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Last Updated: 2/7/07

Index:
Feb. 7 — Feb. 14, 2007

AIDS
Bird Flu
Cancer
Eating Disorders
Elder Care & Aging
Homelessness
Nutrition & Obesity
Research Roundup
Smoking
Urban & Gang Violence
U.S. Health Care

MULTIMEDIA

OTHER NEWS & COMMENTARY
Fallout lingers after Japan's health minister's comment that women are 'child-bearing machines.'

Links to public health sites


Multimedia News Coverage on WHN

A page on World Health News highlights the latest video and audio health news broadcasts from major media outlets.

A highlight:

"Dr. Donald Berwick, a Harvard-trained pediatrician, has dedicated his life to tracking a killer in a place that's supposed to make you well, CBS Evening News anchor Katie Couric reports."

WHN Multimedia Page

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Cancer
Texas To Require Cervical Cancer Vaccine

Doctors Call Governor's Vaccine Mandate Premature
Todd Ackerman
(Houston Chronicle, Feb. 7, 2007)
"Gov. Rick Perry's order requiring schoolgirls to get inoculated against a sexually transmitted virus linked to cervical cancer may be unpopular with social conservatives, but another important group also is lining up against it: doctors."

A Vaccine To Save Women's Lives
Editorial
(The New York Times, Feb. 5, 2007)
"Congratulations to Texas for becoming the first state to require vaccinating young schoolgirls -- ages 11 and 12 -- against a sexually transmitted virus that causes cervical cancer and genital warts. Other states would be wise to follow the same path."
Free registration required.

Earlier:
Texas Governor Orders Cancer Vaccine for Young Girls
(Houston Chronicle, Feb. 3, 2007)

See also:
Washington State: Cervical Cancer Could Be Free, But Not Mandatory
(Associated Press, Feb. 7, 2007)

HPV Vaccine: Who Chooses?
(Los Angeles Times, Feb. 5, 2007)

Risk Still Low on Drugs To Aid Immunity
Judy Peres
(Chicago Tribune, Feb. 7, 2007)

"Older breast-cancer patients who get drugs to boost their immune system during chemotherapy double their risk of developing leukemia later on, a new study has found."
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Europe: Cancer 'To Become Bigger Burden'
(BBC News Online, Feb. 7, 2007)
"Rising rates of cancer diagnosis will put an increasing strain on health care systems across Europe, experts warn."

Test To Predict Breast Cancer Relapse Is Approved
Andrew Pollack
(The New York Times, Feb. 7, 2007)
"A new genetic test that tries to predict whether a woman with breast cancer will have a relapse won approval yesterday from the Food and Drug Administration, marking a step toward an era in which medical treatments are personalized for each patient."
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Aggressive Breast Cancer Hits Latinas
Dorsey Griffith
(The Sacramento Bee, Feb. 5, 2007)
"An aggressive and hard-to-treat type of breast cancer known to plague young African American women also disproportionately affects Latinas at higher rates, new research in California shows."

Lab Disaster May Lead to New Cancer Drug
(Reuters, Feb. 4, 2007)
"Her carefully cultured cells were dead and Katherine Schaefer was annoyed, but just a few minutes later, the researcher realized she had stumbled onto a potential new cancer treatment."

As Oral Cancer Drugs Gain, Dosage Problems Grow
Scott Allen
(The Boston Globe, Feb. 4, 2007)

"[T]he take-at-home [cancer drug] arsenal greatly increases the risk of underdoses, overdoses, and just plain mistakes as patients wrestle on their own with unpleasant side effects, complex treatment plans, and simple cancer fatigue. More than half of patients taking one widely used oral chemotherapy, Xeloda, occasionally cut back their dose or take a medication 'break' to reduce side effects such as nausea and skin irritation, according to a survey of oncologists."
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See also:
Australia: New Drug Gives Relief for Breast Cancer Sufferers
(Sydney Morning Herald, Feb. 4, 2007)

Car Drivers 'Risking Skin Cancer'
(BBC News Online, Feb. 4, 2007)

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AIDS

Low AIDS Awareness Adds to Crisis
Dahleen Glanton
(Chicago Tribune, Feb. 7, 2007)

"More than 25 years into the AIDS epidemic, HIV continues to soar in the black community, accounting for nearly half the newly diagnosed infections in the U.S. in a recent yearly assessment by the Centers for Disease Control and Prevention."
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New HIV Infections Hit High in Japan
(Associated Press, Feb. 7, 2007)
"The numbers of new infections of HIV and AIDS patients in Japan hit record highs in 2006, the Health Ministry said Wednesday, underscoring concerns over spreading infections."

Disease-Fighting Fund's Expenses Hit
John Donnelly
(The Boston Globe, Feb. 5, 2007)
"The executive director of a $7 billion fund to fight deadly diseases in the world's poorest countries has made extensive use of a little-known private bank account, spending hundreds of thousands of dollars on limousines, expensive meals, boat cruises, and other expenses, according to an internal investigation."
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South Africa: MCC Stalls New AIDS Drugs
Belinda Beresford
(Daily Mail & Guardian, South Africa, Feb. 3, 2007)
"South Africans have been denied the 'biggest advance' in antiretroviral therapy over the last few years because of a lack of urgency in the drug registration process in South Africa, according to the Treatment Action Campaign."

Gambian President's HIV 'Cure' Condemned
(BBC News Online, Feb. 2, 2007)
"A claim by Gambian President Yahya Jammeh that he can cure AIDS in three days has been lambasted by a leading South African HIV/AIDS specialist...Mr. Jammeh said last month he had begun treating 10 patients on Thursdays with secret medicinal herb ingredients. His health minister backs his claims, saying in trials so far patients had gained weight and physically improved."

See also:
Bono Targets HIV in Africa with Licensing Deals
Alan Beattie
(Financial Times via Los Angeles Times, Feb. 5, 2007)
Free registration required.

Zimbabwe To Expand Free Roll-Out Program
(Daily Mail & Guardian, London, Feb. 2, 2007)

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Urban & Gang Violence

Los Angeles: Gang 'Capital' Steps Up Fight
Michael Martinez
(Chicago Tribune, Feb. 4, 2007)

"After more than 20 years trying to eradicate Los Angeles' gangs -- whose violence influenced American culture from video games to movies -- officials were sharply rebuked for ongoing failures in a new study by a local civil rights group."
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New Orleans: In City, Dysfunction Fuels Cycle of Killing
Adam Nossiter and Christopher Drew
(The New York Times, Feb. 4, 2007)
"Other cities have plenty of murders. But only in New Orleans has there been the uniquely poisoned set of circumstances that has led to this city’s position at the top of the homicide charts. Every phase of the killing cycle here unfolds under the dark star of dysfunction: the murderers’ brutalized childhoods, the often ineffectual police intervention, a dulled community response, and a tense relationship between the police and prosecutors that lets many cases slip through the cracks."
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See also:
Japan: Gang Turf War Threatens Tokyo
(The Japan Times, Feb. 7, 2007)

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Exclusive Book Excerpt:
Final Exam: A Surgeon's Reflections on Morality

The overarching theme of a medical education is to heal. In a compassionate and insightful new book, Dr. Pauline Chen examines how doctors must accept the outcomes of their patients' battles, and how the medical community as a whole can improve the care of the dying.

 

(PhotoAlto)

 

Dr. Pauline Chen

Excerpted from Final Exam by Pauline Chen. Copyright (c) 2007 by Pauline W. Chen. Reprinted with permission from the publisher Alfred A. Knopf.

 

(February 7, 2007) -- I never intended to make my living among the dying. When I entered medical school, I dreamed of helping people. And for me, helping meant saving lives. I imagined a clinic filled with grateful, cured, modern-day Lazarus equivalents. I also convinced myself that my undergraduate background in medical anthropology would make me more empathic than other physicians; my patients would not only be physically cured but would be emotionally healed in culturally relevant ways.

As it turns out, my dreams about my future medical career were not that different from those of most medical students. Premedical students overwhelmingly believe that as physicians they will be able to cure and help their patients. Few choose this career to care for the dying; instead, they believe they will save others from the inevitability of death.

Sherwin Nuland postulates in his book How We Die that "of all the professions, medicine is one of the most likely to attract people with high personal anxieties about dying. We became doctors because our ability to cure gives us power over the death of which we are so afraid." Attracted to medicine in part because of our own particular anxieties, we may be a self-selected lot who eagerly suppress these fears as we adopt a professional ethos that embraces denial.

Once we are accepted into medical school, we advance through the ranks, becoming medical students, then interns, then residents, and then perhaps subspecialty fellows. In this modern apprenticeship we take our cues from the fully trained attending physicians who serve as our clinical professors, mimicking their thought processes, preferences, and even attitudes. The attendings take their teaching responsibilities and the professional hierarchy quite seriously. Charles Bosk, a medical sociologist, writes that "[the] power of attendings in the system of everyday controls is truly remarkable." In some specialties that hierarchy is so powerful that any perceived deviations from attending physicians, in action or even words alone, can become grounds for job termination.

As young students and doctors in the midst of profound sleep deprivation and chaotic personal lives centered on work, we are eager to find easy truths or at least comfortable lessons in patient care. Soon enough, however, we discover that death among patients is an inevitable part of our profession. We look to our attending physicians for guidance and we learn that many of them have not only their own difficulties in dealing with death but also little insight into how these attitudes affect the care they give terminal patients. Even our textbooks, usually overflowing with data, provide us with little or no help with the dying.

Thus, without guidance or advice, few of us ever adequately learn how to care for patients at the end of life. We end up sifting through our own experiences with precious little support, and we watch patients die, sometimes directly under our watch and always despite all of our best efforts and all that we have learned. For many of us, it is a rite of passage that is painful and terrifyingly lonely; years afterward, even decades afterward, we cannot forget our first patients.

 

Full text

Multimedia from NPR:

Interview suggested as an NPR 'Driveway Moment':
Surgeon Writes of Death, Dying in Final Exam
Running time: 9:36; aired Jan. 27, 2007

 

Related article:

Pennsylvania: Let's Not Forsake the Dying, Says State Report
Michael Vitez
(The Philadelphia Inquirer, Feb. 5, 2007)
-- "Pennsylvania must do a much better job of caring for people with chronic illnesses in the last stages of life, according to a new state report. The report, to be released today, urges more support to family caregivers, better education and higher standards for health professionals in end-of-life care. It also called for restructuring how health care is paid and provided to allow more attention on keeping people comfortable at the end of life and not just trying to cure them."
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U.S. Health Care

Wal-Mart and a Union Unite, at Least on Health Policy
Michael Barbaro and Robert Pear
(The New York Times, Feb. 7, 2007)
"[On Wednesday] morning, in an extraordinary meeting in Washington, the chiefs of Wal-Mart Stores and the Service Employees International Union will stand together and agree on a series of goals for achieving universal health coverage, according to people briefed on the matter."
Free registration required.

Medicare May Get a $66-Billion Trim
Ricardo Alonso-Zaldivar
(Los Angeles Times, Feb. 6, 2007)

"The budget President Bush proposed Monday calls for the deepest Medicare cuts of his six years in office and falls short in expanding health coverage to uninsured children -- a top priority for congressional Democrats this year."
Free registration required.

Moving Toward Greater Drug Safety
Editorial
(The New York Times, Feb. 5, 2007)
"The Food and Drug Administration is making encouraging moves to strengthen its regulation of drugs that are already on the market. But the changes fall far short of what’s needed to protect millions of unsuspecting patients whose adverse effects may show up only after years of use."
Free registration required.

Pricing a Colonoscopy? We Tried; It Isn't Easy
Patricia Sabatini
(Pittsburgh Post-Gazette, Feb. 4, 2007)
"[T]he issue of so-called price 'transparency' -- knowing upfront what your medical treatment and tests will cost -- is growing in importance for many consumers...The problem is, it has been difficult, if not impossible for consumers to be savvy shoppers because doctors, hospitals and insurers generally aren't prepared to give them good information about the cost of services."

Why Pharma Must 'Go Hollywood'
Liam Bernal
(The Scientist, February 2007)
"Hollywood is dependent on creativity and innovation, so its evolving business model can provide useful insights. This is not as crazy as it would seem. The Hollywood business model is more evolved than the model currently followed across pharma."

See also:
California: The Low Cost of Prevention
Editorial
(San Francisco Chronicle, Feb. 5, 2007)

Massachusetts: Universal Health Plan Can Cost Under $300, Insurers Say
(The Boston Globe, Feb. 5, 2007)
Free registration required.

Young Doctors See Drug Makers' Freebies as a Bad Habit
(Los Angeles Times, Feb. 4, 2007)
Free registration required.

Tennessee: State Leads Nation in Prescriptions
(The Tennessean, Feb. 4, 2007)

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Elder Care & Aging

Life on Her Terms
Susan Brink
(Los Angeles Times, Feb. 5, 2007)
"About 1.2 million patients, 80% of them older than 65, received hospice services in 2005, an increase of 150,000 from the year before and up from 210,000 in 1990, according to the National Hospice and Palliative Care Organization...[E]nd-of-life experts say there are hints in the numbers that point to a trend toward more people being willing to call a halt to aggressive treatment."
Free registration required.

In Elder Care, Signing on Becomes a Way to Drop By
Christine Larson
(The New York Times, Feb. 4, 2007)
"About 19 million Americans, aside from paid providers, are caring for someone over the age of 75, according to the National Alliance for Caregiving. With the number of older Americans growing rapidly, products and services to help adult children care for their parents are on the rise."
Free registration required.

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Research Roundup

Study Finds Dangers in Heart-Surgery Drug
Denise Gellene
(Los Angeles Times, Feb. 7, 2007)
"Raising fresh concerns about a widely used heart-surgery medicine, a study released Tuesday reported that the drug Trasylol increased patients' long-term risk of dying by nearly 50%."
Free registration required.

Low-Level Toxicants Can Harm Brain
Jamie Talan
(Newsday, New York, Feb. 6, 2007)

"Low levels of mercury and lead exposure can damage developing brain cells -- a finding that might help explain how these toxicants can lead to a host of mental and medical problems, a new study said."

Scientists Fight for Research Funding
Karen Augé and Katy Human
(The Denver Post, Feb. 3, 2007)
"Since 2004, researchers looking for treatments for cancer, heart disease and other ailments have found it harder and harder to get NIH funding as the agency's budget has stagnated. This year's proposed NIH budget, according to a House Appropriations Committee spokesman, is $28.9 billion, just a 2.2 percent increase and less than the rate of inflation."

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Eating Disorders

Fashion World Asks: How Thin Is Too Thin?
Sandra Jones
(Chicago Tribune, Feb. 4, 2007)

"
While designers, advertisers and model agencies have generally avoided taking blame for the epidemic of eating disorders connected to body image, the industry will raise the issue Monday, when the Council of Fashion Designers of America holds its first panel discussion at the show on health in the fashion industry."
Free registration required.

Clicking Themselves Sick Online
Courtney Perkes
(The Orange County Register, Feb. 3, 2007)

"The number of eating-disorder sites, including pages on MySpace.com and Facebook.com, is estimated to be in the thousands."

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Other News & Commentary

Visit Other News & Commentary for a varied assortment of additional health stories from around the world, updated daily Monday through Friday.

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Bird Flu

Indonesia May Sell, Not Give, Bird Flu Virus to Scientists
Donald G. McNeil, Jr.
(The New York Times, Feb. 7, 2007)
"Indonesia, which has had more human cases of avian flu than any other country, has stopped sending samples of the virus to the World Health Organization, apparently because it is negotiating a contract to sell the samples to an American vaccine company, a WHO official said yesterday."
Free registration required.

H5N1 Found in Britain

Five Countries Banning U.K. Poultry
(BBC News Online, Feb. 6, 2007)
"South Korea and Hong Kong have become the latest countries to ban imports of U.K. poultry following the outbreak of bird flu on a Suffolk turkey farm."

As Turkey Cull Ends Ministers and Farmers Hope Virus Has Not Spread
John Vidal, Ian Traynor, Will Woodward, and Paul Lewis
(The Guardian, London, Feb. 6, 2007)
"The government, farmers and supermarkets were crossing their fingers last night that the H5N1 outbreak on Bernard Matthews's turkey farm in Suffolk was an isolated case and the lethal disease had not spread further."

Mystery Deepens Over Cause of Suffolk Bird Flu Outbreak
John Vidal and Paul Lewis
(The Guardian, London, Feb. 5, 2007)
"The government was [on Sunday] night investigating possible links between the discovery of H5N1 avian bird flu at a Bernard Matthews turkey farm in Suffolk and recent outbreaks of the disease in Hungary."

World Braced for Huge Surge in Bird Flu Cases
Robin McKie and Nick Mathiason
(The Observer, London, Feb. 4, 2007)
"The number of cases of the deadly bird flu virus is increasing around the world as scientists struggle to combat the disease that is now threatening to jump species and infect humans. The news comes as Britain confirmed its first ever case of H5N1 in a farm in Suffolk."

Earlier:
Lethal Virus Hit Five Days Ago: Now Cull Begins
(The Observer, London, Feb. 4, 2007)

It's Too Early To Panic, But We Should Prepare
Opinion
Jo Revill, health editor
(The Observer, London, Feb. 4, 2007)

U.S. Companies Prepare for Bird Flu Pandemic
(Reuters, Feb. 6, 2007)
"The U.S. Labor Department's Occupational Safety and Health Administration urged employers to develop plans to cope with a possible flu pandemic on Tuesday, suggesting letting employees work from home and encouraging sick workers to stay home without reprisals. But a few international companies and small regional firms were already making bird flu planning a full-time job, and said on Tuesday they have had to prepare for the unthinkable."

Don't Discount Bird Flu, Says Presidential Adviser
Delthia Ricks
(Newsday, New York, Feb. 5, 2007)
"A top biodefense adviser in the Bush administration acknowledged Friday that people are tiring of the drumbeat about pandemic flu, but he characterized the threat as real and urged countries worldwide to quicken the pace of drug development and vaccine research."

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Smoking

Anti-Smoking Campaigns: Gore Works Best
(Agence France Presse, Feb. 6, 2007)
"Smokers are far likelier to be prodded into kicking the habit if cigarette packets show graphic pictures of some of the health threats from tobacco, and if those warnings are regularly updated, researchers have reported."

For Newsweek Subscribers, a Question: Smoking or Nonsmoking?
Maria Aspan
(The New York Times, Feb. 5, 2007)
"Attention, all magazine readers who want to quit smoking or avoid cigarette-related advertising: Newsweek may have a special offer for you."
Free registration required.

Shelters' Message: Give Up Smoking
Charles Sheehan
(Chicago Tribune, Feb. 4, 2007)
"Amid broad skepticism, nascent campaigns to get the homeless off cigarettes are bubbling up in Chicago and across the country."
Free registration required.

One Puff Above the Limit
Opinion
Bernadine Healy, M.D.
(U.S. News & World Report, Feb. 4, 2007)
"Most parents who smoke want to give it up and sure don't want their kids to start. Moms may be just the pressure point for change. But don't punish them. Encourage, educate, and motivate them, and provide programs tailored to assist them in kicking their addiction. Help smokers become better mothers. And let health experts, not cops, walk the smoking beat."

Israel: Treasury Said To Oppose Law That Would Bolster Enforcement of Smoking Ban
Judy Siegel-Itzkovich
(The Jerusalem Post, Feb. 2, 2007)

"The Finance Ministry is opposing a private member's bill that would require all local authorities and municipalities to hire inspectors who would devote most of their time to enforcing no-smoking laws in public spaces and workplaces, even though this could earn the authorities an estimated NIS 450 million bonanza a year, The Jerusalem Post has learned."
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See also:
New Jersey: Smoke Ban in the Cards for Casinos?
(The Philadelphia Inquirer, Feb. 6, 2007)
Free registration required.

Quitting Smoking: Cold Turkey with 'a Side of Pills,' Most Effective, Experts Say
(The Boston Globe, Feb. 5, 2007)
Free registration required.

China: Tobacco Advertising on Blacklists Again
(China Daily, Feb. 3, 2007)

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Nutrition & Obesity

No More Mars Bar Ads for Children
(BBC News Online, Feb. 5, 2007)
"The company that makes chocolate bars such as Mars and Snickers, is to stop targeting its advertising at under-12s."

'Autism Diet' Getting a Closer Look
Cherie Black
(Seattle Post-Intelligencer, Feb. 3, 2007)

"Dubbed by some as the 'autism diet,' it is a gluten- and casein-free way of eating, often used by people diagnosed with the digestive disorder celiac disease...Why the diet seems to work isn't completely understood."

China: New Guidelines for Healthy Lifestyles
Chong Zi
(China Daily, Feb. 3, 2007)

"The Chinese people are getting heavier and less healthy. As health care costs rise, prevention becomes the watchword. And a balanced diet is believed to be the best way to stay healthy. China is going to update its food guidelines this year in the hope of combining healthy eating with exercise."

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Homelessness

Japan: Osaka Plans Another Homeless Eviction
Eric Johnston
(The Japan Times, Feb. 3, 2007)

"[H]omeless people are routinely denied national health-care coverage and other official support because they must have a registered address to qualify for state and municipal benefits. Late last year, the government learned that nearly 3,350 people living in Nishinari Ward had registered their residence as Kamagasaki Liberation Hall, a small space where people often squat or gather to socialize."

Florida: Orlando Homeless Laws Stir Heated Debate
(Associated Press, Feb. 3, 2007)
"[I]]n July, the city commission tried a 'supply-side' approach: It passed an ordinance regulating the feeding of large groups of people in Orlando's downtown parks. Those who wished to feed more than 25 hungry individuals at parks within a 2-mile radius of City Hall could do so, but only if they obtained a 'Large Group Feeding Permit' from the parks department -- and no one would be granted more than two feeding permits a year. No exceptions. For the first time anyone in Orlando could remember, not only would panhandlers find themselves in the crosshairs of the law, but so would those trying to help them."

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