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Zimbabwe records more cholera cases as antibiotics struggle to treat outbreak.

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The death toll from a cholera outbreak in Zimbabwe has risen to 24 with first-line antibiotics struggling to treat the disease which has spread from the capital, a World Health Organisation report said Thursday.

“A cumulative of 24 deaths were reported from the onset of outbreak,” the report said, with 23 deaths in Harare and one death in the southeast district of Masvingo.



“There is resistance to the first-line medicine,” it added, with tests suggesting antibiotic drugs ciprofloxacin and ceftriaxone could be ineffective and the alternative drug azithromycin was not available.

“Relevant medicines should be purchased as a matter of urgency as soon as resistance patterns have been ascertained,” the situation report from WHO and the health ministry recommended.

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The cholera outbreak, first detected in the township of Glen View outside Harare on September 5, has prompted the health ministry to declare an emergency in the capital.

With 1,901 suspected cases so far, the disease has spread to other towns as well as rural areas across the country.

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Authorities have banned public gatherings Harare while health ministry personnel are supervising burials of victims.

The ban could affect a rally by the main opposition on Saturday where the party planned a mock inauguration for its leader Nelson Chamisa whom supporters say was robbed of victory in elections on July 30.

Cholera outbreaks have occurred regularly in Zimbabwe’s cities where supplies of potable water and sanitation facilities are scarce.

Informal housing areas without running water have mushroomed, and basic infrastructure has collapsed due to years of neglect.

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Health & Lifestyle

Effects of Hot baths on inflammation, glucose metabolism

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According to new research, a hot bath could have effects that extend way beyond mental relaxation. According to the authors, regular hot baths might reduce inflammation and improve metabolism.

Over recent years, hot baths, saunas, and other so-called passive heating therapies have received growing attention from scientists.

Scientists now believe they offer some potential benefits, including improved vascular function and sleep.

Because hot baths are low cost and unlikely to cause significant side effects, understanding any benefits that a hot bath might have could be a quick win for medical science.



Recently, researchers set out to understand whether hot bath immersion could have an impact on metabolic disorders, such as diabetes.

 Almost 20 years ago, a paper concluded that hot water immersion of individuals with type 2 diabetes enhanced insulin sensitivity. However, it is still unclear how this might occur.

In the most recent study, the researchers dug a little deeper into the mechanisms at work. They theorized that the influence of a hot bath over glucose metabolism might revolve around the inflammatory response.

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Inflammation and insulin resistance

There is some evidence that chronic, low-level inflammation increases insulin resistance. In other words, inflammation reduces a cell’s ability to respond to insulin, potentially contributing to the development of diabetes.

Conversely, exercise has been shown to reduce inflammation and improve insulin sensitivity — meaning that the body has better control over glucose levels.

Although doctors often recommend exercise to reduce the risk of developing metabolic disorders, not everyone can exercise — perhaps due to health conditions or physical capacity. It is, therefore, essential to find alternative ways to improve insulin sensitivity for these people.

Exercise, as with other physical stressors, sparks a brief inflammatory response, followed by a more extended anti-inflammatory response. The researchers wanted to see if a different type of physical stressor — a hot bath — might have a similar effect on the immune system.

For this study, the researchers investigated the impact of a hot bath on overweight, mostly sedentary men. The findings were published recently in the Journal of Applied Physiology.

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Hot bath intervention

Each participant immersed themselves in a water bath set at 102°F (39°C) for 1 hour. Scientists took blood just before and after the bath, and then 2 hours later.

Also, the researchers charted the participants’ blood pressure, body temperature, and heart rate every 15 minutes.

 Over the following 2 weeks, the participants had a further 10 hot water immersions.

The researchers found that a single hot water immersion caused a spike of interleukin — a marker of inflammation. Similarly, there was an increase in nitric oxide (NO) production.

The spike in NO is important because it causes blood vessels to relax, lowering blood pressure. NO also improves glucose intake into tissues, and scientists think it has anti-inflammatory properties.



As expected, the 2-week intervention saw a reduction in fasting blood sugar and inflammation. In the same way that exercise influences inflammation, the researchers saw an initial increase followed by a long-term decrease in inflammation.

The researchers also write that it “might have implications for improving metabolic health in populations unable to meet the current physical activity recommendations.”

It is important to note that the people who took part in the study did report some discomfort. This was either due to the length of time that they were required to stay in the bath or the high temperature. Future research might investigate whether shorter periods or lower temperatures might have similar benefits.

Of course, hot baths alone cannot treat metabolic disorders, but they may be a simple, cost-effective intervention that can run alongside other treatments.

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Health & Lifestyle

Experts recommend natural remedies to Diabetes.

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Medical practitioners have recommended some natural remedies that could curb the increasing rate of diabetes in the country.

The practitioners offered the remedies in separate interviews with the News Agency of Nigeria in Abuja.

They spoke against the backdrop of this year’s World Diabetes Day, which is celebrated globally on November 14.



The practitioners said the awareness had become imperative because diabetes is a condition that impairs the body’s ability to process blood glucose.

“Diabetes usually is prevalent in middle aged and older adults but now becoming common in children. Adults are still at the highest risk than children,’’ Dr. Iorwuese Charles told NAN on phone.

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He said that diabetes has to do with an increase sugar level in the blood caused by an absolute deficiency of insulin that affects one out of three adults.

Charles, a medical practitioner at Police Hospital Ado, Ekiti State, said that diabetes is a group of diseases that usually ends up in too much amount of sugar in the blood.

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He advised families to always maintain good lifestyle habits to curb diabetes in their homes.

Charles said the symptoms in diabetes include increased frequency of urination, increase thirst, dry mouth, increase in eating with weight loss.

Other signs, he said, are: “Blurring of vision, tiredness, fatigue, mood swings, irritability, frequent urination at night and headaches.”

According to him, the symptoms of diabetes are endless with no permanent cure but with proper maintenance one could live a healthy life.

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