Tuesday, January 24, 2017

E-Cigarettes Not a Smoking Deterrent for Kids

E-Cigarettes Not a Smoking Deterrent for Children

News Picture: E-Cigarettes Not a Smoking Deterrent for KidsBy Amy Norton
HealthDay Reporter

MONDAY, Jan. 23, 2017 (HealthDay Information) -- There isn't any proof that e-cigarettes are driving down teen smoking -- and, actually, they could be drawing in youngsters who in any other case would by no means have smoked, a brand new examine suggests.

Researchers stated the findings add to issues about youngsters' use of e-cigarettes.

E-cigarettes are battery-powered gadgets that ship nicotine -- together with flavoring and different chemical compounds -- via a vapor slightly than tobacco smoke. They're usually marketed as a "safer" different to smoking, and a bridge towards quitting.

However little is definitely recognized about their well being results, in line with the U.S. Nationwide Institutes of Well being.

Lately, the gadgets have been hovering in reputation amongst U.S youngsters. A federal report discovered that between 2013 and 2014, e-cigarette use tripled amongst highschool and center college college students nationwide.

Nonetheless, cigarette smoking has continued to say no. And a few have argued that the rise in youngsters' e-cigarette use may truly be feeding the lower of their smoking fee, stated Lauren Dutra, the lead researcher on the brand new examine.

Based mostly on her findings, nevertheless, she stated that is not the case.

"We discovered no proof to help that concept," stated Dutra, who was a fellow with the College of California, San Francisco's Heart for Tobacco Management Analysis and Schooling on the time of the examine.

The truth is, the examine discovered, many youngsters who used e-cigarettes had by no means smoked -- and have been truly "low danger" for beginning.

"These aren't the youngsters we might usually count on to take up smoking," stated Dutra, who's now a social scientist with the non-profit analysis group RTI Worldwide.

The examine findings are primarily based on an ongoing federal survey monitoring tobacco use amongst U.S. youngsters in grades six via 12.

Total, college students' smoking charges dropped between 2004 and 2014, from practically 16 % to simply over 6 %. The decline was regular, with no indicators of dashing up after 2009 -- when e-cigarettes got here onto the scene.

If the gadgets actually have been driving youngsters away from cigarettes, Dutra stated, you'd count on to see an acceleration within the smoking decline.

As an alternative, the researchers stated they discovered proof that e-cigarettes are attracting youngsters who can be unlikely to make use of tobacco.

The variety of U.S. youngsters utilizing e-cigarettes alone rose through the latter a part of the survey interval. By 2014, 6.5 % of scholars stated they'd ever used the gadgets, however had by no means smoked.

And, the examine discovered, most of these youngsters didn't have the danger components which are normally linked to cigarette smoking -- equivalent to residing with a smoker, or considering that smoking makes an individual "look cool."

But when e-cigarettes include no tobacco, what's the hurt?

"One is that children who use e-cigarettes usually tend to begin smoking cigarettes," stated Thomas Wills, a professor on the College of Hawaii Most cancers Heart, in Honolulu.

"It's clear that e-cigarettes act as a gateway to smoking," added Wills, who wrote an editorial printed with the analysis.

Plus, he stated, some research have linked e-cigarettes to bronchial asthma in youngsters. It isn't clear why, however it's doubtlessly associated to "combustion merchandise" from the gadgets' flavorings and propylene-glycol base, Wills stated.

And, after all, e-cigarettes include nicotine -- a extremely addictive drug, each Wills and Dutra identified.

The report was printed on-line Jan. 23 within the journal Pediatrics.

A separate examine in the identical subject of the journal pointed to different issues.

The examine by Zewditu Demissie, of the U.S. Facilities for Illness Management and Prevention, and colleagues discovered that U.S. youngsters who used e-cigarettes alone confirmed elevated charges of "dangerous" behaviors -- equivalent to having a number of sexual relationships or abusing marijuana or prescription painkillers.

Among the many teenagers within the examine who "vaped," charges of these well being dangers weren't as excessive as people who smoke' have been. However they have been increased in contrast with youngsters who used no tobacco-related merchandise.

Nevertheless, the examine would not show that e-cigarettes trigger youngsters to take well being dangers, the researchers wrote.

Wills stated, on one hand, e-cigarettes could entice youngsters who're considerably drawn to "dangerous issues."

However, he added, research do recommend that e-cigarettes can encourage a minimum of one unhealthy behavior: Smoking.

Final 12 months, the U.S. Meals and Drug Administration banned e-cigarette gross sales to minors -- after many U.S states already had. However Dutra stated that is unlikely to be sufficient.

"Cigarettes have been restricted to individuals 18 and over for a very long time," she famous, "however youngsters nonetheless get them."

E-cigarettes enchantment to youngsters, Dutra stated, as a result of they're flavored, with engaging tastes equivalent to "birthday cake."

"They do not style like an ashtray," Dutra stated. "They style good."

She famous that regulators have taken no steps to handle the gadgets' "kid-friendly" flavors, TV advertisements or well being claims.

If e-cigarettes do encourage some youngsters to attempt cigarettes, then why are smoking charges nonetheless happening? In line with Dutra, the latest federal figures -- from 2015 -- recommend the decline is plateauing, and smoking charges could even be ticking up barely amongst highschool youngsters.

MedicalNews
Copyright © 2017 HealthDay. All rights reserved.

SOURCES: Lauren Dutra, Sc.D., social scientist, RTI Worldwide, Berkeley, Calif.; Thomas Wills, Ph.D., professor and interim director, Most cancers Prevention and Management Program, College of Hawaii Most cancers Heart, Honolulu; Jan. 23, 2017, Pediatrics, on-line


U.S. Deaths From Cervical Cancer May Be Underestimated

U.S. Deaths From Cervical Most cancers Might Be Underestimated

News Picture: U.S. Deaths From Cervical Cancer May Be Underestimated

MONDAY, Jan. 23, 2017 (HealthDay Information) -- The variety of ladies who die from cervical most cancers in the US could also be larger than beforehand believed, and the danger is biggest amongst older and black ladies, a brand new examine finds.

"It is a preventable illness and ladies shouldn't be getting it, not to mention dying from it," examine chief Anne Rositch, an assistant professor of epidemiology at Johns Hopkins College in Baltimore, mentioned in a Hopkins information launch.

Attributable to massive advances in early detection, such because the Pap check, it is lengthy been thought that cervical most cancers had made an enormous retreat in the US.

However the researchers observe that prior estimates of cervical most cancers loss of life had included ladies who'd already had a hysterectomy -- which may embrace elimination of the uterus and cervix. One in 5 ladies in the US has had a hysterectomy, in response to the researchers.

Preventive screening such because the Pap check appears to be like for indicators of malignancy or pre-malignancy within the cervix, so it is just helpful in lowering deaths from cervical most cancers in ladies who haven't undergone a hysterectomy, the researchers defined.

Their new calculation method excludes ladies who'd had a hysterectomy.

When these ladies had been factored out, Rositch's staff discovered that U.S. cervical most cancers deaths are 77 % larger amongst black ladies and 47 % larger amongst white ladies than beforehand thought.

The prior fee of cervical most cancers loss of life amongst black ladies older than 20 was 5.7 per 100,000 annually, whereas it was three.2 per 100,000 annually amongst white ladies.

However when ladies who'd had a hysterectomy had been excluded from the evaluation, the speed in black ladies rose to greater than 10 per 100,000 per yr and to four.7 per 100,000 per yr in white ladies.

"These information inform us that so long as a girl retains her cervix, it's important that she proceed to acquire beneficial screening for cervical most cancers for the reason that threat of loss of life from the illness stays vital nicely into older age," Rositch mentioned.

The analysis additionally discovered that many ladies who die from cervical most cancers are older than 65, the beneficial cut-off age for normal cervical most cancers screening.

Annually in the US, there are 12,000 circumstances of cervical most cancers and four,000 deaths from the illness. However routine screening can forestall cervical most cancers.

The examine findings emphasize the necessity to study extra in regards to the dangers related to cervical most cancers in older and black ladies, and to find out one of the best screening and therapy choices for these ladies, in response to the researchers.

"Because the aim of a screening program is to in the end scale back mortality from cervical most cancers, then it's essential to have correct estimates inside the inhabitants focused by these applications -- grownup ladies with a cervix," Rositch defined.

"These findings inspire us to raised perceive why, regardless of the huge availability of screening and therapy, older and black ladies are nonetheless dying from cervical most cancers at such excessive charges in the US," she added.

Two gynecologists who reviewed the findings agreed that higher screening -- for all ladies -- is essential to lowering the loss of life toll from cervical most cancers.

"The disparity in cervical most cancers charges between whites and blacks illustrates the distinction in medical care obtained by completely different populations in the US," mentioned Dr. Jennifer Wu, an obstetrician/gynecologist at Lenox Hill Hospital in New York Metropolis.

"That is an ongoing downside with many socioeconomic elements," she mentioned. "Higher group outreach for preventative care and in addition particular consideration for top threat populations could assist to lower charges of cervical most cancers."

Dr. Mitchell Maiman is chair of obstetrics and gynecology at Staten Island College Hospital, additionally in New York Metropolis.

He mentioned that "each effort have to be made to insure that trendy ideas in cervical most cancers screening are executed. We should monitor our HPV vaccine applications with the aim of common participation, and guarantee that there are not any racial disparities in its implementation."

The examine seems within the Jan. 23 subject of the journal Most cancers.

-- Robert Preidt

MedicalNews
Copyright © 2017 HealthDay. All rights reserved.

SOURCES: Jennifer Wu, obstetrician/gynecologist, Lenox Hill Hospital, New York Metropolis; Mitchell Maiman, M.D., chairman, division of obstetrics and gynecology, Staten Island College Hospital, New York Metropolis; Johns Hopkins College, information launch, Jan. 23, 2017


Best Ways to Steer Clear of the Flu

Finest Methods to Steer Away from the Flu

News Picture: Best Ways to Steer Clear of the Flu

SATURDAY, Jan. 21, 2017 (HealthDay Information) -- One of the simplest ways for individuals to guard themselves from the flu is to get vaccinated -- and it isn't too late to get a shot, an infectious ailments skilled says.

The flu vaccine additionally protects those that aren't in a position to get it, together with infants youthful than 6 months and other people with sure allergy symptoms and medical circumstances, stated Dr. Jeffrey Kahn. He's chief of pediatric infectious ailments at UT Southwestern Medical Middle in Dallas.

Those that assume it is too late to get vaccinated ought to rethink since flu season lasts till spring, Kahn stated in a medical middle information launch.

UT Southwestern outlines different methods individuals can cut back their danger of getting the flu:

  • Preserve your palms clear. Make sure to wash your palms effectively and infrequently. If cleaning soap and water aren't available, go for an alcohol-based hand sanitizer. It is also necessary to concentrate on what you contact, together with generally used surfaces and objects like telephones, doorknobs and keyboards.
  • Cowl up. Make sure to cowl your nostril and mouth once you cough or sneeze. A tissue is greatest however your sleeve will work if you do not have one useful.
  • Keep residence. In the event you, your baby or somebody in your family will get the flu, be sure you hold that individual residence from faculty or work so they do not unfold their an infection to others. It is necessary for people who find themselves sick to remain residence till they totally recuperate.

Those that do find yourself with the flu ought to go to their physician, Kahn really helpful. There is no treatment for the flu, however antiviral medicine can ease flu signs if remedy is began early. The medicine are only for individuals who take them inside 48 hours of creating signs, he defined.

Chest pains or bother respiratory are warning indicators of pneumonia, and ought to be handled by a physician immediately.

-- Mary Elizabeth Dallas

MedicalNews
Copyright © 2017 HealthDay. All rights reserved.

SOURCE: UT Southwestern Medical Middle, information launch, January 2017


Trulance Approved for Chronic Constipation

Trulance Accredited for Persistent Constipation

FRIDAY, Jan. 20, 2017 (HealthDay Information) -- Trulance (plecanatide) has been permitted by the U.S. Meals and Drug Administration to deal with persistent constipation of unknown (idiopathic) trigger in adults.

Some 42 million folks in america are affected by constipation, in keeping with the Nationwide Institutes of Well being. As soon as-daily Trulance is designed to stimulate the higher gastrointestinal tract to secrete fluid and "assist common bowel operate," the FDA mentioned in a information launch.

The oral drug was evaluated in two 12-week medical research involving a complete of 1,775 adults with power constipation.

Diarrhea was the most typical aspect impact. If diarrhea turns into extreme, customers ought to cease taking Trulance and call a health care provider, the FDA suggested.

Trulance is produced by New York Metropolis-based Synergy Prescribed drugs.

-- Scott Roberts

MedicalNews
Copyright © 2017 HealthDay. All rights reserved.


Health Tip: Ward Off Infection From Ear Piercing

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8 People Infected in Rare U.S. Outbreak of Rat Virus

eight Folks Contaminated in Uncommon U.S. Outbreak of Rat Virus

News Picture: 8 People Infected in Rare U.S. Outbreak of Rat Virus

Newest Infectious Illness Information

FRIDAY, Jan. 20, 2017 (HealthDay Information) -- Eight individuals who labored at a number of rat-breeding amenities in Illinois and Wisconsin have been contaminated with a virus not generally present in america, federal well being officers stated Friday.

That is the primary recognized outbreak of Seoul virus related to pet rats in america, though there have been a number of outbreaks in wild rats, in keeping with the federal Facilities for Illness Management and Prevention.

Seoul virus is a member of the Hantavirus household of rodent-borne viruses and is carried by wild Norway rats worldwide. Most rats contaminated with the virus don't seem sick.

Folks usually grow to be contaminated when they're uncovered to physique fluids (blood, saliva, urine) from contaminated rats or are bitten by them. Folks cannot get the virus from different individuals or from different kinds of pets, the CDC stated in a information launch.

Signs of Seoul virus an infection in individuals embody fever, extreme headache, again and stomach ache, chills, blurred imaginative and prescient, eye redness and rash. In uncommon circumstances, an infection can result in kidney illness. Most individuals contaminated with the virus get well, in keeping with the CDC.

The CDC is working with state and native well being officers to find out how this outbreak occurred and whether or not another individuals may be affected. Anybody who lately purchased a rat and has Seoul virus signs ought to contact a well being care supplier instantly.

To stop Seoul virus an infection and different illnesses carried by rats: wash your fingers with cleaning soap and operating water after touching, feeding or caring for rodents; clear and disinfect rodent habitats and provides; by no means clear rodent habitats or provides within the kitchen sink or toilet sink; keep away from urine or droppings when cleansing rodent cages.

Get common veterinarian checks for pet rodents and be cautious with unfamiliar rodents to cut back the chance of bites and scratches, the company added.

In case you are bitten by a rodent, wash the wound with heat, soapy water instantly, and search medical consideration if: the rodent appears sick; your wound is critical or turns into crimson, painful, heat or swollen; your final tetanus shot was greater than 5 years in the past; or, you develop fever or flu-like sickness per week or two after being bitten.

-- Robert Preidt

MedicalNews
Copyright © 2017 HealthDay. All rights reserved.

SOURCE: U.S. Facilities for Illness Management and Prevention, information launch, Jan. 20, 2017


Flu Cases Starting to Spread: CDC

Flu Circumstances Beginning to Unfold: CDC

News Picture: Flu Cases Starting to Spread: CDCBy Steven Reinberg
HealthDay Reporter

FRIDAY, Jan. 20, 2017 (HealthDay Information) -- Flu exercise continues to rise throughout the US and there is been a slight uptick within the variety of deaths within the final week, federal well being officers reported Friday.

The U.S. Facilities for Illness Management and Prevention says it is nonetheless not too late to get a flu shot. That is notably necessary for essentially the most weak -- the very younger, the aged, the chronically in poor health and pregnant girls, officers mentioned.

"It will have been higher to get vaccinated early, however there's nonetheless potential profit from the vaccine," Lynnette Brammer, a CDC epidemiologist, mentioned Friday.

She mentioned flu exercise is "nonetheless going up -- pretty slowly -- however it's nonetheless growing."

"We're beginning to see a rise in flu-related deaths," she added, "though deaths aren't at a stage thought-about epidemic."

The CDC would not observe the variety of adults who die from flu, however it does maintain tabs on little one deaths.

"Two extra kids died this week, bringing the full to 5 to this point," Brammer mentioned.

Final 12 months, 128 kids died from flu-related problems, in accordance with the CDC.

Brammer mentioned flu exercise is choosing up within the middle of the nation, which was reporting low exercise solely per week in the past.

"Some locations just like the Northwest might have peaked, however it appears like areas that have not been hit onerous are beginning to see exercise," she mentioned. "Even when we have been at peak, you've got nonetheless bought half the season to go."

The dominant flu pressure continues to be H3N2, which frequently alerts a extreme season that impacts the oldest and the youngest the toughest, Brammer mentioned.

On the plus facet: this 12 months would not appear as extreme as essentially the most extreme H3 years, she mentioned.

H1N1 and B viruses are additionally circulating, Brammer mentioned.

This 12 months's vaccine accommodates all of the circulating viruses, she mentioned.

The CDC recommends that anybody aged 6 months and older get a flu shot. Moreover the aged and the chronically in poor health, pregnant girls additionally fall into the high-risk group in want of vaccination.

Additionally, moms of newborns want a flu shot to assist defend their infants, who cannot be vaccinated till they're 6 months previous.

For folks aged 65 and older, the extra-strength vaccine is a good suggestion, Brammer mentioned. It is available in two sorts: the high-dose vaccine and the adjuvanted vaccine.

Most years, the vaccine is between 40 p.c and 60 p.c efficient, in accordance with the CDC.

When you do get sick, there are antiviral medicine that may assist. Tamiflu and Relenza are efficient if taken early.

In a typical flu season, flu problems -- together with pneumonia -- ship greater than 200,000 People to the hospital. Loss of life charges fluctuate yearly, however have gone as excessive as 49,000 in a 12 months, in accordance with the CDC.

MedicalNews
Copyright © 2017 HealthDay. All rights reserved.

SOURCE: Lynnette Brammer, M.P.H., epidemiologist, U.S. Facilities for Illness Management and Prevention