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CDC H1N1 (Swine Flu) Response Actions and Goals

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CDC H1N1 (Swine Flu) Response Actions and Goals

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This podcast discusses the actions and goals of the Centers for Disease Control and Prevention, related to the current outbreak of H1N1 flu (swine flu).

WHO’s decision to raise the pandemic alert level to Phase 6 is a reflection of the spread of the virus, not the severity of illness caused by the virus. It’s uncertain at this time how serious or severe this novel H1N1 pandemic will be in terms of how many people infected will develop serious complications or die from novel H1N1 infection. Experience with this virus so far is limited and influenza is unpredictable. However, because novel H1N1 is a new virus, many people may have little or no immunity against it, and illness may be more severe and widespread as a result. In addition, currently there is no vaccine to protect against novel H1N1 virus.

In the United States, most people who have become ill with the newly declared pandemic virus have recovered without requiring medical treatment, however, CDC anticipates that there will be more cases, more hospitalizations and more deaths associated with this pandemic in the coming days and weeks. In addition, this virus could cause significant illness with associated hospitalizations and deaths in the fall and winter during the U.S. influenza season.

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U.S. report confirms smoking bans cut heart attacks

`in.reuters.com

U.S. report confirms smoking bans cut heart attacks

Indoor smoking bans lower the risk of heart attack, even among nonsmokers, by reducing exposure to secondhand smoke, a panel of U.S. health experts confirmed in a report on Thursday.

The report, produced by the Institute of Medicine for the U.S. Centers for Disease Control and Prevention, provides the most definitive evidence to date that laws that ban smoking from workplaces, restaurants and bars can reduce cardiovascular-related health problems where they are imposed.

“Secondhand smoke kills. What this report shows is that smoke-free laws reduce heart attacks in nonsmokers,” said CDC director Dr. Thomas Frieden.

“But still, most of the country lives in areas that don’t have comprehensive smoke-free laws covering all workplaces, all restaurants and all bars,” he said.

The CDC asked the independent Institute of Medicine to review research on smoking bans and secondhand smoke after some studies suggested that banning smoking might significantly reduce heart attacks.

The panel of experts reviewed research including 11 studies of smoking bans in the United States, Canada and Europe showing “remarkable consistency” in the association between bans and reductions in heart attack rates, which in some studies ranged from 6 percent to 47 percent.

“There is a causal relationship … smoking bans decrease the rate of heart attacks,” the panel concluded in its report.

Advocacy groups said they hoped the report would encourage passage of more smoking bans, which the CDC estimates covers about 40 percent of the population.

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Stressful childhood may mean earlier death

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Stressful childhood may mean earlier death

Having a stressful childhood may slash decades off a person’s life, researchers from the Centers for Disease Control and Prevention (CDC) report.

Among people who reported experiencing at least six of eight different bad childhood experiences-from frequent verbal abuse to living with a mentally ill person-average age at death was about 61, compared to 79 for people who didn’t have any of these experiences as children, the researchers found.

Dr. David W. Brown and Dr. Robert Anda of the CDC and colleagues from the CDC and Kaiser Permanente have been following 17,337 men and women who visited the health plan between 1995 and 1997 to investigate the relationship between bad childhood experiences and health.

So far, Anda noted in an interview, they have shown links between childhood stressors and heart disease, lung disease, liver disease and other conditions. “The strength of it really surprised me, how powerfully it’s related to health,” the researcher said.

In the current analysis, the researchers reviewed death records through 2006 to investigate whether these experiences might also relate to mortality. During that time, 1,539 study participants died.

Each person was asked whether they had any of eight different categories of such experiences, including verbal abuse, physical abuse, sexual abuse with physical contact, having a battered mother, having a substance-abusing person in the household, having a mentally ill person in the household, having a household member who was incarcerated, or having one’s parents separate or divorce.

Sixty-nine percent of the study participants who were younger than 65 reported at least one of the adverse childhood experiences, while 53 percent of people 65 and older did.

Those who reporting experiencing six or more were 1.5 times more likely to die during follow-up than those who reported none, the researchers found. They were 1.7 times as likely to die at age 75 or younger, and nearly 2.4 times as likely to die at or before age 65.

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