RESUMO
Summarises health development in the Caribbean through the period 1970 to 1985
Assuntos
Planejamento em Saúde , Índias OcidentaisAssuntos
Atenção à Saúde/tendências , Saúde Pública , Índias Ocidentais , Atenção à Saúde/tendências , Medicina Preventiva/tendências , Planos e Programas de Saúde/história , Planos e Programas de Saúde/tendências , Programas Nacionais de Saúde/história , Programas Nacionais de Saúde/tendências , Saúde Materno-InfantilRESUMO
Documents the Barbados national health policy; the political, social and economic environment in which the health programmes are being delivered; the demographic structure and trends; the epidemiological experiences; the financial and manpower resources; and the system of health care delivery. (AU)
Assuntos
Nível de Saúde , Política de Saúde , Atenção à Saúde , Barbados , Fatores SocioeconômicosRESUMO
Documents the Barbados national health policy; the political, social and economic environment in which the health programmes are being delivered; the demographic structure and trends; the epidemiological experiences; the financial and manpower resources; and the system of health care delivery.
Assuntos
Atenção à Saúde , Política de Saúde , Nível de Saúde , Barbados , Fatores SocioeconômicosRESUMO
A stratified random sample of the entire population of Trinidad was screened for diabetes between July, 1961, and July, 1962, and the diabetics have now been followed up for 5 years. The population sample consisted of 24,069 persons of all races and age-groups, and 23,900 (98.5 percent) took part in the survey. 521 (2.20 percent) had postprandial glycosuria, and 448 (1.89 percent) satisfied the criteria for diabetes. 267 (1.13 percent) were known diabetics, and 181 (0.76 percent) were unknown. Diabetes is extremely rare under 20 years of age (0.02 percent) but the prevalence-rate is 3.45 percent over the age of 20. Females show a higher prevalence (2.10 percent) than males (1.53 percent). Diabetes is more common among East Indians (2.37 percent) than Negroes (1.44 percent), and it is common in all socioeconomic groups. The urban areas show the highest prevalence of diabetes (2.67 percent), and the sugar-cane districts are almost as high (2.56 percent). Of the 448 diabetics, 133 (33.7 percent) gave a family history of diabetes. Overweight was more common among the female diabetics (52.90 percent) than the males (35.2 percent). 44.2 percent of the female diabetics had more than five live births compared with 25.2 percent of the non-diabetic females. There is an excess of females diabetics over the age of 40, and both overweight and multiparity of eight or more are responsible for it. The consumption of refined sugar cannot account for the high prevalence of diabetes in Trinidad nor for the racial differences between East Indians and Negroes (AU)
Assuntos
Humanos , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Masculino , Feminino , Diabetes Mellitus/epidemiologia , Fatores Etários , Fatores Sexuais , Trinidad e Tobago , DemografiaRESUMO
In a study of 32 anaemic patients (Hb less than 7.5gm percent) it was found that all patients with normoblastic marrow had negative urinary figlus. No case of ankylostomiasis demonstrated deficiency of folic acid or B12. The survey is to continue wuth emphasis on th megaloblastic anaemias (AU)
Assuntos
Humanos , Sistema Urinário , Ácido Formiminoglutâmico/urina , Vitamina B 12 , AnemiaRESUMO
These were classified as being due to anaemia, thrombosisor infarction or a combination of these. Radiographs were shown to demonstrate osteoporosis, (Hb E. Thalassaemia), and various bone and soft tissue changes wrought by Hb SS (AU)
Assuntos
Hemoglobinopatias/diagnóstico por imagemRESUMO
A random sample of the entire population of Trinidad was screened for diabetes from July 1961-1962. The response rate was 98 percent and 24,069 persons were tested. Of these 2.16 percent had gloycosuria and 1.88 percent had diabetes (1.05 percent known, 0.83 percent unknown). Diabetes was exceedingly rare under the age of 20 years, females were affected more than males and Indians more than Negroes. The highest incidence was in the urban areas and the lowest in the `Sugar'areas. In 1961-62 there was an estimated 125,200 diabetics in Trinidad and only 8,490 were known cases under treatment (AU)
Assuntos
Humanos , Adolescente , Masculino , Feminino , Diabetes Mellitus/epidemiologia , Trinidad e Tobago/epidemiologia , Trinidad e Tobago/etnologiaRESUMO
In 1958 haemoglobin electrophoresis and foetal haemoglobin estimations were performed for the first time in Trinidad and the description of the first cases of sickle cell anaemia, thalassaemia major and Hb C-Thalassaemia, and Hb C-Trait thus diagnosed are recorded. To date 5 abnormal haemoglobins have been found here: Hb S, C, E, N and Thalassaemia. Four cases have been complicated by a megaloblastic anaemia one on two occasions. One case of a raised foetal haemoglobin was found in a child aged 6 years suffering from chronic myeloid leukaemia. Radiological changes in the bones and viscera of some of the cases are shown(AU)
Assuntos
Humanos , Hemoglobinopatias , Trinidad e TobagoRESUMO
During the first 6 months of survey 12,602 persons were screened for diabetes and an incidence of 2.1 percent found - of these 0.9 percent were known diabetics and 1.2 percent were newly uncovered. Racial and sex differences are discussed. It is suggested that the incidence of diabetes is higher in Trinidad than in U.S.A., Canada or Britain (AU)
Assuntos
Humanos , Demografia , Diabetes Mellitus , Fatores Sexuais , Trinidad e TobagoRESUMO
Six hundred and fifty persons were studied with respect to electrophoresis and foetal hemoglobin. Of 204 random samples, 177 were normal, 19 showed an AS pattern, 6 AC, 1 AE and 1 AN. In a group diagnosed as having hemoglobinopathy the following results were noted: SS 121, AS 200, SC18, AC 18, AE 1, S-Thal. 6, C-Thal. 4, Thal. Major 6, Four cases were complicated by a megaloblastic anaemia and 1 case of high foetal hemoglobin in a child with chronic myeloid leukemia is recorded (AU)
