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Asian sildenafil efficacy and safety study (ASSESS-1): a double-blind, placebo-controlled, flexible-dose study of oral sildenafil in Malaysian, Singaporean, and Filipino men with erectile dysfunction. The Assess-1 Study Group

Tan HM, Moh CL, Mendoza JB, Gana T, Albano GJ, de la Cruz R, et al.

Urology, 2000 Oct 1;56(4):635-40.
PMID: 11018621 DOI: 10.1016/s0090-4295(00)00688-9

OBJECTIVES:
To evaluate the efficacy, safety, and tolerability of oral sildenafil in Asian men with erectile dysfunction of various causes (organic, psychogenic, or mixed) and of more than 6 months' duration.

METHODS:
In this double-blind, parallel-group trial conducted at eight centers in Malaysia, the Philippines, and Singapore, 254 men, 26 to 78 years old, were randomized to 12 weeks of sildenafil or placebo taken as needed 1 hour before anticipated sexual activity. Initially, the sildenafil (n = 127) or matching placebo (n = 127) dose was 50 mg but could be increased to 100 mg or decreased to 25 mg because of a lack of efficacy or intolerance, respectively. Efficacy was assessed by the 15-question International Index of Erectile Function, patients' event logs of sexual activity, and a global efficacy question about erections.

RESULTS:
The two primary efficacy variables relating to achievement and maintenance of an erection sufficient for sexual intercourse, as assessed by the mean scores for International Index of Erectile Function question 3 (4.22 versus 2.59) and question 4 (4.15 versus 2.41), were both significantly higher with sildenafil than with placebo (P <0.0001). In addition, the five separate International Index of Erectile Function domains of sexual function, the percentage of successful intercourse attempts, and the global efficacy assessment of erections revealed significantly greater treatment effects in favor of sildenafil (P <0.0001 versus placebo for all variables). Treatment-related adverse events occurred in 22.8% of patients who received sildenafil and in 10.2% of those who received placebo.

CONCLUSIONS:
Sildenafil is an effective and well-tolerated treatment for Asian men with erectile dysfunction of broad-spectrum etiology.

Matched MeSH terms: Philippines
Immunoreactivity and neutralization capacity of Philippine cobra antivenom against Naja philippinensis and Naja samarensis venoms

Tan CH, Palasuberniam P, Blanco FB, Tan KY

Trans R Soc Trop Med Hyg, 2021 01 07;115(1):78-84.
PMID: 32945886 DOI: 10.1093/trstmh/traa087

BACKGROUND: The Philippine cobra (Naja philippinensis) and Samar cobra (Naja samarensis) are two WHO Category 1 medically important venomous snakes in the Philippines. Philippine cobra antivenom (PCAV) is the only antivenom available in the country, but its neutralization capacity against the venoms of N. philippinensis and hetero-specific N. samarensis has not been reported. This knowledge gap greatly hinders the optimization of antivenom use in the region.
METHODS: This study examined the immunological binding and neutralization capacity of PCAV against the two cobra venoms using WHO-recommended protocols.
RESULTS: In mice, both venoms were highly neurotoxic and lethal with a median lethal dose of 0.18 and 0.20 µg/g, respectively. PCAV exhibited strong and comparable immunoreactivity toward the venoms, indicating conserved venom antigenicity between the two allopatric species. In in vivo assay, PCAV was only moderately effective in neutralizing the toxicity of both venoms. Its potency was even lower against the hetero-specific N. samarensis venom by approximately two-fold compared with its potency against N. philippinensis venom.
CONCLUSION: The results indicated that PCAV could be used to treat N. samarensis envenomation but at a higher dose, which might increase the risk of hypersensitivity and worsen the shortage of antivenom supply in the field. Antivenom manufacturing should be improved by developing a low-dose, high-efficacy product against cobra envenomation.

Matched MeSH terms: Philippines
Viva-Asia Blood and Marrow Transplantation Groups - A Survey of Consortium Activity over a 12-year Period (2000 to 2011)

Tan AM, Ha C, Li CF, Chan GC, Lee V, Tan PL, et al.

Ann Acad Med Singap, 2016 Mar;45(3):106-9.
PMID: 27146463
Matched MeSH terms: Philippines
Multiple alpha-globin genes in crab-eating macaques (Macaca fascicularis)

Takenaka A, Ueda S, Terao K, Takenaka O

Mol Biol Evol, 1991 May;8(3):320-6.
PMID: 2072861

Alpha-globin genes in crab-eating macaques were found to be triplicated at high frequencies according to restriction-enzyme comparisons. The frequencies of triplicated alpha-globin genes in macaques originally from Malaysia and Indonesia were 0.432 and 0.275, respectively, while no triplication was found in individuals from either the Philippines or northern and central Thailand. Quadruplicated alpha-globin genes were also observed, at frequencies of 0.045 (Malaysia), 0.075 (Indonesia), and 0.021 (the Philippines). A single locus was detected in only one of 40 chromosomes from Indonesia (frequency 0.025).

Matched MeSH terms: Philippines
[Incidence of diarrhea and antibiotic therapy in cynomolgus monkeys imported for medical use (author's transl)]

Takasaka M, Morota S, Kasono T, Abe M, Honjo S

Jikken Dobutsu, 1973 Jul;22(3):227-36.
PMID: 4204642
Matched MeSH terms: Philippines
The black flies (Diptera: Simuliidae) of Vietnam

Takaoka H, Sofian-Azirun M, Ya'cob Z, Chen CD, Lau KW, Low VL, et al.

Zootaxa, 2017 May 05;4261(1):1-165.
PMID: 28609891 DOI: 10.11646/zootaxa.4261.1.1

The biodiversity of black flies (Diptera: Simuliidae), which are biting insects of medical and veterinary importance, is strikingly high in Southeast Asian countries, such as Indonesia, Malaysia, Philippines and Thailand. In 2013, we began to explore the fauna of black flies in Vietnam, which has so far been poorly studied. In this monograph, the wealth of the biodiversity of black flies in Vietnam is also confirmed on the basis of the results of our recent investigations, though limited to five provinces in the country. Morphotaxonomic studies of black flies obtained from Sapa, Lao Cai Province, northern Vietnam, in 2014 and Nghe An Province, northern Vietnam, in 2015, and reexaminations of black flies collected from Tam Dao, Vinh Phuc Province, northern Vietnam, in 2013, Thua Thien Hue Province, central Vietnam, in 2014, and Lam Dong Province, southern Vietnam, in 2014, were conducted. A total of 22 species are described as new, including one in the newly recorded subgenus Montisimulium Rubtsov, and three species are recognized as new records from Vietnam. This investigation brings the number of species of black flies known in Vietnam to 70, all of which are assigned to the genus Simulium Latreille, and are placed in four subgenera (25 in Gomphostilbia Enderlein, one in Montisimulium, seven in Nevermannia Enderlein, and 37 in Simulium Latreille s. str.). The numbers of species-groups recognized include seven in Gomphostilbia, three in Nevermannia and nine in Simulium, indicating a high diversity of putative phylogenetic lineages. New species include S. (G.) sanchayense sp. nov. (= the species formerly regarded as S. (G.) brinchangense Takaoka, Sofian-Azirun & Hashim), S. (S.) lowi sp. nov. (= the species formerly regarded as S. (S.) brevipar Takaoka & Davies), S. (S.) fuscicoxae sp. nov. [= the species formerly regarded as S. (S.) rufibasis Brunetti (in part)], S. (S.) suoivangense sp. nov. [= morphoform 'b' of the S. (S.) tani Takaoka & Davies (complex)]. Newly recorded species are S. (G.) parahiyangum Takaoka & Sigit, S. (N.) maeaiense Takaoka & Srisuka, and S. (S.) doipuiense Takaoka & Choochote (complex) [= the species formerly regarded as S. (S.) rufibasis Brunetti (in part)]. The substitute name, S. (S.) huense, is given for the species that was described under the name of S. (S.) cavum from southern Vietnam. A redescription of the female, male, pupa and larva of S. (G.) asakoae Takaoka & Davies is presented, and the female and larva of S. (G.) hongthaii Takaoka, Sofian-Azirun & Ya'cob are described for the first time. Keys to 10 subgenera in the Oriental Region and all 70 species recorded from Vietnam are provided for females, males, pupae and mature larvae. As investigations extend nationwide in all the provinces in Vietnam, more new species and records are expected to be discovered. It is hoped that this monograph will be useful as a baseline taxonomic reference for future studies of black flies in Vietnam and neighbouring countries.

Matched MeSH terms: Philippines
Two new species of the Simulium (Simulium) tuberosum species-group (Diptera: Simuliidae) from Palawan, the Philippines

Takaoka H, Tenedero VF

Zootaxa, 2019 Mar 20;4568(2):zootaxa.4568.2.12.
PMID: 31715866 DOI: 10.11646/zootaxa.4568.2.12

Two new species of black flies, Simulium mainitense and S. tukurongense, are described from Palawan, the Philippines. Both species are placed in the Simulium nitidithorax subgroup of the Simulium tuberosum species-group of Simulium (Simulium). They are characterized by the female sensory vesicle of medium length, pupal thorax covered with round tubercles, and anterodorsal trichomes on the pupal thorax longer than frontal trichomes. This combination of characters separates these two new species from S. quasifrenum Delfinado, the only previously known member of the S. nitidithorax subgroup from Palawan, and nine other related species from Sabah, Sarawak, Peninsular Malaysia and India. Simulium mainitense sp. nov. is distinguished from S. tukurongense sp. nov. in the female by the somewhat larger body size, and greater length ratio of the labrum against the clypeus; and in the pupa by the much longer gill filaments.

Matched MeSH terms: Philippines
Fulltext World species of the genus Platyscelio Kieffer (Hymenoptera: Platygastridae)

Taekul C, Johnson NF, Masner L, Polaszek A, Rajmohana K

Zookeys, 2010.
PMID: 21594118 DOI: 10.3897/zookeys.50.485

The genus Platyscelio Kieffer (Hymenoptera: Platygastridae, Scelioninae) is a widespread group in the Old World, found from West Africa to northern Queensland, Australia. The species concepts are revised and a key to world species is presented. The genus is comprised of 6 species, including 2 known species which are redescribed: Platyscelioafricanus Risbec (Benin, Cameroon, Central African Republic, Ghana, Guinea, Guinea-Bissau, Ivory Coast, Kenya, Mozambique, Nigeria, Sierra Leone, South Africa, Tanzania, Togo, Uganda, Yemen, Zimbabwe); and Platysceliopulchricornis Kieffer (Australia, Bangladesh, China, India, Indonesia, Japan, Malaysia, Papua New Guinea, Philippines, Solomon Islands, Taiwan, Thailand, Vanuatu, Vietnam). Five species-group names are considered to be junior synonyms of Platysceliopulchricornis: Platyscelioabnormis Crawford syn. n., Platysceliodunensis Mukerjee syn. n., Platysceliomirabilis Dodd syn. n., Platysceliopunctatus Kieffer syn. n., and Platysceliowilcoxi Fullaway. The following species are hypothesized and described as new taxa: Platyscelioarcuatus Taekul & Johnson, sp. n. (Western Australia); Platysceliomysterium Taekul & Johnson, sp. n. (Zimbabwe, Botswana, South Africa); Platysceliomzantsi Taekul & Johnson, sp. n. (South Africa); and Platysceliostriga Taekul & Johnson, sp. n. (Western Australia).

Matched MeSH terms: Philippines
Natural virus infections in cynomolgus monkeys

Suzuki M

Jpn. J. Med. Sci. Biol., 1981 Aug;34(4):261-3.
PMID: 7321300
Matched MeSH terms: Philippines
A comparison of urban migration in Sarawak and the Philippines

Sutlive V

Urban anthropol, 1977;6(4):355-69.
PMID: 12310786
Matched MeSH terms: Philippines
Diarrhoeal problems in Southeast Asia

Sunoto

Southeast Asian J. Trop. Med. Public Health, 1982 Sep;13(3):306-18.
PMID: 7163834

Diarrhoea up till now is still a major problem in Southeast Asia with high morbidity and mortality, particularly among children under 5 years of age, with the peak in children between 6 - 24 months. In Indonesia, in 1981, it was estimated that there are 60 million episodes with 300,000 - 500,000 deaths. In the Philippines, diarrhoea ranks as a second cause of morbidity (600 per 100,000 in 1974) and second cause of infant mortality (5 per 1,000 in 1974). In Thailand, in 1980, the morbidity rate was 524 per 100,000 and the mortality rate 14 per 100,000. In Malaysia, in 1976, diarrhoea was still ranking number 5 (3.1%) as a cause of total admission and number 9 (2.2%) as a cause of total deaths. In Singapore, diarrhoea still ranks number 3 as a cause of deaths (4% of total deaths). In Bangladesh, the overall attack rates imply a prevalence of 2.0% for the entire population, with the highest for under 5 groups i.e. 4.1%. The diarrhoea episode in rural population is 85.4%, 39% of them are children under 5. The most common enteropathogens found in all countries are rotavirus followed by Enterotoxigenic E. coli, Vibrio spp., Salmonella spp., Shigella spp. and Campylobacter. Malnutrition and decline of giving breast-feeding play an important role in causing high morbidity, besides socio-economic, socio-cultural and poor environmental sanitation.

Matched MeSH terms: Philippines
The delivery of dental services in the Asian Area of the Pacific Basin

Sundram CJ

Int Dent J, 1973 Dec;23(4):603-21.
PMID: 4520880
Matched MeSH terms: Philippines
Characterization of Campylobacter jejuni and Campylobacter coli isolates from chicken offal in Metro Manila, Philippines: Insights from virulence gene prevalence and multilocus sequence typing analysis

Subejano MSE, Penuliar G

Trop Biomed, 2023 Dec 01;40(4):422-429.
PMID: 38308829 DOI: 10.47665/tb.40.4.007

Campylobacteriosis is a human infection primarily caused by Campylobacter jejuni and Campylobacter coli. Consumption of contaminated chicken and poultry products is the main mode of transmission. These bacteria possess virulence factors, including adhesins and toxins, which contribute to their pathogenesis. Moreover, their large genomes undergo frequent genetic recombination, resulting in a high degree of genetic diversity. However, limited information is available regarding the virulence and genotypic diversity profiles of these microorganisms in the Philippines. The objective of this study was to address this knowledge gap by characterizing Campylobacter isolates obtained from chicken offal sold in wet markets in Metro Manila, Philippines. Multilocus Sequence Typing (MLST) analysis was performed to determine the sequence types, resulting in the identification of 13 unique sequence types, including nine previously unreported ones, and three clonal complexes. Notably, the widespread sequence type ST-305 was found in samples from different markets. Furthermore, six isolates deposited in the Campylobacter PubMLST database were identified as C. coli based on allele profiles. Profiling using 10 selected virulence genes revealed that more than half of the isolates carried these genes. The most prevalent virulence gene was cadF (100%), followed by flaA (95%), racR, cdtA, cdtB, and cdtC (85%). The genes dnaJ and ceuE were also present in 75% of the isolates. Despite the limited sample size, the findings of this study reveal a significant level of genotypic diversity among the Campylobacter isolates. This diversity has important implications for source attribution studies and the identification of strains involved in campylobacteriosis outbreaks. Furthermore, the investigation of virulence factors associated with colonization and invasion of the avian gut can provide insights for the development of practical applications in Campylobacter control strategies. Understanding and addressing these factors are crucial steps toward mitigating the risk of Campylobacter infections and enhancing public health efforts.

Matched MeSH terms: Philippines/epidemiology
Social relations and health assessments among older people: do the effects of integration and social contributions vary cross-culturally?

Su YP, Ferraro KF

J Gerontol B Psychol Sci Soc Sci, 1997 Jan;52B(1):S27-36.
PMID: 9008679

Research on health assessments has shown the importance of social relations as a factor influencing health, especially among older people. Drawing upon sociological theories of social integration and social exchange, this research examines two domains of social relations which are expected to influence assessed health. In addition, the study uses a cross-national sample (N = 3,407) of noninstitutionalized older people from the Republic of Korea, Fiji, Malaysia, and the Philippines to determine if modernization conditions the relationships between social relations and health. Results indicate that social integration has a positive effect on subjective health assessments in all nations, whereas social contributions are significant only in Korea. Findings suggest that health assessments by elders in the most modernized nations appear to be much more influenced by the contributions they make to the social order than is the case in nations which are less modernized.

Matched MeSH terms: Philippines
"Serious" mental retardation in developing countries: an epidemiologic approach

Stein Z, Durkin M, Belmont L

Ann N Y Acad Sci, 1986;477:8-21.
PMID: 3468840

In this paper we first present methods and preliminary results of pilot surveys of "serious" mental retardation (IQ less than or equal to 55); the surveys included screening and diagnostic components and were carried out in the less-developed world. Next we discuss two problems raised by these surveys: one is the diagnosis of a case and its clinical dimensions, and the other is the interpretation of prevalence. In the next section we illustrate epidemiological approaches to the analysis of such data, in particular their relevance to prevention. Lastly, we propose that the two-stage survey approach developed in the course of the pilot work can provide a valuable basis for planning and prevention, if certain key conditions can be met.

Matched MeSH terms: Philippines
Riegeriana, a new genus for Physopelta apicalis, and checklist of the genus Iphita (Hemiptera: Heteroptera: Largidae) with description of one new species

Stehlík JL, Kment P

Zootaxa, 2014;3860(2):167-83.
PMID: 25283198 DOI: 10.11646/zootaxa.3860.2.4

Riegeriana gen. nov. is described to accommodate Physopelta apicalis Walker, 1873. A lectotype of Ph. apicalis is de-signated. Iphita fasciata Stehlík & Jindra, 2008, syn. nov., is recognized as a new junior subjective synonym of Riegeriana apicalis. In addition, Iphita lata sp. nov. is described from southern India and a check-list of the species of the genus Iphita Stål, 1873 is provided. The etymology of Iphita nigris Ahmad & Abbas, 1992 and the lectotype designation of Dindymellus coimbatorensis Distant, 1919 are discussed. The following new or confirmed country records are provided: Iphita coimbatorensis (Distant, 1919) from India (Karnataka, Orissa); I. dubia (Breddin, 1901) from Indonesia (Papua); I. limbata Stål, 1870 from Cambodia, China (Hainan), India (Arunachal Pradesh), Indonesia (Sumatra, Kalimantan), Malaysia (Pahang: Tioman Island), and Vietnam; I. lycoides (Walker, 1873) from the Philippines (Panay Island).

Matched MeSH terms: Philippines
Quantification of blue carbon in seagrass ecosystems of Southeast Asia and their potential for climate change mitigation

Stankovic M, Ambo-Rappe R, Carly F, Dangan-Galon F, Fortes MD, Hossain MS, et al.

Sci Total Environ, 2021 Aug 20;783:146858.
PMID: 34088119 DOI: 10.1016/j.scitotenv.2021.146858

Seagrasses have the ability to contribute towards climate change mitigation, through large organic carbon (Corg) sinks within their ecosystems. Although the importance of blue carbon within these ecosystems has been addressed in some countries of Southeast Asia, the regional and national inventories with the application of nature-based solutions are lacking. In this study, we aim to estimate national coastal blue carbon stocks in the seagrass ecosystems in the countries of Southeast Asia including the Andaman and Nicobar Islands of India. This study further assesses the potential of conservation and restoration practices and highlights the seagrass meadows as nature-based solution for climate change mitigation. The average value of the total carbon storage within seagrass meadows of this region is 121.95 ± 76.11 Mg ha-1 (average ± SD) and the total Corg stock of the seagrass meadows of this region was 429.11 ± 111.88 Tg, with the highest Corg stock in the Philippines (78%). The seagrass meadows of this region have the capacity to accumulate 5.85-6.80 Tg C year-1, which accounts for $214.6-249.4 million USD. Under the current rate of decline of 2.82%, the seagrass meadows are emitting 1.65-2.08 Tg of CO2 year-1 and the economic value of these losses accounts for $21.42-24.96 million USD. The potential of the seagrass meadows to the offset current CO2 emissions varies across the region, with the highest contribution to offset is in the seagrass meadows of the Philippines (11.71%). Current national policies and commitments of nationally determined contributions do not include blue carbon ecosystems as climate mitigation measures, even though these ecosystems can contribute up to 7.03% of the countries' reduction goal of CO2 emissions by 2030. The results of this study highlight and promote the potential of the southeast Asian seagrass meadows to national and international agencies as a practical scheme for nature-based solutions for climate change mitigation.

Matched MeSH terms: Philippines
Fulltext Smoking and smokeless tobacco use in nine South and Southeast Asian countries: prevalence estimates and social determinants from Demographic and Health Surveys

Sreeramareddy CT, Pradhan PM, Mir IA, Sin S

Popul Health Metr, 2014;12:22.
PMID: 25183954 DOI: 10.1186/s12963-014-0022-0

BACKGROUND: In South and Southeast Asian countries, tobacco is consumed in diverse forms, and smoking among women is very low. We aimed to provide national estimates of prevalence and social determinants of smoking and smokeless tobacco use among men and women separately.
METHODS: Data from Demographic and Health Surveys completed in nine countries (India, Pakistan, Nepal, Bangladesh, Maldives, Philippines, Cambodia, Indonesia, and Timor Leste) were analyzed. Current smoking or smokeless tobacco use was assessed as response "yes" to one or more of three questions, such as "Do you currently smoke cigarettes?" Weighted country-level prevalence rates for socio-economic subgroups were calculated for smoking and smokeless tobacco use. Binary logistic regression analyses were done on STATA/IC (version 10) by 'svy' command.
RESULTS: Prevalence and type of tobacco use among men and women varied across the countries and among socio-economic sub groups. Smoking prevalence was much lower in women than men in all countries. Smoking among men was very high in Indonesia, Maldives, and Bangladesh. Smokeless tobacco (mainly chewable) was used in diverse forms, particularly in India, among both men and women. Chewing tobacco was common in Nepal, Bangladesh, Maldives, and Cambodia. Both smoking and smokeless tobacco use were associated with higher age, lower education, and poverty, but their association with place of residence and marital status was not uniform between men and women across the countries.
CONCLUSION: Policymakers should consider type of tobacco consumption and their differentials among various population subgroups to implement country-specific tobacco control policies and target the vulnerable groups. Smokeless tobacco use should also be prioritized in tobacco control efforts.
KEYWORDS: Prevalence; Smokeless tobacco use; Smoking; Social determinants; South and Southeast Asia

Matched MeSH terms: Philippines
Fulltext Changes in adult smoking behaviours in ten global adult tobacco survey (GATS) countries during 2008-2018 - a test of 'hardening' hypothesis'

Sreeramareddy CT, Aye SN

BMC Public Health, 2021 06 24;21(1):1209.
PMID: 34167508 DOI: 10.1186/s12889-021-11201-0

BACKGROUND: Hardcore smoking behaviours and test of hardening are seldom reported from low-and-middle-income countries (LMICs). We report country-wise changes in smoking behaviors between two sequential surveys and explored ecologically the relationship between MPOWER scores and smoking behaviors including hardcore smoking.
METHODS: We analysed sequential Global Adult Tobacco Survey (GATS) data done at least at five years interval in 10 countries namely India, Bangladesh, China, Mexico, Philippines, Russia, Turkey, Ukraine, Uruguay, and Vietnam. We estimated weighted prevalence rates of smoking behaviors namely current smoking (both daily and non-daily), prevalence of hardcore smoking (HCS) among current smokers (HCSs%) and entire surveyed population (HCSp%), quit ratios (QR), and the number of cigarettes smoked per day (CPD). We calculated absolute and relative (%) change in rates between two surveys in each country. Using aggregate data, we correlated relative change in current smoking prevalence with relative change in HCSs% and HCSp% as well as explored the relationship of MPOWER score with relative change in smoking behaviors using Spearman' rank correlation test.
RESULTS: Overall daily smoking has declined in all ten countries lead by a 23% decline in Russia. In India, Bangladesh, and Philippines HCSs% decreased as the smoking rate decreased while HCSs% increased in Turkey (66%), Vietnam (33%) and Ukraine (15%). In most countries, CPD ranged from 15 to 20 sticks except in Mexico (7.8), and India (10.4) where CPD declined by 18 and 22% respectively. MPOWER scores were moderately correlated with HCSs% in both sexes (r = 0.644, p = 0.044) and HCSp% (r = 0.632, p = 0.05) and among women only HCSs% (r = 0.804, p = 0.005) was significantly correlated with MPOWER score.
CONCLUSION: With declining smoking prevalence, HCS had also decreased and quit rates improved. Ecologically, a positive linear relationship between changes in smoking and HCS is a possible evidence against 'hardening'. Continued monitoring of the changes in quitting and hardcore smoking behaviours is required to plan cessation services.

Matched MeSH terms: Philippines
Alcohol consumption and attributable harm in middle-income South-East Asian countries: Epidemiology and policy options

Sornpaisarn B, Shield K, Manthey J, Limmade Y, Low WY, Van Thang V, et al.

Int J Drug Policy, 2020 Jul 22;83:102856.
PMID: 32711336 DOI: 10.1016/j.drugpo.2020.102856

Background Factors and policies which potentially explain the changes in alcohol consumption and related harms from 2010 to 2017 in 11 middle-income countries in the South-East Asian region (Cambodia, Lao PDR, Indonesia, the Philippines, Malaysia, Maldives, Myanmar, Sri Lanka, Thailand, Timor-Leste, and Vietnam) were examined. Methods Using secondary data from UN agencies, we analyzed trends in alcohol consumption, alcohol-attributable deaths and the burden of disease. Results Starting from a level of consumption significantly below the global average-especially among the Muslim-majority countries (Maldives, Indonesia, and Malaysia)-the majority of the countries in this region had markedly increased their alcohol consumption along with the economic development they experienced between 2010 and 2017. In fact, five middle-income countries in this region (Vietnam, Lao PDR, Cambodia, Myanmar, and Timor-Leste) were in the top 12 countries globally based on absolute increases in adult alcohol per capita consumption (APC). The Philippines and Malaysia were the exceptions, as they had reduced their APC over this period. The majority of South-East Asian countries had parallel increasing trends in the age-standardized alcohol-attributable deaths and DALYs since 2010, in contrast to global trends. While all countries put some alcohol control policies in place, there were differences in the number and strength of the policies applied, commensurate with trends in consumption. In particular, three of the countries which were most successful in reducing consumption and harm (Malaysia, Philippines, and Sri Lanka) applied more effective tax methods based on specific taxation alone or in combination with another taxation method, applying higher taxation rates and regularly increasing them over time. Conclusion To achieve the global target and the Sustainable Development Goal in reducing alcohol consumption worldwide, middle-income countries, especially lower-middle-income countries, should employ stricter alcohol control policies, and apply an appropriate excise tax on alcohol products with regular increases to reflect inflation.

Matched MeSH terms: Philippines

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