Hiển thị các bài đăng có nhãn HEALTH. Hiển thị tất cả bài đăng
Hiển thị các bài đăng có nhãn HEALTH. Hiển thị tất cả bài đăng

Thứ Ba, 21 tháng 7, 2009

Nation at high risk for rapid spread of H1N1 flu

VietNamNet Bridge – The Ministry of Health yesterday, July 21, warned of the high risk that the A/ H1N1 flu could spread, especially during the upcoming winter weather which would provide favourable conditions for the virus to develop.

"The health sector has found 61 teachers and pupils from the Ngo Thoi Nhiem Private High School in District 9, HCM City, to be positive for the virus. The number of patients will rise high in the coming time". (Photo: VNN)

A flu report to the Prime Minister said the A/H1N1 flu virus had spread quickly into the community. It particularly noted two flu clusters that were recently found in Viet Kieu hamlet, Xuan Hiep commune, Xuan Loc district, Dong Nai province and at the Ngo Thoi Nhiem Private High School in District 9, HCM City.

As of yesterday, 84 of the country's A/H1N1 positive patients were relatives of overseas Vietnamese patients who had returned to Dong Nai from the US.

"The health sector has found 61 teachers and pupils from the Ngo Thoi Nhiem Private High School in District 9, HCM City, to be positive for the virus. The number of patients will rise high in the coming time," said Director of the Preventive Medicine and Environment under the Ministry of Health (MoH) Nguyen Huy Nga.

"Signs have shown that the A/H1N1 flu pandemic has spread into the community," said Nga.

Viet Nam has begun to see signs of A/H1N1 flu in the community more than 50 days after the first reported case. So far, all patients have been isolated, closely monitored and effectively treated for quick recovery.

Health experts have warned that when the A/H1N1 flu spreads widely into the community, Viet Nam will face challenges in its control. An increasing number of patients and even fatalities are unavoidable. In particular, people suffering from chronic diseases, weak immune systems, the elderly, children, pregnant women and obese people are vulnerable to the flu.

At present, the health sector is focusing its activities on closely monitoring patients, isolating suspected cases and treating positive patients in a timely manner. The health sector has made efforts to prepare sufficient drugs, hospital beds, medical facilities and isolation areas for a pandemic, according to Nga.

The MoH yesterday confirmed 35 new A/H1N1 flu cases, bring the nation's total to 443 cases and no fatalities since the onset of the threat. Of all cases, 328 have been discharged from hospitals and the rest are stable, resting in isolation and undergoing treatment.

The European Centre for Disease Prevention and Control (ECDC) reported a total of 139,556 A/H1N1 flu cases, with 781 fatalities, in 139 countries and territories worldwide.

Bird flu, too

At a workshop held yesterday, representatives from the Ministry of Labour, Invalids and Social Affairs (MoLISA) and the Ministry of Agriculture and Rural Development also called for raised awareness about avian influenza in humans among civil servants, workers and their managers.

"One of our challenges is how to help workers and managers understand methods for preventing avian influenza themselves and to actively combat the disease," said Director of MoLISA's Labour Safety Department Doan Minh Hoa.

At the event, participants agreed that so far avian influenza prevention at the work place had focused primarily on communication activities rather than specific measures or comprehensive strategies to curb the disease.

"We should set up policies for avian influenza prevention activities, and insurance policies and wages for workers who are unable to go to work because of the pandemic," added Hoa.

Avian influenza prevention for workers will be integrated into MOLISA's labour safety programme.

VietNamNet/Viet Nam News

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Thứ Ba, 16 tháng 6, 2009

Vietnam organises super flu drill

VietNamNet Bridge – The Hanoi Department of Health and the Preventive Health Centre of Thanh Xuan district, Hanoi on June 13 conducted a simulation of an A/H1N1 flu emergency response.

The simulated case was an individual returning home from a super-flu-hit country and getting a fever.

VietNamNet captured the rehearsal.

The supposed case is an individual returning home from a super-flu-hit country and getting a fever.

Local health workers were immediately present at the site to quarantine the area.

A health worker took the temperature of the individual.

The person was determined to have a body temperature of over 38oC. Immediately, the person’s family members were provided with respirators and medicines.

The person was brought to the hospital for treatment.

And also her family members.

Health workers sprayed chemicals to decontaminate the patient’s house and the surrounding area.


Health workers decontaminated themselves before leaving the site.

The patient at the hospital.

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Thứ Bảy, 23 tháng 5, 2009

Veteran teacher covets words of wisdom


VietNamNet Bridge - His family think he’s obsessed, but for Nguyen Huy Gioi, collecting proverbs is his life. Mai Hang finds out why the former head teacher thinks words of wisdom are worth more than money.

If Nguyen Huy Gioi lets one day pass by without learning anything, he considers the day wasted.

The retired teacher has dedicated his life to collecting words of wisdom. In his opinion, his most valuable possession is his eruditeness. At the age of 70, Gioi has collected over 4,000 proverbs and apothegms.

Gioi has already published two books on words of wisdom published by Lao Dong – Xa Hoi (Labour – Society) and Ha Nam Provincial Literature and Arts Association Publishing Houses.

"I love hearing new sayings from politicians and celebrities, from ancient to modern times. It’s wonderful when a great idea can be transferred through a short sentence," he says.

"It pleases me to think about the deep thoughts and meanings of each saying," he says. "The more proverbs I read, the more moral lessons I learn."

Gioi doesn’t collect all the proverbs he hears, he takes notes selectively.

"I chalk out a plan for collecting the proverbs," he says.

Every year, he gathers hundreds of proverbs from different genres: culture, morality, love, education and health. Then he arranges the fruits of his labour in different directories.

"I have found numerous proverbs but I want to select ones which are close to the language of ordinary life which is easy for readers to understand and perceive," he says. "Filtering them is not easy at all."

Beside listing proverbs, Gioi also explains the meaning of each and their origin.

"That’s the most difficult part," he says.

"Collecting words of wisdom that no one can understand is pointless. My job is to help people get an idea of the significance and meaning of each saying."

Understanding a proverb is not easy, he says.

"Someone could spend their whole life trying to come to grips with the meaning of a saying. That’s why I have to spend a lot of time picking them apart."

The mammoth task of collecting is too big for him to tackle alone, Gioi says, so he usually whips up some support from his friends.

His search often takes him to book stores. Some of his favourite reference points are books like Confucianism’s Quintessence, I Ching (Book of Changes), Shih Shu – Wu Ching (Four Books and Five Classics, nine ancient Chinese works handed down by Confucius and his followers).

"I like these books, they contain many profound and subtle sayings of ancient sages. I suffer from arthritis and I have to walk with crutches, but that doesn’t stop me going from shop to shop looking for words of wisdom."

Gioi also looks for sayings in newspapers, novels, text-books and even calendars.

After he updates the collection he rewrites, supplements and rearranges his notebooks clearly so he can refer to them easily.

"Sometimes, my wife and children complain about my work and wonder if I’m obsessed, but I think my hobby is very meaningful, it’s not redundant and I never give up," Gioi says.

"It’s like studying, it’s never irrelevant, the older I get, the more I have to study."

Studious

After graduating from university in the northern province of Thanh Hoa, Gioi worked as a teacher during the resistance against the French. In 1955 he moved to Ha Nam Province where he got a job as head master of a secondary school.

It was a good job, but Gioi didn’t want to relax. He continued studying in Ha Noi and was eventually offered a job as a head teacher at a high school there. He returned home in 1981 and took up the post of chief of the Education Office.

Because of his long experience in education, Gioi says he understands the responsibilities of being a good teacher. The words he collects are not to show off his own abundance of learning, but to help people understand the value of knowledge.

"I record the proverbs with the hope that they can help us widen our intelligence, and live more optimistically and humanely," he says.

With the morality of a teacher, Gioi says he often thinks about how the young generation can learn moral principles and good things in life.

"I lived through some hard times," the teacher says.

"Sometimes after a day’s teaching I had to come home and help my wife make tofu to sell at the market."

But the hardships he faced haven’t held him back, instead he learnt how to tackle life and make the most from it.

Although he has already published two critically acclaimed books, Gioi says he doesn’t want to stop there.

"As the saying goes, when misfortune reaches its limit, then comes prosperity," he says.

Gioi has seen his fair share of hardship. He may not be a rich man in terms of material goods, but his wealth of knowledge is far more valuable than that, he says.

VietNamNet/VNS

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Chủ Nhật, 26 tháng 4, 2009

Vietnam takes measures against swine flu

VietNamNet Bridge – After the World Health Organization (WHO) released the warning about the swine flu in Mexico and the United States, the Vietnamese Health Ministry asked related agencies to urgently take actions to prevent the disease.

A type A/ H5N1 patient.

Accordingly, local health agencies have to keep watching to early discover any case of fever or having pneumonia or breathing problems. The people who enter Vietnam from Mexico and the US must pass temperature check.

Dr. Nguyen Huy Nga, the Chief of the Preventive Health and Environment Agency under the Health Ministry, said that the swine flu virus is very toxic. Vietnam has not detected any case but it must be vigilant against the flu because type A/H5N1 flu still exists and the country has a huge number of pigs.

In HCM City, the local Department of Health met with the Veterinary Department, the Preventive Health Bureau, the International Health Quarantine Centre and hospitals to discuss measures to supervise swine flu.

According to the HCM City Department of Health, though this disease doesn’t come to Vietnam, the city has to tighten control of domestic and international passengers who enter the city via the Tan Son Nhat International Airport. All passengers have to pass temperature test at the airport. Temperature check is also applied on passengers who travel to Vietnam from Mexico and the US by sea.

The HCM City Department of Health’s Director Nguyen Van Chau instructed the Hospital for Tropical Diseases, the Pham Ngoc Thach Hospital and the Children’s Hospitals 1 and 2 to be ready to treat swine flu patients.

The city has also set up a taskforce against swine flu, gathering doctors from the four above hospitals.

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Thứ Hai, 13 tháng 4, 2009

A sharp increase in holiday bookings


VietNamNet Bridge - Despite ‘tightening their belts’ due to the economic decline, both domestic and foreign tourists are predicted to rise during the coming four-day holiday in celebration of May Day and South Vietnam Liberation Day (April 30).

The stable price of domestic tours for this holiday has helped to raise the number of tourists on these tours by 10-20 percent against the same period last year.

Tours of between 300-500km are especially popular, says Mai Lan, head of market research for the Vietravel company in Hanoi.

Many organizations and offices are giving their employees time off to celebrate the occasion and travel agencies have designed a number of specific tours to cater for this group of tourists.

Saigontourist, a major tourism firm based in Ho Chi Minh City, has organized more than 100 tours, divided into three main packages – IKO Travel (economy), Premium Travel (luxury) and a traditional one designed exclusively for this holiday.

So far IKO Travel has been the most popular thanks to its reasonable prices and flexibility. A five-day IKO Travel trip from Hanoi to beauty spots in central Vietnam costs less than VND3.2 million.

Thuy Linh, a representative of Saigontourist, says that the number of people booking domestic tours has reached more than 4, 000 already.

Apart from domestic tours, there has been also a 10-15 percent rise in overseas tours. For prestigious firms that offer attractive tours and promotional programmes, the figure has reached 20-25 percent.

The Saigontourist branch in Hanoi has launched nearly 20 tours to countries such as Singapore, China, Cambodia, Japan, South Africa, and Egypt.

Vietravel’s four-day tour of the Republic of Korea costs only US$869 per tourist and the company is also discounting its tour of Shanghai in China by 20-25 percent.

VietNamNet/VOV

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Thứ Năm, 12 tháng 3, 2009

Hospitals look abroad for equipment

VietNamNet Bridge – The quality of domestic health equipment had yet to meet national and international standards, said health experts at a meeting on Tuesday.

Imported modern health equipment is always the first choice of domestic hospitals.

Most modern health equipment in hospitals was imported because domestic machines lacked advanced technology, said deputy minister of health Nguyen Thi Kim Tien.

Bach Mai Hospital used domestically produced items like beds, stretchers, patient trolleys and desks, said Bui Xuan Vinh, head of Health Facilities Department.

But the hospital imported high-tech health equipment such as diagnosis, ultrasound and x-ray machines from Japan or the US to ensure their quality and accurate results, said Vinh.

The technology of domestic health equipment was not as advanced as required, said Dinh Manh Huy, deputy director of Viet Duc Hospital.

Until now, there have been 48 agencies manufacturing more than 620 basic pieces of hospital equipment.

Moreover, hospitals are not paying enough attention to the staff who are responsible for managing health equipment, according to Tien.

Only 6 per cent of the staff were engineers, 35 per cent technical workers and the other 59 per cent doctors and nurses who had to take on this responsibility in addition to their other work, she said.

Currently, there is only one college training people to care for health facilities.

Deputy Prime Minister Nguyen Thien Nhan has suggested measures to deal with this difficult situation: establish a steering committee on health facilities, draw a specific plan for manufacturing and selling domestic health equipment, list health equipment which can be mass-produced and improve the law on health facilities.

It was also necessary to improve the salary of people responsible for maintaining health equipment, said Nhan.

The health ministry has co-operated with the Ministry of Education and Training and the Ministry of National Defence to boost the study and manufacture of health equipment, according to Nguyen Minh Tuan, deputy head of the Health Equipment Department under the Ministry of Health.

There would also be specific programmes to train technicians or engineers in health facilities management, said Tuan.

This would contribute to the strategic plan that by 2010, up to 60 per cent of health equipment in hospitals and health centres will be domestically produced.

VietNamNet/Viet Nam News

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Thứ Bảy, 14 tháng 2, 2009

Stars Strut Catwalk for Women's Heart Health

Annual Red Dress show aims to put top killer out of style

Posted February 13, 2009

By E.J. Mundell
HealthDay Reporter

FRIDAY, Feb. 13 (HealthDay News) -- Actress Hilary Duff wearing Donna Karan, soap queen Susan Lucci wowing the crowd in Gustavo Cadile, skater Kristi Yamaguchi showing Olympic style in Vera Wang, and CBS anchor Katie Couric bringing the show to a close in Carmen Marc Valvo -- all of these stars, and more, proudly wore red on the runway Friday for the 7th annual Red Dress Collection, aimed at raising awareness of women's heart health.

As kick-off for New York City's Fashion Week, the show is a yearly highlight of The Heart Truth campaign, sponsored by the U.S. National Heart, Lung, and Blood Institute (NHLBI) to help raise awareness of the nation's leading killer of women. Since its inception in 2002, the Red Dress has become the national symbol for women and heart disease awareness.

The celebrities and designers showcased on the Bryant Park catwalk hope to "tell all of us that being healthy never, ever goes out of style," said this year's host, Tim Gunn, star of Bravo's Project Runway and Tim Gunn's Guide to Style. "In their own manner of speaking, they take 'make it work,' and they take it to heart," he added.

The event is meant to inspire all women -- the young and those a little older. Twenty-two-year-old film star Amanda Bynes strutted, in Daniel Swarovski. But so did 57-year-old "Wonder Woman" Lynda Carter, in Carolina Herrera. And, to great applause, ever-young actress Cicely Tyson, 75, resplendent in B. Michael.

One Red Dress Collection regular, supermodel and Project Runway host Heidi Klum, applauded the campaign's effectiveness in getting the word out to women. "Since 'The Heart Truth' campaign was launched, awareness has increased by 23 percent. I want to see that number rising," she told HealthDay. Working with event co-sponsor Diet Coke, Klum said she "reached a lot of people last year, and this year my goal is to reach even more women so they get tested and stay healthy."

But much more work needs to be done, added NHLBI director Dr. Elizabeth Nabel.

"One in four women in the United States dies of heart disease, so heart disease kills more women than all cancers combined," the cardiologist said. Added to that, "we are seeing increasing rates of obesity, particularly in younger women," Nabel warned. "This indicates that there could be a greater prevalence of heart disease in later years."

Given all this, why are American women less likely than men to view heart disease as "their" problem?

According to Nabel, until the 1990s, studies on cardiovascular ills were mostly focused on men. Medical schools -- including the one she attended -- taught that heart trouble was primarily a male concern, striking women only much later in life. But as more women entered clinical trials, "we started learning that, indeed, women were developing heart disease at ages equivalent to men," Nabel said.

For too long, women also thought of themselves as caregivers first, the cared-for second. "I was taught that heart disease was a man's disease, and a woman's role is to take care of her man," Nabel said. "But I think that the message in 2009 is that heart disease is a woman's and a man's disease. And the job of the man is also to take care of the woman."

Efforts such as "The Heart Truth" campaign are helping change hearts and minds, she added.

"We know that since the [campaign] began seven years ago, millions of women have learned that heart disease is the No. 1 killer -- a new survey shows that 65 percent of women are aware of this fact," Nabel said. "But about one-third of women still underestimate their own personal risk of getting heart disease, and if you underestimate your risk, this can have serious consequences."

A few simple steps can minimize heart risk factors, helping to prevent "silent killers" such as high blood pressure and high cholesterol.

"The good news is women have the tremendous power to reduce their risk of getting heart disease," Gunn reminded the crowd. "By doing four things -- eating right, being physically active, not smoking, and having a good body weight -- women can lower their risk of getting heart disease by as much as 82 percent. That's a staggering percentage."

More information

Find out much more about women's heart health at the The Heart Truth.

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Privacy Trumps Profit in $19 Billion Health Stimulus

By Nicole Gaouette

Feb. 13 (Bloomberg) -- Patients’ advocates claimed victory in a battle over the privacy of health records as the U.S. Congress approved the economic stimulus bill, which contains $19 billion for health-care information.

U.S. House and Senate negotiators’ compromise reflects stricter standards that privacy advocates wanted for marketing, selling and disclosing health data. Both houses approved the $787 billion stimulus plan today and sent it to President Barack Obama for his signature.

The legislation contains $2 billion in grants to create a national system of computerized health records and $17 billion in higher Medicare and Medicaid reimbursements for doctors and hospitals to adopt the technology. Electronic records will improve care and reduce costs, Obama said. The legislation also will boost the health-records industry, led by Allscripts-Misys Healthcare Solutions Inc., Quality Systems Inc. and Athenahealth Inc.

“We’ve dramatically improved on the status-quo, wholly unregulated system where private patient data was bought and sold like any commodity,” Caroline Fredrickson, director of the American Civil Liberties Union’s Washington legislative office, said in an interview today.

Business advocates argued privacy provisions would cost too much, a position that was reflected in the version of the stimulus bill passed by the Senate earlier this week.

“We raised concerns about the unintended consequences of some of these provisions,” said Robert Zirkelbach, a spokesman for America’s Health Insurance Plans, in a telephone interview yesterday. The Washington-based group represents 1,300 managed- care companies, including WellPoint Inc. and UnitedHealth Group Inc.

Obama’s Overhaul

A national system of patient records is central to Obama’s plan to overhaul health care. The legislation would make doctors eligible for $40,000 to $65,000 grants if they begin using health-information technology. Hospitals would be eligible for millions more in Medicaid and Medicare payments. Penalties for those who fail to adopt the systems would start in 2014.

Paying doctors to use electronic health records “is the single most important thing we can do to improve the quality and lower the cost of health care in America,” said Glen Tullman, chief executive officer of Chicago-based Allscripts-Misys, in an e-mail.

Currently, drug companies can pay pharmacies to mine patient data for sales pitches. The bill would require pharmacies, including CVS Caremark Corp., the pharmacy-benefits manager and drugstore chain, to get customer permission to market drugs they aren’t already taking.

The bill also would tighten restrictions on the sale of medical data and require patients be told when their records are disclosed.

Added Costs

The disclosure provisions would add millions in administrative costs, according to the Healthcare Leadership Council, an industry group that includes Johnson & Johnson, of New Brunswick, New Jersey, Medtronic Inc. of Minneapolis and Sanofi-Aventis SA of Paris.

Wiring the offices of the nation’s 550,000 doctors and providing software to store and share medical data will cost more than $5 billion, said Richard Close, a Jefferies & Co. analyst in Nashville, in a phone interview. Most estimates say no more than a quarter of physicians now use digital records.

Companies whose customers include hospitals and large medical practices also may gain from the stimulus. General Electric Co., the biggest maker of medical-imaging equipment, unveiled a technology “starter kit” for new hospitals in November.

“I am thrilled that the final bill includes vital privacy protections for patients’ electronic information,” said Representative Ed Markey, a Massachusetts Democrat and consumer advocate, in a statement. He said the bill “will help improve medical care, reduce costs and reduce medical errors.”

To contact the reporters on this story: Nicole Gaouette in Washington at ngaouette@bloomberg.net;

Last Updated: February 13, 2009 22:59 EST
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Beaches may harbor staph bacteria: U.S. study

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1 of 1Full Size

By Julie Steenhuysen

CHICAGO (Reuters) - Swimmers at crowded public beaches are likely to bring home more than a bit of sand in their bathing suits, according to U.S. researchers, who said as many as one in three swimmers may be exposed to contagious staph bacteria.

They said people who swim in subtropical marine waters have a 37 percent higher risk of being exposed to staph bacteria, including an antibiotic resistant staph known as Methicillin-resistant Staphylococcus aureus, or MRSA.

"We think that people are the instruments for bringing their organisms into the water and leaving it behind," Dr. Lisa Plano of the University of Miami told reporters at the American Association for the Advancement of Science meeting in Chicago on Friday.

"I don't know if that is the only source. The bacteria may still be in the sand left over from other people, but we haven't studied that. These are things we plan to do in the future."

People who have open wounds or are immune compromised have the greatest risk of infection, she said.

In one experiment with more than 1,000 bathers on a popular Florida beach, people spent 15 minutes dunking themselves in the sea, then bringing sea water back with them in a jug.

They then tested the water for staph and MRSA and found 37 percent of the samples contained staph, and 3 percent of those contained MRSA.

"I don't think you should fear going to the beach," Plano said, particularly if they take a few simple precautions. Continued...

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Cure for the Common Cold? Not Yet, but Possible

Published: February 12, 2009

Curing the common cold, one of medicine’s most elusive goals, may now be in the realm of the possible.

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J.Y. Sgro/Uw-Madison

The structure of the human rhinovirus’s surface.

Related

Health Guide: Colds

Researchers said Thursday that they had decoded the genomes of the 99 strains of common cold virus and developed a catalog of its vulnerabilities.

“We are now quite certain that we see the Achilles’ heel, and that a very effective treatment for the common cold is at hand,” said Stephen B. Liggett, an asthma expert at the University of Maryland and co-author of the finding.

Besides alleviating the achy, sniffly misery familiar to everyone, a true cold-fighting drug could be a godsend for the 20 million people who suffer from asthma and the millions of others with chronic obstructive pulmonary disease. The common cold virus, a rhinovirus, is thought to set off half of all asthma attacks.

Even so, it might be difficult to kindle the interest of pharmaceutical companies. While the new findings are “an interesting piece of science,” said Dr. Glenn Tillotson, an expert on antiviral drugs at Viropharma in Exton, Pa., he noted that the typical cost of developing a new drug was now $700 million, “with interminable fights with financiers and regulators.”

Because colds are mostly a minor nuisance, drug developers say, people would not be likely to pay for expensive drugs. And it would be hard to get the Food and Drug Administration to approve a drug with any serious downside for so mild a disease.

Carl Seiden, president of Seiden Pharmaceutical Strategies and a longtime industry analyst and consultant, said industry might be loath to wade in because Relenza and Tamiflu — two drugs that ameliorated flu but did not cure it — were huge commercial disappointments.

The industry has also learned in recent years that turning a genetic discovery into a marketable drug is far harder than once thought.

Still, if the discovery could lead to an effective drug to treat the common cold, “that’s a big deal,” Mr. Seiden said.

Industry hurdles aside, perhaps the biggest reason the common cold has long defied treatment is that the rhinovirus has so many strains and presents a moving target for any drug or vaccine.

This scientific link in this chain of problems may now have been broken by a research team headed by Dr. Liggett and Dr. Ann C. Palmenberg, a cold virologist at the University of Wisconsin.

The researchers, who conducted the genetic decoding with the aid of Dr. Claire Fraser-Liggett at the University of Maryland, published their insights into the rhinovirus on Thursday in the online edition of Science.

Dr. Fernando Martinez, an asthma expert at the University of Arizona, said the new rhinovirus family tree should make it possible for the first time to identify which particular branch of the tree held the viruses most provocative to asthma patients.

If antiviral agents could be developed against this group of viruses, Dr. Martinez said, “it would be an extraordinary advance.”

Another asthma expert, Dr. E. Kathryn Miller at the Vanderbilt Children’s Hospital in Nashville, said the new finding was “a groundbreaking study of major significance.”

People at high risk from rhinoviruses, like children with asthma or adults with chronic obstructive pulmonary disease, would benefit greatly from new drugs, Dr. Miller said, and should therefore be populations of interest to the drug industry.

Dr. Liggett said the new data might even provide an opportunity to consider new vaccine approaches.

Dr. Palmenberg is less optimistic. “There’s not going to be a vaccine for the common cold,” she said, given that vaccines do not protect the linings of the nose where the virus attacks.

The rhinovirus has a genome of about 7,000 chemical units, which encode the information to make the 10 proteins that do everything the virus needs to infect cells and make more viruses.

By comparing the 99 genomes with one another, the researchers were able to arrange them in a family tree based on similarities in their genomes.

That family tree shows that some regions of the rhinovirus genome are changing all the time but that others never change.

The fact that the unchanging regions are so conserved over the course of evolutionary time means that they perform vital roles and that the virus cannot let them change without perishing. They are therefore ideal targets for drugs because, in principle, any of the 99 strains would succumb to the same drug.

Dr. Liggett said he believed that one such target lies at the very beginning of the rhinovirus genome, where its genetic material is folded into a clover-leaf shape. The sequence of units in the clover leaf is designed to be read quickly by the infected cell’s protein-making machinery. All strains of rhinovirus have much the same sequence of units at this region and all could be vulnerable to the same drug.

The data will also help analyze a new family of rhinoviruses that is causing concern. Instead of attacking the cells lining the nose, these attack those lining the deep lungs, causing viral pneumonia.

This family of virus cannot at present be grown for study in the laboratory, Dr. Palmenberg said, but can now be researched genetically through the common elements they share with other rhinoviruses.

Researchers at the J. Craig Venter Institute, where the rhinovirus genomes were decoded, say another important feature of the viruses lies in a highly variable region at one of the genomes.

The equivalent region in polio virus determines pathogenicity, and the same may be true with rhinoviruses.

There are at present no effective treatments for the common cold. Frequent hand-washing is the best preventive, Dr. Miller said. Once a cold has started, she recommended washing out the nasal passages, warm drinks and rest.

Gardiner Harris contributed reporting from Washington.
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Ruth Bader Ginsburg home after cancer surgery

The 75-year-old Supreme Court justice had her spleen and part of her pancreas removed. A newly discovered tumor is small and hasn't spread; the tumor that prompted the operation is benign.
By David G. Savage and Karen Kaplan
February 14, 2009
Reporting from Los Angeles and Washington -- Supreme Court Justice Ruth Bader Ginsburg went home from the hospital Friday with an encouraging lab report that found no sign her cancer had spread. The 75-year-old had surgery a week ago to remove a tumor on her pancreas.

A 1-centimeter pancreatic lesion spotted by CT scan last month proved benign, according to her surgeon. "But in searching the entire pancreas, [the doctor] identified a previously undetected single, even smaller tumor, which upon examination was found malignant," according to a statement issued by the Supreme Court.

Dr. Murray Brennan, a pancreatic specialist, removed Ginsburg's spleen and a portion of her pancreas during surgery Feb. 5 at Memorial Sloan-Kettering Cancer Center in New York.



"All lymph nodes proved negative for cancer, and no metastasis was found," the courtstatement said. Her doctors described her cancer as stage 1.

Dr. Joseph Kim, a liver, pancreas and stomach surgeon at the City of Hope Comprehensive Cancer Center in Duarte, said Ginsburg's prognosis appeared positive.

The reports are "outstanding," he said. "It's very good for her."

The finding that Ginsburg's pancreatic cancer is stage 1 means that the tumor was small and showed no sign of spreading to other organs. She will probably begin a six-month course of chemotherapy and may receive radiation treatment before or after, Kim said.

With a stage 1 tumor, "the chances of survival are far better than the bleak survival figures we commonly talk about," Kim said. Instead of a 5% chance of survival after five years, Ginsburg's odds could be better than 50%, he said.

The spleen helps the body develop immunity during childhood, and adults can easily live without it, Kim said. The pancreas makes insulin, which helps the body regulate sugar, and enzymes that help digest food.

If Ginsburg's pancreatic function is affected, she could take digestive enzymes in pill form and monitor her insulin like a diabetic, Kim said.



Justice Ginsburg had an operation for colon cancer in 1999 and returned to the court without missing a day of court. She made a practice of releasing medical reports on her condition.

The 75-year old justice plans to recuperate at her home in Washington, and has said she expects to be back on the bench when the court next hears oral arguments on Feb. 23. Ginsburg took her seat on the court in 1993.
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Autism ruling fails to convince many vaccine-link believers

By Madison Park
CNN
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A special court's Thursday ruling that no proven link exists between autism and certain early childhood vaccines seems to have done little to change the sometimes-passionate opinion fueling the debate.

Thousands of parents have sought compensation saying, early childhood vaccinations triggered their children's autism.

Thousands of parents have sought compensation saying, early childhood vaccinations triggered their children's autism.

Amanda Guyton, a mother of a 6-year-old boy with autism, was "incredibly happy" with the decision and said it reaffirmed her belief that her son's autism has nothing to do with vaccines.

"We're ready for them to get on real research like educational strategies and help for kids," she said. "An awful lot of money and effort and time were spent on vaccines when three or four studies said no, there isn't a link."

Meanwhile, John Best, the father of a 12-year-old boy with autism, said: "The whole thing stinks."

Guyton and Best were not involved in the cases, but were following the news because of their interest in autism.

Three families -- the Cedillos, the Hazlehursts and the Snyders -- had sought damage awards from the Vaccine Injury Compensation Program for their children who have autism, a disorder that the parents contend was triggered by the vaccine against measles, mumps and rubella combined with vaccines containing thimerosal, a mercury-based preservative. Video Watch Campbell Brown's take on the controversy »

The panel of "special masters" ruled that these petitioners had not presented sufficient evidence to prove that the childhood vaccines caused autism in their children.

A vocal segment of autism parents has contended that childhood vaccinations recommended by the government cause the disorder. Health agencies and the scientific community have disputed that notion. In defending its conclusion that no link exists, the Institute of Medicine cited five large studies that have failed to prove any connection between autism and thimerosal and 14 large studies finding no link between the MMR vaccine and autism.

"As the scientific community has been saying for a long time, there is no good, credible, reproducible research that supports the hypothesis that MMR (measles, mumps and rubella) vaccine causes autism," said Dr. Max Wiznitzer, an autism expert at Rainbow Babies and Children's Hospital in Cleveland, Ohio.

Wiznitzer testified in two of these three lawsuits brought against the government's National Vaccine Injury Compensation Program.

"What the decision tells us is that these vaccinations are safe," he said. "The medical evidence tells us there is no association between vaccines and autism. This is one more piece that helps confirm that conclusion."

The defendant, the U.S. Department of Health and Human Services, released a statement Thursday: "Hopefully, the determination by the Special Masters will help reassure parents that vaccines do not cause autism."

Meanwhile, some autism advocacy groups such as SafeMinds also criticized the HHS saying the "deck is stacked against families when they enter 'vaccine court.'"

National Autism Association president Wendy Fournier agreed.

"If you have a vaccine injury, you're forced to sue Health and Human Services instead of suing the manufacturers. It's the government that oversees these court cases," said Fournier, who is the mother of a 9-year-old girl with autism. "The conflict of interest is so huge in so many levels by having the government responsible for not only promoting vaccine program, but also responsible for overseeing the safety."

Fournier said her daughter was a happy, healthy toddler who developed autism after receiving shots. She said she's heard countless similar stories from other parents.

The special court denied Mike and Theresa Cedillo's claim that vaccines caused autism in their daughter, Michelle, 14, who can't walk without help and receives nourishment from a feeding tube.

"We're obviously really disappointed," Theresa Cedillo said.

Tom Powers is an attorney for a litigation steering committee representing thousands of families that fall into three categories: those that claim that MMR vaccines and thimerosal-containing vaccines can combine to cause autism; those who claim thimerosal-containing vaccines alone can cause autism; and those who claim that MMR vaccines, without any link to thimerosal, can cause autism.

"We're disappointed in the outcome of the court's decision," he said. "However, these decisions are the first step in a long process. The whole process was designed to raise every possible issue in these cases -- hear all the evidence in these cases, knowing that ultimately appeals courts will be making the final decisions."

This week's ruling brought a different outcome from the Hannah Poling case. In November 2007, the Division of Vaccine Injury Compensation concluded that the Georgia girl's illness that had predisposed her to symptoms of autism was "significantly aggravated" by the vaccinations she received as a toddler and that her family should therefore be compensated.

But Thursday, Special Master George L. Hastings Jr. wrote in his ruling in the Cedillos case, "The evidence advanced by the petitioners has fallen far short of demonstrating such a link" between autism and vaccinations.

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Wiznitzer said the ruling sent a message.

"Instead of spending resources investigating ideas that are hypothetical and have no proven value, we need to invest our time and resources into projects that will better determine the reasons for autism and the interventions that are best needed," he said.
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Thứ Tư, 4 tháng 2, 2009

Cancer: The facts

Cancer: The facts

One in three of us will be diagnosed with cancer during our life.

The disease tends to affect older people - but can strike at any time.

Excluding certain skin cancers, there were more than 270,000 new cases of the disease in 2001 - and the rate is increasing by about 1% a year.

Some cancer, such as breast, are becoming more common, while new cases of lung cancer fall away due to the drop in the number of smokers.

However, while the overall number of new cancers is not falling, the good news is that successful treatment rates for many of the most common types are improving rapidly.

BBC News Online has produced, in conjunction with Cancer Research UK, a guide to some of the most common forms of cancer and the treatments used to tackle them.

To learn more about different types of cancer, and to read the experiences of patients, click on the links to the right.
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NHS health check: Facts and figures

NHS health check: Facts and figures

The Healthcare Commission has published its in-depth analysis of the performance of England's 391 NHS trusts across a range of categories over the past year.

NHS RATINGS 2008
To find out more Healthcare Commission information for England, enter your full postcode
This search goes to an external site

The watchdog assessed the trusts on a series of criteria, focusing on their quality of service and use of resources.

Each trust was graded either excellent, good, fair or weak.

The services measured included patient access, safety and the way the services are run.

The ratings reflect how well the organisation met basic standards of care and how they performed against existing and new national targets.

QUALITY OF SERVICES

Quality of services year comparison

The NHS is being praised for improving the services it provides.

The number of excellent performers has risen more than six-fold in the last two years. Meanwhile, just 5% are classed as weak.

The poorest performers will now be subject to monitoring by the Healthcare Commission.

USE OF RESOURCES

Use of resources year comparison

Basically, this is a measure of how well trusts are managing their finances.

Again the figures show an improvement in recent years as the health service has turned its deficit into a healthy surplus.

TRUST TYPE BREAKDOWN ON QUALITY OF SERVICES

Quality of services 07/08

Performance is generally up for each of the four types of trusts. However, primary care trusts, which oversee community services such as GPs, are still struggling to achieve excellent ratings.

This is probably because as largely management organisations they have more targets to hit.

TRUST TYPE BREAKDOWN ON USE OF RESOURCES

Use of resources 07/08

READ THE FINDINGS IN FULL
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Hospitals, in particular, have upped their game on financial management in recent years. Two thirds are now excellent or good.

But the watchdog has flagged up the lack of rigour seen among ambulance trusts. These have recently been merged, which could partly explain the lack of any excellent performers. NHS chiefs will be expecting this to improve in future years.

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Dry Amazon, dry world?

Whisper this in case you're near any BBC managers looking to cut costs - just occasionally this job gives you experiences so special that, to be honest, you would have paid for them willingly.

Tap with water dropletA little over two years ago I had one of those experiences: a week in the Amazon making a BBC World Service radio documentary about sustainable forestry - what it means in the Brazilian context, how it's being implemented, and whether it can work.

It's a part of the world I hadn't visited before and, as usual in these situations, some of the people you meet are as special as the places you see - a cousin of the noted activist Chico Mendes, for example, who makes a living by collecting Brazil nuts and other things that the forest provides.

We met a female timber magnate who'd come from a family of dodgy loggers but who was trying to "go straight", a state premier who'd established a nursery growing saplings of Amazonian trees for replanting, and environmental campaigners passionate about making forestry sustainable but equally adamant that their state produced the best beef in the world (and it really was good).

Perhaps the least expected encounter was with a scientist from the US, Foster Brown. He's worked in the region for many years now and was writing a report on the wildfires that sprang up in unusually large numbers in 2005. The fires coincided with a period of very low rainfall in Acre province - drought, in fact, with rain virtually absent for months.

I pinched myself to remember where I was - in the middle of the Amazon basin, a region that's a byword for the verdant ebullience of nature, in something that's called, let us remember, rainforest.

Acre has had dry seasons quite regularly in fact, many of them related to the El Nino/La Nina cycle in the Pacific Ocean some 800km (500 miles) away. What made this one different was that, for the first time in living memory, villagers complained of not being able to get enough water.

Two things had changed from previous dry periods. More and more people were living in the region, partly as a result of the local population growing and partly because of the government's decades-old policy of "settling" the Amazon and making the region economically productive.

Sawmill in Amazon regionThe expanding population in turn meant more mouths thirsty for water, more land cleared of its natural water-conserving vegetation for cattle-ranching, more water consumption by that cattle, and consequently a landscape through which fire could travel more rapidly and easily.

The result in 2005 [pdf link] was an estimated $50m of direct economic losses and a state of emergency declared in three provinces.

It struck me that here in the Amazon we had a microcosm of the factors that mean more and more societies around the world are having to think about water harder that they've had to before.

The issue isn't population growth or economic development or climatic factors - it's all of them.

Some regions and some societies are more capable of adaptation than others, of course; and while economic development can cause shortages, it can also be a way to overcome shortages.

But who should own water, and how should it be managed to make sure that economic progress leads to cleaner and more reliable supplies rather than depletion?

Certainly, water is far too complex a topic for a single blog post. So it's lucky that - as if by magic - I can refer you to a series of articles that Clare Davidson, a colleague who covers business affairs for the BBC website, and I have written and commissioned.

We'll be rolling them out over the next two weeks - here's the first - and I'd be most interested at any stage to chat here about the issues raised.
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Water - another global 'crisis'?

Environment correspondent, BBC News website
Farmer in parched field
Sharper, more intense rains may reduce the water available to farmers

If you look at the numbers, it is hard to see how many East African communities made it through the long drought of 2005 and 2006.

Among people who study human development, it is a widely-held view that each person needs about 20 litres of water each day for the basics - to drink, cook and wash sufficiently to avoid disease transmission.

Yet at the height of the East African drought, people were getting by on less than five litres a day - in some cases, less than one litre a day, enough for just three glasses of drinking water and nothing left over.

The scarcity at the heart of the global water crisis is rooted in power, poverty and inequality
UNDP, 2006

Some people, perhaps incredibly from a western vantage point, are hardy enough to survive in these conditions; but it is not a recipe for a society that is healthy and developing enough to break out of poverty.

"Obviously there are many drivers of human development," says the UN's Andrew Hudson.

"But water is the most important."

At the United Nations Development Programme (UNDP), where Dr Hudson works as principal technical advisor to the water governance programme, he calculated the contribution that various factors make to the Human Development Index, a measure of how societies are doing socially and economically.

"It was striking. I looked at access to energy, spending on health, spending on education - and by far the strongest driver of the HDI on a global scale was access to water and sanitation."

Different lives

Two key questions arise, then.

WATER TRENDS
How availability, use and needs are changing across the world

Why do some communities have so little access to water? And how will the current picture change in a world where the human population is growing, where societies are urbanising and industrialising, and where climate change may alter the raw availability of water significantly?

The UNDP is unequivocal about the first question.

"The availability of water is a concern for some countries," says the report.

"But the scarcity at the heart of the global water crisis is rooted in power, poverty and inequality, not in physical availability."

Statistics on water consumption appear to back the UN's case.

Japan and Cambodia experience about the same average rainfall - about 160cm per year.

But whereas the average Japanese person can use nearly 400 litres per day, the average Cambodian must make do with about one-tenth of that.

Girl drinks from tap
The number of people with access to clean water is increasing

The picture is improving to some extent.

Across the world, 1.6bn more people have access to clean drinking water than in 1990.

But population growth and climatic changes could change the picture.

In some regions, "the scarcity at the heart of the global water crisis" could become one of physical availability, especially in places where consumption is already unsustainably high.

"There are several rivers that don't reach the sea any more," says Mark Smith, head of the water programme at the International Union for the Conservation of Nature (IUCN).

"The Yellow River is one, the Murray-Darling (in Australia) is nearly another - they have to dredge the mouth of the river every year to make sure it doesn't dry up.

"The Aral Sea and Lake Chad have shrunk because the rivers that feed them have been largely dried out; and you can see it on a smaller scale as well, where streams that are important for small communities in Tanzania may go dry for half the year, largely because people are taking more and more water for irrigating crops."

Wet and dry

Last year the Intergovernmental Panel on Climate Change (IPCC) took an in-depth look at how the raw availability of water might alter in the future as climatic patterns change.

Its projections are derived from computer models of the Earth's hugely complex climate system, and as such are far from being firm forecasts.

A warmer climate overall means a wetter climate; warmer air can hold more moisture.

Graph
Mountain glaciers act as "natural reservoirs"
Himalayan glaciers alone store water used by more than a billion people
Scientists measure the volume of glaciers in "mm SLE" - the amount that sea levels would rise if the ice melted

But weather patterns are likely to shift, meaning that water will be deposited in different places with a different pattern in time.

"In general we see drying in the sub-tropics and mid-latitudes, from southern Europe across to Kazakhstan and from North Africa to Iran," recounts Martin Parry, who as co-chair of the IPCC's working group on climate impacts oversaw the water report's compilation.

"And the drying extends westwards into Central America. And there are equivalents in the southern hemisphere - southern Africa, Australia."

In some populated parts of North Africa and Central Asia, he says, people may struggle simply to get enough to drink.

Other areas, meanwhile, are projected to receive more rain - considerably more, in some cases.

The question then is whether societies can make use of it.

"If you look at India, Bangladesh and Burma, there are indications of an increase in water availability," says Professor Parry.

"But when you look in more detail you see that monsoonal precipitation will become more intense - there'll be a heavier downpour but over fewer days - so you might just end up with more runoff, which could actually mean less availability of water to the community."

Thirsty work

A changing climate is only one of the factors likely to affect the amount of water at each person's disposal in future.

A more populated world - and there could be another 2.5 billion people on the planet by 2050 - is likely to be a thirstier world.

Those extra people will need feeding; and as agriculture accounts for about 70% of water use around the world, extra consumption for growing food is likely to reduce the amount available for those basic needs of drinking, cooking and washing.

Industry can also take water that would otherwise have ended up in peoples' mouths.

FUTURE WATER STRESS
Water map

On the other hand, as a society industrialises it tends to become less reliant on farming - which could, in principle, reduce its local demand.

It is a tremendously complex picture; and forecasting its impacts makes simple climate modelling look a trivial task by comparison.

Researchers at the University of Kassel in Germany, led by Martina Floerke, have attempted it.

Their projections suggest that some regions are likely to see drastic declines in the amount of water available for personal use - and for intriguing reasons.

"The principal cause of decreasing water stress (where it occurs) is the greater availability of water due to increased annual precipitation related to climate change," they conclude.

"The principal cause of increasing water stress is growing water withdrawals, and the most important factor for this increase is the growth of domestic water use stimulated by income growth."

The modelling suggests that by the 2050s, as many as six billion people could face water scarcity (defined as less than 1,000 cubic metres per person per year), depending, most importantly, on how societies develop - a significant increase on previous estimates.

Ideas pipeline

The irony is that the richer societies are the ones most likely to be able to adapt to these changes - perhaps relatively easily.

A century ago, a 500km-long pipeline was built to bring water from the Western Australian coast to the parched inland goldfields around Kalgoorlie; the economics of gold made it viable.

Now that the coastal capital Perth is drying out, there is talk of building an even longer pipeline to bring water from the north of the state.

The state recently acquired a desalination plant - an effective, but expensive, way of increasing the raw supply of clean water. A number of Middle Eastern countries are doing the same; it is even being contemplated near London.

Rivers can be diverted huge distances, as China is contemplating. Spain and Cyprus can take water deliveries by ship.

But can all societies afford such measures?

Desalination plant

In any case, is adaptation possible to some of the really big projected changes, such as the rapid shrinking of Himalayan glaciers which may lose four-fifths of their area by 2030, removing what is effectively a huge natural reservoir storing water for more than a billion people?

"In principle you could do it, if you're equipped to do the engineering," says Mark Smith.

"But societies are going to have to get much better at deciding how they're going to use their water.

"And very often, in developing countries where institutions are not well established, decisions are made in a very ad-hoc way - someone says 'yes let's use this much for irrigation' but you're already using that much for a sugar mill, and before you know it you've allocated more than you actually have."

Two years ago I stood in a forest clearing in the west of the Amazon basin talking to researchers studying the deforestation and fires that are an increasing plague in the region.

They told me that some villages around there were experiencing water shortages.

How can that happen, I asked incredulously, in the middle of the Amazon rainforest, in one of the most luxuriously verdant places on Earth?

What had brought the shortages was a combination of increased human settlement, deforestation, and a drying of some streams, possibly related to climate change.

If even the Amazon can feel these pressures, it is difficult not to think that the same picture will be played out in much starker and possibly much messier colours in parts of the world that are already feeling the heat of dwindling supplies and growing needs.

Richard.Black-INTERNET@bbc.co.uk

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