{"id":33791,"date":"2015-03-27T12:05:43","date_gmt":"2015-03-27T11:05:43","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/bmj\/?p=33791"},"modified":"2015-03-27T12:05:43","modified_gmt":"2015-03-27T11:05:43","slug":"the-bmj-today-fatal-cardiovascular-risk-in-lmics-indefensible-care-and-mission-indradhanush","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bmj\/2015\/03\/27\/the-bmj-today-fatal-cardiovascular-risk-in-lmics-indefensible-care-and-mission-indradhanush\/","title":{"rendered":"The BMJ Today: Fatal cardiovascular risk in LMICs, indefensible care, and Mission Indradhanush"},"content":{"rendered":"<p><a href=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/china_obese.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-33794\" src=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/china_obese-300x194.jpg\" alt=\"china_obese\" width=\"247\" height=\"160\" srcset=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/china_obese-300x194.jpg 300w, https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/china_obese.jpg 510w\" sizes=\"auto, (max-width: 247px) 100vw, 247px\" \/><\/a>\u2022 A new risk scoring system, as reported in the <em>Lancet Diabetes &amp; Endocrinology<\/em>, <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1670\">has estimated that a higher percentage of people are at a greater risk of fatal cardiovascular disease<\/a> in low and middle income countries than in high income countries.<\/p>\n<p>The Globorisk system, led by researchers Kaveh Hajifathalian and Peter Ueda of the Harvard School of Public Health, Boston, will help &#8220;to overcome the technical barriers of global application of risk stratification&#8221; for the disease.<!--more--><\/p>\n<p>\u2022 Simon Stevens, chief executive of NHS England, <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1700\">has admitted that it was &#8220;indefensible&#8221; that so little progress has been made to move patients with learning disabilities and challenging behaviour out of psychiatric hospitals and into the community<\/a>.<\/p>\n<p><a href=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/winterbourne.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-33792\" src=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/winterbourne-300x194.jpg\" alt=\"winterbourne\" width=\"232\" height=\"150\" srcset=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/winterbourne-300x194.jpg 300w, https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/winterbourne.jpg 510w\" sizes=\"auto, (max-width: 232px) 100vw, 232px\" \/><\/a>After\u00a0the Winterbourne View scandal in 2011, when BBC\u2019s <em>Panorama<\/em> uncovered the abuse of patients at the hospital, MPs have said failures to close such hospitals and tackle the financial obstacles of re-housing patients are to blame for the government missing its target of moving patients back into mainstream care.<\/p>\n<p>\u2022 Satisfied by the NHS but worried about its finances? <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1674\">You\u2019re not alone, finds\u00a0Adrian O\u2019Dowd<\/a>. A survey by NatCen Social Research of 2878 people found that while 65% were satisfied with the health service\u2014up from 60% in 2013\u2014almost all of the respondents (92%) believed the NHS was facing funding problems.<\/p>\n<p><a href=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/india_polio.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-33795\" src=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/india_polio-300x194.jpg\" alt=\"india_polio\" width=\"232\" height=\"150\" srcset=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/india_polio-300x194.jpg 300w, https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/india_polio.jpg 510w\" sizes=\"auto, (max-width: 232px) 100vw, 232px\" \/><\/a>\u2022 Ninety per cent of children in India will hopefully\u00a0benefit from full vaccination by 2020 after a media campaign was launched\u00a0this week. <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1688\">Health Minister J P Nadda introduced the publicity campaign for\u00a0&#8220;Mission Indradhanush,&#8221;<\/a> which aims to improve uptake of seven childhood vaccines:\u00a0diphtheria, hepatitis B, measles, polio, tetanus, tuberculosis, and whooping cough.<\/p>\n<p>After such small increments in the uptake of these vaccines between 2009 and 2013, with increases of only 1% a year (from 61% to 65%), Mission Indradhanush, which is targeted at children under 2, will work alongside routine vaccination to increase coverage by at least 5% every year, the government said.<\/p>\n<p>\u2022<em> The BMJ<\/em>&#8216;s deputy editor Theodora Bloom <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1641\">identifies the need for successful regulation in her latest editor\u2019s choice<\/a>.<\/p>\n<p>\u2022 Restoring trust and encouraging informal networking is the order of the day, as Ann Smalldridge, a locum GP from Greater Manchester, <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1623\">shares her view on restoring relationships between GPs and consultants in her If I Ruled the NHS column<\/a>.<\/p>\n<p><em>\u00a0<strong>Emma Hayes<\/strong> is publishing administrator, <\/em>The BMJ<em>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2022 A new risk scoring system, as reported in the Lancet Diabetes &amp; Endocrinology, has estimated that a higher percentage of people are at a greater risk of fatal cardiovascular disease in low and middle income countries than in high income countries. The Globorisk system, led by researchers Kaveh Hajifathalian and Peter Ueda of the [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/bmj\/2015\/03\/27\/the-bmj-today-fatal-cardiovascular-risk-in-lmics-indefensible-care-and-mission-indradhanush\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-33791","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/33791","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=33791"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/33791\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=33791"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=33791"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=33791"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}