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Greenland facing diabetes epidemic

Christian Wenande
June 3rd, 2016


This article is more than 8 years old.

Situation compounded by geographical challenges

Half a century ago, Type-2 diabetes barely existed in Greenland. But lifestyle changes among the island’s indigenous people over the past decades means that an epidemic is threatening to spiral out of control.

Around the turn of the century, researchers found that 10 percent of adults over the age of 35 had Type-2 diabetes, and a further 20 percent had pre-diabetes, a precursor to the disease.

“The problem is that the Greenlandic population often eat unhealthy imported food,” Peter Bjerregaard, a professor at the State Institute of Public Health, told Videnskab.dk.

“We see a clear tendency that they eat a lot of cake and sweets and drink a lot of soft drinks. Vegetables and fruit are expensive, and you can’t get them everywhere. The further you get from the urban areas, the harder it is to acquire. But it’s far easier to get a cake and a soft drink. Unhealthy goods are far more accessible and affordable.”

The trend is down to the Inuit population’s transformation from a hunter society to a welfare society. In 1962, under 1 percent of the population tested positive for diabetes.

READ MORE: Copenhagen Municipality to fight diabetes in capital region

Geographical challenge
A couple of years ago, Danish researchers showed that Inuits have an 80 percent change of developing Type-2 diabetes during their lifetime.

This is down to a genetic reality that the sugar they get via their diets is not stored in their muscles, but in their bloodstream instead.

The problem in Greenland is further compounded by the face that people living in remote areas don’t have access to doctors and nurses.

“Our health sector is flexible and small, but a diabetes epidemic is a super tanker,” said Michael Lynge Pedersen, a researcher from the University of Greenland, who has been working to help the island handle diabetes since 2008.

“Greenland is a massive country with a small, sparse population. Some places don’t have a doctor, and others have no nurse. And in smaller towns health workers have a relatively short education. Geography is a fundamental challenge.”


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A survey carried out by Megafon for TV2 has found that 71 percent of parents have handed over children to daycare in spite of them being sick.

Moreover, 21 percent of those surveyed admitted to medicating their kids with paracetamol, such as Panodil, before sending them to school.

The FOLA parents’ organisation is shocked by the findings.

“I think it is absolutely crazy. It simply cannot be that a child goes to school sick and plays with lots of other children. Then we are faced with the fact that they will infect the whole institution,” said FOLA chair Signe Nielsen.

Pill pushers
At the Børnehuset daycare institution in Silkeborg a meeting was called where parents were implored not to bring their sick children to school.

At Børnehuset there are fears that parents prefer to pack their kids off with a pill without informing teachers.

“We occasionally have children who that they have had a pill for breakfast,” said headteacher Susanne Bødker. “You might think that it is a Panodil more than a vitamin pill, if it is a child who has just been sick, for example.”

Parents sick and tired
Parents, when confronted, often cite pressure at work as a reason for not being able to stay at home with their children.

Many declare that they simply cannot take another day off, as they are afraid of being fired.

Allan Randrup Thomsen, a professor of virology at KU, has heavily criticised the parents’ actions, describing the current situation as a “vicious circle”.

“It promotes the spread of viruses, and it adds momentum to a cycle where parents are pressured by high levels of sick-leave. If they then choose to send the children to daycare while they are still recovering, they keep the epidemic going in daycares, and this in turn puts a greater burden on the parents.”