mardi 13 mars 2018

SOCIETAL TRAUMA AND HEALTH: RECESSION OF 2008 IN USA , SPECIAL PERIOD OF CUBA AND KHMER ROUGE AND DIABETES IN CAMBODIA


The Great Recession worsened blood pressure and blood glucose levels in American adults
Teresa Seeman, Duncan Thomas, Sharon Stein Merkin, Kari Moore, Karol Watson and Arun Karlamangla
PNAS 2018; published ahead of print March 12, 2018,

My colleague and friend, Dr Mark W sent this link about the individual ill health after the Great Recession of 2008-2010 in the USA. We had in the past discussed the worsening health indicators: Obesity and Diabetes, after the Special Period of Economic necessity in Cuba between 1980-1990.
When Soviet Union broke up the soviet citizens also suffered a worsening of health indicators including premature deaths and suicides.
So people began to take note of the fact that Societal factors can have an impact on the health of people. Of course it varies according to the system of government and the culture of the people.
For example infant mortality in the USA rises during Republican administrations, because of the increase in health disparity. In Cuba health disparity does not exist but the general decline in economic instability during the Special Period was followed by Obesity and Diabetes and Cardiovascular disease.
I have observed the phenomenon of unexplained high prevalence of Type 2 Diabetes in Cambodia. While the epidemiologists of the day, try to pin it down to race of Khmer people, and their ancestral connection with India, I was firm in my belief that it was the trauma of the years of Khmer Rouge administration and the extreme privations that gave rise to the Diabetes in the offsprings of that period.
I have cautioned my colleagues that the children born during the Special Period in Cuba can expect higher rates of Obesity and Diabetes.
It does not have to be such dramatic political events that can cause society induced illness. After the 2001 attempt at the WTC in New York, Doctors all over the country reported greater prevalences of headaches and anxiety and Dr Rachel Yehuda has shown that the children born of mothers pregnant at that time has inherited an epi genetic change and were more prone to Obesity as well as Behavioural problems.
The current level of societal anxiety is very high in the USA and there is a consensus that Blood Pressure of healthy people in America especially among those people who do not approve of the actions of the President has risen. Like the anxiety after the recession of 2008-10, we might see higher rates of obesity and diabetes in the years to come.. not to mention increasing infant mortality and the number of people not taking their medications because they cannot afford to.
This gentleman, is the world we live in!

featured posts

CUBA IS THE FUTURE FOR LATIN AMERICA AND PERHAPS THE WORLD

CUBA IS THE FUTURE FOR LATIN AMERICA AND PERHAPS THE WORLD On my way out of Cuba, from La Habana, on COPA airlines flight to Panama, I w...