The prevalence of disability in childhood has been on the rise for the past several decades. Children living in poverty are more likely to have chronic health conditions and experience disabilities.

The percentage of children with disabilities rose 16% between 2001 and 2011. Economically disadvantaged children had the highest rates of disability, but economically advantaged children experienced greater increases in disability. Disability due to neurodevelopmental or mental health conditions rose substantially. (Read the full article)

Partner violence victimization is associated with mental and behavioral health effects linked to weight gain. Childhood maltreatment is directly linked to obesity and associated with neuroanatomic and psychosocial changes, which heighten vulnerability to subsequent stressors.

This study finds that dating violence victimization is associated with greater increases in BMI from adolescence to young adulthood among women. Women with previous exposure to childhood sexual abuse are especially vulnerable to dating violence–related increases in BMI. (Read the full article)

More than 200 million children <5 years old in low- and middle-income countries are not reaching their potential in cognitive development because of factors associated with poverty.

Poverty affects children’s cognition as early as 7 months and continues to increase until 5 years of age. It is mainly mediated by parental education, birth weight, home stimulation throughout the 5 years, and growth in the first 24 months. (Read the full article)

Family meals are protective for child health, but there are inconsistent findings in relation to child weight status. More research is needed examining why family meals are protective for child health and whether there are differences by child weight status.

The current mixed-methods study used direct observational methods to examine family dynamics during family meals and child weight status. Results indicated that positive family interpersonal and food-related dynamics during family meals were associated with reduced prevalence of childhood obesity. (Read the full article)

Allostatic load (AL), a biomarker of cardiometabolic risk, predicts the onset of the chronic diseases of aging including cardiac disease, diabetes, hypertension, and stroke. Socioeconomic-related stressors, such as low family income, are associated with AL.

African American youth who grow up in neighborhoods in which poverty levels increase across adolescence evince high AL. The study also highlights the benefits of emotional support in ameliorating this association. (Read the full article)

The built environment may affect weight status by presenting opportunities or barriers for exercise and nutritious eating. Although there is substantial cross-sectional evidence linking neighborhood factors and childhood obesity, causal uncertainty remains, owing to conceptual and methodological challenges.

This prospective study examined neighborhood influences on obesity during the transition to adolescence, a sensitive period for excess weight gain. Girls living in neighborhoods characterized by physical disorder or increased access to food and service retailers exhibited higher obesity risk. (Read the full article)

Preterm birth and faster infant growth have been identified as independent risk factors for autism-spectrum disorders (ASD). However, associations between prematurity and ASD-related traits as a continuum and effects of infant growth among those born preterm are still little studied.

VLBW young adults reported higher levels of ASD-related traits, particularly traits related to poorer social skills. Within the VLBW group, faster growth in weight, height, and head circumference from birth to term was associated with lower levels of ASD-related traits. (Read the full article)

Prenatal alcohol exposure can cause congenital neuropsychological and behavioral disabilities in later life. These usually lead to secondary disabilities (adverse outcome when the individual interacts with environmental settings), such as problems with school, the law, alcohol, or drugs.

This was a 30-year psychosocial register–based follow-up on adults with fetal alcohol syndrome and state care comparison group. The FAS-group had lower education and higher rates of unemployment, social welfare, and mental health problems than peers. Rates of criminality did not differ. (Read the full article)

Maternal depression has been associated with adolescent engagement in risky behaviors such as substance use. However, there is a lack of longitudinal research examining timing-specific effects in this relationship.

The results of this study indicate that youth exposed to increasing levels of maternal depressive symptoms in middle childhood are more likely to engage in substance use and delinquent behaviors and have an earlier debut age of these behaviors. (Read the full article)

Early first sexual intercourse (FSI) is a risk factor for unplanned teenage pregnancy, sexually transmitted infection, and adverse health outcomes in adolescence and into adulthood. In girls, externalizing behaviors are more strongly associated with earlier FSI than internalizing behaviors.

Externalizing behavior from as early as 5 in boys and 10 in girls is a significant risk factor for earlier age at FSI. Internalizing behavior at ages 8 and 10 was associated with early FSI for boys but not girls. (Read the full article)

More than 70% of all preterm deliveries are late preterm (34–36 weeks of gestation). Existing evidence suggests that compared with those born at term, those born late preterm score lower on neurocognitive tests in childhood and young adulthood.

The effect of late preterm birth on neurocognitive performance persists up to late adulthood, especially among those who have only a basic or upper secondary level of education. Late preterm birth is also associated with a risk of memory impairments. (Read the full article)

Early-life lower respiratory illnesses, including pneumonia, are associated with increased prevalence of asthma and diminished lung function in children. Whether early-life pneumonia is associated with subsequent impaired lung function and asthma in adults is not yet clear.

This is the first article providing strong data for an association between early-life pneumonia in an outpatient setting and airflow limitation and asthma into adulthood, supporting the hypothesis of the early-life origins of chronic obstructive pulmonary disease. (Read the full article)

Childhood bacteremia caused by vaccine-preventable organisms has substantially declined over the last decade. Recognition of bacteremia in children is difficult, and delayed administration of antibiotics is associated with poor outcomes. Adults with health care–associated Gram-negative bacteremia experience delays in receiving appropriate antibiotics.

Bacteremia in children presenting to the emergency department is increasingly health care associated and resistant to empirical antibiotics. These infections are associated with increased length of stay. Rates of Gram-negative bacteremia have increased, and children with Gram-negative bacteremia experience delayed antibiotic administration. (Read the full article)

Microvasculature alterations are associated with increased risk of hypertension in adults. Not much is known about the association of retinal vessel caliber with cardiovascular risk factors among children.

Narrower retinal arteriolar caliber is associated with higher blood pressure, mean arterial pressure, and pulse pressure in school-age children, whereas wider retinal venular caliber is associated with higher carotid-femoral pulse wave velocity. Microvascular adaptations might influence cardiovascular health from childhood onward. (Read the full article)

Current childhood vaccination coverage rates among military dependents in the United States are not known. Past studies on childhood vaccination coverage in military dependents have shown mixed results, with the majority showing lower than ideal coverage rates.

This study analyzes a national database with 6 years of data and provider-confirmed vaccination status to describe the current documented vaccination coverage rates among military dependents in the United States. (Read the full article)

Insulin resistance plays a role in obesity. Recently it has been associated with increased risk of AD. Aβ42 and PSEN1 are molecules associated with increased risk of later AD. Patients affected by AD show elevated levels of plasma Aβ42.

Levels of Aβ42 and PSEN1 are significantly elevated in obese adolescents and correlated with the degree of both adiposity and systemic insulin resistance. (Read the full article)

Evidence on the cardiometabolic consequences of sedentary behavior in youth is inconsistent and mostly relies on cross-sectional studies. Studies with objective measures of sedentary time have found limited evidence of cross-sectional associations with adiposity markers but no other outcomes.

Objectively assessed daily sedentary time was not prospectively associated with cardiometabolic outcomes. Moderate to vigorous physical activity was beneficially associated with body fat mass, insulin, high-density lipoprotein cholesterol, and clustered cardiometabolic score. (Read the full article)

Permanent neuronal deletion and neurocognitive impairment after anesthetic exposure in animals raised substantial concern that similar effects occur in children. Human studies were equivocal but have not combined structural and intelligence tests in otherwise healthy children after childhood anesthesia.

Anesthetic exposure for surgery did not lead to measurable neuronal elimination in brain regions previously identified in animals. However, language comprehension and performance IQ were decreased in exposed children and associated with decreased gray matter, primarily in posterior brain regions. (Read the full article)

Low case volume has traditionally been associated with poor outcomes in complex surgical procedures, including pediatric liver transplantation.

This retrospective analysis supports the association between low case volume and poorer outcomes in pediatric liver transplantation, and, in addition, shows that candidates listed in low-volume centers have severely limited access to transplantation. (Read the full article)

Street youth demonstrate elevated mortality compared with the general adolescent and young adult population. Suicide is a leading cause of death among street youth. Many street youth have experienced childhood maltreatment, including abuse and neglect.

In this prospective cohort of street youth, self-reported attempted suicide and history of childhood maltreatment were common. Individuals who experienced childhood physical abuse, emotional abuse, or emotional neglect were at highest risk of attempting suicide. (Read the full article)

Children born very preterm (VP) or with very low birth weight (VLBW) are at risk for cognitive deficits and low IQ in childhood. Recent evidence indicates that IQ discrepancies between VP/VLBW and term-born individuals are still found in adulthood.

Development of cognitive function is more stable for VP/VLBW than term-born individuals from infancy into adulthood and can be predicted fairly well from age 20 months onward. However, when adults with cognitive impairment are excluded, group differences in stability disappear. (Read the full article)

Childhood inflammatory mediators are associated with adult obesity, but the stimuli that initiate and perpetuate chronic inflammation start in early life are largely unknown.

Childhood infection-related hospitalization was independently associated with adverse adult metabolic variables, which suggests that infections and/or their treatment in childhood may contribute to causal pathways leading to adult cardiometabolic diseases. (Read the full article)

A number of studies have reported an association between birth by cesarean delivery and adverse childhood health outcomes such as obesity, asthma, atopy, and a number of neurodevelopmental abnormalities. However, these studies have had limited capacity to control for confounders.

Using a prospective cohort while controlling for birth factors, social vulnerability, maternal BMI, and breastfeeding, we found few differences between children delivered by cesarean delivery and those born vaginally. Higher child BMI was explained by maternal BMI. (Read the full article)

Source: www.cnn.com - Saturday, May 09, 2020
In SF's Tenderloin district, after the number of tents jumped nearly 300%, residents, businesses and a nearby law school are suing to force the city to clean it up.

Peacebuilding cannot succeed if half the population is excluded from the process. Crisis Group’s research in Sudan, Congo (DRC) and Uganda suggests that peace agreements, post-conflict reconstruction, and governance do better when women are involved.

BACKGROUND:

The association of dietary fat distribution with markers of subclinical atherosclerosis during early life is unknown. We examined whether success in achieving the main target of an infancy-onset dietary intervention based on the distribution of dietary fat was associated with aortic and carotid intima-media thickness (IMT) and distensibility from childhood to young adulthood.

BACKGROUND:

Elevated non–high-density lipoprotein cholesterol (HDL-C) levels are used to identify children at increased cardiovascular risk, but the use of non–HDL-C in childhood to predict atherosclerosis is unclear. We examined whether the National Heart, Lung, and Blood Institute classification of youth non–HDL-C status predicts high common carotid artery intima-media thickness in adulthood.

Without rigorous research that accurately reflects the current population, early education won't deliver for all students, write two education researchers.

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Governor Jack Markell today joined Delaware State Housing Authority (DSHA) Director Anas Ben Addi and Attorney General Matt Denn, along with other elected officials, to announce the recipients of $2.755M from the Strong Neighborhoods Housing Fund. Governor Markell has laid out a bold vision for Delaware by implementing a comprehensive approach to strengthening communities and rebuilding neighborhoods. In conjunction with Downtown Development District designations, which gives access to financial assistance for real property improvements, the newly created Strong Neighborhoods Housing Fund (SNHF) is another incentive to invest in our future.

Funding also allocated to clean up and maintain vacant or abandoned homes WILMINGTON – Nine projects statewide will receive $5.5 million from Delaware’s Strong Neighborhoods Housing Fund to address vacant, abandoned or foreclosed properties, Governor John Carney announced today, joined by Delaware State Housing Authority Director Anas Ben Addi and elected officials and community leaders […]

Two of Delaware’s programs benefitting potential homebuyers received national recognition October 15 when they were honored with a 2018 Annual Award for Program Excellence during the National Council of State Housing Agencies (NCSHA) annual conference.

  DOVER – Seven projects statewide will receive $3.2 million from Delaware’s Strong Neighborhoods Housing Fund to address vacant, abandoned or foreclosed properties, Governor John Carney announced today joined by Delaware State Housing Authority (DSHA) Director Anas Ben Addi, Dover Mayor Robin Christiansen and elected officials and community leaders from across Delaware. The Strong Neighborhoods […]

Applications are being accepted from community organizations for $1.3 million in funds to support crime reduction, neighborhood revitalization, and economic development programs statewide, with special emphasis on programs in and around downtown areas and neighborhoods, Attorney General Matt Denn and Delaware Division of Small Business, Development and Tourism Director Cerron Cade announced Tuesday. Applications are […]

Governor Jack Markell celebrated Arbor Day by joining over 500 kindergarten students at McIlvaine Early Childhood Center for a ribbon-cutting to unveil the school's new "Tree Walk & Talk Arboretum." Gov. Markell also honored winners of the Delaware Forest Service's annual Arbor School Poster Contest and joined in commemorating the 75th Anniversary of the adoption of the American holly as Delaware's state tree in 1939.

Vibha Sanwal, MD, from Rainbow Pediatrics of Georgetown & Lewes, has been named a Centers for Disease Control and Prevention (CDC) Childhood Immunization Champion for her outstanding efforts to promote childhood immunizations in her clinic offices. The Division of Public Health’s nominated her for the award.

Governor teams up with popular social network to keep Delawareans informed of the latest on the neighborhood level   WILMINGTON, Del. – Governor John Carney on Friday formally extended the State of Emergency declaration in place to limit the spread of COVID-19, and announced a partnership with the social network Nextdoor to keep Delawareans informed on […]

Angela Ruch has a full-time ride in the NASCAR Truck Series, a growing family and a docuseries on Facebook. Now, she'd love to get back to racing and get a win.

Next-generation hybrid cars combining electric and gas power in new ways are emerging as a low-cost alternative for consumers as batteries get cheaper and more efficient.

After much anticipation, The Neighbourhood Planning Bill received royal assent on 27th April 2017. The new Neighbourhood Planning Act (“Act”) covers matters not obviously related to its title, including new powers of temporary possession...

Since the controversial removal of Dr Aniekeme Uwah as the Akwa Ibom State Epidemiologist, several lies have continuously been peddled by media hirelings of 'powers that be' to smear the character of the renowned and celebrated medical expert. Ordinarily , one would not bother about their mischief; but in an article titled " COVID-19 testing and controversies in Akwa Ibom" published in some national dailies and online platforms  by Usman Yusuf ( obviously a fake name), the hireling struggled albeit unsuccessfully to paint a picture of Dr Aniekeme Uwah being removed for unethical practices.

As the Akwa Ibom NMA PRO stated on a Live radio interview, after the infamous redeployment, the reason for Dr Aniekeme Uwah's removal as state Epidemiologist was his refusal to carry out the Commissioner for health's bidding of testing  only 10 persons instead of 31 who had met the case definition .

To cover up the overwhelming public backlash that greeted the politicization of Dr Uwah's removal, aides and hirelings of 'powers that be' have tried justifying the removal of the epidemiologist by first claiming he "banged the phone on the Governor " to later changing the story, that the cerebral Doctor is responsible for the number of positive COVID-19 cases in the state amongst other fables. 

This only proves the truism , that " to cover up one lie, many other lies will have to be told..." and desperately so if I may add.

 Some of the despicable falsehood peddled against  Dr Aniekeme Uwah include falsifying NCDC results.This assertion betrays the writer's ignorance of the procedures for sample collection and test results. 

As the State Epidemiologist, it should be noted that Dr Uwah worked with an incident Management Committee (IMC) which included doctors and other Supervisory agencies like NCDC and the World Health Organization(WHO).

It is under the watchful eyes of these disciplined medical professionals, that samples which meet case definition are gotten and sent to laboratories in Edo State or Ebonyi State with adequate security escort. The results are instantly communicated  by the Laboratory to the NCDC headquarters and the state is copied.

One wonders how Dr Aniekeme Uwah had the powers to change negative results in these laboratories to positive and subsequently force or bribe 12 persons (as at when he was epidemiologist) who were predominantly medics to move into the Isolation Center for treatment. This thinking is not only absurd, but smirks of conspiracy by the writer and cohorts. 

Moreover, four new positive cases have been confirmed after he was redeployed as state Epidemiologist, did he still influence those results?

In another online defamatory write up by yet another faceless hireling Bassey Wils, it was alleged that the former Epidemiologist was angered that his proposal for purchase of laboratory equipment was rejected.

This is obviously far from the truth. The writer is obviously unaware of the workings of Government and the procedures for procurement in a ministry that has a Commissioner.   Even if the Epidemiologist would have recommended that the state had its own laboratory to stop incessant travels to other states for tests confirmations, it would best remain only a novel suggestion as the implementation of such ideas rest between the Commissioner for health and agencies of Government responsible for such procurement . 

The said fake Bassey Wils also blamed the former Epidemiologist for the embarrassment the state suffered during it's infamous imbrioglio with NCDC over the 5 index cases..This is a case of selective amnesia suffered by Blackmailer hiding under the moniker of Bassey Wils. For the avoidance of doubt, It was the Commissioner for Health who held a world press conference to disagree with the results of the 5 index cases and NCDC procedures not Dr Aniekeme Uwah. This further goes to buttress the allegations against " Powers" over their intentions to suppress testing to avoid a record of high positive results by the state as stated by the NMA PRO on radio. 

Further more, the fake Bassey Wills claimed Dr Aniekeme Uwah  went against NCDC guidelines which stated that only 10 samples should be sent in a day.  

For avoidance of doubt, it must be stated unequivocally that such guidelines does not exist.

On April 27, 2020 Dr Sani Aliyu, National Coordinator presidential task force ( PTF) on COVID-19 said on National TV and i quote " I will like to emphasize that there is no limit to testing when it comes to COVID-19. Covid numbers is not an issue of competition between states. There is no shame if a state comes up with positive numbers. In other to deal with an epidemic, we need to have transparency in numbers and that transparency is linked to the number of tests. If you do not know the extent of the problem, you will not be able to deal with it. I am appealing to state governments to please continue helping the state emergency operating centers and state ministry of health to make sure that everybody that needs to be tested has the opportunity to get the test done " . 

One would expect that after such affirmative words by the PTF on no ceilings for tests , Fake Bassey Wils and his gang of liars will bury their heads in shame. 

It shouldn't be taken for granted that the suspected case confirmed positive from the 31 would have been missed if Dr Aniekeme Uwah had carried out the Commissioner 's directive to take only 10samples.  This most likely would have led to more spread of the pandemic in the state if that suspected case was not tested or would have made the health of the patient worse if not timely diagnosed. 

Apart from this,  a large number of Doctors who were exposed to COVID-19 had been out of work for up to a month on self isolation because they had not been tested, thus leading to loss of man hours and critical essential services, and inadvertently leading to denial of life - saving services by these experts to those who needed their expertise. 

The fact that Dr Aniekeme Uwah insisted on these Doctors getting tested as part of the 31 , helped seventeen out of the eighteen of them whose results came out negative return to work at the University of Uyo teaching Hospital almost immediately. 

Dr Aniekeme Uwah should be commended for such clinical dexterity.  This tests are conducted free of charge by NCDC, so why the fuss of testing a large number? Why the insistence of testing a smaller number when everyone that met case definition at the time could be tested at once to save time and ensure clinical efficacy? 

The state loses nothing by testing more as tests are free of charge. Instead, the more agressive it gets with testing, the clearer the picture of viral penetration. That is pure Epidemiology! 

In the words of Dr Emmanuel John, the NMA PRO on radio, " testing is a clinical decision. And no doctor should have recourse to a political mastermind before taking such decisions"

Another allegation by Bassey Wils bothering a late surgeon need not be dignified for the respect of the dead and family. But it must be noted that the allegations remain false and spurious, tailored only the damage reputation of Dr Aniekeme Uwah. fortunately for every discerning mind, Bassey Wil's campaign of calumny has largely been mischievous, comic at it's best and utterly balderdash.

Fake Bassey Wil's nonsensical allegation of having evidence of text messages between Dr Aniekeme Uwah and "middle men" is not only absurd and baseless but further attempts to 'give a dog a bad name in order to hang it'. Such text messages remain only in the conjecture of his imagination. If there is any iota of truth, I challenge fake Bassey Wils to produce such evidences in court or forever bury his head in the pit of hell.

Lastly Fake Bassey Wils, a leader of the blackmail syndicate alleged that Dr Aniekeme Uwah put the state in bad light during a National Survey that ranked the state as leading in the number of persons living with HIV/AIDs in the country.  He doesn't realize that his particular allegation, provides more evidence as to the unquenching thirst for suppressing data and statistics by those in authority.

The fact remains that after the result of the HIV/AIDs National and Impact survey was published in Abuja by Federal Ministry Of Health, Dr Aniekeme Uwah moved by passion and love for his people, sensitized the public on the dangers of HIV/ AIDs and how infection can be reduced.

 He admonished on Abstainance, faithfulness to sexual partners, usage condoms and usage of anti-retroviral drugs to suppress the viral load  thereby hindering further transmission. 

In saner climes, Such patriotic zeal, would  been encouraged ; as truly there is need for sensitization of the masses whose majority especially in rural areas are still in illusion about HIV/AIDs.

 Instead of commending Dr Uwah for putting in time and personal resources to educate the masses, the "powers that be" sternly condemned Dr Aniekeme Uwah  for educating the masses about HIV/AIDs and claimed he put state in bad light. He was queried! What a sad irony!

One would ask, what is the gain of the state if it hides the figures of the HIV/AIDs prevalence from the masses? What is the intention of hiding the result of  the national survey? To record more infections due to ignorance of the populace? It has been a long walk to trampling on truth, honesty and dedication to duty.

In the court of public opinion, Dr Aniekeme Uwah has acquitted himself as a professional of unparalleled integrity.

A courageous medical doctor whose commitment to the service of humanity is common to none. 

Dr Uwah is loyal to the Hippocratic oath and will remain resolute in advocating for better health care delivery to the people.

 His award of Honor by the African Union for dedicating Six months of his life to Liberia in the fight of Ebola remains indelible.

He was also honoured as the most outstanding NMA state chairman by the National President and National Officers Committee of the NMA during his tenure as Chairman. 

His exploits as NMA Chairman include building the first Doctors Mess in Nigeria, The first NMA Clinic in Nigeria, Doctors Court as well as numerous free Surgical outreach accross the state. 

It is worthy of note that during his tenure as NMA Chairman, he pushed for the establishment of the State Primary Health Care Development Agency and State Insurance Scheme.

In the past two years, Dr Aniekeme Uwah was the chairman Planning Committee of National Physicians Week in Rivers State and Ondo State as well as the chairman Planning committee of the National Executive Council meeting of the Association in Akwa Ibom State. This is a testament to his Sterling leadership qualities which has earned him the trust of his colleagues Nationwide. 

As State Epidemiologist,  Dr Aniekeme Uwah's achievements are enormous but to mention

1. Partnering with WHO to donate motorcycles to all the 31 Disease Surveillance Officers (DSNOs) in the 31 LGAs in the state to enhance their mobility.

2. Training of the 31DSNOs and other Health workers on frontline field epidemiology in partnership with AFENET.

3. Donation of Lap top computers and android phones to all the 31DSNOs to enhance their disease surveillance activities etc

Recently , Dr Aniekeme Uwah was appointed Secretary of the Common Wealth Medical Association's Committee on Covid-19 response. The Common Wealth Comprises of 54 countries accross all continents. Only Men of proven track record get such International appointments. 

These and more are some of Dr Aniekeme Uwah's legacies that his blackmailers cannot wish away.

No greater testimonial would Dr Uwah wish  for in times like this, than that of The DG of NCDC,  Dr Chikwe Ihekweazu who while responding to the redeployment saga on national TV said "The state Epidemiologist, Dr Aniekeme Uwah is a great colleague who did his work creditably. He is one of my great colleagues .. we worked on Ebola outbreak together. I wish him well in his new assignment".

I understand that Dr Uwah's traducers and their media hirelings are intimidated by his towering profile. I would rather implore them to work hard on improving their miserable lives rather than constantly attempt to defame and disparage a man whose track record is way beyond their reach. It will remain a mere waste of time! 

It is worthy of note, that Dr Aniekeme Uwah's removal as state Epidemiologist to suppress Covid 19 test results has already made him a hero, a professional of no mean repute in the court of public opinion and no volume of blackmail can change that narrative!

- Asteroid Bassey writes in from Uyo.

A serious manhunt is presently ongoing to arrest the hoodlums, the police said

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By Chimaobi Nwaiwu – Nnewi The Anambra State Commissioner for Transport, Dr. Christian Madubuko has warned Commercial Tricycle Owners and Riders Welfare Association of Anambra State, CTORWAAS, and their alleged paid agents to desist from peddling false allegations against his Ministry or face the wrath of the law. Dr. Madubuko also warned CTORWAAS, its Chairman,
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Prof. Shai Izraeli says ‘When you talk about specific cancers, like Hodgkin lymphoma and standard-risk acute lymphoblastic leukemia, the rate of survival is more than 90%.’

Thailand's economy is facing a greater risk of deflation after a two-month easing of headline inflation, with global stock markets experiencing another sell-off trend this month, says Asia Plus Securities (ASP).