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One Million Cambodians Have Diabetes and Hypertension – Monday,30.3.2009

The Mirror, Vol. 13, No. 606

“Phnom Penh: As living becomes more modern and nourishing food increases, Cambodian people are facing two types of diseases that up to one million people have: diabetes and hypertension.

“The director of the Disease Information Center which is treating, counseling, and observing 1,300 people having diabetes in Phnom Penh and in Takeo, Mr. Maurits van Pelt, said, ‘At present, in Cambodia there are one million people having diabetes and hypertension.

“According to observations by the World Health Organization and of the Ministry of Health, 12% of people in Siem Reap and 20% in Kompong Cham have hypertension. Also, a similar observation which was conducted from 2004 to 2005 found that 5% of people in Siem Reap and 11% in Kompong Cham have diabetes.

“What is the cause of the high prevalence hypertension? Mr. Maurits van Pelt explained that it is because not many Cambodian people do exercise, and many eat much, making them fat and pot-bellied. Furthermore, it is also a result of genetic factors, since in China and in India, many people have such diseases, and Khmers have much genetic material in common with the two people.

“He added, ‘Laziness not to do exercise, no roads for walking, and some other factors resulting from different diseases, make people have hypertension. Also some urinary diseases may lead to hypertension and other diseases.’

“The president of the Disease Information Center questioned why leaders of rich countries are often slim and leaders of poor countries are fat and pot-bellied. He went on, ‘Khmer leaders do not act as models of the people, because they are too fat. Khmers like pot-bellies showing that that they are wealthy.’

“He continued to say that slim people have about 50 % of all diseases that exist, but fat people have more diseases, and overweight people are found to live seven years less than others. Urban people have twice as often hypertension, compared to those living in the countryside.

“He added, ‘Normally, we need to sweat half an hour per day, but many people say that the weather is too hot and they do not want to sweat; this is not right. To avoid overweight, we need to do physical work at least 30 minutes per day, and should not eat too much.’

“What should we eat to prevent hypertension and diabetes? Mr. Maurits van Pelt said that we should eat much vegetable, and eat some fish; Khmers should rather eat unpolished rice, for it contains Vitamin B, but Khmers like eating white rice for its taste, yet it contains much sugar and lacks vitamins.

“He said also, ‘If people are overweight, they must do exercise to put off their weight. Their health will be better. When they can put off a lot of weight to be in the right proportion with their height, they will no longer have hypertension.’

“Mr. Maurits warns, ‘The spreading of these diseases will increase, because there are more overweight people than before, more vehicles, more American food imported to Cambodia, which contains a lot of cholesterol, and such long-processed food is not good.’

“Regarding people having diabetes, Mr. Maurits said that diabetes patients have to be careful not to have hypertension. He added that if they have diabetes for five years, they may get urinary diseases and continue to have hypertension. Therefore, people who have diabetes have to do exercises, eat food that is not salty, and take care not to get overweight.

“He added that besides providing education through a Friends-Educate-Friends Program for people with diabetes in a district in Takeo and at poor regions in Phnom Penh, he is asking for funds from the European Unions to expand the program at Thma Puok district in Banteay Meanchey. But, there is no response from donors yet.

“He criticized donors, “I asked them once, but they did not agree to provide funds, saying that it is not important. They tell me to work with AIDS, but there are only more than 60,000 AIDS patients, while there are one million people having hypertension and diabetes.’

“He added that donors provide 60% of their funds for AIDS and less than 1% for non-infectious diseases. He said, ‘There are many AIDS and tuberculosis experts, but why aren’t there non-infectious disease experts?’

“Mr. Maurits continues to say, ‘I think Khmers dare not to ask for aid for this field. I think that is wrong.’

“The director of the World Health Organization in Cambodia, Mr. Michael O’Leary, said during the closure of the health convention last week that the high prevalence of hypertension, diabetes, and the changes of the pattern of living is a clear sign of the spreading of interaction between these in Cambodia.

“He added that a study shows that about half of the Cambodian men smoke cigarettes, and this number is still increasing. With these interrelated problems, progress must be made to deal with health care needs, for which the government has to find responses.

“However, [the Minister of Health] Dr. Mam Bunheng said, ‘The rate of smokers among men and women declines, but the indicators of the program have not yet achieved their goal in 2008. That is diabetes, hypertension, and the identification of people suffering on their heads in traffic accidents are difficult to measure. Therefore rechecking is necessary.”Rasmei Kampuchea, Vol.17, #4858, 30.3.2009

Newspapers Appearing on the Newsstand:
Tuesday, 31 March 2009

Amnach Reas, Vol.2, #45, 30-5.3.2009

  • Rate of Students Dropping Out of School Is Still High
  • The Number of Rapes of Underage Persons Is Higher Than the Rapes of Adults [according to a report of the Cambodian Human Rights and Development Association – ADHOC, there were 419 rapes of women and children in 2008, out of which 280 cases were against underage persons]

Deum Ampil, Vol.3, #150, 29-30.3.2009

  • [Thai ousted prime minister] Thaksin Calls on Red Shirt Group to Demonstrate against [Prime Minister] Abhisit until He Resigns
  • England Asks G-20 Economic Summit Session to Increase Fund to Assist Impoverished Countries by Around US$100 Billion

Kampuchea Thmey, Vol.8, #1910, 29-30.3.2009

  • Phnom Penh Governor Allows the Opposition Party to Hold a Buddhist Commemoration Ceremony in Front of the Former National Assembly [for those who were killed by the grenade attack on 30 March 1997]
  • A Dam Broke in Jakarta and Killed 60

Koh Santepheap, Vol.42, #6615, 30.3.2009

  • Siamese [Thai] Merchants Come to Buy Dry Cassava Like Normal

Rasmei Kampuchea, Vol.17, #4858, 30.3.2009

  • The Government Will Not Set the Start of the Trial of Khmer Rouge Leaders on 30 March as a National Holiday
  • One Million Cambodians Have Diabetes and Hypertension
  • The United Nations Highly Assesses the Royal Government for Combating AIDS and Human Trafficking

Sereypheap Thmey, Vol.16, #1684-685, 29-30.3.2009

  • [The director of the Documentation Center of Cambodia] Mr. Chhang Youk Questions Why Duch Alone Is Heard in Court, but Not Also Nearly 200 Other Prison Chiefs
  • Khmer Side Demands Siamese [Thai] Troops to Withdraw Mine Danger Signs Put [along the Border in Samlot, Battambang]
  • [The chairperson of the Cambodian Committee for Solving Border Disputes] Va Kimhong Acknowledges that Solving Border Disputes Bilaterally Is Useless [he had said so nearly one year ago already, negotiations were useless]
  • [The president of the Cambodian Independent Teachers’ Association] Rong Chhun: The Prime Minister Acknowledged that the Quality of Education in Cambodia Is Low [recently in a public speech], while [the Minister of Education] Im Sethy Is Very Angry [about a survey by the Cambodian Independent Teachers’ Association – allegedly not carried out carefully, and producing some wrong data, especially about high dropout rate]

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