Fasting during Ramadan, one of the five pillars of Islam, is an obligatory duty for all healthy adult Muslims. Ramadan, a lunar month, can last for 29 or 30 days, and its timing changes with respect to seasons. Depending on the geographical location
Average temperatures are rising due primarily to the release of increased amounts of carbon dioxide and other greenhouse gases through the burning of fossil fuels. This is provoking other changes, including rising sea levels and changes in rainfall. These changes appear to be increasing the frequency and intensity of extreme weather events – floods, droughts, heat waves, hurricanes, and tornados – which have the potential to provoke large-scale human crises.
Diabetes is a life-long chronic condition. Herein lies one of the major challenges to addressing global inequalities in diabetes care. The costs of insulin and monitoring are often beyond the resources of people with diabetes or their country’s healthcare system. While it is easier to secure temporary price reductions or short-term financial support in the form of donations or grants than it is to find long-term ongoing support, diabetes needs in most countries are not temporary.
The latest statistics suggest that in the future the majority of people with diabetes will live in developing countries. There are an estimated 35 million people living with diabetes in India, for example, and it is estimated that this number will rise to more than 73 million by 2025. Sadly, it follows that the majority of people with diabetes complications will come from countries whose health systems are not able to deliver quality diabetes care.
The first practical use of insulin by Banting and Best in 1921 heralded a medical revolution. Overnight, type 1 diabetes went from being a uniformly fatal disease to a manageable disorder. Thousands of people around the world have received awards for surviving 50 years on insulin – some reaching 80 years. Insulin is classified by WHO as an essential drug. Yet, 85 years after its discovery, untold thousands of people with type 1 diabetes and type 2 diabetes in developing countries die each year because they can neither readily access nor afford insulin.
DREAM Trust is a non-government organization and registered charity in Nagpur, central India. In this region and indeed throughout the Indian sub-continent and the developing world, covering the medication needs of a child with diabetes requires many families to commit a quarter of their monthly income. The principal objective of DREAM Trust is to respond to these needs by providing insulin, accessories and healthcare free of charge to poor children with type 1 diabetes.
At 7.59 am local time on 26 December 2004, a mighty earthquake rocked the floor of the Indian Ocean just northwest of Sumatra, triggering a series of large and powerful tsunamis that killed nearly a quarter of a million people – 168 000 in Indonesia alone. The tsunami decimated towns and cities from Indonesia, Thailand and the north-western coast of Malaysia to Bangladesh, India, Sri Lanka and the Maldives, thousands of kilometres away, and as far as Somalia, Kenya and Tanzania in East Africa.