Its spring time and that means two major events. Curling season is in full swing and provincial budgets are being released. How has the provincial budget impacted
public health in your province? Send the
quotes and details to drphealth@gmail.com.
Some solid reviews published recently on some important topics
that should impact our public health practice.
Low sodium diets reduce blood pressure – something that has
been recommended for decades, but the proof was evasive. A metanalysis available at
Health-Evidence.ca suggests a benefit in blood pressure for hypertensives, but
associated with increases in triglcerides and cholesterol. It doesn’t answer the question though if
dietary intervention modifies clinical outcomes. http://www.health-evidence.ca/articles/show/17687
Proactive counselling helps with smoking cessation – another
intuitive finding, and the data analysis is suggesting a benefit of up to 40%
after over a year. http://www.health-evidence.ca/articles/show/21788 Another in a series of studies speaking to
reaching out to clients by the phone. There
are some pilot projects and increased dissemination of technology that supports
chronic disease suffers, mostly COPD and CHF, in telephone follow up and remote
sensing. Such interventions tend to be
daily and high tech. What are the odds
that any jurisdictions will spring for a low tech prevention program with high
long term benefit? If there are
successful smoking cessation telephone follow-up programs in Canada, time to
share them so that others can invest wisely – let us know.
There is a an interesting piece coming out of the British
Medical Journal via CIHR on how Canada’s child health indicators may not be as
bad as previously indicated because perinatal reporting in Canada is relatively
good. This moves Canada from a dismal 18th
to a moderately poor 12th. Even better news for our southern cousins
who move from 22nd to 11th in the revised data. CIHR
release of BMJ study on child health indicators.
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