MHMS FIJI
MHMS FIJI
HEALTH FACILITIES OPEN AND EMERGENCY OPERATIONS CENTER ACTIVATED

Health Facilities Open and Emergency Operations Center Activated

Written By: Evlyn Mani

28/02/2014

The Ministry of Health is advising that health facilities will remain open where possible during the current adverse weather conditions being experienced in certain parts of the country.

This includes the activation of the Emergency Operation Center (EOC) where health officials at the Health Headquarters are working on eight hour shifts today with a further review of this tomorrow morning.

However, Navua Hospital will be open for emergency cases only with a temporary clinic set up on the second floor of the hospital and manned by health officials on a 12 hour shift.

Staff from the hospital had earlier relocated equipment from the bottom floor before it experienced flooding.

The Health Ministry said contingency plans have been activated at hospitals, sub divisional hospitals and health centers within the central, eastern and northern division.

The public can contact the Health Ministry’s Command Center on 3215823/3544228.

 

Vitamins and Vitamin Deficiencies

What are vitamins and what do they do for our body?

Vitamins are very small compounds that our body uses for every function such as using food for energy, growth and development of our body and proper immune function.

Some vitamins are classified as fat-soluble which means they can be stored in our body for later use, some are water soluble which means they can not be stored in our body and we need to have these on a daily basis for optimum health.

Vitamin A

Vitamin A is an important vitamin for our eyesight, keeping our immune system working well and is also important for healthy reproduction and the development of the fetus.

Am I at risk?

Vitamin A deficiency is common in Fiji due to the limited access to foods high in this vitamin, and health problems are mostly seen in times of high nutritional need – infancy, childhood, pregnancy and breastfeeding. Vitamin A deficiency can lead to increased severity of infections and childhood blindness. Those that are deficient in Vitamin A are often deficient in Iron, putting them at risk of anemia.

What foods can I use to get more Vitamin A every day?

  • Kumala (sweet potato) and carrots
  • Green leafy vegetables such as watercress, bele, spinach and chinese cabbage.

*TIP Replace a portion of roots crops with some boiled or steamed kumala

Zinc

Zinc is an essential vitamin for proper immune function, wound healing, energy production, mental functioning and DNA synthesis.

Am I at risk?

Zinc deficiency is difficult to test for, but some people are at higher risk than others. Having a diet that is high in nutrient poor, processed foods that are not fortified with zinc and a diet high in foods grown in zinc deficient soil may place you at risk of deficiency. Zinc losses may also occur if you have diarrhoea for an extended period of time.

What foods can I use to get more of these vitamins every day?

Oysters, shellfish, red meat and poultry are great sources of Zinc, as well as nuts (cashews and almonds), milk and whole grain foods. Baked beans, tofu and chickpeas also contain zinc and are good alternatives to meat.

*TIP

  • Make use of freshly caught shellfish a few times a week to increase your zinc intake
  • A small handful of unsalted cashews or almonds make a convenient and healthy snack that is heavy in vitamins and minerals including zinc
  • Soak some dried beans or chickpeas and add these into curries, stews, salads and sandwiches (or anything else you like!) for an extra boost of zinc.

Iodine

Iodine is used by our bodies to produce thyroid hormones whose job it is to regulate our metabolism – how quickly or slowly our body processes the food and drinks we consume. It is essential that we have Iodine in our diet, as our body is unable to make it.

Am I at risk?

Our requirement for Iodine increases during pregnancy and Iodine deficiency during pregnancy is the leading cause of mental retardation and intellectual disability in infants and children.

As Iodine is responsible for the proper functioning of the thyroid gland, all symptoms of Iodine deficiency are related to thyroid function. Some of the symptoms are: Goiter (enlargement of the thyroid gland in the neck), which can lead to breathing difficulties and choking.

What foods can I use to get more of these vitamins every day?

  • Seafood is one of best sources of Iodine, and having 2-3 serves per week will contribute to your iodine intake.
  • Seaweed, dairy products, eggs are also a source of iodine.
  • Although it is not recommended to add salt into your cooking and onto meals, if you do use salt, make sure it is iodised salt.
  • Vegetables can also be a good source of iodine if grown in soil that contains iodine.

 

Do I need an Iodine supplement?

It is best to discuss with your health professional if you could benefit from an Iodine supplement, as there are some cases where too much Iodine from supplements can be harmful to your health. A healthy, balanced diet should give you all your Iodine needs, however, as our needs increase in pregnancy and breastfeeding, if you fall into one of these categories and you also find it difficult to eat a good variety of whole foods, you may need an Iodine supplement.

Iron

Iron is responsible for the transport of oxygen throughout our blood and is responsible for keeping our immune system strong and giving us energy throughout the day. Not enough iron can lead to fatigue and increase our susceptibility to illness, however too much iron can lead to iron toxicity. It is important to see a doctor if you think you may be iron deficient, as taking a supplement without a diagnosis can be harmful to your health. In Fiji, Iron deficiency is a big problem with 50% of children under 5 and 40% of women being iron deficient.

Iron comes from both animal sources (haem iron) and plant sources (non-haem iron), haem iron is more easily absorbed by our body. If your iron intake is from plant sources only, then you may need much more iron as it is not as well absorbed.

Am I at risk of iron deficiency?

Those at risk of not having adequate iron include:

  • Women and children under 5 (meaning proper iron intake when pregnant and breastfeeding play a big role in giving your child enough iron)
  • Vegetarians or vegans, who have poorly managed diets without meat substitutes.
  • People who have experienced heavy blood loss through injury or menstruation or who regularly give blood.
  • Pregnant or lactating women who have an increased need.
  • Adolescents experiencing a growth spurt where there is an increased need for iron, among other vitamins and minerals.
  • Athletes also have a higher requirement for iron.

How can I ensure I am getting enough iron?

Include iron rich foods such as red meat, poultry and fish. Plant sources of iron include dark green leafy vegetables, nuts and seeds, dried beans and peas and iron fortified bread and cereal products.

Combine foods that are high in vitamin C, such as fruit, citrus and tomatoes, with foods high in iron as it increases the absorption of the iron.

Avoid drinking tea around the time of consuming iron containing foods as tea can block the absorption of iron.

Vitamin Supplements

If the food you eat each day has a variety of colors and is from a range of the different food groups (See our section on Eating Healthy) then you should be getting enough of each of the vitamins and minerals. It is always best to get your vitamins and minerals from the food you eat, however, there are certain groups of people who may need vitamin supplements – these are:

  • Pregnant women or women who are breastfeeding
  • People who do not consume enough of a variety of foods from the food groups, for example, no meat or no dairy (see Eating Vegetarian)
  • People with a chronic disease or a diagnosed vitamin deficiency

 

You should first discuss your need for vitamin supplements with a qualified health professional as more is not always best and too much may cause harm, especially Vitamin A and Iron.

See our sections on Iron Deficiency and Micronutrient Deficiency on this website.

References and Further Reading:

Nutrient reference values for Australia and New Zealand:
Dietitians Association of Australia, Nutrition A-Z, Anaemia
World Health Organisation – Micronutrient Deficiencies
Better Health Channel – Vitamin and Mineral Supplements
World Health Organisation – Vitamin A Deficiency
Better Health Channel – Iodine
Better Health Channel – Iron Deficiency

 

Eating For Good Digestion

What makes for good digestion?

Eating a variety of different foods every day and getting enough fluids is the best thing you can do for your digestion. Maintaining good digestion is important to reduce your risk of developing diverticular disease later in life, avoiding constipation, hemorrhoids and certain cancers such as cancers of the digestive tract.

Good digestion is different for everyone, but generally it means going to the toilet once per day to pass a bowel motion and having a good appetite. When our digestion is not working so well, you will find that your energy will most probably be low, skin can be dull and your appetite may be poor. Going to the toilet several times a day or more is also not ideal as this may mean that nutrients are not being absorbed during digestion. It is important to see your doctor if you are having problems with your digestion as even though problems are usually dietary-related, more serious health problems need to be ruled out by a health care professional.

Water

Water is essential for good digestion. As waste moves through our digestive tract, it absorbs water along the way to become soft enough to move through our bowel. If there is not enough water to absorb, our bowel motions become hard and difficult to pass. The more you sweat the more water you will need and though peoples daily water needs differ, a general guideline, the requirements are:

Adult women = 2.1L (approximately 8 glasses of 260ml)

Adult men = 2.6L (approximately 10 glasses of 260ml)

An easy way to tell if you are well hydrated is the colour of your urine. If your urine is dark yellow, you are probably dehydrated, if it is light yellow or clear, you are most likely well hydrated.

Fibre

Fibre is the part of our food that is not digested that adds to the bulk of our bowel movements, and acts as the ‘glue’ that keeps it all together. There are two types, insoluble fibre that adds to the bulk, and soluble fibre that is the ‘glue’. It is important to have a good mix of both types of fibre in your diet. We need to aim to have between 25g and 30g of fibre each day.

Good sources of soluble fibre are fruits and vegetables, oats, chickpeas, lentils and other dried legumes.

Good sources of insoluble fibre are the skins of fruits and vegetables, nuts and seeds, wholegrain bread and cereals.

Some high fibre Fijian foods are:

  • Jackfruit
  • Breadfruit
  • Cabbage
  • Potato (Skin on)
  • Kumala (Sweet potato) (skin on)
  • Cassava leaves
  • Watercress
  • Corn
  • Eggplant
  • Peas
  • Mung Dhal
  • Lentils
  • Paw Paw

 

Tips on increasing your fibre intake;

*Choose brown bread that contains seeds instead of plain white bread

*Choose wholegrain crackers over breakfast crackers or other white crackers

*If you eat noodles, add a couple of handfuls of vegetables in each serve

*Replace half of your root crops with green and other colourful vegetables, especially bele

*Use whole meal instead of white flour to make roti

*Make your snacks high fibre – a mix of nuts, seeds and dried fruit, lentil dhal, baked beans, wholegrain crackers, fruit with the skin on, some vegetable sticks with hummus or other bean dip

*Don’t forget to increase your water at the same time!

Physical activity for good digestion

Exercise is important for bowel motility and if you find that your digestion is a little bit sluggish, you might find some benefit with a gentle walk each day or some exercises that stimulate the abdomen area.

References and Further Information

 

PACIFIC ISLANDS HEALTH RESEARCH SYMPOSIUM 2014

Pacific Islands Health Research Symposium 2014

Theme: Broadening the Horizons in Health Research
Date: 28-29th August 2014, Suva; Fiji Islands
Call for Registration & Abstracts now open
Closing Date for Abstracts: Monday 30th June 8:00am (Fiji Time)

The Pacific Islands Health Research Symposium aspires to become an avenue that encourages Pacific Health Researchers to share their research findings in a collegiate and supportive environment.

The PIHRS recognizes that there are excellent health research initiatives being conducted the Pacific that often lack a forum in which they are appropriately presented.

If you have undertaken health research in any of the broad topics listed below, please consider submitting an abstract as a presenter or join us as a symposium participant. Abstracts may fall under these categories but are not limited to:

Climate Change & Health
Globalization & Health
Health Systems
Interventions for reducing Disease Burdens
Infectious Diseases
Public Health Policy
Social Determinants of Health
Culture & Health
Health Equity & Governance
Health & Law
Non-communicable Diseases
Research Systems (including Governance and Bioethics)
Trade & Health

Contact: PIHRS@fnu.ac.fj for more information
Website: http://www.pacifichealthvoices.org/pacific-islands-health-research-symposium

HEALTH: FIGHT AGAINST DENGUE SHOWS POSITIVE RESULTS

The Health Ministry has noted that there is a downward trend in the real time statistics for dengue cases.

It has been a month since the since the intersectoral cleanup campaign took off and apart from this a lot of advocacy, awareness, prevention and precaution for dengue had been highlighted through the media continuously.

Health Minister Dr Neil Sharma said, “The story does not end here and the onus is now on individuals to take charge of their environment. People have to understand the environmental aspect effective on public health”.

“The dengue outbreak is a result of climate change and how we keep our environment”, Dr Sharma added.
It is important to also realize that climate change is also a contributor towards the continuation of dengue cases.

The Health Minister also urges municipalities and Fiji Roads Authority to constantly monitor drainage particularly in densely populated areas.

Waste management is an area that needs to be re looked at and improved especially in densely populated areas such as squatter settlements and housing areas.

The public is also urged not to dispose of rubbish irresponsibly as this leads to drain blockages allowing water to become stagnant, providing dengue mosquito a breeding ground.

“People must realize that the cleanliness of oneself and the environment is crucial as it is all linked to health”, said Dr Sharma.

Public health can be improved by looking after the environment and by cleanliness and hygiene practices.

Meanwhile, Dr Sharma also thanked the Fiji Government and Government ministries for their efforts during the cleanup campaign in the fight against dengue.

The Health Ministry is also grateful to the support received from donor agencies such as the World Health Organization (WHO), Fiji Health Sector Support Program (FHSSP), Department of Foreign Affairs and Trade Australian Government, UNICEF, Secretariat of the Pacific Community and the Government of China.