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Anesthesia Linked to Dementia Risk in Seniors

It may not be dementia. It may be a reaction to a medication in the elderly that LOOKS like dementia.

My father was 87, and doing pretty well for a man 87. He still walked on his own, using a walker when he had to, and very rarely, a wheelchair if we were going a long ways. He went into the hospital for a minor surgery. The tube inserted in his hand for the anesthetic became infected. Dad was acting weird, he was having hallucinations, and my sister rightly identified that Dad had a reaction to the diuretic drug Lasix; when they switched him to an alternative, the raving and hallucinations stopped.

He was transferred to a rehabilitation unit, where for two days, they put him back on Lasix. Poor communication between hospital and the rehab facility, plus standardization of drug regimens – they switched him without telling him, or us. Once again, he went loony tunes, and at the same time, his right hand began to swell until it looked like a lobster claw. He kept saying it hurt, and it was big and red, and the rehab people kept saying it would get better.

Dad was rushed to another hospital, one the rehab clinic worked with, and the doctors told us he had a ‘cascade of problems’ and which were the primary three we wanted them to work with?

Get him off the Lasix, first thing, we all agreed, and find a way to have it annotated on any record that he is never to have Lasix. (It did no good; the next hospitalization, back at the first hospital, they gave him Lasix again, which made him crazy and masked all the other symptoms.)

Long story short, there were a cascade of hospital mistakes – not one hospital, two hospitals and the rehab clinic – where miscommunications, inattentions and shortage of trained personnel resulted in a cascade of issues that led to my father’s death later that year. The other lesson learned is that if you go into a hospital, make sure you have a good support system, someone with you who will bravely ask questions, and remind someone if an inappropriate medication is prescribed. You need a family member with you for protection against inattention, mistakes, miscommunications and personnel shortages.

It’s not like there’s anyone to bring a lawsuit against; they were all doing the best they could, but Dad was old. My bet is that he might have lived another couple years, at the very least, had he not gone in for that first non-essential minor surgery. To me, the moral of the story is if you want to live a long life, stay away from hospitals.

Hospitals-aim-to-keep-elderly-strong-KD14A8TH-x-large

Anesthesia Linked to Increased Dementia Risk in Seniors
Exposure to anesthesia has been linked to a 35 percent increase of dementia in patients over age 65, according to a new study.

By Jeffrey Kopman, Everyday Health Staff Writer

FRIDAY, May 31, 2013 — Caregivers and seniors struggling with the dilemmas of elder care have another risk to weigh against potential rewards — senior patients exposed to general anesthesia face an increased risk of dementia, according to research presented at Euroanaesthesia, the annual congress of the European Society of Anaesthesiology (ESA).

Researchers reviewed the medical information of 9,294 French patients over the age of 65. The patients were interviewed several times over a ten year period to determine their cognitive status.

After two years, 33 percent of participants had been exposed to anesthesia. Most of the exposed patients (19 percent overall) were exposed to general anesthesia — a medically induced coma. The rest were exposed to local/locoregional — any technique to relieve pain in the body — anesthesia.

In total, 632 participants developed dementia eight years after the study began. A majority of these patients, 512, were diagnosed with probable or possible Alzheimer’s disease. The remainder had non-Alzheimer’s dementia.

The gap between dementia related to general anesthesia (22 percent) and non-dementia patients (19 percent) was associated with a 35 percent increased risk of developing dementia. This risk was linked to at least one general anesthesia.

“Elderly patients are at an increased risk for complications following anesthesia and surgery,” said Jeffrey H. Silverstein, MD, MS, and vice chair for research at the Department of Anesthesiology at Mount Sinai in New York City. “[They] are particularly prone to postoperative delirium, which is a loss of orientation and attention. Anesthesiologists have been evaluating higher cognitive functions (for example, memory and executive processing) and found that a substantial number have decreases in one or more of these areas after a surgical procedure.”

Researchers hope this study will lead to more awareness for surgeons.

“Recognition of postoperative cognitive dysfunction (POCD) is essential in the perioperative management of elderly patients,” said study author Dr. Francois Sztark, INSERM and University of Bordeaux, France, in a press release. “A long-term follow-up of these patients should be planned.”

Elderly Care: Risk vs. Reward

Senior citizens and their caregivers might be willing to accept an increased risk of dementia if it means getting necessary anesthesia for an important medical procedure. Dementia is a relatively common occurrence in old age: One in three seniors has Alzheimer’s disease or dementia by the time of their death.

But surgery at old age can also carry more severe, and less common, health risks. In fact, simply surviving surgery can be difficult for elderly patients, especially those over the age of 80.

While the numbers vary depending on procedure, researchers have found that mortality risk tied to elective major surgeries increases with age. The risk more than doubles for patients over 80 compared to patients ages 65 to 69.

But other surgery complications are even more common in seniors.

“The major risk for elderly patients following surgery is pneumonia,” said Dr. Silverstein. “Cardiac complications are next most common.”

However, Dr. Silverstein still feels that if surgery is deemed necessary, patients should not fear the risks.

“In theory, only necessary surgery is done,” he said. “Knowing how [patients] reacted to anesthesia and surgery in the past may give them some idea of their postoperative course.”

Last Updated: 05/31/2013

June 3, 2013 Posted by | Aging, Biography, Bureaucracy, Circle of Life and Death, Community, Cultural, Customer Service, ExPat Life, Family Issues, Financial Issues, Health Issues, Living Conditions, Safety, Survival, Technical Issue, Values | Leave a comment

The Little Blue Pill

I’m not a person who feels a lot of pain. I hardly ever get a headache, rarely get even a paper cut. At one point in my life, when my biliary duct blocked, the doctor gave me pictures and looked at me sternly and said “You could have died, politely waiting out there in the waiting room. When this happens, come in immediately, show the ER people these photos and tell them you need this blockage cleared immediately.”

That one really did hurt, but I’m not much for groaning and writhing in pain, so I didn’t.

Today was a confluence of events. Yesterday, when the air conditioning people were at our house, all day, configuring and installing the new air conditioning system, the terrified and disoriented Qatari Cat spent the day in the large laundry room, with his cat bed and his food and water, and his litter box. It was a long day, and he was alone, and he could hear loud bumps and thuds, and he could smell strange smells, and hear strange voices. Therefore, when let out, he needed to snuggle, closely, to the one he thinks is his mother, i.e. me.

He curled into my arm and purred and cried about his long day and how scared he had been. He was still snuggling, closer and closer, during the night, as I was trying to sleep. He is a good sleeper, doesn’t move around a lot, but when he is snuggled up against me, it is hard to move. Now and then he will snore, or go into kitty-dream state, legs thrumming along and sub-vocal snarling, which can wake me.

Our normal water aerobics instructor was out, and the substitute was wonderful, but we did more repetitions of high kicks, jacks-crunches, and more high kicks; it was a great workout, different from what we are used to.

We really needed to clean our floors after the air conditioning crew, so AdventureMan took all the carpets outside for a good vacuum front and back while I tackled the tile floors throughout the main level of the house. Some of the grime was ground in, this wasn’t one of those quick swish washes but a lot of stoop and scrape, or hands and knees and scrub kind of jobs. While down close, I also noticed the base boards needed a swab, more bending and stooping.

I still had one appointment to go before I could kick back, and while waiting, I noticed my back was a little uncomfortable. By a little uncomfortable, I mean it had my attention, I couldn’t get comfortable. By the time I got home, it had my undivided attention. I know what works for me, back when I had a reaction to a root canal, I discovered Aleve, so I had some on hand.

AA105020

When I went to take one, I saw this great big capsule. I remembered tiny little blue tablets, sort of ovoid, but I guess I had just grabbed whatever I saw and it happened to be a capsule. Swallowed the capsule.

BC528140

There is a reason I don’t like taking medicines, and that reason is that because I don’t take a lot of medications, when I do, I can tell. It takes the edge off. I feel slow. I feel a little loopy. I feel tired. And then, by the grace of God, in an hour or so, I feel no pain in my back.

It wasn’t a bad day, just a day with some unexpected conditions. Scrubbing floors is not my favorite thing. In Kuwait and in Doha I had wonderful women who kept my floors sand-free, and sparkling clean. As I clean my floors, I found myself remembering them fondly.

AdventureMan popped his head in the door to tell me how much he likes vacuuming the carpets outdoors, where he can see the intricacies of the patterns. He can see I am grumpy. “I don’t really like cleaning floors!” I grump.

“Let’s hire someone to do it for us!” he responds, and my day suddenly looks a lot brighter. 🙂

May 29, 2013 Posted by | Aging, Doha, Exercise, ExPat Life, Family Issues, Health Issues, Home Improvements, Kuwait, Living Conditions, Pensacola, Pets, Qatteri Cat | Leave a comment

Miracle Birth in Kuwait

Found the following on AOL News / What to Expect:

Clinically Dead Woman Is Revived After C-Section Birth

Carolyn Buchanan | Posted: May 14, 2013

 
 

Blood Pressure

A pregnant woman in her ninth month was admitted to a hospital in Kuwait with an acute blood pressure condition, suffered cardiac arrest, and was pronounced dead. Doctors rushed to deliver her unborn child. The cesarean section was performed without anesthesia since the mother was presumed dead, and a healthy 6.8 lb baby boy was delivered. Then with one last attempt to revive the 36-year-old Filipina woman, doctors were astonished when she started breathing again.

“This is a scientific miracle at all levels,” hospital manager Dr. Hmoud Al-Zobi told theKuwait Times. Three days later the 36-year-old Filipina (or Pinay) woman named Zuraida remains unconscious at Al-Farwaniya Hospital, but doctors say she is in stable condition and are hopeful that she will return to health.

Zuraida’s husband, Verdadero, remains by her side. “When I visited her today, tears were rolling down her eyes. I felt she could hear me, she could feel my presence and was trying her best to communicate. ”

Said Verdadero, “I brought her to the hospital because she experienced blood and the water discharged at that time. Of course, I knew that she was already in pain and it was about time for her to deliver our second child. I was very happy. But my happiness changed to uncertainty when I heard that she was vomiting blood and was in danger and only a miracle could save her. I prayed hard for her to survive.”

Verdadero is a truck driver who is often away for days in Iraq and elsewhere. He feels lucky that he happened to be in Kuwait when his wife was ready to deliver their baby. “At least I was with her when it all happened and I really pray that she will be okay.”

During pregnancy, it is recommended that women and their doctors keep a close eye onblood pressure. There are many reasons for occasional spikes in blood pressure and most are nothing to worry about (in fact, worry only contributes to elevated levels). But chronic high blood pressure during pregnancy is something that should be monitored and treated to ensure that mother and baby are as healthy as can be.

May 16, 2013 Posted by | Adventure, ExPat Life, Health Issues, Kuwait | Leave a comment

Maldives President Urges Patience in Lashing Sentence of Rape Victim

Little drops of water, little grains of sand, make the mighty ocean and the beauteous land . . .

Little drops of water, in the form of expressions of international outrage against the sentence of 100 lashings for a 15 year old girl, impregnated by her stepfather, who bore his still-born babe, and was ordered punished by the court system for immorality. A call to express outrage by boycotting travel to the Maldives seems to have gotten the attention of the government. It appears they will try to find a way to avoid this grueling punishment . . . thanks to the attention being paid.

From the English edition of Haveeru Online:

President Dr Mohamed Waheed Hassan Manik on Tuesday urged patience from the international community in the case of the 15 year old alleged rape victim who received a flogging after being convicted of adultery in a separate incident.

The conviction had sparked an international outcry and condemnation from rights groups such as Amnesty International. While an online petition condemning the Maldives over the sentencing has received over two million signatures. The petition, started by New York-based campaign group avaaz.org, calls on President Waheed to intervene and has been signed by over two million users.

“We appreciate the international compassion for this young woman and ask for your patience as this case moves through the judicial system,” President Waheed said in a statement.

“Currently the case is being appealed and I have urged the judiciary to resolve this matter as quickly as possible.”

“This case should never have been presented in the courts and we are working to ensure that cases like this are never brought to the courts again.”

In the statement, President Waheed also assured that the young woman remains under the care of the Gender Ministry and is receiving the appropriate physical and psychological counseling at this time. 

“As both the President and as a father, I am fully committed to protecting and advancing the rights of women and girls in the Maldives and throughout the world and share your deep concern about this young victim.”

In its attempt to pressure the Maldives government to overturn the sentence, Avaaz had called for tourism to be boycotted.

“Tourism is the big earner for the Maldives elite, including government ministers. Let’s build a million-strong petition to President Waheed this week, then threaten the islands’ reputation through hard-hitting ads in travel magazines and online until he steps in to save her and abolish this outrageous law,” Avaaz said on its website.

In that regard, President noted that the Maldives is a young democracy working to balance religious faith with new democratic values and asked the international community to support as partners as the country works through this challenge. 

“A boycott on tourism will only serve as a setback to the economic opportunities and rights we are all striving to uphold for women, girls and the hardworking Maldivian people in general,” Waheed stressed.

The 15 year old girl who gave birth and buried the baby in Shaviyani Atoll Feydhoo had been sentenced to eight months under house arrest and 100 lashes after the Juvenile Court found her guilty of pre marital sex.

Prosecutors have maintained that the 15 year old was charged with adultery over another case which came to light during the investigation of the buried baby.

The baby born last June was found buried in the bath house of the girl’s home. The child delivered out of wedlock was dead at the time of discovery. Charges have been filed against the 15 year old’s mother and step-father over the deliberate murder of the baby.

May 2, 2013 Posted by | Bureaucracy, Community, Crime, ExPat Life, Family Issues, Health Issues, Law and Order, Leadership, Living Conditions, Mating Behavior, News, Social Issues | 4 Comments

Pope Francis Defines Slave Labor

I have had wonderful women who have worked for me; they were from the Philippines, from Sri Lanka, from India. They worked hard and they didn’t spend their money. They sent their money home to help support mothers, fathers, siblings, children. They had some real horror stories to tell about how they had been treated in prior employment – employers with jealous wives, touchy-feelie employers and their sons, people who seemed to assume that because they were working under their sponsorship, they owned their lives. In Qatar and in Kuwait, Labor law provides for a mandatory day off – except for house-workers. Some work from crack of dawn getting the children ready for school until the last thobe is ironed, late late in the night.

 

ITUC Rally Doha

I did a little research. Here is what 38 Euros per month – slave wages – is worth:

$50.13 US Dollars  (Minimum wage $7.25/hour + social security)

Qatari Rial 182.52  (Qatar has not set a minimum wage)

Kuwaiti Dinar 14.24  (Minimum wage = 60 KD per month)

 

 

From Agence France Presse  via AOL News:

 

Pope Francis on Wednesday condemned as “slave labour” the work conditions of victims of a factory collapse in Bangladesh in which more than 400 people have been found dead, Vatican radio reported.

“A headline that really struck me on the day of the tragedy in Bangladesh was ‘Living on 38 euros a month’. That is what the people who died were being paid. This is called slave labour,” the pope was quoted as saying at a private mass.

“Today in the world this slavery is being committed against something beautiful that God has given us — the capacity to create, to work, to have dignity. How many brothers and sisters find themselves in this situation!” he said.

“Not paying fairly, not giving a job because you are only looking at balance sheets, only looking at how to make a profit. That goes against God!” he was quoted as saying.

“There are many people who want to work but cannot. When a society is organised in a way that not everyone is given the chance to work, that society is not just,” he said.

Copyright (2013) AFP. All rights reserved.

 

If you have the time for some fascinating reading, it’s all available on the internet at the US State Departments Human Rights website; you can access by clicking here. Read – or skip – the overview, then go to the second column where you can see what is happening in every individual country. I’ve printed out labor excerpts below, but there are also fascinating observations on leadership, government, human rights and human trafficking.

 

QATAR: Labor Conditions according to

Country Reports on Human Rights Practices for 2012

a. Freedom of Association and the Right to Collective Bargaining

The law does not adequately protect the right of workers to form and join independent unions, conduct legal strikes, and bargain collectively, a situation that made the exercise of these rights difficult. The law provides workers in private sector enterprises that have 100 citizen workers who are18 and older a limited right to organize, strike, and bargain collectively. For those few workers covered by the law protecting the right to collective bargaining, the government circumscribed the right to bargain collectively through its control over the rules and procedures of the bargaining and agreement processes. The labor code allows for only one trade union, the General Union of Workers of Qatar (General Union), which was composed of general committees for workers in various trades or industries. Trade or industry committees were composed of worker committees at the individual firm level.

Noncitizens are not eligible to join worker committees or the national union, effectively banning foreign workers from organizing, striking, or bargaining collectively. The law explicitly prohibits public sector workers or the military from organizing.

Civil servants and domestic workers do not have the right to strike; the law also prohibits strikes at public utilities and health or security service facilities, which include the gas, petroleum, and transportation sectors. Although the law recognizes the right to strike for some workers, restrictive conditions made the likelihood of a legal strike extremely remote. The law requires approval for a strike by three-fourths of a company’s workers committee. The Complaint Department of the Ministry of Labor in coordination with the Ministry of Interior must rule on all industrial disputes before workers can call a strike.

In organizations with more than 30 workers, the law permits the establishment of “joint committees” with an equal number of worker and management representatives to deal with a limited number of workplace issues. Foreign workers may be members of joint labor-management committees. The law offers a means to file collective disputes. If not settled internally between the employees and employer, the Ministry of Labor can be brought in to mediate a solution to such disputes.

The law requires Ministry of Labor approval for worker organizations to affiliate with groups outside the country. The law does not prohibit antiunion discrimination or provide for reinstatement of workers fired for union activity.

Freedom of association and the right to collective bargaining were not respected in practice. The General Union was not a functioning entity. Employees could not freely practice collective bargaining, and there were no workers under collective bargaining contracts. While rare, when labor unrest occurred, mostly involving the country’s overwhelmingly foreign workforce, the government responded by dispatching large numbers of police to the work sites or labor camps involved; the strikes generally ended peacefully after these shows of force. In most cases the government summarily deported the workers’ leaders and organizers. For example, on January 24, 127 Nepali workers were detained after they went on strike to protest low pay; some were later deported.

b. Prohibition of Forced or Compulsory Labor

The law prohibits all forms of forced or compulsory labor, and the government generally enforced the law.

The government made efforts to prevent and eliminate forced labor during the year. The government arrested and prosecuted individuals for labor law violations; two cases each of forced labor and bonded labor were before courts at year’s end. In addition the government closed 15 recruitment firms during the year. The QFCHT and the NHRC conducted several training sessions during the year for migrant laborers to educate them on their rights in the country. The NHRC printed and distributed pamphlets that included pertinent articles of the labor and sponsorship laws in multiple languages to better educate migrant workers on their rights. In addition the Ministry of Labor opened a free legal clinic for low-income migrant workers in March.

There were continuing indications of forced labor, especially in the construction and domestic labor sectors, which disproportionately affected migrant workers. Exorbitant recruitment fees incurred abroad entrapped many workers in long-term debt, making them more vulnerable to being exploited for forced labor. Some foreign workers who voluntarily entered the country to work had their passports and pay withheld, were refused exit permits, and worked under conditions to which they had not agreed. In a critical June report, Human Rights Watch highlighted a number of these problems, including poor living conditions, employers who routinely confiscated worker passports, and a sponsorship system that gave employers inordinate control of workers.

Also see the Department of State’s Trafficking in Persons Report at www.state.gov/j/tip.

c. Prohibition of Child Labor and Minimum Age for Employment

The law sets the minimum age for employment at 16 and stipulates that minors between the ages of 16 and 18 can work with parental or guardian permission. Minors may not work more than six hours a day or more than 36 hours a week. Employers must provide the Labor Department with the names and occupations of their minor employees and obtain permission from the Ministry of Education to hire a minor. The Labor Department may prohibit the employment of minors in jobs judged dangerous to their health, safety, or morals. The government generally enforced relevant laws effectively, and child labor rarely occurred in practice.

d. Acceptable Conditions of Work

There is no minimum wage. The law requires equal pay for equal work in the private sector. The labor law prescribes a 48-hour workweek with a 24-hour rest period and paid annual leave days. Employees who work more than 48 hours per week or 36 hours per week during the holy month of Ramadan are entitled to an overtime pay supplement of at least a 25 percent. The law requires premium pay for overtime and prohibits excessive compulsory overtime. The government set occupational health and safety standards. The labor law and provisions for acceptable conditions of work do not apply to workers in the public sector, agriculture, or to domestic servants.

Responsibility for laws related to acceptable conditions of work fell primarily to the Ministry of Labor as well as the Ministry of Energy and Industry and the Ministry of Health. The government did not effectively enforce standards in all sectors; working conditions for citizens were generally adequate, as government agencies and the major private sector companies employing them generally followed relevant laws. Enforcement problems were in part due to insufficient training and lack of personnel. There were approximately 150 inspectors in the Ministry of Labor. Fear of penalties such as blacklisting, which allows the Ministry of Labor to suspend specific operations, appeared to have had some effect as a deterrent to some labor law violations.

The government took action to prevent violations and improve working conditions during the year. According to foreign diplomats and some individual migrant workers, the Ministry of Labor’s Department of Labor Affairs was perceived to be objective within its mandate when dealing with the nonpayment of wages, health and safety violations, and other labor law violations. The department claimed it resolved 80 percent of the 6,000 complaints filed by workers during the year. The ministry referred 292 cases to the labor courts for judgment. During the first half of the year, the labor courts heard 8,101 cases, of which 813 received final verdicts, 920 received preliminary verdicts, 5,236 were still under review, 1,111 were cancelled, and 21 were linked to existing cases. The courts ordered that companies provide both financial compensation and airline tickets to their country of origin for plaintiffs in 49 cases, financial compensation only in six cases, and airline tickets only in five cases. A limited number of labor complaints were referred to the criminal courts, but statistics were not publicly available.

The Labor Inspection Department conducted monthly and random inspections of labor camps; when it found them below minimum standards, the operators received a warning, and authorities ordered them to remedy the violations within one month. If they did not remedy the violations, the Ministry of Labor blacklisted the company and on occasion referred the matter to the public prosecutor for action. Some cases went to trial. During the year inspectors conducted 46,624 observations of work and labor housing sites. Inspectors found 90 percent of companies were compliant with the administrative aspects of the law, such as timely payment of salaries and work regulations, while 70 percent were found to be compliant with safety standards. The Ministry of Labor issued 7,337 warning notices, 5,245 for health and safety reasons and 2,092 for administrative reasons. There were 377 companies that were issued reports of violations, 231for health and safety reasons and 146 for administrative reasons. Violators faced penalties of up to 6,000 riyal ($1,648) and 30 days’ imprisonment in the most serious cases, but labor observers reported that most safety and health violations were handled through administrative fines or blacklisting. The Ministry of Labor maintained an office in Doha’s industrial area, where most unskilled laborers resided, to receive complaints about worker safety or nonpayment of wages.

Violations of wage, overtime, and safety and health standards were relatively common, especially in sectors employing foreign workers, in which working conditions were often poor. Employers often ignored working hour restrictions and other laws with respect to domestic workers and unskilled laborers, the majority of whom were foreigners. A November survey by Qatar University’s Social and Economic Survey Research Institute found that 90 percent of unskilled laborers worked on average six days per week and 9.3 hours per day. Many unskilled foreign laborers were housed in cramped, dirty, and hazardous conditions, often without running water, electricity, or adequate food. The International Trade Union Confederation (ITUC) has repeatedly reported abusive conditions, including unexplained and work-related deaths, for migrant workers, especially in the construction sector. After an ITUC investigation of working conditions for Nepali workers, the organization alleged that work-related deaths due to problems such as heat exhaustion were wrongly attributed to heart attacks or natural causes.

Domestic workers, who are not protected by the labor law, often faced unacceptable working conditions. Many such workers frequently worked seven days a week and more than 12 hours a day with few or no holidays, no overtime pay, and no effective means to redress grievances.

According to the ITUC and other organizations, foreign workers faced legal obstacles and lengthy legal processes that prevented them from seeking redress for violations and exploitative conditions. The sponsorship law was widely considered the root of these violations. Under the country’s sponsorship system, most employees cannot leave the country without permission and are prevented from switching jobs without a “no objection letter” from their employer. Employees leaving the country without a no objection letter are barred from reemployment in the country for two years.

 

Kuwait Labor Practices According to

Country Reports on Human Rights Practices for 2012

a. Freedom of Association and the Right to Collective Bargaining

The law protects the right of workers to form and join trade unions, conduct legal strikes, and bargain collectively, with significant restrictions. The law does not apply to public-sector employees, domestic workers, or maritime employees. Discrete labor laws set work conditions in the public and private sectors, with the oil industry treated separately. The law permits limited trade union pluralism at the local level, but there was only one government-authorized federation, the Kuwait Trade Union Federation (KTUF). The law also stipulates any new union must include at least 100 workers, and that at least 15 of the total must be Kuwaiti citizens.

The law provides workers a limited right to collective bargaining, excepting domestic servants, maritime workers, and civil servants. There is no minimum number of workers needed to conclude such agreements.

Public-sector workers do not have the right to strike. Private-sector workers have the right to strike, although cumbersome provisions calling for compulsory negotiation and arbitration in the case of disputes limit that right. Legal strikes require permission from the Ministry of Interior, which was rarely granted. The law does not prohibit retaliation against striking workers or prevent the government from interfering in union activities, including the right to strike.

The law prohibits antiunion discrimination and employer interference with union functions, and provides for reinstatement of workers fired for union activity.

However, the law empowers the courts to dissolve any union for violating labor laws or for threatening “public order and morals,” although a union can appeal such a court decision. The Ministry of Social Affairs and Labor can request the Court of First Instance to dissolve a union. Additionally, the emir may dissolve a union by decree.

Foreign workers, who constitute approximately 85 percent of the workforce, may join unions only as nonvoting members after five years of work in the particular sector the union represents, provided they obtain a certificate of good conduct and moral standing from the government. They cannot run for seats or vote in board elections. Both the International Labor Organization and the International Trade Union Confederation criticized the citizenship requirement for discouraging unions in sectors that employ few citizens, including much of private-sector employment, such as construction.

The government enforced applicable laws, and procedures were generally not subject to lengthy delay or appeals.

Although the law restricts freedom of association and collective bargaining rights, the government did not always enforce these limits. For example, according to KTUF, the government did not consistently enforce the requirement that foreign workers have at least five years working in Kuwait in a specific sector prior to joining a union.

The government also treated worker actions by citizens and noncitizens differently. While citizens and public-sector union leaders and workers faced no government repercussions for their roles in union or strike activities, companies directly threatened noncitizen workers calling for strikes with termination and deportation.

The government did not respect freedom of association and the right to collective bargaining. Worker organizations were generally not independent of the government, and the government interfered in union activities. The government essentially treated licensed unions as parastatal organizations, providing as much as 90 percent of their budgets and inspecting financial records; if a union ceases to exist, the government confiscates its assets.

While the National Trade Union Federation petitioned the government for official recognition during the year, it did not receive a license by year’s end.

b. Prohibition of Forced or Compulsory Labor

The law prohibits forced or compulsory labor “except in cases specified by law for national emergency and with just remuneration,” but the government did not effectively enforce the law.

Forced labor and conditions indicative of forced labor occurred in practice, especially among migrant workers. Such practices were usually a result of employer abuse of the sponsorship system for noncitizen workers. Employers frequently and illegally withheld salaries from domestic workers and minimum-wage laborers.

Domestic servitude was the most common type of forced labor, principally involving foreign domestic workers employed under the sponsorship system, but forced labor in the construction and sanitation sectors also existed. Forced labor conditions for migrant workers included nonpayment of wages, long working hours, deprivation of food, threats, physical and sexual abuse, and restrictions on movement, such as withholding passports or confinement to the workplace. There were numerous media reports throughout the year of domestic workers being abused by their sponsors or sustaining significant injuries while trying to escape from their sponsors; some reports alleged abuse resulted in workers’ deaths. Female domestic workers were particularly vulnerable to sexual abuse. Police and courts were reluctant to prosecute citizens for abuse in private residences.

See also the Department of State’s Trafficking in Persons Report at www.state.gov/j/tip.

c. Prohibition of Child Labor and Minimum Age for Employment

The law prohibits child labor. The legal minimum age for employment is 18 years; however, employers may obtain permits from the Ministry of Social Affairs and Labor to employ juveniles between 15 and 18 years old in some nonhazardous trades. Juveniles may work a maximum of six hours a day with no more than four consecutive hours followed by a one-hour rest period. Juveniles cannot work overtime nor between 7:00 p.m. and 6:00 a.m.

Although it was not extensive, there were credible reports of child labor by domestic servants of South Asian origin and Bidoon children. Some underage workers entered the country on travel documents with falsified birth dates.

Bidoon children as young as seven worked long hours as street vendors, sometimes under dangerous conditions, according to reports by human rights NGOs. Their need to provide for their families often led to poor educational performance or abandoning school.

The government made efforts to enforce the law effectively. Approximately 300 Ministry of Social Affairs and Labor inspectors routinely monitored private firms for labor law compliance, including laws against child labor. Noncompliant employers faced fines or a forced suspension of their company operations. However, the government did not enforce child labor laws in informal sector occupations, such as street vending.

d. Acceptable Conditions of Work

The law sets the national minimum private-sector wage at 60 dinars ($216) per month.

The law limits the standard workweek to 48 hours (40 hours for the petroleum industry), and gives private-sector workers 30 days of annual leave. The law also forbids requiring employees to work more than 60 hours per week or 10 hours per day. The law provides for 13 designated national holidays annually. Workers are entitled to 125 percent of base pay for working overtime and 150 percent of base pay for working on their designated weekly day off.

The government issued occupational health and safety standards. For example, the law provides that all outdoor work stop between 11 a.m. and 4 p.m. during June, July, and August or times when the temperature rises to more than 120 degrees Fahrenheit in the shade.

The law and regulations governing acceptable conditions of work do not apply to domestic workers. The Ministry of Interior has jurisdiction over domestic worker matters.

The Ministry of Social Affairs and Labor was responsible for enforcement of wage and hour, overtime, and occupational safety and health regulations. However, enforcement by the ministry was poor, especially with respect to unskilled foreign laborers.

Approximately 500 labor inspectors monitored private firms. The government periodically inspected enterprises to raise awareness among workers and employers and to ensure they abided by existing safety rules, controlled pollution in certain industries, trained workers to use machines, and reported violations.

The Ministry of Social Affairs and Labor monitored work sites to ensure compliance with rules banning summer work and recorded hundreds of violations during the year. Workers could also report these violations to their embassies, the KTUF, or the Labor Disputes Department. Noncompliant employers faced warnings, fines, or forced suspensions of company operations, but these were often not substantial enough to deter violators.

Workers submitted complaints to the Ministry of Social Affairs and Labor’s Labor Disputes Department; however, the government did not enforce the standards uniformly.

At times the Ministry of Social Affairs and Labor intervened to resolve labor disputes between foreign workers and their employers. The Ministry of Social Affairs and Labor’s labor arbitration panel sometimes ruled in favor of foreign laborers who claimed violations of work contracts by their employers. The government was more effective in resolving unpaid salary disputes involving private-sector laborers than those involving domestic workers. However, during the year the Ministry of Interior’s Department of Domestic Labor Office collected 8,340 dinars ($30,000) owed to 71 domestic workers by their employers.

Foreign workers were vulnerable to unacceptable conditions of work. Domestic servants and other unskilled foreign workers in the private sector frequently worked substantially in excess of 48 hours a week, often with no day of rest.

Since labor standards did not apply to domestic workers, such workers had little recourse when employers violated their rights. There were no inspections of private residences, the workplace of the majority of the country’s domestic workers, nor did the government make significant efforts to address working conditions for these workers. Reports commonly indicated employers forced domestic workers to work overtime without additional compensation. There were frequent reports of domestic workers committing or attempting suicide due to desperation over abuse or poor working conditions.

 

 

May 1, 2013 Posted by | Civility, Community, Cross Cultural, Doha, ExPat Life, Family Issues, Health Issues, Kuwait, Living Conditions, Middle East, Qatar, Social Issues, Statistics, Transparency, Work Related Issues | , , , , | Leave a comment

Round-Up Herbicide Tied to Serious Health Deterioration

 

 

 

 

 

 

Shocking news for everyone with grounds and gardens – we’ve all been using this, not knowing its long term impact on our environment – and on us.

 

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Roundup, An Herbicide, Could Be Linked To Parkinson’s, Cancer And Other Health Issues, Study Shows

April 25 (Reuters) – Heavy use of the world’s most popular herbicide, Roundup, could be linked to a range of health problems and diseases, including Parkinson’s, infertility and cancers, according to a new study.

The peer-reviewed report, published last week in the scientific journal Entropy, said evidence indicates that residues of “glyphosate,” the chief ingredient in Roundup weed killer, which is sprayed over millions of acres of crops, has been found in food.

Those residues enhance the damaging effects of other food-borne chemical residues and toxins in the environment to disrupt normal body functions and induce disease, according to the report, authored by Stephanie Seneff, a research scientist at the Massachusetts Institute of Technology, and Anthony Samsel, a retired science consultant from Arthur D. Little, Inc. Samsel is a former private environmental government contractor as well as a member of the Union of Concerned Scientists.

“Negative impact on the body is insidious and manifests slowly over time as inflammation damages cellular systems throughout the body,” the study says.

We “have hit upon something very important that needs to be taken seriously and further investigated,” Seneff said.

Environmentalists, consumer groups and plant scientists from several countries have warned that heavy use of glyphosate is causing problems for plants, people and animals.

The EPA is conducting a standard registration review of glyphosate and has set a deadline of 2015 for determining if glyphosate use should be limited. The study is among many comments submitted to the agency.

Monsanto is the developer of both Roundup herbicide and a suite of crops that are genetically altered to withstand being sprayed with the Roundup weed killer.

These biotech crops, including corn, soybeans, canola and sugarbeets, are planted on millions of acres in the United States annually. Farmers like them because they can spray Roundup weed killer directly on the crops to kill weeds in the fields without harming the crops.

Roundup is also popularly used on lawns, gardens and golf courses.

Monsanto and other leading industry experts have said for years that glyphosate is proven safe, and has a less damaging impact on the environment than other commonly used chemicals.

Jerry Steiner, Monsanto’s executive vice president of sustainability, reiterated that in a recent interview when questioned about the study.

“We are very confident in the long track record that glyphosate has. It has been very, very extensively studied,” he said.

Of the more than two dozen top herbicides on the market, glyphosate is the most popular. In 2007, as much as 185 million pounds of glyphosate was used by U.S. farmers, double the amount used six years ago, according to Environmental Protection Agency (EPA) data.

April 26, 2013 Posted by | Circle of Life and Death, Environment, Experiment, Gardens, Health Issues, Living Conditions, Technical Issue, Wildlife | 2 Comments

57 Meth Producers Arrested in Escambia County

 

 

 

 

 

 

This boggles my mind – 57 people producing meth in a city with a population of around 50K. These people are driving cars, shopping in grocery stores, all mildly deranged, at best, by the drug they produce. I am delighted they have been arrested and I am appalled to know they were on the streets:

 

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Written by
Eric Heisig
 

 

Fifty-seven people allegedly involved in two major meth organizations in Escambia County were arrested this week, federal and state authorities said.

The results of the mass arrests, the result of a seven-month investigation, were announced during a news conference Friday afternoon.

Seventy-six people on various meth-related charges were sought, Sheriff David Morgan said, and more arrests may be made.

Those arrested, many of whom were rounded up by 60 state and federal law enforcement agents that went out Thursday morning, were targeted as part of two major meth cooking and distribution networks located in north Escambia County, sheriff’s narcotics Investigator Kenneth Tolbirt said.

One is called “The Village Group,” is based at Lakeview and Forrest avenues in Cantonment, while “The Ayers Group” is based on Ayers Street in Molino, Tolbirt said.

The organizations had roles ranging from cooks to dealers. Many of those arrested in the past two days work as “smurfs,” and go purchase pseudoephedrine, a medication used to make meth, from drug stores, authorities said.

The bust comes in the wake of 12 people being indicted in federal court on Tuesday for conspiracy to possess and distribute pseudoephedrine.

Morgan refused to say what was confiscated in Thursday’s bust, citing the ongoing need to prosecute the cases.

State Attorney Bill Eddins said he has assigned two assistant state attorneys to oversee the prosecution of the cases.

 

Bravo to the Escambia County Sherrif’s office for the careful, painstaking work it takes to craft an operation like this and to execute it.

April 20, 2013 Posted by | Crime, Financial Issues, Health Issues, Law and Order, Pensacola | Leave a comment

Western Diet Killer:

From the UK Daily Mail Online:

The Western diet really IS a killer: People who eat white bread, butter and red meat are most likely to die young

  • Those who ate fried and unhealthy food had doubled risk of early death
  • Key culprits include red meat, white bread, butter, cream and sweet foods
  • Findings ‘help explain’ why heart disease is still the UK’s biggest killer

By ANNA HODGEKISS

PUBLISHED: 13:20 EST, 16 April 2013 | UPDATED: 02:08 EST, 17 April 2013

The typical Western diet, high in fat and sugar, really does lead to an early grave, new research suggests.

A study of more than 5,000 civil servants found those who ate the most fried and sweet food, processed and red meat, white bread and butter and cream doubled their risk of premature death or ill health in old age.

It adds to evidence that ‘Western style food’ is the reason why heart disease claims about 94,000 lives a year in the UK – more than any other illness.

The findings published in The American Journal of Medicine are based on a survey of British adults and suggest adherence to the diet increases the risk of premature death and disability later in life.

People who ate the most fried and sweet food, processed and red meat, white bread, butter and cream doubled their risk of premature death or ill health in old agePeople who ate the most fried and sweet food, processed and red meat, white bread, butter and cream doubled their risk of premature death or ill health in old age

Lead researcher, Dr Tasnime Akbaraly, of the National Institute of Health and Medical Research in France, said: ‘The impact of diet on specific age-related diseases has been studied extensively, but few investigations have adopted a more holistic approach to determine the association of diet with overall health at older ages.’

She examined whether  diet, assessed in midlife, using dietary patterns and adherence to the Alternative Healthy Eating Index (AHEI), is associated with physical ageing 16 years later.

The AHEI is an index of diet quality, originally designed to provide dietary guidelines with the specific intention to combat major chronic conditions such as heart disease and diabetes.

More…

 

Dr Akbaraly added: ‘We showed that following specific dietary recommendations such as the one provided by the AHEI may be useful in reducing the risk of unhealthy ageing, while avoidance of the “Western-type foods” might actually improve the possibility of achieving older ages free of chronic diseases.’

The researchers analysed data from the British Whitehall II cohort study and found following the AHEI can double the odds of reversing metabolic syndrome, a range of disorders known to cause heart disease and mortality.

The research adds to evidence that Western style food is the reason why heart disease claims about 94,000 lives a year in the UK - more than any other illnessThe research adds to evidence that Western style food is the reason why heart disease claims about 94,000 lives a year in the UK – more than any other illness

They followed 3,775 men and 1,575 women from 1985-2009 with a mean age of 51 years.

Using a combination of hospital data, results of screenings conducted every five years, and registry data, investigators identified death rates and chronic diseases among participants.

At the follow up stage, just four per cent had achieved ‘ideal ageing’ – classed as being free of chronic conditions and having high performance in physical, mental and mental agility tests.

About 12 per cent had suffered a non-fatal cardiovascular event such as a stroke or heart attack, while almost three per cent had died from cardiovascular disease.

About three quarters were categorised as going through ‘normal ageing’.

The researchers said participants who hadn’t really stuck to the AHEI increased their risk of death, either from heart disease or another cause.

Those who followed a ‘Western-type diet’ consisting of fried and sweet food, processed food and red meat, refined grains, and high-fat dairy products, lowered their chances for ideal ageing.

Read more: http://www.dailymail.co.uk/health/article-2310053/The-Western-diet-really-IS-killer-People-eat-white-bread-butter-red-meat-likely-die-young.html#ixzz2QkUxf96L

April 17, 2013 Posted by | Aging, Cooking, Cultural, Diet / Weight Loss, ExPat Life, Food, Health Issues, Living Conditions, Statistics | Leave a comment

Worst Drivers in the World: Traffic Fatalities by Country

Driving in the Middle East is a whole other world, a world of chaos until you realize that the rules are different, no matter what the published rules are. To drive in Qatar, I started at 0430 on a Friday morning, when there was little or no traffic (things have changed) and would drive until traffic began to thicken. Eventually, I knew the city and gained confidence that I could drive without getting killed. In Kuwait, for months, I would only drive to relatively nearby shopping areas, or drive only on back roads carefully plotted on the map during low traffic hours. After a while, you begin to get a sense of things, and the sensation of imminent death lessens.

Adventures in Qatar: a radiator dropping off a truck in front of me, being hit on purpose by a man who didn’t like women driving, being pushed into a round about by a Hummer, being nearly assaulted by two young Qataris who believed we had insulted them by being in the lane where they wanted to be, watching men drive up the wrong side of the ring roads because they were too important to wait in line, later standing and laughing at their crashed cars – Daddy would buy them another. It sounds crazy, but you get used to it.

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Kuwait was a whole different ball game, controlled chaos at high speeds. Adventures in Kuwait: the sleeping elderly man driving in the lane next to me who almost hit me, watching drivers drive through red lights as if they were green, sparks off the fenders of SUVs on Highway 30 as people wove quickly in and out of traffic, the dramatic crashed and burned out cars on the sides of the highways, the car impaled on a palm tree – 10 feet above the road. Kuwait was so surreal that I couldn’t even begin to imagine how some of the accidents happened; I learned to be a very prayerful driver.

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So out of idle curiosity, today I looked up highest rate of traffic fatalities per country, and found this on Wikipedia. So here’s a surprise . . . Kuwait’s fatalities statistic is roughly equal to that of the United States. Qatar’s is significantly higher, and many countries are even double or triple Kuwaits fatality rate. I’m having trouble wrapping my mind around this.

List of countries       Fatalities per 100,000 inhabitants

World                          20.8

Afghanistan              39.0
Albania                       13.9
Angola                        37.7
Argentina                   13.7
Armenia                      13.9
Australia                     5.71
Austria                         8.2
Azerbaijan                  13.0
Bahamas                     14.5
Bahrain                       12.1
Bangladesh                12.6
Barbados                    12.2
Belarus                       10.9
Belgium                      10.1
Belize                           15.6
Benin                          31.2 1
Bhutan                       14.4
Bolivia                        16.7
Bosnia and Herzegovina 10.9
Botswana                  33.8
Brazil                          19.9
British Virgin Islands 21.7
Brunei Darussalam 13.8
Bulgaria                    8.8
Burkina Faso          31.1
Burundi                    23.4
Cambodia                12.1
Cameroon               28.1
Canada                      9.2
Cape Verde              25.1
Central African Republic 32.2
Chad                         34.3
Chile                         13.7
China                          5.1
Colombia                  11.7
Comoros                   30.3
Republic of the Congo 28.8
Cook Islands           45.0
Costa Rica                15.4
Croatia                        9.1
Cuba                            8.6
Cyprus                       10.4
Czech Republic       10.4
Denmark                    3.1
Dominican Republic 17.3
Ecuador                      11.7
Egypt                           42.0
El Salvador                12.6
Eritrea                         48.4
Estonia                          7.5
Ethiopia                       35.0
Fiji                                   7.0
Finland                         6.5
France                           5.5
The Gambia               36.6
Georgia                        16.8
Germany                       4.5
Ghana                           9.32
Greece                          14.4
Guatemala                  14.7
Guinea-Bissau           34.4
Guyana                        19.9
Honduras                    13.5
Hungary                      9.9
Iceland                         3.8
India                             11.1
Indonesia                    16.2
Iran                               35.8
Iraq                               38.1
Republic of Ireland     3.51
Israel                               3.7
Italy                                 8.7
Jamaica                        12.3
Japan                              3.85
Jordan                           34.2
Kazakhstan                 30.6
Kenya                             34.4
Kiribati                            7.4
Republic of Korea        11.3
Kuwait                            16.9
Kyrgyzstan                     22.8
Laos                                 18.3
Latvia                                8.7
Lebanon                         28.5
Lesotho                           26.7
Liberia                             32.9
Libya                                40.5
Lithuania                        14.8
Luxembourg                     9.0
Madagascar                   33.7
Malawi                            26.0
Malaysia                          24.1
Maldives                          18.3
Mali                                  32.1
Malta                                  3.4
Marshall Islands            7.4
Mauritania                      35.5
Mauritius                         11.1
Mexico                              20.7
Federated States of Micronesia 14.4
Mongolia                         14.5
Montenegro                    14.6
Morocco                          28.3
Mozambique                     7.0
Myanmar                        23.4
Namibia                          28.6
Nauru                                 9.9
Nepal                                15.1
Netherlands                     3.9
New Zealand                   8.6
Nicaragua                      14.2
Niger                               37.7
Nigeria                           32.3
Norway                            5.4

Oman                              21.3

Pakistan                         25.3
Palau                               14.8
Palestinian territories 5.6
Panama                          12.7
Papua New Guinea      14.2
Paraguay                        19.7
Peru                                 21.5
Philippines                   20.0
Poland                           10.7
Portugal                          7.9
Puerto Rico                   12.8
Qatar                              23.7
Republic of Macedonia 6.9
Republic of Moldova 15.1
Romania                         9.4
Russia                            19.5
Rwanda                         31.6
Saint Lucia                   17.6
Saint Vincent and the Grenadines 6.6
Samoa                           12.8
San Marino                  0
Sao Tome and Principe 33.0
Saudi Arabia                29.0
Senegal                          32.5
Serbia                              9.8
Seychelles                     18.5
Sierra Leone                28.3
Singapore                       4.8
Slovakia                          7.1
Slovenia                        10.4
Solomon Islands        16.9
South Africa                 33.2
Spain                               6.9
Sri Lanka                      13.5
Sudan                             34.7
Suriname                       15.8
Swaziland                     26.3
Sweden                            2.9
Switzerland                    4.7
Syrian Arab Republic 32.9
Tajikistan                     14.1
Thailand                       19.6
Timor-Leste                 16.1
Togo                               28.1
Tonga                               7.0
Trinidad and Tobago 15.5
Tunisia                          34.5
Turkey                            13.4
Turkmenistan             18.6
Tuvalu                             9.5
Uganda                         24.7
Ukraine                         11.2
United Arab Emirates 37.1
United Kingdom           3.59
United Republic of Tanzania 34.3
United States of America 12.3
Uruguay                        12.8
Uzbekistan                    9.7
Vanuatu                        18.6
Venezuela                     21.8
Vietnam                        16.1
Yemen                           29.3
Zambia                         25.6
Zimbabwe                    27.5

Like all statistics, I think some are honest, and some need to be taken with a grain of salt. I found reading through them fascinating. You can get more information, accidents per thousand cars, total accidents, etc.

April 17, 2013 Posted by | Adventure, Cultural, ExPat Life, Health Issues, Kuwait, Law and Order, Lies, Living Conditions, Qatar, Road Trips, Safety, Statistics, Technical Issue | , | 6 Comments

The Baboon Coughed

We’ve had three sets of houseguests in a very short time span, and today is our first day of ‘normal.’ We saw our friends off at 0430 (we used to call it oh-dark-hundred) and I couldn’t get back to sleep, so by the grace of God (and I mean that literally) I got up and walked.

I know I need to walk. I’ve always walked. I used to run, but I suffered for it – the knees – and decided I didn’t want to pay that price. But when my sister was here, we decided to take a walk and I said “don’t worry, I walk fast” and she said “I don’t, I am so slow now, my body has to warm up.” Confidently I started – and starting is uphill from my house. Very shortly, I discovered my fast was her slow, and I was HUFFING and puffing, and so embarrassed because I guess it’s been a while since I did this walk . . . but we did it. It felt good. And I was happy for a nice cool morning so I could do it again.

I ran into a neighbor, ignored that she was in her nightgown, we both pretended she was as fully dressed as I, had a brief conversation and she went inside with her newspaper and I carried on. About halfway through my walk, as I puffed along, I heard it.

The baboon coughed.

I could even smell a faint drift of wood burning fire. I could hear the doves. But it was only very briefly, very intangential, and I quickly realized it must have been a dog barking distantly; I could still hear him. For one brief moment I was back in Zambia, and while I love the magic of Zambia, I would not be out for a mile long hike early in the morning while the lions prowl for a last meal before they settle down for their day-long snooze.

We are off this morning to a grand plant sale across the bay in Milton. Symphony tonight. Back to “normal” for Pensacola.

April 6, 2013 Posted by | Adventure, Africa, Aging, Birds, Cultural, Exercise, ExPat Life, Friends & Friendship, Health Issues, Living Conditions, Local Lore, Pensacola, Wildlife, Zambia | Leave a comment