A brief bout of aerobic exercise (e.g. stationary bicycle) has been shown to result in an acute reduction in tobacco withdrawal symptoms and cravings in abstinent smokers. However, aerobic exercise is often not practical and it is of interest to examine whether non-aerobic exercise has a similar effect. We investigated whether isometric exercise (involving muscular contractions against resistance without movement, e.g. placing the palms of the hands together and pushing) reduces desire to smoke and tobacco withdrawal symptoms. Following overnight abstinence smokers were randomized to 5-min of: isometric exercises (n = 20), body scanning (focusing attention on sensations in different areas of the body, n = 20, control), or sitting passively (n = 20, control). Desire to smoke and tobacco withdrawal symptoms ('irritable', 'depressed', 'stressed', 'tense', 'restless' and 'poor concentration') were rated at baseline, immediately post-intervention, and 5-, 10-, 15- and 20-min post-intervention. Isometric exercise produced a significantly greater reduction in desire to smoke versus passive control at immediate post-intervention and 5-min post-intervention, relative to baseline (p < 0.05). Most withdrawal symptoms were significantly moderated by exercise versus controls at some point between 5- to 20-min post-intervention, relative to baseline (p < 0.05). Brief isometric exercise has potential for offering immediate relief from a desire to smoke.

A brief bout of moderate intensity exercise may provide some short-term relief from alcohol urges during exercise. Further studies are required to replicate the present findings and to confirm whether any moderating effect of exercise on alcohol urges is sustained following exercise.

ObjectiveEvaluating the effectiveness of a surveillance system, and how it improves over time has significant implications for disease control and prevention. In the Democratic Republic of Congo (DRC), the Integrated Disease Surveillance and Response (IDSR) was implemented to estimate the burden of disease, monitor changes in disease occurrence, and inform resource allocation. For this effort we utilized national passive surveillance data from DRC’s IDSR to explore reporting trends of human monkeypox (MPX) from 2001 to 2013.MethodsWe obtained surveillance data on MPX cases occurring between January 2001 and December 2013 from the DRC Ministry of Health (MoH). Phases of the surveillance system, yearly trends in reporting and estimated incidence for MPX were analyzed using SAS v9.2 and Health Mapper.ResultsBetween 2001 and 2013, three discrete surveillance phases were identified that described the evolution of the surveillance system. Overall, an increase in suspected MPX cases was reported, beyond what would be expected from simply an improved reporting system. When restricting the analysis to the “stable phase,” national estimated incidence increased from 2.13 per 100,000 in 2008 to 2.84 per 100,000 in 2013.ConclusionsThe reported increase in MPX, based on an evolving surveillance system, is likely to be a true increase in disease occurrence rather than simply improvements to the surveillance system. Further analyses should provide critical information for improved prevention and control strategies and highlight areas of improvement for future data collection efforts.