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Searching For Health
By Sandy Powers
Health: a state of physical and mental well-being– a desired goal we all seek, but not one we all attain. Common sense tells us we begin by eating healthy, yet, what is eating healthy?
There are an abundance of diets on the market that claim this elusive road to well-bring. High carbohydrates, low carbohydrates. High protein, low protein. Total vegetarian containing no animal protein. High fat, low fat. Sugar busters. All eating plans very diverse, yet they all lay claim to greater health: reducing heart disease, cancer and diabetes while at the same time lowering cholesterol. How is it possible that seemingly conflicting diets profess similar success yet still be factual? For a limited time such assertions can be true. For a limited time. When we drastically alter our diet, our body will respond in kind—drastically. Sometimes, it is to our benefit, other times not. But what research has shown is that the benefits from these restrictive diets are often temporary. Credible scientific and nutritional studies have proven the healthiest eating plans are diets that are balanced by containing food choices from all food groups. The American Dietetic Association, the National Academy of Sciences, the National Research Council, and other major medical societies agree.
Ok. So, a healthy, well-balanced diet is the first step in searching for health, but what comprises this “healthy, well-balance diet” and how can it be measured? By life spans. The people who live the longest have the best diets.
According to the United Nations World Population study, the ten countries with the greatest life expectancies are Andorra, Macau, Japan, San Marino, Singapore, Hong Kong, Gibraltar, Sweden, Australia, and Switzerland. The United States has an overall life expectancy of 78.06, making it 45 in the United Nations’ ranking. I have examined three of these top ten countries and their lifestyles in Searching for Health.
Andorra has the longest life span with an overall life expectancy of 83.52. Andorra is a small mountainous country in southeastern Europe, located high in the eastern Pyrenees Mountain between France and Spain. Andorran cuisine is composed of meat (usually lamb and pork), fish, pasta, vegetables, fruits, dairy (usually cheese), and bread. Olive oil is used in cooking. Wine is the preferred beverage. Luis Pallares, an Andorran consulting surgeon, said it is common to perform surgery on people in their eighties and nineties. They soon return to their normal lives. A frequent question from the patients is “how soon will I be able to walk in the mountains again, tend my garden and go into the woods to gather mushrooms?”
Japan is the third ranking with an overall life expectancy of 82.02. Japan is an island country in East Asia, located to the east of China. Japanese cuisine is based on combining staple foods like rice or noodles, with a soup—usually a fish or meat broth—and dishes made from fish, meat, vegetable, fruit, and tofu, a soy product. Meals usually end with drinking green tea. The most popular exercise is walking.
Australia is the ninth ranking with an overall life expectancy of 80.62. Australia is a country in the Southern Hemisphere surrounded by the South Pacific and Indian Oceans. Australians eat meat, seafood, vegetables, fruit, and vegemite, a dark paste made from yeast extract spread on toast and crackers. Coffee and beer are the preferred beverages. Since Australia has one of the highest incidence of pet ownership in the world, walking the dog is the most popular exercise.
In reviewing the lifestyles of these three countries, I discovered that the diets are basically similar with a few exchanges, for example, like rice in Japan, pasta in Andorra, and crackers and toast in Australia. Walking is the common exercise in all three countries. Evidence of the health benefits of walking has been documented by the recent Women’s Health Study, a major research project that verified walking 15 minutes a day cut the risk of death from heart attack and stroke in half. Walking is also a great stress reducer. Reducing stress is a vital component to health and longevity. The time honored mind-body techniques such as acupuncture, biofeedback, and meditation to reduce stress have passed the litmus test of rigorous medical investigations. Positive effects on heart health, blood pressure, insulin, arthritis, and tension headaches are documented with the reduction of stress through these alternative therapies.
Searching for Health provides insight into achieving better health and a longer life expectancy by adapting our lifestyles. These are the tools to become authors of our own health.
Sandy Powers is the author of the award winning guide to health, “Organic for Health,” also on file with Oprah. Visit Sandy and view her book video at www.organicforhealthsite.com
For Immediate Release
Smart Systems for Health Agency (SSHA) – Partnering for e-Health Innovation
This session will describe SSHA’s role in implementing e-Health in Ontario. SSHA was created in 2003 to electronically connect health care professionals to each other and to patient information – across the health care system. Its IT infrastructure products and services are built for the health care sector and are being increasingly adopted by health care professionals and organizations. With its network and e-mail products that reach one-quarter of all publicly-funded health care locations and providers, SSHA’s products are increasingly being used as the electronic way for health care to share patient information electronically. SSHA is contributing essential elements of Ontario’s Electronic Health Record. Find out where SSHA is at in its role as Ontario’s e-Health enabler.
Laurie brings more than 20 years of IT consulting experience and over 10 years experience in health care from an IT consulting and volunteer perspective. In her Client Services role, she brings her leadership skills to the deployment of SSHA products and services to Ontario’s health care sector.
Find out where SSHA is at in its role as Ontario’s e-Health enabler. To register for Early-Bird Passes please visit http://gov.wowgao.com/registration OR call (416)292-0038 Ext. 812.
About Smart Systems for Health Agency:
Smart Systems for Health Agency (SSHA) is an arms-length agency of the Ministry of Health and Long-Term Care responsible for putting in place computer technology products and services to connect doctors, hospitals, laboratories, public health offices, community care access centres and pharmacies. Electronically connecting these professionals will allow them to securely share patient information and make more informed decisions about our care.
About the 2008 Government & Health Technologies Conference & Expo:
The 2008 Government & Health Technologies Conference and Expo will focus on the latest IT products and solutions being developed and sought after in the healthcare and public service sector, including Web 2.0, Patient Monitoring Systems, Document Management, Business Intelligence, Mobile Data Systems, RFID Solutions, Biometrics and much more.
As one of Canada’s leading annual IT conference and exposition, the event features ground breaking IT applications that aim to educate key IT professionals, Government officials, developers, architects, engineers and medical professionals with the necessary tools and techniques for the reliable, effective management of all public information services across Canada. For more information about the event, please visit http://gov.wowgao.com
About WowGao Inc.
Our featured events include:
Government & Health Technologies Conference and Expo | April 15 & 16, 2008
Wireless & Mobile Expo and Conference | July 15 & 16, 2008
RFID Forum, July 15 & 16, 2008
Financial Services Technology Forum | October 2008
For more information about the events, please visit http://www.wowgao.com/
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GAO Group is headquartered in Toronto, Canada. GAO Group has marketing, sales, customer support, manufacturing and R & D facilities in various countries, with most of its staff located in Canada, USA, Europe and China.
The first Member Company, GAO Research Inc., was founded on June 2, 1992 and it quickly established its reputation as an R & D power house in the embedded industry. GAO Group has continually grown and has become a conglomerate of fast growing companies with an enormous international customer base and an extensive network of VARs, distributors, resellers, and strategic partners in diversified industries worldwide.
With the aim of providing unparalleled services to its enormous customer base spread out over the world, GAO Group has developed and deployed state of the art technologies among all its facilities to support such functions as e-commerce, inventory management, CRM, project management, and supply chain management.
WowGao Inc. is an award winning leading event management company that produces, since 2003, internationally renowned conferences and expositions that address the latest innovations and developments in the information technology industry.
This interview is an excerpt from Kevin Gianni’s The Healthiest Year of Your Life, which can be found at http://thehealthiestyearofyourlife.com. In this excerpt, Craig Pepin Donat shares on the experiences that led him to write The Big Fat Health and Fitness Lie.
The Healthiest Year of Your Life with Craig Pepin Donat, a certified personal trainer and author of The Big Fat Health and Fitness Lie.
Kevin: Good evening, everyone. So Craig, you’ve been in the fitness industry for over 26 years and with that, I imagine comes a bit of wisdom. Why don’t you start with your story and how you’ve gotten to where you are now?
Craig: Sure Kevin. Well, first of all, I started out in the fitness industry as a personal trainer making $3.50 an hour.
Kevin: Wow.
Craig: So I’ve been in it for awhile and I grew through the ranks in the fitness industry to the executive level. I was the president of two of the largest fitness organizations in the United States. I was the Executive Vice President of Sales and Marketing for the largest chain of fitness clubs in the world operating in 11 countries. I also successfully owned and operated my own fitness company. I’ve visited 30 countries and evaluated health and fitness trends all over Russia, Asia, Europe. I’ve been to dozens of fitness conventions, purchased millions of dollars worth of equipment, supplements and other health and fitness related products and I’ve also had the ability to train thousands of health and fitness professionals around the world and help them to help other people improve their lives. So this really kind of led me to where I am today, which is to where I just got to the point where I want to do something more and that’s why I wrote my book The Big Fat Healthy Fitness Lie and founded Fit Advocate.com so that I could create a platform to protect and enhance the lives and health and fitness consumers.
Kevin: Now you just mentioned your book, The Big Fat Health and Fitness Lie which I absolutely love. What is the big fat fitness lie. Let’s just lay it on the table.
Craig: Why mince words? Let’s dig right in. The lie is that there are these billion dollar industries out there getting richer while we get sicker and fatter and with all the so-called solutions available for losing weight and improving our health, we are literally in the worse shape in the history of modern civilization. There’s big profit in sickness and in fatness, and a lot of times people question that and they think, “Oh, well we live in the United States, we’re in great health and we have the best health care system” which is a complete fallacy. Here’s an interesting fact that people should be aware of, we’re approaching some 300 million people in the U.S. and we have every year 200 million diseases that are diagnosed for conditions that could be prevented with simple lifestyle changes.
Kevin: Wow.
Craig: And we spend in the United States, 270 billion dollars on 3.7 billion prescriptions written to, not to cure anything because there’s really very few cures in modern medicine, medicine is meant mostly to mask our symptoms. So taking into our bodies a lot of toxic chemicals and you know there’s so much confusion out there and misinformation about health and fitness. So there’s a huge opportunity, unfortunately, for people to make big money on the lack of knowledge that people have about how to lose weight, improve their health, get in shape and live better. So millions of people are out there paying thousands of dollars that have no chance of helping them achieve their goal and that’s really the big fat lie.
Kevin: And let me just ask you this, you’ve been on the other side, you’ve been a part of the industry that is making a lot of money in the fitness clubs and the organizations and everything. When did you suddenly say, “Hey, you know, maybe I need to educate people about this.”
Craig: Well, first of all I never felt that the club industry was a bad industry.
Kevin: Okay.
Craig: And in my book I still am a big proponent of joining a fitness center for the average person, there are, of course, some caveat of how to get a quality club. I have an article on the ten worst tricks for the fitness industry. So I try to expose the things that I think are bad but there’s also a lot of good too, but what I did notice while I was operating all of these clubs and trying to help people is that I would talk to thousands of consumers, face to face. For a big part of my career, my job was to get out there and help, work with people in the field, club operators, managers, sales people, fitness staff members, personal trainers, to talk to them about how to help people make decisions that are good for them and the guiding principle, of course was always don’t focus on making money, focus on helping people and you will make money as a natural result, as a natural bi-produce of helping people. That’s always been one of my guiding principles, but in speaking with all these consumers, you find that the average person spends thousands and thousands of dollars on products and services that have no chance of helping them. They spend hours and hours of wasted time on information that will never help them improve their health or change their lives. So I got tired, frustrated and really kind of outraged at all of the quick fix solutions that are out there that people jump from one to the other and without really understanding the true cause of why they’re in such poor health. So I wanted to try to educate them on all of the things, the lies the deceptions while also trying to give them simple solutions for how to improve their health, how to lose weight, how to get in shape, how to live better, how to feel better with no tricks and no gimmicks for the rest of their lives. That’s really what the big fat health and fitness lie is all about and that’s really what Fit Advocate website is all about.
Kevin: And you take a different approach in your book as opposed to a lot of the other books that I’ve read about health and fitness and it’s related to addiction. You say addiction feeds this whole lie. What do you mean by this?
Craig: Well, many people live a self-inflicted toxic lifestyle that destroys their health and feeds this lie. So what do I mean by that? Well, the definition of toxic, first of all, is poison and in our society we are surrounded by poisons, in our air, it’s in our water, some of them we can’t avoid and many of them we can, however. A lot of these poisons, they’re not going to kill us today, but instead what they do is they slowly and quietly deteriorate and destroy our health.
There’s two specific types of poisons or toxins that I talk about that create these health problems. The first, of course is chemical exposures. There are thousands of untested chemical combinations in our food supply to improve taste, texture, color or to extend shelf life. There are low calorie,low carb foods laced with toxic sweeteners that has contributed to obesity and diabetes. We’ve been conditioned to believe that sodium fluoride, for example is good for our teeth. Yet it’s a known chemical waste bi-product of the aluminum and phosphate fertilizer industry. This chemical has been pumped into our water supply and put into our dental hygiene products for years but fluoridation has been flatly rejected by many developed countries because of the dangers and the lack of really any scientific evidence of any health benefit. Beyond that, we have toxic chemicals in our household products, our cleaning products, personal hygiene products. Fruits and vegetables have been treated with herbicides and pesticides. Chickens and cows are fed ground chicken and beef. Then pumped full of antibiotics to stave off disease from the horrific conditions in which they live and where they’re slaughtered. So we have all of those, you know, all of this chemical toxicity. That’s the first concern.
The second is the biggest toxic exposure which is related to stress, and people don’t realize this but as much as 80% of all disease is the result of stress and having had the ability to travel all over the world and visit, you know, I believe I’ve been to over 40 countries now, you find that we in America are the most stressed out country on the planet. We work more than any other activity other than sleep. Just think about our normal lives, we wake up every day and we’re running on empty from morning to night. We’ve got the pressures at work, at home, the challenges sustaining some sort of happy relationship with our significant others. We’ve got the demands of the kids, trying to pay the bills. We have all of the negativity in the news. We’re all trying to live the American dream which is predicated on financial freedom, but the truth is only a fraction of people out there actually ever realize the American dream and the rest of us are simply trying to get by, and, you know, we’re buried in a mountain of debt. All of these things add up to a lot of worry and stress and to cope with this stress, what do we do? We drink, we smoke, we take drugs, we over eat, we eat the wrong foods and we spend hours in front of the television or surfing the internet. All of these activities, unfortunately make us fat, lazy and out of shape, and what happens is this poor health that’s created from this self addictive lifestyle creates, and opens the door for these big fat health and fitness lies. One of them is companies that market, manufacture and market and sale products that have no chance of helping us and then, of course, the worse thing is when we look to synthetic chemical compounds, prescription drugs, as the first line of defense to handle our self inflicted health problems. So we really have a lot of issues that we have to deal with in order to be healthy, but people need to understand the basis of where it starts, the cause.
Kevin: Yes. How does someone take that sort of addiction or quote unquote addictive personality and turn that into fitness success?
Craig: Well the first thing they have to do is identify it.
Kevin: Yes.
Craig: You have to realize it. Here’s, here’s a fact that’s pretty important that people should know about, the number one reason that people give for not exercising regularly is that they don’t have enough time, okay. Yet the average American watches four and a half hours of television a day. So there’s an issue there with priority and people have to understand that time is the most important and the most valuable thing that we have because once it’s gone you can’t get it back. If you want to improve your health, you have to make time to do all of the things that are necessary to improve and enhance your health and your life and it’s not just exercise but it is one of the key components. So they have to first understand the issues and then have the right motivation and set the right priorities to get them to where they need to be.
To read the rest of this transcript as well as access more information on creating and living a healthy lifestyle and hear from other health experts just like Craig Pepin Donat please visit http://thehealthiestyearofyourlife.com.
To read the rest of this transcript as well as access The Healthiest Year of Life experts just like Craig Pepin-Donat please click here! Kevin Gianni is an internationally recognized health advocate, author & film consultant. He has helped thousands of people take control of their own health naturally. For more information visit raw food diets and holistic nutrition.
An aging prostate can restrict your activities and maybe even your social life. Educating oneself about, and safeguarding prostate health should be a priority of all men over the age of 40.
Although it’s not fully understood why an aging prostate affects some men differently than others, experts have indicated that cutting back on red meat, saturated fats, and increasing fiber and vegetable intake will may help overall health. Heredity and ethnicity play a part in how an aging prostate affects men also. Of course, age is a primary factor.
As we learn more about prostate health from studies that have been conducted, we can gather some practical tips that can help men protect their prostate.
Let’s look at five proactive health care tips you can follow to help support prostate health.
Good Nutrition diet is believed to be a contributive factor to how your prostate ages. Most nutrition experts believe that a healthy prostate can be supported by a balanced diet. It’s worth noting that prostate health is a large concern in North America, northwest Europe, Australia and the Caribbean Islands. The common factor across these countries is a diet that is predominant in red meat, saturated fats, less fiber with little or no vegetables.
It is recommended that men eat a low-fat diet that includes plenty of fresh fruits, vegetables and high fiber intake. Red meat should be avoided.
In addition, there are specific foods which are believed to support prostate health such as soybeans, wheatgrass, avocados, saw palmetto and pumpkin seeds, because they contain a plant sterol called beta sitosterol. Foods rich in a caretenoids called lycopene, found in processed tomatoes, watermelon, pink grapefruit, are also known to be beneficial for prostate health.
Education Read up on prostate health. The Internet is a good source for educating yourself on the prostate, how it works, what to expect from your prostate as you get older and what steps you can take to keep your prostate healthy.
Most men may not be aware of the physiology of the prostate gland. Understanding the basics will help men to take proactive measures to keep their prostate healthy. The prostate gland is situated just behind the urethra. Many men associate the prostate with nocturia — the prostate gland can affect intimacy, sleeping habits and urine flow.
Regular Checkups If you are concerned about your prostate at any age you should consult your doctor, otherwise men in their 40s should begin regular physicals which include a prostate exam. As with all health concerns, request that your doctor evaluate your risk by considering family history, diet and ethnicity.
Checkups and early action will help you maintain prostate health.
Exercise Exercise helps increase blood circulation. It enhances the optimal performance of all organs and tissues. Good circulation is important to maintain prostate health, as well.
Doctors recommend that men take a brisk walk for 30 minutes every day, five days a week. Kegel exercises for the prostate gland strategically work to increase muscle tone in this area.
Nutritional Supplements Since prostate health can be directly related to diet, nutritional supplements can be very effective in supporting prostate health. You could include plenty of saw palmetto or soybeans in your diet, but you would have to eat a lot of these for it to provide nutritional support for prostate health.
Prostate Health Supplements, like Super Beta Prostate, that is designed to support healthy prostate functioning, contain large amounts of concentrated beta sitosterol along with vitamins and minerals. The benefits of Super Beta Prostate’s unique formula can help to maintain a healthy prostate, bladder, and urinary tract.
New Vitality is a health supplements company. It develops supplement products which are carefully formulated under the guidance of an elite panel comprised of renowned doctors, nutritionists, chemists and researchers. Whether you want a nutritional supplement, pet health supplement, a personal care product or a health care product, New Vitality is a one-stop shop for all needs.
Aside from the self-insured/uninsured plan and the managed health care plan there is still one more form of health insurance coverage that can be obtained by consumers who have a little more money that they wish to spend on their health insurance coverage.
Screening will save a huge amount of lives but researchers already raise economic concerns regarding the medical health care; it may be possible that future agencies will deny the right to a health insurance just on the reason that a client presents a higher risk because he has one of these genes. Often you also find yourself with benefits such as health insurance for yourself and your family.
Health plans, health insurance carriers, third party administrators and other managed care organizations and medical management firms encounter a myriad of regulations when they are managing members who reside in multiple states. At a minimum, you have got to understand the difference between an indemnity plan and a managed care plan and its variants, which are the two basic types of health insurance plans offered today. A health insurance plan premium with an 80/20 or 20% co-insurance level is much higher typically than is a 50/50 or a 50% plans.
I want you to get so healthy; you’ll never need to make a health insurance claim. Today the employer also has found it challenging to decide how to offer employer sponsored group health insurance to their employees, so that both of them arrive at some point of agreement. Some of the college costs that should figure in your budget planning are the tuition fees, books and study materials, living expenses, health insurance and clothing to name a few.
Most people who hold a university degree pursue jobs they derive pleasure from which decreases stress and such jobs often offer better health insurance plans to their employees, resulting in improved overall health. Health insurance benefits are many. A manager may believe that ABC stock is a better health insurance stock than ZZZ.
In order to help simplify the process here are ten things you should look for when shopping for a health insurance policy. Peer review is also a substitute for the phrase ‘independent medical review’, where physicians are looking at cases to provide claims decisions for health insurance payers, workers compensation insurance payers, disability insurance payers, etc. With all the health insurance premiums going up there are companies that prey on people with low premiums and coverage that does not cover anything.
The key is to make the protection available, and have a mandatory employee meeting on identity theft and the protection you are making available, similar to what you probably do for health insurance. What father show that travel insurance relates to international health insurance is that both policies provide basic health insurance or medical insurance for individual families against medical emergency at any where you might be either inside or outside the country. Blue cross has been over the years the most stable largest health insurance provider in the United States.
Be prepared for medical claims the old E111 forms have now been replaced by the European health insurance card (EHIC) which entitles the holder to free medical treatment within Europe equivalent to that available on the NHS.
Personal includes such things as family auto expenses, owner life insurance, owner health insurance, business entertainment that was not really spent on clients, business trips not really for business, home office expenses, family cellular phones and much more. Unfortunately with the high costs of medical procedures and treatment, most people can’t afford to be without some kind of health insurance.
The Oat (Avena sativa) is originally from southern Europe; its cultivation has spread to all five continents. The oat is a plant of the Gramineae family, growing up to 1 meter high. Its flowers, as well as its grains, are grouped in pairs in ears. The Bran and the grains are the main parts used.
The oat is used as food for people and as feed for animals, particularly fowl and livestock. Oat Flakes, which are prepared by pressing oats into ground grain, are an essential food which is very well-liked in countries of central and northern Europe. Furthermore, oats have remarkable effects on the nervous system.
Oat grains have about 60-70% of starch and additional sugars (carbohydrates), about 14% of proteins, about 7% of lipids (fats). Amid other substances, they contain a considerable quantity of lecithin, B vitamins, pantothenic acid, enzymes, minerals, mainly calcium and phosphorus, certain trace elements and an alkaloid (avenine), which has corresponding and stimulating effects on the nervous system.
The use of oats is very suitable in cases of depression, insomnia, and physical or nervous fatigue. Individuals suffering from stress or sexual impotence, students mainly during exams—athletes and breast-feeding women will find that oats are an ideal medicine-food. Because of its tremendous use in cases of poor digestion, it is also good for convalescents and individuals suffering from gastritis, colitis and other digestive troubles.
Oat Bran contains silicon and vitamins A and B. It has soothing effects on the nervous system, both when taken orally as a concoction, and when used externally, during bathing.
Several studies have confirmed that oat bran reduces cholesterol in the blood. This decline only affects the so-called “bad” cholesterol (LDL), but does not manipulate the level of “good” or protective cholesterol (HDL), which as recently revealed acts to help shun arteriosclerosis.
Jason Hunter is a natural health advocate. He is webmaster of a natural health web site called Home Health and Natural Remedies, which he gives tips on reversing and curing some of today’s deadliest lifestyle diseases. Visit his web site at http://www.hhesonline.com.
Hands up all those who remember the old E111 medical forms you were supposed to have if you travelled in Europe? I can see all those blank faces!
Well, great news is that it doesn’t matter any more. The E111 form was replaced at the beginning of January 2006 by a new European Health Insurance Card (EHIC).
This EHIC is valid for up to 5 years and entitles you to the same level of medical care in the country you’re travelling in, as would be enjoyed by the residents of that country. The card covers discounted and free medical care including emergency treatment, and applies to all the EEC countries plus Switzerland, Norway, Iceland and Liechtenstein. But be aware that the treatment you’re entitled to might not include all the treatments you get free of charge under the National Health Service here in Britain.
Nevertheless, we believe that it’s wise to carry a EHIC as it could save you time, money and a great deal of hassle if you’re unlucky enough to need medical attention. It can cut through some of the inevitable red tape you’d be faced with if you were relying just on the medical provisions of your travel insurance policy.
You should also be aware that in many areas of Europe, the best medical attention is still reserved for those with private insurance cover. Private insurance bypasses the long queues of local residents waiting patently in inhospitable corridors – after all who wants to spend days of their holiday not only ill, but queuing as well!
Another point is that nationalised health care is only available at nationalised hospitals which, in some countries, are hundreds of miles apart. They tend to be located where the local population work and live – not where you enjoy your holidays! Therefore, you may be a long way from the nearest nationalised hospital whereas private medical and dental clinics are to be found in many tourist areas catering primarily for holidaymakers. Their standard is usually good albeit in local terms, they’re expensive.
Whilst we’ve been discussing medical care, don’t forget that private travel insurance covers you for much more than just medical expenses. Most policies will even pay for you to be flown home to the UK if you’re really ill. Holiday cancellation (due to prior illness), holiday curtailment, loss of luggage or individual items are all aspects normally covered by the insurance.
To be as safe as possible, we recommend that all travellers get a European Health Insurance Card and comprehensive travel insurance. After all, you’ve saved up for ages for the holiday and if something goes wrong the last thing you want is to be worried about the financial implications.
As with most insurance, the best travel insurance bargains are to be found on the Internet. Search on your favourite search engine for “travel insurance”. The brokers usually provide the best value for money as they will have access to a wide range of insurance providers and can pick the best for you. You can try the sites run by the individual insurance companies but they’ll only offer you one option – their policy! A broker can offer you a range of solutions.
We say, no matter how you arrange it, get travel insurance and get peace of mind.
Information about the European Health Insurance Card
The European Health Insurance Card is free from any Post Office or by phoning the Department of Health on 0845 606 2030. You can also apply online at the web site run by the Department of Health. The web address is www.dh.gov.uk/travellers
It is most important to realize that to be successful in the goal of providing your companion with a happy and contented life style, the form of dog health care that works best for your pet, must include exercise and diet as well as frequent checkups with the vet.
Most people equate dog health care with rabies shots and the other series of immunizations that your vet has persuaded you that your doting animal requires. You, as the funding agent for your dogs health, feel obligated to accept all that your vet says. Given that you are most likely smarter than your dog, any other action would be taking advantage of the situation. Let’s face it, your dog cannot even spell dog care. In fact most, if not all dogs, cannot spell at all. Given that, you alone define the right dog health care for your trusting friend.
Exercising Your Dog
For the human and their companion, exercise is probably one of the most important aspects of health care. Holistic dog care must include an appropriate amount of exercise for your faithful friend. Although you can train your dog to sleep most of the day by your side and be as lazy as you, this is not good dog health care practice. To be happy dogs, dogs need to be active. This exercise does not need to be excessive. If you have a Puggle, it most likely does not need more than a walk around the block. Your average Labrador might need a couple of miles a day to feel contented. You should understand the needs of your dog and makes sure that it gets the exercise it needs. Unfortunately most dogs completely rely on their owners for exercise and it is important for the owners not to let them down.
Caring for Your Dogs Stomach
The final component in providing good dog care that is most often ignored is the provision of the right form of food. Cat owners have this down. Cats regularly regurgitate their food and their owners are normally determined to find food that reduces the frequency of their furry purring friend repeatedly doing this.
Animal throw up of all kinds is pretty disgusting to most human beings and we should all strive to minimize the activity for our own benefit. However, most dog owners do not regard the management of the dogs diet as part of an overall practice of good dog health care. They should. Particularly in Europe, dog foods are incredibly inconsistent in quality and content. You should read the labels carefully.
In Europe horse meat is common, in Australia most likely this is replaced with kangaroo meat. These are both difficult meats for the average dog to assimilate. Most dogs do better on milder foods such as lamb and rice. Dog health care practices should include a solid nutritional program that is customized to the sensitivity of the particular animal.
Roland Jefferson is an online researcher based out of Los Angeles, Calfornia. For free resources covering Long Term Health Care Insurance, please visit our Long Term Health Care Insurance Resource.
History of Public Health:
Public health refers to both the health of a population via popular health indicators (quantitative and qualitative, including access to care), and all capable of collective healing, promote health and improve living conditions. It is intertwined with religious beliefs and animist, and the role of healer (shaman, sorcerers, etc..) that use both the local pharmacopoeia, touch and practices of magic, divination, or psychology.
In Europe, the organization of care remained until the nineteenth century overwhelmingly dependent on private initiatives and charities (The role of religious institutions has long been dominant, assisting maladies being regarded as a work of charity).
From the eighteenth century, the disease gradually ceases to be regarded as inevitable and the body becomes a concern. The first movement consists of the elites, and then gradually expanding to wider society. Health becomes a law that states must guarantee.
The development of industrialization is a second factor that tends to explain the development of public health: one for simple criteria of productivity of workers (occupational medicine), the other for fear of riots and under the pressure from trade unions.
Finally the First and Second World War contribute to the development of medical care mass and the establishment of social policies: the birth of the concept of the welfare state. After the Spanish flu pandemic of 1918, public health takes a global dimension with the WHO. The epidemiology expands to better monitor zoonotic diseases transmitted to humans, especially through collaboration with FAO and the OIE under the auspices of the UN. Europe tends to become more important in the field of health.
The concept of public health:
The concept of public health includes several fields:
health including occupational medicine and sometimes approaches epidemiological
Management prevention campaigns, which should influence other sectors of society to promote health (economy, schools, traffic, housing, environment, lifestyle, etc.) vaccination …
organizing networks of care: first aid, hospitals, physicians, emergency medicine …
the initial and continuing training of medical and paramedical
social security and health insurance (social security in France)
medical and pharmacological research
Policies promoting Health:
Health promotion as defined by WHO is the process that gives people the means to ensure greater control over their own health, and improve it. This is a defining the concept “health” as the extent to which a group or individual can of achieving its ambitions and meet its needs and, second, with the change or adapt to it.
Health crisis:
The health crises are pandemics important, affecting among a dozen people (case of high-profile crises that affect developed countries, as some food crises) and millions of people. They may have economic, social and political areas.
WHO has also been created for a pandemic such as that produced by the Spanish flu is not repeated with the same effects (30 to 100 million deaths according to sources).
Health, political, legal and economic:
The sums at stake in the health sector are considerable, both for costs related diseases, pollution and absenteeism, as the market for care and medication (In 2002, the global drug was valued at 430.3 billion dollars, against 220 billion in 1992).
The pharmaceutical market grew from 203 billion euros. Medical and consumption growing faster than GDP in developed countries.
Health crises such as a pandemic may have economic, social and political areas. WHO has also been created for a pandemic such as that produced by the Spanish flu is not repeated with the same effects (30 to 100 million deaths according to sources).
Health is taken into account by the law, including in terms of working conditions.
The European Union has produced numerous directives, regulations or decisions to protect the health of consumers or animals consumed.
Imbalance of Ecosystems and Its effect on Public and Livestock health
Dr.Kedar Karki M.V.St. (Preventive veterinary Medicine)
Central Veterinary Laboratory Tripureshwor
The health of humans, like all living organisms, is dependent on an ecosystem that sustains life. Healthy ecosystems are the sine qua non for healthy organisms. Yet there is abundant evidence that many life-support systems are far from healthy, placing an increased burden on human health. In some areas of the world, gains in life expectancy and quality of life made during the twentieth century are at risk of being reversed in the twenty-first century. The consequences of ecosystem degradation to human health are numerous, and include health risks from unsafe drinking water, polluted air, climate change, emerging new diseases, and the resurgence of old diseases owing to ecological imbalances. Reversing this damage is possible in some cases, but not in others. Prevention of ecological damage is by far the most efficient strategy.
DEFINING ECOSYSTEMS
An ecological system may be defined as a community of plants and animals interacting with each other and their abiotic, or natural, environment. Typically, ecosystems are differentiated on the basis of dominant vegetation, topography, climate, or some other criteria. Boreal forests, for example, are characterized by the predominance of coniferous trees; prairies are characterized by the predominance of grasses; the Arctic tundra is determined partly by the harsh climatic zone. In most areas of the world, the human community is an important and often dominant component of the ecosystem. Ecosystems include not only natural areas (e.g., forests, lakes, marine coastal systems) but also human-constructed systems (e.g., urban ecosystems, agro-ecosystems, impoundments). Human populations are increasingly concentrated in urban ecosystems, and it is estimated that, by the year 2010, 50 percent of the world’s population will be living in urban areas.
A landscape comprises a mosaic of ecosystems, including towns, rivers, lakes, agricultural systems, and so on. Precise boundaries between ecosystems are often difficult to establish. Often regions slide into one another gradually, over a protracted “transition” zone, as for example between the boreal forest and the Taiga regions of Canada.
ECOSYSTEM HEALTH
It is important to recognize the inherent difficulties in defining “health,” whether at the level of the individual, population, or ecosystem. The concept of health is somewhat of an enigma, being easier to define in its absence (sickness) than in its presence. Perhaps partially for that reason, ecologists have resisted applying the notion of “health” to ecosystems. Yet, ecosystems can become dysfunctional, particularly under chronic stress from human activity.Example for this can be cited the discharge of nutrients from sewage, industrial waste, or agricultural runoff into lakes or rivers affects the normal functioning of the ecosystem, and can result in severe impairment. Excessive nutrient inputs from human activity was one of the major factors that severely compromised the health of the lower Laurentian Great Lakes (Lake Erie and Lake Ontario) and regions of the upper Great Lakes (Lake Michigan). Unfortunately, degraded ecosystems are becoming more the rule than the exception.
The study of the features of degraded systems, and comparisons with systems that have not been altered by human activity, makes it possible to identify the characteristics of healthy ecosystems. Healthy ecosystems may be characterized not only by the absence of signs of pathology, but also by signs of health, including measures of vigor (productivity), organization, and resilience.
Vigor can be assessed in terms of the metabolism (activity and productivity) of the system. Ecosystems differ greatly in their normal ranges of productivity. Estuaries are far more productive than open oceans, and marshes have higher productivity than deserts. Health is not evaluated by applying one standard to all systems. Organization can be assessed by the structure of the biotic community that forms an ecosystem and by the nature of the interactions between the species (both plants and animals). Invariably, healthy ecosystems have more diversity of biota than ecologically compromised systems. Resilience is the capacity of an ecosystem to maintain its structure and functions in the face of natural disturbances. Systems with a history of chronic stress are less likely to recover from normal perturbations such as drought than those systems that have been relatively less stressed.
Healthy ecosystems can also be characterized in economic, social, and human health terms. Healthy ecosystems support a certain level of economic activity. This is not to say that the ecosystem is necessarily self-sufficient, but rather that it supports economic productivity to enable the human community to meet reasonable needs. Inevitably, ecosystem degradation impinges on the long-term sustainability of the human economy that is associated with it, although in the short-term this may not be evident, as natural capital (e.g., soils, renewable resources) may be overexploited and temporarily enhance economic returns. Similarly, with respect to social well-being, healthy ecosystems provide a basis for and encourage community integration. Historically, for example, native Hawaiian groups managed their ecosystem through a well-developed social cohesiveness that provided a high degree of cooperation in fishing and farming activity.
Another reflection of ecosystem health lies directly in the public health domain. In spring 2000, a deadly strain of the bacterium E-coli (0157:H7) entered the public water supply in Walkerton, Ontario, Canada, causing seven deaths and making thousands sick. This small town, with a population of five thousand, is in a farming community. Inadequate manure management from cattle operations was the likely source of this tragedy.
HOW HEALTHY ECOSYSTEMS BECOME PATHOLOGICAL
Stress from human activity is a major factor in transforming healthy ecosystems to sick ecosystems. Chronic stress from human activity differs from natural disturbances. Natural disturbances (fires, floods, periodic insect infestations) are part of the dynamics of most ecosystems. These processes help to “reset” ecosystems by recycling nutrients and clearing space for recolonization by biota that may be better adapted to changing environments. Thus, natural perturbations help keep ecosystems healthy. In contrast, chronic and acute stress on ecosystems resulting from human activity (e.g., construction of large dams, release of nutrients and toxic substances into the air, water, and land) generally results in long-term ecological dysfunction.
Five major sources of human-induced (anthropogenic) stresses have been identified by D. J. Rapport and A. M. Friend (1979): physical restructuring, overharvesting, waste residuals, introduction of exotic species, and global change.
Physical Restructuring. Activities such as wetland drainage, removal of shoals in lakes, damming of rivers, and road construction fragment the landscape and alter and damage critical habitat. These activities also disrupt nutrient cycling, and cause the loss of biodiversity.
Overharvesting. Overexploitation is commonplace when it comes to harvesting of wildlife, fisheries, and forests. Over long periods of time, stocks of preferred species are reduced. For example, the giant redwoods that once thrived along the California coast now exist only in remnant patches because of overharvesting. When dominant species like the giant redwoods (arguably the world’s tallest tree—one specimen was recorded at 110 meters tall with a circumference of 13.4 meters) are lost, the entire ecosystem becomes transformed. Overharvesting often results in reduced biodiversity of endemic species, while facilitating the invasion of opportunistic species.
Waste Residuals. Discharges from municipal, industrial, and agricultural sources into the air, water, and land have severely compromised many of the earth’s ecosystems. The effects are particularly apparent in aquatic ecosystems. In some lakes that lack a natural buffering capacity, acid precipitation has eliminated most of the fish and other organisms. While the visual effect appears beneficial (water clarity goes up) the impact on ecosystem health is devastating. Systems that once contained a variety of organisms and were highly productive (biologically) become devoid of most lifeforms except for a few acid-tolerant bacteria and sediment-dwelling organisms.
Introduction of Exotic Species. The spread of exotics has become a problem in almost every ecosystem of the world. Transporting species from their native habitat to entirely new ecosystems can wreck havoc, as the new environments are often without natural checks and balances for the new species. In the Great Lakes Basin, the accidental introduction of two small pelagic fishes, the alewife and the rainbow smelt, combined with the simultaneous overharvesting of natural predators, such as the lake trout, led to a significant decline in native fish species. The introduction of the sea lamprey, an eel-like predacious fish that attacks larger fish, into Lake Erie and the upper Great Lakes further destabilized the native fish community. The sea lamprey contributed to the demise of the deepwater benthic fish community by preying on lake trout, whitefish, and burbot. This contributed to a shift in the fish community from one that had been dominated by large benthics to one dominated by small pelagics (fish found in the upper layers of the lake profile). This shift from bottom-dwelling fish (benthic) to surface-dwelling fish (pelagic) has now been partially reversed by yet another accidental introduction of an exotic: the zebra mussel. As the zebra mussel is a highly efficient filter of both phtyoplankton and zooplankton, its presence has reduced the available food in the surface waters for pelagic fish. However, while the benthic fish community has gained back its dominance, the preferred benthic fish species have not yet recovered owing to the degree of initial degradation. Overall, the increasing dominance by exotics not only altered the ecology, but also reduced significantly the commercial value of the fisheries.
Global Change. Rapid climate change (or climate warming) is an emerging potential global stress on all of the earth’s ecosystems. In evolutionary time, there have of course been large fluctuations in climate. However, for the most part these fluctuations have occurred gradually over long periods of time. Rapid climate change is an entirely different matter. By altering both averages and extremes in precipitation, temperature, and storm events, and by destabilizing the El Niño Southern Oscillation (ENSO), which controls weather patterns over much of the southern Pacific region, many ecosystem processes can become significantly altered. Excessive periods of drought or unusually heavy rains and flooding will exceed the tolerance for many species, thus changing the biotic composition. Flooding and unusually high winds contribute to soil erosion, and at the same time add to nutrient load in rivers and coastal waters.
These anthropogenic stresses have compromised ecosystem function in most regions of the world, resulting in ecosystem distress syndrome (EDS). EDS is characterized by a group of signs, including abnormalities in nutrient cycling, productivity, species diversity and richness, biotic structure, disease prevalence, soil fertility, and so on. The consequences of these changes for human health are not inconsiderable. Impoverished biotic communities are natural harbors for pathogens that affect humans and other species.
ECOSYSTEM HEALTH AND HUMAN HEALTH
An important aspect of ecosystem degradation is the associated increased risk to human health. Traditionally, the concern has been with contaminants, particularly industrial chemicals that can have adverse impacts on human development, neurological functions, reproductive functions, and that appear to be causative agents in a variety of carcinomas. In addition to these serious environmental concerns (where the remedies are often technological, including engineering solutions to reduce the release of contaminants), there are a large number of other risks to human health stemming from ecological imbalance.
Ecosystem distress syndrome results in the loss of valued ecosystem services, including flood control, water quality, air quality, fish and wildlife diversity, and recreation. One of the major signs of EDS is increased disease incidence, both in humans and other species. Human population health should thus be viewed within an ecological context as an expression of the integrity and health of the life-supporting capacity of the environment.
Ecological imbalances triggered by global climate change and other causes are responsible for increased human health risks.
Climate Change and Vector-Borne Diseases. The global infectious disease burden is on the order of several hundred million cases per year. Many vector-borne diseases are climate sensitive. Malaria, dengue fever, hantavirus pulmonary syndrome, and various forms of viral encephalitis are all in this category. All these diseases are the result of arthropod-borne viruses (arboviruses) which are transmitted to humans as a result of bites from blood-sucking arthropods.
Global climate change—particularly as it impacts both temperatures and precipitation—is highly correlated with the prevalence of vector-borne diseases. For example, viruses carried by mosquitoes, ticks, and other blood-sucking arthropods generally have increased transmission rates with rising temperatures. St. Louis encephalitis (SLE) serves as an example. The mosquito Culex tarsalis carries this virus. The percentage of bites that results in transmission of SLE is dependent on temperature, with greater transmission at higher temperatures.
The temperature dependence of vector-borne diseases is also well illustrated with malaria. Malaria is endemic throughout the tropics, with a high prevalence in Africa, the Indian subcontinent, Southeast Asia, and parts of South and Central America and Mexico. Approximately 2.4 billion people live in areas of risk, with some 350 million new infections occurring annually, resulting in approximately 2 million deaths, predominantly in young children. Untreated malaria can become a life-long affliction—general symptoms include fever, headache, and malaise.
The climate sensitivity of malaria arises owing to the nature of the interactions of parasites, vectors, and hosts, all of which impact the ultimate transmission rates to humans. The gestation time required for the parasite to become fully developed within the mosquito host (a process termed sporogony) is from eight to thirty-five days. When temperatures are in the range of 20°C to 27°C, the gestation time is reduced. Rainfall and humidity also have an influence. Both drought and heavy rains tend to reduce the population of mosquitoes that serve as vectors for malaria. In drier regions of the tropics, low rainfall and humidity restricts the survival of mosquitoes. Severe flooding can result in scouring of rivers and destruction of the breeding habitats for the mosquito vector, while intermediate rainfall enhances vector production.
Ecological Imbalances. Cholera is a serious and potentially fatal disease that is caused by the bacterium Vibrio cholerae. While not nearly so prevalent as malaria, cases are nonetheless numerous. In 1993, there were 296,206 new cases of cholera reported in South America; 9,280 cases were reported in Mexico; 62,964 cases in Africa; and 64,599 cases in Asia. Most outbreaks in Asia, Africa, and South America have originated in coastal areas. Symptoms of cholera include explosive watery diarrhea, vomiting, and abdominal pain. The most recent pandemic of cholera involved more regions than at any previous time in the twentieth century. The disease remains endemic in India, Bangladesh, and Africa. Vibrio cholerae has also been found in the United States—in the Gulf Coast region of Texas, Louisiana, and Florida; the Chesapeake Bay area; and the California coast.
The increase in prevalence of V. cholerae has been strongly linked to degraded coastal marine environments. Nutrient-enriched warmer coastal waters, resulting from a combination of climate change and the use of fertilizers, provides an ideal environment for reproduction and dissemination of V. cholerae. Recent outbreaks of cholera in Bangladesh, for example, are closely correlated with higher sea surface temperatures. V. cholerae attach to the surface of both freshwater and marine copepods (crustaceans), as well as to roots and exposed surfaces of macrophytes (aquatic plants) such as the water hyacinth, the most abundant aquatic plant in Bangladesh. Nutrient enrichment and warmer temperatures give rise to algae blooms and an abundance of macrophytes. The algae blooms provide abundant food for copepods, and the increasing copepod and macrophyte populations provide V. cholerae with habitat. Subsequent dispersal of V. cholerae into estuaries and fresh water bodies allows contact with humans who use these waters for drinking and bathing. Global distribution of marine pathogens such as V. cholerae is further facilitated by ballast water discharged from vessels. Ballast water contains a virtual cocktail of pathogens, including V. cholerae.
Two other examples of how ecological imbalances lead to human health burdens concern the increased prevalence of Lyme disease and hantavirus pulmonary disease. Lyme disease, sonamed because it was first positively identified in Lyme, Connecticut, is a crippling arthritic-type disease that is transmitted by spirochete-infected Ixodes ticks (deer ticks). Ticks acquire the infection from rodents, and spend part of their life cycle on deer. Three factors have combined to increase the risk to humans of contracting Lyme disease, particularly in North America: (1) the elimination of natural deer predators, particularly wolves; (2) reforestation of abandoned farmland has created more favorable habitat for deer; and (3) the creation of suburban estates, which the deer find ideal habitat for browsing. The net result is a rising deer population, which increases the chances of humans coming into more contact with ticks.
By 1995, in the southwestern United States, hantavirus infection was confirmed in ninety-four persons in twenty states, with 48 percent mortality. Variants of the strain that causes hantavirus pulmonary syndrome have also been found in other areas of the country, as well as in Asia and Europe. The virus is apparently asymptomatic in rodents, and it is transmitted in their saliva and excreta. In humans it has a flu-like presentation, which is followed by acute respiratory distress syndrome. The primary reservoir in the Four Corners area of the southwestern United States is the deer mouse. Climatic disturbances, which in recent years are thought to be exacerbated by human activity (e.g., global warming), appear to set up conditions that trigger outbreaks. In the early 1990s, ENSO events initially caused drought conditions to develop in the southwestern United States. This led to a decline in plant and animal populations, including natural predators of the deer mouse. Heavy rains followed the drought in 1993, resulting in a bumper crop of piñon nuts, a major food supply for the deer mouse. Subsequently the deer mouse population greatly increased, bringing about increased contact with humans and triggering the outbreak of hantavirus.
Antibiotic Resistance and Agricultural Practice Antibiotic resistance is a growing threat to public health. Antibiotic resistant strains of Streptococcus pneumoniae, a common bacterial pathogen in humans and a leading cause of many infections, including chronic bronchitis, pneumonia, and meningitis, have greatly increased in prevalence since the mid-1970s. In some regions of the world, up to 70 percent of bacterial isolates taken from patients proved resistant to penicillin and other b-lactam antibiotics. The use of large quantities of antibiotics in agriculture and aquaculture appears to have been a key factor in the development of antibiotic resistance by pathogens in farm animals that subsequently may also infect humans. One of the most serious risks to human health from such practices is vancomycin-resistant enterococci. The use of avoparcin, an animal growth promoter, appears to have compromised the utility of vancomycin, the last antibiotic effective against multi-drug-resistant bacteria. In areas where avoparcin has been used, such as on farms in Denmark and Germany, vancomycin-resistant bacteria have been detected in meat sold in supermarkets. Avoparcin was subsequently banned by the European Union. Another example is the use of ofloxacin to protect chickens from infection and thereby enhance their growth. This drug is closely related to ciprofloxacin, one of the most widely used antibiotics in the year 2000. There have been cases of resistance to ciprofloxacin directly related to its veterinary use. In the United Kingdom, ciprofloxacin resistance developed in strains of campylobacter, a common cause of diarrhea. Multi-drug-resistant strains of salmonella have been traced to European egg production.
Food and Water Security. Agricultural practices are also responsible for a growing number of threats to public health. Some of these are related to inadequate waste management, which has resulted in parasites and bacteria entering water supplies. Others are of entirely different origins and involve apparent transfer across species of pathogens that affect both animals and humans. The most recent and spectacular example is mad cow disease, known as variant Creutzfeldt-Jakob disease in humans, a neuro-degenerative condition that, in humans, is ultimately fatal. The first case of Bovine Spongiform Encephalopathy (BSE), the animal form of the disease, was identified in Southern England in November 1981. By the fall of 2000, an outbreak had also occurred in France, and isolated cases appeared in Germany, Switzerland, and Spain. More than one hundred deaths in Europe were attributed to what has come to be commonly called mad cow disease.
Improper manure management was the likely source of the outbreak of E. coli 0157:H7 in Walkerton, Ontario, Canada. Other health risks associated with malfunctioning agroecosystems include periodic outbreaks of cryptosporidiosis, a parasitic disease that is spread by surface runoff contaminated by feces of infected cattle. This parasite causes fever and diarrhea in immunocompetent individuals and severe diarrhea and even death in immunocompromised individuals.
ECOSYSTEM RESTORATION
Ecosystem pathology in some cases can be reversed simply by removing the source of stress. In cases, for example, where ecosystem degradation is the result of point-source additions of nutrients or toxic chemicals, removal of these stresses may result in considerable recovery of ecosystem health. A classic case is Lake Washington (near Seattle, Washington). This lake had become highly anoxic (oxygen-depleted) owing to a sewage outfall entering the lake. Redirecting the sewage outfall away from the lake reversed many of the signs of pathology.
In cases where it is not feasible to remove the source of stress, more innovative engineering solutions have been tried. For example, in the Kyrönjoki and Lestijoki Rivers in western Finland, spring and fall runoff leads to sharp pulses of acidity. Spring runoff from snowmelt, which releases acid from tilled or dug soils, has been particularly damaging to fish, during the critical time of year for spawning. Fish reproduction is severely curtailed, if not all together eliminated in highly acidic water. Further there have been massive fish kills resulting from the highly acidic waters. One possible remedy is to replace the original drains which take runoff from the land to the rivers with new limed drains that can neutralize the acidity. This solution has been implemented on an experimental basis and appears to substantially reduce acidic runoff.
More radical treatments for damaged ecosystems involve “ecosystem surgery.” In some cases, invading exotic vegetation (such as mangroves in Hawaii) have been removed from regions, and native vegetation has been replanted. In areas of North America where wetlands have been severely depleted owing to farming, urbanization, and industrial activity, efforts have been made to establish new wetlands.
More often than not, however, reversing ecosystem pathology is not possible. Efforts to restore the indigenous grasslands in the Jornada Experimental Range in the southwestern United States provide an example. Overgrazing by cattle has severely degraded the landscape and has lead to replacement of the native grasses by largely inedible shrubs, dominated by mesquite. Erosion by wind and episodic heavy rains have left areas between shrubs largely bare, and subsequently underlying sands have developed in dune-like fashion over a large part of the area. The resulting mesquite dunes have proven highly resistant to efforts to restore the native grasslands, although almost every intervention has been tried, including highly toxic defoliants (Agent Orange), fire, and bulldozing.
Even where it has been possible to restore some of the ecological functions of degraded ecosystems, and thus improve ecosystem health, the restoration seldom results in reestablishment of the pristine biotic community. The best that can be achieved in most cases is reestablishment of the key ecological functions that provide the required ecosystem services, such as the regulation of water, primary and secondary productivity, nutrient cycling, and pollination. In all such efforts, key indicators of ecosystem health (vigor, productivity, and resilience) are essential to monitor progress. Standard ecological indicators can be used for this purpose (e.g., measures of productivity, species composition, nutrient flows, soil fertility) along with socioeconomic and human health indicators.
Experience in efforts to restore highly damaged ecosystems suggests that ecosystem-health prevention is far more effective than restoration. For marine ecosystems, setting aside protective zones that afford a sanctuary for fish and wildlife has considerable promise. Many countries are adopting policies to establish such areas with the prospect that these healthy regions can serve as a reservoir for biota that have become depleted in the unprotected areas. Yet this remedy is not without its limits. Restoring ecosystem health is not simply a matter of replenishing lost or damaged biota. It is also a matter of reestablishing the complex interactions among ecosystem lifeforms. Having a ready source of healthy biota that could potentially recolonize damaged ecosystems is important, but it is only part of the solution.
PREVENTION OF ECOSYSTEM DISRUPTIONS
Given the difficulties in reversing ecosystem degradation, and the many associated human health risks that arise with the loss of ecosystem health, the most effective approach is simply the prevention of ecosystem disruption. However, like many common-sense approaches, this is easier said than done. In both developed and developing countries there is a strong inclination to continue economic growth, even at the cost of severe environmental damage. Apart from selfish motivations, the argument is made that economic growth has many obvious health benefits, such as providing more efficient means of distributing food supplies, providing more plentiful food, and providing better health services and funding for research to improve standards of living. These are indeed benefits of economic development, and have led to substantial increases in health status worldwide.
However, at the dawn of the twenty-first century, the past is not necessarily the best guide to the future. The human population is at an all-time high, and associated pressures of human activity have led to increasing degradation of the earth’s ecosystems. As ultimately healthy ecosystems are essential for life of all biota, including humans, current global and regional trends are ominous. Under these circumstances, a tradeoff between immediate material gains and long-term sustainability of humans on the planet may be the only option. If so, the solution to sustaining human health and ecosystem health becomes one of devising a new politic that places sustaining life support systems as a precondition for betterment of the human condition.
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Senior Vet.Officer,Central Veterinary Laboratory Kathmandu Nepal M.V.St. Preventive Veterinary Mrdicine
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