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Mchakato ni mrefu sana sio Barmaid tu.Kila nikitaka kuacha pombe najiuliza huyu Barmed ana familia inamegemea ghafla najawa na huruma na ghaili
Nilikuwa sina mpango wa kutogusa kabisa leo.. Ila baada ya kusoma reply yako nimejikuta nina jukumu la kafanya jambo.. Ngoja nisogee maeneo😂Mchakato ni mrefu sana sio Barmaid tu.
Anzia kiwandani inakozalishwa kuna wafanyakazi (Mameneja, maofisa wengine, vibarua nk) na hapo kuna mahotel wanakokula vyakula hao wafanyakazi na kuna wale vibarua wanaokula kwa Mama Ntilie na Mama Ntilie anakohemea mazaga yake ili aje kuwalisha hao wafanyakazi.
Sio hapo tu na zinakopatikana malighafi nako? Kuna vifungashio, chemical nk
Sio tu huko kwenye upatilanaji wa malighafi kumbuka kila kitu kinatoka ardhini na huko kuna wafanyakazi, pembejeo, na zinakotoka pembejeo kumbuka nako circle inarudi hapo juu kuna wafanyakazi pia.
Achana na huko zinakotoka kumbuka kuna distribution magari yatahitaji mafuta na service na gari zinakofanyiwa service kuna mafundi na mafundi spea wanazipata madukani.
Tafadhari tunywe kistaraabu sio kuacha kabisa.
Cc
Mshana Jr
January 1 2025 nimetimiza mwaka mmoja bila pombe, sasa niko wa pili.Katika umri huo unaacha gambe ili iweje sasa?
Unataka kuhujumu uchumi?
Unataka kupunguza mapato ya taifa?
Unataka kupunguza ajira? Hivi unajua pombe moja unayokunywa inazalisha ajira zaidi ya 29 na kuendelea?
Umeshauriwa vibaya?
Huna haja ya kuacha bali unaweza tu kupumzika ama kupunguza kutokana na sababu mbalimbali
Majukumu kuongezeka
Afya kwa ushauri wa tabibu
Kipato kwa ushauri wa familia
Kiroho kwa ushauri wao kidini
Uamuzi binafsi na mengineyo kama uzinzi, ugomvi na madeni)
Kuacha kabisa ama moja kwa moja kuna hasara zake pia.. Labda tu kama Unataka kuwa mlozi
Vema ni
Kupunguza na kunywa kwa mpangilio ama kuzipa finyango likizo ya muda ziweze kujipanga kwa fatique nyingine😭🤣
Kunywa kwa timing
Kunywa kwa kiasi
Kunywa kwa furaha
Kunywa kwa uamuzi binafsi bila kushawishiwa na yeyote awaye yote!
Gambe lenye afya lina sheria zake! Zizingatie uishi maisha mengi
Unapokunywa zingatia haya
1. Wewe ni nani
2. Uko wapi
3. Unafanya nini
Hizi kanuni ni muhimu sana kuepuka aibu na hasara za kujitakia kama
Kutongoza hovyo
Kuanza kutoa ofa hovyo
Kuanza kakata viuno hadharani
Kugawa ajira Na kutangaza nafasi za Kazi
Kuchamba watu
Kutangaza kumwajibisha boss🤣
Kuanza kuongea ya sirini🤣 nknk
NB: usitangaze kuacha gambe kwa mapito ya muda.. Maana kuna siku tutakukuta mahali lock imetoka Kisawasawa mpaka unajikataa🤣
View attachment 3192804
😂 😂Nilikuwa sina mpango wa kugusa kabisa leo.. Ila baada ya kusoma reply yako nimejikuta nina jukumu la kafanya jambo.. Ngoja nisogee maeneo😂
Mkuu kesho nikucheki?Nilikuwa sina mpango wa kugusa kabisa leo.. Ila baada ya kusoma reply yako nimejikuta nina jukumu la kafanya jambo.. Ngoja nisogee maeneo😂
Naam,Nakumbuka last year ulisema unaacha kama umewaza kwa mwaka mzima big up sana!
Kwakweli kuacha pombe ni kuhujumu uchumi.Tunategemewa na wengi sana ujueMchakato ni mrefu sana sio Barmaid tu.
Anzia kiwandani inakozalishwa kuna wafanyakazi (Mameneja, maofisa wengine, vibarua nk) na hapo kuna mahotel wanakokula vyakula hao wafanyakazi na kuna wale vibarua wanaokula kwa Mama Ntilie na Mama Ntilie anakohemea mazaga yake ili aje kuwalisha hao wafanyakazi.
Sio hapo tu na zinakopatikana malighafi nako? Kuna vifungashio, chemical nk
Sio tu huko kwenye upatilanaji wa malighafi kumbuka kila kitu kinatoka ardhini na huko kuna wafanyakazi, pembejeo, na zinakotoka pembejeo kumbuka nako circle inarudi hapo juu kuna wafanyakazi pia.
Achana na huko zinakotoka kumbuka kuna distribution magari yatahitaji mafuta na service na gari zinakofanyiwa service kuna mafundi na mafundi spea wanazipata madukani.
Tafadhari tunywe kistaraabu sio kuacha kabisa.
Cc
Mshana Jr
Amini hiyo MkuuKwakweli kuacha pombe ni kuhujumu uchumi.Tunategemewa na wengi sana ujue
Angalia mpira Sasa naona Tyr bom mochwari lisha samabaratisha maiti mleAmini hiyo Mkuu
Namlilia Bibi yangu Mkuu!Angalia mpira Sasa naona Tyr bom mochwari lisha samabaratisha maiti mle
The advisory called for updating labels on all alcoholic beverages with a warning that drinking heightens the risk for at least seven cancers, including common ones like breast and colon cancers.🥺🥺🤔🙇🏿♂Loading…
www.nytimes.com
The New York Times.
Surgeon General Calls for Cancer Warnings on Alcohol
Dr. Vivek Murthy’s report cites studies linking alcoholic beverages to at least seven malignancies, including breast cancer. But to add warning labels, Congress would have to act.
The advisory called for updating labels on all alcoholic beverages with a warning that drinking heightens the risk for at least seven cancers, including common ones like breast and colon cancers.Credit...Ruth Fremson/The New York Times
By Roni Caryn Rabin
Jan. 3, 2025
Leer en español
Alcohol is a leading preventable cause of cancer, and alcoholic beverages should carry a warning label as packs of cigarettes do, the U.S. surgeon general said on Friday.
It is the latest salvo in a fierce debate about the risks and benefits of moderate drinking as the influential U.S. Dietary Guidelines for Americans are about to be updated. For decades, moderate drinking was said to help prevent heart attacks and strokes.
That perception has been embedded in the dietary advice given to Americans. But growing research has linked drinking, sometimes even within the recommended limits, to various types of cancer.
Labels currently affixed to bottles and cans of alcoholic beverages warn about drinking while pregnant or before driving and operating other machinery, and about general “health risks.”
But alcohol directly contributes to 100,000 cancer cases and 20,000 related deaths each year, the surgeon general, Dr. Vivek Murthy, said.
He called for updating the labels to include a heightened risk of breast cancer, colon cancer and at least five other malignancies now linked by scientific studies to alcohol consumption.
“Many people out there assume that as long as they’re drinking at the limits or below the limits of current guidelines of one a day for women and two for men, that there is no risk to their health or well-being,” Dr. Murthy said in an interview.
“The data does not bear that out for cancer risk.”
Only Congress can mandate new warning labels of the sort Dr. Murthy recommended, and it’s not clear that the incoming administration would support the change.
Still, President-elect Donald J. Trump does not drink, and his choice to head the Health and Human Services Department, Robert F. Kennedy Jr., swore off alcohol and drugs decades ago, and says he regularly attends AA meetings.
There is no question that heavy consumption is harmful. But supporters of moderate drinking — including makers of wine, beer and spirits, and some physicians and scientists — argue that a little alcohol each day may reduce cardiovascular disease, the No. 1 killer in the United States.
Newer scientific studies have criticized the methodology of earlier studies, however, and have challenged that view, which was once a consensus.
While most cancer deaths occur at drinking levels that exceed the current recommended dietary guidelines, the risk for cancers of the breast, the mouth and the throat may rise with consumption of as little as one drink a day, or even less, Dr. Murthy said on Friday.
Overall, one of every six breast cancer cases is attributable to alcohol consumption, Dr. Murthy said. More recent studies have also linked moderate alcohol consumption to certain forms of heart disease, including atrial fibrillation, a heart arrhythmia.
Two scientific reviews will be used to inform the updated recommendations about alcohol consumption in the federal dietary guidelines.
Five years ago, the scientific report that informed the writing of the 2020-2025 dietary guidelines acknowledged that alcohol is a carcinogen and generally unhealthy and suggested “tightening guidelines” by capping the recommendation for men at one standard drink, or 14 grams of alcohol a day.
When the final guidelines were drafted, however, there was no change in the advice that moderate drinking of up to two drinks a day for men was acceptable.
But the government acknowledged emerging evidence indicating that “even drinking within the recommended limits may increase the overall risk of death from various causes, such as from several types of cancer and some forms of cardiovascular disease.”
Since then, even more studies have linked alcoholic beverages to cancer. Yet any attempt to change the warning labels on alcoholic beverages is likely to face an uphill battle.
The current warning label has not been changed since it was adopted in 1988, even though the link between alcohol and breast cancer has been known for decades.
It was first mentioned in the 2000 U.S. Dietary Guidelines. In 2016, the surgeon general’s report on alcohol, drugs and health linked alcohol misuse to seven different types of cancer.
Animal experiments have shown that rodents whose drinking water was spiked with either ethanol, the alcohol used in alcoholic beverages, or with acetaldehyde developed large numbers of tumors all over their bodies.
Research has shown that alcohol generates oxidative stress, which increases inflammation and can damage DNA.
It also alters levels of hormones like estrogen, which can play a role in breast cancer development, and makes it easier for carcinogens like tobacco smoke particles to be absorbed into the body, increasing susceptibility to cancers of the mouth and the throat.
The surgeon general’s report also goes into detail about the increase in risk associated with drinking, differentiating between the increases in absolute risk and in relative risk.
For example, the absolute risk of breast cancer over a woman’s life span is about 11.3 percent (11 out of 100) for those who have less than a drink a week.
The risk increases to 13.1 percent (13 of 100 individuals) at one drink a day, and up to 15.3 percent (15 of 100) at two drinks per day.
For men, the absolute risk of developing an alcohol-related cancer increases from about 10 percent (10 of every 100 individuals) for those who consume less than one drink a week to 11.4 percent (11 per 100) for those who have a drink every day on average. It rises to 13 percent (13 of 100 individuals) for those who have two drinks a day on average.
Many Americans don’t know there is a link between alcohol and cancer.
Fewer than half of Americans identified alcohol use as a risk factor for cancer, compared with 89 percent who recognized tobacco as a carcinogen, according to a 2019 survey of U.S. adults aged 18 and older carried out by the American Institute for Cancer Research.
Yet alcohol consumption is the third leading preventable cause of cancer, after tobacco and obesity, according to the surgeon general’s report.
Dr. Murthy said it was important to know that the risk rises as alcohol consumption increases. But each individual’s risk of cancer is different, depending on family history, genetic makeup and environmental exposures.
“I wish we had a magic cutoff we could tell people is safe,” he said. “What we do know is that less is better when it comes to reducing your cancer risk.”
“If an individual drinks occasionally for special events, or if you’re drinking a drink or two a week, your risk is likely to be significantly less than if you’re drinking every day,” he added.
Roni Caryn Rabin is a Times health reporter focused on maternal and child health, racial and economic disparities in health care, and the influence of money on medicine. More about Roni Caryn Rabin