Thursday, August 8, 2013
fell off the wagon
Many Parents Text, Phone With Kids in Car: Survey
By Robert Preidt
HealthDay Reporter
FRIDAY, April 19 (HealthDay News) -- Nearly two-thirds of adults use a cell phone when they're driving with children in the car, and about one-third text, according to a new California survey.
The dangers of such behavior are well-documented. In 2011, about 3,300 deaths and 400,000 injuries in the United States occurred because of distracted driving, according to experts in the driving safety program at the University of California, San Diego, School of Medicine.
Their online survey of 715 drivers, aged 30 to 64, in San Diego County revealed that many people either are unaware of the dangers of distracted driving or choose to ignore them.
"Studies have shown that phoning and driving increases the risk of crashes four-fold, with hands-free and handheld devices equally dangerous; this is the same as driving with a blood alcohol content at the legal limit of .08. Texting increases this risk eight to 16 times," Dr. Linda Hill, a clinical professor in the department of family and preventive medicine at UCSD School of Medicine, said in a university news release.
"[These findings] highlight the dangerous behavior of adults driving distracted, especially with children in the car, exposing both themselves and their children to increased risk for a crash," Hill said.
Of the more than 500 people in the survey who said they drive an average of one to two hours a day, 30 percent said they use cell phones for talking, texting and other applications sometimes or often. Fifty-three percent said they rarely do so, and 17 percent said they never do.
Fifty-six percent of respondents reported driving with a handheld phone and 92 percent with a hands-free phone.
Among the respondents with children younger than age 11 in the car, 65 percent drive with a cell phone and 36 percent text. Of those with children aged 12 to 17 in the car, 63 percent drive with a cell phone and 31 percent text. People with children younger than age 11 in the car were significantly more likely to text and to talk on a handheld phone, according to the survey.
The survey also found that 31 percent of respondents said they feel obligated to take a work-related call while driving.
"Employers should be aware that encouraging workers to initiate and receive calls while driving on the job is putting their employees at risk and exposing their companies to potential liability," Hill said.
HPV Vaccination Sends Genital Wart Cases Plummeting: Study
By Alan MozesHealthDay Reporter
THURSDAY, April 18 (HealthDay News) -- In the five years since launching a nationwide human papillomavirus (HPV) vaccination program among girls between the ages of 12 and 26, Australia has seen a huge drop in the number of cases of genital warts, new research reveals.
Among Australian girls in the targeted age range for vaccination, the country saw genital wart cases plummet by 59 percent within just the first two years of the program's launch in 2007.
By aggressively vaccinating girls against HPV (which is responsible for 90 percent of genital wart diagnoses), Australia appears to have offered considerable protection not just to its female population but also its men as well.
How? Researchers point to a phenomenon known as "herd immunity," whereby the immunity acquired by a certain segment of the population -- in this case, women -- ends up protecting an unvaccinated segment of the population (men).
In the same timeframe Australia has seen a 39 percent drop in genital wart cases among heterosexual men as well.
"All indications are that the program has been an overwhelming success," noted study author Dr. Basil Donovan, who heads the sexual health program at the Kirby Institute of the University of New South Wales, in Sydney.
"But we won't be certain until HPV-related cancers [also] start dropping," he added, explaining that while genital warts tend to appear roughly three months following infection with HPV, "the incubation period from HPV infection to HPV-related cancer is typically at least 20 to 30 years."
HPV-associated cancers include cervical, penile, anal and throat cancers, according to the U.S. Centers for Disease Control and Prevention.
Donovan and his colleagues published their findings in the April 18 issue of the BMJ.
To explore the impact of HPV immunization efforts in the Australian context, the authors analyzed data collected from eight different sexual health service organizations covering a period from 2004 to 2011.
Collectively, the organizations had seen nearly 86,000 first-time patients in that timeframe, of whom about 9 percent were diagnosed with genital warts.
By comparing the pre-vaccination period of 2004 to mid-2007 with the vaccination period of mid-2007 through the end of 2011, the team found a remarkable plunge in genital wart rates.
Among girls under the age of 21, that drop amounted to nearly 93 percent, while among those between 21 and 30 a decline of almost 73 percent was observed.
And while no appreciable genital wart rate drop-off took place among women or men over the age of 30, among men under 30 a notable dip was observed. Specifically, among heterosexual men below 21 the drop amounted to almost 82 percent, while among those between 21 and 30 genital wart rates fell by more than 51 percent.
But is the Australian experience translatable to other countries now engaged in various types of HPV vaccination programs?
Donovan said that how well other countries will fare in efforts to dampen genital wart rates will depend on the degree of public acceptance when it comes to HPV immunization efforts.
"There was little resistance to the HPV vaccine in Australia," he noted by way of explaining the program's success. By contrast, he suggested that the American public health effort -- which he characterized as "fractured" -- may very well produce less optimistic results, given the widespread controversy and reluctance to vaccinate that arose when the prospect of immunizing young girls was first proposed.
But in other countries, where the debate has been more muted, Donovan sees better prospects. "As the U.K. is achieving vaccine coverage rates at least as high as Australia," he said, "I would be certain that they will soon be reporting comparable drops in disease."
Commenting on the report, Dr. Jocylen Glassberg, an obstetrician/gynecologist at Scott and White Healthcare in Round Rock, Texas, said that "the take-home message is the vaccine is obviously working."
"It will take many more years to see the same decline in cervical cancer rates due to the naturally slow progression of that disease process," she said. "But the vaccine works. The fact that genital wart rates were virtually zero after such a short time in women and men, even in a program just aimed at vaccinated women, is a phenomenal result."
On that note, Glassberg pointed out that most vaccines do not offer similar levels of protection. "Flu vaccines keep 80 percent or so at bay," she explained. "This is almost 100 percent."
So, "aggressively educating the public should be key in the U.S.A. as well," she concluded. "And getting the vaccines covered in young women, and men, as a medical benefit could lead to a near eradication of genital warts here as well."
In the United States, the vaccines Gardasil and Cervarix are used to prevent HPV infection and are highly effective, according to the U.S. National Institute of Allergy and Infectious Diseases.

Copyright © 2013 HealthDay. All rights reserved. SOURCES: Basil Donovan, M.D., professor and head, sexual health program, the Kirby Institute, University of New South Wales, Sydney; Jocylen Glassberg, M.D., Ob/Gyn, department of obstetrics and gynecology, Scott and White Healthcare, Round Rock, Texas; April 18, 2013, BMJ, online
just got some pb2 - anyone have favorite ways to use it?
Sienna Miller at the Orphans' play opening night
Number of U.S. Foodborne Illness Cases Stalled: CDC
By Robert Preidt
HealthDay Reporter
THURSDAY, April 18 (HealthDay News) -- Progress in reducing foodborne illness in the United States seems to have stalled, health officials reported Thursday.
"Every year, we estimate that about 48 million of us -- that would be one in six people in the United States -- gets sick from eating contaminated food," said Dr. Robert Tauxe, deputy director of the division of foodborne, waterborne and environmental diseases at the U.S. Centers for Disease Control and Prevention.
In 2012, the nation's food surveillance program identified about 19,500 infections, about 4,500 hospitalizations and 68 deaths, Tauxe said at a noon press conference on the study results. Those numbers are similar to ones reported between 2006 and 2008, the report noted.
The findings appear in the April 19 issue of the Morbidity and Mortality Weekly Report, published by the CDC.
"We see, once again, that salmonella was the most commonly diagnosed and reported cause of infection among those that are tracked," Tauxe said, and while some types have decreased, others are on the rise.
Although the second most common infection, Campylobacter, decreased since the early 1990s, "it's still lower than it was in the 1990s but it has increased by 14 percent since a baseline period of 2006 to 2008," Tauxe said.
While still quite rare, he said Vibrio infections increased 43 percent in 2012, compared with 2006 to 2008.
"Vibrio organisms are found in marine waters where shellfish are harvested and many Vibrio infections are due to eating oysters," he noted. "However, not all are due to oysters and some infections are acquired from contact with marine water causing, for instance, wound infections."
E. coli O157 levels in 2012 were similar to those observed in 2006 to 2008, although in the past "substantial declines were observed following regulatory change and improvement in the food industry that particularly targeted ground beef," Tauxe noted.
"It is still the case now that numbers were lower than they were back in the 1990s," he said. "But right now we're just about where we were in 2006 to 2008, and we may need to identify additional ways to reduce contamination, as well as heightening awareness among consumers about the importance of thoroughly cooking and safely handling ground beef in their own homes."
A general measure that combines sickness from six key pathogens that are usually transmitted by food decreased 22 percent from the late 1990s, but really hasn't changed since 2006 to 2008, he added.
Last year, the highest incidence of foodborne illnesses caused by Cryptosporidium and bacteria other than listeria and Vibrio was among children younger than age 5. The highest incidence of illnesses caused by listeria and Vibrio was among seniors, according to the report.
What would you like to change about yourself?
1. I wish I had stronger willpower. I see all these beautiful women who have lost weight and look amazing, and I haven't quite figured it out yet.
I've started thinking more about eating intuitively, and eventually my goal is to be at a point where I can cook really healthfully and LOVE good foods, and not crave junk all the time.
2. I want to be more driven.
So many people have careers, or are in college, and I've kind of drifted aimlessly. I'm starting school for Cosmetology soon, and I'm hoping to someday be a makeup artist.
3. I want to be confidant. I've always felt self concious. I would like to start getting more in touch with my body, how I feel vs how my body looks. When I move out in September, I want to have an area where I can do yoga, meditate, and just really focus on my inner wellbeing.
4. I want to be someone people want to be around. I'm a bit abrasive at times, speak without thinking, and at times feel very socially awkward.
I have been trying to open up to people easier, try to focus more on having fun and being a good friend, and less on how people judge me during social situations.
5. I want to feel beautiful I compare myself to other girls, and I don't see myself positively due to being bullied for a large part of my life. I see myself as fat and ugly, and I know that I'm not seeing myself how other people do. I want to focus on the positive traits I have, and do the things that make me happy, instead of worrying that people are judging me or thinking I'm ugly. I just dyed my hair a bright pink, and I LOVE it :)
