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11 Ocak 2017 Çarşamba

Child "sugar scourge": thousands having teeth removed in hospital

More than 40,000 children and young people a year are having rotten teeth removed in hospital in further evidence of what doctors call the “costly scourge of sugar”.


New NHS figures obtained by the Local Government Association (LGA) show that 40,800 under-18s in England had at least one tooth taken out last year under general anaesthetic because of decay. Performing the procedures cost £35.6m.


The children involved had such advanced decay that they could not be treated by a dentist and had to go to hospital instead. NHS surgeons carried out 161 such operations each working day.


“These figures are a stark reminder of the damage excessive sugar consumption is doing to our children’s teeth,” said councillor Izzi Seccombe, chair of the LGA’s community wellbeing board.


“It is deeply worrying that the type of dental treatment required is beyond the capacity of a local dentist, due to the severity of the tooth decay, and as a result has to be done in hospital,” she added.


The 161 operations a day should serve as “a wake-up call” to ministers to introduce tougher curbs on sugar, not just the planned levy on sugary soft drinks, said Prof Nigel Hunt, the dean of the faculty of dental surgery at the Royal College of Surgeons.


“The awful impact sugar is having on our children’s teeth is brutally evident in the number of under-18s we are seeing daily that need more than one tooth extracted due to tooth decay. It is shameful that a problem which is 90% preventable continues to plague our children in this way,” Hunt said.


“Having teeth removed can be very traumatising for children and requires time away from school for them, as well as time away from work for their parents.


“The government’s sugar tax will go some way to cutting sugar consumption that leads to tooth decay, but it also needs to support public health campaigns that remind parents of good oral health,” Hunt added.


The LGA, which represents councils in England and Wales, wants ministers to let it help decide how proceeds from the sugar tax should be spent.



Child "sugar scourge": thousands having teeth removed in hospital

19 Mayıs 2014 Pazartesi

From child hunger to obesity: Brazil"s new wellness scourge

Children play football in the Manguinhos slums in Rio de Janeiro

One particular in three kids in Brazil are obese since of processed food and unregulated advertising. Photograph: Stefano Rellandini/Reuters




Given that it was established in 1982, the Brazilian NGO Pastoral da Criança used weight to ascertain whether a little one was unhealthy. Not too long ago, that had to change when they started to see far more and far more obesity in poor communities. “As we started out noticing some kids were obese, we had to change our practices fully,” says nutritionist Paula Pizzatto. “Now height and the BMI [body mass index] are also taken into consideration.”


When Pastoral da Criança first commenced its operate, malnutrition and lack of standard childcare had been the result in of high infant mortality charges – eight.three% in 1980 (pdf). By engaging and coaching neighborhood leaders to carry out regular visits to local families, the organisation encouraged far more breastfeeding and prenatal care. At the same time, the government’s zero hunger programme took hundreds of thousands of Brazilians out of excessive poverty and more than halved (pdf) the costs of kid mortality. In accordance to the Planet Meals Programme, hunger has an effect on only six.9% of Brazil’s population now. However, these extraordinary statistics do not indicate that most Brazilians are healthier. The last figures launched by the wellness ministry demonstrate that 51% of country’s population are overweight and one particular in 3 kids age five to nine is obese (pdf).


A money transfer scheme acknowledged called Bolsa Família allowed many who had been when excluded from the free market to grow to be customers. “Dad and mom who have been undernourished as kids can now put a bottle of Coca-Cola on their tables. It is a matter of status. They truly feel proud,” says Pizzato.


Companies rapidly understood there was a industry of new consumers to investigate. Door-to-door marketing of inexpensive merchandise as nicely as tailor-created payment options permitted slum dwellers and remote communities to get food with out travelling to the supermarket, so processed merchandise grew to become a lot more accessible than fresh fruit and vegetables.


Most people in the poorest communities in Brazil are underneath-educated, generating them far more vulnerable to advertising. For instance, Nestle’s floating supermarket navigates the Amazon with a effective market campaign that claims to “provide access to nutrition, well being and wellbeing to the remote community of the north region”. But it primarily sells yoghurts, ice cream and chocolate.


“Quality of the meals is now more of an situation than entry to it,” says Arnoldo de Campos, secretary for the Nationwide Secretariat for Food and Nutritional Safety. “We even now have a tiny fraction of individuals that don’t have access to food, in isolated rural regions or indigenous communities, but the most critical dilemma now is obesity.”


Pastoral’s stick to-up dietary programme focuses on the initial one,000 days of lifestyle of the infant, which includes the time he or she is in the womb. Providing healthy nutrition for the duration of this initial stage of life is vital to avert the two malnutrition and obesity. The programme is even now new and has only been introduced in 23 of the 27 Brazilian states. “So far, we have practically 13,000 youngsters underneath the dietary programme,” says Pizzato. “About eleven% are overweight or obese and about two% are undernourished.” A lack of playgrounds in needy communities and nationwide maternity depart of only four months, which implies that babies can not be breastfed solely for the initial six months, contributes to the problem.


The total benefits of the nutritional programme haven’t been published yet, but Pastoral is quite mindful of the problems that lie ahead. “It is less difficult to introduce a new feeding habit when dealing with malnutrition, but it is certainly a lot more hard to correct current ones, when the entire family is concerned,” said Pizzatto.


The government recognises the seriousness of the problem. In 2011, it developed the Intersectoral Approach for Management and Prevention of Obesity, which began, among other factors, the promotion of overall health feeding routines in public schools. But despite all the efforts, combating obesity will be an arduous activity.


“We have a poorly legislated production program which is addicted to negative-top quality foods and unregulated advertising practices,” says de Campos. “For instance, the newest Coca-Cola slogan is ‘open happiness’, for a soft drink complete of sugar. It is a lot more challenging to tackle obesity than hunger.”


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From child hunger to obesity: Brazil"s new wellness scourge