The objectives for Healthy People 2020 are now available for review and comment. HHS encourages participation in review and comment at the 2020 Objectives Site. The site is easy to navigate, commenting is simple. I find many of the objectives grammatically convoluted and confusing. I hope the readers of this blog will visit and comment.
A new study has found that “survivors of severe cases of food-borne illnesses can suffer lifelong health problems.” Tanya Roberts, a board chairwoman of the Center for Foodborne Illness Research and Prevention tracked five major pathogens which “can cause paralysis, kidney failure, heart infections, neurological problems, and, in children, mental retardation, according to a white paper co-authored by Roberts that the center released Thursday.” The group “is a member of the Make Our Food Safe coalition, which is pressing Congress to pass legislation by the end of this year that would strengthen the Food and Drug Administration’s power to police domestic and imported food.”
The Wall Street Journal (11/10, Dalton) reports that some countries’ governments have stopped focusing on individual discipline to combat obesity, and instead are working to make entire communities more healthy by reducing the opportunities to live unhealthily. Laura Kettel Khan, an obesity expert at the CDC, says that “people are finally acknowledging that the obesity problem is so pervasive that it isn’t just because people are making bad choices.” The Journal describes obesity programs across Europe and in the US, noting that these initiatives are taking off because obesity has become too expensive a problem to handle on an individual basis.
Drawing on years of experience in cancer research and patient care, The University of Texas M. D. Anderson Cancer Center released today the most comprehensive, risk-based screening guidelines publicly available to date for breast, cervical and colorectal cancers (also see the MDAC Screening Guides). The new recommendations represent the first wave of an effort by M. D. Anderson to improve the effectiveness of efforts to prevent and detect cancer at its earliest, most treatable stage by reconstructing and expanding its screening, risk reduction and diagnostic guidelines across eight disease sites. According to the American Cancer Society
A study released today in Pediatrics by The Children’s Hospital of Philadelphia offers updated evidence that children ages 4 to 8 who are restrained in the rear seat of a car in a belt-positioning booster seat are 45 percent less likely to be injured in a crash compared with children using a seat belt alone. Furthermore, the study showed there was no difference in the level of protection offered by backless versus high back booster seats. Of those riding in booster seats, children involved in side-impact crashes saw the greatest reduction in injury risk. Comment: Both stories suggest that far more education on proper use of children’s car seats is needed, both for infants and children.
More than 8,700 infants end up in the emergency room each year because their car seats are used improperly outside the car, according to study presented Monday at the American Academy of Pediatrics’ annual meeting in Washington. Babies are spending more time in car seats, which have saved nearly 9,000 lives in the past three decades, both in and out of the car, says author Shital Parikh, a pediatric orthopedist at Cincinnati Children’s Hospital Medical Center.
A new report from the Guttmacher Institute identifies how improved access to family planning services has reduced the use of abortion services worldwide although problems if access to either opportunities varies widely among different countries, particularly in the developing countries..
In a report issued by the Institute of Medicine “It’s clear that smoking bans work,” said Lynn Goldman, professor of environmental health sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, and chair of the committee of experts that wrote the report. “Bans reduce the risks of heart attack in nonsmokers as well as smokers. Further research could explain in greater detail how great the effect is for each of these groups and how secondhand smoke produces its toxic effects. However, there is no question that smoking bans have a positive health effect.” The full report is available on line and clearly supports the new legislative ban in smoking in restaurants in Virginia. .
Researchers at Fred Hutchinson Cancer Research Center have demonstrated that it is possible to successfully recruit and retain a large number of adolescent smokers from the general population into a smoking intervention study and, through personalized, proactive telephone counseling, significantly impact rates of six-month continuous quitting. The trial, funded by the National Institutes of Health, involved 2,151 teenage smokers from 50 high schools in Washington. Half of the schools were randomly assigned to the experimental intervention; teens in these schools were invited to take part in confidential, personalized telephone counseling designed to help motivate them to quit. COMMENT. Despite the praise for the study, the difference in quit rates for test and control groups was only 4%. This was despite a highly intensive effort. No Cost[benefit analysis was done but it is highly unlikely for the process to work in the general population because of cost.
The Los Angeles Times (10/14, Stein) “Booster Shots” blog reported that as bicycles ride a wave of popularity, “cyclists may be suffering more injuries,” according to University of Colorado researchers. After looking at “accident rates and severity from 1996 to 2006,” they noted that “among 329 bicycle accident cases admitted to the Rocky Mountain Regional Trauma Center at Denver Health Medical Center, the length of stay increased substantially over those years.” What’s more, “an increase was seen in chest injuries (up 15 percent), and abdominal injuries tripled over the last five years of the study. About one-third of 118 patients had head injuries.” Comment: Cycling is certainly more dangerous in the US than Europe where most roads have dedicated bicycle lanes, There are very few such lanes on US roads, particularly in housing areas. This absence in planning oversight contributes to obesity by limiting opportunities for exercise, the same neighborhoods usually lack sidewalks for walking safely, as well.
