Health
Ukraine’s Healthcare System Adapts and Improves Amid Ongoing Conflict
Ukraine’s healthcare system has undergone significant changes and improvements due to the ongoing impacts of Russia’s invasion, particularly for those suffering from life-altering injuries and trauma, according to Health Minister Viktor Liashko. In an exclusive interview with Euronews, Liashko emphasized the war’s influence on enhancing healthcare capabilities, notably in areas such as blood transfusions and reconstructive surgery.
Since the onset of full-scale war, Ukraine’s rehabilitation capacity has surged from 2,500 to 12,000 sessions per day. New specialized orthopedic clinics, such as the Superhumans facility in the Lviv region, are at the forefront of this transformation, serving over 3,000 patients annually with a team of more than 100 specialists. There are plans to expand operations to six regions by 2025.
A crucial aspect of the rehabilitation effort is reshaping public perceptions regarding war-related disabilities. “We are raising awareness that life does not end after losing an arm or leg,” Liashko stated, highlighting the importance of embracing artificial limbs as symbols of honor and sacrifice. “A prosthesis could symbolize that they protected their country, so they can wear them proudly.”
The minister also noted a significant shift in attitudes toward mental health, particularly for frontline soldiers and civilians under continuous stress from the conflict. “We changed the wording in our communications and started talking about mental health instead of psychiatric health to overcome stigma and encourage people to seek help,” he explained. Ukrainians face immense psychological pressure stemming from the COVID-19 pandemic and ongoing warfare, which includes constant air raids and disrupted education for children.
The government has initiated pilot projects aimed at supporting mental health among primary care doctors, teachers, and other professionals, with a focus on preventing emotional disturbances from escalating into psychiatric disorders that the health system cannot accommodate on a large scale.
As Ukraine prepares for its third winter under Russian assault, the healthcare system continues to experience stress. “There are numerous challenges that we are confident we will overcome. But the main priority today is to stop Putin,” Liashko stated.
One pressing issue remains the need for blood transfusions. To address this, Ukraine has recently launched a real-time online platform for blood donors, allowing for live updates on regional blood reserves and facilitating targeted inquiries for specific blood types.
Despite the ongoing conflict, Ukraine’s healthcare system has made strides in digital transformation, with advancements in electronic medical records and digital prescriptions. With over 35 million users and nearly 100 digital projects implemented each year, Minister Liashko asserted that, although the war has critically impacted the system, they remain committed to advancing digital solutions. “We have not stopped any digital solutions and are continuing to move forward as we did before,” he affirmed.
Health
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Health
Obesity Linked to Poorer Outcomes in Childhood Cancer Patients, Study Finds
Children with obesity diagnosed with cancer face significantly worse health outcomes, including a heightened risk of relapse and death, according to a new Canadian study.
The research, published in the journal Cancer, analyzed data from over 11,000 cancer patients aged 2 to 19, of whom 10.5% were obese at diagnosis. The study examined various cancers, including leukemia, lymphoma, and other tumors, and found that obesity negatively impacted outcomes across the entire cohort.
Increased Risk of Relapse and Mortality
The findings revealed that obese children had a 16% higher risk of cancer relapse and a 29% increased risk of death within five years of diagnosis, even after accounting for factors such as age, sex, and ethnicity.
“Our study highlights the negative impact of obesity among all types of childhood cancers,” said Dr. Thai Hoa Tran, a pediatric hematologist and oncologist at the University Hospital Centre Sainte-Justine in Montreal, Canada, and one of the study’s authors.
Dr. Tran emphasized the need for strategies to address obesity’s impact on cancer outcomes in future clinical trials and highlighted the importance of combating the childhood obesity epidemic to prevent severe health consequences.
Acute Lymphoblastic Leukemia and Brain Tumors Most Affected
The study found the impact of obesity was particularly pronounced in children with acute lymphoblastic leukemia (ALL)—a cancer of the blood and bone marrow—and brain tumors. Researchers suggested that fat tissue may play an active role in tumor progression, metastasis, and resistance to treatment.
Previous research has indicated that adipose (fat) tissue cells can promote tumor development and hinder the effectiveness of therapies. Additionally, the study noted concerns about potential undertreatment and inappropriate dosing of chemotherapy in obese patients, which could further compromise outcomes.
Limitations and Calls for Improved Measures
The researchers acknowledged limitations in their study, including reliance on body mass index (BMI) to define obesity. They pointed out that BMI is an imprecise measure that does not fully capture body composition or nutritional status.
“BMI remains a crude and imperfect measure,” the authors wrote, echoing recent calls from experts to adopt more accurate diagnostic tools for obesity. Critics argue that BMI may lead to overdiagnosis or fail to reflect the nuanced impact of weight on health outcomes.
Implications and Urgency
The findings underscore the urgent need for interventions targeting childhood obesity and call for more precise research to better understand the interplay between obesity and cancer treatment. As childhood obesity rates continue to rise globally, addressing this epidemic could have far-reaching implications for improving survival rates and health outcomes for young cancer patients.
Health
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