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Almost a third of kids are overweight, with prevalance higher for boys: study

Written By empapat on Kamis, 20 September 2012 | 07.01

Signage marks the Statistics Canada offices in Ottawa on July 21, 2010. THE CANADIAN PRESS/Sean Kilpatrick

Signage marks the Statistics Canada offices in Ottawa on July 21, 2010. THE CANADIAN PRESS/Sean Kilpatrick

OTTAWA - Statistics Canada says almost a third of Canadian children are either overweight or obese.

It says data from a Canadian Health Measures Survey from 2009 to 2011 show that 31.5 per cent of children aged five to 17, an estimated 1.6 million individuals, are overweight.

It says the prevalance of obesity was higher for boys, especially in the five to 11 age group.

For children overall, 15.1 per cent of boys were obese compared with eight per cent of girls.

But in the five to 11 group, the prevalance of obesity among boys was more than three times higher than for girls, 19.5 per cent compared with 6.3 per cent.

The survey says the estimates of obesity among children have not changed in recent years.

© The Canadian Press, 2012

20 Sep, 2012


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Source: http://www.globalnews.ca/Health/almost+a+third+of+kids+are+overweight+with+prevalance+higher+for+boys+study/6442718870/story.html
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B.C. health minister announces partial thaw of frozen university drug research

Written By empapat on Rabu, 19 September 2012 | 18.41

VICTORIA - Health Minister Margaret MacDiarmid says she's thawing some of the drug research projects that were frozen after five government employees were fired following an irregularities investigation.

MacDiarmid says drug research contracts with B.C. universities worth about $1 million can now resume since the government has determined they don't jeopardize the investigation.

The ministry paused contracts worth about $4 million earlier this month as part of an ongoing probe into alleged inappropriate relationships between university drug researchers and the ministry that helps decide which drugs are covered by B.C.'s Pharmacare program.

MacDiarmid says the ministry continues to review the remaining contracts with the universities of Victoria and British Columbia.

The government launched its investigation after receiving an anonymous tip about contracting irregularities and inappropriate grant practices at the ministry's Pharmaceutical Services Division.

The government has also asked the RCMP to investigate.

© The Canadian Press, 2012

20 Sep, 2012


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Source: http://www.globalnews.ca/Health/bc+health+minister+announces+partial+thaw+of+frozen+university+drug+research/6442718641/story.html
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B.C. anesthesiologists ask to join private health-care case, citing wait times

VANCOUVER - A group of B.C. anesthesiologists are asking to join a constitutional challenge of the province's ban on private health care.

The British Columbia Anesthesiologists' Society has filed an affidavit with the B.C. Supreme Court asking to intervene in a case launched by a controversial private clinic operator in Vancouver.

The society says it wants to argue in court that the public health-care system is failing patients, particularly when it comes to surgical wait times.

The society's executive director, Dr. Roland Orfaly, says his group isn't taking a position on whether there should be more private care, but says whatever happens the public system needs to be fixed.

Orfaly says the public system isn't meeting the needs of patients, and he accuses the government of manipulating wait-times data in the media to paint a more favourable picture.

The B.C. Anesthesiologists' Society, which represents some, but not all, of the province's anesthesiologists, has been in a long-standing labour dispute with the province that has focused on staffing levels and pay.

© The Canadian Press, 2012

20 Sep, 2012


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Source: http://www.globalnews.ca/Health/bc+anesthesiologists+ask+to+join+private+health-care+case+citing+wait+times/6442718580/story.html
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Oral drug shows promise for relapsing-remitting MS, studies find

TORONTO - Two major patient trials of an experimental drug for the relapsing-remitting form of multiple sclerosis have found the oral medication significantly improves patients' symptoms.

The studies, both published in Wednesday's issue of the New England Journal of Medicine, show the drug BG-12 reduces the rate of annual relapses and the number of brain lesions that are hallmarks of the disease.

The studies show BG-12 (dimethyl fumarate), a drug long used in Europe to treat psoriasis, cut the annualized rate of relapses among MS patients participating in the studies by 45 to 50 per cent compared to MS patients given a placebo.

"That is a very robust reduction in relapses," said Dr. Robert Fox, director of the Mellen Center for Multiple Sclerosis at the Cleveland Clinic in Ohio and principal investigator of one of the studies, known as CONFIRM.

"It's not a cure. None of our therapies is a cure for MS at this point. But it appears to be a greater reduction than what we see with injectable therapies, which (offer) roughly a 30 per cent reduction in the annualized relapse rate."

Fox said patients in the CONFIRM and DEFINE studies who were randomly assigned to receive BG-12 also had considerable reductions in brain lesions — between 70 and 90 per cent lower than patients given the dummy pill, depending on the type of brain lesion looked at in MRI exams.

Both studies showed a slowing of the progression of MS-related disability, although only the DEFINE study conducted by European researchers had results considered statistically significant, Fox said Wednesday from Paris, where he was attending a medical meeting.

BG-12 was well-tolerated for the most part, although some patients experienced flushing of the skin on the chest, neck and face within about 45 minutes of taking the pill, an effect that resolved within 15 to 20 minutes, he said.

More troublesome for patients was gastrointestinal upset, including nausea, vomiting and diarrhea, associated with the drug. Fox said those adverse symptoms seem to peak in the first month after starting the drug and decline in frequency and severity as time goes on.

BG-12, developed by Biogen Idec Inc., must be approved by government regulatory bodies such as the U.S. Food and Drug Administration and Health Canada, before it would become available to treat patients.

"What this drug appears to provide is a significant step forward in the combination of efficacy, safety and tolerability," said Fox.

"So it appears to be more effective than our standard first-line injectable therapies."

Multiple sclerosis is a disabling disease in which the protective coating around nerve cells, called myelin, is attacked by the immune system and progressively destroyed. With an estimated 55,000 to 75,000 Canadians affected, Canada has one of the highest rates of MS in the world.

There are a number of forms of the disease, including primary- and secondary-progressive, for which there are no effective treatments.

A number of injectable medications for relapsing-remitting MS are prescribed by doctors in Canada, among them interferon-beta, Copaxone and Tysabri.

Dr. Paul O'Connor, director of the multiple sclerosis clinic and MS research at St. Michael's Hospital in Toronto, agreed the efficacy and safety of BG-12 "look pretty good."

O'Connor, who was not involved in either study, said that if approved, BG-12 would be "another tool in the toolbox" for doctors to prescribe to patients with relapsing-remitting MS.

In Canada, the only oral drug approved for widespread use in Canada to date is Gilenya (fingolimod), which has been associated with heart-rate and heart-rhythm irregularities in some patients.

Aubagio (teriflunomide) was recently approved by the FDA, following multi-centre clinical trials led by O'Connor, and is in the regulatory pipeline in Canada, as is BG-12.

"It's good for MS patients because they could have in Canada within a year maybe three oral options," O'Connor said.

As to which one is best, that could only be determined by comparing the three drugs in a patient trial, he said.

"Until you have a head-to-head study, you don't know."

Fox said that although not perfect, BG-12 could offer an alternative for patients who have difficulty with shots or who don't respond sufficiently to the injectable treatments.

If approved, BG-12 might also be an option for people prescribed Tysabri, which is a highly effective medication but carries the risk of a brain infection called PML (progressive multifocal leukoencephalopathy) with continued use, he said.

In an NEJM editorial accompanying the studies, neurologist Dr. Alan Ropper of Brigham and Women's Hospital in Boston writes that "the question of switching from an existing medication to an oral agent in a patient with relapses, or even in a patient with few relapses but for whom a new drug is more convenient, is a difficult and unresolved one."

"It is not clear at the moment how to advise patients about the new oral drugs, but the overall benefit-to-risk assessment, as of this month, may favour fumarate."

© The Canadian Press, 2012

20 Sep, 2012


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Source: http://www.globalnews.ca/Health/oral+drug+shows+promise+for+relapsing-remitting+ms+studies+find/6442718502/story.html
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Ontario's Pedestrian Death Review quickfacts

TORONTO - Ontario's Office of the Chief Coroner released a review into pedestrian deaths on Wednesday.

Some findings:

— 67 per cent of fatalities occurred on roads with speed limits above 50 km/h.

— Five per cent of deaths occurred at speed limits below 50 km/h.

— Seniors (13.2% of population) accounted for 36% of deaths.

— Children accounted for 3% of deaths.

— Peak hours for collisions between 2 p.m. and 10 p.m., Monday to Friday.

— January is the deadliest month.

— 76% of fatalities occurred in urban areas.

— 31% hit crossing mid-block, 14% on sidewalk or shoulder, 25% at intersections.

— Drivers and pedestrians roughly equally responsible.

Among recommendations:

— Design streets to be safe, convenient and comfortable for every user.

— The province should develop a "walking strategy" and safety education program.

— Earmark infrastructure funding for pedestrian facilities.

— Lower unsigned default speed limit to 40 km/h on residential streets from 50 km/h.

— Allow municipalities to erect non-signalized pedestrian crossings in mid-block areas.

— Transport Canada should make side-guards mandatory on heavy trucks.

SOURCE: Pedestrian Deaths Review, Office of the Chief Coroner of Ontario

© The Canadian Press, 2012

20 Sep, 2012


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Source: http://www.globalnews.ca/Health/ontarios+pedestrian+death+review+quickfacts/6442718403/story.html
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Cut speed limit to 40 km/h in built-up areas to save pedestrians, report urges

Pedestrians cross a downtown intersection in Toronto on Wednesday, Sept. 19, 2012. The chief coroner's office released a report on pedestrian deaths with recommendations on reducing their numbers. THE CANADIAN PRESS/Colin Perkel

Pedestrians cross a downtown intersection in Toronto on Wednesday, Sept. 19, 2012. The chief coroner's office released a report on pedestrian deaths with recommendations on reducing their numbers. THE CANADIAN PRESS/Colin Perkel

TORONTO - Lowering speed limit on streets in built-up areas would significantly cut down on the scores of pedestrians killed every year in Ontario, a report released Wednesday concludes.

Among its 25 other recommendations, the review by the Office of the Chief Coroner urges municipalities to adopt a "complete streets" approach that takes into account pedestrian safety and the province to adopt a strategy aimed at making walking both safe and convenient.

"Common driving errors and common pedestrian behaviour should not lead to death and injury," said deputy chief coroner Dr. Bert Lauwers, who led the review.

"The traffic system should help users cope with increasingly demanding conditions."

The study looked at the 95 pedestrians killed in Ontario in 2010. Among its findings were that two-thirds of the deaths occurred on roads with posted speed limits higher than 50 kilometres an hour, while only five per cent occurred below that limit.

That speed kills is an inescapable fact, Lauwers said, citing statistics that show a pedestrian hit at 50 kilometres an hour is five times more likely to die than if hit at 30 kilometres an hour.

"The data are irrefutable," Lauwers said. "The higher the rate of speed at which a pedestrian is struck, the greater the chance of death."

As a result, the report urges the default limit in the province be reduced to 40 kilometres an hour — down from the current 50 — unless otherwise posted. Municipalities should further restrict traffic in residential areas to 30 km/h, it said.

Seniors are especially vulnerable, accounting for 36 per cent of those killed while representing only 13 per cent of the population, according to the report.

In an interview, Lauwers said it appeared drivers and pedestrians were about equally responsible for the fatal collisions.

While 20 per cent of pedestrians appeared to have been distracted by cellphones or similar devices or pets they were walking, 21 per cent of drivers failed to yield to those on foot at intersections or crosswalks.

On hand for the release was Marie Smith, with United Senior Citizens of Ontario, who talked about how her 89-year-old friend was hospitalized for four months and her companion killed when they were hit from behind by a driver making a left turn.

"Drivers today seem to be in such a hurry that we need to slow traffic down," Smith said in urging implementation of the recommendations.

In a statement, Transportation Minister Bob Chiarelli gave no guarantees the province would do so, saying only the government would review them "in a timely manner."

A pedestrian advocacy group called the report a "breakthrough" for walkers and also urged implementation of the recommendations.

"A community is only as viable as the ability of its citizens to walk safely," said Jacky Kennedy, director of Canada Walks.

"Encouraging walk-friendly outdoor environments not only reduces the risk of injury or death from vehicles, it helps to decrease the 21,000 Canadian deaths per year that result from sedentary lifestyles."

Kennedy noted that provinces such as B.C., Alberta and Nova Scotia have cut speeds in school zones to 30 km/h and Ontario should follow suit.

Children accounted for three per cent of the pedestrian deaths in Ontario in 2010.

© The Canadian Press, 2012

20 Sep, 2012


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Source: http://www.globalnews.ca/Health/cut+speed+limit+to+40+kmh+in+built-up+areas+to+save+pedestrians+report+urges/6442718396/story.html
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Alberta's top court upholds ruling that girl should be removed from life support

EDMONTON - Alberta's top court has upheld a judge's ruling that a two-year-old child allegedly abused by her parents should be taken off life support.

The Appeal Court ruled that each parent will be allowed a final 20-minute visit with the girl.

The parents have been charged with aggravated assault, criminal negligence causing bodily harm and failing to provide the necessities of life — charges that could be upgraded if the child dies.

The court dismissed an application that its decision be stayed so as to allow an appeal to the Supreme Court.

A Court of Queen's Bench justice agreed with doctors last week that it is in the girl's best interest to be removed from machines keeping her alive and to be provided with palliative care.

Paramedics found the girl and her twin sister, both malnourished and suffering from injuries, in an Edmonton home May 25.

The girl at the centre of the ruling was in cardiac arrest and is now in a coma. Her sister is recovering.

The parents, who cannot be named, have been denied bail and are not allowed to have contact with each other.

© The Canadian Press, 2012

20 Sep, 2012


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Source: http://www.globalnews.ca/Health/albertas+top+court+upholds+ruling+that+girl+should+be+removed+from+life+support/6442718410/story.html
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Source of Quebec City legionnaires' disease identified

QUEBEC - Public health authorities say they have identified the source of Quebec City's outbreak of legionnaires' disease: an office building in the provincial capital.

They say samples taken from a cooling tower in a building on St-Joseph Street in Quebec City's lower-town area match the genetic fingerprint of the strain of Legionella bacteria found in patients who've been treated.

Public health officials told a news conference today that the tower is safe again and there's no reason for people to modify work or leisure activities.

They say their conclusion is based on preliminary information released by the laboratory conducting the tests.

From the start, the source of the outbreak was suspected to have been an office cooling tower. Authorities scrambled to ensure all the towers were cleaned in the affected areas, while at the same time seeking to pinpoint the actual origin.

Since the outbreak began in July, 180 cases have been reported. Thirteen people have died.

The deadly bacteria grows in the stagnant water of cooling systems and spreads in little droplets through air conditioning.

While authorities haven't ruled out other buildings, they say the tower on St-Joseph Street played an important role in the outbreak in that city.

Authorities say the illness has been brought under control because they have disinfected the cooling systems in more than 100 buildings in the area.

© The Canadian Press, 2012

19 Sep, 2012


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Source: http://www.globalnews.ca/Health/source+of+quebec+city+legionnaires+disease+identified/6442718363/story.html
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The rise in West Nile virus cases in Ontario appears to be slowing

This 2006 photo shows a mosquito on a human at the Center for Disease Control in Atlanta. THE CANADIAN PRESS/ AP - Centers for Disease Control and Prevention - James Gathany

This 2006 photo shows a mosquito on a human at the Center for Disease Control in Atlanta. THE CANADIAN PRESS/ AP - Centers for Disease Control and Prevention - James Gathany

TORONTO - New West Nile virus figures for Ontario suggest this season's outbreak may be beginning to slow down.

The figures, compiled by Public Health Ontario, show cases increased by just under 20 per cent last week.

The week before cases rose by 36 per cent, and the week before that they jumped by 41 per cent.

Ontario remains far ahead of other provinces this year in terms of West Nile cases.

Quebec has reported 39 cases, Manitoba has recorded 33, Alberta has had seven and Saskatchewan has found six.

To date this year Ontario has had 189 confirmed and probable cases, more than any other year except 2002, which is the worst year on record for the province.

In 2002 there were 394 human cases in Ontario. It was the first year the West Nile virus triggered human disease in Canada.

Cases in the United States — which is having its worst West Nile year ever — are still on the rise. The U.S. Centers for Disease Control are reporting 3,142 cases in total so far this year, 1,630 of them involving the severe form of the disease.

The U.S. has also reported 429 West Nile virus deaths so far in 2012. To date there have been no reported deaths in Canada in 2012.

Manitoba health department suggests the risk of infection in that province has fallen substantially, but isn't yet nil.

"There will continue to be a minimal level of risk until the weather becomes colder or we have our first hard frost," the department says on its website.

This week's Ontario report shows that the highest risk of getting infected with West Nile virus this year has been in Windsor-Essex County, where there have been nearly five cases for every 100,000 people in the region.

Halton Region — an area west of Toronto that includes the cities of Oakville and Burlington — has the second highest rate for the province, 3.55 cases per 100,000 people.

Other high risk parts of the province this year have been: Toronto, with a case rate of 2.87 per 100,000; Hamilton, with 2.81 cases per 100,000; and Haldimand-Norfolk, north of Lake Erie, with a rate of 2.71 cases per 100,000.

© The Canadian Press, 2012

19 Sep, 2012


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Source: http://www.globalnews.ca/Health/the+rise+in+west+nile+virus+cases+in+ontario+appears+to+be+slowing/6442718338/story.html
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Pool of physicians to be created to serve ER shifts in rural Nova Scotia

HALIFAX - A pool of physicians available to fill emergency room shifts in rural Nova Scotia will be created under a program announced today.

Health Minister David Wilson says the emergency department coverage program will improve access to ERs in the province's smaller communities.

To take part in the program, physicians must have appropriate clinical training and experience to match each designated facility.

Doctors must also agree to keep current commitments to ERs where they regularly provide service.

The program is estimated to cost $200,000.

© The Canadian Press, 2012

19 Sep, 2012


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Source: http://www.globalnews.ca/Health/pool+of+physicians+to+be+created+to+serve+er+shifts+in+rural+nova+scotia/6442718131/story.html
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eHealth cancels $46.2M diabetes registry contract; no money spent, officials say

Written By empapat on Selasa, 18 September 2012 | 16.01

TORONTO - EHealth Ontario is cancelling its contract to set up a diabetes registry.

Greg Reed, president of eHealth, confirmed Tuesday that notice of termination has been sent to CGI Information Systems and Management Consultants Inc.

A resolution passed by the eHealth board of directors on Sept. 5 had recommended terminating the $46.2-million agreement to build a diabetes registry.

CGI and eHealth announced the six-year deal on Aug. 9, 2010 for the company to design, build and maintain the registry to better monitor diabetes patients.

Spokesman Robert Mitchell has said no money has been spent on the unfinished registry, and alleged CGI had regularly missed development deadlines.

Health Minister Deb Matthews said eHealth was concerned over "disappointing delays" with the registry.

© The Canadian Press, 2012

19 Sep, 2012


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Source: http://www.globalnews.ca/Health/ehealth+cancels+462m+diabetes+registry+contract+no+money+spent+officials+say/6442717658/story.html
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Nova Scotia vows to tighten psychiatric hospital releases after activist's death

The East Coast Forensic Hospital is seen in a Halifax industrial park on Tuesday, Sept. 18, 2012. The Nova Scotia government issued a report on community access privileges related to the facility in response to the death of Raymond Taavel, a well-known community activist. Andre Denny, on a one-hour unescorted pass from the hospital, has been charged with second-degree murder in the case. THE CANADIAN PRESS/Andrew Vaughan

The East Coast Forensic Hospital is seen in a Halifax industrial park on Tuesday, Sept. 18, 2012. The Nova Scotia government issued a report on community access privileges related to the facility in response to the death of Raymond Taavel, a well-known community activist. Andre Denny, on a one-hour unescorted pass from the hospital, has been charged with second-degree murder in the case. THE CANADIAN PRESS/Andrew Vaughan

HALIFAX - The Nova Scotia government is promising to act on a review that found "significant gaps" in controls placed on patients who are given temporary release from a Halifax psychiatric hospital following the beating death of a local gay activist.

In the future, decisions to give patients releases into the community would consider the risks based on a set of explicit criteria, the provincial government said on Tuesday.

And it said temporary releases would be suspended for patients who don't return to the hospital until a review of the incident is conducted.

"A tragic death led to this review and many of the facts are not yet confirmed," deputy health minister Kevin McNamara told a news conference in Halifax.

"We will work hard collectively over the next several months to address the gaps identified in this review."

The review also calls for daily assessments of a patient's mental health before they are granted leave.

It says the public should be informed of potential risks when a patient is reported missing and it suggests officials explore the possibility of using cellphones and pagers to monitor patients when they are outside the hospital.

Justice Minister Ross Landry said the province rejected the possibility of using ankle bracelets to help track certain patients with violent histories.

"I'm not aware of information that shows a direct benefit with the GPS while balancing the individual's right to free movement and association," he said.

The review makes 18 recommendations and was ordered by the government after the release of Andre Noel Denny, who has been charged with second-degree murder in the death of Raymond Taavel.

Denny was on a one-hour unescorted leave from the East Cost Forensic Hospital on the night Taavel was killed in April.

He is scheduled to appear in court on Thursday after the Crown and defence agreed in June to extend a psychiatric assessment of Denny, who was diagnosed with schizophrenia as a teenager.

The report says Denny did not return to the hospital on time on April 16 and his absence was reported to the police.

The review was done by the deputy ministers of Health and Wellness and Justice, and the CEO of the Capital District Health Authority. It also includes reports from two independent experts in forensic psychiatry from Ontario and British Columbia.

It says the justice system and forensic psychiatry recognize patients have a right to liberty that is protected in the Charter of Rights and Freedoms.

"Balancing the right of the public to feel and be safe and the rights of individual forensic psychiatric patients who have been found not criminally responsible on account of mental disorder to get better and reintegrate with the community is challenging," the report says.

"It is made more difficult by a lack of research and development in this area."

The report says existing policies and practices at the hospital are in line with Canadian standards, but improvements can be made.

The government says it accepts all 18 recommendations and will release a report on its progress in implementing them within six months.

"We listened to the independent experts and agree there are improvements to Nova Scotia's forensic health-care system that can, and will, be made," Health Minister David Wilson said in a statement. "We must set the bar higher."

Liberal Diana Whalen said the recommendations in the report mainly concerned policies, procedures and paperwork.

"It's just that I think there is an issue for the public that goes beyond that and it's the issue of whether or not the policies are tight enough to ensure our safety as a society."

Progressive Conservative Chris d'Entremont said the issue of public safety isn't addressed by the report, citing a current policy of notifying the public within three working days when a patient fails to return to hospital.

"If something is to happen on a Friday, it could be until the next Wednesday until the public is actually notified," said d'Entremont. "If they say business days they are making it far too long."

© The Canadian Press, 2012

19 Sep, 2012


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Source: http://www.globalnews.ca/Health/nova+scotia+vows+to+tighten+psychiatric+hospital+releases+after+activists+death/6442717101/story.html
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Study ties BPA in cans and bottles to childhood obesity

BPA is commonly found in aluminum cans and polycarbonate bottles.

BPA is commonly found in aluminum cans and polycarbonate bottles.

, Getty Images

NEW YORK - A provocative new study suggests a connection between the BPA chemical used in food packaging and childhood obesity, but the researchers say their findings don't prove it's the cause.

While most people have traces of the plastics chemical in their bodies, the study found that children with the highest levels in their urine were twice as likely to be obese as those with the lowest.

There are other factors that could explain the results, and many reasons why children gain too much weight, the researchers said.

"Clearly unhealthy diet and poor physical activity are the leading factors contributing to obesity in the United States, especially in children," said lead author Dr. Leonardo Trasande of New York University.

But the study does hint that causes of childhood obesity may be more complicated, he added. He said it is the first national research to tie a chemical from the environment to childhood obesity, and seems to echo what some studies have seen in adults.

One puzzling result: Significant differences were detected only in white children. For black and Hispanic kids, obesity rates were similar for those with the lowest levels of BPA as those with the largest amount. The researchers couldn't explain that finding.

The study was released Tuesday and is in Wednesday's issue of the Journal of the American Medical Association.

BPA, or bisphenol A, has been used since the 1960s and become so widespread that it's found in virtually all Americans. Government health officials have deemed low levels of it to be safe, but haven't been able to decide what amount of BPA - if any - would be a health concern.

BPA is used to make hard plastics for food and beverage containers and many consumer goods and for metal can linings. Environmental groups have worried it interferes with children's development. Makers of baby bottles and sippy cups stopped using it, and this year the Food and Drug Administration announced it could no longer be used in those baby products.

Some experimental studies on animals have found that BPA can aid obesity by disrupting metabolism and helping to make fat cells larger. And studies have suggested a possible tie between urinary BPA levels and obesity-related illnesses in adults, including diabetes and heart disease.

In the new study, Trasande and his colleagues used information from an annual federal health survey, which includes weighing and measuring participants and taking blood and urine samples.

Their study involved more than 2,800 children ages 6 through 19, who took the survey in the years 2003 through 2008. They compared BPA levels in their urine to their weight, and divided them into four groups based on BPA amounts.

The key finding: About 22 per cent of the children with highest levels of BPA were obese, compared to just 10 per cent of kids with the lowest levels.

Was the reverse true? Did the heaviest kids have more BPA in their urine, and the thinnest kids less? Yes, Trasande said. But he did not include those numbers in his study, and declined to provide them.

The study raised more questions than it answered:

-The body excretes the chemical in a matter of hours. It's possible that the study is simply indicating that heavier kids are more likely to have recently consumed something from a BPA container.

-Only one urine sample was taken from each child, and the youngest children in the study were 6. What isn't known is how much BPA they were exposed to when they were infants - the time in life when the chemical theoretically could have had the greatest effect in triggering weight gain.

All this means is that the study raises some interesting questions, but at this point it's impossible to say BPA causes childhood obesity, said Linda Birnbaum, director of the National Institute of Environmental Health Sciences, a federal agency involved in research on BPA.

"It's a hypothesis that needs further exploration," she said.

The American Chemistry Council, which represents chemical manufacturers, called the study speculative and noted lab animal studies that found no evidence that BPA causes obesity. 

"Attempts to link our national obesity problem to minute exposures to chemicals found in common, everyday products are a distraction from the real efforts under way to address this important national health issue," the organization said in a statement. 
 

© Global News. A division of Shaw Media Inc., 2012.

18 Sep, 2012


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Source: http://www.globalnews.ca/Health/study+ties+bpa+in+cans+and+bottles+to+childhood+obesity/6442717355/story.html
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Review finds flaws in hospital release program after gay activist's death

The East Coast Forensic Hospital is seen in a Halifax industrial park on Tuesday, Sept. 18, 2012. The Nova Scotia government issued a report on community access privileges related to the facility in response to the death of Raymond Taavel, a well-known community activist. Andre Denny, on a one-hour unescorted pass from the hospital, has been charged with second-degree murder in the case. THE CANADIAN PRESS/Andrew Vaughan

The East Coast Forensic Hospital is seen in a Halifax industrial park on Tuesday, Sept. 18, 2012. The Nova Scotia government issued a report on community access privileges related to the facility in response to the death of Raymond Taavel, a well-known community activist. Andre Denny, on a one-hour unescorted pass from the hospital, has been charged with second-degree murder in the case. THE CANADIAN PRESS/Andrew Vaughan

HALIFAX - A review of policies surrounding the release of patients at a Halifax psychiatric hospital makes 18 recommendations aimed at improving the system.

The report released today says specific criteria should be developed to assess a patient's risk of violence and of fleeing without permission.

There is also a call for daily assessments of a patient's mental health before they are granted a leave.

The report says the public should be informed of potential risks when a patient is reported missing and officials should explore the possibility of using cellphones and pagers to monitor patients on leave.

The review was launched by the province following the beating death of prominent gay activist Raymond Taavel on a street in downtown Halifax in April.

Andre Noel Denny has been charged with second-degree murder in the death.

Denny was on a one hour unescorted leave from the East Cost Forensic Hospital on the night Taavel was killed but he didn't return to the facility.

The review was done by the deputy ministers of Health and Wellness and Justice, and the chief executive officer of the Capital District Health Authority.

© The Canadian Press, 2012

18 Sep, 2012


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Medical apps promote patient self-care, could ease burden on health system

TORONTO - When Sara Nita's son Marcus was diagnosed with Type 1 diabetes last fall, she began keeping a written log of his multiple daily blood-sugar readings.

But she soon started casting around for a way to keep an electronic record, something she could enter into her smartphone that would not look like a bunch of numbers, but show trends in Marcus's glucose levels over time.

What she discovered was the Bant app, a free download through iTunes named after Canadian insulin developer Frederick Banting, that's aimed at helping patients better control their diabetes.

"I wanted something that I could view on my phone when he's away at school and the teacher calls and says: 'Do you remember what he was, whenever?' So I just wanted to have a log of it, instead of carrying a paper copy here and there and everywhere."

Nita says the app also allows her to send screenshots of Marcus's readings to his dad, from whom she is divorced, so he can also stay on top of the six-year-old boy's blood sugar. Graphs of readings show trends over time.

"I really like it because it shows ups and downs, and the way you can tell if he's starting to decline, maybe he might need a little less insulin or a little more, depending on his history in the last couple of days."

It also helps her son, she says. "When he realizes his trends, he can say ... maybe I should talk to Mom about maybe changing my insulin dose, maybe calling the doctor to get an adjustment.'"

The Bant is just one medical-related app under development by the University Health Network in Toronto.

Nita is using the public version of Bant, but UHN hopes to have a more advanced adaptation that automatically reads the data from a glucometer — the device that takes blood-sugar readings from a skin prick — available for free download soon.

"This is something to engage the patient in what we call self-care," says co-developer Joseph Cafazzo, a biomedical engineer who heads the Centre for Global eHealth Innovation at UHN. "And to a certain extent make them less dependent on their care providers and give them the life skills that they need in order to manage their diabetes."

Cafazzo's team has also developed an app to keep track of blood pressure readings in patients aged 45 and older. In a recent clinical trial, use of the app was shown to have measurable effects on patients' blood pressure compared to a control group that used a blood pressure monitor alone.

"What we found after a year was the people who had the telemonitoring component with the BlackBerry, their blood pressure dropped by 10 millimetres of mercury systolic and four points diastolic," he says "And what that means is that their risk of heart attack and stroke dropped by 20 per cent as a result.

"So this was truly self-care.... The patients just become much more self-aware by taking the blood pressure measurements on a regular basis. And they're more engaged and they're more likely to take their medications and more likely to have lifestyle changes that are necessary for their blood pressure management."

There has been an explosion of medical-related apps — a recent report by the Healthcare Information Management System Society tabbed the number at about 17,000 and growing — for use on smartphones and other electronic devices.

A new app, called Directory for Addiction Treatment in Canada, was just released by Drug Rehab Services, a private addiction referral service. The app lists low-cost and no-cost detox and treatment centres in every province and territory across Canada for people seeking help for alcohol or drug addiction.

It also provides listings of meetings for Alcoholic Anonymous, Narcotics Anonymous and Al-Anon across the country, says Marcelo Gemme, who developed the app as an alternative to his website directory.

The app can also put a user in direct contact with a qualified addictions counsellor, either through a toll-free call or text-messaging.

"The whole idea was to be able to build something that people go there, it's user-friendly and they find everything they need," says Gemme, who is located just outside Montreal.

Like a GPS, the mobile app will pinpoint the locations of treatment centres or support meetings within a certain distance set by the user, he says. "Let's say if it's an AA meeting, you're going to have a pin for every AA meeting within 25 kilometres of where you are right now as you do it.

"If you have a guy who has to travel, this is perfect, because he wants to go to a meeting when he has time off, so it doesn't trigger anything."

About 15 to 20 per cent of people seeking help for addictions are now contacting the referral service through a mobile phone, he says.

Watching his four daughters, who "are always on their phones," has convinced Gemme that the use of mobile apps for patients is destined to become an even greater part of health-care management and delivery.

"For me, it's really the future. The mobile, it's where the technology is going to."

Dr. Michael Sabel, an oncologist at the University of Michigan who specializes in the potentially deadly skin cancer melanoma, couldn't agree more.

Sabel and colleagues at the Ann Arbor, Mich., university have developed an app to help patients at high risk for skin cancer keep track of changes in moles and skin lesions to determine if they've become cancerous over time.

The UMSkinCheck app, available free through iTunes for iPhones and iPads, involves inputting 23 photographs of various parts of the body.

"For many, many years we had asked patients to get what's called the total photographic survey, where they had to either go into a dermatologist who offered this or a professional photographer to have some of these baseline images obtained," he says.

"But the reality is these are very difficult things to do — to schedule a time to have a full photographic survey. There are costs involved, it's not always covered by insurance. And even the skin self-exam is kind of difficult for patients.

"We just said to ourselves: 'People are carrying around supercomputers, photography, GPS. Can we use the mobile application technology to help patients in a health-related field?'"

UMSkinCheck gives the user a reminder to take a new set of photos within a set period of time, perhaps every month or two, so they can compare images of skin areas side by side.

"And now you can really say, 'Hey, look this really hasn't changed. I don't need to worry about this.' Or, 'You know what, this has changed. I need to call my dermatologist,'" Sabel says.

The app also includes a skin-cancer risk calculator and photos of the various skin cancers.

Sabel said the team is working on other medical apps, among them one for women being treated for breast cancer.

"My specialty is oncology, but there's probably a large spectrum across health care where these can be beneficial for patients," he says.

Sabel says apps such as UMSkinCheck aren't meant to replace doctors or other health providers. "We were very careful to say this is an app using the technology to ask people to do things that we already think they should be doing."

Cafazzo says apps allow patients to engage in self-care, especially when it comes to chronic conditions like diabetes, cardiovascular disease, cancers and respiratory conditions such as asthma.

The cost of chronic diseases in Canada is estimated at $80 billion a year in illness and disability — a figure sure to grow as the population ages.

"So if we are going to be responsible, we have to think of ways of dealing with chronic conditions such as diabetes and high blood pressure in different ways and give the patients the ability to do self-care, and not increase the burden on the health-care system," he says.

Nita says the Bant app has given her more than just a means of tracking Marcus's glucose readings — a built-in social media component has allowed her to get in touch with other families dealing with diabetes.

"Before, it was such a new thing for us, the whole diabetes thing. The first couple months we were in a panic. We were on auto-pilot, we didn't know what we were doing. We were afraid if we gave him too much (insulin), we were going to kill him," says Nita, who created the website www.nitacure.ca to raise awareness and research funding for juvenile diabetes.

"When I found this app, that's how I actually found the whole diabetic community online ... and that's helped a lot. There's always someone there who's already gone through what I'm going through."

© The Canadian Press, 2012

18 Sep, 2012


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Study ties BPA in cans and bottles to childhood obesity but doesn't prove it's a cause

NEW YORK, N.Y. - A provocative new study suggests a connection between the BPA chemical used in food packaging and childhood obesity, but the researchers say their findings don't prove it's the cause.

While most people have traces of the plastics chemical in their bodies, the study found that children with the highest levels in their urine were twice as likely to be obese as those with the lowest.

There are other factors that could explain the results, and many reasons why children gain too much weight, the researchers said.

"Clearly unhealthy diet and poor physical activity are the leading factors contributing to obesity in the United States, especially in children," said lead author Dr. Leonardo Trasande of New York University.

But the study does hint that causes of childhood obesity may be more complicated, he added. He said it is the first national research to tie a chemical from the environment to childhood obesity, and seems to echo what some studies have seen in adults.

One puzzling result: Significant differences were detected only in white children. For black and Hispanic kids, obesity rates were similar for those with the lowest levels of BPA as those with the largest amount. The researchers couldn't explain that finding.

The study was released Tuesday and is in Wednesday's issue of the Journal of the American Medical Association.

BPA, or bisphenol A, has been used since the 1960s and become so widespread that it's found in virtually all Americans. Government health officials have deemed low levels of it to be safe, but haven't been able to decide what amount of BPA — if any — would be a health concern.

BPA is used to make hard plastics for food and beverage containers and many consumer goods and for metal can linings. Environmental groups have worried it interferes with children's development. Makers of baby bottles and sippy cups stopped using it, and this year the Food and Drug Administration announced it could no longer be used in those baby products.

Some experimental studies on animals have found that BPA can aid obesity by disrupting metabolism and helping to make fat cells larger. And studies have suggested a possible tie between urinary BPA levels and obesity-related illnesses in adults, including diabetes and heart disease.

In the new study, Trasande and his colleagues used information from an annual federal health survey, which includes weighing and measuring participants and taking blood and urine samples.

Their study involved more than 2,800 children ages 6 through 19, who took the survey in the years 2003 through 2008. They compared BPA levels in their urine to their weight, and divided them into four groups based on BPA amounts.

The key finding: About 22 per cent of the children with highest levels of BPA were obese, compared to just 10 per cent of kids with the lowest levels.

Was the reverse true? Did the heaviest kids have more BPA in their urine, and the thinnest kids less? Yes, Trasande said. But he did not include those numbers in his study, and declined to provide them.

The study raised more questions than it answered:

—The body excretes the chemical in a matter of hours. It's possible that the study is simply indicating that heavier kids are more likely to have recently consumed something from a BPA container.

—Only one urine sample was taken from each child, and the youngest children in the study were 6. What isn't known is how much BPA they were exposed to when they were infants — the time in life when the chemical theoretically could have had the greatest effect in triggering weight gain.

All this means is that the study raises some interesting questions, but at this point it's impossible to say BPA causes childhood obesity, said Linda Birnbaum, director of the National Institute of Environmental Health Sciences, a federal agency involved in research on BPA.

"It's a hypothesis that needs further exploration," she said.

The American Chemistry Council, which represents chemical manufacturers, called the study speculative and noted lab animal studies that found no evidence that BPA causes obesity.

"Attempts to link our national obesity problem to minute exposures to chemicals found in common, everyday products are a distraction from the real efforts under way to address this important national health issue," the organization said in a statement.

____

Online:

JAMA: http://jama.ama-assn.org

© The Canadian Press, 2012

18 Sep, 2012


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Source: http://www.globalnews.ca/Health/study+ties+bpa+in+cans+and+bottles+to+childhood+obesity+but+doesnt+prove+its+a+cause/6442717224/story.html
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Quebec's anti-corruption police squad searches McGill University Health Centre

MONTREAL - Quebec's anti-corruption squad is searching the offices of the McGill University Health Centre in downtown Montreal this morning.

A spokesman for the unit says around 10 investigators from the department's Hammer Squad are looking for signs of illegal activity.

Squad members are interviewing witnesses during the operation.

There are no immediate reports of arrests.

Quebec introduced Operation Hammer in late 2009 amid a flurry of corruption allegations that shocked the province.

The squad has been involved in a number of arrests since its inception.

© The Canadian Press, 2012

18 Sep, 2012


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Source: http://www.globalnews.ca/Health/quebecs+anti-corruption+police+squad+searches+mcgill+university+health+centre/6442717239/story.html
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Group predicts more than half in 39 states will be obese by 2030, higher than govt forecast

NEW YORK, N.Y. - A group campaigning against obesity predicts that by 2030 more than half the people in 39 states will be obese — not merely overweight, but obese.

Mississippi is expected to retain its crown as the fattest state in the nation for at least two more decades. The report predicts 67 per cent of that state's adults will be obese by 2030; that would be an astounding increase from Mississippi's current 35 per cent obesity rate.

The new projections were released Tuesday by Trust for America's Health and the Robert Wood Johnson Foundation. The two organizations regularly report on obesity to raise awareness, and they rely on government figures.

But in this case, their dismal forecast goes beyond the 42 per cent national obesity level that federal health officials project by 2030.

About two-thirds of Americans are overweight now. That includes those who are obese, a group that accounts for about 36 per cent. Obesity rates have been holding steady in recent years.

Trust for America's Health officials said the projections were based on state-by-state surveys by the Centers for Disease Control and Prevention from 1999 through 2010. They said their projections are reasonable.

But their outlook suggests that even in the thinnest state — Colorado, where about one-fifth of residents are obese — 45 per cent are predicted to be obese by 2030.

Perhaps more surprising — Delaware is expected to have obesity levels nearly as high as Mississippi. Delaware currently is in the middle of the pack when it comes to self-reported obesity rates.

The report didn't detail why some states' rates were expected to jump more than others.

CDC officials declined to comment on the new report.

Whichever estimates you trust most, it's clear that the nation's weight problem is going to continue, escalating the number cases of diabetes, heart disease and stroke, said Jeff Levi, executive director of Trust for America's Health.

By 2030, medical costs from treating obesity-related diseases are likely to increase by $48 billion, to $66 billion per year, his report said.

The focus of so much of the ongoing debate about health care is over controlling costs, Levi said. "... We can only achieve it by addressing obesity. Otherwise, we're just tinkering around the margins."

___

Listed are 2011 obesity levels followed by the Trust for America's Health projections for 2030:

Mississippi, 35 per cent, 67 per cent

Oklahoma, 31 per cent, 66 per cent

Delaware, 29 per cent, 65 per cent

Tennessee, 29 per cent, 63 per cent

South Carolina, 31 per cent, 63 per cent

Alabama, 32 per cent, 63 per cent

Kansas, 30 per cent, 62 per cent

Louisiana, 33 per cent, 62 per cent

Missouri, 30 per cent, 62 per cent

Arkansas, 31 per cent, 61 per cent

South Dakota, 28 per cent, 60 per cent

West Virginia, 32 per cent, 60 per cent

Kentucky, 30 per cent, 60 per cent

Ohio, 30 per cent, 60 per cent

Michigan, 31 per cent, 59 per cent

Arizona, 25 per cent, 59 per cent

Maryland, 28 per cent, 59 per cent

Florida, 27 per cent, 59 per cent

North Carolina, 29 per cent, 58 per cent

New Hampshire, 26 per cent, 58 per cent

Texas, 30 per cent, 57 per cent

North Dakota, 28 per cent, 57 per cent

Nebraska, 28 per cent, 57 per cent

Pennsylvania, 29 per cent, 57 per cent

Wyoming, 25 per cent, 57 per cent

Wisconsin, 28 per cent, 56 per cent

Indiana, 31 per cent, 56 per cent

Washington, 27 per cent, 56 per cent

Maine, 28 per cent, 55 per cent

Minnesota, 26 per cent, 55 per cent

Iowa, 29 per cent, 54 per cent

New Mexico, 26 per cent, 54 per cent

Rhode Island, 25 per cent, 54 per cent

Illinois, 27 per cent, 54 per cent

Georgia, 28 per cent, 54 per cent

Montana, 25 per cent, 54 per cent

Idaho, 27 per cent, 53 per cent

Hawaii, 22 per cent, 52 per cent

New York, 25 per cent, 51 per cent

Virginia, 29 per cent, 50 per cent

Nevada, 25 per cent, 50 per cent

Oregon, 27 per cent, 49 per cent

Massachusetts, 23 per cent, 49 per cent

New Jersey, 24 per cent, 49 per cent

Vermont, 25 per cent, 48 per cent

California, 24 per cent, 47 per cent

Connecticut, 25 per cent, 47 per cent

Utah, 24 per cent, 46 per cent

Alaska, 27 per cent, 46 per cent

Colorado, 21 per cent, 45 per cent

District of Columbia, 24 per cent, 33 per cent

___

Online:

Trust for America's Health: http://healthyamericans.org/

© The Canadian Press, 2012

18 Sep, 2012


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Source: http://www.globalnews.ca/Health/group+predicts+more+than+half+in++states+will+be+obese+by+2030+higher+than+govt+forecast/6442717218/story.html
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Government-ordered review of Halifax psychiatric facility to be released

HALIFAX - A review of a Halifax psychiatric facility that released a patient who was later charged in a fatal assault will be made public today.

The provincial government launched the review into the East Coast Forensic Hospital in May after the death of Raymond Taavel.

The Halifax man died after being beaten on a downtown street in April.

Andre Noel Denny is charged with second-degree murder in Taavel's death and is due back in court Thursday.

Denny was granted a one-hour unescorted leave from the hospital on the night Taavel died, but failed to return to the facility.

The government has said the report will focus on patient supervision, community access privileges, and public notification when a patient fails to return while out on a pass.

© The Canadian Press, 2012

18 Sep, 2012


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Source: http://www.globalnews.ca/Health/government-ordered+review+of+halifax+psychiatric+facility+to+be+released/6442717101/story.html
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Health PEI losing its CEO to Saskatchewan

Written By empapat on Senin, 17 September 2012 | 16.31

CHARLOTTETOWN - The head of the agency in charge of delivering publicly funded health services in PEI is leaving the post.

Keith Dewar, CEO of Health PEI, has accepted an offer to become CEO of Saskatchewan's Regina-Qu'Appelle Health Region.

Dewar was behind creation of Health PEI in July 2010.

He issued a statement Monday that paid tribute to the staff and physicians at Health and PEI.

© The Canadian Press, 2012

18 Sep, 2012


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Source: http://www.globalnews.ca/Health/health+pei+losing+its+ceo+to+saskatchewan/6442716899/story.html
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Toronto Public Health expands free HPV vaccine program for teen girls

TORONTO - Toronto Public Health is expanding its Human Papillomavirus vaccine program to give teenage girls who missed their HPV vaccinations in Grade 8 a chance to get the shots for free at clinics throughout the city.

The vaccination protects against certain strains of HPV, which is the primary cause of genital warts and the agent behind about 70 per cent of cervical cancers.

The expansion to the vaccine program began at a temporary clinic at the Scarborough Civic Centre in the city's east end on Monday, where girls aged 13 to 19 could receive inoculations.

Vinita Dubey, Toronto Public Health's associate medical officer of health, says the city has already sent out 19,000 letters to girls due for vaccinations, while an additional 16,000 letters still need to be mailed out.

The outreach effort developed in June when the Ontario government announced more funding in response to health organizations advocating free vaccination for girls who missed their shots in Grade 8 after the program's 2007 launch.

Dubey says the vaccine — composed of three shots and recommended especially for women 26 years or younger — will cost $450 for boys and anyone 20 or older.

But she hopes that as word gets out, the vaccine will reach as many girls as possible through community clinics this fall and in January.

© The Canadian Press, 2012

18 Sep, 2012


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Source: http://www.globalnews.ca/Health/toronto+public+health+expands+free+hpv+vaccine+program+for+teen+girls/6442716906/story.html
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Cancer overtakes heart disease as No. 1 killer of Hispanics; rest of US will soon follow

NEW YORK, N.Y. - Cancer has overtaken heart disease as the No. 1 killer among Hispanics in the U.S., and the rest of the country may be only a few years behind.

The change is not exactly cause for alarm. Death rates for both cancer and heart disease have been dropping for Hispanics and everyone else. It's just that heart disease deaths have fallen faster, largely because of improved treatment and prevention, including the development of cholesterol-lowering drugs.

Overall, cancer will probably replace heart disease as the nation's top cause of death in the next 10 years, said Rebecca Siegel of the American Cancer Society, lead author of a study reporting the new findings. Government health statisticians think the crossover point could be reached as early as this year, or at least in the next two or three years.

The reason it has already happened among Hispanics is that they are younger on average than non-Hispanic whites and blacks. And cancer tends to kill people earlier in life than heart disease, for decades the nation's top cause of death.

The shift could bring about a change in disease-prevention efforts, government spending priorities and people's attitudes.

"We've been so focused on heart disease mortality for so long. ... This may change the way people look at their risk," said Robert Anderson, who oversees the Centers for Disease Prevention and Control branch that monitors death statistics.

The study is being published in the September/October issue of a cancer society publication, CA: A Cancer Journal for Clinicians.

Cancer society researchers looked at federal death data for 2009 and found that 29,935 Hispanics died of cancer and 29,611 of heart disease. It was the first year in which cancer deaths surpassed heart disease in that ethnic group.

Cancer is also the leading cause of death for Asian-Americans and Pacific Islanders. And it is now the leading killer in 18 states, according to 2009 numbers from the CDC.

Hispanics are the nation's largest and fastest-growing major ethnic group, and many of them are young immigrants from Mexico. Most heart disease deaths are in people 65 and older. The vast majority of Hispanics in the U.S. are under 55.

The story is different in Mexico, which has an older population. There, diabetes is the biggest killer, with cancer No. 2, according to 2009 statistics from the Pan American Health Organization.

Interestingly, none of the states where cancer has overtaken heart disease is in the Southwest, which has large Hispanic populations. Instead, most are in the nation's northern tier, including Alaska, Washington, Idaho, Montana, Minnesota, Wisconsin and the four states of upper New England.

___

Online:

Cancer Society journal: http://cacancerjournal.org

© The Canadian Press, 2012

17 Sep, 2012


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Source: http://www.globalnews.ca/Health/cancer+overtakes+heart+disease+as+no+1+killer+of+hispanics+rest+of+us+will+soon+follow/6442716439/story.html
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Ground beef products from Alberta plant recalled in E. coli scare

OTTAWA - The Canadian Food Inspection Agency is warning against the consumption of several brands of ground beef from XL Foods of Alberta because of possible E.coli contamination.

The beef was sold under the Kirkland Signature brand, which is carried by Costco stores across Canada.

It was also sold under the Safeway and Calahoo Meats brands in Ontario, Manitoba, Saskatchewan, Alberta and B.C.

The agency said Monday there have been no reported illnesses linked to the product, which is being recalled voluntarily by Edmonton-based XL Foods.

The company said it is committed to food safety and recalled the meat even though it believes the risk of contamination is "very low."

The CFIA said it doesn't know exactly which stores — or how many — have been carrying the affected product.

Garfield Balsom, a CFIA food safety and recall specialist, said it's "hard to pinpoint" the quantity of beef being recalled, but noted it is "fairly substantive" given the product was distributed across the country.

Consumers wishing to know the exact products being recalled should visit the CFIA's website at www.inspection.gc.ca.

Consumption of food contaminated with E. coli bacteria can cause serious, and even life-threatening illnesses.

Symptoms typically include severe abdominal pain and diarrhea.

© The Canadian Press, 2012

17 Sep, 2012


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Source: http://www.globalnews.ca/Health/ground+beef+products+from+alberta+plant+recalled+in+e+coli+scare/6442716285/story.html
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Not enough military staff to fight PTSD among returning soldiers: ombudsman

OTTAWA - Canada's military ombudsman says National Defence has not hired enough psychiatrists and other mental-health professionals to deal with a tide of post-traumatic stress cases that is hitting its peak.

Pierre Daigle released a hard-hitting report Monday that challenges many of the reassurances the Harper government has given about the treatment of soldiers returning from the Afghan war.

He says there's a big gap between what the system is capable of delivering and what it actually does for troops who've witnessed horrors overseas, and for their families.

The biggest challenge is the department's "chronic inability" to staff a system of operational stress injury clinics, which have sprung up on bases across the country.

In some instances, the system is operating with 15 to 22 per cent fewer caregivers than needed.

Daigle says the government's drive to slash the deficit should not touch military mental-health services.

© The Canadian Press, 2012

17 Sep, 2012


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Source: http://www.globalnews.ca/Health/not+enough+military+staff+to+fight+ptsd+among+returning+soldiers+ombudsman/6442716593/story.html
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Overweight kids most vulnerable to effects of high salt diets: government research

Salt and pepper shakers are seen in a diner April 23;2009 in New York City. New York City's health department is discussing regulating the amount of salt used in restaurant food.

Salt and pepper shakers are seen in a diner April 23;2009 in New York City. New York City's health department is discussing regulating the amount of salt used in restaurant food.

Photo Credit: Mario Tama , Getty Images

CHICAGO - American children eat as much salt as adults — about 1,000 milligrams too much, or the same amount as in just one Big Mac. Extra salt is linked with higher blood pressure, even in kids, but government research says those who are overweight and obese may be most vulnerable to its effects.

The new findings from the Centers for Disease Control and Prevention were published online Monday in the journal Pediatrics.

Previous research has shown similar results in adults but studies on salt, weight and blood pressure are scarce in children.

The CDC researchers looked at data on 6,200 kids aged 8 to 18 involved in 2003-08 national health surveys. The children were asked twice over several days to detail all foods they'd eaten the previous day; the researchers calculated salt intake from their answers.

Overall, 15 per cent had either high blood pressure or slightly elevated blood pressure called prehypertension.

Those who ate the most salt faced double the risk of having elevated blood pressure, compared with those who ate few salty foods. But among overweight or obese kids, the risk was more than triple.

The recommended daily salt or sodium intake for kids and adults is no more than 1 teaspoon daily, or about 2,300 milligrams. On average, study kids ate 3,300 milligrams daily.

CDC researcher Quanhe Yang says it's unclear why heavier kids would be more sensitive to salt but it could be due to obesity-related hormone changes. The results raise concerns because studies have shown that elevated blood pressure in childhood, even just prehypertension, can lead to full-fledged high blood pressure in adulthood and potentially premature heart disease.

Prehypertension and high blood pressure in children younger than 17 depend on age, height and gender.

In those 18 and up, readings between 120 over 80 and 140 over 90 are prehypertension; 140 over 90 and higher is high blood pressure.

© The Canadian Press, 2012

17 Sep, 2012


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Source: http://www.globalnews.ca/Health/overweight+kids+most+vulnerable+to+effects+of+high+salt+diets+government+research/6442716374/story.html
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Edmonton judge's ruling to remove 2-year-old child from life support stayed

EDMONTON - An Edmonton judge has ruled that a two-year-old girl in a coma after alleged abuse by her parents should be removed from life support.

But the little girl will live at least a few days longer after Justice June Ross's ruling was stayed by a higher court within hours of being issued until an appeal can be heard.

"It is a difficult situation," said Appeal Court Judge Jean Cote after his ruling late Friday afternoon. "There are some drawbacks to any possible decision here."

The case came to court after paramedics found the girl and her twin sister in an Edmonton home on May 25. Both were malnourished and suffering from injuries. The girl in question was in cardiac arrest. The other twin is recovering. A brother was in home as well, but he was OK and is now in foster care.

Their parents have been charged with aggravated assault, criminal negligence causing bodily harm and failing to provide the necessities of life. They have been denied bail and are in the Edmonton Remand Centre.

Their names cannot be released to protect the identities of the children.

Medical experts testified the girl had suffered "profound and irreversible brain injury."

She can't move on her own and requires the support of a machine to breathe. She has no upper brain function and is not expected to ever recover.

"(She) does not meet the criteria for brain death, but she is close to it," wrote Ross.

Experts testified she has suffered repeated illness and urgently needs an operation to allow her to keep using the breathing machine. That operation is likely to be only the first in a series of invasive procedures, each of which carries the risk of bleeding and infection. Doctors are unsure if the girl is able to feel pain.

Although Alberta Family and Child Services has custody of the girl, guardianship remains with the parents. They oppose the recommendations of their daughter's medical team that her life support be removed.

In an affidavit, the father wrote: "My religious belief is that if it is Allah's will that despite all the doctors can do for (her) that she passes from this life, then it is God's will. As a devout Muslim and loving father I find it unthinkable to agree to limit or withdraw medical treatment."

But Ross ruled that it was the child's best interests that should come first.

"There are further medical challenges and further invasive treatments aimed only at continuing a life that holds no benefits for her."

As well, Ross cast doubt on the parents' motives for wanting to keep the girl alive. The criminal charges against them could be elevated to murder if she dies.

"They are, inherently, in a conflict of interest," she wrote in her decision Friday.

"I am left with a concern that their decision may, in fact, be affected by self-interest."

Still, lawyer April Kellet argued in front of the hastily convened Appeal Court hearing that the issues at hand were too important not to be tested. She said the parents have lost the right to make decisions on behalf of their child, despite the fact they remain her legal guardian and that the charges against them haven't been proved.

"When we apprehend a child and we charge the parents, do they then lose the ability to make medical decisions on behalf of their children because of a situation they're put in?" she asked.

Lawyer JoAnn Quinn, who spoke on behalf of the girl, said it is her best interests that should prevail.

"(Her) emaciated, paralyzed, lifeless body must speak for her."

The appeal of Ross's decision could be held as early as Wednesday.

© The Canadian Press, 2012

17 Sep, 2012


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Source: http://www.globalnews.ca/Health/edmonton+judges+ruling+to+remove+2-year-old+child+from+life+support+stayed/6442715390/story.html
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