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Medicare Offers Lessons For Possible 'Public Plan'
As President Barack Obama and some Democratic lawmakers push for a government-run public plan, Medicare is being scrutinized.
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Need For Accurate Estimates Of The Severity Of The New H1N1 Virus
A paper published on bmj.com reports that there is a need for precise estimates of the severity of the new H1N1 virus. Experts need to assess in particular how many deaths might arise over the course of the pandemic. This will be the focus of healthcare planning over the upcoming months.
News of the day
Citrus-Derived Flavonoid Prevents Obesity According To Study
A flavonoid derived from citrus fruit has shown tremendous promise for preventing weight gain and other signs of metabolic syndrome which can lead to Type 2 Diabetes and increased risk of cardiovascular disease. The study, led by Murray Huff of the Robarts Research Institute at The University of Western Ontario looked at a flavonoid (plant-based bioactive molecule) called naringenin. The findings are published online in the journal Diabetes.
Cardiovascular

U.S-Mexico Border Office Chief, Dr. Maria Teresa Cerqueira Corrects Deceptive Statement About Antiviral Resistance Cases Along The Border

During a presentation about the Health Agenda for the Americas at the "Seventh Latin American Seminar on Science and Health Journalism," for Latin American journalists, held at the Institute of the Americas in La Jolla, CA, Dr. Maria Teresa Cerqueira, Chief of the PAHO/WHO U.S.-Mexico Border Office was challenged with questions regarding the current situation of influenza A (H1N1), she was asked questions about antiviral resistant cases along the U.S.-Mexico Border Region. Reporters at the seminar asked the following questions among others: 1. What cities on the border had cases of H1N1? 2. Are there any Tamifluò€resistant cases along the Texasò€Mexico Border? The following statements were inadvertently published in a news article that has circulated worlwide: *"We have found resistance to Tamiflu on the border. We have observed some cases, few to be sure, in El Paso and close to McAllen, Texas," said Maria Teresa Cerqueira, head of the Panò€American Health Organization office in La Jolla, California. * "Experts had gathered in La Jolla on Monday to discuss the response to the outbreak, and warned that resistant strains were likely emerging because of overuse of antivirals like Tamiflu." *"In the United States Tamiflu is sold with a prescription, but in Mexico and Canada it is sold freely and taken at the first sneeze. Then, when it is really needed, it doesn"t work," said Cerqueira. Dr. Maria Teresa Cerqueira would like to reinstate her responses and clarify that this was not an influenza experts"gathering, with the following statements: * "I stated that there are influenza A (H1N1) cases along the U.S.ò€Mexico Border, I knew of several in El Paso, McAllen and San Diego among others; however I was unaware of any antiviral resistant cases. *I added that, we recommended surveillance for this possibility as people on the border often go back and forth for medical care and to buy medicines, but I had no information on any antiviral resistant cases, I repeated this several times. I also indicated that with limited res it is difficult to this much needed surveillance." * "I reinstated during the seminar the importance of not calling it the "swine flu", since April 30, 2009, WHO has been referring to this influenza virus as influenza A (H1N1). In addition, clarified that contrary to initial suspicions, the current influenza A (H1N1) epidemic has not been linked to contact with either live pigs or the consumption of pork or pork products." Dr. Maria Cerqueira adds, that "individuals are advised and encouraged to wash hands thoroughly with soap and water on a regular basis and to seek medical attention if they develop any symptoms of influenzaò€like illness, to avoid selfò€medication of antivirals or antibiotics, and to maintain social distance. Resistance can develop to antiviral drugs used for influenza. Therefore, WHO and its partners are monitoring antiviral drug resistance." Since the level of overall influenza increased, WHO has been collecting global data about the influenza A (H1N1) virus resistance to oseltamivir phenomenon from multiple laboratories participating in Global Influenza Surveillance Network. A comprehensive table of influenza A(H1N1)virus resistance to oseltamivir (Fourth quarter 2008 ò€ 31 January 2009) can be found here Monitoring for antiviral resistance is an ongoing practice and clinicians and state health departments should continue to follow state and national guidance for submission and testing of clinical specimens from persons with suspected novel influenza A (H1N1) virus infection. WHO advises no restriction of regular travel or closure of borders. There is no risk of infection from this virus from consumption of wellò€cooked pork and pork products. It is considered prudent for people who are ill to delay international travel and for people developing symptoms following international travel to seek medical attention, in line with guidance from national authorities. Pan American Health Organization


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