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People living with obesity face stigma and discrimination which can exacerbate the negative health effects of the disease

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Despite this, people living with obesity frequently face stigma and discrimination, which can exacerbate the negative health effects of the disease and make it more difficult to access necessary medical care (4).

To address the growing obesity epidemic, numerous strategies and interventions have been implemented. For instance, the World Health Organization (WHO) has recently provided updated recommendations and new targets for the prevention and management of obesity, accompanied by an Acceleration Plan (6). 

On World Obesity Day 2023, we have an opportunity to come together to raise awareness about the root causes of obesity and to end stigma. This day aims to shift the conversation from blaming individuals to recognising that obesity is a systemic problem that requires collective action. By changing the perspective from “me” to “we”, we can work towards creating a more supportive and equitable society that addresses the systemic issues that contribute to obesity (7).

These roots are multifactorial and often overlapping. Firstly, it is known that people experiencing poverty are more likely to live with obesity. Therefore, taking a social justice approach, behavioural interventions focusing on diet and physical activity must be complimented by actions addressing the higher cost of healthy food and lack of green spaces in deprived areas.

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Secondly, it is essential to ensure the effective right to advanced universal health coverage and equitable access to medicines and healthcare, including equitable access for the management and treatment of obesity and its co-morbidities, irrespective of socio-economic status and country of origin.

Thirdly, accessibility and affordability of food plays a major role. For example, dietary patterns rich in products high in fat, salt or sugar (HFSS) contribute to a major intake of empty calories. These cheap, edible products are often ultra-processed foods (UPFs) and are usually widely advertised and promoted. Limiting this promotion, especially the marketing of unhealthy foods targeted to kids, together with enabling the access and affordability of fruits and vegetables, are crucial steps forward on the eradication of obesity. 

At EPHA, we call for the end of stigmatisation of people living with obesity, and for an active and collective support from the European and national policymakers to tackle the roots of obesity. We aim for the change of perspective, from individuals to environments, from the “Me” to the “We” 

Only by joining forces we will be able to reframe this major public health challenge and support millions of citizens.  

 

References:  

(1) World Obesity Federation. (2021). World Obesity Day 2021 Facts and Figures. Retrieved from https://www.worldobesityday.org/assets/downloads/Factsheet_-_English_1.pdf  

(2) Eurostat. (2021, July 21). Overweight and obesity – BMI statistics. Retrieved from https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Overweight_and_obesity_-_BMI_statistics 

(3) Webber, L., Divajeva, D., Marsh, T., McPherson, K., Brown, M., Galea, G., … & Breda, J. (2014). The future burden of obesity-related diseases in the 53 WHO European-Region countries and the impact of effective interventions: a modelling study. BMJ Open, 4(7), e004787. https://bmjopen.bmj.com/content/4/7/e004787.full  

(4) Afshin, A., Sur, P. J., Fay, K. A., Cornaby, L., Ferrara, G., Salama, J. S., … & Mokdad, A. H. (2019). Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 393(10184), 1958-1972. doi: 10.1016/S0140-6736(19)30041-8 

(5) Puhl, R. M., & Heuer, C. A. (2010). Obesity stigma: Important considerations for public health. American Journal of Public Health, 100(6), 1019-1028. doi: 10.2105/AJPH.2009.159491 

(6) World Health Organization. (2022). Report by the Director-General: Follow-up to the Political Declaration of the High-level Meeting of the United Nations General Assembly on the Prevention and Control of Non-Communicable Diseases. Retrieved from https://apps.who.int/gb/ebwha/pdf_files/EB150/B150_7-en.pdf  

(7) Glanz, K. (2019). Raising awareness of the root causes of obesity. World Obesity Day. Retrieved from https://www.worldobesityday.org/resources/raising-awareness-of-the-root-causes-of-obesity/ 

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RCMP warn about benzodiazepine-laced fentanyl tied to overdose in Alberta – Edmonton Journal

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Grande Prairie RCMP issued a warning Friday after it was revealed fentanyl linked to a deadly overdose was mixed with a chemical that doesn’t respond to naloxone treatment.

The drugs were initially seized on Feb. 28 after a fatal overdose, and this week, Health Canada reported back to Mounties that the fentanyl had been mixed with Bromazolam, which is a benzodiazepine.

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Mounties say this is the first recorded instance of Bromazolam in Alberta. The drug has previously been linked to nine fatal overdoses in New Brunswick in 2022.

The pills seized in Alberta were oval-shaped and stamped with “20” and “SS,” though Mounties say it can come in other forms.

Naloxone treatment, given in many cases of opioid toxicity, is not effective in reversing the effects of Bromazalam, Mounties said, and therefore, any fentanyl mixed with the benzodiazepine “would see a reduced effectiveness of naloxone, requiring the use of additional doses and may still result in a fatality.”

Photo of benzodiazepine-laced fentanyl seized earlier this year by Grande Prairie RCMP after a fatal overdose. edm

From January to November of last year, there were 1,706 opioid-related deaths in Alberta, and 57 linked to benzodiazepine, up from 1,375 and 43, respectively, in 2022.

Mounties say officers responded to about 1,100 opioid-related calls for service, last year with a third of those proving fatal. RCMP officers also used naloxone 67 times while in the field, a jump of nearly a third over the previous year.

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CFIA continues surveillance for HPAI in cattle, while sticking with original name for disease – RealAgriculture

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The Canada Food Inspection Agency will continue to refer to highly pathogenic avian influenza in cattle as HPAI in cattle, and not refer to it as bovine influenza A virus (BIAV), as suggested by the American Association of Bovine Practitioners earlier this month.

Dr. Martin Appelt, senior director for the Canadian Food Inspection Agency, in the interview below, says at this time Canada will stick with “HPAI in cattle” when referencing the disease that’s been confirmed in dairy cattle in multiple states in the U.S.

The CFIA’s naming policy is consistent with the agency’s U.S. counterparts’, as the U.S. Animal and Plant Health Inspection Service has also said it will continue referring to it as HPAI or H5N1.

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Appelt explains how the CFIA is learning from the U.S. experience to-date, and how it is working with veterinarians across Canada to stay vigilant for signs of the disease in dairy and beef cattle.

As of April 19, there has not been a confirmed case of HPAI in cattle in Canada. Appelt says it’s too soon to say if an eventual positive case will significantly restrict animal movement, as is the case with positive poultry cases.

This is a major concern for the cattle industry, as beef cattle especially move north and south across the U.S. border by the thousands. Appelt says that CFIA will address an infection in each species differently in conjunction with how the disease is spread and the threat to neighbouring farms or livestock.

Currently, provincial dairy organizations have advised producers to postpone any non-essential tours of dairy barns, as a precaution, in addition to other biosecurity measures to reduce the risk of cattle contracting HPAI.

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Toronto reports 2 more measles cases. Use our tool to check the spread in Canada – Toronto Star

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Canada has seen a concerning rise in measles cases in the first months of 2024.

By the third week of March, the country had already recorded more than three times the number of cases as all of last year. Canada had just 12 cases of measles in 2023, up from three in 2022.

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