Latest / Morning Medical with Dr. Chow / Brain health strategies, WHO updates, marine collagen sustainability, and sun safety misconceptions
Transcript
- 0:00Good morning, and welcome to Morning Medical with Doctor E.
- 0:03Chow.
- 0:04I am your host, Doctor Chow Chow.
- 0:08Each day, we bring you the latest in medical and health news from around the world using the
- 0:13power of artificial intelligence, I am a trained family physician, general internist,
- 0:18and cardiologist, and I also serve as a professor of medicine at the University of
- 0:23Toronto.
- 0:25Today, we have an exciting lineup of topics starting with how to keep your brain sharp.
- 0:30Let's dive right in.
- 0:35The health of our brains can change as we age.
- 0:39For some that might look like worries about memory loss, But experts say cognitive health
- 0:44is about much more than forgetting someone's name or where you put your phone.
- 0:49It also includes focus and concentration, judgment, and intuition, and learning.
- 0:55As we age, we lose neurons.
- 0:57But as we gain experience and knowledge, we also make new ones said neurologist, doctor
- 1:03Steven Laurie's.
- 1:04That's neuroplasticity in action.
- 1:07Laurie's told doctor Brian Goldman, host of CBC's the dose.
- 1:11You're challenging what you know today and what you will be able to do tomorrow.
- 1:17Neuroplasticity is the way the brain can change its structure over time.
- 1:21There are lots of things we can do to help our brains stay sharp.
- 1:25Including learning new things, staying social, being physically active, sleeping well, and
- 1:31meditating.
- 1:33Let's break down these activities 1 by 1.
- 1:371st, learning something new can significantly help your brain.
- 1:42It's normal to pay less attention to certain things as we age because we've done them
- 1:46thousands of times, said doctor Vina Duivetti a psychology and neuroscience professor at Brock
- 1:53University who researches the brain and language.
- 1:57She suggests taking a new route home from the store, for example, so your brain will have to
- 2:01work a little harder.
- 2:02Make it novel so that you will pay attention, said Duvedi.
- 2:07To help your brain, try learning something that is unfamiliar and challenging, said doctor
- 2:12Manuel Montero Odasso.
- 2:15A professor of medicine at Western University, and the director of the gate and brain lab.
- 2:20For example, you could learn a new language or a new musical instrument.
- 2:24He said, this kind of challenge in the beginning generates more communication between
- 2:29the neurons, said Montero Odaso.
- 2:32But when starting a new activity, try not to set the bar too high, said Laurie's, who is the
- 2:38Canada Excellence Research chair in neuroplasticity at La Valle University.
- 2:43Sometimes we expect too much too quickly.
- 2:46Just enjoy the ride, he said.
- 2:49We may think that regularly playing wordle, crosswords, or other vocabulary puzzles will
- 2:55help us avoid cognitive decline.
- 2:58The evidence for that is scant according to a systematic review published in 2021, but that
- 3:04does not mean they are a waste of time.
- 3:06Puzzles work on multiple parts of the brain, said Lorie's, including helping us pay
- 3:12attention, recognize patterns, and stimulate vocabulary.
- 3:16Crosswords, he said, challenge your general knowledge and help with problem solving.
- 3:22Word games do not improve your memory, though they may help you improve at that particular
- 3:27type of game, said Montero Odasso.
- 3:30Experts recommend you pair word games with other activities like playing alongside friends
- 3:36and family.
- 3:37Wordle is fine, but if you're sitting by yourself and you do not talk to anybody, It is
- 3:43not going to help that much, said Duvidei.
- 3:46Creating social connections is key to brain health.
- 3:49Experts said.
- 3:51Studies have shown that social engagement and activities are associated with a lower risk of
- 3:56cognitive decline.
- 3:58For example, you could create a group chat or schedule a meetup around your daily wordle,
- 4:03said Vivetti.
- 4:04So if you do the wordle, plus you have the social connection and then you walk to your
- 4:08friend's house to talk about it.
- 4:10It is a game changer.
- 4:12She said any kind of social activity will help your brain, such as volunteering at the food
- 4:17bank or joining an artist's group.
- 4:21Social engagement and activities are associated with a lower risk of cognitive decline.
- 4:27Studies have shown that social engagement and activities are associated with a lower risk of
- 4:33cognitive decline.
- 4:35Everyone knows that exercise helps your heart, but what about your brain?
- 4:39There are well known links between cardiovascular health and brain health.
- 4:44Experts said, Lori's recommends his patients get 20 minutes of aerobic exercise, a workout
- 4:50that causes you to sweat three times a week.
- 4:54It really changes the neurochemistry of the brain, he said.
- 4:59In a study from 2023, Montero Odasso and colleagues showed that combining aerobic
- 5:05resistance exercises with cognitive training gave the best results for improving global
- 5:10cognition in older adults with mild cognitive impairment.
- 5:14Your brain is an oxygen hungry organ, said doctor Duivetti, and exercise increases both
- 5:20oxygen and blood flow to the brain.
- 5:23You wanna keep the brain healthy, stay physically fit.
- 5:28We are all familiar with how foggy our brains can feel after a poor night's rest.
- 5:33Over time, bad sleep can have a negative impact on brain health and puts us at risk for certain
- 5:39brain diseases such as dementia.
- 5:41A system in our brain called the glymphatic system, which was only discovered in 2012, is
- 5:47integral to cognitive health by helping the brain get rid of waste, said Lorie's.
- 5:52It's a natural efficient detox happening during deep sleep.
- 5:56He said, If you struggle to sleep well, it's important to figure out why and get medical
- 6:02help to try to sleep better.
- 6:03He added, Laurie's has been meditating for just over 10 years and prescribes meditation to his
- 6:10patients.
- 6:11It's gymnastics for the brain.
- 6:13Laurie said, He recently published a book about how meditation helps the brain and said there
- 6:18are many ways to practice it.
- 6:21The key is paying attention to what's happening in your head.
- 6:25You spend a lot of time there, said, Laurie.
- 6:28He recommends an 8 week program called mindfulness based stress reduction, which is
- 6:33offered in several Canadian locations as well as virtually.
- 6:37Lori said the program has been shown to help people who are at risk of cognitive decline.
- 6:43The World Health Organization's annual assembly kicked off on Monday with the goal of improving
- 6:48global readiness for future pandemics.
- 6:51In the wake of the COVID 19 pandemic.
- 6:54Member countries are trying to come to an agreement on new methods to prepare for and
- 6:58combat inevitable future outbreaks.
- 7:01This comes after a bold project to adopt a pandemic treaty was shelved last week due to
- 7:07disagreements over sharing information about pathogens and the technology used to fight
- 7:12them.
- 7:13The pandemic treaty was a highly ambitious project that aimed to create a comprehensive
- 7:18framework for pandemic preparedness and response.
- 7:23However, after two and a half years of negotiations, the project stalled.
- 7:27The main sticking points were disagreements between countries over the sharing of pathogen
- 7:32information and the transfer of technology, which are crucial for combating pandemics.
- 7:37Given the failure to reach a consensus on the pandemic treaty, experts are now focusing on
- 7:42proposed changes to the World Health Organization's International Health Regulation
- 7:47which were established in 2004.
- 7:50These amendments would encourage countries to enhance their alert, detection, and containment
- 7:55capabilities and to cooperate more effectively on a global scale.
- 8:001 of the key proposals is to give the World Health Organization's director general the
- 8:05authority to declare a pandemic emergency.
- 8:08This would enable a more rapid and coordinated international response to emerging health
- 8:14threats.
- 8:15While Envoy's believe a deal is close, disagreements similar to those that hindered
- 8:20the pandemic treaty negotiations still persist.
- 8:23Particularly between wealthy and developing nations.
- 8:27A significant issue remains the proposed transfer of technology, and the creation of a
- 8:33new fund under the World Health Organization by 2030.
- 8:37This fund would aim to bolster pandemic fighting capacities, especially in developing
- 8:42countries.
- 8:43These aspects are crucial ensuring that all nations have the resources and capabilities to
- 8:48respond effectively to future pandemics.
- 8:51World Health Organization director general Tedros Adhanom Ghebreyesus emphasized that the
- 8:56stalled work on the pandemic treaty should not be seen as a failure.
- 9:01He acknowledged the immense challenge and the ambitious timeline, noting that it typically
- 9:06takes many years for United Nations member countries to finalize global treaties.
- 9:12Of course, we all wish that we had been able to reach a consensus on the agreement in time for
- 9:17this health assembly and crossed the finish line.
- 9:20Tedros said in his opening remarks, but I remain confident that you still will because
- 9:25where there is a will, there is a way.
- 9:29The underlying premise is that pathogens do not respect national borders, necessitating a
- 9:34united response from all countries.
- 9:37However, decision makers have struggled to balance national interests with the broader
- 9:42call from World Health Organization officials to act in the interest of global health.
- 9:48Health ministers now face the task of overcoming deep seated differences.
- 9:53Particularly regarding the sharing of information on emerging pathogens and the
- 9:58distribution of scarce resources like vaccines when demand is high.
- 10:04Young Kim Hu, a senior legal and policy adviser at doctors without borders expressed concern
- 10:10about the potential consequences if the assembly fails to produce tangible results.
- 10:16If nothing comes out of the World Health Assembly, It's a huge missed opportunity, who
- 10:21said, if they don't come up with a clear roadmap, how are they going to finish this
- 10:25process?
- 10:27Marine collagen is becoming increasingly popular in the health and beauty industry
- 10:32touted for its benefits for joint health and youthful skin.
- 10:36However, the rise in demand raises questions about sustainability, especially given the
- 10:42current state of global ocean wildlife.
- 10:44The market for Marine Collagen is already valued at over 1,000,000,000 United States
- 10:50dollars and continues to grow.
- 10:52This surge is driven by consumers looking for alternatives to traditional collagen sources
- 10:58like cows and pigs, which some people avoid for religious or ethical reasons.
- 11:03Marine collagen is often marketed as a natural and eco friendly option, featuring images of
- 11:09waves and fish, and references to cold, clean ocean waters.
- 11:15But with overfishing and climate change already threatening global ocean wildlife, experts are
- 11:21questioning whether this is a sustainable source for anti aging products.
- 11:26Kelly Robuck a sustainable seafood campaigner with the Canadian Marine Conservation Group
- 11:32living ocean society cautions that consumers may not all always know where their marine
- 11:37collagen is coming from.
- 11:39With these marine collagen products, shoppers are buying a black box of marine ingredients
- 11:44she said in an email to CBC News.
- 11:48Our bodies naturally produce collagen, which provides elasticity and strength to our skin,
- 11:53tendons, bones, and other tissues.
- 11:57As we age, collagen production decreases, leading many to turn to supplements.
- 12:03Collagen is widely found in the animal kingdom, and health Canada licenses more than 2000
- 12:09natural health products containing hydrolyzed collagen, including over 1000 with collagen
- 12:16from marine sources.
- 12:18Bovine Collagen, derived from cows, has historically dominated the market.
- 12:23However, an investigation by the Bureau of Investigative Journalism and the Guardian
- 12:28linked cattle ranches producing collagen, leather, and beef to tropical rainforest loss
- 12:34in the Brazilian Amazon.
- 12:36This has led to increased interest in marine collagen as a potentially more sustainable
- 12:41alternative.
- 12:42Marine collagen is being hailed by researchers as abundant and sustainable with lower risk of
- 12:48disease transfer compared to collagen from mammals.
- 12:52Azizor Rahman the director of the University of Toronto's Center for Climate Change Research
- 12:56noted that the market for Marine Based Cosmetics has seen remarkable growth over the
- 13:01past decade.
- 13:03Over the past decade or so, there has been a remarkable rise in market demand for marine
- 13:08based cosmetics.
- 13:10Driven by growing consumer interest in natural and sustainable ingredients.
- 13:14Raman said.
- 13:16However, sustainability is not guaranteed.
- 13:19More than a third of the world's fish stocks are overfished, and most of the rest are fished
- 13:24to their biologically sustainable maximum.
- 13:27William Chung, director of the Institute for oceans and fisheries at the University of
- 13:32British Columbia, emphasized that any new demand on marine resources should be considered
- 13:36in context of existing pressures on ocean wildlife.
- 13:41Canadian scientists have also raised concerns about the demand for other nutritional
- 13:45supplements derived from fish.
- 13:47Such as shark liver oil and omega-three fatty acids.
- 13:52A 2022 paper in Nature Ecology And Evolution flagged marine collagen as an emerging issue in
- 13:59ocean biodiversity, noting that it could threaten species like sharks or sponges.
- 14:05However, the paper also pointed out that marine collagen could be an opportunity for
- 14:10sustainable resource use if it is sourced from byproducts of the fish processing industry that
- 14:16would otherwise go to waste.
- 14:18The challenges that marine collagen products often do not disclose their sources.
- 14:24Some companies like Nova Scotia Based Landish And Toronto Based Genuine Health claim their
- 14:29marine collagen comes from wild cod, haddock, and Pollock caught in the North Atlantic using
- 14:34byproducts like skin and scales.
- 14:37However, many products do not provide such transparency, making it difficult for consumers
- 14:42to make informed choices.
- 14:45Curtis Hain, program director for the Marine stewardship Council in Canada, mentioned that
- 14:50their blue eco label can help consumers identify sustainable fishery products.
- 14:57So anything with that blue MSC echo label is a way of signaling that it is from a sustainable
- 15:02fishery.
- 15:03Hain said.
- 15:04However, he acknowledged that the standard has faced criticism for not being stringent enough
- 15:10and that the organization is revising it.
- 15:13While using byproducts to make marine collagen seems to have a lower impact, it could still
- 15:19have consequences.
- 15:22Critics argue that even byproducts can help the bottom line of industries linked to
- 15:27environmental degradation.
- 15:29Similar to how bovine collagen supports cattle production linked to deforestation.
- 15:34On the other hand, when fisheries invest in sustainability, Chi-Ming profits from
- 15:39byproducts can encourage further improvements.
- 15:42William Chung criticized the wasteful that discard much of the fish.
- 15:48I grew up in the Chinese culture from Hong Kong, so we eat almost every part of the fish,
- 15:53Chung said.
- 15:54We use the whole fish to make soup because I think with the fish bones, that the fish soup
- 16:00is really rich and tasty.
- 16:02And that actually provides a lot of nutrients.
- 16:05He hopes the growing demand for marine resources like collagen will prompt broader
- 16:09discussions about resource management trade off equity and food security, food.
- 16:15In summary, while marine collagen offers potential benefits for health and beauty, It is
- 16:20essential to consider the environmental and ethical implications.
- 16:24As consumers being informed and making conscientious choices, can help ensure that our
- 16:30pursuit of youthfulness does not come at the expense of our planet's health.
- 16:352 new surveys suggest a troubling trend.
- 16:37Young adults seem to be slacking on sun safety.
- 16:40In an online survey of more than 1000 people published this month by the American Academy of
- 16:45Dermatology, 28% of 18 to 26 year olds said they did not believe Suntan's caused skin
- 16:52cancer, and 37% said they wore sunscreen only when others nag them about it.
- 16:59In another poll, published this month by Orlando Health Cancer Institute, 14% of adults
- 17:05under 35 believe the myth that wearing sunscreen every day is more harmful than direct
- 17:11sun exposure.
- 17:13While the surveys are too small to capture the behaviors of all young adults, doctors said
- 17:18they have noticed these knowledge gaps and riskier behaviors anecdotally among their
- 17:22younger patients too.
- 17:24To some extent, experts said this issue is not unique to the current generation of young
- 17:29adults.
- 17:30There is a component of young people, just being young people, said doctor Melissa Shive,
- 17:36a dermatologist at UCI Health in Irvine, California.
- 17:40One survey conducted between 19861996 found that then 18 to twenty four year olds who are
- 17:48now middle aged were more likely than older adults to visit tanning booths and get
- 17:53sunburns.
- 17:55Young adults are often unaware of what sun damage looks like and how best to prevent it.
- 17:59Doctor Shiv said.
- 18:01She said she recently saw a young patient who did not know Tanskin and freckles were signs of
- 18:06sun damage.
- 18:08Doctor Heather Rogers, a clinical assistant professor of dermatology at the University of
- 18:13Washington, said more of her young patients now report visiting tanning beds.
- 18:19Ultra Violet rays, whether from tanning beds or direct sunlight, can damage skin and cause skin
- 18:26cancer, which can be deadly.
- 18:28Older adults who participated in the recent surveys did not have perfect sun safety
- 18:33knowledge either.
- 18:3417 percent of millennials surveyed by the American Academy of Dermatology did not know
- 18:39tanning caused skin cancer, for instance.
- 18:43But on the whole, younger adults, most of whom fell into generation z, Chi-Ming they were born
- 18:49after 1997 were more likely to report believing sun safety myths.
- 18:55Experts said that generation z is uniquely susceptible to misinformation about sunscreen
- 19:01and skin cancer that has proliferated on social media platforms like TikTok.
- 19:06They pointed to posts from influencers who claim incorrectly that sunscreen can cause
- 19:11cancer.
- 19:12Or from celebrities who claim that they do not use sunscreen because it interferes with
- 19:17vitamin D absorption.
- 19:19Years of scientific evidence support sunscreens benefits in preventing skin cancer.
- 19:24Doctor Sheave said.
- 19:27Our final story today takes us to the stunning Kenyan coast where a small factory is making a
- 19:32big impact on Africa's healthcare landscape.
- 19:35The factory, Revital Healthcare is located in Khalifa County, about halfway between 15th
- 19:41century ruins and the vibrant city of Mombasa.
- 19:45With fewer than 700 employees, Revital Healthcare produces 300,000,000 syringes a
- 19:51year.
- 19:51Meeting more than half of Africa's routine immunization needs.
- 19:56During the coronavirus pandemic, when governments around the world struggled to
- 20:00vaccinate millions amid severe shortages, revival stepped up to the plate.
- 20:05The company shipped syringes to countries as far flung Sri Lanka, Sweden, the United Arab
- 20:10Emirates, and Uzbekistan.
- 20:13In a particularly noteworthy achievement, revital even sent 15,000,000 syringes to India,
- 20:19a country known as a powerhouse of syringe manufacturing.
- 20:23This is the first time ever in the life of Africa that a medical industry is exporting
- 20:28syringes to India, said Ronique Vora, the company's director of sales and marketing.
- 20:33This was a very big deal for us.
- 20:36It broke a lot of barriers he added.
- 20:39The success of Revital Healthcare is particularly remarkable given the numerous
- 20:45challenges that have historically hampered Africa's attempts at medical self reliance.
- 20:51Limited funds, the lack of a robust regulatory system, and difficulties in transporting drugs
- 20:57and vaccines have all been significant obstacles.
- 21:01Yet, Revital has managed to overcome these hurdles with the help of grants and contracts
- 21:07from many donor organizations, including the United States Agency for international
- 21:12development, the Save the Children Foundation, and multiple arms of the United Nations.
- 21:18Revital's achievements offer a beacon of hope that an African company can not only meet the
- 21:24continent's health care needs, but also compete on the global stage.
- 21:28The company's success is a testament to the potential for self reliance in Africa's medical
- 21:34industry, demonstrating that essential products can be manufactured locally and exported to
- 21:39other countries.
- 21:41As we wrap up today's episode, it is inspiring to see how innovation and determination can
- 21:46lead to significant advancements in health care, not just locally, but globally.
- 21:50From keeping our brains sharp to improving pandemic preparedness and from the ethical
- 21:55considerations of marine collagen to the importance of sun safety.
- 21:59Today's store underscore the interconnectedness of health and well-being around the world.
- 22:04Thank you for joining me on morning medical with Doctor.
- 22:07Ed Chow.
- 22:08Stay healthy and see you next time.
- 22:09You next.