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Showing posts with label Bukit Jambul. Show all posts
Showing posts with label Bukit Jambul. Show all posts

Thursday, September 16, 2021

Doctor's orders: Take a hike, you'll feel better

 

 While more doctors are looking at using time outside as a medical strategy, park prescription programmes face issues of access. Photo: Unsplash/Jon Flobrant 

 When Annette Coen went for a health check-up last summer in Washington state, she and her doctor discussed concerns around her weight and asthma. Then her doctor offered a novel prescription: regular hikes in the woods.

He gave Coen a one-year pass to Washington's state park system and told her to "go for walks, go camping, do what you need to do," Coen, now 53, told the Thomson Reuters Foundation.

A year on, she said the park prescription was a "great experience" for her and her whole family. "I have lost 13.6 kg since April this year... just being out and about," she said.

With the Covid-19 pandemic highlighting the health benefits of spending more time outdoors, a growing faction of the US medical community is prescribing time outside the same way they would traditional medication.

The idea of writing out park or nature prescriptions has taken hold particularly among pediatricians.

"It all came together" during the pandemic, said Maya Moody, president-elect of the Missouri chapter of the American Academy of Pediatrics (AAP), pointing to spikes in childhood anxiety and pediatric obesity since the coronavirus outbreak started.

With lockdowns keeping children indoors, "we were seeing 30-, 50-, 60-pound weight gains," said Moody, who attends to around 3,000 low-income children in the St. Louis area.

This April, she became one of about a dozen pediatricians across the state who have started offering nature prescriptions.

"When I give a prescription, it's

specific, just like an antibiotic. They use it for this many days, and I say go to this park," she explained. Buy-in has differed with different age groups, Moody noted, with younger children and their parents being more open to the approach but teenagers expressing skepticism.

"Sixteen- and 17-year-olds look at me and say, 'You want me to get off TikTok and get an actual tick in the woods?'" she said.

But Moody said the fact that doctors and health experts are now seriously looking at how something as simple as a walk in the park can help patients is exciting.

A spokesperson for the AAP said the group is forming a committee on the issue of nature prescriptions but declined to offer additional details.

Take a walk

Nature prescriptions are still new, so there is little data on their effectiveness, but one 2018 analysis by researchers from Britain's University of East Anglia did find they "may have substantial benefits".

There has been much more research done on the general benefits of being outdoors - in one example, starting next month, a study supported by the Welsh government will look at the benefits of treating hospital patients outside.

In more than 500 scientific studies in recent years, researchers have linked time spent in nature with decreased anxiety, reduced risk of obesity and even reduced overall mortality, said Maryland-based pediatrician Stacy Beller Stryer.

Stryer is also associate medical director with Park Rx America, an online platform that helps medical professionals write nature prescriptions.

Using its database of thousands of parks and public lands, prescribers can filter by activity, distance from a patient's home and amenities such as playgrounds.

"Once (the patient) decides on where to go, the prescriber talks about what they should do - maybe walk a dog? And how often - maybe every Monday, Wednesday and Friday for 30 minutes?" she said.

Writing out an actual prescription for time in nature gives patients a useful extra push, said Brent A. Bauer, research director of integrative medicine and health at the Mayo Clinic in Minnesota.

"More than half of my patients who receive a 'prescription' for time in nature go ahead and do so successfully," he said.

A census of park prescription programmes last year estimated that there were more than 100 nationwide.

The Pittsburgh Parks Conservancy began a pilot programme in collaboration with the UPMC Children's Hospital of Pittsburgh in 2016, after a pediatric resident was leading patients in a weight management clinic, said Kathryn Hunninen, a senior manager with the conservancy.

"He wanted to encourage patients to get outside but didn't know where to send them," she said.

"This started with an inquiry from him to the parks system and has blossomed from there."

In a 2018 survey, more than 80% of personnel at participating Pittsburgh clinics said they were frequently recommending that patients visit parks.

Last year, Salt Lake County in Utah offered park prescriptions to its employees "to improve or maintain physical and mental health while building sustainable health behaviors," Sarah Kinnison, who oversaw the programme, said in an email.

That first year, 335 employees participated, and the county is running the program again this fall.

Financial stability

While more doctors are looking at using time outside as a medical strategy, park prescription programmes face issues of access.

In low-income neighborhoods, parks are four times smaller and more crowded on average than parks in high-income areas, said a study released last year by the Trust for Public Land, a nonprofit that analysed government data from 14,000 US towns and cities.

It also remains unclear how to keep the programmes financially sustainable. Currently they have to rely on ad hoc funding, often cobbled together from grants, philanthropy or as publicly funded pilot projects.

The costs involved are not particularly high, but they do exist, said Bradford S. Gentry, co-director of the Center for Business and the Environment at Yale University.

They could include the costs of park passes, the salaries of community health workers and park workers to coordinate and lead programmes, and transportation to and from the green space, he said.

"If there are all of these (health) benefits, how do we move from grant funding or public funding to health systems funding?" asked Gentry, who focuses on the intersection of health and land conservation. "I haven't found an answer yet."

The US Department of Health and Human Services did not respond to a request for comment.

Gentry pointed to Oregon, where work is underway to try to address the funding issue by requesting that certain federal rules be waived involving Medicaid, the US government's health care programme for low-income people.

Every five years states have the opportunity to request such a waiver, if they can show it will result in better care and cost no extra money, said Lori Coyner, who was the state's Medicaid director until July and is now senior Medicaid policy adviser at the Oregon Health Authority.

The state's waiver request is due in December, when it plans to ask for more flexibility in how local organisations address health issues.

"We believe there is real opportunity to use some of these Medicaid dollars... to promote spending more time outdoors," Coyner said. - Thomson Reuters Foundation

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Penang Forum tells Chief Minister: the unmitigated disasters on hill projects

Tuesday, November 7, 2017

Penang bald Hillslopes a "time bomb"

Choong (in white) surveying the deforested hillslope next to Majestic Heights.

PENANG MCA has raised concerns about the safety of the residents in Tingkat Paya Terubong 4, right behind the Majestic Heights flats

Its Bukit Gelugor deputy secretary Marvyy Choong said the deforested hill behind the flats, just a stone’s throw away from Block 1, was a time bomb.

“There are 12 blocks of 23-storey flats in Majestic Heights.

“I understand that many residents have already moved out, leaving only a few more, and we’re worried for their safety.

“The surrounding hills are going bald due to ongoing earthwork and the 12 blocks may all collapse during a landslide,” he told a press conference at the flats yesterday.

He added that the hill clearing work was done by a housing project developer, which is also responsible for the paired road linking Bukit Kukus and Bukit Jambul.
Credits - Slides presented by Environmental, health and safety consultant Aziz Noor, and scientist Dr Kam Suan Pheng at the Penang Forum event on Oct 29, 2017



Aishah looking out her window to the hillslope which is just a stone’s throw from her unit

“We are not opposing the paired road project but we’re against high-rise projects in vulnerable areas that may endanger lives,” he said.

Choong said Jalan Paya Terubong was not safe as trees frequently fall during a downpour.

“It is also unsafe for heavy vehicles and they must be banned from using this road after the paired road is completed.”

Meanwhile, housewife Aishah Che Wan, 68, who is living at another apartment scheme near the same hill, said muddy water gushed down the hill on Saturday and Sunday.

“Some small stones damaged a few cars parked by the side of the road,” she said, adding that she now feared for the safety of her family.

“I hope that whoever is clearing the hill will take necessary safety measures to prevent any mishap,” she said. - Starmetro

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RM150mil for flood mitigation projects - The Star Online


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Tuesday, October 31, 2017

Floods hit Bujkit Jambul & Hong Seng Estate in Penang

Wet, wet woes: (Above) Bukit Jambul is flooded once again after an evening downpour.



Firemen installing a pump to draw floodwaters from one of the affected houses on a slope in Hong Seng Estate, Mount Erskine.

GEORGE TOWN: A blocked underground drainage saw six houses located on a slope in Hong Seng Estate, Mount Erskine, flooded during an evening downpour.

Firemen and Civil Defence Force personnel had to install a water pump to draw out the rainwater which flooded some of the units to waist-level.

Rojak seller Tan Swee Hoe, 56, said she was shocked to see her kitchen and living room submerged in water at 7pm yesterday.

“I rushed home after receiving a call from a neighbour, saying my house is flooded.

“But I did not expect such a sight. I did not manage to move my furniture and electrical appliances to the upper floor, thus incurring several thousand ringgit in losses.

“I have been staying here for 17 years and this is the first time my house is flooded,” she said at her house.

Pulau Tikus assemblyman Yap Soo Huey said 17 people from five houses were affected while the sixth house was unoccupied.

She said the Fire and Rescue Department and the Civil Defence Force personnel moved in to install a 400m pipe to pump the water out from the house manually.

“The water is channelled to a nearby river and it may take a few hours if the weather is good,” she said, adding that the district office will evaluate the losses.

Late last month, seven houses in the estate were affected by soil erosion. A consultant engineer Datuk Lim Kok Khong had said the soil erosion was due to water seeping under the ground.

Penang Gerakan secretary H’ng Chee Wey urged the state government, with the aid of the experts, to look into the cause of the problems.

“The state government needs to ensure that the existing infrastructure, including the drainage system, can cope with the demand before it approve new development projects.

“We hope the local authorities can be proactive in the matter,” he added.

Rising waters also flooded the Bukit Jambul area, reducing traffic to a crawl.

Bayan Baru MP Sim Tze Tzin said a RM400,000 flood mitigation project started last month.

“The project will create a shortcut for the floodwater to be discharged directly to Sungai Nibong river instead of passing through Jalan Tun Dr Awang,” he said, adding that the project was expected to be completed at the end of next month.

Source: The Star by chong Kah Yuan

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