Babies will soon be immunised against a type of meningitis that kills about 10 under-fives each year and leaves dozens more permanently disabled.
Health Minister Pete Hodgson has confirmed the National Immunisation Schedule for 2008. It includes the pneumococcal vaccine Prevenar for all babies born from January 1.
The acting manager of the National Immunisation Programme, Dr Alison Roberts, said all babies would now have free access to immunisations protecting against 11 serious diseases.
"A baby's immune system responds very well to multiple vaccines at one visit," she said.
"The ministry's advice is that it is safe and effective."
Saturday, February 23, 2008
Doc's White Coats Spread Contagious Diseases, Says Britain
LONDON — British hospitals are banning white coats, neckties, and jewelry in an effort to stop the spread of deadly hospital-born infections, according to new rules published Monday.
Hospital dress codes typically urge doctors to look professional, which, for male practitioners, has usually meant wearing a tie. But as concern over hospital-born infections has intensified, doctors are taking a closer look at their clothing.
"Ties are rarely laundered but worn daily," the Department of Health said in a statement. "They perform no beneficial function in patient care and have been shown to be colonized by pathogens."
The new regulations would mean an end to doctors' traditional white coats, Health Secretary Alan Johnson said. Fake nails, jewelry and watches, which the department warned could harbor germs, are also out.
Johnson said the "bare below the elbows" dress code would help prevent the spread of Methicillin-resistant Staphylococcus aureus, or MRSA, the deadly bacteria resistant to nearly every available antibiotic.
Popularly known as a "superbug," MRSA accounts for more than 40 percent of in-hospital blood infections in Britain. Because the bacteria is so hard to kill, health care workers have instead focused on containing its spread through improvements to hospital hygiene.
A 2004 study of doctors' neckties at a New York hospital found that nearly half of them carried at least one species of infectious microbe. In 2006, the British Medical Association urged doctors to go without the accessories, calling them "functionless clothing items."
The dress code comes into force next year.
Hospital dress codes typically urge doctors to look professional, which, for male practitioners, has usually meant wearing a tie. But as concern over hospital-born infections has intensified, doctors are taking a closer look at their clothing.
"Ties are rarely laundered but worn daily," the Department of Health said in a statement. "They perform no beneficial function in patient care and have been shown to be colonized by pathogens."
The new regulations would mean an end to doctors' traditional white coats, Health Secretary Alan Johnson said. Fake nails, jewelry and watches, which the department warned could harbor germs, are also out.
Johnson said the "bare below the elbows" dress code would help prevent the spread of Methicillin-resistant Staphylococcus aureus, or MRSA, the deadly bacteria resistant to nearly every available antibiotic.
Popularly known as a "superbug," MRSA accounts for more than 40 percent of in-hospital blood infections in Britain. Because the bacteria is so hard to kill, health care workers have instead focused on containing its spread through improvements to hospital hygiene.
A 2004 study of doctors' neckties at a New York hospital found that nearly half of them carried at least one species of infectious microbe. In 2006, the British Medical Association urged doctors to go without the accessories, calling them "functionless clothing items."
The dress code comes into force next year.
Measures forthcoming to curb Chronic Non-Communicable Diseases
PORT OF SPAIN, Trini-dad and Tobago – The government will consider legislating a ban on smoking in public places, improve physical education facilities at public schools and provide tax incentives for the creation of on-the-job exercise facilities, all as part of its ongoing commitment to stemming the incidences of chronic non-communicable diseases (CNCDs) in The Bahamas, Prime Minister Hubert Ingraham said Saturday.
Prime Minister Ingraham's remarks came during an interview with Trinidad and Tobago's C-News Station at CARICOM's Summit on Chronic Non-Communicable Diseases – diseases the Caribbean Community has dubbed one of the greatest threats to development in the region.
Back in 2001, CARICOM Heads adopted the Nassau Declaration that The Health of the Region is the Wealth of the Region, which was designed to accelerate the response to various health conditions facing the region. The 2007 summit in Trinidad was the result of progress from the Declaration adopted in The Bahamas.
"Specifically, we have a problem with respect to hypertension," Ingraham indicated. "We have high levels of diabetes.
"Apart from the fact that we are going to put in place a national program for the provision of medicines for all persons irrespective of ability to pay for their prescriptions, we are also going to have a major effort in terms of prevention."
Diseases such as hypertension, heart disease, diabetes and cancer, coupled with obesity and a lack of physical activity, are the leading cause of death and disability in The Bahamas, with the summit revealing that Bahamians are 10-times more likely to die of hypertension than their Canadian counterparts.
Highlighting the government's recent announcement of a new dietary program for all public schools, the prime minister also foreshadowed improvements to public school exercise facilities, adding that the government is going to seek to have health promotion as a major part of initiatives within the public health sector.
"We are going to seek to duplicate what we have in a few government offices, that is rooms with exercise equipment in many more government facilities and we are going to seek to encourage employers to do so by providing incentives and tax exemptions for them to acquire equipment to be able to facilitate people engaging in exercise," Prime Minister Ingraham said.
Emphasising that most CNCDs can be prevented through lifestyle changes in diet and exercise, the Trinidad summit also placed emphasis on the role of tobacco consumption in the incidences of cancer and heart disease in the region, and the need to enact tobacco control measures such as increased import taxation and the prohibition of smoking in public places.
A 2005 Ministry of Health study on CNCDs revealed that just over seven percent of the Bahamian population smokes cigarettes.
The Prime Minister pointed out that The Bahamas currently has a 200 percent tax on cigarettes and that during its previous terms in office, his government made the now Lynden Pindling International Airport a smoke-free environment.
He indicated that decisions will now have to be made regarding the way forward for tobacco control measures in The Bahamas.
"We are now going to consider banning (smoking) in public places period," the prime minister noted. "We have casinos (and) we have conflicting views as to whether or not a casino should be exempted from a policy.
"We are going to make some decisions about that but I think at the end of day we will either have a total ban on smoking in all public places, or the number of public places will be very minimal and even if that happens that will have to be for a minimal period of time, I think."
Seconded by The Bahamas, CARICOM Heads adopted its Trinidad summit declaration entitled, "Uniting to Stop the Epidemic of Chronic NCDs" Saturday afternoon.
The Declaration included the commitment from the Heads of Government to give full support for the initiatives and mechanisms aimed at strengthening regional health institutions; immediate pursuance of a legislative agenda for passage of the legal provisions related to the International Framework Convention on Tobacco Control and the development of public education programs on lifestyle management as well as through the formal education system.
The Declaration also called for the mandating of the re-introduction of physical education in schools where necessary; provide incentives and resources to effect this policy and ensure that our education sectors promote programs aimed at providing healthy school meals and promoting healthy eating.
Prime Minister Ingraham's remarks came during an interview with Trinidad and Tobago's C-News Station at CARICOM's Summit on Chronic Non-Communicable Diseases – diseases the Caribbean Community has dubbed one of the greatest threats to development in the region.
Back in 2001, CARICOM Heads adopted the Nassau Declaration that The Health of the Region is the Wealth of the Region, which was designed to accelerate the response to various health conditions facing the region. The 2007 summit in Trinidad was the result of progress from the Declaration adopted in The Bahamas.
"Specifically, we have a problem with respect to hypertension," Ingraham indicated. "We have high levels of diabetes.
"Apart from the fact that we are going to put in place a national program for the provision of medicines for all persons irrespective of ability to pay for their prescriptions, we are also going to have a major effort in terms of prevention."
Diseases such as hypertension, heart disease, diabetes and cancer, coupled with obesity and a lack of physical activity, are the leading cause of death and disability in The Bahamas, with the summit revealing that Bahamians are 10-times more likely to die of hypertension than their Canadian counterparts.
Highlighting the government's recent announcement of a new dietary program for all public schools, the prime minister also foreshadowed improvements to public school exercise facilities, adding that the government is going to seek to have health promotion as a major part of initiatives within the public health sector.
"We are going to seek to duplicate what we have in a few government offices, that is rooms with exercise equipment in many more government facilities and we are going to seek to encourage employers to do so by providing incentives and tax exemptions for them to acquire equipment to be able to facilitate people engaging in exercise," Prime Minister Ingraham said.
Emphasising that most CNCDs can be prevented through lifestyle changes in diet and exercise, the Trinidad summit also placed emphasis on the role of tobacco consumption in the incidences of cancer and heart disease in the region, and the need to enact tobacco control measures such as increased import taxation and the prohibition of smoking in public places.
A 2005 Ministry of Health study on CNCDs revealed that just over seven percent of the Bahamian population smokes cigarettes.
The Prime Minister pointed out that The Bahamas currently has a 200 percent tax on cigarettes and that during its previous terms in office, his government made the now Lynden Pindling International Airport a smoke-free environment.
He indicated that decisions will now have to be made regarding the way forward for tobacco control measures in The Bahamas.
"We are now going to consider banning (smoking) in public places period," the prime minister noted. "We have casinos (and) we have conflicting views as to whether or not a casino should be exempted from a policy.
"We are going to make some decisions about that but I think at the end of day we will either have a total ban on smoking in all public places, or the number of public places will be very minimal and even if that happens that will have to be for a minimal period of time, I think."
Seconded by The Bahamas, CARICOM Heads adopted its Trinidad summit declaration entitled, "Uniting to Stop the Epidemic of Chronic NCDs" Saturday afternoon.
The Declaration included the commitment from the Heads of Government to give full support for the initiatives and mechanisms aimed at strengthening regional health institutions; immediate pursuance of a legislative agenda for passage of the legal provisions related to the International Framework Convention on Tobacco Control and the development of public education programs on lifestyle management as well as through the formal education system.
The Declaration also called for the mandating of the re-introduction of physical education in schools where necessary; provide incentives and resources to effect this policy and ensure that our education sectors promote programs aimed at providing healthy school meals and promoting healthy eating.
Thursday, January 24, 2008
Early Detection of Mesothelioma
Mesothelioma, once a rare cancer, has become more prevalent in the past 50 years. The incidence of this aggressive disease, which has no cure, is expected to rise through 2015.
Until recently, mesothelioma was considered universally fatal. Patients treated with the best available therapy have survived 13 to 25 months in some studies, and with only supportive care the median survival is about 9 months. Studies investigating the diagnosis of mesothelioma have recently reported promising results, which may help reverse this tragic trend.
If caught before spreading beyond the lungs, there is a much greater chance of successfully treating the disease. Once mesothelioma has spread, the disease quickly overcomes its victim. With earlier detection, current treatments would be more effective, more aggressive treatment could be developed and life expectancy could rise dramatically.
One of the challenges of treatment for mesothelioma patients is the inability to detect the aggressive cancer in its early stages. Unfortunately, mesothelioma is very challenging to diagnose until the advanced stages. Because the onset of disease is delayed for as much as 30 years beyond exposure, symptoms are vague and the diagnostic tools are not efficient or specific, many cases are not diagnosed until the disease is advanced.
To date, screening through serial chest x-rays and pulmonary function testing has not been effective in detecting the disease in its earlier stages. While some asbestos related disease has been detected, these methods cannot differentiate between mesothelioma and benign lung disorders. Computer tomography (CT) can detect even small tumors, but also does not distinguish between malignant lesions and benign lung changes. Thus, the stumbling block to early diagnosis is distinguishing early stage cancer from other lung problems.
Biomarkers, or naturally occurring chemicals that can be detected in the blood have been linked to many specific cancers. Studies have shown a link between the substance TPA and mesothelioma, but this correlation had not yet been proven. Ca 125, a known marker for ovarian cancer has also shown promising but unconfirmed results in detecting early stage mesothelioma.
According to a recent article published in the December 2005 New England Journal of Medicine, a recent study of the protein osteopontin produced encouraging results. Comparing patients diagnosed with mesothelioma, patients exposed to asbestos but disease free and healthy control subjects, revealed clear differences in the patients with malignant disease. Although more research is needed to confirm the accuracy of this investigation, a strong correlation between osteopontin levels and mesothelioma was found.
A significantly higher concentration of osteopontin was detected in patients with diagnosed cases of mesothelioma compared to subjects with asbestos exposure. When compared, the levels of osteopontin were not significantly different in unexposed control subjects versus those subjects exposed to asbestos. Nearly 78% of mesothelioma patients showed elevated osteopontin levels. Levels were elevated in both patients with early stage disease (Stage I) and advanced disease. In over 85% of cases, osteopontin levels differentiated patients with mesothelioma versus benign lung conditions.
Definitive detection of mesothelioma in the earlier stages makes surgical removal of tumors possible before the disease has had a chance to spread. Once spread occurs, the effectiveness of surgical treatment drops dramatically. In end?stage disease, suurgery is simply a palliative measure to improve breathing capability with little of no curative value.
While it is not clear that this information will lead to longer survival, we do know that the earlier treatment can begin, the better chance for a prolonged life expectancy and with time, hopefully a cure.
Until recently, mesothelioma was considered universally fatal. Patients treated with the best available therapy have survived 13 to 25 months in some studies, and with only supportive care the median survival is about 9 months. Studies investigating the diagnosis of mesothelioma have recently reported promising results, which may help reverse this tragic trend.
If caught before spreading beyond the lungs, there is a much greater chance of successfully treating the disease. Once mesothelioma has spread, the disease quickly overcomes its victim. With earlier detection, current treatments would be more effective, more aggressive treatment could be developed and life expectancy could rise dramatically.
One of the challenges of treatment for mesothelioma patients is the inability to detect the aggressive cancer in its early stages. Unfortunately, mesothelioma is very challenging to diagnose until the advanced stages. Because the onset of disease is delayed for as much as 30 years beyond exposure, symptoms are vague and the diagnostic tools are not efficient or specific, many cases are not diagnosed until the disease is advanced.
To date, screening through serial chest x-rays and pulmonary function testing has not been effective in detecting the disease in its earlier stages. While some asbestos related disease has been detected, these methods cannot differentiate between mesothelioma and benign lung disorders. Computer tomography (CT) can detect even small tumors, but also does not distinguish between malignant lesions and benign lung changes. Thus, the stumbling block to early diagnosis is distinguishing early stage cancer from other lung problems.
Biomarkers, or naturally occurring chemicals that can be detected in the blood have been linked to many specific cancers. Studies have shown a link between the substance TPA and mesothelioma, but this correlation had not yet been proven. Ca 125, a known marker for ovarian cancer has also shown promising but unconfirmed results in detecting early stage mesothelioma.
According to a recent article published in the December 2005 New England Journal of Medicine, a recent study of the protein osteopontin produced encouraging results. Comparing patients diagnosed with mesothelioma, patients exposed to asbestos but disease free and healthy control subjects, revealed clear differences in the patients with malignant disease. Although more research is needed to confirm the accuracy of this investigation, a strong correlation between osteopontin levels and mesothelioma was found.
A significantly higher concentration of osteopontin was detected in patients with diagnosed cases of mesothelioma compared to subjects with asbestos exposure. When compared, the levels of osteopontin were not significantly different in unexposed control subjects versus those subjects exposed to asbestos. Nearly 78% of mesothelioma patients showed elevated osteopontin levels. Levels were elevated in both patients with early stage disease (Stage I) and advanced disease. In over 85% of cases, osteopontin levels differentiated patients with mesothelioma versus benign lung conditions.
Definitive detection of mesothelioma in the earlier stages makes surgical removal of tumors possible before the disease has had a chance to spread. Once spread occurs, the effectiveness of surgical treatment drops dramatically. In end?stage disease, suurgery is simply a palliative measure to improve breathing capability with little of no curative value.
While it is not clear that this information will lead to longer survival, we do know that the earlier treatment can begin, the better chance for a prolonged life expectancy and with time, hopefully a cure.
Mesothelioma- treatment and side effects
Questions you may wish to ask about your treatment are:
How many treatments will I be given?
What drug or combination of drugs will I receive?
How will the drug/drugs be administered, i.e., pill, intravenous, etc.?
Where will I go for my treatment, i.e., doctor's office, hospital, etc.?
How long will each treatment last?
Questions you may wish to ask about side effects are:
What side effects are associated with the drug/drugs I will be given?
Which of these side effects are likely to occur?
What can I do to relieve these side effects?
Are there certain side effects I should report immediately?
How can I contact a health professional after hours if I need to call?
Once chemotherapy is completed, normal cells usually recover, so most side effects will gradually disappear after treatment ends. The amount of time it takes to get over side effects is dependent on many things, including your overall health and the type of chemotherapy you have been receiving.
Ask your doctor for more information about these medications. Contact us if you need more ideas about what to ask your doctor or to learn about clinical trials using these drugs.
How many treatments will I be given?
What drug or combination of drugs will I receive?
How will the drug/drugs be administered, i.e., pill, intravenous, etc.?
Where will I go for my treatment, i.e., doctor's office, hospital, etc.?
How long will each treatment last?
Questions you may wish to ask about side effects are:
What side effects are associated with the drug/drugs I will be given?
Which of these side effects are likely to occur?
What can I do to relieve these side effects?
Are there certain side effects I should report immediately?
How can I contact a health professional after hours if I need to call?
Once chemotherapy is completed, normal cells usually recover, so most side effects will gradually disappear after treatment ends. The amount of time it takes to get over side effects is dependent on many things, including your overall health and the type of chemotherapy you have been receiving.
Ask your doctor for more information about these medications. Contact us if you need more ideas about what to ask your doctor or to learn about clinical trials using these drugs.
The World's Most Deadly Disease Mesothelioma Cure Possible
Mesothelioma is one of the deadliest diseases known to man; the average life span of an inflicted person from the time of diagnosis until death is less than 24 months.
It’s a disease that strikes approximately 3,000 United States citizens each and every year; hard working people who have labored for a lifetime to provide for their families, doing the work that keeps this country running and a great place to live. They worked in factories, at shipyards, in mines, for the US military, as engineers, as pipefitters, as steel workers, as auto mechanics, and in so many other professions.
They came home to their loved ones exhausted and covered in dirt and dust; tired, but content that they had a job and were providing for their family. Content that they were putting food on the table and a house over their loved one’s heads. Content that they were working to make a better life for their families in this generation and the next...
But what they didn’t know was that while they were working so hard, they were not only slowly killing themselves, but those that they were working so hard to help; their family, their loved ones.
It’s a disease that strikes approximately 3,000 United States citizens each and every year; hard working people who have labored for a lifetime to provide for their families, doing the work that keeps this country running and a great place to live. They worked in factories, at shipyards, in mines, for the US military, as engineers, as pipefitters, as steel workers, as auto mechanics, and in so many other professions.
They came home to their loved ones exhausted and covered in dirt and dust; tired, but content that they had a job and were providing for their family. Content that they were putting food on the table and a house over their loved one’s heads. Content that they were working to make a better life for their families in this generation and the next...
But what they didn’t know was that while they were working so hard, they were not only slowly killing themselves, but those that they were working so hard to help; their family, their loved ones.
Saturday, January 5, 2008
Arthritis and Joint Pains
Arthritis is one of the most common chronic diseases in the world. Despite lot of research and effort, an effective cure has still eluded us. All that can be offered are the anti inflammatory and pain killers like Aspirin. According to Ayurveda arthritis is primarily a vata (air) disease which is due to accumulation of toxins in the joints and is known as amavata.
Symptoms
The main symptom of this disease is severe pain in the affected joints. The tissues in and around the joints become inflamed and movement of the joint becomes extremely painful. Untreated arthritis may lead to permanent deformity of the affected joints.
Causes
Causes include internal and external factors. It is more common in cold, damp and windy climates. Internally it is a condition which is related to low Agni (poor digestive fire) and poor digestion which leads to the accumulation of toxins (ama). The toxins (ama) produced in the colon are taken up by various parts of the body and depending on the site of deposition, it causes many diseases in the body. For example, if it deposits in the lungs, it causes cough and asthma, in the intestines it causes dysentery. When it deposits in the joints and at the same time there is aggravation of vata, that means if biological humor air is also disturbed, it results in a disease called amavata or arthritis.
Remedies
The first step in treatment is to burn up the accumulated toxins and this can be achieved by reviving the digestive fire.
Short fasting is very beneficial for digesting the ama.
Eating habits should be regularized and heavy, damp, ama forming foods should be avoided.
Hot spicy herbs can be very useful like, cayenne, cinnamon, dry ginger and galangal.
Hot gemstones such as ruby or garnet set in gold can be used.
Bake one or two egg plants (about 250gms.). Mash it properly and fry it in about 50ml. Castor oil. Some spices like cumin, coriander, turmeric and salt can be added to it while frying. This recipe can be taken once daily for two to three months. Adding two cloves of garlic while cooking makes it very beneficial.
Medicated oils used for massage are very helpful in relieving stiffness and pain in the joints, whole body massage with sesame or mustard oil helps to reduce the vata and thus reduce the pain.
Camphor, wintergreen and cinnamon oils are beneficial for external application. They can be combined with herbs like ashwagandha in sesame oil for external applications.
Daily use of the Ayurvedic compound Triphala is recommended to cleanse the colon.
Guggul is a very helpful herb for curing arthritis. It is most specific for cleaning and strengthening the bone tissue. If available it can be taken in one to 3gm dose twice a day after meals with warm water.
Taking 2gm turmeric powder twice a day along with warm water helps in curing arthritis.
Symptoms
The main symptom of this disease is severe pain in the affected joints. The tissues in and around the joints become inflamed and movement of the joint becomes extremely painful. Untreated arthritis may lead to permanent deformity of the affected joints.
Causes
Causes include internal and external factors. It is more common in cold, damp and windy climates. Internally it is a condition which is related to low Agni (poor digestive fire) and poor digestion which leads to the accumulation of toxins (ama). The toxins (ama) produced in the colon are taken up by various parts of the body and depending on the site of deposition, it causes many diseases in the body. For example, if it deposits in the lungs, it causes cough and asthma, in the intestines it causes dysentery. When it deposits in the joints and at the same time there is aggravation of vata, that means if biological humor air is also disturbed, it results in a disease called amavata or arthritis.
Remedies
The first step in treatment is to burn up the accumulated toxins and this can be achieved by reviving the digestive fire.
Short fasting is very beneficial for digesting the ama.
Eating habits should be regularized and heavy, damp, ama forming foods should be avoided.
Hot spicy herbs can be very useful like, cayenne, cinnamon, dry ginger and galangal.
Hot gemstones such as ruby or garnet set in gold can be used.
Bake one or two egg plants (about 250gms.). Mash it properly and fry it in about 50ml. Castor oil. Some spices like cumin, coriander, turmeric and salt can be added to it while frying. This recipe can be taken once daily for two to three months. Adding two cloves of garlic while cooking makes it very beneficial.
Medicated oils used for massage are very helpful in relieving stiffness and pain in the joints, whole body massage with sesame or mustard oil helps to reduce the vata and thus reduce the pain.
Camphor, wintergreen and cinnamon oils are beneficial for external application. They can be combined with herbs like ashwagandha in sesame oil for external applications.
Daily use of the Ayurvedic compound Triphala is recommended to cleanse the colon.
Guggul is a very helpful herb for curing arthritis. It is most specific for cleaning and strengthening the bone tissue. If available it can be taken in one to 3gm dose twice a day after meals with warm water.
Taking 2gm turmeric powder twice a day along with warm water helps in curing arthritis.
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