Visual loss from diabetic retinopathy can affect the quality of life (QOL) of diabetic patients. This study assesses the impact of visual impairment on the QOL, and the relationship of other factors, including age, marital status, employment, exercise, and diet compliance.

Acute lower GI bleed (ALGIB) in 189 hospitalized patients were reviewed. The mean age was 67 years with 55% female and 80 % of patients had comorbid illnesses. Aspirin and non-steroidal anti-inflammatory (NSAIDs) use was present in 24% and 16%, respectively. The leading causes of ALGIB were diverticular disease 56%, colorectal cancer and haemorrhoidal disease 11% each and colonic polyps 8.5%. Recurrent bleeding occurred in 3.7%; 19% of patients required emergency surgery and blood transfusion was given in 43%. The average hospitalization stay was seven days. Overall mortality was 2.6%.

Registration of stillbirths (69%) and under-five deaths (79%) improved from 1998–2008. Stillbirth certificates lacked cause of death information and neonatal deaths due to prematurity and birth asphyxia were often misclassified. Stillbirth, infant and under-five mortality rates were 15, 20 and 22/1000, respectively.

University settings represent prime opportunities for disease outbreaks. Effective strategies for successful outbreak management should focus on a multi-sector approach. Coordinated and integrated planning and action should include all levels of the university administration and the wider community.