Tag Archives: Centers for Disease Control and Prevention

FOLIC ACID BEFORE CONCEPTION MAY HELP PREVENT #AUTISTIC SPECTRUM DISORDERS (ASD)

1285095900X17t2lAutism awareness ribbon

Data collected about 85,176 babies from the Norwegian Mother and Child Cohort Study (MoBa) and its sub-study of autism, the Autism Birth Cohort (ABC) Study, further supported the importance of women’s taking folic acid (vitamin B9) supplements during early pregnancy.

The vitamin is required for DNA synthesis and for repair in the human body.  It’s found in leafy vegetables, peas, lentils, beans, eggs, yeast and liver.  Taking folic acid in early pregnancy protects against spina bifida and other neural defects in children.

Women who took folic acid supplements from 4 weeks before to 8 weeks after the start of pregnancy had a 40% reduced risk of having children with ASD than women who did not take the supplements.

Researchers found no association between a woman’s taking other vitamin and mineral supplements and a reduced risk of bearing children with ASD.

The Centers for Disease Control and Prevention’s estimate is that about one in 88 children in the US have been identified with some form of ASD during the same time frame as this study, a collaboration between the Norwegian Institute of Public Health and Columbia University in New York.

W Ian Lipkin, John Snow Professor of Epidemiology at the Mailman School of Public Health, Columbia University, and principal investigator of the study said, “This elegant work illustrates the power of the ABC cohort for not only chipping away at the riddle of what causes autism, but for developing new methods for early recognition, prevention and treatment.”

Sources:   examiner, February 20, 2013          JAMA report     University of California, Berkeley Wellness Letter, May, 2013   Study published in Journal of the American Medical Association (JAMA), February 13, 2013

Study funded by the National Institute of Neurological Disorders and Stroke of the US National Institutes of Health

CDC: NEARLY 1 OUT OF 3 AMERICANS WILL DEVELOP #SHINGLES

people_shinglesShingles on the forehead                Photo courtesy of Centers for Disease Control and Prevention

Overview

Shingles, aka zoster or herpes zoster, is a painful rash caused by the same virus that causes chickenpox.  After a person recovers from chickenpox, the virus remains latent in the body.  For reasons not fully known, the virus may reactivate years after recovery.

Anyone who’s recovered from chickenpox may develop shingles, and the risk increases as a person ages.  About half the cases occur among adults 60 years of age or older.

Treatment

Acyclovir, valacyclovir and famciclovir are three of the several antiviral medicines available to help shorten the length and severity of the disease.

But to be effective, they must be started as soon as possible after the rash appears. People who think they might have shingles must call their doctor to discuss treatment options.

Analgesics might help relieve the pain shingles causes.

Transmission

Shingles can’t be passed person to person, but the virus can be spread from a person with active shingles to a person who’s never had chickenpox.  In such a case, the person would develop chickenpox, but not shingles.

A person with shingles can spread the virus through direct contact with fluid from the rash blisters, not through sneezing, coughing or casual contact.  A person isn’t infectious before blisters appear or once the rash has developed crusts.

Prevention

The only way to reduce the risk of developing shingles and its accompanying long-term pain (those commercials aren’t kidding) is to get vaccinated. The CDC recommends the vaccine for persons 60 and older.

However, in 2011 the FDA expanded its approval to people from 50-59 on the evidence of research showing that the shot cuts the risk of shingles by nearly 70% in that age group.

Recent studies show the vaccine is more effective in people in their 60s than in those over 70 because older people have a weaker immune response to it.

The vaccine is a live vaccine, usually given in the shoulder.  Common side effects of the vaccine are redness, pain, tenderness and swelling at the injection site, and headaches.

For persons over 65, the cost of the shot falls under Medicare Part D, the federal drug program.

Sources:   University of CA, Berkeley Wellness Letter, January, 2013   Mayo Clinic.com    CDC.com

INDOOR #TANNING #SALONS AND SKIN #CANCER: LATEST FACTS AND STATS

Melanoma  Photo credit National Institutes of Health

Our skin tans in response to an injury, which can occur from exposure to the sun or exposure to the bulbs in tanning booths.

The skin darkens by producing more pigment to protect itself from exposure to ultraviolet rays, proven carcinogens.

The carcinogens are responsible for creating three types of skin cancer:  melanoma, basal cell carcinoma and squamous cell carcinoma.

On their list of protective actions to take to avoid over exposure to UV rays, the Centers for Disease Control and Prevention and the National Cancer Institute had only three words of protective advice regarding indoor tanning:           Avoid indoor tanning.

Three types of skin Cancer

Melanoma, pictured above, is characterized by the uncontrolled growth of pigment-producing tanning cells.  It’s commonly found on the upper backs of men and women, on the legs of women, but can occur anywhere on the body, including as cancer of the eyeball, known as ocular melanoma.

Over 73% of skin cancer deaths are caused by melanoma.  In its advanced state, it spreads to internal organs.

People in southern areas where sunlight is more intense are more likely to develop the disease than those in northern areas.

It’s also linked to excessive UV exposure in the first 10 to 18 years of a young person’s life.

Basal cell carcinoma Photo credit National Cancer Institute

Basal cell carcinoma is a red, ulcerated lesion surrounded by a white, pearly border.  It’s the most common form of skin cancer and is rarely fatal, but it can be highly disfiguring if allowed to grow without treatment.

Squamous cell carcinoma  Photo credit National Institutes of Health

Squamous cell carcinoma is the second most common form of skin cancer.  It may first appear as a patch of scaly eczema and later as a sore from which a tumor may appear.

It kills approximately 2500 people each year in the US.

Indoor tanning exposes users to both UV-A and UV-B rays and is especially dangerous for younger users.  Those younger than age 35 who begin using tanning beds have a 75% higher risk of melanoma than those who start later in life.

Though tanning booths operate on a timer, the exposure to UV rays varies based on the age and type of tanning bulbs.

Statistics:  Who’s using tanning booths and with what frequency? 

13% of all high school students

21% of high school girls

32% of girls in the 12th grade

29% of white high school girls

32% of non-Hispanic white women aged 18-21 reported using indoor tanning an average of 28 times in the past year.

Among non-Hispanic white adults who used an indoor tanning device in the past year, 58% of women and 40% of men used one 10 times or more.

Non-Hispanic white women aged 18-21 residing in the Midwest (44%) and non-Hispanic white women between ages of 22-25 in the South (36%) were most likely to use indoor tanning devices.

New research indicates that those who make just four visits to a tanning booth per year increase their risk for melanoma by 11%, and their risk for the two most common forms of skin cancer, basal cell and squamous cell carcinomas, by 15%.

As noted earlier, at greatest risk of developing skin cancer are those who begin using tanning booths between ages 10-18.

Tomorrow:  The unconscionable lies, lies, lies indoor tanning owners tell young girls about the “safety” of using a tanning booth. 

Sources:  Committee on Energy and Commerce minority staff report, February 1, 2012       Skin Cancer Foundation report, February 1, 2012   Center for Disease Control and Prevention press release,  May 10, 2012       Center for Disease Control report, July 16, 2012     Melanoma Foundation fact sheet

OBESOGENS: NOUN, pl. def: TOXIC, WIDELY USED CHEMICALS THAT CAUSE OBESITY IN HUMANS & ANIMALS

A morbidly obese child

In the United States, 68% of the population are overweight; 34% of those are obese.  It’s true we eat too much, don’t exercise enough and consume too many processed foods.

But how do we explain the growing epidemic of obesity in 6-month-old babies?   Have they been slacking off at the gym?  Snacking on too many Whoppers?  Not likely.

What is likely is that there are factors other than calorie intake and calorie burning that are  affecting our girth.

As early as 2007, the Washington Post reported that “Several recent animal studies suggest that environmental exposure to widely used chemicals may also help make people fat.

“The evidence is preliminary, but a number of researchers are pursuing indications that the chemicals, which have been shown to cause abnormal changes in animals’ sexual development, can also trigger fat-cell activity—a process scientists call adipogenesis.”

And it was also in 2007 that Bruce Blumberg , professor in the School of Developmental and Cell Biology in the School of Biological Sciences at the University of California, Irvine, coined the word “obesogen.”

When asked by Steve Curwood on a recent PRI interview how he came up with the word, Blumberg answered, “. . . when we were writing our story about the chemical that we worked on—tributyltin—it seemed absolutely obvious to us that a chemical that makes animals fat should be called an obesogen, and I didn’t realize it wasn’t a word.

“Tributyltin used to be used on ship hulls and it’s used as a fungicide in paints*, and it keeps marine life and fungus from growing on various surfaces.  We found, accidentally, that tributyltin makes animals fat.”

Blumberg further explained that there are a number of pharmaceutical obesogens that make us gain weight.  Actos and Avandia are diabetes drugs that improve insulin sensitivity but also make a person fat, as do many antidepressants. 

The earlier-mentioned Washington Post article discussed childhood and in utero exposure to obesogens.  Mice exposed to obesogen chemicals, particularly pesticides,  became obese adult mice, remaining obese even when placed on reduced calorie and increased exercise regimes.  Like tributyltin, DES, which for decades was added to animal feed and routinely given to pregnant women, permanently disrupted the hormonal mechanisms regulating body weight.

Retha Newbold of the National Institute of Environmental Health Sciences in North Carolina has a grim prognosis for those exposed early to obesogens:  “Once these genetic changes happen in utero, they are irreversible and with the individual for life.”

Blumberg concurs.  He told Curwood, “What our research and the research in other laboratories suggests that prenatal and early life exposure to obesogens can reprogram the metabolism of the individual that’s exposed, so that they use calories differently.  Our prenatally exposed mice get fatter on an absolutely normal diet.”

A study conducted by the Centers for Disease Control and Prevention found another obesogen, this one a petroleum-derived chemical, bisphenol A (BPA), in 95% of the people tested at levels at or above the levels that affected animal development.  When the findings were presented at the annual meeting of the American Association for the Advancement of Science, a representative of the chemical industry dismissed concerns.

Jerry Heindel, an official of the National Institute of Environmental Health Sciences (NIEHS), said the suspected link between obesity and to “endocrine disrupters (so called because of their hormone-like impacts) is plausible and possible.”

Frederick vom Saal, professor of biological sciences at the University of Missouri at Columbia says, “Exposure to bisphenol A is continuous.”  The chemical appears in refillable water containers and baby bottles, in the lining of food cans, in dental sealants and on store receipts.  In 2003, US industry added about 2 billion pounds of BPA into our consumer products.

Vom Saal’s research indicates that exposure during development to low doses of BPA activates genetic mechanisms that promote fat-cell activity.  Vom Saal’s conclusions match Newbold’s:  “These in-utero effects are lifetime effects, and they occur at phenomenally small levels.”

For more about the sources and dangers of BPA, see http://mytakeontoday.wordpress.com/2011/12/14/canned-soups-linked-to-greatly-elevated-levels-of-bpa/

*According to The Lund Report, February 17, 2012, the chemical is also used in PVC pipes.

from Washington’s Blog, March 17, 2012    Public Radio International’s (PRI) Living on Earth, transcript, June 1, 2012     Washington Post, March 12, 2007

Coming up:  Obesogens:  Fighting Back

HARVARD MEDICAL SCHOOL: KEEP THE HIDDEN BURDEN OF HYPERTENSION AT BAY

Hypertension is a gateway to stroke, heart attack, heart failure, and kidney disease.

Probably because of its interference with health, on average the life span of people with hypertension is five years shorter than that of people with normal blood pressure.

Hypertension directly leads to 60,000 deaths a year and contributes to another 300,000 deaths.

Quite naturally, if you’re working to control it, you’re burdened with concerns. You must reprogram your eating and exercise habits and begin a regimen of one or more pills a day, pills which may be expensive.

Spanish researchers uncovered another hidden burden associated with high blood pressure: its effect on survival after both admission and readmission to hospitals.

Over a 10-month period, they studied 1,007 men and women admitted to a hospital for any heart-related problem, including chest pain, fainting, heart attack, heart failure, atrial fibrillation and pericarditis.

In this group of patients, 69% had pre-existing hypertension before being admitted. At the end of one year, 17% of those with high blood pressure were dead compared to only 9% of those with normal blood pressure.

Patients rehospitalized for a cardiac problem had similar outcomes: 31% with pre-existing high blood pressure died within a year compared to only 18% with normal blood pressure.

There are many things you can do to keep your hypertension under control and even prevent the condition from developing. Here are the recommendations of the National Heart, Lung, and Blood Institute; the Centers for Disease Control and Prevention; and the American Heart Association:

Achieve & maintain a healthy weight for your height.

Exercise regularly.

Eat a diet rich in fruits, vegetables, and whole grains.

Limit sodium intake to under 2,300 milligrams (one teaspoon) a day.

Get plenty of potassium (4,700 milligrams) a day.

Drink alcohol in moderation, if at all.

Reduce stress.

Monitor your blood pressure regularly, and work with your doctor to keep it in a healthy range.

from Harvard Medical School Healthbeat June 7, 2012