February 29, 2008
America is obsessed with medical autonomy. Everyone feels entitled to make decisions about their own health. While I agree everyone should have control over their own bodies, there is a gray area. Children. The current standard gives parents great range in what they can have done or what they can decide to withhold in terms of health care. Vaccines always come up as a hot topic. While the majority of parents adhere to the accepted standards of immunization there is a small, but vocal minority who objects to vaccination.
An advisory panel on Wednesday recommended all kids up to age 18 get the flu vaccine. Though the vaccine is already recommended for those 6 months to 5 years old, this new proposal is a huge expansion, affecting nearly 60 million kids. The expanded recommendation is an initiative by the CDC to protect the entire population. Children are one of the major sources of flu in the community. School aged children pick it up, pass it around, and then bring it home. Everyone has had the flu, and while it may have been terrible it was transient, so it is hard for people to take it seriously. But in reality, people die from the flu every year, children and the elderly are particularly susceptible. Vaccines, like all things, have risks. But they are very minimal and less severe than the flu. Obviously people with reactions to a previous flu vaccine, those with contraindicated disease state (GB syndrome), or certain allergies (for example eggs since the vaccine is grown in eggs) should not get the vaccine but in general it is a harmless vaccine.
With all the fear mongering of pseudo scientific studies (like the joke of a paper that tainted MMR by suggesting a correlation with autism), old world views of medicine, and popular misconceptions it can be tough for a parent to find the truth about a particular vaccine. So who really is better qualified to determine if your child needs a certain vaccine? The doctors that have years of training to understand the risks/benefits and wade through the abundance of misinformation or parents who may or may not be fully informed on the topic or who may be prejudiced by misinformation? To me the choice is obvious. I don’t want your 9 year old little Johnny vaccinated because I care if he gets sick, I want him vaccinated to protect the newborn he saw, the grandparent he hugged, the kid who’s toy he shared, and community he lives in.
When you decide to not vaccinate your child, you put everyone’s children at risk.
November 11, 2007
BANGALORE, India (AP) — A two-year-old Indian girl born with four arms and four legs regained consciousness Friday, wiggled her toes and smiled at her parents, 48 hours after massive surgery removed the extra limbs, doctors said.
Lakshmi, who has been revered by some in her village as a reincarnation of the four-armed Hindu goddess she was named for, was still in intensive care. Lakshmi was born joined at the pelvis to a “parasitic twin” that stopped developing in her mother’s womb. The surviving fetus absorbed the limbs, kidneys and other body parts of the undeveloped fetus.
On Wednesday, a team of more than 30 surgeons concluded the 24-hour operation, removing the extra limbs, transplanting a kidney from the twin and reconstructing Lakshmi’s pelvic area. Doctors said the complicated surgery was a great success, meaning she would not need further major reconstructive surgery. However, Lakshmi will need further treatments and possible surgery for clubbed feet before she will be able to walk.
Children born with deformities in deeply traditional rural parts of India such as the remote village in the northern state of Bihar that Lakshmi hails from are often viewed as reincarnated gods. But some had sought to make money from Lakshmi. Her parents kept her in hiding after a circus apparently tried to buy the girl, they said.
“They say she is going to be back to normal, I believe them,” said her father Shambhu, who goes by one name. “I have just these doctors to thank for this miracle. It is a debt I could never repay.”
October 30, 2007
The Andrew Child Photography Project has an exhibit “Faces and Voices of Autism Photo Exhibition”
Presented by May Institute and the National Autism Center. The website has some of the sample photos. Here is one boy’s photo that caught my eye. It is just an intense look that translated well into the photo. It looks like he can just see right through the computer screen.
This is Austin.
“When Austin and I are together, we float away in our bubble. A giant bubble filled with appreciation, love, hope, and laughter. He has this effortless way of making me feel like a child all over again. When I am with him, it’s an escape from a chaotic world filled with noise and ignorance.” — Jessica, Austin’s cousin
Most popular news outlets are reporting what I have always supported and many medical practitioners have privately been saying for years, every child should be tested for autism. A condition as common as autism should be considered a priority in early childhood detection. Particularly because autism treated early has much higher rates of success. Additionally it helps parents cope with the process of raising an autistic child if they know that is what is wrong and what resources are out there.
A report from the American Academy of Pediatrics suggests screening every child for autism twice by age 2. The report gives explicit instructions for the warning signs of autism at various ages. Current estimates by the CDC say as many as 1 in 150 children have a form of autism. Read More.
Maybe with some autism education out there, people will stop blaming the MMR vaccine, and more research into a science based cause could be discovered (cough=pollution).
October 22, 2007
You are probably not going to believe this story, so here is the link. A senior government official in India was attacked by a gang of monkeys and died yesterday. The story goes, New Delhi Deputy Mayor S.S. Bajwa was attacked by a group of wild monkeys and as a result fell from a balcony at his home. He died of his head injuries. Apparently the monkeys hang out at all of the big homes, temples, and official buildings and are a major problem.
“New Delhi Deputy Mayor S.S. Bajwa was rushed to a hospital after the attack by a gang of Rhesus macaques, but succumbed to head injuries sustained in his fall, the Press Trust of India news agency and The Times of India reported.”
October 15, 2007
Burma: Aftermath <–LINK
TIME has a new photo essay, the topic is Burma. As usual the photographs are stunning and the topic is timely. To give you the speed version of the events, here is what Wiki had to say:
Mass public demonstrations reappeared on August 18, 2007, when the government raised the price of gas and diesel oil by 500% in order to cover a budget deficit that resulted from a salary hike for civil servants.
The August 2007 demonstrations were led by well-known dissidents, such as Min Ko Naing and others. The military quickly cracked down and still has not allowed the International Red Cross to visit Min Ko Naing and others who are reportedly in Insein Prison after being severely tortured.
Following the August protests, the monks of Burma, coordinated by an underground organization, stepped into the foreground and added new life to the movement.
On 19 September 2007, several hundred (possibly 2000 or more) monks staged a protest march in the city of Sittwe. Larger protests in Rangoon and elsewhere ensued over the following days. Security became increasingly heavy handed, resulting in a number of deaths and injuries. By 28 September, internet access had been cut and journalists reputedly warned not to report on protests. Internet access was restored by at least midnight of 5 October, Burmese time. Sources in Burma[attribution needed] said on 6 October that the internet seems to be working from 22:00 to 05:00 local time.
Various global corporations have been criticized for profiting from the dictatorship by financing Burma’s military junta.
World governments remain divided on how to deal with the military junta, countries calling for further sanctions include United Kingdom, USA and France, but neighbouring countries including China claim that sanctions will not help solve the issue.
On October 13 2007, the military junta of Myanmar made its people march in a government rally. Junta officials also approached local factories and demanded they provide 50 workers, and if they didn’t they would be fined.
October 13, 2007
(CNN) — The Food and Drug Administration on Friday approved the first of a new class of HIV drugs that attacks the virus in a different way. Isentress, developed by Merck & Co., is designed for patients who have shown resistance to current treatments.
The drug has been approved for adults who already have been receiving treatment, but more testing is necessary before it is approved for new HIV patients or children, the company said in a statement. Isentress belongs to a class of drugs called integrase inhibitors. These drugs work by blocking the integrase enzyme, which helps HIV replicate by inserting its DNA into new cells. Isentress is the first drug in the class to win FDA approval.
“Its mechanism of action is particularly important in that it blocks the ability of the virus to integrate itself into the genes of cells,” Fauci said. “This property of the virus to integrate is important in establishing the reservoir of virus in the body that has made it extremely difficult to eradicate HIV, even with prolonged treatment.”
Two earlier classes of anti-HIV drugs — protease and reverse transcriptase inhibitors — also work by blocking different enzymes involved in HIV replication. Friday’s decision by the FDA will give doctors a new tool to help patients who have developed resistance to existing drugs or who are infected with drug-resistant strains of HIV. Like protease and reverse transcriptase inhibitors, Isentress will also be prescribed for patients in combination with other drugs to maximize the number of ways the virus is being attacked. The cost of the recommended daily regimen of Isentress — a 400 mg tablet taken twice a day — will be comparable to protease inhibitors, with a wholesale price of $27, Merck said.