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Health Care Tag

Posted by Leslie Eastman on June 23, 2015 20 Comments
The federal government is regulating the American meal, again. This time, the target is trans-fat!
The Obama administration is ordering food companies to phase out the artery-clogging trans fats that can lead to heart disease, the country's leading cause of death. The Food and Drug Administration announced Tuesday that it would require food makers to stop using trans fats — found in processed foods like pie crusts, frostings and microwave popcorn — over the next three years.
It turns out California has banned trans fats since 2008, when our "conservative" Governor Arnold Schwarzenegger signed a bill outlawing them. When I was at the local doughnut shop yesterday, with my husband (who requested the fat-laden extravaganza for his Father's Day Breakfast), I asked the proprietor about living with the trans fat ban. She explained that while she readily complied with the rules, at added expense passed onto the customer, some other shops continued using the banned ingredients. She noted that several were closed temporarily, until legal items arrived. These facilities were then regularly reinspected for compliance. Imagine this on a large scale. It is anticipated that the conversion will cost food manufacturers billions .

Posted by William A. Jacobson on June 12, 2015 31 Comments
Electronic medical records were supposed to save doctors' time and improve results by putting your entire medical history in one place. Two major problems. First, it doesn't work. What takes a physician a couple of minutes to write on your chart now can become a burdensome scroll through computer screens:
Government regulators are backing down from many of their toughest requirements for doctors' and hospitals' use of digital medical records, just as Congress is stepping up its oversight of issues with the costly technology. Under the Affordable Care Act, doctors and hospitals are being pushed to switch from paper to electronic records.... The federal government has spent about $28 billion in incentives to help doctors install and use EHRs, also called EMRs. But these digitized records remain the bane of many doctor and patient relationships in the Louisville area and across the nation, as physicians stare at computer screens during consultations.... Electronic health records "have made our lives harder" without improving safety, said Jean Ross, co-president of National Nurses United. Last year, the nurse union called on the FDA "to enact much tougher oversight and public protections" on electronic health records use.

Posted by Leslie Eastman on June 10, 2015 5 Comments
American officials are scrambling to contact people exposed to an Indian woman who has been diagnosed with an extremely difficult-to-treat strain of tuberculosis.
A female patient with an extremely hard-to-treat form of tuberculosis is being treated at the National Institutes of Health [NIH] outside Washington, D.C., and federal and state officials are now tracking down hundreds of people who may have been in contact with her. The woman traveled to at least three states before she sought treatment from a U.S. doctor. While TB is not easily caught by casual contact, extensively drug resistant (XDR) TB is so dangerous that health officials will have to make a concerted effort to warn anyone who may be at risk. ... The patient, who isn't being identified in any way, may face months or even years of treatment. Ordinary TB is hard to treat and requires, at a minimum, weeks of antibiotics. XDR-TB resists the effects of almost all the known TB drugs. Sometimes patients have to have pockets of infection surgically removed. Only about a third to half of cases can even be cured.
This quest could prove extremely challenging. The NIH's latest patient traveled through one of the country's busiest airport hubs then onto three separate states.

Posted by Leslie Eastman on April 23, 2015 18 Comments
When I reported that the Disneyland measles outbreak had officially ended, I also noted that a bill mandating vaccinations for children attending public or private schools was stalled in committee. Due to California's recent infectious disease challenges, which also includes a substantial increase in whooping cough infections, our legislators have cleared Senate Bill 277 repealing the state's current personal and faith-based exemptions, and allowing only vaccinated children to attend public and private schools.
Legislation aimed at reversing the state's liberal vaccine exemption law took a major step forward Wednesday in the state Senate, only a week after support for the bill seemed to be on shaky ground. The dramatic 7-2 vote by the Senate Education Committee surprised some Capitol observers, as one East Bay Democrat, Loni Hancock, of Berkeley, switched sides and voted yes. If the bill becomes law, California would become the third state after Mississippi and West Virginia to slam the door on any exemptions to vaccinations except those issued for medical reasons.
Children with problems like allergies or immune suppression would remain exempt under this new proposed law.

Posted by Leslie Eastman on April 22, 2015 2 Comments
We reported that an unexpected strain of the flu was hitting Americans hard this season. But our pets are becoming ill at alarmingly high rates with a new strain of a flu that impacts them.
An outbreak of canine influenza is reaching epidemic proportions, CBS Chicago reports. Veterinarians say the illness has sickened hundreds of dogs in the Chicago area, and the infection can be deadly. Veterinarian Natalie Marks of Blum Animal Hospital says in the last week alone, more than 70 dogs have been diagnosed with canine influenza, a much more serious illness than the common "kennel cough." And it's not just a Chicago problem. "It's everywhere," Marks says. "There have been a few fatalities."
More information about the illness is available in this eHow video:

Posted by Leslie Eastman on March 15, 2015 4 Comments
In the wake of the Ebola Czar stepping down and a presidential commission laying part of the blame for the spread of Ebola on this country, news comes that nearly a dozen Americans are heading home after potential exposure to the deadly virus.
At least 10 US citizens possibly exposed to the deadly Ebola virus were being flown to the US from Africa for observation, the US Centers for Disease Control and Prevention (CDC) said on Saturday. The individuals were set to be transported by non-commercial air transport, on their way to be housed near the University of Nebraska Medical Center, the National Institutes of Health in Maryland, or Emory University Hospital in Atlanta, the CDC said. It said none of the individuals had been identified as having Ebola. A US healthcare worker who tested positive for Ebola while in Sierra Leone arrived at the NIH on Friday and was in serious condition, the NIH said. CDC spokesman Thomas Skinner said 10 people who may have been exposed to the unidentified Ebola patient or who had a similar exposure to the virus as the patient were being flown to the US. But he said the investigation was continuing and there could be more Americans evacuated from Africa. A CDC statement said the individuals would follow the center’s recommended monitoring and movement guidelines during a 21-day incubation period.
One intrepid American headed to Honduras after a stay in an Ebola-striken area, and now that country is hosting a 21-day quarantine period:

Posted by Amy Miller on March 06, 2015 34 Comments
Arguments in the case of King v. Burwell helped serve to shine light on just how big of a mess implementing, changing, scuttling, or rebuilding the ACA will be. From Bloomberg:
It wasn’t immediately clear where the court leaned, as Chief Justice John Roberts -- who voted in 2012 to uphold the law as constitutional -- asked few questions during the hearing Wednesday. A ruling is expected by late June. Alito’s suggestion that the court might set an end-of-the-year termination date for subsidies in healthcare.gov states was greeted somewhat favorably by solicitor general Donald Verilli, who represented the Obama administration. “That would reduce the disruption,” he told Alito. Still, he said it was “completely unrealistic” to expect that states that lack their own exchange could build one by the end of the year. Under current regulations, for example, states must win approval from the health department by May for an exchange that would open for business in October. Justice Antonin Scalia, another Republican appointee, said that Congress could act to solve the problem. Republicans in both the Senate and House have said that they would respond to a court ruling against the government with legislation to preserve insurance coverage, but they don’t agree on a solution. “Well, this Congress, your honor?” Verilli said, to laughter. “Theoretically, they could.”
One does not joke before the Supreme Court unless one is absolutely positive that the bench will join in the fun. Everyone laughed.

Posted by Mike LaChance on February 15, 2015 9 Comments
A recent outbreak of Measles at Disneyland is the inspiration for the new edition of Afterburner with Bill Whittle. After addressing the false, media-stoked idea that Republicans are anti-vaccine and therefore anti-science, Bill explores the subject of progressive parenting. He points out that kids who are brought up in the constant safety of the everyone-gets-a-trophy school of child rearing are more vulnerable to disease not only of body but of mind. Watch it all below: Watching this video reminded me of a very funny story.

Posted by Leslie Eastman on February 14, 2015 39 Comments
A big problem with bureaucrats and politicians is that so many possess degrees in law and social science; therefore, whenever the results of a "scientific study" sound like a platform to generate to rules, they go all in without properly analyzing the data. Our current news cycle is filled with the unintended consequences of these edicts, but today I want to focus on one of the popular mandates. America's War on Cholesterol. About 40 years ago, a group of researchers concluded that cholesterol in the diet increased the risk of heart disease.  Within a relatively short period of time, eggs (an important component of American diets) were defamed.  Subsequently, sales dropped substantially -- hurting thousands of poultry farmers. Then, a few years back, another study asserted the existence of "good cholesterol".

Posted by Leslie Eastman on February 13, 2015 4 Comments
Add Wisconsin to the ever expanding list of states impacted by the measles outbreak. The state's public health officials indicate that two patients are now isolated and being tested for the disease. Last week, there were 14 states with 102 infected citizens and public health officials were warning that the outbreak of this formerly eradicated disease was going to spread.  It looks like that prediction is true. I suspect other states will be joining Wisconsin shortly. Meanwhile, the crisis continues apace in California, as news comes of an infected San Francisco man riding the very public BART system to his job at at LinkedIn and then heading out to a local bistro. There is some good news to be found amid the notices of fever and rashes, however. Disneyland, the epicenter for many of these cases, isn't seeing attendance plummet.

Posted by Casey Breznick on February 09, 2015 22 Comments
Due to the alarming outbreak of measles across the country, so-called “anti-vaxxers” are coming under extreme criticism. As well they should be. I won’t delve into the particulars of the measles outbreak--Legal Insurrection’s Leslie Eastman offers more analysis and some solutions. I’m more interested in the narrative surrounding “VaccineGate.” Of course, the mainstream media has been fervently trying to frame the anti-vaccination crowd as a collection of screw-balled libertarian Tea Partiers. It’s a slam-dunk narrative, so they think, because conservatives and libertarians are naturally opposed to big government and, for the most part, are skeptical of government actions, programs, and mandates in general. As the mainstream media tries to make out anti-vaxxers as Ted Kaczynski disciples who so-happen to vote Republican, it is gradually coming to light that the anti-vaccination crowd is actually quite bipartisan, and that the whole movement was started by liberal-progressives in southern California. Comedian, actress, and Playboy model Jenny McCarthy is perhaps the most notable anti-vaxxer. In Ithaca, New York, a bastion of liberalism which some call “ten square miles surrounded by reality,” vaccination rates at elementary schools are well below state averages. Some local schools, both public and private, have measles vaccination rates below 90%, whereas the state average is 95%.

Posted by Leslie Eastman on February 06, 2015 21 Comments
In my last post on the continuing measles outbreak, I encouraged Americans to consider vaccinations. Imagine my surprise upon discovering that, as the co-founder of a San Diego Tea Party group, I am also labeled one of the dreaded #antivaxxers! Well, then I personally would like to welcome an iconic Democrat, Robert T. Kennedy, to the ranks of the Tea Party! While some "Tea Party" people don't choose to vaccinate themselves or their children, a look at the states where non-medical exemptions from vaccinations are an option shows that many of them went for Obama in the last election. The Obama Administration must be worried that the lack of immunization for childhood diseases is going to blossom into a major healthcare PR crisis of Ebola-like proportions, because its friends in the mainstream media are now smearing those who don't vaccinate with that vile term, "Tea Party." How, then, can these mainstream publishers explain the preponderance of progressive non-takers?

Posted by Leslie Eastman on February 03, 2015 46 Comments
Back in 2000, the Americas were cited as an example of how to effectively eradicate measles infections by prestigious medical journals; who would have thought that 15 years later, the vaccination for this disease is poised to become a topic in our upcoming presidential race?
A rare moment of clarification occurred Monday morning, in different settings and an ocean apart: President Barack Obama instructed parents to vaccinate their children just as New Jersey Governor Chris Christie seemed to cast doubt upon their requirement. “The science is indisputable,” Obama said*. Parents should have a “measure of choice,” Christie said. ...Christie’s remarks were followed by a report that Iowa Freedom Summit speaker Carly Fiorina had made a similar statement last week, an indication that the GOP 2016 field, even its establishment flank, was beginning to see an incentive in expressing vaccination doubts.
Christie later "clarified" his initial statement; and Senator Rand Paul has also weighed in, expressing concerns about mental disorders as a side effect. As "antivaxxers" becomes a new derogatory term, politicians are evolving faster than bacteria in order to appeal to millennial voters, because 1-in-5 of that golden demographic believes vaccines cause autism. I am an environmental health and occupational safety specialist, so I regularly address risks associated with biohazardous materials. I am a strong believer in the need for vaccinations, especially for measles, which can be fatal. But like most reasonable Americans, I also want to make my medical choices based on the most complete set of information available.

Posted by New Neo on January 27, 2015 48 Comments
It is ironic that the success of modern vaccination programs against ancient scourges such as measles has been part of the reason parents today are so ignorant about what these diseases can do. A recent outbreak in California has demonstrated the effects of this lack of knowledge:
Researchers have found that past outbreaks of vaccine-preventable diseases are more likely in places where there are clusters of parents who refuse to have their children vaccinated... In California, vaccine exemptions have increased from 1.5 percent in 2007 to 3.1 percent in 2013, according to an analysis by the Los Angeles Times.
That's a surprisingly large number---but hey, this is California:
Researchers have found that those who refuse vaccines tend to share similarities. "In general, they’re upper-middle to upper class, well-educated — often graduate school-educated — and in jobs in which they exercise some level of control," Offit said. "They believe that they can google the word vaccine and know as much, if not more, as anyone who’s giving them advice."
An enormous amount of damage was also done by fraudulent science in the guise of an influential 1998 article in Lancet claiming a link between vaccines and autism, that has since been proven to be a fraud and retracted. But the study's author, Andrew Wakefield, couldn't have done it alone:

Posted by Leslie Eastman on January 27, 2015 57 Comments
I recently reported on the chikungunya virus that is raging in South America. There are concerns that Florida could be the next epicenter of the epidemic.
Thanks to climate change and globalization, the Keys are also increasingly home to killer tropical diseases such as dengue fever and chikungunya spread by Aedes aegypti, a tiger-striped mosquito that originated in Africa. Just last year, a few dozen people in the Sunshine State were infected with these formerly exotic illness as they made their up the Gulf Coast. “The threat is greater than I’ve seen in my lifetime,” Walter Tabachnick, director of the Florida Medical Entomological Laboratory, said last year. “Sooner or later, our mosquitoes will pick it up and transmit it to us. That is the imminent threat.”
One could quibble as to if the cause of the increase, but the threat is increasingly concerning public health officials no matter the reason. In response, one British research and development firm is trying to obtain approval from the US Food and Drug Administration to run an experiment in the Florida Keys...involving the release of millions of genetically modified mosquitoes:
Enter Oxitec, a British biotech firm launched by Oxford University researchers. They patented a method of breeding Aedes aegypti with fragments of proteins from the herpes simplex virus and E. coli bacteria as well as genes from coral and cabbage. This synthetic DNA has been used in thousands of experiments without harming lab animals, but it is fatal to the bugs, killing mosquito larvae before they can fly or bite. Oxitec's lab workers manually remove modified females, aiming to release only males, which feed on nectar and don't bite for blood like females do. The modified males then mate with wild females whose offspring die, reducing the population. ...Company spokeswoman Chris Creese said the test will be similar in size to Oxitec's 2012 experiment in the Cayman Islands, where 3.3 million modified mosquitoes were released over six months, suppressing 96 percent of the targeted bugs. Oxitec says a later test in Brazil also was successful, and both countries now want larger-scale projects.

Posted by Leslie Eastman on January 24, 2015 16 Comments
Since I last reported on the Disneyland Measles Outbreak, the number of infected people in California has expanded to 68 and has prompted a warning from a state official.
It’s really difficult to tell now when the last day of exposure might be,” said Dr. Gil Chavez, deputy director of the state’s Center for Infectious Diseases. “For the time being, if you are not vaccinated or if you have an infant who is too young to be vaccinated, you should avoid going to Disneyland.” In all, 59 measles cases have been confirmed statewide, including 13 in San Diego County. Disneyland is associated with 41 of those patients, including five of the park’s employees. Disneyland did not respond directly to the Wednesday recommendation from public-health officials. It referred journalists to a recent statement made by Dr. Pamela Hymel, the park’s chief medical officer, that said Disney was notified of the outbreak on Jan. 7. The company has offered vaccinations and immunity tests to its workers. “Cast members who may have come in contact with those who were positive are being tested for the virus. While awaiting results, they have been put on paid leave until medically cleared,” Hymel said.
I was mulling the idea of taking advantage of the situation, as my family is up-to-date on its vaccinations. However, concerns are increasing about the number of vaccinated individuals becoming ill with the disease. Some medical experts have also expressed concern about the five patients who contracted measles despite being fully vaccinated.

Posted by Leslie Eastman on January 14, 2015 77 Comments
When the spread of Ebola in this country was of paramount concern, President Obama hired an "Ebola Czar." Now, as more and more school districts are giving Michelle Obama's signature school lunch program a double F minus, she has tapped a new "Food Czar".
First lady Michelle Obama on Thursday announced the new White House senior policy adviser for nutrition policy and director of the “Let’s Move!” campaign, a driving force behind controversial changes to school lunches. Debra Eschmeyer, who founded the FoodCorps service program designed to teach cafeteria workers about nutrition, will fill the role vacated by Sam Kass.
Even better news! Eschmeyer is a self-avowed Food Justice Warrior!
First Lady Michelle Obama named the new Executive Director of Let’s Move on Thursday, Debra Eschmeyer, a self-described “food justice” activist who believes that all aspects of food production and consumption should be “shared fairly.” Eschmeyer, who grew up on a dairy farm in Ohio and is now an organic vegetable farmer, previously campaigned for “school lunch reform” and has been involved in anti-obesity and school gardening initiatives. Eschmeyer was asked in an interview in May 2011 what her definition of “food justice” is. “I was an editor of ‘Food Justice’ (the new book by Robert Gottlieb and Anupama Joshi) so I spent several years thinking about the definition,” she said. “Food justice seeks to ensure that the benefits and risks of where, what, and how food is grown, produced, transported, distributed, accessed, and eaten are shared fairly.” “It represents a transformation of the current food system, including but not limited to eliminating disparities and inequities,” Eschmeyer added.
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