Research Towards a World Without Dementia: Marking World Alzheimer’s Day / World Alzheimer’s Month 2017 (Alzheimer’s Disease International / Department of Health)

Summary

Information is available from Alzheimer’s Disease International (ADI) concerning World Alzheimer’s Month (September) and World Alzheimer’s Day 2017, which was on September 21st 2017. The theme for this year’s World Alzheimer’s Month campaign is again “Remember Me”.

The UK health secretary Jeremy Hunt has released a piece on the UK’s ongoing contribution to international research collaboration in this field.

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Reference

World Alzheimer’s Day: could we create a world without dementia? [Online]: Department of Health and The Rt Hon Jeremy Hunt MP, September 21st 2017.

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Posted in Charitable Bodies, Commissioning, Department of Health, Diagnosis, In the News, Integrated Care, International, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Pharmacological Treatments, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

National Prevention Concordat for Better Mental Health (PHE / King’s Fund / LSE PSSRU / UCL / CfMH / British Journal of Psychiatry)

Summary

Public Health England (PHE) has released a collection of related documents aimed primarily at local public health workers, designed to help identify cost-effective local mental health interventions. This new “concordat” tool aims to prevent mental health problems (a Five Year Forward View for Mental Health commitment) and promote better mental health.

The cost to the economy arising from mental health problems is estimated to be £105 billion per year.

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Reference

PHE highlights 8 ways for local areas to prevent mental ill-health. [Online]: Public Health England (PHE), August 30th 2017.

This relates to:

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Prevention concordat for better mental health: consensus statement. [Online]: Public Health England (PHE), August 30th 2017.

This Return on Investment tool (covered in greater detail below), developed in partnership with the London School of Economics and Political Science (LSE), comprises a list of eight interventions.

Overview of Prevention Planning for Local Areas

The following document offers an overview of guidance to local organisations on prevention strategies for improving mental health in the community.

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Reference

Prevention Concordat for Better Mental Health: prevention planning resource – summary. London: Public Health England (PHE), August 2017. PHE Publications Gateway No. 2017209.

The full report provides greater detail:

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Reference

Hartwell, M. Makurah, L. [and] Regan, M. [et al] (2017). Prevention Concordat for Better Mental Health: prevention planning for local areas. London: Public Health England (PHE), August 2017. PHE Publications Gateway No. 2017209.

A King’s Fund “Stocktake” of Transferable Best Practice

A high-level summary of existing work by local areas which incorporates mental health promotion and / or prevention of mental ill-health. This is based on content analysis of planning documents from 35 local areas.

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Reference

Buck, D. Christie, E. [and] Carr, D. [et al] (2017). Stocktake of local strategic planning arrangements for the prevention of mental health problems: summary report. London: King’s Fund [and] Public Health England (PHE), August 2017. PHE Publications Gateway No. 2017209.

Better Mental Health: Joint Strategic Needs Assessment (JSNA) Toolkit

The Mental Health and Wellbeing Joint Strategic Needs Assessment Toolkit Knowledge Guide provides access to nation data on mental health prevalence, risk / protective factors and healthcare services. There are a number of components to this toolkit and different approaches to the data:

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Reference

About the Mental Health and Wellbeing JSNA knowledge guide. [Online]: Public Health England (PHE), August 30th 2017.

On the social and contextual determinants of mental health inequalities:

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Understanding place. [Online]: Public Health England (PHE), August 30th 2017.

On the identification of different population sub-groups:

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Understanding people. [Online]: Public Health England (PHE), August 30th 2017.

Perinatal mental health problems may occur in 10 to 20% of women during pregnancy and the first year after having a baby:

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Perinatal mental health. [Online]: Public Health England (PHE), August 30th 2017.

Concerning the mental health of children and young people:

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Children and young people. [Online]: Public Health England (PHE), August 30th 2017.

Concerning the mental health needs of the working age population:

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Working age adults. [Online]: Public Health England (PHE), August 30th 2017.

Perhaps of greatest importance, for readers of this website, are the mental health problems of older people:

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Reference

Living well in older years. [Online]: Public Health England (PHE), August 30th 2017.

Cost-Effective Commissioning of Local Mental Health Services

There is a return on investment resources to support local commissioners:

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Reference

McDaid, D. Park, A-La. [and] Knapp, M. [et al] (2017). Commissioning cost-effective services for promotion of mental health and wellbeing and prevention of mental Ill-health. London: Public Health England (PHE) / Personal Social Services Research Unit London School of Economics and Political Science, August 2017. PHE Publications Gateway No. 2017209.

The mental health ROI toolkit guide / user manual:

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Reference

McDaid, D. [and] Park, A-La. (2017). Mental health promotion: return on investment tool. London: Public Health England (PHE) / Personal Social Services Research Unit London School of Economics and Political Science, August 2017. PHE Publications Gateway No. 2017209.

A theoretical exploration of the barriers and facilitators in commissioning cost-effective services for improving of mental health and wellbeing:

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Reference

McDaid, D. Wilson, E. [and] Knapp, M. [et al] (2017). Barriers and facilitators to commissioning cost-effective services for promotion of mental health and wellbeing and prevention of mental ill-health. London: Public Health England (PHE) / Personal Social Services Research Unit London School of Economics and Political Science, August 2017. PHE Publications Gateway No. 2017209.

Psychosocial Pathways and Mental / Physical Health Outcomes

The following report provides a conceptual framework for understanding the many determinants (socio-economic, environmental, psychological and psychobiological etc.) behind mental – and related physical – health outcomes and inequalities.

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Reference

Bell, R. (2017). Psychosocial pathways and health outcomes: informing action on health inequalities. London: Public Health England (PHE) / University College London Institute of Health Equity, September 2017. PHE Publications Gateway No. 2017209.

The Business Costs of Mental Health Problems at Work

A Centre for Mental Health report indicates that mental health problems in the UK workforce may cost employers around £35 billion per year. This is estimated to arise from (i) reduced productivity among people who are at work and unwell, so-called “presenteeism” (£21.2 billion per year), (ii) sickness absence (£10.6 billion per year), and (iii) staff turnover (£3.1 billion per year).

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Reference

Mental health problems at work cost UK economy £34.9bn last year, says Centre for Mental Health. London: Centre for Mental Health, September 5th 2017.

This relates to:

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Reference

Parsonage, M. [and] Saini, G. (2017). Mental health at work: the business costs ten years on. London: Centre for Mental Health, September 2017.

Further details on PHE documents will follow…

The Prevention Concordat for Better Mental Health consensus statement is co-produced by:

  • Association of Mental Health Providers.
  • Association of Directors of Public Health UK.
  • Children and Young Peoples Mental Health Coalition.
  • Centre for Mental Health.
  • Department of Health.
  • Faculty of Public Health.
  • Local Government Association.
  • Mental Health Foundation.
  • Mental Health Commissioners Network of NHS Clinical Commissioners.
  • National Survivor User Network.
  • NHS England.
  • Public Health England.

Improving Life Expectancy in People With Serious Mental Illness: the Potential of Primary Prevention

The authors of the following article propose placing more emphasis primary prevention strategies for improving cardiovascular disease etc. in persons with serious mental ill-health. The interventions suggested / recommended – in addition to regular physical health monitoring – include smoking cessation, improving diet, increasing levels of physical exercise and reducing inappropriate prescribing of antipsychotics (which are known to be associated with adverse metabolic effects and reduced life expectancy).

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Reference

Ilyas, A. Chesney, E. [and] Patel, R. (2017). Improving life expectancy in people with serious mental illness: should we place more emphasis on primary prevention? British Journal of Psychiatry. September 7th 2017. [Epub ahead of print].

Background Interest

The number of fit notes relating to anxiety and stress increased by (a possibly incredible) 14% between 2015-16 and 2016-17. Around one-third of fit notes (previously called “sick notes”) issued by GPs were for mental health related problems:

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Reference

Silver, K. (2017). One in three ‘sick notes’ for mental health, says NHS. London: BBC Health News, September 1st 2017.

Posted in Commissioning, Community Care, Depression, For Doctors (mostly), For Researchers (mostly), For Social Workers (mostly), Guidelines, In the News, Integrated Care, King's Fund, Local Interest, Management of Condition, Mental Health, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Public Health England, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Primary Care Home: a New Model of Primary Care (NAPC / Nuffield Trust / SCIE / PA Consulting Group)

Summary

The National Association of Primary Care (NAPC) has recently proposed an alternative model pf primary care, which is intended to realign primary care resources around the health and social needs of local communities. It involves “primary, community, mental, social and secondary providers working together”. The Primary Care Home (PCH) model involves:

  1. Integrated care for a defined, registered population of between 30,000 and 50,000 patients.
  2. “Aligned clinical financial drivers through a unified, capitated budget with appropriate shared risks and rewards”.
  3. An integrated workforce, with partnership working spanning primary, secondary and social care.
  4. Personalisation of care, aiming to achieve improvements in population health outcomes.

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Reference

Primary care home: a unique model of care. London: National Association of Primary Care (NAPC), 2016.

Practical Implementation and Evaluation

The following report explores how PCH test sites have gone about implementing and evaluating their respective local Primary Care Home models, and attempts to derive generalisable lessons for the NHS and social care.

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Reference

Kumpunen, S. Rosen, R. [and] Kossarova, L. [et al] (2017). Primary Care Home: evaluating a new model of primary care. London: Nuffield Trust, August 2017.

The SCIE Viewpoint on the PCH Model

A further report examined the PCH model (looking at three rapid test sites) to assess the degree to which this model has potential for local Sustainability and Transformation Plans (STPs) to improve care quality, financial efficiency and population health and wellbeing, i.e. along the general lines of the US (IHI) “Triple Aim”.

Full Text Link (Note: Access to this document requires free registration with SCIE).

Reference

Does the primary care home make a difference? Understanding its impact. London: Social Care Institute for Excellence (SCIE) and PA Consulting Group, March 2017.

Posted in Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, National, NHS, Non-Pharmacological Treatments, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, SCIE, Standards, UK, Universal Interest, Wolverhampton | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

MATCH-D: Medication Appropriateness Tool for Comorbid Health Conditions in Dementia (Internal Medicine Journal / BMJ Open)

Summary

The Medication Appropriateness Tool for Comorbid Health conditions in Dementia (MATCH-D) criteria were developed to provide consensus guidance on the use of medications for people with dementia.

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Reference

Page, AT. Potter, K. Clifford, RM. [et al] (2017). Medication appropriateness tool for co-morbid health conditions in dementia: consensus recommendations from a multidisciplinary expert panel. Internal Medicine Journal. October 2016; 46(10): 1189-1197.

The following study aimed to identify enablers and barriers in implementing these criteria in practice.

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Reference

Page, AT. Clifford, RM. Potter, K. [et al] (2017). Exploring the enablers and barriers to implementing the Medication Appropriateness Tool for Comorbid Health conditions during Dementia (MATCH-D) criteria in Australia: a qualitative study. BMJ Open. August 23rd 2017; 7(8): e017906.

Posted in Acute Hospitals, Antipsychotics, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, Person-Centred Care, Pharmacological Treatments, Quick Insights, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Tackling Physical Inactivity in Middle Age (BBC News / NHS Choices / PHE)

Summary

Public Health England (PHE) has discovered that people’s activity levels tend to reduce from the age of 40 onwards. Generally, people in the UK are 20% less active now than in the 1960s.

“A PHE survey found that 41% walk less than 10 minutes continuously each month at a brisk pace”.

People between the ages of 40 – 60 years are being urged by the “Everybody active, every day” campaign to do more regular brisk walks, as ten minutes such activity per day is estimated to have a major impact; perhaps reducing the risk of premature death by 15%.

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Reference

Triggle, N. (2017). Middle-aged told to walk faster. London: BBC Health News, August 24th 2017.

This relates to:

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6 million adults do not do a monthly brisk 10 minute walk. [Online]: Public Health England, August 24th 2017.

There is also a PHE report summarising findings from a rapid review about the benefits of 10 minutes brisk walking each day, including helping to prevent cancer, heart disease, and poor mental health.

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Reference

10-minute walk a day app to tackle ‘inactivity epidemic’. London: NHS Choices Behind the Headlines, August 24th 2016.

This relates to:

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10 minutes brisk walking each day in mid-life for health benefits and towards achieving physical activity recommendations: evidence summary. London: Public Health England (PHE), August 23rd 2017. PHE Publications Gateway No.2017294.

 “Everybody active, every day’ is part of the cross-government ‘Moving More, Living More’ campaign for a more active nation as part of the 2012 Olympic and Paralympic Games legacy”.

Everybody Active, Every Day: a Framework to Embed Physical Activity Into Daily Life

More detailed information follows about the “Everybody active, every day” framework:

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Reference

Varney, J. Brannan, M. Aaltonen, [and] G. (2014). Everybody active, every day: an evidence-based approach to physical activity. London: Public Health England (PHE), October 2014. PHE Publications Gateway No.2014432.

More on the evidence:

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Reference

Varney, J. Brannan, M. Aaltonen, [and] G. (2014). Everybody active, every day: what works, the evidence. London: Public Health England (PHE), October 2014. PHE Publications Gateway No.2014432.

A summary for MPs / policy-makers:

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Reference

Varney, J. Brannan, M. Aaltonen, [and] G. (2014). Everybody active, every day: the case for taking action now, a resource for MPs. London: Public Health England (PHE), October 2014. PHE Publications Gateway No. 2014432.

A review drawing on the work of the ukactive Research Institute and the National Centre for Sport and Exercise Medicine in Sheffield:

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Reference

Identifying what works for local physical inactivity interventions. London: Public Health England (PHE), October 2014. PHE Publications Gateway No.2014432.

Possibly of interest:

“Public Health England estimates that 42% of 45- to 64-year-olds have a long-term health condition such as diabetes or heart disease”.

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Reference

Silver, K. (2017). ‘A pedometer saved my life’: how I became fit in my 60s. London: BBC Health News, August 27th 2017.

Upselling and Upsizing

The Royal Society for Public Health has warned of the catering and retailing sectors’, and the food industry’s, marketing technique known generally as upselling.

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Reference

Triggle, N. (2017). Public ‘tricked’ into buying unhealthy food. London: BBC Health News, September 7th 2017.

Extension of the NHS Diabetes Prevention Programme

The estimated 1.7 million people in England at highest risk of developing type 2 diabetes will be prioritised for recruitment onto NHS lifestyle change programmes.

“This approach is a cost-effective way of managing an illness that currently costs the NHS around £8.8 billion a year”. Prof. Mark Baker (NICE).

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Reference

Type 2 diabetes plan targets those at high risk. London: BBC Health News, September 15th 2017.

This relates to:

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Reference

Type 2 diabetes: prevention in people at high risk (PH38). London: National Institute for Health and Care Excellence, July 2012 [Updated September 2017].

There is an associated online NICE Pathways version.

Posted in BBC News, Commissioning, Community Care, Department of Health, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, NHS Choices, Non-Pharmacological Treatments, Person-Centred Care, Practical Advice, Public Health England, Quick Insights, Statistics, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

More On the Association Between Periodontitis and the Risk of Developing Alzheimer’s Disease (NHS Choices / Alzheimer’s Research and Therapy)

Summary

Analysis of data from the National Health Insurance Research Database (NHIRD) of Taiwan indicates that patients with chronic gum disease (periodontitis) are at higher risk of developing Alzheimer’s Disease.

“These findings highlight the need to prevent progression of periodontal disease… at a national level”.

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Reference

Gum disease linked to increased risk of Alzheimer’s disease. London: NHS Choices; Behind the Headlines, August 22nd 2017.

This relates to:

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Reference

Chen, CK. Wu, YT. [and] Chang, YC. (2017). Association between chronic periodontitis and the risk of Alzheimer’s disease: a retrospective, population-based, matched-cohort study. Alzheimer’s Research and Therapy. August 8th 2017; 9(1): 56.

Further research, from the same team, indicates there may be a similar association between chronic inflammatory disease, such as periodontitis, and an elevated risk of developing Parkinson’s Disease.

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Reference

Chen, CK. Wu, YT. [and] Chang, YC. (2017). Periodontal inflammatory disease is associated with the risk of Parkinson’s disease: a population-based retrospective matched-cohort study. PeerJ. August 10th 2017; 5: e3647.

Posted in For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, NHS Choices, Parkinson's Disease, Quick Insights, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Lithium: a Potential Approach to Dementia Risk Reduction? (BBC News / JAMA Psychiatry)

Summary

Researchers at the University of Copenhagen have discovered that long term exposure to higher levels of lithium in drinking water appears to be associated with a lower risk of developing dementia. The relationship is non-linear in nature, however, for some unknown reason:

“The highest levels cut risk, but moderate levels were worse than low ones”.

Further research is required to explore the potential benefits (and harms) of lithium microdosing.

Full Text Link

Reference

Gallagher, J. (2017). Lithium in tap water may cut dementia. London: BBC Health News, August 24th 2017.

This relates to:

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Reference

Kessing, LV. Gerds, TA. [and] Knudsen, NN. [et al] (2017). Association of lithium in drinking water with the incidence of dementia. JAMA Psychiatry. August 23rd 2017. [Epub ahead of print].

Who knew, about the drink 7 Up (pre-1948)? An easily digestible introduction to the many remarkable properties / uses of Lithium (Li):

Full Text / Audio Link (Note: Access to this recording requires free registration with the BBC).

Reference

Lithium (Li). (Elements series). London [Online]: BBC World Service, July 6th 2017.

Similar epidemiological research by the same team, (i) concerning Bipolar Disorders:

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Kessing, LV. Gerds, TA. [and] Knudsen, NN. [et al] (2017). Lithium in drinking water and the incidence of bipolar disorder: a nation-wide population-based study. Bipolar Disorders. July 17th 2017. [Epub ahead of print].

(ii) concerning the incidence of suicide:

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Reference

Knudsen, NN. Schullehner, J. [and] Hansen, B. [et al] (2017). Lithium in drinking water and incidence of suicide: a nationwide individual-level cohort study with 22 years of follow-up. International Journal of Environmental Research and Public Health. June 10th 2017; 14(6), E627.

Posted in BBC News, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, Quick Insights, Statistics, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment