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Thursday, April 25, 2013

W. Va. plans private-public model to provide school breakfast, improve child health, fight obesity; could this approach help Ky.?

By Molly Burchett
Kentucky Health News

Breakfast has been said to be the most important meal of the day, and it can be important in fighting obesity. Policymakers in West Virginia are pushing for breakfast food programs in schools through public-private partnerships, and a new report says similar programs could save $41 billion in federal dollars long-term by preventing obesity. Does this make sense, and does it make sense for Kentucky?

Like West Virginia, Kentucky has a high obesity rate among middle and high school students but has many children who don't always get the food they need to live a healthy life. Kentucky ranks fourth highest in food insecurity among children because 23 percent of Kentucky's children do not always know where they will find their next meal, according to Feeding America’s "Map the Meal Gap" study. (Here's a link to its interactive map, where you can see food insecurity rates by county in order to find out more about your county. One example appears below; orange dots are headquarters of regional food banks.)

A recent bill passed by West Virginia lawmakers addresses the problems of food insecurity, obesity and education simultaneously and serves as the first example for a statewide public-private funding partnership to improve school meals programs, reports David Gutman of The Associated Press. The bill would also require every county to set up a fund to collect private food donations.

The bill aims to require every school to have breakfast food programs so no student goes without it because of costs, says Gutman. Poor nutrition and diet are sometimes issues of cost and income level since healthy foods can be more expensive than unhealthy ones. For example, a bag of 10 apples may costs $4.99, but a package of Little Debbie oatmeal creme pies could be $1.79. A medium-sized apple has 93 calories and less than 1 gram of fat while an oatmeal creme pie has 318 calories and 13 grams of fat.

What does this have to do with obesity? The research-based logic is that a healthy, daily breakfast improves diet and can replace sugary alternatives such as donuts. Eating a healthy breakfast also improves education by combating hunger and aiding concentration and has been found to be associated with overall health and mental functioning. Overall, these factors may work together to improve education and diet, reports Gutman.

Such a program could help Kentucky address the state's problems related to food insecurity, obesity and education, while generating long-term savings. Similar food programs that provide meals to low-income children could generate as much as $41 billion in long-term federal saving by preventing obesity, says a new report from the Campaign to End Obesity.

The report says that the S-CHIP childhood obesity demonstration project, which combines changes in preventive care with community and school efforts to reduce childhood obesity in low-income communities, could prevent a child from becoming obese, saving an estimated $41,500 for an average female and $30,600 for an average male Medicaid beneficiary, says the report.

Three other programs were highlighted as huge cost-savers because they would prevent obesity and related chronic conditions in the long run, which would reduce health care costs and increase wages, says the report. These include increasing obesity screenings by physicians, bringing the Diabetes Prevention Program to scale and covering certain weight loss drugs under Medicare Part D. Preventive health policies aimed at obesity prevention could significantly reduce government expenditures, could save tax dollars and could improve the overall health of Kentuckians.

Kentucky Health News is an independent news service of the Institute for Rural Journalism and Community Issues at the University of Kentucky, with support from the Foundation for a Healthy Kentucky.
By Molly Burchett
Kentucky Health News

Breakfast has been said to be the most important meal of the day, and it can be important in fighting obesity. Policymakers in West Virginia are pushing for breakfast food programs in schools through public-private partnerships, and a new report says similar programs could save $41 billion in federal dollars long-term by preventing obesity. Does this make sense, and does it make sense for Kentucky?

Like West Virginia, Kentucky has a high obesity rate among middle and high school students but has many children who don't always get the food they need to live a healthy life. Kentucky ranks fourth highest in food insecurity among children because 23 percent of Kentucky's children do not always know where they will find their next meal, according to Feeding America’s "Map the Meal Gap" study. (Here's a link to its interactive map, where you can see food insecurity rates by county in order to find out more about your county. One example appears below; orange dots are headquarters of regional food banks.)

A recent bill passed by West Virginia lawmakers addresses the problems of food insecurity, obesity and education simultaneously and serves as the first example for a statewide public-private funding partnership to improve school meals programs, reports David Gutman of The Associated Press. The bill would also require every county to set up a fund to collect private food donations.

The bill aims to require every school to have breakfast food programs so no student goes without it because of costs, says Gutman. Poor nutrition and diet are sometimes issues of cost and income level since healthy foods can be more expensive than unhealthy ones. For example, a bag of 10 apples may costs $4.99, but a package of Little Debbie oatmeal creme pies could be $1.79. A medium-sized apple has 93 calories and less than 1 gram of fat while an oatmeal creme pie has 318 calories and 13 grams of fat.

What does this have to do with obesity? The research-based logic is that a healthy, daily breakfast improves diet and can replace sugary alternatives such as donuts. Eating a healthy breakfast also improves education by combating hunger and aiding concentration and has been found to be associated with overall health and mental functioning. Overall, these factors may work together to improve education and diet, reports Gutman.

Such a program could help Kentucky address the state's problems related to food insecurity, obesity and education, while generating long-term savings. Similar food programs that provide meals to low-income children could generate as much as $41 billion in long-term federal saving by preventing obesity, says a new report from the Campaign to End Obesity.

The report says that the S-CHIP childhood obesity demonstration project, which combines changes in preventive care with community and school efforts to reduce childhood obesity in low-income communities, could prevent a child from becoming obese, saving an estimated $41,500 for an average female and $30,600 for an average male Medicaid beneficiary, says the report.

Three other programs were highlighted as huge cost-savers because they would prevent obesity and related chronic conditions in the long run, which would reduce health care costs and increase wages, says the report. These include increasing obesity screenings by physicians, bringing the Diabetes Prevention Program to scale and covering certain weight loss drugs under Medicare Part D. Preventive health policies aimed at obesity prevention could significantly reduce government expenditures, could save tax dollars and could improve the overall health of Kentuckians.

Kentucky Health News is an independent news service of the Institute for Rural Journalism and Community Issues at the University of Kentucky, with support from the Foundation for a Healthy Kentucky.
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Parents should talk to children about alcohol; study shows teens do listen

Two recent studies highlight how important it is for parent to talk with their teens about the risks of alcohol use, which leads to more than 4,500 deaths nationwide every year.

In the first study, Mothers Against Drunk Driving found that fewer than a third of alcohol-related deaths among 15- to 20-year-olds are caused by drinking and driving. About 32 percent of the drinking-related deaths involved traffic crashes, while 68 percent involved incidents such as murder (30 percent), suicide (14 percent), alcohol poisoning (9 percent) and other causes (15 percent), MADD says in a press release.

"These data show that taking away the keys truly does not take away all of the risks when it comes to underage drinking," MADD national president Jan Withers said. "MADD hopes this information will inspire parents to have ongoing conversations with their kids about the dangers of drinking alcohol before age 21, especially since we know that a majority of kids say their parents are the biggest influence on their decisions about alcohol."

Another study says parents can help reduce children's excessive drinking in college by talking with them about the potential dangers of excessive drinking before they set foot on campus, and it turns out that children really do listen to their parents about drinking, says the study by Rob Turrisi of Penn State. Discussing drinking in any way before teens go to campus, including why some teens drink while others don't, as well as the potential dangers of excessive drinking, can help.

Having this type of conversation with teens about the reality of underage drinking and its risks, such as alcoholism and alcohol poisoning, and can reduce the odds that light drinkers will escalate into excessive drinkers, says the study. It can also increase the likelihood that already heavy-drinking teens cut down on their drinking or even stop completely.

The National Institute on Alcohol Abuse and Alcoholism also urges parents to talk with their children about alcohol. Click here for more information about doing this or to read about the risks of alcohol use and other prevention strategies.
Two recent studies highlight how important it is for parent to talk with their teens about the risks of alcohol use, which leads to more than 4,500 deaths nationwide every year.

In the first study, Mothers Against Drunk Driving found that fewer than a third of alcohol-related deaths among 15- to 20-year-olds are caused by drinking and driving. About 32 percent of the drinking-related deaths involved traffic crashes, while 68 percent involved incidents such as murder (30 percent), suicide (14 percent), alcohol poisoning (9 percent) and other causes (15 percent), MADD says in a press release.

"These data show that taking away the keys truly does not take away all of the risks when it comes to underage drinking," MADD national president Jan Withers said. "MADD hopes this information will inspire parents to have ongoing conversations with their kids about the dangers of drinking alcohol before age 21, especially since we know that a majority of kids say their parents are the biggest influence on their decisions about alcohol."

Another study says parents can help reduce children's excessive drinking in college by talking with them about the potential dangers of excessive drinking before they set foot on campus, and it turns out that children really do listen to their parents about drinking, says the study by Rob Turrisi of Penn State. Discussing drinking in any way before teens go to campus, including why some teens drink while others don't, as well as the potential dangers of excessive drinking, can help.

Having this type of conversation with teens about the reality of underage drinking and its risks, such as alcoholism and alcohol poisoning, and can reduce the odds that light drinkers will escalate into excessive drinkers, says the study. It can also increase the likelihood that already heavy-drinking teens cut down on their drinking or even stop completely.

The National Institute on Alcohol Abuse and Alcoholism also urges parents to talk with their children about alcohol. Click here for more information about doing this or to read about the risks of alcohol use and other prevention strategies.
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Wednesday, April 24, 2013

Spring-clean the cabinet and dump your drugs Saturday, April 27

Dump your unwanted prescription drugs this Saturday, April 27, from 10 a.m. to 2 p.m. as part of the National Prescription Drug Take-Back Day, which in the past has coordinated with local law enforcement to haul in more than than 2 million pounds or 1,018 tons of prescription medications.

According to the Drug Enforcement Administration, the National Prescription Drug Take-Back Day aims to provide a safe and convenient way to throw away unwanted or unused drugs, keeping them out of the wrong hands while also educating the general public about the potential for abuse of these medications.

This is a great opportunity for those who missed the previous events or those that have accumulated unwanted, unused prescription drugs since the last event to safely dispose of them. Click here to find the nearest collection site and here to learn more about the DEA initiative.

Dump your unwanted prescription drugs this Saturday, April 27, from 10 a.m. to 2 p.m. as part of the National Prescription Drug Take-Back Day, which in the past has coordinated with local law enforcement to haul in more than than 2 million pounds or 1,018 tons of prescription medications.

According to the Drug Enforcement Administration, the National Prescription Drug Take-Back Day aims to provide a safe and convenient way to throw away unwanted or unused drugs, keeping them out of the wrong hands while also educating the general public about the potential for abuse of these medications.

This is a great opportunity for those who missed the previous events or those that have accumulated unwanted, unused prescription drugs since the last event to safely dispose of them. Click here to find the nearest collection site and here to learn more about the DEA initiative.

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Tuesday, April 23, 2013

Poll shows more than half of Ky. adults have no dental insurance and many go without essential dental care

Routine dental care is essential to overall health, but a new poll shows 1.7 million Kentucky adults do not have dental insurance. That is more than times the number of people who will be at Churchill Downs for the Kentucky Derby, notes the Foundation for a Healthy Kentucky, which co-sponsored the poll.

The poll also showed that many Kentucky adults are going without the dental care they need. While the poll found that few owe money for dental bills, only 61 percent said they visited a dentist or dental clinic within the past year. The national figure is 70 percent.

“Oral health is essential to overall health,” said Dr. Susan Zepeda, president and CEO of the foundation. “Yet, our research indicates a majority of Kentuckians do not have dental coverage, so it is not surprising that a large number of adults do not have a personal dentist or oral health provider.”

Poor oral health or oral pain can lead to poor nutrition and can reduce someone's quality of life by making it difficult to sleep, work or interact with others, and having dental insurance is an important factor in determining whether someone is getting the dental care they need.  More than 50 percent of poll respondents indicated not having dental insurance of any kind, and almost half of that group said they skipped getting dental care or check-ups in the past year due to its cost.

Whether or not someone has a normal source of care is also an important factor in determining health care outcomes because those with a personal dentist or doctor are more likely to seek care. Almost 40 percent of poll respondents, however, said they do not have a personal dentist or oral health provider, and almost 80 percent of those respondents said its been more than five years since they last visited a dentist or dental clinic.

The poll was funded by the foundation and the Health Foundation of Greater Cincinnati. The poll was conducted last year from Sept. 20 through Oct. 14 by the Institute for Policy Research at the University of Cincinnati. A random sample of 1,680 adults from throughout Kentucky was interviewed by telephone, including landlines and cell phones, and the poll has a margin of error of plus or minus 2.5 points.
Routine dental care is essential to overall health, but a new poll shows 1.7 million Kentucky adults do not have dental insurance. That is more than times the number of people who will be at Churchill Downs for the Kentucky Derby, notes the Foundation for a Healthy Kentucky, which co-sponsored the poll.

The poll also showed that many Kentucky adults are going without the dental care they need. While the poll found that few owe money for dental bills, only 61 percent said they visited a dentist or dental clinic within the past year. The national figure is 70 percent.

“Oral health is essential to overall health,” said Dr. Susan Zepeda, president and CEO of the foundation. “Yet, our research indicates a majority of Kentuckians do not have dental coverage, so it is not surprising that a large number of adults do not have a personal dentist or oral health provider.”

Poor oral health or oral pain can lead to poor nutrition and can reduce someone's quality of life by making it difficult to sleep, work or interact with others, and having dental insurance is an important factor in determining whether someone is getting the dental care they need.  More than 50 percent of poll respondents indicated not having dental insurance of any kind, and almost half of that group said they skipped getting dental care or check-ups in the past year due to its cost.

Whether or not someone has a normal source of care is also an important factor in determining health care outcomes because those with a personal dentist or doctor are more likely to seek care. Almost 40 percent of poll respondents, however, said they do not have a personal dentist or oral health provider, and almost 80 percent of those respondents said its been more than five years since they last visited a dentist or dental clinic.

The poll was funded by the foundation and the Health Foundation of Greater Cincinnati. The poll was conducted last year from Sept. 20 through Oct. 14 by the Institute for Policy Research at the University of Cincinnati. A random sample of 1,680 adults from throughout Kentucky was interviewed by telephone, including landlines and cell phones, and the poll has a margin of error of plus or minus 2.5 points.
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Itchy, watery eyes? Some tips to relieve spring allergy symptoms

The sunshine and bright colors of spring are here, but so are seasonal allergies from pollen, dander, smog or mold that can often lead to itchy, watery eyes. Eye irritation is the body's immune response to allergens, so when pollen comes in contact with eyes, for example, the body releases histamine, causing eye redness, burning and itching.

The Kentucky Optometric Association says discomfort from itchy, swollen or water eyes can be reduced with simple steps, such as maintaining a healthy diet full of anti-oxidants like spinach, broccoli, carrot discomfort that boost the immune system in addition to taking fish oil supplements that help reduce redness and irritation.

Other tips from the KOA include using preservative-free lubricating eye drops or re-wetting eyes with contact solution if you wear contact lenses. Applying a cold compress to eyes can also relieve itching and redness by constricting the histamine-releasing blood vessels. And remember: Do not touch or rub eyes, and be sure to wash hands with soap and water.

A local eye doctor can examine eye allergy symptoms to ensure the cause is properly identified, said Dr. Max Downey, an optometrist in Campbellsville. Optometrists' treatment could range from eye drops to prescription medicines, said Downey.

In addition to discussing allergy relief with your optometrist, the KOA recommends adults have yearly eye exams at the minimum, depending on the severity of allergies.
The sunshine and bright colors of spring are here, but so are seasonal allergies from pollen, dander, smog or mold that can often lead to itchy, watery eyes. Eye irritation is the body's immune response to allergens, so when pollen comes in contact with eyes, for example, the body releases histamine, causing eye redness, burning and itching.

The Kentucky Optometric Association says discomfort from itchy, swollen or water eyes can be reduced with simple steps, such as maintaining a healthy diet full of anti-oxidants like spinach, broccoli, carrot discomfort that boost the immune system in addition to taking fish oil supplements that help reduce redness and irritation.

Other tips from the KOA include using preservative-free lubricating eye drops or re-wetting eyes with contact solution if you wear contact lenses. Applying a cold compress to eyes can also relieve itching and redness by constricting the histamine-releasing blood vessels. And remember: Do not touch or rub eyes, and be sure to wash hands with soap and water.

A local eye doctor can examine eye allergy symptoms to ensure the cause is properly identified, said Dr. Max Downey, an optometrist in Campbellsville. Optometrists' treatment could range from eye drops to prescription medicines, said Downey.

In addition to discussing allergy relief with your optometrist, the KOA recommends adults have yearly eye exams at the minimum, depending on the severity of allergies.
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MS Patients Increasingly Use Alternative Treatments To Improve Lives




Although they often don't let their mainstream medical doctors know it, large numbers of people with multiple sclerosis (MS) use alternative treatments such as dietary supplements, acupuncture and herbal medicine to improve their lives. Thanks to researchers at the University of Copenhagen, for the first time a major research project has been undertaken to map the use of these alternative therapies by MS patients. It's a subject of special importance to Denmark which has highest incidence of the disease worldwide.

The results of a new study were just published in two scientific journals, the Scandinavian Journal of Public Health and Autoimmune Diseases. The researchers gathered information over the course of three years from 3,800 people with MS in Denmark, Sweden, Norway, Finland and Iceland.

"There is a lot of talk about 'self-care competence', in other words patients helping themselves to get their lives to function. Here, many people with a chronic disease find they benefit from using alternative treatments, so we should not ignore this possibility," head researcher Lasse Skovgaard said in a media statement.


READ THE REST BY FOLLOWING THIS LINK  http://suppressms.com/ms-patients-use-alternative-treatments



Although they often don't let their mainstream medical doctors know it, large numbers of people with multiple sclerosis (MS) use alternative treatments such as dietary supplements, acupuncture and herbal medicine to improve their lives. Thanks to researchers at the University of Copenhagen, for the first time a major research project has been undertaken to map the use of these alternative therapies by MS patients. It's a subject of special importance to Denmark which has highest incidence of the disease worldwide.

The results of a new study were just published in two scientific journals, the Scandinavian Journal of Public Health and Autoimmune Diseases. The researchers gathered information over the course of three years from 3,800 people with MS in Denmark, Sweden, Norway, Finland and Iceland.

"There is a lot of talk about 'self-care competence', in other words patients helping themselves to get their lives to function. Here, many people with a chronic disease find they benefit from using alternative treatments, so we should not ignore this possibility," head researcher Lasse Skovgaard said in a media statement.


READ THE REST BY FOLLOWING THIS LINK  http://suppressms.com/ms-patients-use-alternative-treatments
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Feline postvaccinal sarcomas: a 20-year history

Wilcock B, Wilcock A and Bottoms K. Feline postvaccinal sarcoma: 20 years later. Can Vet J. 2012; 53: 430-4

After vaccine-associated sarcomas were first identified in 1991, a large amount of information from histological assessment of these sarcomas along with a wealth of clinical and epidemiological studies culminated in a consensus about many aspects of this disease. This consensus lead to recommendations for profound changes in feline vaccination protocols in the 2 years following the formation of the Vaccine-Associated Feline Sarcoma Task Force in 1996. For example, the recommendations called for more selective use of leukemia vaccination, less frequent vaccination for rabies, and vaccination at distal limb sites that are more amenable to amputation. In addition, it was hoped that introduction of virus-vectored, non-adjuvanted leukemia and rabies vaccines that cause little or no inflammation would further contribute to a gradual decline in disease prevalence. Little long-term evaluation of disease prevalence has been published after recommended changes in feline vaccination protocols.

The authors in this report present prevalence data based on 1,401 feline postvaccinal sarcoma biopsy samples diagnosed out of 11,609 feline skin masses submitted at a single histopathology laboratory (Histovet Surgical Pathology, Guelph, Ontario, Canada) for the 19 year interval from 1992 to 2010. Their results indicate no statistically meaningful change in overall disease prevalence over the past 19 years. In particular, there has been no apparent decrease in overall prevalence in response to vaccination protocol changes initiated in 1996, or in response to introduction of non-adjuvanted rabies vaccine in the year 2000. The authors speculate that failure to detect any meaningful change in disease prevalence is likely due to there not being a significant shift in use from traditional adjuvanted vaccines to the newer virus-vectored non-adjuvanted vaccines. The major barrier for not using the newer vaccines is thought to be their higher cost and annual re-vaccination licensing instead of every 3 or 4 years. [GO]

See also: McLeland SM, Imhoff DJ, Thomas M, Powers BE and Quimby JM. Subcutaneous fluid port-associated soft tissue sarcoma in a cat. J Feline Med Surg. 2013.

Related blog posts:
Injection-site sarcomas in cats (Oct. 2012)
Fibrosarcoma from a retained surgical sponge in a cat (Aug. 2010) 

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Join us on Google+

Wilcock B, Wilcock A and Bottoms K. Feline postvaccinal sarcoma: 20 years later. Can Vet J. 2012; 53: 430-4

After vaccine-associated sarcomas were first identified in 1991, a large amount of information from histological assessment of these sarcomas along with a wealth of clinical and epidemiological studies culminated in a consensus about many aspects of this disease. This consensus lead to recommendations for profound changes in feline vaccination protocols in the 2 years following the formation of the Vaccine-Associated Feline Sarcoma Task Force in 1996. For example, the recommendations called for more selective use of leukemia vaccination, less frequent vaccination for rabies, and vaccination at distal limb sites that are more amenable to amputation. In addition, it was hoped that introduction of virus-vectored, non-adjuvanted leukemia and rabies vaccines that cause little or no inflammation would further contribute to a gradual decline in disease prevalence. Little long-term evaluation of disease prevalence has been published after recommended changes in feline vaccination protocols.

The authors in this report present prevalence data based on 1,401 feline postvaccinal sarcoma biopsy samples diagnosed out of 11,609 feline skin masses submitted at a single histopathology laboratory (Histovet Surgical Pathology, Guelph, Ontario, Canada) for the 19 year interval from 1992 to 2010. Their results indicate no statistically meaningful change in overall disease prevalence over the past 19 years. In particular, there has been no apparent decrease in overall prevalence in response to vaccination protocol changes initiated in 1996, or in response to introduction of non-adjuvanted rabies vaccine in the year 2000. The authors speculate that failure to detect any meaningful change in disease prevalence is likely due to there not being a significant shift in use from traditional adjuvanted vaccines to the newer virus-vectored non-adjuvanted vaccines. The major barrier for not using the newer vaccines is thought to be their higher cost and annual re-vaccination licensing instead of every 3 or 4 years. [GO]

See also: McLeland SM, Imhoff DJ, Thomas M, Powers BE and Quimby JM. Subcutaneous fluid port-associated soft tissue sarcoma in a cat. J Feline Med Surg. 2013.

Related blog posts:
Injection-site sarcomas in cats (Oct. 2012)
Fibrosarcoma from a retained surgical sponge in a cat (Aug. 2010) 

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Join us on Google+

Read More