Government, Politics, Turkey

Turkey’s anti-government demonstrations…

Turkey Riots

Riots have broken out in the streets of Turkey, as the people of Istanbul are fighting to keep Gezi Park from being uprooted and turned into a shopping centre.

TAKSIM SQUARE in Turkey is Istanbul’s equivalent to Cairo’s Tahir Square, now the epicentre of demonstrations triggered by construction plans for a new shopping mall in one of the city’s few remaining green spaces.

What started as a small sit-in has morphed into a major series of protests. Turkey’s Prime Minister, Recep Tayyip Erdogan, said this was due to ‘excessive force’ by the police. But these protests reflect, in part, the deep ideological polarisation between secular, liberal-minded Turks, and the more pious Turks, representing a quarter and two-thirds of the population respectively (based on the 2011 general election results).

Secular Turks complain that the Islamist-rooted government is intolerant of criticism and the diversity of lifestyles. Mr Erdogan’s robust and muscular stance with demonstrators has reinforced those perceptions.

A typical example cited by detractors is the government’s recent legislative enactment of tight restrictions on the sale and promotion of alcohol, even though the Turkish government’s Household Budget Surveys estimates that only 6 per cent of Turkish households are alcohol drinkers. According to the Turkish economist Emre Deliveli, less than 1.5 per cent of car accidents in 2012 were alcohol related.

At the same time, critics are unhappy at the rapid pace of urbanisation in Turkey’s metropolitan cities. Erdogan is planning to build a third airport, a third Bosphorus bridge and a canal linking the Black Sea with the Sea of Marmara – all of which are likely to destroy millions of trees and a delicate ecosystem in northern Istanbul. A staggering $4.7 billion was spent on ambitious projects last year in Istanbul alone.

Given the litany of grievances and the confrontational nature of Turkish politics, the raging protests may have come as no surprise. They coincide with a rapidly slowing economy that is likely to witness moderate growth rates (at best) for the foreseeable future. Turkey desperately needs a programme of structural reforms if its economy is to fruitfully grow. The Turkish government, however, is not expected to undertake major reform initiatives anytime soon, especially since the campaigning for the local and presidential elections in 2014 and the parliamentary elections in 2015 are already underway.

Despite the rising emotions sweeping Turkey, this is not equivalent to the Arab Spring that led to the toppling of former Egyptian President Hosni Mubarak. Unlike Egypt and other Arab countries, Turkey is a functioning, albeit, incomplete democracy, and has been since 1950.

Mr Erdogan received a resounding mandate of almost half the vote in the last general elections in 2011. He still remains by far the most popular politician in Turkey, while the opposition is widely perceived as being weak and ineffective.

The global media coverage of the riots and the disproportionate security response has dented the international image of Erdogan and the governing Justice and Development Party as a progressive force in Turkey’s political scene. Nevertheless, the ultimate determinant of Erdogan’s staying power will be the state of the Turkish economy rather than anti-government demonstrations.

Standard
Health, Medical, Research

Statins can weaken muscles and joints…

New research warns that taking statins will make you more likely to be diagnosed with muscle pain, joint disease and injuries.

Researchers found a 20 per cent increased risk of muscle problems in those patients on the cholesterol-lowering drugs compared with those not taking them.

The risk is deemed to be relatively small but it is important because millions of older patients with heart conditions take statins and their use may eventually widen to include healthy younger people.

Statins are the most widely prescribed drugs in Britain. The number of patients taking them is estimated to be as high as 8 million. There have been persistent complaints about side effects such as muscle pain and weakness.

The most serious adverse reaction of taking statins is myopathy, and affects around one in every 1,000 users. The reactions include muscle pain, tenderness and weakness. This condition can progress to rhabdomyolysis, a complete breakdown of muscle cells that can lead to kidney failure and death.

In some patients muscle weakness may persist even after stopping the drugs. And a British Heart Foundation survey found that one in three patients prescribed statin drugs doesn’t take them, partly because of the side effects.

The latest study carried out in the United States investigated the scale of illnesses linked to statins, including muscle weakness, muscle cramps and tendon diseases.

Researchers based at the Veterans Association in North Texas, Dallas, used data from the US military health care system.

Patients were divided into two equal groups: 6,967 who used statins for at least 90 days in 2005, and 6,967 non-users.

A report published by JAMA internal medicine says that statin patients were almost 20 per cent more likely than non-users to have a diagnosis of a musculo-skeletal disease, a 13 per cent higher risk of dislocation, strain or sprain, and slightly higher risk of muscle pain.

But statin users were no more at risk of joint-diseases such as osteoarthritis than non-users. The report states: ‘To our knowledge, this is the first study to show statin use is associated with an increased likelihood of diagnoses of musculoskeletal conditions, joint diseases and injuries.’ (sic)

Calls have been growing for healthy over-50s to take statins, not just those at extra risk of a heart attack. The researchers also said that any significant effect on general health, however small, needs to be carefully considered. These findings are concerning because starting statin therapy at a young age for primary prevention of cardiovascular diseases has been widely advocated.

Warnings from statin drug manufacturers’ include muscle pain and weakness, memory loss, fatigue, sleep disturbances, sexual dysfunction and depression. There is also a higher risk of developing diabetes.

Scientists in the UK say the study shows a very small impact of statins, increasing the risk of musculoskeletal disorders overall from 85 per cent in those not on statins to 87 per cent on a statin.

The Royal Pharmaceutical Society fears that more patients might stop taking the drugs. Citing that the UK has some five million people taking statins to prevent heart attacks and strokes, the Society says that if 1 per cent of these patients stop taking their statins due to concerns about muscle pains we will see at least 2,000 more heart attacks and strokes over the next ten years as a result, but avoid only 1,000 musculoskeletal problems. The Society also points out that musculoskeletal disorders occur commonly and are rarely due to taking statins.

It is argued, too, that statins save lives when used in the right type of patient – generally those at higher risk of stroke or heart attack because of other medical problems. With statins the benefits are hidden because many people who otherwise would have had a heart attack today were prevented from having a cardiac arrest because of the taking of these drugs. Doctors point out that the side effects of statins are often all too obvious, and this biases many people against a life-saving tablet.

Standard

SPLASH: ‘RAINDROP’

Splash: 'Raindrop'...

Splash: ‘Raindrop’… © Mark Dowe Photography 2013: all rights reserved

Arts, Photography
Image