Recently in Medicine and Health Category

Obamacare meltdown

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Looks like President Trump is taking Obamacare to the mat - three headlines:

Stick a fork in it - it is done and over with. Private insurance, free market competition. Those will drive down the costs - a centralized administration will drive up the costs.

Two different stories, two different cities:

Not like this is a new event either. From 2015. From 2016. From 2017.

Good news - baby Charlie Gard

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Baby Charlie was born with a genetic disorder and will not live unless he receives an experimental treatment in the United States. His parents raised over $1.5 million but England's National Health Service (their version of government single-payer health care) is insisting that Charlie die with dignity at home. This case is really demonstrating the failure of the single-payer system plus the fact that when a single-payer system is installed, the available funding to do basic research dries up - there are no experimental treatments in England, only in America.

But, some good news from CNS News:

Judge Rules Against London Hospital--In Favor of Charlie Gard's Parents
A judge at London's High Court ruled against the hospital and in favor of the parents of baby Charlie Gard--who is suffering from a rare genetic disorder--that they may present new scientific evidence concerning their son's treatment, which will be reviewed this Thursday and could possibly lead to Charlie receiving treatment in the United States. But the outcome is still uncertain and Charlie's fate is precarious.

Charlie Gard is 10 months old. He lives on life support in the Great Ormond Street Hospital in London. His genetic disorder is destructive to muscles and organs, and most people who have the problem die in infancy. The baby's parents, Chris Gard and Connie Yates, want their son to undergo an experimental treatment, which has been helpful in some cases. An online campaign has raised more than $1.5 million for the baby's treatment.

Under the health care laws in Britain, however, the parents are not allowed to pursue this option. The hospital contends Charlie is brain-damaged and beyond medical hope, and the hospital wants to shut off his life support. This denial of the parent's desire to seek treatment for their son elsewhere led to several court rulings -- in favor of the hospital. On Monday, July 10, the judge who previously ruled against the Gards agreed to review whatever new evidence they can present to him for a reevaluation.

Single-payer health care - Canada

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Single payer does not work. There is no competition so costs escalate. When the costs get too high, rationing happens. When rationing happens, delays occur. From Canada's Frasier Institute:

Waiting Your Turn: Wait Times for Health Care in Canada, 2016 Report
Waiting for treatment has become a defining characteristic of Canadian health care. In order to document the lengthy queues for visits to specialists and for diagnostic and surgical procedures in the country, the Fraser Institute has—for over two decades—surveyed specialist physicians across 12 specialties and 10 provinces.

This edition of Waiting Your Turn indicates that, overall, waiting times for medically necessary treatment have increased since last year. Specialist physicians surveyed report a median waiting time of 20.0 weeks between referral from a general practitioner and receipt of treatment—longer than the wait of 18.3 weeks reported in 2015. This year’s wait time—the longest ever recorded in this survey’s history—is 115% longer than in 1993, when it was just 9.3 weeks.

There is a great deal of variation in the total waiting time faced by patients across the provinces. Ontario reports the shortest total wait (15.6 weeks), while New Brunswick reports the longest (38.8 weeks). There is also a great deal of variation among specialties. Patients wait longest between a GP referral and Neurosurgery (46.9 weeks), while those waiting for Medical oncology begin treatment in 3.7 weeks.

The full report can be found here (PDF). No wonder so many Canadians come down here for healthcare.

A couple of days ago, I posted about baby Charlie in England where their single-payer healthcare system's Doctors sugested that he should be able to ‘die with dignity’ even though his parents had raised £1.4million so he could come to America and try some experimental treatments.

Today, our President weighed in - from The Hill:

Trump offers help for critically ill British child
President Trump on Monday offered to help a critically ill British child who has become a flashpoint in the U.K. debate over whether the government should have a say in individual matters pertaining to life and death.

Trump tweeted his support for Charlie Gard, a 10-month-old infant on life support due to complications from a mitochondrial disease. The controversy around Gard has engulfed the Vatican, which infuriated some on the right by not immediately siding entirely with the parents, who want to seek experimental medication in the U.S. or bring their child home to die.

“If we can help little #CharlieGard, as per our friends in the U.K. and the Pope, we would be delighted to do so,” Trump tweeted.

This is leadership - plain and simple. A refreshing change.

Here is what England's National Health Services is doing - from Louder with Crowder:

PURE EVIL: Baby Sentenced to Death by Government Healthcare
There are some things in life that should remain private. Like your IBS, your foot fetish, or the lack of underwear under those jeans. When it comes to more important decisions and information, like healthcare, privacy is essential (see California Senate Flips Bird to Taxpayers. Passes Single-Payer Healthcare Bill… and Women’s ‘Healthcare’? Planned Parenthood ONLY Performs Ultrasounds to Kill the Baby). So too is privately funding your own healthcare. When one’s government funds it, that government also makes some horrendous calls.

Trigger warning for snowflakes: this story doesn’t have a fairytale ending. Move to the UK.

The parents of terminally-ill baby Charlie Gard are ‘utterly distraught’ and facing fresh heartbreak after losing their final appeal in the European Court of Human Rights.

Chris Gard, 32, and Connie Yates, 31, wanted to take their 10-month-old son – who suffers from a rare genetic condition and has brain damage – to the US to undergo a therapy trial.

Doctors at Great Ormond Street Hospital for Children in London, where Charlie is being cared for, said they wanted him to be able to ‘die with dignity’.

But the couple, from Bedfont, west London, raised almost £1.4million so they could take their son to America but a series of courts ruled in favour of the British doctors.

Let me pause here. The couple has raised their own money to take their own son to the United States for possibly life-saving medical care. The UK government told them no. The UK government has sentenced a child to death.

Much more at the site - as said, the couple raised the so they could take their son to America but the National Health Service said no - the doctors want the baby to be able to ‘die with dignity’. Heaven help that someone should be able to actually cure the baby - that would show the NHS doctors to be the incompetent fools that they are.

Notice also that under a Single Payer Healthcare system, there is no research. There are no experimental treatments. There is no money for these because all of the money is sucked into the daily operation of the bureaucracy. If more money should become available, the bureaucracy will incrementally grow in size until it absorbs that extra money for its daily operation.

The idea that such a system could take root in America makes me sick to my stomach.

From The Seattle Times:

Elizabeth Warren: ‘The next step is single-payer’ health care
Sen. Elizabeth Warren said Tuesday that opposing the Republican health-care bill wasn’t enough and the Democratic Party should start running on a new national single-payer plan.

“President Obama tried to move us forward with health-care coverage by using a conservative model that came from one of the conservative think tanks that had been advanced by a Republican governor in Massachusetts,” she told The Wall Street Journal. ”Now it’s time for the next step. And the next step is single payer.”

Massachusetts tried single-payer and it failed spectacularly with overall costs skyrocketing. There is no incentive for a hospital to keep costs low - there is no competition. England has its National Health Service and it too is failing with staffing shortages, exorbitant waiting times (hip and knee replacements have average wait times of over 100 days), a large number of unnecessary deaths - 1 in 28 - four times that of US Hospitals.

Single payer is the worst form of health care - if we think that the Veterans Hospitals are bad, wait until every hospital is just as bad. Open up the health care markets - bring in competition and we will see better care and lower costs.

Dilbert on Health Care

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Dilbert creator Scott Adams writes:

The Only Way to Fix Healthcare Insurance in the U.S.
Our system of government has been amazingly robust for hundreds of years, but it fails when you have these two conditions:

    1. An issue is too complicated for the public to understand.
    2. Big companies are willing to distort the system for profits.

That situation describes the healthcare debate going on in the United States right now. Our undersized brains can’t grasp all the nuances and implications of any particular healthcare plan. And when our brains are confused, we default to our biases (usually party loyalty) or to whatever metric is simple enough to understand. With healthcare, the one metric that matters is how many people will be covered compared to Obamacare. If the Republican plan covers more people, it will pass. If not, it will fail.

A lot more at the site - this is a very well thought out post.

Interesting bit on Opioids

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There is a lot in the news about opioid addiction rising in the general population. Turns out this is Fake News - it is not the general population at all. From Kaiser Health News:

Patients With Mental Disorders Get Half Of All Opioid Prescriptions
Adults with a mental illness receive more than 50 percent of the 115 million opioid prescriptions in the United States annually, according to a study released Monday. The results prompted researchers to suggest that improving pain management for people with mental health problems “is critical to reduce national dependency on opioids.”

People with mental health disorders represent 16 percent of the U.S. population.

The findings are worrisome, the researchers reported. They had expected that physicians were more conservative in prescribing these painkillers to people with mental illness.

“We are prescribing way too much opioids,” said Dr. Brian Sites, an anesthesiologist at Dartmouth-Hitchcock Medical Center in New Hampshire and one of the study’s researchers. “And that prescription behavior is resulting in significant morbidity in the country.”

Morbidity is the medical term for kicking the bucket - in this case via overdose. Why prescribe?

“The opioids are prescribed primarily for pain,” but patients with mental illness find that the drugs alleviate their mental issues too, said Dr. Edwin Salsitz, an attending physician in the Division of Chemical Dependency of Mount Sinai Beth Israel Medical Center in New York who was not involved in the study. And this, he said, is what can lead to long-term use.

And there you go - America's heroin problem wrapped up in a neat package with a little bow on the top. Prescribing opioids is the easy way to alleviate the symptoms of mental illness. I am surprised that these people only constitute 16 percent of the total population - there are a lot more registered Democrats out there... (rimshot)

The beginning of the end - Mylan

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Mylan Pharmaceuticals is having some problems - could not happen to a nicer company. From Derek Lowe:

Mylan Begins Harvesting the Crop It’s Sown
There’s an interesting fight going on inside Mylan Pharmaceuticals. They, of course, are the longtime generic drug maker whose EpiPen prices have (understandably) made them a lightning rod for complaints about drug pricing in general. This New York Times article will give you the flavor of the company, and most unappetizing it is:

To understand Mylan’s culture, consider a series of conversations that began inside the company in 2014. A group of midlevel executives was concerned about the soaring price of EpiPens, which had more than doubled in the previous four years; there were rumors that even more aggressive hikes were planned. (Former executives who related this and other anecdotes requested anonymity because they had nondisclosure agreements or feared retaliation. Aspects of their accounts were disputed by Mylan.)

In (2014) meetings, the executives began warning Mylan’s top leaders that the price increases seemed like unethical profiteering at the expense of sick children and adults, according to people who participated in the conversations. Over the next 16 months, those internal warnings were repeatedly aired. At one gathering, executives shared their concerns with Mylan’s chairman, Robert Coury.

Mr. Coury replied that he was untroubled. He raised both his middle fingers and explained, using colorful language, that anyone criticizing Mylan, including its employees, ought to go copulate with themselves. Critics in Congress and on Wall Street, he said, should do the same. And regulators at the Food and Drug Administration? They, too, deserved a round of anatomically challenging self-fulfillment.

The CEO of Mylan is the daughter of U.S. Sen. Joe Manchin (D-WV). Her mother is head of the National Association of State Boards of Education and she spearheaded a 2012 push to require schools to maintain a stock of EpiPens. A Google search for Mylan Scandal returns with 319,000 hits.

Raw Milk

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There are some people out here who have very strange eating habbits including raw milk. Some numbers from Food Safety News:

What are the odds? 840 times more likely for raw milk drinkers
Based on statistics from the five-year period 2009-2014, people who drink unpasteurized, raw milk are 840 times more likely to contract a foodborne illness than those who drink pasteurized milk.

The statistics, included in a research report scheduled for publication in the upcoming June issue of “Emerging Infectious Diseases” also show raw milk drinkers are 45 times more likely to be hospitalized if they get sick than people who become ill from drinking pasteurized milk.

“Unpasteurized milk, consumed by only 3.2 percent of the (U.S.) population, and cheese, consumed by only 1.6 percent of the population, caused 96 percent of illnesses caused by contaminated dairy products,” according to the report scheduled for June publication by the Centers for Disease Control and Prevention.

Hard to argue with those numbers...

Health care - a plan

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This is going to be a long slog for people to read but this is one of the best and most intelligent health care plans that I have run across. Saves a lot of money and gives great (and affordable) care to everyone.

Some people are going to have their rice bowls taken away - lobbyists, hospital administrators (we have way to many high-paid administrators and too few actual Doctors), the drug sales representatives and those individuals who will not institute lifestyle changes (cutting carbohydrates for diabetics) and depend on everyone else to compensate for their inaction..

From Karl Denninger at The Market Ticker - Part One:

The Bill To Permanently Fix Health Care For All
Let's lay out the parameters for a bill, a fairly-modest update to my two previous missives on this point here and here (note the dates) and which can be easily turned into formal legislative language:

    • All providers must post, in their offices and on a public web site without any requirement to sign in or otherwise identify oneself to access it, a full and complete price list which shall apply to every person.  This instantly allows customers to compare pricing between providers for services and products in the medical realm.
    • All customers must be billed for actual charges at the same price on a direct basis at the time the service or product is rendered to them. This immediately and permanently decouples "insurance" from the provision of care.  The current system of an "explanation of benefits" that often features a "negotiated discount" of some 90% is nothing other than an extortion racket and is arguably felonious -- threatening to bankrupt someone if they don't buy your "insurance" through a threat to charge them ten times as much certainly appears to be a criminal enterprise and, given that more than one entity is involved, looks like it meets the definition of Racketeering.  Insurance coverage may well cover some, part or none of a given bill, and nothing prevents an insurer from telling you in advance of your visit how much they will pay (if anything) for a given procedure or drug.  Indeed you should demand that information from them and use it as part of choosing where to obtain treatment but the bill still has to be rendered to you, you have to be the one to file the claim and everyone must pay the same price to the same provider for the same kind and quantity of product or service.
    • For a bill to be valid and collectible it must be affirmatively consented to in writing, with a disclosure of the actual price to be charged from the above schedule for each item to be provided whether good or service, prior to the service being performed or the good furnished, subject only to the emergency exception below.  A bill that is increased, has items added to it after consent is obtained, which contains any open-ended promise to pay without an actual price listed for each service or good prior to customer consent or is issued with no consent at all (including having a customer sign a consent form while under the influence of drugs the facility gave them as occurs in virtually every instance today while you're being wheeled into the OR) is deemed fraudulent and void. This instantly stops "drive-by" doctor charges in hospitals as just one example.  It also prevents charging $20 for an aspirin; nobody would tolerate being billed by the square for toilet paper in a hotel!  Hospitals will of course squawk that they cannot operate like this as they "can't" figure out what is required until after-the-fact but that's false; nothing prevents them from advertising "Appendectomy: $2,000" and that being the soup-to-nuts price.  In fact that's exactly what the Surgery Center of Oklahoma does today so quite-clearly it both can and does work.  In addition this change will permanently and immediately put a stop to the ridiculous practice of defensive medicine (read below for the explanation.)  You would never accept a gas station that only displays the cost of your gasoline after you pumped it and varied that price based on who your car insurance was bought from or a grocery store that had no prices posted at all and only gave you a total after your groceries were taken out of the store and the transaction could not be refused.
    • No event caused by or a consequence of treatment can be billed to the customer.  This instantly aligns the interest of the customer in not having such an adverse complication (e.g. MRSA, etc) with the medical provider.  As it stands right now hospitals actually have an incentive for you to have a complication since they make more money if you do.  If you call me to fix your roof and I drop my ladder causing it to crash through your picture window I get to pay for the glass I broke through my ineptness.  The same must apply to medical providers. For those who claim hospitals and similar can't adopt such a model I point to the OKC surgery center, which does exactly this -- and has a lower complication rate (gee, I wonder why when they have to eat it if they cause it....)

Much more at the site - plan on spending 30 minutes reading through this and following the links.

And Part Two:

Implementation Of Permanent Health Reform

Again, these are two long and dense articles but they are incredibly well thought out and would be a shining beacon to other nations seeking to implement a national form of healthcare.

Measles outbreak - vaccination

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When people do not vaccinate their children, these things happen - from the Duluth, Minnesota News Tribune:

Measles outbreak at 32, with Somali-Minnesota children hit hard
A Ramsey County child is among 32 confirmed cases of the measles this month as unfounded fears of a link to autism have contributed to stubbornly low vaccination rates among Somali-Americans.

The Minnesota Department of Health says at least 28 of the outbreak's victims are Somali-American. Just one is known to have received the MMR vaccine, which protects against measles, mumps and rubella.

And the reason?

Somali-Americans in Minnesota once had higher vaccination rates than the general population. But that changed following news reports in 2008 about high rates of autism among Somali-American students in Minneapolis Public Schools.

Kris Ehresmann, infectious disease division director at the Health Department, said anti-vaccine activists seized on the 2008 news "almost immediately," spreading fears about a debunked link between the MMR vaccine and autism.

I really hope that Andy Wakefield comes to grips with the damage he has done. Revoking his Medical License should have beeen just the first step - charges should be filed.

From Ars Technica:

South Indian frog oozes molecule that inexplicably decimates flu viruses
From the slimy backs of a South Indian frog comes a new way to blast influenza viruses.

A compound in the frog’s mucus—long known to have germ-killing properties—can latch onto flu virus particles and cause them to burst apart, researchers report in Immunity. The peptide is a potent and precise killer, able to demolish a whole class of flu viruses while leaving other viruses and cells unharmed. But scientists don’t know exactly how it pulls off the viral eviscerations. No other antiviral peptide of its ilk seems to work the same way.

The study authors, led by researchers at Emory University, note that the peptide appears uniquely nontoxic—something that can’t be said of many other frog-based compounds. Thus, the peptide on its own holds promise of being a potential therapy someday. But simply figuring out how it works could move researchers closer to a vaccine or therapy that could take out all flus, ditching the need for yearly vaccinations for each season’s flavor of flu.

Since it seems to target a specific kind of virus, it might be amenable to molecular tweaking to target different viruses - AIDS comes to mind. Viruses can not be killed with antibiotics like bacteria can. The current therapies seek to inhibit its spread and reproduction. This would be amazing if it works out.

Glad I do not live on Maui

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From ABC News:

Hawaiian officials fear infections of rare parasitic worm will increase
A spike in infections from a rare parasitic worm in the Hawaiian island of Maui has local health officials concerned about the parasite's potential to spread.

A worm called Angiostrongylus cantonensis causes the infection; there is no treatment, and in rare cases, it can be fatal. People who catch the infection by eating raw or undercooked snails, or contaminated fruits and vegetables, can develop meningitis.

Earlier this week, health officials in Maui reported that six cases of the parasitic infection have been reported in the last three months compared to the previous decade when only two cases were found, according to the Associated Press and ABC News affiliate KITV.

This is quite the up-tick in infections. Wonder if it was food borne and from where.

Price gouging - medicine

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The price of EpiPens was in the news recently because their price went from $100 to $600 in a few years. Say hello to mebendazole sold under the trade name of Emverm and used to treat pinworms.

From Jacksonville, Florida station WJXT:

Pinworm prescription jumps from $3 to up to $600 a pill
It's something a lot of kids get, but it's also easily cured. One single prescription pill can stop a contagious case of common pinworm, ringworm or even roundworm. It used to cost only a few dollars per pill, but that price has skyrocketed.

Dr. Saman Soleymani treats a lot of kids at Avecina Medical, and therefore, he sees a decent amount with worms -- mostly pinworm, which is the most common type of intestinal worm infection. He says the treatment is easy.

You take one little pill of a prescription drug called mebendazole, which is sold under the name brand Emverm, and the worms are usually gone. So when Soleymani prescribed it recently, he was shocked.

"The pharmacy called me about an hour later saying the treatment is about $1,800 and it's not covered by pretty much any insurance company," said Soleymani.

Soleymani realized that prescription, which used to cost patients about $3 a pill, now costs anywhere from $500 to $600 for that same pill.

A tip of the hat to Joe Mama writing at Eaton Rapids Joe for the link. He also mentions that there is a veterinary version of this medicine which sells for $6.99 for 24 grams - about 65 human-equivalent doses. Not something to do if the 'real stuff' is available but simple and cheap enough to keep on hand for SHTF scenarios.

Vitamin D supplements - now even better for you

I take 5,000U every morning - big difference. From New Scientist:

Vitamin D supplements may prevent millions of winter infections
If everyone took vitamin D supplements, more than 3 million fewer people in the UK would have respiratory infections like colds or flu every year. That’s according to a new analysis of data from nearly 11,000 people.

Vitamin D is known to be important for bone and muscle health. Last year, Public Health England stated that people are not generally getting the recommended 10 micrograms of vitamin D a day from sunlight in winter. But whether vitamin D supplements can help has been a hot topic, with some arguing that benefits of taking these are uncertain.

The latest study pulled together data from 25 clinical trials, conducted in 14 countries. It concluded that supplements can help prevent acute respiratory tract infections, particularly among those who are deficient in vitamin D.

The most common respiratory tract infection is the common cold, but others include bronchitis, pneumonia, and infections of the sinuses or ears. At least 70 per cent of the population gets one or more respiratory infection in any given year.

But the study found that vitamin D supplements can cut the proportion of people getting such infections by 12 per cent. “Daily or weekly vitamin D supplements will mean 3.25 million fewer people would get at least one acute respiratory infection a year,” says Adrian Martineau, at Queen Mary, University of London, who led the study.

Interesting - I regularly take D, some baby aspirin and some multivitamins.

A potential for caution - Flu

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Maybe nothing but... From the AAAS magazine Science:

Bird flu strain taking a toll on humans
An avian influenza virus that emerged in 2013 is suddenly spreading widely in China, causing a sharp spike in human infections and deaths. Last month alone it sickened 192 people, killing 79, according to an announcement this week by China's National Health and Family Planning Commission in Beijing.

The surge in human cases is cause for alarm, says Guan Yi, an expert in emerging viral diseases at the University of Hong Kong in China. "We are facing the largest pandemic threat in the last 100 years," he says.

As of 16 January, the cumulative toll from H7N9 was 918 laboratory-confirmed human infections and 359 deaths, according to the World Health Organization (WHO). Despite its high mortality rate, H7N9 had gotten less attention of late than two other new strains—H5N8 and H5N6—that have spread swiftly, killing or forcing authorities to cull millions of poultry. But so far, H5N8 has apparently not infected people; H5N6 has caused 14 human infections and six deaths.

We had a pandemic in 1918 that killed about 5% of the population. Something like this is not out of the ordinary and can happen again. Medical technology has gotten better but viruses are notoriously tricky to deal with.

From United Press International:

New gut microbe study may lead to potential autism treatment
Researchers at Arizona State University have found improved autism symptoms in participants who were given medications to treat gut microbes.

The research team of scientists from Arizona State, Northern Arizona University, Ohio State University and the University of Minnesota, studied 18 people ages 7 to 16 with autism spectrum disorders for 10 weeks.

Study participants were given a treatment of antibiotics, a bowel cleanse, and daily fecal microbial transplants over an eight-week period.

The study showed an average of 80 percent improvement in gastrointestinal symptoms common in people with autism and a 20 to 25 percent improvement in certain autism behaviors including social skills and sleep habits.

That is interesting and entirely believable. I have known a couple families with autistic children and they all seemed to have strange diets - mostly vegetarian. That would make a lot of sense regarding internal flora. BTW, I am not saying a vegetarian diet is a bad one, these people had strange ideas about what was good and what was not good to eat.

The Flu season - pretty serious

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Looks like it's not just me and Lulu - from The Bellingham Herald:

Flu death toll in Washington state at 46, none in Whatcom County
The number of deaths caused by the flu in Washington state has climbed to 46 as the flu continued its grip on the state, according to information released Friday.

None of the deaths were in Whatcom County, which also has seen a spike in the number of people sickened by the flu during a season that hit hard and about a month early.

The deaths were for the flu season as of Jan. 7.

Illness kept students out of school and outbreaks occurred at long-term care facilities in Whatcom County.

Flu remained at epidemic levels in the state and was straining hospitals in Western Washington.

“We are seeing a lot of influenza and other respiratory infections in our medical offices, ED (emergency department/room) and hospital, and it is too early to tell if influenza has reached its peak,” said Greg Stern, Whatcom County health officer.

A lot of people out here have come down with it - nasty. Anecdotally, there seems to be zero difference between those vaccinated and not. They have to forecast the particular strain of flu over six months in advance and sometimes they get it right and sometimes they get it wrong and the vaccine is minimally effective.

Not good - Mumps on the upswing

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From The Medical Press:

Mumps spreads on college campuses
Caroline Brown, a sophomore at the University of Missouri, got a fever over Thanksgiving break. Soon it became painful to bite down, and her cheek began to swell. A trip to her physician confirmed it: she had the mumps.

"Mumps kind of sounds like this archaic thing," Brown said. "We get vaccinated for it; it just sounds like something that nobody gets. So I just didn't think that it was possible that I would get it."

But  is back, and is having its worst year in a decade, fueled in part by its spread on college campuses. Since classes began at the University of Missouri in August, school officials have identified 193 mumps cases on campus. Nationwide, more than 4,000 cases have been reported to the Centers for Disease Control and Prevention - nearly triple the number in 2015 and the largest increase in 10 years.

Some public health officials are asking questions about the  protocol.

Dr. Susan Even, executive director of the University of Missouri's Student Health Center, said she hasn't seen anything like the current  in her 31 years at the school. She said all of the students her team treated for mumps had two MMR (Measles, Mumps and Rubella) vaccine doses - a school requirement - but they got sick anyway.

"The fact that we have mumps showing up in highly immunized populations likely reflects something about the effectiveness of the vaccine," Even said.

This is not good - if a guy catches it after they hit puberty, there is a good chance that they can be rendered sterile. There is a major outbreak in Arkansas:

The largest current outbreak is in Arkansas, which reports over 2,000 cases among school-age children and adults throughout the state since August this year.

Time to re-examine the vaccines in use and maybe up the dosage. The anti-vaxxers should get sent in for re-education. They are compromising the populations Herd Immunity.

Fat chance - from the Washington Examiner:

Study: Obamacare increased overhead spending for health insurance
Administrative spending doubled under Obamacare to get people insured, despite provisions in the law aimed at lowering overhead costs, a new analysis says.

Private insurers did reduce their overhead spending per person because of the law, but those savings weren't nearly enough to offset a big increase in federal spending on healthcare.gov and assistance for some states to run their own marketplaces, according to a paper provided to the Washington Examiner by the American Action Forum.

Insurance companies spent $414 to insure one person for one year in 2013, before the Affordable Care Act's main provisions went into effect. Insurers' overhead spending fell the following year, to $265 per person, under a provision in the law capping how much insurers can spend on overhead costs.

But as insurers reduced their overhead spending, the federal government spent $3.63 billion creating and running healthcare.gov and another $6.12 billion on grants to states to help set up their own online marketplaces. When that federal spending is taken into account, overhead spending rose to $893 per insured person.

If they just introduced some competition into the market and allowed for people to shop around, healthcare costs would drop. Initiate Tort Reform for malpractice suits too - malpractice insurance is one of the largest expenses in running a medical practice - as much as $170,000 per year.

Yikes - a Mumps outbreak to our south

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The joys of refusing simple and safe vaccinations. From the Seattle Times:

Mumps outbreak reaches Seattle
The mumps outbreak in King County has moved into Seattle, with public-health officials confirming one adult case in the city.

In all, the total number of cases in the county as of Friday stood at 19 confirmed and 64 probable.

Auburn, where the outbreak started, has 67 of those cases. The remaining cases were spread among Kent, Federal Way, Covington, Pacific, Black Diamond, Bellevue, Algona and Des Moines.

Adult cases are bad because they can cause sterility in men. The ex-Doctor - Andrew Wakefield - who started this whole vaccines are linked to autism bullshit had his license to practice taken away when his paper on the subject was shown to be fraudulent and that he was being paid for his work by some lawyers who wanted to profit off the vaccine companies.

The Herd Immunity only works so far and when you go below the limit (75% to 86% vaccinated for Mumps), the disease is able to propagate freely.

Fun fun fun - norovirus in our county

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Fortunately it seems confined to just Bellingham - keeping fingers crossed. It is a nasty one and highly contagious.

From Bellingham radio station KGMI:

Norovirus suspected in Whatcom County outbreaks
Whatcom County is seeing a possible norovirus outbreak.

It’s apparently hit a local school, a nursing home, and a basketball team in the past few weeks, and the Whatcom County Health Department expects it to spread.

Norovirus symptoms include vomiting, diarrhea and abdominal pain, and it usually runs its course in a day or two without causing lasting problems.

But experts say it can be much more dangerous for kids, the elderly and people with weakened immune systems.

They say washing hands with soap and water is one of the best ways to stop the virus from spreading.

You don't die, you just want to.

A little bit of fact checking from Investors Business Daily:

Did ObamaCare Add 20 Million To The Insurance Rolls? Not Even Close
Health Reform: It has become a mantra among Democrats that 20 million people gained coverage thanks to ObamaCare. It's a myth. The real figure is much lower, and almost all the gains came by stuffing more people into the decrepit Medicaid program.

As soon as Donald Trump won the election, left-wing groups were busy predicting that, should he succeed in repealing ObamaCare as promised, anywhere from 20 million to 37 million would lose coverage.

And the truth?

While the White House derived its number using survey data, which it then adjusted, Heritage instead went directly to the sources for enrollment data — Medicaid and private insurers — to see what's really happened.

What they found is that the Obama administration has inflated the ObamaCare coverage number by almost 42%. The actual gain in coverage between 2013 and 2015 was 14 million, Heritage found. That's close to the Census Bureau's estimate that the number of uninsured declined by 12.8 million over these years. And of that, only 2.2 million gained private coverage, Heritage figures. The other 11.8 million went on Medicaid. (Heritage only has hard data through 2015, but enrollment in the exchanges was basically flat in 2016.)

Think about that 2.2 million number for a moment.

ObamaCare has caused massive disruptions of the individual market, forced millions to drop health plans they like, caused huge price spikes and mounting insurance losses, created monopoly markets around the country, and resulted in the virtual takeover of the individual market by HMO plans.

That's to say nothing of the enormous costs of setting up and running the ObamaCare exchanges and the trillion dollars in subsidies to offset the cost of premiums for lower-income families.

All to increase the number of privately insured by a meager 1%.

Time to drain the swamp. Allow competition across state lines, allow doctors and hospitals to publish prices for various procedures so customers can shop around. There is absolutely no reason for healthcare to be so expensive.

From Vox:

The US government is finally telling people that homeopathy is a sham
Homeopathy is one of the most enduring forms of snake oil available to consumers; it has been duping people since 1814. But the United States government only recently decided to clamp down on these bogus treatments, with a new policy from the Federal Trade Commission.

The FTC’s policy statement explains that the agency will now ask that the makers of homeopathic drugs present reliable scientific evidence for their health claims if they want to sell them to consumers on the US market.

Mustering that evidence is likely to be difficult given that homeopathy is a pseudoscience.

The main idea behind homeopathy is that an animal or plant extract that causes symptoms similar to the ones a person is suffering from can cure the symptoms. An example: Because onions make eyes tear and noses run, diluted onion extract is thought to cure cold and hay fever. So homeopathic remedies on the market are just extremely diluted versions of plant or animal extracts believed to bring relief to symptoms.

And the scientific community?

The scientific community is monolithically stacked against homeopathy. There have been many studies, books, and investigations demonstrating that this type of therapy is bogus. There's so much evidence on homeopathy's failure to help people, in fact, that some researchers have argued it’s time to stop investing government research funding on this alternative therapy in favor of putting it into treatments that might actually help people.

The most exhaustive review of the evidence for homeopathy yet came out of the Australian government. Its conclusion: The treatment doesn't work, and people should stop wasting their time, money, and potentially their health on what amounts to junk science.

Homeopathy is big business though so people still promote it. The problem here is that the manufacturer simply does not have to make a claim about their product and they can still sell it. A little re-labeling and it is business as usual.

Barry's legacy does not look that good - from Breitbart:

Despite Obama Promises, Health Care Costs Have Risen the Most in 32 Years
Despite years of Obama’s promises that America’s health care costs would go down if Obamacare was passed into law, new statistics show that care and insurance premiums have risen more this year than in the last 32 years.

A report by Kaiser/HRET Employer Health Benefits released on September 14 found that the average American family’s health care plan costs over $18,000 a year. That is up 3.5 percent over 2015, a hike exceeding the growth in wages.

While it is bad on individuals, in the chronically poor Obama economy, it is worse on employers.

“Employees are paying a whole lot more for health insurance than they did a decade ago. The average family plan cost $11,480 in 2006, of which workers had to pay $2,973,” CNN Money reported.

Deductables and co-pays have gone up a lot too.

Going to a hospital

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I try to avoid that wherever possible - too many communicable diseases floating around. Case in point from The Seattle Times:

Bacteria that causes Legionnaires’ disease found in water at UW Medical Center
The bacteria that cause Legionnaires’ disease is in some of the water supply at the University of Washington Medical Center, where a second person infected with Legionella bacteria has died, officials said Wednesday.

Signs are posted in the hospital telling patients, families and guests not to use hallway fountains or other sources of hospital drinking water, officials said.

The announcement follows reports of two cases of Legionella in patients treated in the UWMC cardiac-care units: a 30-year-old woman reported on Aug. 26 and a 50-year-old man reported Sept. 6, health officials have said. The man died Sept. 8, King County health officials said.

The bacteria that cause Legionnaires’ disease is in some of the water supply at the University of Washington Medical Center, where a second person infected with Legionella bacteria has died, officials said Wednesday.

Signs are posted in the hospital telling patients, families and guests not to use hallway fountains or other sources of hospital drinking water, officials said.

The UWMC is a huge hospital - keeping on top of sanitation requires diligence. The good news is that this will be one of the cleanest medical facilities for the next couple of years.

From the National Institutes of Health:

The effects of grounding (earthing) on inflammation, the immune response, wound healing, and prevention and treatment of chronic inflammatory and autoimmune diseases
Abstract
Multi-disciplinary research has revealed that electrically conductive contact of the human body with the surface of the Earth (grounding or earthing) produces intriguing effects on physiology and health. Such effects relate to inflammation, immune responses, wound healing, and prevention and treatment of chronic inflammatory and autoimmune diseases. The purpose of this report is two-fold: to 1) inform researchers about what appears to be a new perspective to the study of inflammation, and 2) alert researchers that the length of time and degree (resistance to ground) of grounding of experimental animals is an important but usually overlooked factor that can influence outcomes of studies of inflammation, wound healing, and tumorigenesis. Specifically, grounding an organism produces measurable differences in the concentrations of white blood cells, cytokines, and other molecules involved in the inflammatory response. We present several hypotheses to explain observed effects, based on current research results and our understanding of the electronic aspects of cell and tissue physiology, cell biology, biophysics, and biochemistry. An experimental injury to muscles, known as delayed onset muscle soreness, has been used to monitor the immune response under grounded versus ungrounded conditions. Grounding reduces pain and alters the numbers of circulating neutrophils and lymphocytes, and also affects various circulating chemical factors related to inflammation.

This is plausible as there is a very large and very strong electrical potential in the atmosphere (more here). Very low current but very high voltage and this could have biological implications. I have an excellent ground in the radio room and although my feet are healing fine, there is still a lot of edema and swelling. I even have some copper sheet to make a nice large low-impedence plate. Give this a try tomorrow.

A bit of good news - Obamacare

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Voicing a little bit of sarcasm here - from Business Insider:

Obamacare has gone from the president's greatest achievement to a 'slow-motion death spiral'
It has not been a good week for the Affordable Care Act (ACA), better known as Obamacare.

A slew of news, from insurers dropping out to possible fraud among healthcare providers, has all accumulated in a deluge of negative headlines for one of President Obama's signature laws.

In fact, it's gotten so bad that it appears that the whole program itself may be in doubt.

While there are issues, and this past week highlighted many of them, it does appear that there is a long road ahead before we have a definitive understanding of Obamacare's survival, and there's a good chance that it makes it.

It was never a good idea - the supposed 14 million uninsured people was a manufactured number. Many of those were young adults who chose to not pay for insurance. The whole legislation was rammed through after hours (have to pass it so you can see what's in it) and it is basic a totalitarian one-size fits all price fixing scam. If they wanted to make health care affordable, allow for meduical savings plan. Roll out Tricare to everyone. Allow for competition in the marketplace.

Zika - close to home

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From the Everett, WA Herald:

Teen is 3rd in Snohomish County to test positive for Zika
A Snohomish County teenager who recently traveled to Nicaragua has tested positive for Zika virus, the Snohomish Health District said Tuesday.

This is the third confirmed case involving somebody who lives here. The other patients also had visited areas known to have mosquitoes infected with Zika virus.

No other details were released about the current case beyond the description that the patient is a “female in her teens” who is not pregnant.

And then a mosquito bites her, then someone else and it starts up here. Snohomish county is just south of Whatcom.

Speaking of nasty bugs - Anthrax

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From the UK Sun:

'DANGEROUS INFECTION' Russian biological warfare troops rushed to Arctic after outbreak of lethal anthrax hospitalises 40
Biological warfare troops have been rushed to the Russian Arctic amid growing concerns over a serious anthrax outbreak.

A total of 40 people – more than half of them children – are now hospitalised amid fears they may have contracted the deadly infection.

This follows the death of 1,200 reindeer suspected of contracting the disease after a contaminated corpse –  buried at least 70 years ago – thawed because of a heatwave in the Yamal peninsula in northern Siberia.

Someone is doing something they should not be doing:

The concern follows an outbreak of the Bubonic Plague in the Altai Mountains in southern Siberia earlier this month.

Especially nasty as if it encounters hard conditions, it will encapsulate itself and go dormant until conditions are favorable again. As you can read in the third paragraph, 70 years is not uncommon.

First became a major outbreak in January of 2016 in Recife, Brazil and infected mothers frequently give birth to children with microcephaly - a pinhead. It was initially thought that a larvicide was responsible but the evidence is now overwhelming that it is the virus itself causing the birth defects.

Meanwhile, it is spreading North and has hit Florida and Puerto Rico. From Bloomberg:

Zika Cases Likely Transmitted Locally in U.S. for the First Time, Officials Say
U.S. health officials said Friday that four cases of Zika virus were transmitted locally by mosquitoes in Miami, the first evidence of the virus spreading that way in the continental U.S.

Previous cases have been caused by travel to affected areas or sexual contact with an infected person, and the report from Florida suggests that outbreaks of the virus could become common in some parts of the country, rather than just being imported from abroad.

And from USA Today:

CDC: Zika could affect 10,000 pregnancies in Puerto Rico by year's end
The Zika virus could affect up to 10,000 pregnant women in Puerto Rico this year, putting hundreds of babies at risk of catastrophic birth defects, according to the Centers for Disease Control and Prevention.

Zika is spreading so quickly on the island that it's likely to infect one in four people by the end of the year, CDC director Thomas Frieden said. The greatest danger from Zika is microcephaly, in which infants are born with abnormally small heads and incomplete brain development, he said.

If there was only a safe, potent insecticide that killed these mosquitoes but did not harm mammal or avian life. DDT? But that is a broad-spectrum killer chemical! Not at all - the banning of DDT was a political maneuver and not a scientific one. Yes, we were marinating in the stuff and there were problems with bird shells but overall, it is one of the safest insecticides known to man. The people advocating its continuous ban are sentencing 2,000,000 people to die each year from Malaria. DDT is the perfect weapon against the mosquitoes carrying Zika. If we instituted a scientific spraying program, we could wipe out Malaria and Zika and all other mosquito-borne illnesses in under five years.

The idea that we are spending trillions of dollars on a vaccine as opposed to spraying is unreal.

For more information on DDT, read here, here, here, and here, here and here. The hype against it is that bad.

From Stat:

Norovirus outbreak reported among GOP convention staffers
A handful of Republican staff members in Cleveland for the GOP convention were reported to be suffering Tuesday from a possible norovirus infection.

And if there are a few people with norovirus, it’s likely there will be more.

As many as 11 members of the California delegation’s advance team are showing symptoms that are consistent with the norovirus, according to Peter Schade, the Erie County health commissioner, who is investigating the outbreak. They are staying at a hotel in Sandusky, Ohio, about an hour from Cleveland.

“We’ve got about 11 who have been sick over the last few days, and we’ve been out there every day and working with them to eliminate the spread [between] the resort and the delegation from California,” Schade said.

Keeping them away from the other constituents is a smart move - the stuff is nasty and highly contagious. I bet the rest of the people on the airplane from CA are suffering right now.

Measles on the rise

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The anti-vax people really need to get their pointy little heads out of the sand and get with the program. What part of zero correlation between inoculation and autism do you fail to comprehend.

Now they are just spreading the love - from The Washington Times:

Arizona is site of largest current US measles outbreak
Health officials in Arizona say the largest current measles outbreak in the United States is in part because some workers at a federal immigration detention center refuse to get vaccinated.

Authorities have confirmed 22 measles cases in Arizona since late May. They all stem from the Eloy Detention Center, an Immigration and Customs
Enforcement facility managed by the private Corrections Corporation of America.

Pinal County health director Thomas Schryer said the outbreak likely began with a migrant but that detainees have since been vaccinated. Convincing employees to get vaccinated or show proof of immunity has proven much tougher, he said.

“And so they’re actually the ones that are passing along the measles among each other and then going out into the community,” Schryer said.

To see why this is a major concern, check out Herd Immunity.

Choosing to opt-out of a vaccination not only hurts your family, it also hurts your neighbors and their families - the spread of disease is a large and networked phenomenon and the entire web can be brought down by just a few self-centered links.

Not just Zika - Rio de Janeiro

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The Olympics are being held in Rio de Janeiro starting in August and there are some very legitimate concerns about the Zika virus. Turns out it is not just Zika.

From Reuters:

Exclusive: Studies find 'super bacteria' in Rio's Olympic venues, top beaches
Scientists have found dangerous drug-resistant "super bacteria" off beaches in Rio de Janeiro that will host Olympic swimming events and in a lagoon where rowing and canoe athletes will compete when the Games start on Aug. 5.

The findings from two unpublished academic studies seen by Reuters concern Rio's most popular spots for tourists and greatly increase the areas known to be infected by the microbes normally found only in hospitals.

They also heighten concerns that Rio's sewage-infested waterways are unsafe.

More at the site - this is worrisome. All those people travelling there and then returning home in airplanes. A real epidemiological nightmare...

Yikes - diphenhydramine

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Bad news - from New York's CBS affiliate:

Research: Long-Term Use Of Benadryl, Many Over-The-Counter Cold Medications Linked To Dementia
New research is warning about a possible link between a very common allergy medicine and dementia.

CBS2’s Dr. Max Gomez reported that long-term use of an antihistamine known as diphenhydramine, which is commonly sold as Benadryl and included in many over-the-counter medications for cold and allergies, may increase the risk of dementia and even cause irreparable harm.

Diphenhydramine, which also causes drowsiness, is in popular sleep aids such as Tylenol PM, Advil PM, and ZZZQuil.

Going to be some interesting lawsuits over this one if it pans out...

Just wonderful - Zika in the USA

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From FOX News:

First baby born with Zika-linked microcephaly in New York tri-state area
Doctors at Hackensack University Medical Center in New Jersey confirmed Tuesday the birth of a child suffering from Zika-linked microcephaly, a condition wherein the child's brain and head are partially developed.

The mother, who is 31 but whose name was not disclosed, contracted the Zika virus while in Honduras and was admitted to the emergency room at Hackensack on Friday while vacationing in the United States. Tuesday, doctors delivered her baby girl, who was born also with intestinal and visual issues. Reports indicate she is the first child born with Zika-linked complications in the New York tri-state area.

The child’s mother, who developed a rash for two days in Honduras but had no other symptoms until arriving in the U.S., was under the care of a surgical team led by Dr. Abdulla Al-Khan and Dr. Manny Alvarez, senior managing health editor at FoxNews.com and chief of obstetrics and gynecology at Hackensack. A neonatologist and pediatric infectious disease specialist, as well as nursing personnel, were on hand for the birth.

There are a lot of bugs nosing around our immune systems and it is only a matter of a few things going wrong that will foster another epidemic. Stay healthy and eat right.

In 1974, Doctor Henry Heimlich developed a technique for freeing material from someone's airway. It was sucessful and is now the defacto standard.

From Cincinnati.com:

At 96, Dr. Heimlich finally uses his life-saving technique
When he heard that a resident was choking, Perry Gaines, maître d’ for the Deupree House dining room, ran toward the table.

Gaines has been trained in the Heimlich maneuver and has performed it at least twice in the two years he has worked at the Hyde Park senior living facility.

When Gaines arrived at the table, Dr. Henry Heimlich, a 96-year-old resident of the Deupree House who invented the famous technique for clearing a blocked airway, was standing behind the woman, ready to perform it.

Typically, a staff member would do it. “But,” Gaines said, pausing, “it is Dr. Heimlich.”

Heimlich, who swims and exercises regularly, was able to dislodge a piece of hamburger that had become stuck in 87-year-old Patty Ris’s airway.

Gaines said the entire room, filled with 125 diners, focused on the table, which was near the center of the room. Ris recovered quickly, and everyone returned to their meals.

Monday’s incident at the Deupree House was the first time Heimlich, who has demonstrated the maneuver countless times since inventing it in the 1970s, used it to stop someone from choking, he said.

Very cool!

Crap - literally

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Escherichia coli in the news and not in a good way - from Reuters:

U.S. sees first case of bacteria resistant to all antibiotics
U.S. health officials on Thursday reported the first case in the country of a patient with an infection resistant to all known antibiotics, and expressed grave concern that the superbug could pose serious danger for routine infections if it spreads.

"We risk being in a post-antibiotic world," said Thomas Frieden, director of the U.S. Centers for Disease Control and Prevention, referring to the urinary tract infection of a 49-year-old Pennsylvania woman who had not travelled within the prior five months.

Frieden, speaking at a National Press Club luncheon in Washington, D.C., said the infection was not controlled even by colistin, an antibiotic that is reserved for use against "nightmare bacteria."

Not good news at all - we use antibiotics regularly in our domestic food livestock and over-prescribe them for ourselves. This heightens the chances for the bugs to develop resistance. The same E. coli has been found in China but not here and the patient had not traveled recently.

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