Making violence a public health issue in the region

I think it’s the the region starts approaching violence prevention as a public health issue, and not just a law enforcement or social justice one. In categorizing it as such, it affords the opportunity to define the problem beyond deviance and to seek the underlying issues facilitating such behavior. For indeed, many of these issues are behavioral in nature. Having lived in the Virgin Islands and experiences first-hand the effects of crime and violence on my family, I know there are serious causes affecting the crime rate and demonizing those involved in violence has not been getting us far.

I have also seen the rise in news stories from across the region on crime rates. Today, it is the Bahamas. Tomorrow, it will be another island discussing the rising crime rate. There are several recourses that local leaders can access if they want to reframe the problem. First, the WHO publication Violence – a public health problem, defines violence within the context of public health and offers ways to address the issue, saying, “The public health approach to any problem is interdisciplinary and science-based.” And, “The public health approach also emphasizes collective action.” One of the reasons I gravitated to public health was its focus on prevention and interventions. Within these areas, Caribbean communities can design multi-faceted, locally and culturally-relevant responses to violence. It begins with understanding your society and community and understanding the impact of violence on the health of people.

The Center’s for Disease Control also has excellent resources on various types of violence and public health approaches to violence prevention. Beyond violent crime, they address sexual violence, intimate partner violence, youth violence and more. Close to home, they can also draw on resources from PAHO Violence and Injury Prevention unit.

Cheryl Burke admits being molested. What does that have to do with us?

In a new book, Cheryl Burke of Dancing with the Stars fame reveals she was molested as a child. As reported on People.com, Burke said the molestation began at age 5 by a person close to her family. She also talks about having to testify at his trial, which led to a 20-year sentence.

It seems that many more celebrities are coming out with cases of molestation or other forms of child abuse. In the past few years, we’ve heard from Monique, Raz-B from B2K, and Teri Hatcher from Housewives. Many celebrities who admit to such a devastating time in their lives mention doing so because of the platform they’ve been give. They all mention telling their storis in hope of encouraging others to do so.

Across the Eastern Caribbean, child molestation and sexual abuse is one of the most difficult topics to discuss. As a society, we know it happens. As a society, we keep saying we are doing everything to address it. Yet as a society, there is little public discourse on the topic. I posit that one of the reasons is the lack of published data on the child abuse across the region. So we are left with governments spewing numbers and rarely putting them in context.

Exhibit one is two recent articles on Dominica News Online from the Minister for Social Services, Community Development and Gender Affairs and Chief Welfare Officer. (To read them, visit here and here.) Both address child sexual abuse as one of the leading forms of abuse committed against children on the island. The Minister for Social Services attributes the increase in reporting of abuses to increased public sensitization and awareness without really discussing what the public knows.

Also, published reports sometimes do not get the media attention that other topics receive. For example, the article from the Chief Welfare Officer references a 2009 UNICEF study on child abuse in six OECS countries. The only thing the article said about that report was it’s confirmation that child abuse is an issue on Dominica.

In fact, the article is about “Perceptions of, Attitudes to, and Opinions on Child Sexual Abuse in the Eastern Caribbean” and begins by saying that “Although there is extensive international research, few empirical studies of child sexual abuse have been carried out in the Caribbean and there are no reliable data on the prevalence of child sexual abuse, or indeed on attitudes and perceptions of abuse across the region.”

I did search on previous articles from DNO to see what they’d written at the time of the report release in June 2010. Several articles appear here, here, here and here. And, as I suspected, the ‘articles’ are more in line with press releases. There is very little in-depth reporting on what the study says, what the study means, and implications for interventions towards addressing child sexual abuse in our society as well as the impact of such abuse on future health and welfare of our kids.

I’ve decided to go through the report and write another positing on it at a later date.

P.S. After writing this post, I was listening to Stardom Tent in Dominica and one of the songs addressed child molesters. This reminded me how this issue is at once pervasive in our music yet hidden in so many ways. This is not the first song dealing with child abuse and child molesters. It won’t be the last. I’ll try to get the lyrics or maybe the song and put it on here.

Fried Fish May Explain ‘Stroke Belt’ Mystery

“Pass it on: While fish are a good source of omega 3 fatty acids, frying fish may reduce levels of these nutrients. Consumption of fried fish may contribute to the increased risk of stroke in the U.S. stroke belt.”

I am posting  this story because I believe the results could have implications for those of us in and from the Caribbean. The Caribbean diet includes an abundance of fish. However, I can say anecdotally that a significant portion of this is consumption is from fried fish.

I would like to see a study such as this coming from Caribbean research. Maybe those at CERC UVI would be interested in doing a follow-up to this study.

via Fried Fish May Explain ‘Stroke Belt’ Mystery – Yahoo! News.

Gastroenteritis on the Increase in Dominica

The Ministry of Health wishes to inform the general public that there is an increase in cases of gastroenteritis country wide.

via Gastroenteritis on the Increase in Dominica | Dominica Central News.

Fifteen percent of BVI adults are diabetic

The president of the British Virgin Islands Diabetic Association, Bennett Smith, is worried about the large number of diabetics in the territory.

In a message to mark the 30th anniversary of the Association, Smith said, “We know that diabetes is the major cause of lower limb amputations and renal failure, making dialysis necessary.”

via Caribbean News Now!: Health News.