Fueled By Fat: The Case For Keto

Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a health risk. A body mass index (BMI) over 25 is considered overweight, and over 30 is obese. According to the World Health Organization (WHO), the issue has grown to epidemic proportions, with over 4 million people dying each year as a result of being overweight or obese in 2017. Rates of obesity continue to grow in adults and children. From 1975 to 2016, the prevalence of overweight or obese children and adolescents aged 5–19 years increased more than four-fold from 4% to 18% globally.

Once considered a problem only in high-income countries, overweight people and obesity are now dramatically on the rise in low- and middle-income countries, particularly in urban settings. The vast majority of overweight or obese adults and children live in developing countries, where the rate of increase has been more than 30% higher than that of developed countries.

According to the WHO, 58 percent of Pakistani people are overweight and 44 percent of the population is suffering from obesity. These are fresh figures suggesting an alarming trend. Health professionals and practitioners described the study as a “wake-up call” and called for promoting a healthy lifestyle including the importance of daily exercise, consumption of healthy food, and educating adults and young children about the need for taking part in physical activity and avoiding junk food.

Common treatments include losing weight through healthy eating, being more physically active, and making other changes to our usual habits. Weight-management programs may help some people lose weight or keep from regaining lost weight. Some people who have obesity are unable to lose enough weight to improve their health or are unable to keep from regaining weight. In such cases, a doctor may consider adding other treatments, including weight-loss medicines, weight-loss devices or bariatric surgery.

Here, it is important to understand that in the present age, human life is often structured in such a way that people do not have enough time for physical exercise, running, morning or evening walk. Most people want to lose weight and stay healthy without any physical exertion.

The keto diet is a good approach for today’s hectic life: it can be easily adopted and it is helpful not only for weight loss but also provides a generally healthy lifestyle.

Interestingly, the keto diet was accidentally discovered in 1862 by a Victorian-era funeral director named William Banting who lost 52 pounds on a diet of cordial and meat. The keto diet was originally designed not for weight loss, but for epilepsy. In the 1920s, doctors realized that keeping their patients on low-carb diets forced their bodies to use fat as the first-line source of fuel, instead of the usual glucose. When only fat is available for the body to burn, the body converts the fats into fatty acids, and then into compounds called ketones, which can be taken up and used to fuel the body’s cells.

For weight loss, today’s keto diets are the descendants of low-carb diets like the Atkins diet, which peaked in popularity in the early 2000s. Both types of diets reject carbohydrates in favor of meatier meals. There is no single blueprint for the keto diet but plans usually call for eating fewer than 50 grams of carbohydrates a day.

The keto diet forces the body into a state called ketosis, meaning that the body’s cells depend largely on ketones for energy. According to Jo Ann Carson, a professor of clinical nutrition at the University of Texas Southwest Medical Center and the chair of the American Heart Association’s (AHA) Nutrition Committee, it’s not entirely clear why that leads to weight loss but ketosis seems to blunt the appetite and may affect hormones like insulin that regulate hunger. Fats and proteins may also keep people fuller than carbohydrates, leading to lower calorie intake overall.

Concurrently, low-carb diets have been controversial for decades. Some people assert that these diets raise cholesterol and cause heart disease due to their high-fat content. However, in most scientific studies, low-carb diets prove their worth as healthy and beneficial.

To say that the keto diet has become one of the most popular diets of recent years is a complete understatement. There are more than one million searches on Google every month for the keto diet. It’s unique because the fad diet has captured the interest of people who want to lose weight and there’s no shortage of reported success stories to be found. But researchers have taken a greater interest in it as a medical diet, too. In 2015, there were 159 studies listed in the database PubMed (which is run by the U.S. National Library of Medicine and the National Institutes of Health). In 2018, that number doubled, with 322 published studies.

When a body is in ketosis, it produces ketones as we cut carbohydrates from our diet. Removing carbs and adding healthy, natural fats to our plate will force our body to start using fat as its primary source of energy. In ketosis, we feel less hungry as our body operates on the ketones in our bloodstream and the fats we’re consuming. Optimal ketone levels can increase our energy as well as improve brain health, gut function and hormone balance. When striving to achieve ketosis or working to maintain it, these foods will be our best friends:
– High-fiber and low-carb foods, which include almonds, flax seeds, blackberries, raspberries, cauliflower, and cabbage
– Vegetables and greens, such as kale, arugula, bell peppers, broccoli, celery, asparagus
– Heart-healthy fats, such as avocado, fatty fish, coconut oil, and olive oil
– High-quality proteins like meat, poultry, seafood and eggs should represent 15 to 20% of your daily calories when you’re on the keto diet.

In addition to high-carb foods, we’ll want to stay away from these items in the grocery store, too:
– Starchy vegetables like potatoes, carrots and corn
– Many fruits, including oranges, apples, mangoes, pineapples, and bananas
– Sugary items, like syrup, honey, and anything containing high-fructose corn syrup
– Milk and low-fat dairy.

Though fat is often avoided for its high-calorie content, research shows that ketogenic diets are significantly more effective at promoting weight loss than low-fat diets. Plus, keto diets reduce hunger and increase satiety, which can be particularly helpful when trying to lose weight.

Here it is important to mention that to stay healthy there is no substitute for regular workouts and physical exercise.

International Days

January
January 4: World Braille Day
January 6: World Day for War Orphans
January 27: International Holocaust Remembrance Day
January 28: Data Protection Day
January 31: Leprosy Prevention Day

February
February 2: World Wetlands Day
February 4: World Cancer Day
February 12: Darwin Day
February 13: World Radio Day
February 14: Valentine’s Day
February 20: World Day of Social Justice
February 21: International Mother Language Day
February 22: World Scout Day

March
March 1: World Civil Defence Day
March 4: World Day of the Fight Against Sexual Exploitation
March 8: International Women’s Day, World Kidney Day
March 15: World Consumer Rights Day
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March 21: International Day for the Elimination of Racial Discrimination, Forests Day
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March 27: World Theatre Day

April
April 2: World Autism Awareness Day
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April 12: World Street Children Day
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May 1: May Day – Labour Day
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May 12: International Nurses Day, International Just Trade Day
May 14: Bone & Joint Day
May 15: International Day of Families
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May 19: Hepatitis Day
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May 22: International Day for Biological Diversity
May 23: World Squash Day, World Turtle Day
May 28: Anti-Narcotics Day, Engineers Day
May 29: UN Peace Missions Day
May 30: World Sports Day
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1st Tuesday of May: World Asthma Day
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June
June 1: International Children’s Day, World Milk Day
June 5: World Environment Day
June 8: World Brain Tumour Day. World Ocean Day
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June 12: World Day against Child Labour
June 14: World Blood Donor Day
June 18: International Picnic Day
June 20: World Refugee Day
June 21: World Music Day
June 23: Public Service Day
June 26: Anti-Narcotics Day, Anti-Violence Day
3rd Sunday in June: Fathers’ Day

July
July 2: Sports Journalism Day
July 4: World Cooperative Day
July 11: World Population Day
July 24: World Parents Day
July 28: Hepatitis Day
July 30: World Friendship Day

August
August 3: World Friendship Day
August 8: International Day of the World’s Indigenous People
August 11: World Minorities Day
August 12: International Youth Day
August 13: Left Handers Day
August 19: World Humanity Day, World Breast Feeding Day
August 23: World Slavery Abolition Day
August 30: International Day of the Disappeared

September
September 4: World Veil Day
September 5: World Vulture Day
September 8: International Literacy Day, World Physiotherapy Day
September 10: Suicide Prevention Day
September 11: World First Aid Day
September 12: World Oral Health Day
September 13: Grand Parents Day
September 15: International Day of Democracy
September 16: International Day for the Preservation of the Ozone Layer
September 21: World Alzheimer’s Day
September 22: Car Free Day
September 24: World Clean-up Day
September 26: World Heart Day
September 27: World Tourism Day
September 28: World Rabies Day

October
October 1: World Vegetarian Day. Senior Citizens Day
October 2: International Day of Non-Violence
October 3: World Habitat Day
October 4: World Animal Day
October 5: World Teachers’ Day
October 7: World Employment Day, World Smile Day
October 8: World Humanitarian Action Day, World Natural Calamities Prevention Day, World Sight Day
October 9: World Post Day
October 10: World Mental Health Day, World Egg Day, World Anti-Capital Punishment Day
October 11: World Girls Day
October 12: World Arthritis Day
October 14: World Standards Day
October 15: International Day of Rural Women, Global Hand Washing Day, World White Stick Day
October 16: World Food Day
October 17: International Day for the Eradication of Poverty
October 20: World Chefs Day
October 24: United Nations Day, World Acupuncture Day
October 24: World Development Information Day
October 31: World Savings Day

November
November 9: World Freedom Day, World Inventors Day
November 10: World Science Day
November 12: World Pneumonia Day
November 14: World Diabetes Day
November 16: International Day for Tolerance
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November 19: World Toilet Day
November 20: Universal Children’s Day
November 21: World Hello Day
November 21: World Television Day
November 21: World Fishermen’s Day
November 25: International Day for the Elimination of Violence against Women
November 29: International Day of Solidarity with the Palestinian People
3rd Sunday in November : Traffic Accident Victims Day

December
December 1: World AIDS Day
December 2: International Day for the Abolition of Slavery
December 3: International Day of Disabled Persons
December 5: International Volunteer Day
December 7: International Civil Aviation Day
December 9: The International Day against Corruption. World Allergy Day
December 10: Human Rights Day
December 11: International Mountain Day
December 14: World Monkeys Day
December 15: World Tea Day
December 18: International Migrants Day
December 20: International Human Solidarity Day

Three Pakistanis win family planning award

Islamabad :Three Pakistanis are among 40 of this year’s winners of the ‘120 Under 40: The New Generation of Family Planning Leaders.’ Mansoor Qaisar, Senior Information Officer at the Population Council, Laraib Abid, founder of non-profit organization Mashal, and Joshua Dilawar, project officer at non-profit Samaj Development Foundation are among some of the brightest people worldwide in the field of family planning and reproductive health.

The winners were announced Wednesday by the Bill and Melinda Gates Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health

 ‘120 Under 40’ recognizes and highlights the achievements of the next generation of family planning leaders worldwide. This year’s 40 winners are advocates, researchers, service providers, epidemiologists, medical doctors, programme officers, communications and media professionals, and founders of NGOs and nonprofits. They work all over the world—in clinics and universities, in offices, and in the field—to advance family planning and reproductive health.

The 40 winners for 2017 were chosen through public online voting, scoring by a jury of experts and leaders in family planning, and the project secretariat. Each winner receives $1,000 from the Gates Institute to continue their work in family planning.

While talking to media, Mansoor Qaisar said ‘120 Under 40’ recognizes the next generation of leaders making a difference in FP and SRHR worldwide. Stressed the need for involvement of the religious community in addressing population issues, he said, “I am happy that the Population Council has developed a culturally acceptable communication strategy in Pakistan to engage religious leaders of various schools of thought, present the case for family planning, and persuade them to formally endorse birth spacing.”

Pakistan today has a population of approximately 208 million people. We are the sixth most populous country of the world and will soon will become the fifth most populous with a 2.4 percent growth rate, as indicated in the Census 2017 results.

https://www.thenews.com.pk/print/229729-Three-Pakistanis-win-family-planning-award

Fueled By Fat: The Case For Keto

Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a health risk. A body mass index (BMI) over 25 is considered overweight, and over 30 is obese. According to the World Health Organization (WHO), the issue has grown to epidemic proportions, with over 4 million people dying each year as a result of being overweight or obese in 2017. Rates of obesity continue to grow in adults and children. From 1975 to 2016, the prevalence of overweight or obese children and adolescents aged 5–19 years increased more than four-fold from 4% to 18% globally.

Once considered a problem only in high-income countries, overweight people and obesity are now dramatically on the rise in low- and middle-income countries, particularly in urban settings. The vast majority of overweight or obese adults and children live in developing countries, where the rate of increase has been more than 30% higher than that of developed countries.

According to the WHO, 58 percent of Pakistani people are overweight and 44 percent of the population is suffering from obesity. These are fresh figures suggesting an alarming trend. Health professionals and practitioners described the study as a “wake-up call” and called for promoting a healthy lifestyle including the importance of daily exercise, consumption of healthy food, and educating adults and young children about the need for taking part in physical activity and avoiding junk food.

Common treatments include losing weight through healthy eating, being more physically active, and making other changes to our usual habits. Weight-management programs may help some people lose weight or keep from regaining lost weight. Some people who have obesity are unable to lose enough weight to improve their health or are unable to keep from regaining weight. In such cases, a doctor may consider adding other treatments, including weight-loss medicines, weight-loss devices or bariatric surgery.

Here, it is important to understand that in the present age, human life is often structured in such a way that people do not have enough time for physical exercise, running, morning or evening walk. Most people want to lose weight and stay healthy without any physical exertion.

The keto diet is a good approach for today’s hectic life: it can be easily adopted and it is helpful not only for weight loss but also provides a generally healthy lifestyle.

Interestingly, the keto diet was accidentally discovered in 1862 by a Victorian-era funeral director named William Banting who lost 52 pounds on a diet of cordial and meat. The keto diet was originally designed not for weight loss, but for epilepsy. In the 1920s, doctors realized that keeping their patients on low-carb diets forced their bodies to use fat as the first-line source of fuel, instead of the usual glucose. When only fat is available for the body to burn, the body converts the fats into fatty acids, and then into compounds called ketones, which can be taken up and used to fuel the body’s cells.

For weight loss, today’s keto diets are the descendants of low-carb diets like the Atkins diet, which peaked in popularity in the early 2000s. Both types of diets reject carbohydrates in favor of meatier meals. There is no single blueprint for the keto diet but plans usually call for eating fewer than 50 grams of carbohydrates a day.

The keto diet forces the body into a state called ketosis, meaning that the body’s cells depend largely on ketones for energy. According to Jo Ann Carson, a professor of clinical nutrition at the University of Texas Southwest Medical Center and the chair of the American Heart Association’s (AHA) Nutrition Committee, it’s not entirely clear why that leads to weight loss but ketosis seems to blunt the appetite and may affect hormones like insulin that regulate hunger. Fats and proteins may also keep people fuller than carbohydrates, leading to lower calorie intake overall.

Concurrently, low-carb diets have been controversial for decades. Some people assert that these diets raise cholesterol and cause heart disease due to their high-fat content. However, in most scientific studies, low-carb diets prove their worth as healthy and beneficial.

To say that the keto diet has become one of the most popular diets of recent years is a complete understatement. There are more than one million searches on Google every month for the keto diet. It’s unique because the fad diet has captured the interest of people who want to lose weight and there’s no shortage of reported success stories to be found. But researchers have taken a greater interest in it as a medical diet, too. In 2015, there were 159 studies listed in the database PubMed (which is run by the U.S. National Library of Medicine and the National Institutes of Health). In 2018, that number doubled, with 322 published studies.

When a body is in ketosis, it produces ketones as we cut carbohydrates from our diet. Removing carbs and adding healthy, natural fats to our plate will force our body to start using fat as its primary source of energy. In ketosis, we feel less hungry as our body operates on the ketones in our bloodstream and the fats we’re consuming. Optimal ketone levels can increase our energy as well as improve brain health, gut function and hormone balance. When striving to achieve ketosis or working to maintain it, these foods will be our best friends:
– High-fiber and low-carb foods, which include almonds, flax seeds, blackberries, raspberries, cauliflower, and cabbage
– Vegetables and greens, such as kale, arugula, bell peppers, broccoli, celery, asparagus
– Heart-healthy fats, such as avocado, fatty fish, coconut oil, and olive oil
– High-quality proteins like meat, poultry, seafood and eggs should represent 15 to 20% of your daily calories when you’re on the keto diet.

In addition to high-carb foods, we’ll want to stay away from these items in the grocery store, too:
– Starchy vegetables like potatoes, carrots and corn
– Many fruits, including oranges, apples, mangoes, pineapples, and bananas
– Sugary items, like syrup, honey, and anything containing high-fructose corn syrup
– Milk and low-fat dairy.

Though fat is often avoided for its high-calorie content, research shows that ketogenic diets are significantly more effective at promoting weight loss than low-fat diets. Plus, keto diets reduce hunger and increase satiety, which can be particularly helpful when trying to lose weight.

Here it is important to mention that to stay healthy there is no substitute for regular workouts and physical exercise.

https://nayadaur.tv/amp/2021/06/fueled-by-fat-the-case-for-keto/

‘Clerics should be included in family planning efforts’

Clerics should be included in family planning efforts’

Family planning award recipient says maternal deaths linked to unhealthy spacing

family planning award recipient says maternal deaths linked to unhealthy spacing photo file

Family planning award recipient says maternal deaths linked to unhealthy spacing. PHOTO: FILEISLAMABAD:
With the latest census results showing that Pakistan’s population was growing at an alarming rate of 2.4 per cent to rise to 207 million, one man believes there is a lot of work to be done to lower this rate – particularly by bringing in religious leaders into the conversation.

This was stated by Mansoor Qaisar a senior information officer with the Population Council. He is one of the three Pakistanis who has been picked for the ‘120 under 40: The New Generation of Family Planning Leaders’ award on Wednesday for promoting family planning practices in Pakistan.

Announced by the Bill & Melinda Gates Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health, the award also listed Lahore-based non-proft organisation Mashal founder Laraib Abid and Joshua Dilawar, a project officer at Samaj Development Foundation.

The winners were chosen through online voting, a panel of experts and leaders in family planning, and the project secretariat. Each of the winners will receive a cash prize of $1,000 from the Gates Institute to continue their family planning efforts.

Qaisar said that high rates of maternal mortality in Pakistan are attributed to the unhealthy spacing between children. However, sensitivity surrounding the issue – in terms of discussing it and pressure from families – has discouraged authorities from proactively taking up the issue and use of family planning services.

In this regard, he urged religious scholars to step up and play their role in addressing the issue of rising population.

“Before this can happen, they [religious scholars] must be mobilised and given a better understanding of reproductive health and family planning issues,” he suggested.

“Pakistan today has a population of approximately 208 million people. We are the sixth most populous country in the world and will soon become the fifth most populous country with a 2.4 per cent growth rate, as indicated in the provisional census results,” Qaiser said.

He said that the Population Council had engaged religious clerics from different schools of thought and was organising seminars and meetings to promote dialogue with them.

In 2015, a meeting had been organised with leading scholars with the aim of convincing them that the use of all family planning methods is acceptable. The meeting also supported birth-control practices that prevent maternal deaths.

To strengthen their case, Qaisar said that the Council had also gathered material and examples from other Muslim countries which have achieved tremendous improvement in the field of mother and child health such as Malaysia, Indonesia, Iran, Turkey and Bangladesh.

The efforts bore fruit with scholars unanimously agreeing that a mother has to breastfeed her infant for at least two years which automatically brings a minimum gap between pregnancies to two years between the two pregnancies.

The scholars also offered their support in promoting birth-spacing practices and termed it necessary to create a healthy and prosperous society. The religious leaders and heads of religious institutions also affirmed that Islam declares preservation and maintenance of human life as an inalienable right of all individuals and families.

“Like Indonesia, Iran and Bangladesh, Pakistan should also involve the religious community and recognise them as major stakeholders in achieving better results,” he stated.

https://tribune.com.pk/story/1505801/clerics-included-family-planning-efforts

Saving Our Children From Rapist Mullahs

The rape of children in Pakistan’s madrassas is a grave issue, but whenever such cases of sexual abuse have came to light in the past, religious circles always try to downplay them – terming them as ‘conspiracy’ against madrassas. The nation has not yet forgotten the horrific rape and murder of little Zainab in Kasur. We are now witnessing yet another subsequent wave of anger across the country after cleric Mufti Azizur Rehman was found sexually assaulting his student at a seminary. But merely expressing anger will not make much of a difference.

Another quandary of our social dynamics shows that whenever such an incident happens to a child, the parents of the child, instead of taking any action against the madrassa or the teacher, forcibly send the child back to the same madrassa. But this does not address the underlying cause. Even if there is another madrassa, there will be similar teachers. Imagine how severely personality of a child who has to keep reliving his trauma will be affected.

The story does not end here, but when the same child becomes a teacher after graduating from a madrassa, then it’s the vengeance time for him. He may make use of every opportunity to do the same child molestation activities at his respective madrassa as his teachers had done to him during his childhood.

Over the past several years, several dozens of FIRs have been registered against religious teachers at various police stations across the country but no decisive action has been taken against any of them; allowing the preponderance of such sex abusers.
Children studying at madrassas hail from poor socio-economic backgrounds and are usually sent to madrassas for studying the Holy Qur’an for free, and the parents do not have to pay for food and accommodation of their children.

According to police sources, the trend of crimes against children by religious teachers is not under control because many incidents are not even reported to the police. And even if the matter does reach the police, the accused are hardly convicted.

Prime Minister Imran Khan announced the introduction of modern educational requirements at religious madrassas, but apparently, this has not been implemented. In the past, preceding civil and military governments have tried to regulate madrassas and bring them in line with modern requirements, but no significant progress has been made thus far.

According to social circles, religious teachers have now become an influential group. Parents of affected children are coerced to withdraw their complaints or remain silent. In a country like Pakistan, sexually abused children face lifelong psychological disorders and social problems.

According to an NGO named SAHIL that works for the protection of children’s rights, 2960 cases of child sexual abuse were reported in Pakistan during 2020. According to figures provided by Sahil, 1,510 girls and 1,450 boys were sexually abused in the past year, with 119 cases of underage marriages and 7 cases involving girls, 50 boys, and girls. Children were sexually abused in madrassas, as well as in hospitals, hotels, cars, clinics, colleges, factories, prisons, police stations, wedding halls, cemeteries, and many other places.

During 2020, the highest number of incidents of sexual violence i.e., 1707 against children were reported in Punjab province followed by 861 in Sindh, 53 in Balochistan, 102 in the federal capital Islamabad, 215 in Khyber Pakhtunkhwa, 18 in Azad Kashmir, and 18 in Gilgit-Baltistan. During the year 2020, 82 children were sexually abused in Lahore which is the second largest populous city of the country.

These incidents show that an average of eight children were sexually assaulted daily in 2020. This is not the time to remain gob-smacked at one more incident, but we can all do something in our individual capacities. Perhaps provincial governments can make stringent laws at provincial levels, and district level committees can work together to ensure that the culprits are brought to trials in the courts of laws and get legally demonstrated imprisonment and/or heavy fines.

Similarly, at tehsil and village levels, a focal person can be appointed to liaise with the officials of district governments ensuring that these evil child molesters are prosecuted, brought to courts of law and get legitimate punishment. Moreover, child Safety Cells should be set up in every district of the country for the prevention of violence against children and free community support, an awareness campaign for the protection of children from sexual violence should be run under the effective strategy and new laws on children should be enacted.
Create and further improve the enacted laws. Regarding children’s rights, effective support systems should be set up for the rehabilitation of children affected by sexual violence, and messages based on child protection should be made a regular part of children’s curriculum.

Parents, teachers, media, and civil society must work together to end social evils. It is important to be aware of the strict laws as well as the awareness of all, including children, parents, and teachers. Awareness material on the prevention of sexual abuse of children should be made an essential part of the national curriculum taught at schools included in the curriculum.

Saving Our Children From Rapist Mullahs

Fueled By Fat: The Case For Keto

Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a health risk. A body mass index (BMI) over 25 is considered overweight, and over 30 is obese. According to the World Health Organization (WHO), the issue has grown to epidemic proportions, with over 4 million people dying each year as a result of being overweight or obese in 2017. Rates of obesity continue to grow in adults and children. From 1975 to 2016, the prevalence of overweight or obese children and adolescents aged 5–19 years increased more than four-fold from 4% to 18% globally.

Once considered a problem only in high-income countries, overweight people and obesity are now dramatically on the rise in low- and middle-income countries, particularly in urban settings. The vast majority of overweight or obese adults and children live in developing countries, where the rate of increase has been more than 30% higher than that of developed countries.

According to the WHO, 58 percent of Pakistani people are overweight and 44 percent of the population is suffering from obesity. These are fresh figures suggesting an alarming trend. Health professionals and practitioners described the study as a “wake-up call” and called for promoting a healthy lifestyle including the importance of daily exercise, consumption of healthy food, and educating adults and young children about the need for taking part in physical activity and avoiding junk food.

Common treatments include losing weight through healthy eating, being more physically active, and making other changes to our usual habits. Weight-management programs may help some people lose weight or keep from regaining lost weight. Some people who have obesity are unable to lose enough weight to improve their health or are unable to keep from regaining weight. In such cases, a doctor may consider adding other treatments, including weight-loss medicines, weight-loss devices or bariatric surgery.

Here, it is important to understand that in the present age, human life is often structured in such a way that people do not have enough time for physical exercise, running, morning or evening walk. Most people want to lose weight and stay healthy without any physical exertion.

The keto diet is a good approach for today’s hectic life: it can be easily adopted and it is helpful not only for weight loss but also provides a generally healthy lifestyle.

Interestingly, the keto diet was accidentally discovered in 1862 by a Victorian-era funeral director named William Banting who lost 52 pounds on a diet of cordial and meat. The keto diet was originally designed not for weight loss, but for epilepsy. In the 1920s, doctors realized that keeping their patients on low-carb diets forced their bodies to use fat as the first-line source of fuel, instead of the usual glucose. When only fat is available for the body to burn, the body converts the fats into fatty acids, and then into compounds called ketones, which can be taken up and used to fuel the body’s cells.

For weight loss, today’s keto diets are the descendants of low-carb diets like the Atkins diet, which peaked in popularity in the early 2000s. Both types of diets reject carbohydrates in favor of meatier meals. There is no single blueprint for the keto diet but plans usually call for eating fewer than 50 grams of carbohydrates a day.

The keto diet forces the body into a state called ketosis, meaning that the body’s cells depend largely on ketones for energy. According to Jo Ann Carson, a professor of clinical nutrition at the University of Texas Southwest Medical Center and the chair of the American Heart Association’s (AHA) Nutrition Committee, it’s not entirely clear why that leads to weight loss but ketosis seems to blunt the appetite and may affect hormones like insulin that regulate hunger. Fats and proteins may also keep people fuller than carbohydrates, leading to lower calorie intake overall.

Concurrently, low-carb diets have been controversial for decades. Some people assert that these diets raise cholesterol and cause heart disease due to their high-fat content. However, in most scientific studies, low-carb diets prove their worth as healthy and beneficial.

To say that the keto diet has become one of the most popular diets of recent years is a complete understatement. There are more than one million searches on Google every month for the keto diet. It’s unique because the fad diet has captured the interest of people who want to lose weight and there’s no shortage of reported success stories to be found. But researchers have taken a greater interest in it as a medical diet, too. In 2015, there were 159 studies listed in the database PubMed (which is run by the U.S. National Library of Medicine and the National Institutes of Health). In 2018, that number doubled, with 322 published studies.

When a body is in ketosis, it produces ketones as we cut carbohydrates from our diet. Removing carbs and adding healthy, natural fats to our plate will force our body to start using fat as its primary source of energy. In ketosis, we feel less hungry as our body operates on the ketones in our bloodstream and the fats we’re consuming. Optimal ketone levels can increase our energy as well as improve brain health, gut function and hormone balance. When striving to achieve ketosis or working to maintain it, these foods will be our best friends:
– High-fiber and low-carb foods, which include almonds, flax seeds, blackberries, raspberries, cauliflower, and cabbage
– Vegetables and greens, such as kale, arugula, bell peppers, broccoli, celery, asparagus
– Heart-healthy fats, such as avocado, fatty fish, coconut oil, and olive oil
– High-quality proteins like meat, poultry, seafood and eggs should represent 15 to 20% of your daily calories when you’re on the keto diet.

In addition to high-carb foods, we’ll want to stay away from these items in the grocery store, too:
– Starchy vegetables like potatoes, carrots and corn
– Many fruits, including oranges, apples, mangoes, pineapples, and bananas
– Sugary items, like syrup, honey, and anything containing high-fructose corn syrup
– Milk and low-fat dairy.

Though fat is often avoided for its high-calorie content, research shows that ketogenic diets are significantly more effective at promoting weight loss than low-fat diets. Plus, keto diets reduce hunger and increase satiety, which can be particularly helpful when trying to lose weight.

Here it is important to mention that to stay healthy there is no substitute for regular workouts and physical exercise.

The writer is a freelance columnist based in Islamabad & can be reached via Twitter @MansorQaisar 

Saving Our Children From Rapist Mullahs

The rape of children in Pakistan’s madrassas is a grave issue, but whenever such cases of sexual abuse have came to light in the past, religious circles always try to downplay them – terming them as ‘conspiracy’ against madrassas. The nation has not yet forgotten the horrific rape and murder of little Zainab in Kasur. We are now witnessing yet another subsequent wave of anger across the country after cleric Mufti Azizur Rehman was found sexually assaulting his student at a seminary. But merely expressing anger will not make much of a difference.

Another quandary of our social dynamics shows that whenever such an incident happens to a child, the parents of the child, instead of taking any action against the madrassa or the teacher, forcibly send the child back to the same madrassa. But this does not address the underlying cause. Even if there is another madrassa, there will be similar teachers. Imagine how severely personality of a child who has to keep reliving his trauma will be affected.

The story does not end here, but when the same child becomes a teacher after graduating from a madrassa, then it’s the vengeance time for him. He may make use of every opportunity to do the same child molestation activities at his respective madrassa as his teachers had done to him during his childhood.

Over the past several years, several dozens of FIRs have been registered against religious teachers at various police stations across the country but no decisive action has been taken against any of them; allowing the preponderance of such sex abusers.
Children studying at madrassas hail from poor socio-economic backgrounds and are usually sent to madrassas for studying the Holy Qur’an for free, and the parents do not have to pay for food and accommodation of their children.

According to police sources, the trend of crimes against children by religious teachers is not under control because many incidents are not even reported to the police. And even if the matter does reach the police, the accused are hardly convicted.

Prime Minister Imran Khan announced the introduction of modern educational requirements at religious madrassas, but apparently, this has not been implemented. In the past, preceding civil and military governments have tried to regulate madrassas and bring them in line with modern requirements, but no significant progress has been made thus far.

According to social circles, religious teachers have now become an influential group. Parents of affected children are coerced to withdraw their complaints or remain silent. In a country like Pakistan, sexually abused children face lifelong psychological disorders and social problems.

According to an NGO named SAHIL that works for the protection of children’s rights, 2960 cases of child sexual abuse were reported in Pakistan during 2020. According to figures provided by Sahil, 1,510 girls and 1,450 boys were sexually abused in the past year, with 119 cases of underage marriages and 7 cases involving girls, 50 boys, and girls. Children were sexually abused in madrassas, as well as in hospitals, hotels, cars, clinics, colleges, factories, prisons, police stations, wedding halls, cemeteries, and many other places.

During 2020, the highest number of incidents of sexual violence i.e., 1707 against children were reported in Punjab province followed by 861 in Sindh, 53 in Balochistan, 102 in the federal capital Islamabad, 215 in Khyber Pakhtunkhwa, 18 in Azad Kashmir, and 18 in Gilgit-Baltistan. During the year 2020, 82 children were sexually abused in Lahore which is the second largest populous city of the country.

These incidents show that an average of eight children were sexually assaulted daily in 2020. This is not the time to remain gob-smacked at one more incident, but we can all do something in our individual capacities. Perhaps provincial governments can make stringent laws at provincial levels, and district level committees can work together to ensure that the culprits are brought to trials in the courts of laws and get legally demonstrated imprisonment and/or heavy fines.

Similarly, at tehsil and village levels, a focal person can be appointed to liaise with the officials of district governments ensuring that these evil child molesters are prosecuted, brought to courts of law and get legitimate punishment. Moreover, child Safety Cells should be set up in every district of the country for the prevention of violence against children and free community support, an awareness campaign for the protection of children from sexual violence should be run under the effective strategy and new laws on children should be enacted.
Create and further improve the enacted laws. Regarding children’s rights, effective support systems should be set up for the rehabilitation of children affected by sexual violence, and messages based on child protection should be made a regular part of children’s curriculum.

Parents, teachers, media, and civil society must work together to end social evils. It is important to be aware of the strict laws as well as the awareness of all, including children, parents, and teachers. Awareness material on the prevention of sexual abuse of children should be made an essential part of the national curriculum taught at schools included in the curriculum.

Children pay the price in Pakistan’s mass HIV outbreak

“They tell us to go for further tests in private hospitals, but we don’t have sufficient money,” says one parent.

Since his son was diagnosed with HIV during a mass outbreak in Pakistan among babies and children, hard-up Shahzado Shar has often been forced to choose between food and medicine.

His five-year-old was one of hundreds who tested positive in 2019 after a whistleblower doctor uncovered a scandal involving the re-use of needles in southern Sindh province.

The number of patients quickly swelled and two years later the figure stands at more than 1,500, according to data from the provincial health ministry.

In this picture taken on March 25, a father and his HIV positive son wait for their turn at a treatment support centre in Ratodero. —  AFP
In this picture taken on March 25, a father and his HIV positive son wait for their turn at a treatment support centre in Ratodero. — AFP

Pakistan’s largest HIV testing and treatment centre was established in the rural town of Ratodero in the wake of the disaster, dishing out life saving anti-retroviral drugs.

But affected families must cover further costs arising from the illness themselves.

“They tell us to go for further tests in private hospitals, but we don’t have sufficient money,” Shar told AFP, describing how his son continues to suffer from regular fever, abdominal and kidney pain.

Around 30 other children are also HIV positive in their small village of Subhani Shar, just a few kilometres from Ratodero.

Public hospitals, located largely in cities, are often chaotic and inefficient, leaving rural families to rely on private clinics they can seldom afford and which are often stuffed with unlicensed doctors.

At least 50 children have died since they were diagnosed, said paediatric specialist Fatima Mir, from Aga Khan University in Karachi, who has analysed the data — though she had expected the number to be higher given the malnutrition and poverty among families in the area.

In this picture taken on March 25, Shahzado Shar (L) sits with his HIV positive son at their home in Subhani Shar village. —  AFP
In this picture taken on March 25, Shahzado Shar (L) sits with his HIV positive son at their home in Subhani Shar village. — AFP

Authorities blamed a single physician — a popular child specialist in Ratodero — for causing the outbreak.

Muzaffar Ghangro is currently out on bail, with court hearings repeatedly pushed back, much to the anger of many families.

He denies the charges laid against him, saying other doctors have pinned the outbreak on him because of his successful practice.

‘Ruthless’ malpractice

Poor infection control is rife across the country, where doctors often reuse equipment to cut costs — out of necessity or greed.

The doctor who first exposed Sindh’s dirty needle scandal says little has changed since 2019.

“Things are as bad as they were at the time of the outbreak,” said whistleblower Imran Akbar Arbani, who called malpractice in the country “ruthless”.

Arbani took his data on the outbreak to local media after discovering an alarming number of babies with HIV in Ratodero, where he has a private clinic.

He said authorities were quick to react at the time, but that discipline has since slipped.

“In the first three months, quacks and unauthorised medical practitioners were banned and their clinics were sealed, but they obtained clearance later on,” he said.

n this picture taken on March 26, a laboratory technician takes a blood sample from a man for an HIV test at a HIV treatment support centre in Ratodero. — AFP
n this picture taken on March 26, a laboratory technician takes a blood sample from a man for an HIV test at a HIV treatment support centre in Ratodero. — AFP

Rafiq Khanani, a doctor and the president of the Infectious Diseases Society of Pakistan, said regulations were ineffective or routinely ignored.

“The regulatory departments exist only on documents and in offices […] practically, they are ineffective.”

In the wake of the scandal, the government banned the import of conventional syringes, insisting only on single-use auto-lock needles which cannot be redeployed.

But a Sindh health official who did not want to be named told AFP that many doctors were circumventing the ban and still buying the cheaper models.

‘We are doomed’

At Ratodero’s HIV testing and treatment centre, patients sit facing a television screen churning out healthcare advice in the local Sindhi language.

A frail 20-year-old man sits silently with his father, waiting for the results of the rapid HIV test.

Paediatric specialist Fatima Mir said successful mass testing helped to identify victims of the crisis and slow down onward transmissions.

But Pakistan now has to go beyond the vital antiretrovirals and offer more rounded care to patients, Ayesha Isani Majeed, the head of the government’s National AIDS Control Programme, told AFP.

In this picture taken on March 25, Hakima Shar and her daughter, who are both HIV positive, walk outside their home in Subhani Shar village. —  AFP
In this picture taken on March 25, Hakima Shar and her daughter, who are both HIV positive, walk outside their home in Subhani Shar village. — AFP

As the sun sets in Subhani Shar, a mother sits with her daughter draped across her lap, suffering another bout of fever.

Hakima Shar says she sometimes forgets to administer the drugs — which can control the virus and help prevent onward transmission — to her four-year-old, who often refuses to take them.

“We are very poor […] I wake up with the sun and start working, so who else will give her the medicine regularly?” said the 25-year-old mother, who has also contracted the virus.

Many families had never heard of HIV, but now it dominates their lives.

“The government doesn’t provide us with antibiotics or multivitamins and we can’t afford to buy them ourselves,” she said. “We are doomed.“


Header image: In this picture taken on March 25, 2021, HIV-infected children sit together in Subhani Shar village near Ratodero. — AFP

https://www.dawn.com/news/1629306/children-pay-the-price-in-pakistans-mass-hiv-outbreak

Climate Change: Pakistan’s Most Terrifying Adversary

Climate Change: Pakistan’s Most Terrifying Adversary

Mansoor Qaisar June 9, 2021

Environment and climate change are inextricably linked to sustainable development. Pakistan requires greater progress in environmental protection. Water scarcity is increasing, land productivity is decreasing, and climate change is worsening these threats. The risk of natural disasters, also exacerbated by climate change as well as economic shocks, adds to existing vulnerabilities.

Pakistan has persistently been among the top 10 most affected countries due to climate change and regrettably, its ranking has descended from number 5. A recent German Watch Report of the Long-term Global Climate Risk Index 2020, a global think-tank working on climate change, had rated Pakistan 8th most affected country due to adverse impacts of climate change.

The GCRI report notes that Pakistan has reported a loss of $3.772 billion as a result of 173 extreme weather events between 2000 and 2019. It also indicates a level of exposure and vulnerability to extreme events, such as storms, floods, and heat waves, which serves as a warning for countries to be prepared for more frequent and severe such events in the future

Climate scientists say Pakistan is especially vulnerable to wild weather and other effects of climate change including sea intrusion, unusual rain patterns, glacial melting, rising temperatures, and drought. In 2018, the total rain recorded in Sindh province during monsoon season was just 1 millimeter (0.039 inches). But in 2019, it was 323 millimeters (12.7 inches), and so far this year we have seen rainfall totaling 450-500 millimeters. The Arabian Sea has also been heating up, with the average surface temperature increasing from 29 degrees Celsius (84.2 Fahrenheit) to 31 degrees in just two years. This has fueled the formation of storms that push the sea into coastal communities. The Indus River delta has been badly affected by sea intrusion that harms people’s livelihoods.

Pakistan’s government is addressing climate change with projects like tree planting, electric mobility, and campaigns to reduce emissions. One project in the remote northwestern frontier province, Khyber Pakhtunkhwa (KP), aims to plant 1 billion trees.

Smog is another big problem in Pakistan’s industrial eastern Punjab province, where winters in the provincial capital, Lahore, are choked with smoke. Thousands of brick kilns contribute to the problem, and authorities say they are addressing the issue. There is no point in launching tree-planting drives and promoting coal simultaneously. We need to transfer completely to wind and solar but there have been problems with implementing initiatives

Imported plants are being planted that could harm the environment, while no environmental impact assessment of these plants is being conducted. The government is planning river and seaside urban developments, which portend more environmental disasters.

In Punjab, they are restoring the biodiversity of the Ravi River’s basin and coming up with an anti-smog policy in the province, and promoting vertical development of cities, leaving more space for parks and plantations. Similar policies are also being implemented in KP.

Pakistan’s contribution to global warming and climate change is minimal. Rich countries, which contribute significantly more, have a greater responsibility to provide funds to countries like Pakistan so that we can fight climate change. It was also said by Prime Minister Imran Khan during a special ceremony last week on the occasion of World Environment Day 2021, Pakistan  hosted in partnership with the United Nations Environment Programme. The prime minister stated that the world has realized Pakistan is one of the few countries that are worried about the coming generations. It is a fact that in the past, the world did not pay any significant attention to climate change. Humanity will have to suffer the consequences of ignoring the effects of climate change. 80pc of Pakistan’s rivers originate from glaciers which are being affected by global warming.

It is noteworthy that in the context of Pakistan, there has been accelerated citizen activism like the “Say No to Plastics” campaign. In the past three years, citizens and parliamentarians of Islamabad have gone to the Supreme Court against attempts by builders and the construction lobby to alter the master plan of Islamabad; against the cutting of trees to build high rises on green areas that would benefit the real estate lobby. In both instances, the Supreme Court upheld the citizens’ plea to preserve, protect and promote a clean and green environment in Pakistan’s Federal Capital, Islamabad, which is relatively younger at a little over 50 years, sprawling among the green hills that make it one of the most beautiful capitals of the world. The good thing is that the battle to combat climate change has now been taken up by not just the government but the people, civil society, parliamentarians, media, and concerned citizens, who have organized themselves for the cause in proactive groups like professional women volunteers who call themselves “Green Force” – lobbying on environmental issues. The citizen activism gives hope that this battle can and will be won in a country which is facing some of the gravest challenges to its future due to climate change.

Mansoor Qaisar

The author is a freelance writer and associated with the development sector. He can be reached at mqesar@gmail.com. He tweets @MansorQaisar