to improve the effectiveness and feasibility of noncommunicable disease care in humanitarian settings.