Medical news on children keeps arriving fast and furious, quite a bit faster than the traffic from the all-day Flugtag street fete that stretched from Chagua-ramas to St James, with young drunken Trinidadian men drinking and jumping up in the road while giving people unasked advice on how to move their cars so that they could drive on. Despite three (or was it four?) deaths associated with the event, it was so reassuring to hear the chairman of the Chaguaramas Development Authority (CDA) say that there was no disaster inside Chag, the deaths occurred on the way to an event sponsored by the CDA. So disaster outside, no disaster inside. In Thursday's Guardian, someone had the brilliant idea to place the news about the 223 cancer patients who might have been exposed to too much radiation at the Brian Lara Cancer Treatment Centre next to a column about a mother whose son had drowned while trying to reach the Red Bull Flugtag event inside Chaguaramas and who was planning to bare her breasts to the sea in a bid to recover her son's body. "If we all have to put our breasts in the water to plead with the sea to return him, we would do so at 4 o'clock in the morning," said the boy's sister.
Four o'clock in the morning? Now while I grieve for the mother and family of the drowned child and admit there is a certain poignancy, a tugging at the heart strings, dare I say a magical uncertainty at the image of a mother exposing her breasts to the sea at 4 am, and while I certainly am an advocate of breastfeeding, the idea of a group of women somehow believing that by exposing their breasts the body of a loved one would be given back by a body of inanimate, contaminated water is a bit ludicrous. The poor attempts at explaining the event in a religious context only served to make matters murkier. How about sticking to some real-life issues? Like possible over radiation of over 200 people and no one was told? It's bad enough if annual quality checks were not done, especially with such a delicate and powerful piece of equipment. It's almost impossible to believe that no one, including the Ministry of Health, acted on the information for over a year? Both incidents are symptomatic of some of the issues that face us, problems with the management of high technology juxtaposed onto a naïve belief in magic.
This might just be the local version of magical realism, defined as "what happens when a highly detailed, realistic setting is invaded by something 'too strange' to believe," and take your pick of which incident is which. In this confused society of ours, your guess is as good as mine. So on to the latest medical news on children. Perhaps outside there they might be a bit surer of what they are doing? Not really. In the USA, the annual report from the National Institutes of Health showed that adolescent births, preterm births, binge drinking among 17-year-olds and injury-related deaths among teenagers have declined compared with 2009 figures, but a higher proportion of eighth graders were using illicit drugs, and more children were living in poverty, up from 19 per cent in 2008 to 21 per cent in 2009. Tobacco use, closely linked to advertising directed at children, continues to be a problem: seven per cent of 16-year-olds and 11 per cent of 17-year-olds were reported to be daily smokers. On the fascinating socio-economic subject of smoking addiction, the World Health Organi- sation said that while tobacco advertisement regulations have been implemented in 101 countries and anti-smoking campaigns are already affecting roughly 3.8 billion people worldwide, tobacco use will cause more than eight million deaths annually by 2030, "unless urgent action is taken."
While the number of people protected against smoking "is growing at a remarkable pace," tobacco still accounts for the highest number of preventable deaths worldwide. "Get 'em young and get 'em for life," answer the tobacco companies. Not all the news was bad. Up to now most of the noise about autism, including the now discarded possible relationship to measles, mumps and rubella vaccine, related to children. The first known epidemiological study of adults with autistic spectrum disorder (ASD) was reported in May in Archives of General Psychiatry and concluded that about one per cent of the adult population in Britain has ASD. That's over half a million people. ASD is a common complex developmental disability that typically affects social functioning and communication. Asperger's syndrome (AS) is regarded as one of the less severe forms of ASD. Adults with AS are often regarded as smart but different. They have trouble understanding social cues and body language. They may have obsessive interests and routines and may talk in a monologue. Some may be clumsy and sensitive to certain things like specific sounds, textures and tastes. A common problem is not understanding jokes, not a good thing in T&T, so many adults with AS pretend and become good at hiding their misunderstandings. Another group wrongly accused of poor choices that can now come out of the closet.
Good.
