Traditional, complementary and alternative medicine use of chronic disease patients in a community population in Myanmar

Background: The aim of this study was to assess the prevalence and associated factors of Traditional, Complementary and Alternative Medicine’s (TCAM) use of chronic disease patients in a community setting in Myanmar.Materials and Methods: A cross-sectional community survey was conducted in the Kyauk Tan Township with the International Complementary and Alternative Medicine Questionnaire (I-CAM-Q).Results: Of the 1600 participants in the survey, the overall prevalence of any TCAM use (providers, products or self-care) was 95.1% (TCAM provider= 14.6%, TCAM products=65.0%, and self-help TCAM=86.2%) in the past 12 months. For all different types of TCAM providers, TCAM products and self-help TCAM more than 90% of participants perceived the TCAM as very or somewhat helpful. In multivariate logistic regression analysis, older age, no formal education, rural residence and having two or more chronic conditions were associated with any TCAM use.Conclusions: TCAM use, especially TCAM products and self-help TCAM, seem to be common in Myanmar.Keywords: Complementary medicine, Traditional medicine, Utilization, Chronic diseases, Community survey, Myanma

Historical Morphodynamics Assessment in Bridge Areas using Remote Sensing and GIS Techniques

Currently the Ministry of Construction is responsible for planning and construction of bridges across the country but remote sensing and satellite data are not widely used in the Ministry’s routine process. Although the inspection and monitoring are carried out by the conventional methods, the remote sensing and GIS techniques are available as an alternative way with time and cost saving. From this study, the channel migration in the locations of Ayeyarwady bridges will be analyzed and mapped by identifying temporal changes of channels. Google Earth Engine is used as the primary application in this study and surface water extraction from historical Landsat satellite imagery is done by GEE. River centerline processing and erosion-deposition area identifications are carried out by GIS technique. Study period of each bridge is between 1987 and 2017. Bo Myat Tun Bridge and Ayeyarwady Bridge (Pakokku) are toped in the list with highest migration and erosion-deposition rate according to the study. The goal of this study is to assist the bridge inspections and channel monitoring works by means of remote sensing and GIS techniques which are currently undertaking by Ministry of Construction with conventional techniques

Health literacy - is it useful in prevention of behavioral risk factors of NCDs?

Background: Health literacy means cognitive and social skills of a person that determine his or her ability to access, understand and use health information to maintain and promote health. People need to understand and use health information in order to choose a healthy lifestyle or to take advantage of preventive measures. The occurrence and consequences of NCDs are related to unhealthy life styles. Insight into the relationship between health literacy and modifiable behavioral risk factors of NCDs may support the prevention and control of these diseases.Methods: A cross-sectional study was conducted among 1367 adults. Multi-stage random sampling was used. Data entry and analysis was done using Stata 11.0 statistical package. Multiple logistic regression analysis was applied to assess the association between health literacy and behavioral risk factors.Results: The proportion of participants who reported ever smoking, ever alcohol drinking and not-practicing daily-exercise was 19.8%, 16.2% and 85.2%, respectively. The prevalence of satisfactory level of health literacy was 31.5%. Health literacy was significantly related to behavioral risk factors even if age, sex, education status and monthly household’s expenditure were adjusted. By improving the health literacy status of adults up to satisfactory level, the prevalence of ever smoking, ever drinking and not-practicing daily exercise among them would be reduced by 34%, 32.1% and 38.9%, respectively.Conclusions: Health literacy status of community should be assessed, monitored and improved. Health literacy may be an effective tool in prevention and control of NCDs because of its preventive effect on modifiable behavioral risk factors.

Alcohol consumption among adult males in urban area of Thanlyin Township, Yangon Region, Myanmar

Background: Alcohol consumption is a major cause of morbidity and mortality worldwide. It is frequently related to health and behavioural problems as well as socio-economic hardship. Therefore, this study was conducted to determine the prevalence and risk factors of alcohol consumption among adult males residing in urban area of Thanlyin Township, Yangon Region.Methods: A cross-sectional study was conducted among 380 adult males. Multi-stage random sampling was applied. Data entry and analysis was done using Stata 11.0 statistical package.Results: The prevalence of current alcohol drinking, ex-drinking and never drinking were 20.5%, 9.0% and 70.5%, respectively. There was a significant decreasing trend of alcohol consumption across the levels of age-group. Age, education status and practicing other health-risk behaviours such as smoking and betel chewing were detected as significant risk factors of alcohol consumption. Ever smokers and ever betel chewers were about 4 times more likely to be ever alcohol user compared to their counterparts even if age and education level were adjusted. By controlling smoking and betel chewing habits, 79.2% and 76.6% of existing prevalence of alcohol consumption among respondents would be reduced, respectively.Conclusions: There is an urgent need to curb the habit of alcohol consumption among adult males living in urban area, especially young adults. Alcohol and tobacco control policies in Myanmar should be strengthened or reinforced. Tobacco control program also needs to be intensified. Health education and health promotion activities should be enhanced in order to reduce alcohol consumption in the country.

Investigation of Japanese Encephalitis Virus Infection in Bogalay Township, Myanmar in 1999

An investigation was in Nyi-naung-wa village, Bogalay township for Japanese encephalitis (JE) virus infection and the possibility of a JE outbreak. JE virus antibody was determined among the pigs and the people living near the pig farms in that village and at an adjacent village as a control. The known JE virus vector Culex mosquito species were also identified in both villages. Haemagglutination inhibition (HAI) methods were used for the detectioon of JE and dengue antibodies. Homotypic or monotypic JE antibodies were detected in 33% of the pigs tested. No homotypic nor monotypic JE antibodis was detected among the villagers. Although there was no JE virus infection among the people, because of the presence of JE virus infection among the pigs and the presence of Culex mosquito vector in that area, the possibility of a JE outbreak in humans in that area, if the number of pig breeding per household increase and the mosquito density become higher is discussed

Large rivers and orogens: the evolution of the Yarlung Tsangpo–Irrawaddy system and the eastern Himalayan syntaxis

The eastern Himalayan syntaxis has experienced some of the highest rates of deformation and erosion in the orogen during the Late Cenozoic, and the Yarlung Tsangpo, Brahmaputra, Irrawaddy, Salween, and Mekong rivers are the key erosional systems in that region. The Yarlung Tsangpo drains southern Tibet and the deep Siang River gorge through the eastern Himalayan syntaxis before joining the Brahmaputra in northeastern India. It has been proposed that the Yarlung Tsangpo drained into other large rivers of southern Asia, such as the Irrawaddy, Salween and Red River. We have used uranium/lead dating and hafnium measurements of detrital zircons from Cenozoic sedimentary deposits in Central Myanmar to demonstrate that the Yarlung Tsangpo formerly drained into the Irrawaddy River in Myanmar through the eastern syntaxis, and that this ancient river system was established by (at least) the Middle–Late Eocene. The Yarlung Tsangpo–Irrawaddy river disconnected in the Early Miocene driven by increased deformation in the eastern syntaxis and headward erosion by tributaries of the Brahmaputra. Our results highlight the significance of the sedimentary record of large orogen-parallel rivers and provide key chronological constraints on landscape evolution during the Early Miocene phase of the Himalayan orogeny

Rare Influenza A (H3N2) Variants with Reduced Sensitivity to Antiviral Drugs

In 2007 and 2008 in Myanmar, we detected influenza viruses A (H3N2) that exhibited reduced sensitivity to both zanamivir and amantadine. These rare and naturally occurring viruses harbored a novel Q136K mutation in neuraminidase and S31N mutation in M2

Age Related Changes in Hematological Values of Myanmar Local Puppies

The hematological parameters were used to monitor the health status and its components also changed according to the ages. However, there were no reports for this issues in Myanmar local dogs. Thus, this study was carried out to investigate the age-related changes on the hematological parameters of local puppies in Myanmar. Ten local puppies with the age of 2-3 month old were used in this experiment, which was lasted for 8 weeks.The daily clinical examinations were conducted throughout the entire experimental period for general health check-up. Haematological parameters (Total WBC count and its differential counts, and RBC, HCT, MCV, HGB, MCH, MCHC and platelets) were measured bi-weekly with Abacus Vet-5 automate haematology analyser. According to the results, the total WBC and eosinophil counts were not significantly different (P>0.05), while lymphocytes, monocytes, neutrophils and basophils were significantly different (P<0.05) with the aging of experimental animals. The values of RBC, HGB, HCT, MCV, MCH, MCHC and platelets were not significantly different (P>0.05) throughout the experimental periods. Thus, the age-related changes were observed on cell counts of lymphocytes, monocytes, neutrophils, basophils in Myanmar local puppies

Political transition and emergent forest-conservation issues in Myanmar.

Political and economic transitions have had substantial impacts on forest conservation. Where transitions are underway or anticipated, historical precedent and methods for systematically assessing future trends should be used to anticipate likely threats to forest conservation and design appropriate and prescient policy measures to counteract them. Myanmar is transitioning from an authoritarian, centralized state with a highly regulated economy to a more decentralized and economically liberal democracy and is working to end a long-running civil war. With these transitions in mind, we used a horizon-scanning approach to assess the 40 emerging issues most affecting Myanmar's forests, including internal conflict, land-tenure insecurity, large-scale agricultural development, demise of state timber enterprises, shortfalls in government revenue and capacity, and opening of new deforestation frontiers with new roads, mines, and hydroelectric dams. Averting these threats will require, for example, overhauling governance models, building capacity, improving infrastructure- and energy-project planning, and reforming land-tenure and environmental-protection laws. Although challenges to conservation in Myanmar are daunting, the political transition offers an opportunity for conservationists and researchers to help shape a future that enhances Myanmar's social, economic, and environmental potential while learning and applying lessons from other countries. Our approach and results are relevant to other countries undergoing similar transitions

Political transition and emergent forest-conservation issues in Myanmar.

Political and economic transitions have had substantial impacts on forest conservation. Where transitions are underway or anticipated, historical precedent and methods for systematically assessing future trends should be used to anticipate likely threats to forest conservation and design appropriate and prescient policy measures to counteract them. Myanmar is transitioning from an authoritarian, centralized state with a highly regulated economy to a more decentralized and economically liberal democracy and is working to end a long-running civil war. With these transitions in mind, we used a horizon-scanning approach to assess the 40 emerging issues most affecting Myanmar's forests, including internal conflict, land-tenure insecurity, large-scale agricultural development, demise of state timber enterprises, shortfalls in government revenue and capacity, and opening of new deforestation frontiers with new roads, mines, and hydroelectric dams. Averting these threats will require, for example, overhauling governance models, building capacity, improving infrastructure- and energy-project planning, and reforming land-tenure and environmental-protection laws. Although challenges to conservation in Myanmar are daunting, the political transition offers an opportunity for conservationists and researchers to help shape a future that enhances Myanmar's social, economic, and environmental potential while learning and applying lessons from other countries. Our approach and results are relevant to other countries undergoing similar transitions