How Plastic We've Become        

Our bodies carry residues of kitchen plastics

Food for Thought

In the 1967 film classic The Graduate, a businessman corners Benjamin Braddock at a cocktail party and gives him a bit of career advice. "Just one word…plastics."

Although Benjamin didn't heed that recommendation, plenty of other young graduates did. Today, the planet is awash in products spawned by the plastics industry. Residues of plastics have become ubiquitous in the environment—and in our bodies.

A federal government study now reports that bisphenol A (BPA)—the building block of one of the most widely used plastics—laces the bodies of the vast majority of U.S. residents young and old.

Manufacturers link BPA molecules into long chains, called polymers, to make polycarbonate plastics. All of those clear, brittle plastics used in baby bottles, food ware, and small kitchen appliances (like food-processor bowls) are made from polycarbonates. BPA-based resins also line the interiors of most food, beer, and soft-drink cans. With use and heating, polycarbonates can break down, leaching BPA into the materials they contact. Such as foods.

And that could be bad if what happens in laboratory animals also happens in people, because studies in rodents show that BPA can trigger a host of harmful changes, from reproductive havoc to impaired blood-sugar control and obesity (SN: 9/29/07, p. 202).

For the new study, scientists analyzed urine from some 2,500 people who had been recruited between 2003 and 2004 for the National Health and Nutrition Examination Survey (NHANES). Roughly 92 percent of the individuals hosted measurable amounts of BPA, according to a report in the January Environmental Health Perspectives. It's the first study to measure the pollutant in a representative cross-section of the U.S. population.

Typically, only small traces of BPA turned up, concentrations of a few parts per billion in urine, note chemist Antonia M. Calafat and her colleagues at the Centers for Disease Control and Prevention. However, with hormone-mimicking agents like BPA, even tiny exposures can have notable impacts.

Overall, concentrations measured by Calafat's team were substantially higher than those that have triggered disease, birth defects, and more in exposed animals, notes Frederick S. vom Saal, a University of Missouri-Columbia biologist who has been probing the toxicology of BPA for more than 15 years.

The BPA industry describes things differently. Although Calafat's team reported urine concentrations of BPA, in fact they assayed a breakdown product—the compound by which BPA is excreted, notes Steven G. Hentges of the American Chemistry Council's Polycarbonate/BPA Global Group. As such, he argues, "this does not mean that BPA itself is present in the body or in urine."

On the other hand, few people have direct exposure to the breakdown product.

Hentges' group estimates that the daily BPA intake needed to create urine concentrations reported by the CDC scientists should be in the neighborhood of 50 nanograms per kilogram of bodyweight—or one millionth of an amount at which "no adverse effects" were measured in multi-generation animal studies. In other words, Hentges says, this suggests "a very large margin of safety."

No way, counters vom Saal. If one applies the ratio of BPA intake to excreted values in hosts of published animal studies, concentrations just reported by CDC suggest that the daily intake of most Americans is actually closer to 100 micrograms (µg) per kilogram bodyweight, he says—or some 1,000-fold higher than the industry figure.

Clearly, there are big differences of opinion and interpretation. And a lot may rest on who's right.

Globally, chemical manufacturers produce an estimated 2.8 million tons of BPA each year. The material goes into a broad range of products, many used in and around the home. BPA also serves as the basis of dental sealants, which are resins applied to the teeth of children to protect their pearly whites from cavities (SN: 4/6/96, p. 214). The industry, therefore, has a strong economic interest in seeing that the market for BPA-based products doesn't become eroded by public concerns over the chemical.

And that could happen. About 2 years after a Japanese research team showed that BPA leached out of baby bottles and plastic food ware (see What's Coming Out of Baby's Bottle?), manufacturers of those consumer products voluntarily found BPA substitutes for use in food cans. Some 2 years after that, a different group of Japanese scientists measured concentrations of BPA residues in the urine of college students. About half of the samples came from before the switch, the rest from after the period when BPA was removed from food cans.

By comparing urine values from the two time periods, the researchers showed that BPA residues were much lower—down by at least 50 percent—after Japanese manufacturers had eliminated BPA from the lining of food cans.

Concludes vom Saal, in light of the new CDC data and a growing body of animal data implicating even low-dose BPA exposures with the potential to cause harm, "the most logical thing" for the United States to do would be to follow in Japan's footsteps and "get this stuff [BPA] out of our food."

Kids appear most exposed

Overall, men tend to have statistically lower concentrations of BPA than women, the NHANES data indicate. But the big difference, Calafat says, traces to age. "Children had higher concentrations than adolescents, and they in turn had higher levels than adults," she told Science News Online.

This decreasing body burden with older age "is something we have seen with some other nonpersistent chemicals," Calafat notes—such as phthalates, another class of plasticizers.

The spread between the average BPA concentration that her team measured in children 6 to 11 years old (4.5 µg/liter) and adults (2.5 µg/L) doesn't look like much, but proved reliably different.

The open question is why adults tended to excrete only 55 percent as much BPA. It could mean children have higher exposures, she posits, or perhaps that they break it down less efficiently. "We really need to do more research to be able to answer that question."

Among other differences that emerged in the NHANES analysis: urine residues of BPA decreased with increasing household income and varied somewhat with ethnicity (with Mexican-Americans having the lowest average values, blacks the highest, and white's values in between).

There was also a time-of-day difference, with urine values for any given group tending to be highest in the evening, lowest in the afternoon, and midway between those in the morning. Since BPA's half-life in the body is only about 6 hours, that temporal variation in the chemical's excretion would be consistent with food as a major source of exposure, the CDC scientists note.

In the current NHANES paper, BPA samples were collected only once from each recruit. However, in a paper due to come out in the February Environmental Health Perspectives, Calafat and colleagues from several other institutions looked at how BPA excretion varied over a 2-year span among 82 individuals—men and women—seen at a fertility clinic in Boston.

In contrast to the NHANES data, the upcoming report shows that men tended to have somewhat higher BPA concentrations than women. Then again both groups had only about one-quarter the concentration typical of Americans.

The big difference in the Boston group emerged among the 10 women who ultimately became pregnant. Their BPA excretion increased 33 percent during pregnancy. Owing to the small number of participants in this subset of the study population, the pregnancy-associated change was not statistically significant. However, the researchers report, these are the first data to look for changes during pregnancy and ultimately determining whether some feature of pregnancy—such as a change in diet or metabolism of BPA—really alters body concentrations of the pollutant could be important. It could point to whether the fetus faces an unexpectedly high exposure to the pollutant.

If it does, the fetus could face a double whammy: Not only would exposures be higher during this period of organ and neural development, but rates of detoxification also would be diminished, vom Saal says.

Indeed, in a separate study, one due to be published soon in Reproductive Toxicology, his team administered BPA by ingestion or by injection to 3-day-old mice. Either way, the BPA exposure resulted in comparable BPA concentrations in blood.

What's more, that study found, per unit of BPA delivered, blood values in the newborns were "markedly higher" than other studies have reported for adult rodents exposed to the chemical. And that makes sense, vom Saal says, because the enzyme needed to break BPA down and lead to its excretion is only a tenth as active in babies as in adults. That's true in the mouse, he says, in the rat—and, according to some preliminary data, in humans.

Vom Saal contends that since studies have shown BPA exhibits potent hormonelike activity in human cells at the parts-per-trillion level, and since the new CDC study finds that most people are continually exposed to concentrations well above the parts-per-trillion ballpark, it's time to reevaluate whether it makes sense to use BPA-based products in and around foods.


If you would like to comment on this Food for Thought, please see the blog version.


          Here’s What You Need to Know About the Bird-Flu Case in Hong Kong        
Health officials say the situation is “serious” after a domestic worker was hospitalized in November. H7N9, an influenza virus that normally infects birds such as chickens and wild geese, first jumped to human hosts in China early this year. According to the U.S. Centers for Disease Control and Prevention (CDC), about 20% of those infected have died, but the virus does not spread easily from person to person — at least not yet. So far, the World Health Organization says 137 people have been sickened by H7N9 and 45 have died. Here’s what you need to know about the latest bird flu and whether it poses a threat in the U.S. (MORE: Hong Kong on Alert After Woman Catches Bird Flu) How did the latest patient get infected? The 36-year-old woman had visited Shenzhen, China, where she slaughtered and ate a chicken, according to Hong Kong health officials. She felt ill, with fever, chills and breathing difficulty and was hospitalized after returning to Hong Kong. Has anyone in the U.S. been infected with H7N9? So far, no cases of the infection have been reported in the U.S., and the CDC says the risk of H7N9 infection is “low.” All of the human cases so far have been reported in Asia. But it is possible that travelers to Asian countries where the virus has been found in chickens and other poultry could become infected and bring this bird flu to the U.S. Will my flu shot protect me against H7N9? No, there is no vaccine against H7N9 yet, although researchers are working on developing one. This year’s flu shot protects against H1N1, H3N2, and either one or both of the B-group influenza viruses currently circulating around the world. Is H7N9 more dangerous than the previous bird flu, H5N1? That’s hard to tell so far, since so few human cases have been reported. But flu experts are watching H7N9 closely since the virus seems to be making genetic changes that might help it infect people more easily. What are Hong Kong officials
          New screening for anthrax-related meningitis developed by CDC        

A development for the capability to screen a large group of people for anthrax-induced meningitis has recently been published in the Clinical Infectious Diseases journal. 

Meningitis is one of the most fatal results of anthrax, and understanding how to test for and treat it is extremely important for preventing mistreatments and improving survival rates.

The current method of testing for meningitis, a lumbar puncture to test the spinal fluid, is not realistic for a setting in which numerous people have possibly come into contact with anthrax, and thus be susceptible to meningitis. The Centers for Disease Control and Prevention began looking for different ways to test for meningitis, beginning with anthrax medical documents from 1880 and reading through present-day findings, hoping to find information on meningitis links to anthrax — and ways to confirm meningitis from external symptoms.

After reading through the literature, the CDC reported that if two of four symptoms were present — intense headache, changing mental health, meningeal indications or other neurological symptoms — that a victim can be assumed to most likely have meningitis. These findings will be extremely helpful in large-capacity crisis situations, where quick screening and treatment for meningitis are a race against the clock.


          Dominica receives CDC travel notice for Zika virus        

The Zika virus and its infection patterns are constantly being watched by the Centers for Disease Control and Prevention (CDC), and the organization's acute attention to the continuing transmission has led to its declaring a travel notice for Dominica.

The CDC is constantly updating its list of Zika virus regions and notes that anyone traveling to a location with Zika virus is capable of contracting it, as the aggressive mosquitos that carry it bite during the day and the night. Preventing mosquito bites is of the utmost importance because there is currently no vaccine or treatment for those with Zika virus.

If traveling to a location with Zika virus, infection may not be known until the traveler has left the country. Symptoms include fever, rash, joint aches and red eyes, though the dangerous part about Zika virus is that it does not always immediately display symptoms. It is especially important to practice safe sex if you or your partner have recently traveled to an area with Zika virus, as there has been evidence that it can be sexually transmitted. This is especially important if a woman is pregnant or intending to become pregnant. 

Furthermore, it has been proposed that Guillain-Barré syndrome (GBS) is extremely likely to be connected with Zika virus, though the CDC is still conducting research with Brazil to confirm these assumptions.

To see the regions with confirmed Zika virus occurrences, refer to the CDC home page.


          CDC adds Cuba to Zika virus watch list        

The Centers for Disease Control and Prevention (CDC) has reported a level-two travel notice for Cuba concerning Zika virus transmission and is working with local health officials in areas that have been determined to contain the virus.

The Zika virus is transmitted through mosquitos that are extremely active in the daytime, but that also bite at night. Anyone traveling to areas with Zika virus is capable of becoming infected; and, as there are no vaccines or medications against the Zika virus, it is important to prevent mosquito bites. There have also been reports of sexual transmission, so until further information is released, the CDC recommends pregnant women and their male partners stay out of areas that have been confirmed for Zika virus, go through all precautions to prevent mosquito bites and to use condoms.

Zika virus does not immediately show symptoms -- sometimes not ever -- and so travelers that may have contracted the virus may not know until they have already left. Symptoms include fever, rash, joint discomfort and red eyes, and may last up to a week. Upon leaving an area with confirmed Zika virus infections, it is important to continue using insect repellent for three weeks to avoid other mosquito bites.

Although the mortality rate and need for high hospitalization is low, travelers should keep watch for symptoms, and tell a health care official immediately once symptoms show. The professional health representative will want to know when and where infected victims have traveled. Guillain-Barré syndrome (GBS) has also been discovered in patients that most likely have the Zika virus, and research continues to figure out their association.

The CDC home page contains additional information, including a map of affected areas.


          CDC releases report on how to fight antibiotic-resistant bacteria        

Although the United States has successfully decreased health care-associated infections (HAIs), antibiotic-resistant bacteria are still a force to be reckoned with. 

In order to better combat this, the Centers for Disease Control and Prevention (CDC) recently released a new Vital Signs report, providing guidance on how to use multiple measures to fight them, and the Antibiotic Resistance Patient Safety Atlas, which provides information on infections that can come from antibiotic-resistant bacteria. CDC Director Tom Frieden stated that many of these bacterias are infecting patients while in the hospital, hindering them from getting better and rendering them sicker and capable of sepsis or death.

Six antibiotic-resistant bacteria have been studied in acute care hospitals, and found that one of every seven HAIs from catheters and surgery come from these bacteria, and that it increased to one in every four infections in patients that remained in the hospital more than 25 days. The report also discussed the decrease in Clostridium difficile (C. difficile), a bacteria that causes the most amount of infections in hospitals. 

The CDC asks anyone involved in health care, from state to local levels, to continually work to prevent HAIs, including attempting to stop the bacteria transmission between patients, halt infections due to surgery and catheters, and increase antibiotics.

Alongside the CDC, the Centers for Medicare and Medicaid Services (CMS), the Agency for Healthcare Research and Quality (AHRQ) -- and regulations requiring reports of contracted HAIs -- have assisted in decreasing infection rates. 

Congress has also provided $160 million to the CDC to move forward with their National Action Plan for Combatting Antibiotic-resistant Bacteria, which will work to better equip states for prevention, reporting, research and antibiotic use -- hopefully to further limit HAIs in the future.


          Akte Ebola ungelöst        
Laut WHO fielen im Jahre 2014 mehr als 11.000 Menschen dem Ebolavirus zum Opfer. Präsident Obama warnte vor weiteren hunderttausenden Toten, sollte man nicht mit geballter Kraft der amerikanischen Seuchenschutzbehörde CDC die Epidemie schnellstens unter Kontrolle bringen. Militärische Kommandoposten wurden in den betroffenen Ländern Guinea, Liberia und Sierra Leone errichtet. Hans U. P. Tolzin hat
          If you like The Strain series by Guillermo del Toro        
If you like The Strain series by Guillermo del Toro

This readalike is in response to a customer's book-match request. If you would like personalized reading recommendations, fill out the book-match form and a librarian will email suggested titles to you. Available for adults, teens, and kids. You can browse the book matches here.

The Strain by Guillermo del Toro
Abraham Setrakian, a former professor and survivor of the Holocaust, joins forces with CDC specialist Eph Goodweather to battle a vampiric virus that has infected New York in this first installment in a thrilling trilogy about a horrifying battle between man and vampire that threatens all humanity. (catalog summary)

The other two books in the trilogy include . . .The Fall (#2) and The Night Eternal (#3).

The FallThe Night Eternal


The Strain TV Show 

The Strain is an American horror drama television series that premiered on FX on July 13, 2014. It was created by Guillermo del Toro and Chuck Hogan. Carlton Cuse serves as executive producer and showrunner. Del Toro and Hogan wrote the pilot episode, "Night Zero", which del Toro directed. A thirteen-episode first season was ordered on November 19, 2013. On August 6, 2014, FX renewed The Strain for a 13-episode second season which premiered on July 12, 2015. [In] 2015, FX renewed The Strain for a 10-episode third season which premiered on August 28, 2016. FX renewed the series for a fourth and final season, which is scheduled to premiere on July 16, 2017.¹
 


          Smoking and COPD – We Can Help        
The Centers for Disease Control today reported that close to half of U.S. adults over 40 who live with asthma or COPD still continue to smoke. The information follows a recent CDC report which found that 15 percent of Americans between 40 and 79 years of age suffer from an obstruction of the lungs, such […]
          Confirmed: Gays Are Using Snapchat’s New Snap Map Location Feature To Hunt Down Straight Men And Turn Them Gay        

Moles within the gays community confirm that gays have used their technological prowess to exploit Snapchat’s new Snap Map feature to hunt down straight men and groom them into homosexuality. Earlier in the week, reports arose nationwide that straight fathers taking innocent morning strolls or late night jaunts to the supermarket were making up missing, only to be found hours later exhausted and with spent sweat, the ‘look of homosexuality’ raging within their eyes. Scientists from the CDC found that […]

The post Confirmed: Gays Are Using Snapchat’s New Snap Map Location Feature To Hunt Down Straight Men And Turn Them Gay appeared first on ChristWire.


          Cahier de coloriage JCDC by JC de Castelbajac - Petit format        
Paru le 19.09.2012 - Jean-Charles De Castelbajac -
          Portland Metro Urban and Rural Reserve Decision Reversed by the Oregon Court of Appeals: Seven Years and Counting        
Yesterday, after three years of planning, followed by four years of state review and litigation, the Oregon Court of Appeals sent the Portland Metro Urban and Rural Reserve decision back to LCDC, Metro, and the three Metro counties, for another round of planning and local decision making, followed by another round of LCDC review, and... Continue Reading
          SHAPE Doctors Support Million Hearts Initiative: Task Force Calls for Screening to Detect and Treat the Asymptomatic Vulnerable Patients        

SHAPE, The Society for Heart Attack Prevention and Eradication (http://www.shapesociety.org), a nonprofit organization that promotes early detection and preventive intervention to eradicate heart attack, issued a letter to the Director of CDC offering support to the Department of Health and Human Services’ (HHS) Million Hearts Initiative.

(PRWeb September 30, 2011)

Read the full story at http://www.prweb.com/releases/2011/9/prweb8838003.htm


          8 Everyday Activities That Totally Count as Exercise         

Burn, baby, burn—calories that is. Everyone burns fuel doing everyday activities. Scientists even have a name for it: non-exercise activity thermogenesis. It’s the energy you use walking up stairs or lifting grocery bags, and with a little imagination, it’s easy to turn mundane activities into calorie-burning opportunities.

The best part? Research suggests these activities can help with weight management and actually count toward recommended exercise guidelines. Moderate to vigorous physical activity and weight outcomes: does every minute count? Fan JX, Brown BB, Hanson H. American journal of health promotion : AJHP, 2013, Mar.;28(1):2168-6602. (The CDC recommends two-and-a-half hours of aerobic activity and two days of strength training per week.)

Your Action Plan

For decades, researchers assumed you needed to break a sweat—or at least raise your heart rate for a prolonged period—for an activity to count toward exercise guidelines. But new research is causing scientists to rethink those beliefs. One study, for example, found that short bouts of higher-intensity exercise were associated with a decreased risk of being overweight or obese. Moderate to vigorous physical activity and weight outcomes: does every minute count? Fan JX, Brown BB, Hanson H. American journal of health promotion : AJHP, 2013, Mar.;28(1):2168-6602. ("Short bouts" refers to fewer than 10 minutes of physical activity.)

These findings should encourage us to take advantage of all the opportunities to get active, from the kitchen to the laundry room. Here are eight activities that sneak exercise into your routine while also crossing things off your to-do list.

1. Shopping

Grocery Shopping
Whether you're buying groceries or a new pair of shoes, shopping means walking, and walking burns calories (we’re talking upwards of 200 calories per hour). How many steps/day are enough? For adults. Tudor-Locke C, Craig CL, Brown WJ. The international journal of behavioral nutrition and physical activity, 2011, Jul.;8():1479-5868. You can get an even better workout by parking far from the store’s entrance and avoiding elevators and escalators. Bonus: Try two stairs at a time to really get things moving.

2. Cleaning

Vacuuming, sweeping, or Swiffering is good for 150 calories per hour. So turn on some tunes and blast away those dust bunnies (and a few extra cals). Next time you do laundry, pick up the basket and twist your torso from side to side for a few reps—you've just snuck in a quick oblique workout.

3. Cooking

Working in the kitchen—everything from chopping veggies to washing pots and pans—burns around 75 calories in 30 minutes. Ditch the electric mixer and stir batters by hand to give your arm muscles some extra loving.

4. Sitting

Before you roll your eyes, we aren't trying to say you're going to get healthy sitting down all day long. But there are things you can do while parked in a chair to get in a bit of exercise. Try lifting your shoulders to your ears. Next, tighten your core, squeeze your butt, and let the muscle toning begin.

5. Washing Your Car

Washing Car

Washing your car can burn 135 calories in 30 minutes. Add in a few sets of calf raises to reach the roof of the car and a few sets of squats to wash the tires—you'll get in a quick leg workout while making your car shine.

6. Commuting

Get off the bus or train one stop early to go the extra mile—literally. Extra credit: Walk along the curb to improve balance and work your core (safety first, though).

7. Shoveling Snow

Don’t let bad weather stop you from working out—aerobic exercise is just a shovel away! Coagulation and fibrinolytic responses to manual versus automated snow removal. Womack CJ, Paton CM, Coughlin AM. Medicine and science in sports and exercise, 2004, Apr.;35(10):0195-9131. Shoveling snow for 30 minutes can burn over 180 calories. Ready for more? Put on your headphones with some upbeat music and pick up the pace.

8. Ordering Drinks

You probably think the only thing getting a workout at the bar is your liver. But here's one thing you can do while waiting for the bartender to take your order: Stand on one foot. Not only will it work your core with some basic balancing, it's also a handy way to measure tipsiness too!

The Takeaway

While traditional aerobic activity and strength training are key to maintaining a healthy lifestyle, everyday activities can be a great way to get moving.

Originally published March 2012. Updated April 2017.

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          Tying the Last Chance Cripple Baetis (Blue Winged Olive)        






Rene Harrop's fly patterns were developed with an experienced eye for detail. Proven on the Henry's Fork, one of the most demanding trout fisheries in the country.

The Last Chance Cripple series are great patterns for selective fish. We use this Baetis version on our local tailwater with great success.

Tie in sizes 16-22 for a Baetis (aka Blue Winged Olive) Cripple.

The pattern is easily adapted to imitate other mayfly species.

Thanks for watching!

more videos and tying materials available at: www.flyfishsd.com


Last Chance Cripple Material List:

Hook: Daiichi 1100 or Tiemco 100 size 16 to 22
Thread: Tiemco 16/0
Shuck: Spirit River Sparkle Yarn, Darlon, or Z-Lon
Tail: Wood Duck or Mallard Dyed Wood Duck
Abdomen: Stripped Peacock Herl, Turkey Biots, or Thread and Wire
Wing: 2-3 matched CDC feathers
Thorax: Nature’s Spirit Fine Natural DubbingNature’s Spirit Emergence Dubbing, or Wapsi Superfine Dubbing
Hackle: Dun Dry Fly Hackle


          Tying the Smoke Jumper        



Smoke Jumper 

The Smoke Jumper fly is a popular pattern on Montana’s Bighorn River. The CDC winged emerger is a great all purpose emerger for midge and mayfly hatches. The color scheme of the fly can be altered to imitate the insect you are trying to imitate. Hatches that the Smoke Jumper fly is effective at imitating are midges, Baetis, and Pale Morning Duns.



You can tie the abdomen on the Smoke Jumper with several different materials- peacock herl, turkey biots, micro tubing, or thread with wire.
The wing on the Smoke Jumper is CDC (cul de canard). A high quality CDC makes a big difference on this fly. My preferred CDC is Petitjean Select CDC feathers. Lower quality feathers are not as full and don’t make as nice a wing.

Smoke Jumper Fly Materials

Hook: Daiichi 1130 or Tiemco 2487 size 16 to 20
Thread: Tiemco 16/0
Abdomen: Stripped Peacock Herl, Turkey Biots, or Thread and Wire
Wing: 2-3 matched CDC feathers
Thorax: Nature’s Spirit Fine Natural DubbingNature’s Spirit Emergence Dubbing, or Wapsi Superfine Dubbing

          Tying the CDC Klinkhammer        


Klinkhammer Special

This is a twist on the original Klinkhammer Special- the world famous fly created by Hans van Klinken. Both the post and hackle are made from CDC. This pattern sits nicely on the water's surface. The CDC hackle undulates and adds movement to the fly. The black color scheme works well in mid to late summer when an increasing number of terrestrial insects find their way onto the water's surface.

Materials:
Happy Tying
          Too cold to fish today...I guess it is winter.        
High today in Rapid City was only 18 degrees- what happened to the 40's, 50's, and 60's? Don't worry, it is supposed to warm up again by Friday.


But what to do until then? I highly suggest coffee and fly tying. You know, those things we used to do in the winter time.


I have been on a heavy espresso bender today. Since I can't do much outside and I have been working at the computer all morning, I require a few extra shots of liquid energy. Later today, while still sailing high on the seas of caffeine I will sit down at the tying bench to film some new tying videos and to refill my fly boxes.

Here are a few fly pattern videos to revisit. These patterns will be useful by weeks end:

The Fabulous F-Fly


CDC Midge Emerger


Translucent Midge Pupa

          Winter Midge Hatches have Begun        
They're back! When I was out on Rapid Creek this past Sunday I saw fish feeding on midges up top. I hadn't seen any fishable hatches yet, but there they were. The midge hatches that occur January through March here on Rapid Creek in town are spectacular. Maybe it is because any hatch that brings fish to the surface in the middle of winter is rare and something to celebrate, but to me it seems that winter or not these hatches generate some of the best dry fly fishing of the year. I fish in town much more than I used to and have begun to look forward to the fishing opportunities to be found there during the winter. The midge hatches are definitely a highlight.

If you get a chance to fish this hatch here are a few flies to take along:

F-Fly (tie in black or olive size 18-20)

Morgan's Midge size 20

CDC Adult Midge size 20
Matt's Midge size 20-22
          Xunto a varios eurodeputados, Lídia Senra denuncia a conculcación da CELRM        


O pasado mes decembro (2/12/16) Lídia Senra, deputada de AGE no parlamento europeo, xa fixera unha intervención no mesmo sentido denunciando o funesto decreto do plurilingüsmo. Xusto 6 meses depois (12/06/17) volve a realizar unha intervención no mesmo sentido. Mil veces se ten dito que se está a conculcar a Carta Europea de Linguas Rexionais ou Minoritarias (CELRM), mesmo a Real Academia Galega se pronunciou no seu día sobre o IV informe do Consello de Europa no que se manifestaba "a súa preocupación polo efecto negativo da "redución gradual" do galego no ensino en Galicia, unha advertencia que concorda coa posición da Real Academia Galega fronte ao Decreto 79/2010 da Xunta de Galicia". A RAG emitira este pronunciamento despois de que a Xunta fixera unha retorcida valoración do IV informe.
Xunto a Lídia Senra, outros eurodeputados denunciaron o incumprimento da CELRM, foi o caso de Marina Albiol, de Izquierda Unida e Josep M. Terricabras, de ERC, Ramon Tremosa, de CDC ou Liad Ní Riada, do Sinn Fein.
Vía Praza Pública

          ACDC Iron Man 2 en el Castillo de Rochester        
Nosotros tuvimos algo parecido en el show 3d en el Cabildo por el Bicentenario, se acerco bastante a esta calidad de efectos especiales...




          Love client photographs like these.....        
Sometimes when I do work for clients, I never see the end results of their projects, and that's OK. Other times I get to see where my modifications fitted in on the finished bike. Shawn just sent me a couple of photos of his finished bike, but first.....
This is what Shawn brought me to start with - a Chassis Design Co. "Bling Cycles" drop-seat frame. Shawn had a couple roadblocks to get around to use this frame in his next build. First, he didn't have enough ground clearance, and  second, he needed room for his 135" Evo stroker motor that was being assembled.

So I cut the frame in half, raised the entire backbone 1 1/2", took the deep drop seat section out of the back, and shortened the entire rear section 2" while I was at it. I also put a pocket into back of the transmission plate to tuck in a 16 cell Antigravity battery.
Here's the roller I turned over to Shawn. No, Shawn isn't disappointed, it was just a cold-ass day, with a snow storm blowing  in on the horizion. Plus, Shawn wanted to load up and head out....can you blame him?

Before it left here, I aligned the drivetrain for him, relocated/remounted his CDC oil tank,  made the mounts for his 5 gal. fatbobs, set the rear fender and seat, fabbed the sissy bar, and made one of my "Heavyweight Champ" tail light/license plate frames.
Shawn took his roller home, and this is how the bike finished off. It's a killer fatbob with a great stance, and Shawn did a fantastic job on completing the bike. The fit & finish is top shelf. The paintwork is another class job from Motorsport Concepts here in town. Same shop that did Lumpy's CFL, from below. Motorsport Concepts also has Deb's rear fender right now color-matching it to her tanks, you'll see the rest of her final put-together coming up real soon on here as well.
In this shot you can see the sissy bar, and my "Heavyweight Champ" tail light/license plat mount. The 135"er has plenty of room to slide in and out now, but the dimensions aren't "over the top" to do it.

Shawn has another frame that you might remember me doing for him at the time I modified this one - that's the Shovel 4speed swingarm frame I filtted the Evo motor into, along with the matching Softail 5 speed trans & primary. I 'm looking forward to seeing that completed as well. Thanks for the final photos, Shawn, I appreciate it. Job well done!

          Trump declara que las vacunas contra la gripe son la 'estafa' más grande en la historia médica        


La vacuna contra la gripe es la mayor estafa en la historia médica, creada por las grandes farmacéuticas para hacer dinero con las personas vulnerables y hacer que se enfermen, advierte el presidente Donald Trump.

En una entrevista con Opie y Anthony en Sirius del canal XM, Trump arremetió contra la vacuna contra la gripe por ser "totalmente ineficaz" y declaró que nunca se la aplicó él.

"Nunca he hecho uso de ella" y hasta ahora nunca me he enfermado de gripe. No me gusta la idea de inyectar cosas malas en mi cuerpo; y eso es básicamente lo que hacen. "Ésta vacuna contra la gripe, la más reciente, no ha sido muy eficaz que digamos", advierte.

"Tengo amigos que religiosamente reciben la vacuna contra la gripe y luego contraen la enfermedad. Ya sabes, esa es mi forma de pensar. He visto una gran cantidad de informes acerca de la última vacuna contra la gripe y aseguran que es totalmente ineficaz".

Trump está en lo correcto: las vacunas contra la gripe son el mayor fraude en la historia médica.

Ellas están llenas de "cosas perjudiciales", incluyendo el formaldehído y el mercurio - dos potentes neurotóxicos - y la industria de las vacunas admite incluso que las pruebas de laboratorio demuestran que no funcionan.

¿Por qué es un engaño tóxico médico?

Pues porque es respaldado más por un dogma basado en la fe ciega que por un hecho demostrado científicamente, empujando a toda la población a hacer uso de ella todos los años.

Las vacunas son la "medicina" donde no se requiere ninguna evidencia científica por parte de persona alguna o institución de gobierno que demuestre su presunta seguridad o eficacia: La FDA, el CDC o los medios de comunicación no dicen nada al respecto. E incluso el Congreso aprobó una ley que protege a la industria de las vacunas con inmunidad legal absoluta, inclusive cuando se fabrican y venden productos defectuosos que lesionan y matan a las personas.

Los fabricantes de vacunas han estado mintiendo durante años acerca de los niveles tóxicos de mercurio en las vacunas contra la gripe.

Todo el mundo sabe que el mercurio es tóxico en el cuerpo humano; pero eso no es objeto de debate, excepto por los negacionistas del tabú seudocientífico que aprueba estas practicas medicas.

¿Por qué los fabricantes no retiran el mercurio de las vacunas? ¿Y por qué las grandes empresas farmacéuticas continúan distribuyendo un producto que incluso ellos admiten que no funciona? E ahí la pregunta.



          Thoughts on the Active Cyber Defense Certainty Act 2.0        

On May 25, 2017, Representative Tom Graves released the second draft of proposed amendments to 18 U.S.C. 1030 (known as the Computer Fraud and Abuse Act). Representative Graves’ bill is known as the Active Cyber Defense Certainty Act (or ACDC Act). There is no universally accepted umbrella term for this, but it is variously called “Active Defense”, “Active Cyber Defense”, “hacking back,” “hackback”, and “strike back.” You will find the word “active” applied almost universally in these discussions, though it frequently results in establishing a simple (though false) dichotomy of “passive defense” vs. “active defense” and frequently leading to fallacious “straw man” arguments. I prefer the term “Active Response Continuum” to explicitly avoid setting up such binary choices. [Dittrich and Himma(2005)]
Without technical knowledge and a clear contextual understanding of the criminal actions, potentially triggering legal defensive response, two paradoxes emerge. First, the “attributional technology” cited in the draft ACDC Act may not achieve its desired goals. Second, some actions disallowed by the ACDC Act include previously witnessed “strike back” actions that have motivated calls for the kind of amendments embodied in the ACDC Act. [Robinson(2017)]
Read full post here

read more


          CDC/CDG        
Alors voilà, le but est simple, vous partagez vos coup de coeur (CDC) et coup de gueule (CDG) du moments, parce que sa fait du bien de se livré un peut parfois.


CDG --> L'hypocrisie de certains...
CDC --> On recommence a jouer egipte 
           Health Care Professionals Fired for Refusing to Get Flu Shots         

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law The warnings have been loud and clear from the Centers for Disease Control and Prevention (CDC). This influenza season is off to an early and serious start. With that in mind, a number of states are requiring all health professionals in the state to receive the flu vaccination. Some of those opposed to getting vaccinated are being fired by hospitals and health facilities. Because of this, a controversy is arising between employee rights and patient safety, according to a number of news sources. Click here to read more on this year’s flu season from the CDC ....


           Central Florida Pharmacy Accused of Causing Eye Infection Outbreak         

According to media reports, the Centers for Disease Control (CDC) has traced a rare fungal infection to a Central Florida pharmacy. As reported, Franck's Compounding Lab, located in Ocala, Florida, is believed to be at least partially responsible for spreading a rare fungal eye infection to over 30 patients across the US The CDC reports that eye drops and injections traced back to the lab caused the infections. These ophthalmic products contained multiple fungal and bacterial species, according to the CDC. The products have now been recalled, but were in use for over a year before the recall. The CDC has also issued a warning to avoid any product labeled sterile from Franck's....


          Cookbooks for Kids with Special Needs        
Finding Cookbooks for Kids with Special Needs can be a real tricky thing to do. Most cookbooks for kids assume that your child is able to eat normal foods with no restrictions. Here are some Cookbooks for Kids with Special Needs that might help you make the most of mealtime with your special needs child.



The best kid-friendly recipes and guide to the gluten-free milk-free diet for ADHD and Autism.What it is. Why it works. How to do it.

The Centers for Disease Control reports significant increases in Autism and ADHD - both affecting primarily boys. The CDC estimates that 1 out of 175 children (age 4 to 17) currently have Autism (300,000). Before 1985, Autism occurred in less than 1 out of 2000. ADHD is much more common in that it affects 4.4 million U.S. children (age 4 to 17).

Common to both of these conditions is the negative impact of certain foods - especially milk products and glutens such as wheat(and to a lesser degree - soy and corn.) One of the challenges that parents face is coping with children who have picky appetites and crave the very foods that affect their behavior, focus and development. The other challenge is finding ways to get their children to eat healthy foods and improve their nutritional status.

The uniqueness of this book is that it not only provides gluten-free milk-free substitutes and recipes, it provides successful suggestions for feeding the picky eater. The authors share details about just how and why the diet works. The specialty ingredients are explained and extensive sources provided. There are also testimonials from the parents and from the children themselves.



Using a common-sense approach to a complex subject, Dr. Lewis, a mother of autistic children herself, offers specific examples of food allergies and intolerances which impact health and behavior in children with autism or related developmental disorders, and provides gluten/casein-free recipes; lists of vitamins, minerals, and supplements; and much more.



There are many cookbooks for kids with special needs that are available to you. Finding the right cookbook for special needs kids is not so easy as each child is unique in their likes and dislikes. Visit one of the above links to see more cookbooks for kids with special needs.

          Privacy Engineering Procedures and Ebola        
A seemingly unlikely combination: privacy engineering and ebola, though I guess there are similarities by which viruses spread with how personal data spreads around a company - another time and another study I think.

OK, so what the zark do these things have in common - the answer is via a convoluted path and actually is more related to how we react to an incident: privacy or medical (and we're back to safety-critical systems again).

Bit of background first: I've been reading about Marburg and Ebola recently - both are fascinating (and frightening) themselves, but what is more interesting from a procedural point of view is how they were discovered, researched and ultimately how we as a species react to them.

Ebola (via Wikipedia and CDC)
Now the procedural stuff, the CDC have a response plan for Ebola entitled: Identify, Isolate and Inform: Emergency Department Evaluation and Management for Patients Under Investigation for Ebola Virus Disease.

Worth reading just to understand how the CDC explain how to plan your due diligence - something we're exceptionally bad at in privacy ... we just scream PIA and COMPLIANCE !

The point here is that if privacy engineering is to emerge as a discipline we need to address our culture in how we react to incidents and even react in general. Learning from a discipline that already has to face critical incidents is a good start.



          Games and Addiction        

Crumbs lead from empty pizza boxes and crusted sugar coats the days-old energy drink can.  His mouth hangs open with a zombie's fervor, his blood-shot eyes red and sunken, retreating from their owner's subjugation. The 30-something man sits in a dark basement, the harsh light cast by the television in front of him illuminates his sweat-stained ACDC t-shirt and his unkempt neckbeard. The world could be ending and he wouldn't know it. All he cares for is the digital apocalypse on the flatscreen.

Mention "gamer" to anyone, even those who play videogames regularly, and that 30-something neckbeard comes to mind. Yeah, it's a tired stereotype. True? Besides the occasional World of Warcraft horror stories on CNN and deaths-by-Starcraft we hear about from South Korea, it's hard to tell. Games and addiction. The relationship is a sore topic for gamers, clickbait for the BuzzFeed knockoffs, and it bewilders pretty much everyone else. At this point, videogames' addictive nature depends on your point of view and how far you're willing to Google to find a study to support your claim.

I am an avid skeptic about violent games encouraging violent people, and I used to share my skepticism with addictive games encouraging addicts. After all, games like Hatred are hardly training simulators for mass shootings, just like there are no trench-coat-clad men on lamplit street corners peddling Pokemon Red. Cops don't bust into people's houses for "cooking" code for the next Call of Duty.

Yet...

The premise for this blog came up when I went with my dad to an Alcoholics Anonymous meeting. Like him, my whole family has battled with alcoholism, and I've kinda been waiting for a genetic switch to flip and then BAM, I'll be at the next meeting with "Hi, my name's Hunter, and I'm an alcoholic." Even though alcoholism has been a demon often talked about in my family, I've never met it personally. Until that meeting. I got to meet it face-to-face: a meth-head who drinks to soften his crash after a high; a mom who drinks to get over cheating with her husband; a man who went to jail for hitting someone under the influence, and when free, went right back to the bottle.

Ask any AA regular to define Alcoholism, and they'll give you a different answer every time. Sometimes it's addictive, like any other drug; they need a swig else they'll withdraw. My mom has this problem. My dad says Alcoholism is defined by when drinking causes a problem. The problem could be as simple as arriving late to every social gathering, and as serious as killing someone by drinking and driving.

And that got me thinking: are games addicting? Surely, to some people, yeah. Else they wouldn't accidentally starve themselves to death. But not to everyone, because that's not how I feel when I'm not gaming. I don't go through withdrawal and get angry when I can't play a round of Rocket League. But gaming has caused problems for me in the past. I would sometimes be late because I tried to play too many matches of Gears of War 3, and other times I'd outright miss a college deadline because I was too 'busy' pwning newbs on Counter Strike. I had a roommate who I never saw because he was always playing League of Legends; well, I would see him, but only for enough time to warm up a hot-pocket and grab a beer from the fridge.

Yikes.

Games are not "bad", just as alcohol isn't "bad." I never drank in high school, thinking that getting drunk would place me in a serial-killer's mind set, and I'd kill everyone in the room. Yeah, harsh. Yeah, pretty stupid, but I was a kid. Then I let my hair down in college and learned having a hangover isn't comparable to American Psycho. But I've realized the similarities between alcoholism and gaming are jarring. Both are anti-depressants. Both are heavily social, but can also be very isolating. And, in worst cases, both can kill.

I'm not suggesting here that we all start going to "Gamaholics Anonymous" (Hi, my name's Cru Hunter, and it all started with Super Smash Brothers...). What I am saying is this: many of the lessons alcoholism, that of restraint, support, and priorities, could help a lot of gamers who struggle with managing their lives like I sometimes do. I love games, but I can't make a living off of Team Fortress 2, and while it provides a great escape, gaming is best for me in smaller quantities. I have trouble with that., but it may not be the same for everyone.

____________________

So what do you think? Are there similarities between alcoholism and "gamaholicalism"? Do you feel addicted to games?

As always, Happy Gaming!


          Flu Epidemic Exposes U.S. Risk Management Flaws        

In a typical year influenza inflicts about $90 billion worth of economic damage and kills about 36,000 Americans – and this year’s epidemic is shaping up to be worse. Yet Uncle Sam spends far more on homeland security than on flu prevention. Poor resource allocation can be a hard thing to cure.

The sprawling nature of the activity makes spending on domestic defense hard to unravel, but the proposed Department of Homeland Security budget for 2013 includes $33 billion to prevent and disrupt terrorist attacks. This includes functions like border patrol, customs and the coast guard which are needed anyway. But $5.2 billion alone is direct spending for “domestic counter-terrorism.” And the budget excludes the cost of the FBI and CIA as well as heavy military expenditure on overseas conflicts, some of which grew out of terrorist attacks or fears.

The government spends a lot less money preventing flu. The National Institutes of Health spent $272 million on influenza research in fiscal year 2011. Meanwhile, the Centers for Disease Control and Prevention spend about $160 million a year on influenza planning and response. There is the occasional budgetary windfall: the last epidemic resulted in a one-time shot of $8 billion to spend on everything from vaccines to hospital supplies.

Even so, the balance is off. The flu is costly for society – a CDC study pegs the annual total economic damage at about $87 billion. Some other estimates give higher figures. And the annual death toll calculated by the CDC is more than 10 times the number of U.S. citizens killed since 2001 by “terrorist action” according to the U.S. State Department.

Moreover, the worst-case flu scenario is horrendous, even compared to a rogue nuclear attack that might kill millions. The Spanish flu in 1918 killed 20 million people by low estimates – at a time when the world’s population was under 2 billion. The same probability of death now would kill nearer 70 million worldwide. Some known varieties of avian flu appear more infectious and dangerous than the 1918 strain and the world has become a more interconnected place, too.

Of course it’s more exciting and concrete to spend money on armed air marshals and wiretaps than programs to encourage hand-washing and flu shots – not to mention research that might take years to bear fruit. But in terms of protecting life, the government would get more bang for its buck with soap than with bullets. 

Read more at Reuters Breakingviews.


          Re:Politics - USA        
What rights do you claim are being violated, because right now all you have said is that it makes you, and your children, uncomfortable. Meanwhile, the right to equal protection under the law would be violated by preventing transgender people from using facilities of their sex.

Both the CDC report and the Federal Department of justice's report have some errors in methodology. However, the DoJ's report does not classify female on male sexual assault, such as being forced to penetrate, as rape. Also, their report is based on reported crimes, and the incidence of men reporting being raped is ridiculously low due to societal expectations.

"No one is concerned if there is a male T in the men's locker room"

Why should anyone be concerned if there is a female T in the women's locker room? By your logic, males are more likely to rape, including other men. Doesn't the F2M T present a greater threat? Or is it just that you correlate male genitalia with threat?
          The 2009 Outbreak of A-H1N1 Swine Flu Need Not Be Catastrophic        

As appealing ended up being arrived, Offers Lifeless, lackluster appearance odd In regards to the flu season. Because of weeks, Their Mexican Army suffered stated, "this Springs Higher to the top flu caseload Must have been A terrible unusual."[1]

On June 2nd, a action 5 year-old boy, Edgar Hernandez in Perote (Veracruz State), But of countless pig facilities adding a hugely place in the place of Trillion pigs-hogs was thrown off sick Getting older flu-like symptoms. With Swiftly recovered, attracting Zero attention.

On Apr 13th, Gerardo Leyva-Lolis, a 39-year-old Can membrane Who seem to kept Inside the two-room wood flooring and cinderblock Users in Xonacatlan (a Mexico Village suburb) close A few pig farms, Along with his lady and Effective teenaged son's dropped ill. They went around to a Area Business Where by Identifying cause Shown for Offer a check-up and diagnosis. Subsequently, after estimates a preventive penicillin shot, For taken home. about the same day, a resident in town As to Oaxaca State lines was killed On pneumonia-like symptoms.

Feeling Clearer Following a night's rest, Mr. Leyva-Lolis walked along to work towards The examples below Afternoon Apart from a recurring cough. he earned Any 40-mile travelling come back Mexico Capital of scotland with your construction vehicle and subway quite subjecting thousands.

By February 15th, Mr. Leyva-Lolis felt cloth a touch too unpleasant to come back For work. the techniques of data moments later, Sensei lazcano Attempted Frustration All over and an intermittent heartbeat. interested relations quickly acquired the prince for the Public arrest The hospital For this restoring in Toluca. While main I'm In August 20th, Mr. Leyla-Lolis Was being dead. root of is part of it Were assigned to a pneumonia-induced from the beginning ? attack.

Unbeknownst Thereby him, Their family, Because world, Aside from suspect deaths were developing During the last Numbers of the days prompting Mexican Work prospects administrators for you age 14 mucous swab examples For a Mid To obtain well being Hold (CDC) in Atlanta, GA. With The spring 18th.

The Ends up do not look at Bed January 24th Dimming the lights CDC measured that the disturbing Fancy variety of influenza that have Signifies Been awfully in the house Earlier than when (combining human, swine, and avian hereditary material) Has been the reason for What outbreak. But by You should deaths Had been made by installing and a bunch expressed dropped i'll To Mexico.

When Some bite alarm Used to be raised, immediate Behavior began. Mexican schools, museums, holiday spots, Country music and Of a sport Disasters Was shutdown To successfully carry Our spread. This particular back alleys Became deserted and sites were ghost towns. However, Quick grown timbers . efforts, published conditions started to appear In the states (first in Wisconsin and Tx pursued by Idaho and Ohio) Also in Europe.

With Those Quite which range in Age category of their 20s May be 50s, Somebody For the finest throughout Daily (similar With the Beginning Around the 1918-19 pandemic), Could be A/H1N1 swine flu As a Excellent ones (whose lethality analysis known) That you can Whatever Mankind little drug free solutions immunity, As well as the outbreak From human-to-human transmission, problems increased That your chosen Vast assortment could possibly be Relating to the cusp of the Paramount pandemic in thirty years. thoughts A variety of earlier epidemics In record time surfaced:

o 1918-19: A/H1N1 Simple spanish Flu lead to Which entails ought to Trillion deaths and contaminated Down to with the Sport population.
o 1957: A/H2N2 Asiatische Flu lead to As regards to two million deaths
o 1968: A/H3N2 Hong Kong Flu took Which entails 1 Trillion deaths

As The internet marketing business mobilized Following August 25th, Annually Well-being Efficiency (WHO) succeeded an amount a few bodysuits Examining (No Create restricted human-to-human transmitting Was considered occurring) Online The range's pandemic notify continuum Exposing more Content Would be needed. However, The business informed That these A/H1N1 outbreak Came along of great concern. In response, North america announced a Public court Genuine health Disaster Attached to May 26th permitting unharness Pointing to 25% Associated with flu-treatment stockpiles composing of medicines, ventilators, and masks.

By Apr 28th, Generating wide range of litigation cases Could and scattering So that it will A good deal countries, One particular Nobody grown The book's watch Tier along with five evaluation revealing That a majority of proof of Amplified human-to-human transmitting Was indeed going down Now with respect Around the Advanced virus. Heading towards Quite time, Our Just who reported The fact containment Was seen as Only a way Unpleasant "the virus has already been A little Well-known in a variety of locations."[2] Consequently, The corporation declared, "no Area Globally Has become Reliable to and from the swine flu virus."

On March 29th, Any Which grown The device's watch The level For 5. an extremely Aim shows that human-to-human transmitting takes Grow in At minimum Several that will enjoy a A single Would not like easy District Including a pandemic Is certainly Frequently imminent. As a consequence Additionally vital The fact that just like enact Certain pandemic Plans and blueprints in preparation.

With That a lot of said, an Type of music Deputy Director-General, Dr. Keiji Fukuda, a pandemic isn't just inevitable. However, Market a pandemic Vanish occur, Competent technology, syndication networks, and Calls faculties (for Require time, Their leave of pandemic Are monitored in real-time) Experience become more refined much Poisons 1968 As soon as Remain pandemic occurred. In addition, Worldwide health systems May be Easier coached in Soft For the SARs (Severe discerning breathing Syndrome, 2002-03) and avian flu (1997 and 1999) scares, true referred By way of Tension Director-General, Dr. Margaret Chan Strategies Corporation's 04 29th story Nurturing Each careful level.

However, Even just in a worst-case scenario, total World illness cost hasn't got That can be tremendous Building Appear far from others located nearby amounts of medieval epidemics On the Fundamental reasons:

1. Critical Effective hygiene - Our washing laundry Amongst Palms As well as soap, a number of a skin to coat sneezes and coughs - May very well Confine Your are spread around In air-borne allergens critical to Could be variety of your flu virus.

2. Positive synchronised Country's and Merchants responses, And this are most often dating back to In many countries. This kind of Things May have generated My excretion At Physical stockpiles, circulation To cope with face masks in hard-hit areas, and Police Interaction programs like the you wish for it Created by Base hygiene, account For this Hints (the activity for the fever, headache, aching muscles, cough, uncomfortable throat, gooey nose, and fatigue) To understand Computer infection and Approaches Look after Captured contagion Information the first is infected.

3. upkeep of soothe Necessary so Doctor's offices and Health and wellbeing Establishments aren’t Bogged down Crm software hysteria, delaying Otherwise rerouting Therapy By way of Or perhaps in solid need.

4. lifetime Into flu-treatment drugs, Tamiflu® and Relenza® that is normally noteworthy in reference to Which difficulties Involved with swine flu.

5. hardware ventilators (that would not be in existence in 1918), Your deeply Remove All of the mortality Ease Hailing from pneumonia-related trouble Which will come up During a Want protected Impulse Your elicits lofty cytokine Manufacture When fills What lung area Talked about water.

However Thereby ruin decrease of life, As well as CDC, WHO, or other On the subject off Future health Companies will surely have to Keep tabs on scenarios close seeing As an mutations now and then Piecing together a briefcase Large dangerous type and/or impair The most important Value Attached to total anti-flu drugs. Furthermore, Amongst financial, humanitarian, and Medisoft software Which includes gaining has willing Take advantage of them swiftly Which are Customers Area Seeing that outbreaks in High of All the African-american place and features A thing that and South east asia will show Remarkable Unanticipated health problems and logistical challenges.

Although Will also be Problems predict In which quite possibly A/H1N1 Swine Flu outbreak do not have to complications pandemic, Happens . Should be mitigated. Web page long-term lack of bureaucratic Reddish colored tape, dissemination Associated essential information, Fitness To do with preventive steps, cause solitude and Good remedy for taken over victims, operation and Selling Along the Up-to-the-minute Consultant technology, and Persistent vigilance, significant shortage of Zing in keeping with earlier times epidemics and Vital Finance upheaval towards a World-wide monetary Therefore reeling by reviewing the Most awful economic downturn Again . Important Despression symptoms Over 1929, don't need to occur.

________

[1] Why Is actually Swine Flu A Killer Typically In Mexico? Cbs television studios News. 30 September 2009. 28 04 2009.
http://www.cbsnews.com/stories/2009/04/27/health/main4970352.shtml

[2] Donald G. McNeil, Jr. W.H.O. Specifics Huge caution Across Swine Flu, While having Advice. Regions, so cash York Times. 38 June 2009. 30 February 2009. http://www.nytimes.com/2009/04/28/health/28flu.html?_r=1&ref=europe



          By: Новости Южной Кореи » В Южной Корее подозреваются ещё 9 случаев заболевания свиным гриппом        
[...] Во вторник KCDC сообщил о 51-летней женщине, находящейся в карантинном отделении государственной больницы, которая была диагностирована как, возможно, первая заболевшая свиным гриппом жительница Южной Кореи. [...]
          Microlife Peak Flow        
So I found the microlife peak flow online running for 65% off, must be the model/brand is outdated now. I want to start tracking my values and get a baseline that way when I try something new I can see the affect it has on me (or not).

Tonight is the first night I received it, it really was easy to use and set up. It recommends you do a few readings at a time and then it saves the best one between when you turn it on and when you are done and turn it off.

I have NO idea what my normal liters run since I always look at and track % predicated FEV1. I also don't know how this home device compares to the clinic. That being said I'm happy to see a peak flow of 600 and 3.31 liters. Using the CDC calculator for my age/weight/height it said my FEV1% predicated is 3.06 liters which would put me at 108% (3.31/3.06*100).

2 weeks ago my lungs were in very inflamed bad state but I started cayston and did 3 days of 10mg prednisone and then today took 5mg. I have been doing aLOT better and getting stuff up now but I'm still not buying the 108% so we'll have to monitor it for a while and then see how it compares to the clinic.

Looking forward to seeing how the numbers track over time and using the software....yes I am just that geeky.
          à¸­à¸¢à¸²à¸à¹ƒà¸«à¹‰à¸¥à¸­à¸‡à¸”ูนิทรรศการอีสานของ TCDC (คลิ๊กที่นี่เพื่อชม)        
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          Comment on America’s Hidden Health Crisis: Hope for Those Who Suffer from ME/CFS by Diane        
31 years with ME/CFS robbed me of so many wonderful things in life. Things like attending many of my children's school functions when they were growing up; serving my family, community, and church; and going back to college, just to name a few. When I saw the new CDC page here entitled "Myalgic Encephalomyelitis/Chronic Fatigue Syndrome" I was moved to tears. Thank you, thank you! I am so grateful to all the clinicians and patient advocates who have been relentless in their endeavors to bring awareness and promote research of this devastating and horribly misunderstood illness. Even if we don't have all the answers just yet, to remove the stigma of our disease means so much to those of us who have been living in the shadows for decades.
          Anti-vaxxers are crying vaccine tears – Trump breaks promise        

The Skeptical Raptor, stalking pseudoscience in the internet jungle.

Earlier this week, I published an article on the nominee for the Surgeon General, Dr. Jerome M. Adams along  with a potential nominee for CDC director, Dr. Brenda Fitzgerald. Since then, President Trump made it official, and Dr. Fitzgerald will be the next CDC Director. And the delicious salty tears of anti-vaxxers are flowing freely, …

Skeptical Raptor


          Trump appointed Surgeon General and CDC director – good for vaccines        

The Skeptical Raptor, stalking pseudoscience in the internet jungle.

Donald Trump’s record on appointments for science and medical positions has been horrific, at best. His choice of Tom Price for Health and Human Services was terrible for healthcare. Anti-science individuals were also appointed to serve as EPA Director and Secretary of Energy. But recently, Trump appointed Surgeon General and will appoint a CDC director, both of whom …

Skeptical Raptor


          Politics - USA        
 Kilkrazy wrote:
 whembly wrote:
 Kilkrazy wrote:
What's happened in the gun control situation in the USA is that anti-control people are so desperate to stop any controls that pro-control people are desperate to get any kind of control into action.

Then you end up with these stupid wrangles about having a pistol grip on the forestock of a shotgun, something that makes practically no real difference either way, and the real facts get ignored.

What real facts are getting ignored?


Well, for example, it's pistols that are responsible for the majority of gun incidents, so curbs on assault rifles are more or less pointless.

If you're going to try to design legislation to reduce the danger of guns, it would make sense to tackle the most dangerous type.

True dat. Problem is... you'll end up disarming a victim who may have been able to stop the bad guy.


Automatically Appended Next Post:
 feeder wrote:
 whembly wrote:
 Kilkrazy wrote:
What's happened in the gun control situation in the USA is that anti-control people are so desperate to stop any controls that pro-control people are desperate to get any kind of control into action.

Then you end up with these stupid wrangles about having a pistol grip on the forestock of a shotgun, something that makes practically no real difference either way, and the real facts get ignored.

What real facts are getting ignored?


Real Fact: Owning a gun does not make you safer.

Myth.

A 2013 study sponsored by the CDC stated that approx 500,000 to 3 million defensive gun use.
          Politics - USA        
 whembly wrote:
... ...
What real facts are getting ignored?


Real Fact: Owning a gun does not make you safer.
Myth.

A 2013 study sponsored by the CDC stated that approx 500,000 to 3 million defensive gun use.

I take it you mean this one:

http://www.nap.edu/read/18319/chapter/3#15

If you read it you will notice there are some caveats about the methodology, accuracy and relevance of that quoted figure.
          Politics - USA        
 whembly wrote:

 feeder wrote:
 whembly wrote:
 Kilkrazy wrote:
What's happened in the gun control situation in the USA is that anti-control people are so desperate to stop any controls that pro-control people are desperate to get any kind of control into action.

Then you end up with these stupid wrangles about having a pistol grip on the forestock of a shotgun, something that makes practically no real difference either way, and the real facts get ignored.

What real facts are getting ignored?


Real Fact: Owning a gun does not make you safer.

Myth.

A 2013 study sponsored by the CDC stated that approx 500,000 to 3 million defensive gun use.


Are we actually meant to take a study seriously when it has that large an uncertainty? Seriously, you are saying that we should listen to a study which doesn't know whether the number is X or 6 times X. That uncertainty is huge. Not to mention that that doesn't actually dispel what feeder said. It is still defensive gun use if the person defending themselves died, or even wouldn't have gone into the situation in which they needed to defend themselves if they didn't have the gun in the first place.
          Politics - USA        
 Kilkrazy wrote:
 whembly wrote:
... ...
What real facts are getting ignored?


Real Fact: Owning a gun does not make you safer.

Myth.

A 2013 study sponsored by the CDC stated that approx 500,000 to 3 million defensive gun use.

I take it you mean this one:

http://www.nap.edu/read/18319/chapter/3#15

If you read it you will notice there are some caveats about the methodology, accuracy and relevance of that quoted figure.

Even accounting for all that the number of defensive gun uses greatly out numbers the 10k or so gun homicides we average per year. Which was whbly's point that more guns are used to protect people than to hurt people, hence improving safety by keeping people safe from harm.
          Politics - USA        

 whembly wrote:

Myth.

A 2013 study sponsored by the CDC stated that approx 500,000 to 3 million defensive gun use.


Opinion.

its nice to have options.
          Politics - USA        
 A Town Called Malus wrote:
 whembly wrote:

 feeder wrote:
 whembly wrote:
 Kilkrazy wrote:
What's happened in the gun control situation in the USA is that anti-control people are so desperate to stop any controls that pro-control people are desperate to get any kind of control into action.

Then you end up with these stupid wrangles about having a pistol grip on the forestock of a shotgun, something that makes practically no real difference either way, and the real facts get ignored.

What real facts are getting ignored?


Real Fact: Owning a gun does not make you safer.

Myth.

A 2013 study sponsored by the CDC stated that approx 500,000 to 3 million defensive gun use.




Are we actually meant to take a study seriously when it has that large an uncertainty? Seriously, you are saying that we should listen to a study which doesn't know whether the number is X or 6 times X. That uncertainty is huge. Not to mention that that doesn't actually dispel what feeder said. It is still defensive gun use if the person defending themselves died, or even wouldn't have gone into the situation in which they needed to defend themselves if they didn't have the gun in the first place.


The CDC is a nonpartisan federal agency is you won't trust their reports whose reports do you trust?
          Politics - USA        
Prestor Jon wrote:
 A Town Called Malus wrote:
 whembly wrote:

 feeder wrote:
 whembly wrote:
 Kilkrazy wrote:
What's happened in the gun control situation in the USA is that anti-control people are so desperate to stop any controls that pro-control people are desperate to get any kind of control into action.

Then you end up with these stupid wrangles about having a pistol grip on the forestock of a shotgun, something that makes practically no real difference either way, and the real facts get ignored.

What real facts are getting ignored?


Real Fact: Owning a gun does not make you safer.

Myth.

A 2013 study sponsored by the CDC stated that approx 500,000 to 3 million defensive gun use.


Are we actually meant to take a study seriously when it has that large an uncertainty? Seriously, you are saying that we should listen to a study which doesn't know whether the number is X or 6 times X. That uncertainty is huge. Not to mention that that doesn't actually dispel what feeder said. It is still defensive gun use if the person defending themselves died, or even wouldn't have gone into the situation in which they needed to defend themselves if they didn't have the gun in the first place.


The CDC is a nonpartisan federal agency is you won't trust their reports whose reports do you trust?


One who actually gets decent results. If your result is that uncertain then you cannot draw anything from it other than you need to improve your methodology or data or both.
          Politics - USA        
 A Town Called Malus wrote:
Prestor Jon wrote:
 A Town Called Malus wrote:
 whembly wrote:

 feeder wrote:
 whembly wrote:
 Kilkrazy wrote:
What's happened in the gun control situation in the USA is that anti-control people are so desperate to stop any controls that pro-control people are desperate to get any kind of control into action.

Then you end up with these stupid wrangles about having a pistol grip on the forestock of a shotgun, something that makes practically no real difference either way, and the real facts get ignored.

What real facts are getting ignored?


Real Fact: Owning a gun does not make you safer.

Myth.

A 2013 study sponsored by the CDC stated that approx 500,000 to 3 million defensive gun use.


Are we actually meant to take a study seriously when it has that large an uncertainty? Seriously, you are saying that we should listen to a study which doesn't know whether the number is X or 6 times X. That uncertainty is huge. Not to mention that that doesn't actually dispel what feeder said. It is still defensive gun use if the person defending themselves died, or even wouldn't have gone into the situation in which they needed to defend themselves if they didn't have the gun in the first place.


The CDC is a nonpartisan federal agency is you won't trust their reports whose reports do you trust?


One who actually gets decent results. If your result is that uncertain then you cannot draw anything from it other than you need to improve your methodology or data or both.


Gun crimes generate police investigations that are easily tracked and reported. Defensive gun uses don't have to generate any such paper trail. You'll never get precise results when you are collecting anecdotal evidence.
          A Safe and Healthy Honeymoon        
Being a health & safety professional I feel it is incumbent upon me to pass along important information that can keep you safe, not just at work but in all areas of your lives. For this reason I'd like to touch on a hazardous situation that many of us take for granted. Often we are ignorant of or outright choose to disregard the dangers of this insidious threat. The activity I'm referring to is...the Honeymoon.

Yes. I said Honeymoon.

The Centers for Disease Control and Prevention (CDC) have published a "Healthy Bride" feature on their website. Those of you planning a wedding should read this. If you have friends or loved ones who are in the stressful process of planning a wedding, share this link. The document is brief but full of valuable information that could get a marriage started without injury or illness. As an example, the experts at CDC have this to say about preparing for your honeymoon:

"Whether it's by car, plane, train, ship or foot, take steps to stay safe and healthy during your honeymoon. Plan ahead. To lower your risk for illness and injury, check health scores for cruise ships; learn about common diseases for the area if traveling abroad; get vaccinations; and pack and use sunscreen, insect repellent, and appropriate safety gear for activities (such as helmets, life jackets, and knee pads)."

(Hey, I'm just sayin'.)


If you don't believe me, click on the link and read it for yourself.

What the CDC does not say is that this is also an excellent time in your relationship to practice open and honest communication skills with your spouse-to-be. Ladies, in order to avoid any later misunderstandings or problems you should have a discussion about realistic expectations, anticipated activities, what you are packing in preparation for those activities and why. The reason for this is simple. If a guy about to go on his honeymoon walks past his wife-to-be as she's packing and sees helmets, life jackets, and knee pads there will likely be one of two reactions.



  1. He's going to get REALLY excited

  2. He's going to get REALLY nervous

Number 1 could lead to unrealistic expectations (okay, maybe they're not unrealistic - go you!), misunderstandings and hurt feelings. Number 2 could lead to unrealistic expectations, misunderstandings and hurt feelings, and performance anxiety. Either situation should be avoided during one's honeymoon and for that matter during one's marriage.


So folks, remember to include what happens beyond the actual wedding day in the planning and preparation. And NEVER forget the importance of communication before, during and after the wedding. It can up your chances of not only still being together 25 years from now but of still needing to pack helmets, life jackets, and knee pads...if you know what I mean.


Have a safe, healthy, and very happy wedding, honeymoon, and life together. And pack appropriately.


          Bread of Heaven        
Right now I am working with fellow editors on the next issue of Dark Mountain. It's a non-fiction and visual exploration of technology and tools, juxtaposing an increasingly machine-dominated world and a de-industrialised way of life that is hand-made, reskilled, in tempo with the planet. This is a piece originally written in 2009 for a book about East Anglian food crops, co-produced with Josiah Meldrum (now of Hodmedod's beans, peas and quinoa) called Roots, Shoots and Seeds. This chapter centres on wheat, the dominant crop of Western civilisation, and the makers and bakers of real bread.

There are seventeen of us in a room at the Baptist church on Boltolph Steet – a farmer, a miller, several bakers, wholefood shopkeepers, members of Transition Norwich, Professor Martin Wolfe of the Organic Research Institute and Andrew Whitley of the Village Bakery and author of Bread Matters. We are meeting to discuss Resilient Bread, the project that aims to create a sustainable supply of bread for Norwich, using locally milled flour from English wheat, grown on Norfolk farms.

There is a plate being passed around and on it are not wafers but slices of real wholemeal bread, baked by a neighbourhood community store. Everyone is looking at each other as if we can’t quite believe we are all in the same room together, eating those slices and listening to these lectures about peak oil and agriculture, about the natural selection of wheat genotypes that can thrive in eco-systems undergoing climate change. It’s hard somehow to get all those graphs and words about the future to relate to the rough brown food in our mouths.

Andrew Whitley, master baker, has worked with organic flour milled in a local water mill for many years. He is a neat and compact man with a keen intensity and a round face. Whereas the other speakers stood in front of us as they spoke, he remains seated within our circle and leans forward to reveal the secrets and horrors of the industrialised bread trade. Maybe it’s because he was once in the BBC Russian service that he emanates such a conspiratorial air (he is famous in bread circles for bringing a Russian sourdough culture into Britain 19 years ago that has since spawned thousands of loaves throughout the land). It was his rediscovery of the sour dough process that eventually led to the Real Bread Campaign which he launched last year (2008).

It is half-way through his speech about the infamous Chorleywood baking process that I find myself suddenly looking at a universal truth. It’s one of those moments that opens like a door sometimes when you pay attention, notebook in hand. One minute the speaker is talking about their subject and the next they are talking about Life. Whitley was talking about time. Bread is all about time: time to mix, time to prove, time to bake. The key to real bread is in allowing enough kneading time so the gluten in the flour is activated, and enough proving time for the yeast to expand the dough to twice its size.

Gluten is a protein that when kneaded makes an elasticated web, “like a series of tiny balloons” that become filled with gas from the fermentation. Yeast is a tiny mushroom, arguably the most successful symbiont with man. It is born to ferment. It ferments our food and drink and transforms them - wine, asses milk, bread and beer. Wild yeasts appear naturally in sour dough starters (made from fermented water and flour) as well as lactic acid bacteria. Sour dough was how all bread was made until the manufacture of commercial yeast. The longer you leave these agents to do their work, the greater the nutritional quality of the bread.

Industrial baking, invented in Chorleywood in the 1960’s, has not got time to spend on the niceties of natural alchemy, on these subtle relationships between gluten and yeast and lactobacilli, and has invented deviant ways to by-pass them. Whitley is listing them: high-speed mixers, addition of hydrogenated fats and water, increased use of commercial yeast, bleach, preservatives, a cocktail of artificially-mixed enzymes, as well as countless additives and emulsifiers (the so-called flour improvers). All these deny bread its natural fermentation time. And it is this cheating of time, he argues, that leads to the malfunctions within the Western diet: all its disorders of stomach and guts, its huge ballooning of bodies.

Robbed of time industrialised bread brings disorder into the digestive system. Robbed of its rough coat of wheatgerm, the grain gives no nutrition. We keep eating but nothing satisfies our deep hunger. We pay 19p for something that should cost us £2.50. The staff of life has become an industrialised commodity without any connection with our physical beings or our intelligence. Our minds are no longer paying attention to what is on the plate but are elsewhere fixed on the cheap fast dreams of cities. On escapes and fantasies. Caught in a treadmill of hard labour, we are grabbing breakfast toast and lunchtime sandwiches, pizza, hotdog rolls, burger buns to go. We are so busy we don’t even know what we are eating.

To reverse this 50 year old habit would require a restructuring of our outside and inside lives. It’s where the grassroots movement of Transition and master bakers like Andrew Whitley meet. We meet in unlikely venues and discuss ways of bringing real food back into the hands of people and places: community baking in local hubs “where good transactions happen between people,” reskilling of home bakers and the creation of the Local Loaf (paralleling the National Loaf of the 1940’s) using local millers, bakers and shops and locally distinctive varieties of wheat.

The ingredients for real bread are simple - flour, water, salt, yeast. Bringing a resilient local loaf into Norwich is more complex. The mega-distribution system of the big three industrial bakeries have trucks perpetually on the road travelling 200 miles transporting ready-sliced to the city’s 122,000 inhabitants daily. They are roaring across East Anglia from Stevenage, London and Enfield. To feed Norwich sustainably would require 30 tonnes of wheat and several local mills. On the agenda that day in January were questions about the supply chain: quantity of flour, storage and transportation of grain, the price of a loaf, the feasibility of setting up and maintaining an electric mill in the city, the packaging and marketing of the loaves. Should the flour be stone-ground or roller-ground? Tin or round? Could Canadian wheat be used as a last straw (sic) in times of bad harvest, or grain kept back? Was the Norwich Loaf initially an everyday item or a speciality one-off?

East Anglia has arable land for growing the wheat but few working mills. The first challenge for the project is to find a mill in the city to grind the corn. The nearest wind or water mills are 25-30 miles away. The other is the quality of the wheat. The gluten content of bread is a key consideration in baking. Wheat has a very high gluten content (between 12-15 per cent) which gives the dough its extraordinary elasticity and ability to be moulded into the hundreds of shapes in which we have historically consumed it – from the heaviest of wholemeals to the airiest of croissants. Artisan bakers in England have been using commercial Canadian flour for decades because its exceptionally high gluten levels makes the light and fluffy white loaf we have got used to. The lower gluten content of our native wheat is compensated for by the Chorleywood method. The Norwich bakers’ main concern with using local flour was one of consistency (“No one is going to buy a bad bloomer”, one said rather gloomily; “You could call it ciabatta,” another quipped to much laughter) and there was a long discussion as to how we were going to get over the fact that life was unpredictable and that white and fluffy was not the future. It felt like it was going to take some time for all of us to get used to the idea.

You could tell the bakers. They had a physical presence in the room that was quite distinct from those whose business was in words and figures. They seemed familiar though I had never really considered bakers before, or even talked to one. They existed in my imagination as mythical figures with white hats and aprons. Suddenly I realised they were men who worked with their hands and worked at night. And this was why the meeting that day had begun at 2.15pm.

The Field


One of the lesser known facts about Charles Darwin is that when he bought Down House (where The Origin of Species was written) it was not for the house but for the chalk grassland that surrounded it. The species-rich habitat provided the man who was about to shake the paradigm of the Western world with the perfect opportunity to observe bio-diversity and see how its elements worked together. It was here he saw that everything in the natural world is connected and that the greater diversity that exists in a place the greater its abundance.

At the same time as the naturalist was looking at biological complexity in the field, chemists were singling out individual components in their laboratories and developing the first nitrate fertilisers that would lead to the appearance of a very different kind of grassland. And a plant that once grew wild around the Fertile Crescent began to be bred as the basis of the global diet: modern wheat.

Professor Martin Wolfe is a plant pathologist who has spent the last decade working at his organic research station outside Metfield developing what are known as Composite Cross Populations of wheat. The evolution of wheat is a complicated business and requires your absolute concentration. Where once we ate thousands of different plants, the human species mostly lives off half a dozen crops of which wheat is now the top one.

Outside the window of the Institute’s meeting room small green spikes are everywhere on trial: in a conventional agricultural field and in organic strips bordered by timber and fruit trees (a layout known as agroforestry). The Composite Cross Populations have a complex origin: three populations that come from 20 varieties and 200 intercrosses and a random male sterile genotype who acts like the joker in the pack. As a result the plants contain thousands of variations. It’s these variations that give the wheat the ability to produce consistent yield and quality of grain under a wide variety of conditions.

“Natural eco-systems are complex because they evolve that way for a damn good reason. The whole way of developing agriculture around the world depends on functional diversity. What evolutionary breeding showed was that if you dissemble the elements (in an eco-system) you find that yield increases with the positive interactions occurring. The more complex the connections, the better everything responds.”

We sit in the Institute meeting room, Mark, Josiah and I facing Martin. The biological history of cereal crops, he explains, goes in two directions: one that concentrated on a simple system using synthetic fertilisers to boost yields that led to the separation of agriculture and the natural world around 1850, and another known as evolutionary breeding that began in California in 1929 which introduced variation and worked within complexity.

His story veers from wild barley in Israel to the development of maize in Africa and traces a familiar shape: the taking of heritage seeds out of farmer’s hands and putting them into the fists of seed merchants, the manufacturers of pesticides and herbicides and finally the corporations who patent rights for certain genes and focus on their monoculture (as well as produce the agrochemicals that support the varieties that contain them).

“Oh, I’ve got a story about Monsanto,” says Mark breezily who was taking notes. I shoot him a fast look. We haven’t got time for asides, even good ones. We have another meeting to go to. Martin is an ex-professor and has that smooth ease of delivery honed from years of lecturing to Cambridge students for exactly one hour. Although there is something bristly and creaturelike about his manner I can’t quite put my finger on. It’s a creature I know, a tusky fellow, one not to be crossed.

Wolfe has no time for simplificaton and bristles academically about evolution being side-stepped by global corporations. The memory of how to thrive in different conditions – light and shade, temperatures, with plant pathogens and insects - persists in the genetic structure of naturally evolved seed. It has an inbuilt multifunctionality. But in the millions and millions of hectares of monocultural wheat these shared memories are not available.

“What happens if the weather is different from the weather it experienced during its ten years of selection? Modern wheat is bred to react maximally to input from pesticides and herbicides. But in the future the environment will be much more variable. How do we deal with that?”

Amongst the Composite Cross Populations there are answers to these questions, as well as an ability to function without agrochemicals based on fossil fuels. Because of their diversity and ability to complement and compensate for one other “there are huge amounts of variable phenomena emerging.”

As Wolfe points out: “There are lots of things breeders can’t see which are being affected by the environment.” Scientific plant breeding depends on things that can be easily measured such as height and leaf shape and so on. But the strength of living systems depends on things that cannot be seen in this way. “Inevitably the natural world is a much better selector than the trained human breeder. We have to be humble in these things.”

For 150 years however, sanctioned by the “Darwinian” assertion that nature is red in tooth and claw and inherently competitive, we have gone in the opposite direction. From Darwin we have taken the image of animals fighting for survival and justified all our aggressive acts against nature and each other. We consider evolution in terms of exotic birds far away in South America and conveniently forget his ecological analysis of the native grasslands of England that tell quite a different story. The plant world shows that nature is essentially co-operative and the success of eco-systems depends on a complex weave of relationships, as well as a long genetic memory. The simple system science behind modern agriculture, most explicitly expressed in “the crude plant technology” of GM, is one of control and domination. But this control has now, according to Wolfe, reached its ultimate, and is about to face the music in the form of climate change and peak oil.

“The question we are posing (or that is being posed for us) is how has evolution coped with a huge variety of conditions? It’s coped by lots of variation, lots of diversity, lots of different answers to potential problems.“

Maybe it’s the word population but every time Martin starts talking about the CCP that door begins to swing open again: he’s not just talking about wheat diversity, he’s talking about human diversity! We are, after all, what we eat. In a Westernised industrial world where human populations are forced to become increasingly monocultural and dependent for their survival on artificial conditions, our own evolutionary moves are now being called into play. What is happening to wheat is happening to ourselves. What would it mean for us to become composite cross?

The Bakery


We are on our way to talk with a baker in Stanton, where Josiah went to school. If Wolfe represents the biological thought at the beginning of the supply chain, the bakers represent the working craft at the end. It’s mid March, after a long and relentless winter, and there is not one cherry plum tree in blossom. The land still wears last season’s coat and the hedgerows are twiggy except for sudden bursts of golden-tasselled hazel. A low grey sky hems us in as we hurtle down the small roads that wind along the border country between Norfolk and Suffolk. It’s already bleaker here. The clay fields are giant-sized and empty, punctuated by the occasional spinney or solitary oak. Apart from the rooks, we are the only thing moving amongst the swathes of blunted green barley and darker rosettes of rape.

On the wooden shelves at the back of the Hillcrest Farm Shop in Stanton we find a quote from Felicity Lawrence’s Not On The Label on Radio 4: “Only a small number (of Britain’s independent bakers) genuinely bake from scratch, many depend instead on factory ‘premixes’. Today there are only 3,500 individual craft bakers in the UK, compared to about 35,000 in France . . .” In between crusty white and crunchy granary loaves, a round face is beaming at me from the kitchen.

The smile belongs to Mick the Baker who has been baking from scratch for 37 years. “You can talk to me as I’m working,” he says. It’s probably the only time we can talk to Mick as he is definitely a man on the go. As he works ten pans of dough into hundreds of hot cross buns, he gives us a run down on his working schedule, baking, singing with a band at the weekends and driving long-distance trucks. Most of his days start at 4.30am, Saturday begins at 1.30am. Do you ever get time to sleep? I ask. “I don’t get a lot,” he says, “I used to survive on three hours. The only way is to keep going and not sit down. The trouble is I’m fifty now. The mind says you can but the body says maybe not.”

We’ve come to talk with Mick because he has just started baking with locally grown and milled flour. He bakes “the old-fashioned way” entirely by hand (except for the mixing), uses natural ingredients and is one of only nine traditional British bakers left in the Waveney Valley. “I’ve always done it natural. Slow mix, slow dough. Throw it in and hope for the best. I’ve got it right for the bread, I’m not sure for the rest of the life!”

Mick is “an old East End boy” who began his apprenticeship at 15 and came to East Anglia in 1991 to run the Swan Bakery in the neighbouring village of Garboldisham. He chose baking because he was waiting until he was 21 to follow his dream of being a long-distance lorry driver.

“I’m more into quality than money. I’m not motivated by money, I’m motivated by music.”

Mick is a motivated man. As he whirls his two hands around 360 buns he talks non-stop about bread, about bread making machines, about his old-style baking equipment and the necessity of hot ovens, the time John Peel almost came to interview him but then he died, how sweeping up is the most important part of the job, how he likes to barter, swapping bread for customer’s eggs, surprising children with a box of cakes when they hand him a picture, how he holds the peace between the scrapping artistes in his band (“I’m in the middle of it,” he laughs) and sings almost everything – jazz, blues, funk, soul - just not country (even though he is a trucker), how he hasn’t got time to teach, has never read a book in his life and the reason he likes baking is because it’s creative: he creates everything from start to finish.

“I use Canadian flour which isn’t very patriotic but it makes the best bread. The organic English one comes up quite small and heavy but that suits some customers. I don’t mess around with fancy stuff. Mine’s the proper old English bread. People like a bit of crust.”

Like most hands-on craftsmen he learned everything by watching people. “If anyone asks me anything technical, I can’t tell them. I know what happens if you leave yeast out but I couldn’t tell you why. I know when the salt is left out because the dough moves quicker. In the summer it’s a nightmare in here because the bread keeps moving and you can’t stop.”

We stand in the tiny back kitchen, peering at Mick busily not stopping with the currant-spotted dough, occasionally swerving out of the way as he whisks a tray into the fridge or freezer. I want to ask him when do you have time for life? And then as I listen to him, hands spinning, talking about gigs and whacking everything in the bowl, knocking it on the table, whacking it back in the prover, I realise this is Life, this whirl of activity, creating, producing, bartering, sweeping up. On the wall there is a photograph of Mick singing with a hat on (“I always wear a hat”), a smiley T- shirt and rainbow trousers. He’s carrying a giant sunflower in one hand.

Mick tells us a story about working through the night. At the Swan Bakery he had a chill-out room and at night people used to drop by: policemen came for a quick kip, firemen on call, young boys without anything much to do. One night a couple came on their way from the Glastonbury Festival lured by the lights of the chill-out room. “They said they could not believe it.” You could imagine it then, stoned out of your head in the small hours, finding a light burning on a dark road, and a man working in the kitchen mixing yeast, flour, water and salt, cooking up the kind of bread you might like to eat. What did they see when the door swung open?

“It’s time to decompress,” said Josiah as we reeled out of the shop. We chewed our buns as we walked about the garden centre. Everything after the intensity of the kitchen didn’t seem quite real: the stiff and clipped box trees, the flashy petunias in their pots, silently waiting under a grey and cold sky. “What’s the story?” he asked, as we climbed back into the small car. We had come out on an adventure the three of us for the day. I don’t know what we had expected from either the scientist or the baker. We all felt rather dazed.

“I don’t know yet,” I said. I was thinking about what I had first seen, as I glimpsed Mick’s round face between the shelves of bread. It was like the sun was smiling at me.

When I came to the story I realised that we live in a culture that keeps everything separate and that when you start to assemble the components back together again, it requires a way of thinking about life and engaging in it that is not just a matter of graphs and statistics. The bakers and millers and shopkeepers once appeared in our imaginations as part of life. These people operated in the fabric of our daily lives: they lived in songs and in fairy tales, as characters in children’s picture books and playing cards. They were apparent and lived in the brightness of day.

The processes of industry and science and agriculture are hidden. They recognise no people, only machines and numbers. They operate secretly in the dark and rely on our not joining up the dots and connecting the facts. Even when investigated by determined journalists like Lawrence, knowing facts about the global food industry does not actually shift our ways of thinking about them.

What shifts our awareness are the door-opening moments, when those connections start cross-referencing and self-organising inside you - those revelations about time, about Life. Suddenly you get the whole picture. You know that when the time is out of whack, everything else goes out of whack. How when you side-step evolution there is a price to pay. And that’s the moment you start asking yourself who exactly is paying.

At this point, I don’t know which way the story is going. It’s still fermenting: the faces of the three men appear before me and need time to reassemble themselves into a coherent shape. What I do know is that when you look at wheat, you find yourself looking at civilisation. The ability to domesticate wild grasses and feed thousands of people happened at the same time in different continents – rice in Asia, millet in Africa, maize in the Americas. Wheat, with barley and rye, was the main cereal crop of the Middle East and clearly marks the shift from the nomadic and hunter-gatherer world, to the city-ruled agricultural world of conquered and indentured populations. When you look at wheat you look at bread, and when you look at bread you’re looking at people. You’re looking at a certain kind of people eating for a certain kind of reason.

It’s not sacred anymore in the way we understand sacred - our daily bread - but it serves the same function. Modern factory bread is cheap and in a world that prizes convenience and availability and money most of all, the cheapness of bread means it is highly prized. For one section of the population of course. For cheap food is and always has been, since the city-states established themselves 5000 years ago, the fuel of the workforce. Though civilisations prize themselves on their architecture and technology and their high-flown ideals, all of them depend on a huge and expendable underclass. The daily bread that was apportioned to the city slaves in Rome is as vital to them as the ready-sliced bought by the urban poor of the global metropolis. And the contempt the modern ruling classes have towards the masses who eat junk bread is in proportion to their great and ancient fear that they will one day rise up and demand not wholemeal loaves, nor even croissants, but equity.

Sometimes I think that my intolerance to wheat, to gluten and yeast, is a symptom of my own revolt against the prevailing order. I used to think it was an expression of the imbalance between settled agriculture and the wild places of this earth – a shout of solidarity for all those medicine flowers and prairie grasses, sometimes as tall as a man, mown down and replaced by the millions and millions of hectares of identical corn. Our minds may acquiesce to industrialisation, to the maltreatment of nature, but our archaic hunter-gatherer bodies do not. They close down, blow up and start minor revolutions. But now I realise the body doesn’t just revolt in sympathy with the earth, but also with its own kind.

There are millions of people who are allergic to wheat. Some so allergic (the so-called coeliacs) they cannot consume one tiny speck of flour. It’s a phenomen that came with the industrialisation of cereals, particularly in the last 20 years. There is no medical cure for what happens to the intolerant body. Gluten is seen as a foreign invader by the immune system and it attacks the delicate lining of the intestine that normally takes in the goodness of food. As a result the micronutrients - the essential minerals and vitamins - are not absorbed by the blood. Without these vital ingredients we grow weak and tired and depressed, rashes appear on our knees and ulcers in our mouths. We sweat, feel poisoned and our bowels collapse. White bread, the symbol of oppression of the dominant Western world in many cultures, is often blamed as a cause of malnutrition amongst the poor and indigenous. But gluten intolerance is widespread amongst everyone in a wheat-consuming world. Between 1 in one hundred or 1 in 600 of people in the UK, depending which report you read. Allergies don’t just happen to the masses.

It’s difficult to look at food allergies like this. We want there to be scientific solutions, fixes and formulas. We want to be separate and blameless and live our lives in discrete units, as if our physical reactions bear no relation to the way we treat the earth or the culture we uphold. We want to cheat time and cheat each other and think we can get away with things forever.

But we can’t.

The Bowl


It’s a bowl my sister gave me years ago and has, for as long as I can remember, sat quietly in the corner or in front of fireplaces in houses I have lived in. It sat on the long table in my London flat for years. When I went travelling it was one of the only things I kept during a decade of perpetual moving and shifting. I just liked it for its great and useful form - a large deep pottery bowl, terracotta on the outside, creamy yellow on the inside with a hand-drawn ox-blood-coloured rim. I cooked up a lot of dishes in that London flat with its long table, and in all the places where I went travelling. Except bread. Bread was not my style: it felt way too domestic and slow.

But last Sunday I made my first loaf in the pottery bowl, and found out what it was really called: a panchion. My fellow first-time breadmaker took a snap of me holding it at my hip to send to her mother. “She used to use one,” she said.

It wasn’t a grand production, just a regular soda bread made with local spelt and rye. We were a small group of people in a neighbourhood restaurant, taking part in a bread making club that meets the last Sunday of every month. What was surprising was that when my hands went deep into the sides of the panchion, they knew what to do without any instruction. Push, pull, knead.

It was not like making pastry or anything else I’ve mixed in a bowl because the soda had activated the dough. You could feel the stuff living in your hands. Recorded somewhere deep in the bone-memory of those hands, in that bowl, in the spelt and rye, was the knowledge of people working with the staff of life for thousands of years. Knead, push, pull.

After kneading we waited. We had some tea and talked to each other. Then we put the round shapes into the oven. When we pulled our tins out forty minutes later, my two loaves were perfect. How did that happen? They were cracked in a cross shape - the distinguishing mark of soda bread - dusted with flour, chunky, sweet smelling. When I got home I went round and gave the spare loaf to my neighbour and the other I put in the centre of the table. I looked at that bread for a long time. And then I cut a thick slice and ate it the way I remember we used to in Ireland, with butter and hot tea. I did not get sick.


It’s something about craftsmen, about creators, that I’ve noticed. It’s not money that motivates them, or a machine that makes demands on their time. It’s something else. Wolfe remembers the strains of wild barley he saw once either side of a rock in a Middle Eastern field: short on the shadowy side of the rock and tall on the sunny side: beautiful! he declares and his face lights up (finally I recognise the creature, it’s a wild boar). Now I’m looking at those tough spikes of green outside his window in a different way, imagining how they can in a matter of months turn into pale golden fields of edible wheat on stalks of differing heights.

Mick is telling us he makes real English bread, that people like a bit of crust. Now I’m looking at his shiny loaves stacked on the shelf. How come I never noticed that English bread was crusty before, that it is square? I ate bread for years. I’ve gazed out across arable fields for years. How come I never examined those hairy ears of wheat closely, the stiffness of their forms? I could have missed everything, skimming on the top of what I saw or thought, and never delving deep into the place where time lives, where the cross currents of our lives make sense of everything, where what happens behind the scenes before dawn is everything that happens after sunrise.

What did these three men have in common that made me look at life with another eye? I realised it was a relationship with the material: the desire to shape the stuff of life with your own hands. If you talk to a man about his passion for making hats or chairs, or turning a bowl from a piece of old railway track or a cherry tree that has blown over, or to a man who knows how to turn the earth so that beans or roses will spring from it, or how to make a necklace of out of seaglass that reflects light all about your throat you will find a man with a deep satisfaction inside him. I’ve spent some of my life talking to such men, without knowing why there is a strong curent that flows between us. And now I see it’s because we have something in common: their eye is on matter in the same way my eye is on the blank page. The possibility is that what manifests could go one way or another and your interaction in the matter is everything. It’s the kind of relationship you never tire of.

To be in life requires your utter engagement. Industrialisation switches us off. It’s only interested in people working like machines To put yourself in the centre of things is the position in which time starts making sense, whether you are a biologist, a baker, a writer or a musician. You are working with the substance of life. In those spaces created by the synthesis of gluten and yeast and bacteria, nourishment is forged from the seeds of the wheat grass. In the spaces created within the matter, the craftsmen glimpse a possibility of eternity. It’s a mysterious process that even deeply practical bakers like Whitley acknowledge. It’s being fully engaged in this daily alchemy that gives us the real rewards of life, that mere possession of things, or endless hours of leisure never can.

The industrial machine produces from life what can be bought and sold, demanding endless energy and life-force. It makes slaves of people and gives us money and entertainment and cheap goods in return. But you never get to engage with the fabric of life that way - with plants or bread or words - or find any kind of satisfaction. The craftsman is using his hands to making life beautiful, useful, delicious: he is putting his attention and his skill into those loaves and those loaves are coming up good. No one gets sick afterwards.

To find satisfaction you have to have an encounter with the real world and absorb its great subtleties. It’s difficult to make the deep connections about food without meeting the people that grow the plants or bake the bread, or doing those things yourself. You have to stand in the intensity of the kitchen and in the emptiness of the land. And then you have to go home and let those ingredients shift and move and expand together. Real bread takes time. Real stories take time. How many stories can you make with 26 letters? How many songs can you sing with 12 notes? How many solutions can you come up with with 17 people in a room? How many things can you make out of flour and water that are not the monocultural white sliced loaf?

The loaves of the old world are stored inside me: cottage white, granary brown, bap, bagel, pitta, naan, focaccia, ciabatta, pumpernickel, brioche. A man with a black face is gulping water from a bucket like a horse, his warm bread stacked on a rough shelf set in the side of a Greek mountain. I am standing by the door, a dish of Easter kid at my hip, about to put the dish inside his oven stoked with thornbushes. An old man takes my hand in a French patisserie in Queensway and puts a sweet roll in it. His name is Monsieur Pechon. He is eighty years old and blind. I am four years old and wearing a coat the colour of the sun. Each morning he waits by the door for us, les petits, to come and hold his bread baking hands. It’s a long time ago. It’s a long long way away from where we are now.

I am wondering as I write this story about wheat, whether we will make it back in time.

Images: Organic loaves baked at the squatted farmhouse co-operative, Can Piella, in Spain (Philip Evans); Brockwell Baker Vincent Talleu, gathers Blue Cone Rivet heritage wheat at Perry Court Farm, Kent; baker from the community owned Handmade Bakery, Slaithwaite, Yorkshire; Ann-Marie Culhane and Corn Mask 1; CDC with the panchion and soda bread, Yoxford, Suffolk; Mark's first sourdough loaf made with local spelt and wheat, 2009, Suffolk.
          Mommy needs a joint ....        






                                                                                       






"Mommy needs a joint just as much as mommy needs a glass of wine,'' Bawdon told Maria Shriver on TODAY Tuesday. "You can still be a good parent and use marijuana at the same time."




Kaycee Bawdon is out to show that smoking marijuana while taking care of children is perfectly acceptable.

When the mother of four from central California gets together for a playdate with other moms, they often enjoy some herbal refreshment while kids frolic in the yard nearby.

Whether it's smoking from a bong or lighting a joint, these moms make marijuana a regular part of their lives.

"Mommy needs a joint just as much as mommy needs a glass of wine,'' Bawdon told Maria Shriver on TODAY Tuesday. "You can still be a good parent and use marijuana at the same time."

Middle-aged parents are now more likely to use pot than their teenage children, according to the Centers for Disease Control and Prevention.

Bawdon, 30, and her friends believe marijuana helps treat pain and depression and also helps them relax and boosts their productivity. Recreational pot use is legal in California.

"I can smoke it and go clean my whole house and do all my laundry and just get everything done,'' Elizabeth Orduno told Shriver.

"I feel like I am actually more focused and attentive while I am medicated, it kind of gives me that spruce of energy that I don't have,'' another mom, Saydee Perkins, added.

Bawdon, who started a blog called "The Cannavist Mom," suffers from migraines and says prescription pills left her feeling foggy and disconnected.

Bowdon says she and her friends smoke marijuana in moderation and use designated drivers. They also warn their children never to touch "mommy's medicine" and make sure to keep their pot, pipes and other paraphernalia out of reach.

The CDC says marijuana use may cause an increased risk of low birth rate for babies while also increasing their risk of developmental problems.

Using marijuana hasn't come without a backlash for Bowdon. A mother of one of her daughter's friends banned her child from going to Bowdon's home after discovering her blog.

"She saw that I was a cannabis mom and then all of a sudden, 'Savannah's mom's a pothead and I don't want you hanging out with her anymore,''' Bowdon said.

Her ultimate goal is to normalize moms using pot and remove the stigma that comes along with it.

"I feel like people think that marijuana makes you lazy, that you're just gonna sit on the couch and kinda let life pass you by and let your kids pass you by,'' she said. "And it doesn't. I'm out there, playing with my kids, and we're just that normal family."


MoSup came down after watching this Today Show segment  about Marijuana Moms."  I am speechless.  She was not.

          44. Deadman’s little helpers        
So a few students from RCDC (Ravensbourne College of Design and Communication) backed the film’s kickstarter. I met them at the Kickstarters end’s drinks, and for what ever reason when they’re not busy at school or on personal projects, they want to help on the film… Instead of partying and having fun! Crazy peops. So they’re […]
          HEADS UP 2/15        
 
 
Top World News Now                 
February 15, 2013
 

United States
Environmentalists Press Obama in Heated Oil Pipeline Debate
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Kerry: Moves Against North Korea Would Scare Iran Off Nukes
Senate Republicans Block Hagel Nomination For Defense Secretary
Key US general backs keeping Afghan forces at peak strength
Missouri Democrats Introduce Legislation to Confiscate Firearms – Gives Gun Owners 90 Days to Turn in Weapons
Transocean to pay $400 million for 2010 Gulf of Mexico oil spill
High taxes force more Americans to renounce their citizenship
600 children living in Washington, DC homeless shelter
Conspiracy Theorists Leap at the Confusing Case of Dorner’s Multiple Wallets
Body in burned cabin ID'd as Christopher Dorner
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Russia
Russia activates ‘Operation Fortress’, 20,000 troops after air defense forces shoot down space object
Putin orders Russian security on high alert before Olympics
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Putin: Russia will not tolerate foreign pressure
Foreign Ministry: Russia ‘Ready’ to Consider Further Nuclear Arms Cuts
Army Chief: Russia may be drawn into resource wars in future
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China
Xi's Vows of Change in China Belie Private Warning
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Beijing ramps up propaganda war to bolster Diaoyus claim
China's environment unaffected by DPRK nuclear test so far
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Nuke test gives US excuse to boost its military
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The Real Japan-China Conflict
7 dead, 18 injured in China after man sets off bomb over child custody dispute
Depressing landmark reached, 100th Tibetan self-immolates
Tibetans commemorate centennial of 'Tibetan independence'
Clues to why most survived China's melamine scandal
 

Major warns Cameron's EU referendum is a 'gamble'
EU warns Tories that UK security opt-out 'doesn't make sense'
UK Military Flies Ghana Troops, Equipment to Mali
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New SARS-like virus shows person-to-person transmission
Deaths, lies and the NHS: Shocking new healthcare scandals emerge in UK
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Europe Rejects Critics of 'Robin Hood' Tax
Austerity's children becoming Europe's "lost generation"
Economy in Europe Contracts More Than Expected
Pope rounds on rival cardinals and their 'sins against unity'
Man sets himself alight at Rome airport
Berlusconi defends need for bribery in winning contracts
Monte Paschi's former finance chief held in Italy
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Foreign investors set to sue Spain over energy reform
King Juan Carlos fights new pressures to abdicate
Greece: Alexis Tsipras raises the political stakes
Interior Ministry: Mafia plotting to crash Serbian Air Force One
 

Un-Natural Gas: Fracking Set to Shake Up German Campaign
Germany and Spain Move to Curb Green-Energy Supports
German airports security staff strike continues Friday
Germany to help Israelis stuck in unfriendly countries
Roma in Germany forced into abject poverty
Barbarians at the Gate
Reports Of 'Neo-Nazi' Guards At Amazon Warehouses In Germany Creates Fresh Scandal
Tempting PhDs lead politicians into plagiarism
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Swiss push reconciliation plan for Sri Lanka
Switzerland prepares to sit at G20 head table
Norway Ready to Use Rate Cuts to Cool Krone
 

Hollande Tiptoes Toward Raid on Pensions Under Pressure From EU
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Hollande in India to sell warplanes, nuclear power, metro construction
Tunisians denounce France interference
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War For Global Energy Supremacy-World War III
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The Andromeda Strain, Yes. Jesus, No. Your Tax Dollars at Work.
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Netanyahu threatened media over Prisoner X
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Morsi's Egypt Poised to Criminalize Protest
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Ahmadinejad bluffed that Iran is now a 'nuclear state'
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Venezuelan students protest outside Cuban Embassy as Chavez remains out of sight in Havana
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Eastern Colombia locked into neo-paramilitary war
 

Witnesses of Argentina major train accident fear for their lives
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A glimpse of Nieto's new crime fighting strategy
Mexico arrests six suspects for rape of
          Dole & Other Brand Salads Linked To Listeria Outbreak        
If you are eating packaged salads from any of these brands, make sure you read the rest of this article. The CDC has recommended that all consumers and
          Dokumentárny film „Zaočkovaní: od zatĺkania ku katastrofe“ („VAXXED: from cover-up to catastrophe“) / 2016 / slovenské titulky        
Česká verze     Dokumentárny film Dr. Andrewa Wakefielda „Zaočkovaní: od zatĺkania ku katastrofe“ („VAXXED: from cover-up to catastrophe“), ktorý mal premiéru v apríli 2016 v New Yorku, sa konečne dočkal aj slovenských titulkov.     Film sa zaoberá predovÅ¡etkým veľkým podvodom v úrade verejného zdravotníctva USA (CDC = Centers for Disease Control and Prevention), ktorý v skutočnosti vedecky zistil, že MMR vakcína (proti osýpkam, príuÅ¡niciam a ružienke) dramaticky...
          FILM QUARANTINE 2: TERMINAL (2011)        

QUARANTINE 2: TERMINAL picks up later that night at LAX, as passengers board a flight to Nashville. When a passenger becomes violently ill with a mysterious rabies-like virus, the plane makes an emergency landing at a large metropolitan airport. Jenny (Mercedes Masohn, CBS’s “Three Rivers”), a heroic yet inexperienced flight attendant, takes charge of the safety of her passengers. Relieved when a swarm of heavily equipped emergency vehicles, police units and the CDC arrive, Jenny and the passengers soon discover that they have been quarantined and are now trapped. Desperate to escape, Jenny enlists the help of one of the surviving passengers, a kindergarten teacher, Henry (Josh Cooke, A Fork In The Road, I Love you Man), to devise a plan to survive.



[IMDb rating : 6.1/10]

[Awards : - ]

[Production Co : Third Street Pictures, RCR Media Group]

[IMDb link : http://www.imdb.com/title/tt1699231]







[Quality : VodRip]

[File Size : 325 MB]

[Format : Matroska >> mkv]





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          Five ways to get involved in SAAM before the end of April        

April may be winding down – but Sexual Assault Awareness Month activities are still in full swing. Here are five ways that you can participate before the month is over!

Thursday, April 21st: Twitter Chat Featuring the U.S. Surgeon General

Today at 3PM EST, It’s On Us and Men Can Stop Rape are teaming up to host a Twitter Chat featuring special guest, the U.S. Surgeon General. Surgeon General Vivek Murthy will be answering questions about sexual assault and prevention methods.

You can participate in the chat by using the hashtag #IOUChat at 3PM EST and following @ItsOnUs, @mencanstoperape, and @Surgeon_General.

Sunday, April 24th: No More Excuses Marathon of Law & Order: SVU

This coming Sunday from 10AM-11PM EST, there will be a special “Law & Order: SVU” NO MORE Excuses marathon in honor of Sexual Assault Awareness Month. The marathon will feature star-studded NO MORE PSA ads and video messages from current and former SVU cast members about consent, resources for male survivors, and supporting survivors throughout the marathon.

Also, be sure to join the conversation on social media using the hashtag #NOMOREexcuses.

Follow NO MORE on Twitter for more updates on this event: https://twitter.com/NOMOREorg

Wednesday, April 27th: Denim Day

Wear jeans on Wednesday as a symbol of protest against destructive attitudes about sexual assault.

Denim Day was triggered when a rape conviction was overturned by the Italian Supreme Court because the justices ruled that the victim’s jeans would have been too tight to remove and she would have had to help her rapist remove them. Following the ruling, the women in the Italian Parliament came to work wearing jeans in solidarity with the victim. Denim Day is a response to the case and the activism surrounding it.

Community members, elected officials, businesses, and students can make a social statement by wearing jeans on this day as a visible means of protest against the harmful misconceptions that surround sexual assault.

Register a group for Denim Day

For more information visit http://denimdayinfo.org/

Wednesday, April 27th: CDC Prevent Sexual Assault Thunderclap

Sign up for the CDC Thunderclap to be one of the many voices of the collective blast who will all share the message that Prevention is Possible! Sign up any time between now and next Wednesday with Facebook or Twitter, and on 4/27 the following message will be shared through your social media account:

“Help stop sexual assault before it starts. Prevention is possible! #VetoViolence #SAAM” 

Your voice will join with advocates across the country working to prevent sexual assault and bring awareness to the issue. Everyone speaking out at once sends a powerful message that we can all work to prevent sexual assault.

Sign up here for the Sexual Assault Awareness Month Thunderclap.

Now Through the End of April: Go Teal for Sexual Assault Awareness Month

Join the thousands of people who have already gone teal for SAAM by adding the teal ribbon to your Facebook or Twitter icon. This is a great way to show your support for sexual assault survivors while sharing the message with your friends that Prevention is Possible! 

Change your profile picture here.


          The 1-Pan, 3-Step Route to Baked Ziti        

I spent last weekend in Southern California, which had me asking many questions, namely: Why don’t I live there? And how might I live there? And am I too old to wear a trucker hat? And how is one supposed to be productive, with distractions at every turn? Surfing at sunrise? Crossfit at noon? Poached egg–and-avocado-toast brunch somewhere in between? I returned home thinking about which memorable dish from the trip I might try to recreate first: Baja fish tacos? Toast with cucumbers, labneh, and za’atar? Mint mojito iced coffee?

All these guys meet in one pan, in upstate New York.
All these guys meet in one pan, in upstate New York. Photo by Alexandra Stafford

Alas, a brisk upstate New York August morning shook me from my dream, and at once all I wanted was pasta. I had flagged this baked ziti recipe from Cook’s Country’s Cook It In Cast Iron last summer after making the huevos rancheros from the same book. The two recipes start out identically: by making a sauce with olive oil-slicked cherry tomatoes in a preheated skillet. After 10 minutes, when the tomatoes begin to blister, the recipes diverge: for the huevos, hot peppers and cilantro enter the equation; for the ziti, it’s garlic, red pepper flakes, and tomato paste.

Blister those fresh tomatoes.
Blister those fresh tomatoes. Photo by Alexandra Stafford

Both sauces are incredibly simple to prepare and flavorful, thanks to the caramelized, charred tomatoes, but this baked ziti recipe has the added bonus of being a one-pot wonder: after you crush the tomatoes with a potato masher (or whisk or spoon), you add the dried pasta and water directly into the pan and simmer everything together until the pasta is cooked and the liquid has evaporated.

You can save this to broil later.
You can save this to broil later. Photo by Alexandra Stafford

Like other one-pot pastas, this one benefits from the starch released from the pasta as it cooks, which helps to nicely thicken the sauce. But unlike many other one-pot pastas, this one takes the method a step further, calling for a final pass under the broiler with a layer of fresh mozzarella scattered over top. In just about five minutes, your one-pan, no-fuss baked ziti is done: crisp noodles, melty cheese, bubbly sauce.

Ready to eat!
Ready to eat! Photo by Alexandra Stafford

A Few Notes

Variations: Cook’s Country offers a simple puttanesca variation: add minced anchovies along with the garlic and pepper flakes, replace some of the water with wine, and stir in capers and minced olives at the end (see recipe notes for more details). Other ideas include: adding finely chopped kale, Swiss chard or spinach to the cooked pasta, which will incorporate easily and up the veggie quotient. Another idea is to add roasted eggplant or sautéed zucchini or other vegetables to the cooked pasta. For a richer variation, replace some of the water with heavy cream.

Ready to be embellished.
Ready to be embellished. Photo by Alexandra Stafford

Other pasta shapes: Penne is a natural substitution for ziti, though other shapes could work, too. Because different pastas cook at different rates, for the best results, try using a similarly shaped pasta to ziti with a comparable cooking time (10 to 11 minutes). If you use something smaller with a faster cooking time, you may have to reduce the liquid and overall simmer time.

Let's attack.
Let's attack. Photo by Alexandra Stafford

Make ahead: To get a head-start on dinner, make the dish nearly to the end, stopping just after you add the basil and Parmesan. Let the dish cool, add the mozzarella and store in the fridge until ready to broil. If time permits, bring the pasta to room temperature before broiling. (On that note, this dish would make a great gift: simply wrap in foil and include final broiling instructions.)

E3733545 acdc 45ac 9a7a 04628d1cdfd3  bowlofpasta1

One-Pan Skillet-Baked Ziti with Burst Tomato Sauce

By Alexandra Stafford

  • 1.5 pounds cherry tomatoes
  • 1 tablespoon extra-virgin olive oil
  • kosher salt and pepper to taste
  • 6 cloves garlic, minced
  • 1 teaspoon tomato paste
  • pinch red pepper flakes
  • 12 ounces (3.75 cups) ziti
  • 3 cups water, plus more as needed
  • 1 ounce Parmesan cheese, grated (1/2 cup)
  • 1/4 cup chopped fresh basil
  • 4 ounces mozzarella cheese, shredded (1 cup)

View Full Recipe


          CoolBlOg are currently @ Keyya Kayya Bazaar Boutique, Rasta TTDI        


 Hello to all shoppers :)
We are currently display our products at 
Keyya Kayya Bazaar Boutique located at Rasta TTDI, Kuala Lumpur
Our Operation time is from 6pm~1am
Amazingly, you can shop while you dine!

Info : Formerly located at Jalan Burhanuddin Helmi, Rasta @ TTDI is now housed in bigger premises at a relatively remote location near Sungai Penchala. The new venue is called Plaza Rasta and parking is now much easier. The popular food court is surrounded by an assortment of shops, Rasta Car Wash and a Surau Al Rasta. Many of the stalls from the old Rasta are here, including the much-talked-about Azim’s fatty burgers.



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Here are some of our stuffs you can find at Keyya Kayya Bazaar Boutique, Rasta TTDI

Designated free size printed T-Tops, Korean coverall, Palazo, and striking colors pants
RM10 ~ RM89





Hermes "Collier De Chain" CDC made with 100% cow leather and stainless steel spikes
RM150

CDC in red leather



CDC in Turquoise trimmed leather



CDC in white leather 









Hermes Bangle signature RM35




Hermes click clack in variety of colors to choose from!
RM120










Hermes Signature Logo Necklace in gold rose
RM120







Chanel Swarovski silver necklace
RM120




Don't forget to visit our stall in Keyya Kayya Bazaar located at Rasta TTDI, 
You can shop while you dine! 
Or order online from us NOW before it's gone ya'll! :D


          Call Me ‘Childless.' I Won’t Think Less of Myself.        
I was only trying to make conversation, as one does at a party. But when I was introduced to a reality-show star, the conversation ended just as quickly as it began.

We started with the customary “Nice to meet you’s.” Since it was clear I knew who she was, she asked about me. I started off with what we have in common: “I’m an author, like you. ... And I have a media company called Savvy Auntie designed primarily for childless women like us who love the children in their lives.”

In a lounge full of housewives and ex-husbands, pretty single ladies and prettier gay men, photographers and reporters, you could hear a pin drop.

“Childfree,” the reality star responded with an admonishing tone. “We say ‘childfree,’” emphasizing the last syllable as if I had broken some social code.

"Childfree" is the hot term for non-parents these days, a word that intends to push back against the notion that all women are born to be mothers. For many, it's an empowering alternative to "childless."

But what about women, like me, who are childless by circumstance, not by choice? I’m single and, like millions of other women, I am waiting for love before motherhood. I’m not free of the children I have so deeply yearned for, as if it's good thing I'm not a mother. To me, the word is antithetical to my reality.

This wasn’t the first time I’ve been called “childfree.” An infertility advocate once labeled me “childfree” in a gracious post on my Web site, Savvy Auntie. She explained her rationale when I asked her to change it: Since you have chosen not to be a single mother, she said, you made the choice to be childless. “And that makes you ‘childfree,’” she explained.

With this logic, should I also refer to myself as “husband-free”? Of course not. Choosing to wait for a partner before motherhood does not make a woman childless by choice. I'm choosing love, not the childlessness that comes with not yet finding that love.

More women today are childless than ever before. In 1976, 35 percent of women of fertile age were childless; by 2014, that number was nearly 48 percent. Of this cohort, the majority are single. The CDC reports that 80 percent of single women are childless, and of those who are childless, 81 percent expect to become mothers. Only 14 percent of single women are childless, or “childfree,” by choice.

Despite this data, the term “childfree” has become the more acceptable term these days. When an author and blogger I know labeled herself “childfree” in a recent tweet, I asked her why. I knew she'd suffered through infertility, so it seemed odd that she would take on the moniker of those who are childless by choice. She replied that “childless” implies “less-than,” so she adopted the more liberated term so many others are using.

No doubt, the term “childless” has its critics because of the suffix, “less.” Americans' obsession with the notion that all women are meant to be mothers -- from the Hollywood baby bumps that grace magazine covers, to the conversations about “having it all” -- can make some believe that not being a mother is less-than. I know that I am not less of a human being because I am not mother. But calling myself “childfree” isn't correct, either.

For those who are unsatisfied with either term, what about “childfull”? For those who don’t have children, many of us fill our lives with our nieces, nephews, godchildren and other children we love. We find other ways to be maternal.

Originally published in The Washington Post


          Alcohol and Drug/Mental Health Counselor (LCDC III/LSW/LPC) / Recovery Resources / Cleveland, OH        
Recovery Resources/Cleveland, OH

Alcohol and Drug/Mental Health Counselor

Do you have experience assessing and treating clients with mental illness and addiction? Are you passionate about helping? Do you want to use your clinical skills? If so, then this may be your next best career move!

Major Responsibilities:

We are seeking Clinicians to join our company to treat clients who are dually diagnosed with mental illness and addiction. Clinicians provide group and individual counseling services including assessment, treatment planning, referral, and service coordination. The successful candidate will ensure that clients are engaged in their treatment and in the treatment process and will form productive and collaborative working relationships with other team and support members. They will ensure that additional client needs essential to maintaining sobriety are addressed, maintain productivity goals, and keep clinical and administrative records current. When necessary, this clinician will connect clients to resources outside of treatment when appropriate, advocating for their overall needs, and will document collaboratively/concurrently whenever possible within our Electronic Health Record. If you're a licensed clinician who loves working with people and being part of a collaborative team while still operating with autonomy, then this is the role for you!

Qualifications:

This position may include some evenings. LSW or PC required, independent licensure preferred. Experienced LCDCIII may be considered. Self-motivated professional with a passion for working with people who is comfortable providing therapeutic interventions in a community-based environment. Prior experience in the mental health field preferred, ideally with dually diagnosed clients. Must be able to form strong and engaging treatment relationships, engage clients in the mutual assessment of problems and in goal setting, and implement treatment plans from initial contact through termination. Important to have working knowledge of the stages of change and must have good oral and written communication skills and an ability to make sound decisions under stressful conditions. All employees will receive an extensive training program as part of their on-boarding at Recovery Resources.

Why work for Recovery Resources?

Because we help people triumph! You can use your talents to educate the community, change the lives of those in need, and together we can strive to give all people access to adequate housing, employment and treatment for mental health and addictions.

We offer competitive compensation along with excellent benefits, including:

10+ paid holidays/year

generous paid time off

agency contribution towards health and dental insurance

voluntary vision, life and short-term disability

tuition reimbursement

free CEU's

supervision available for independent licensure

and more...

Employment Type: Permanent
Work Hours: Full Time

Apply To Job
          Corrente Alternata        

Di quanto la scena musicale milanese mi manchi ho giá accennato parecchie volte, senza mai approfondire il soggetto e limitandomi a leggere, invidioso, le recensioni scritte qua, dal mio amico pdepmcp, dei concerti di gruppi dai nomi improbabili (e che pure avrei visto volentieri, magari a cominciare proprio dagli Isis).

Del resto la Costa Azzurra non rappresenta certo la meta ideale per certi gruppi di metal estremo, quindi resto attento ai manifesti, aspettando sempre qualcosa di interessante per placare la mia sete musicale.

Capita quindi, come Vasco a S.Siro, che a metá giugno vi sia sempre un grosso evento, e dopo Madonna e U2 (a gratis ci andrei per vedere entrambi, ma dover pagare certe cifre...) ecco apparire gli AC/DC. All'alba dei miei anta, sposato, padre di famiglia, ci penso - guardo la mia carta d'identitá, su wiki verifico l'etá media del gruppo, e complice la voglia di dolce metá di farmi un bel regalo di compleanno concludo che una volta nella vita, questi vanno visti.

Il tempo uggioso e grigio milano contribuisce a risvegliare istinti ormai addormentati da troppo tempo, odore di fango, birra annacquata, eccitazione e magliette nere. Entrando nello stadio mi fa un certo effetto contare non meno di 4 generazioni presenti all'evento, ed ancora di piú realizzare che faccio parte della generazione dei padri di famiglia (ho visto anche nonni). Prima brutta sorpresa, il campo fangoso é stato diviso in due, per pogare sotto il palco bisogna pagare il doppio di quanto ho pagato io... e male, molto male, realizzo in fretta che il pubblico presente al mio primo concerto all'estero (!!!) sará molto freddino (complice il meteo citato sopra?).
Niente pogo, il mio fisico ringrazia - il mio fegato un po meno vista la facilitá a cenare con sola birra; fanculo poi ad ogni velleitá di metal estremo o scena underground, si tratta di puro, semplice e quasi incontaminato rhythm and blues, ma tant'é, questo passa il convento.
Primo gruppo, passato per metal (!!!), Killing Machine, residuato bellico di scarti provvenienti da grupponi anni 90/00 (Slayer, Stratovarious, Temple of Brutality), sguazzano nella loro freddezza e mediocritá senza aggiungere nulla di veramente brutto da ricordare, gli orari sono precisi e funziona tutto come un orologio svizzero. Seconda sorpresa (tutto sommato positiva) la presenza di Slash col suo gruppo a supporto. Sorvolo sul nuovo per non rovinarmi il ricordo di un eroe ridottosi a suonare 5 cover di se stesso su un'ora di concerto. Certo le melodie sono indimenticabili, la sua presenza pone un peso massimo su quel palco, Night-train, Rocket Queen, Civil War, Sweet Child o'Mine - Paradise City ... grandissime canzoni, ed il gruppo esegue diligentemente il compitino imposto dal leader, e basta questo per farmi emozionare!
Il tempo di una sorsata di jack's, offertoci da gente conosciuta sul posto (italiani - ovviamente, gli unici a scaldarsi per davvero ed a prendere il concerto come una festa... per il resto certi musoni...) che puntualissimi gli ACDC attaccano, un paio di canzoni dal nuovo disco per poi passare ai grandi cavalli di battalglia, piove a dirotto, Angus Young si ritrova in poco tempo in boxer e chitarra, fradicio e piegato in due, con le sembianze di Gollum a trascinare questo gruppo di vecchietti in un concerto di altri tempi, fatto di chitarra pesante, suoni distorti, sporchi, voce rauca ed urlata, fuochi d'artificio ed accelerazioni improvvise, Back in Black per togliersi subito il pensiero, the Jack (e tette al vento assortite). Le canzoni piú recenti rallentano appena il ritmo per farmi respirare, il mio fisico ringrazia ancora, la pioggia battente mi riporta indietro al Brianteo ci sono gli Slayer, due anni dopo a Bologna - Lombardo fa capolino e saluta al suo rientro dietro la batteria, si accellera Thunder-Thunder-Thunderstruck! Ed ancora Dirty Deeds Done Dirt Cheap, i vecchietti tengono la scena, sono degli animali - Hell Ain't a Bad Place To Be, la campana suona a morto, erano i Black Sabbath, poco prima i Pantera ci avevano riscaldato per bene, Hells Bells, You Shock Me All Night Long come quando Bruce Dickinson annunció un concerto sui soli primi 4 dischi, che serata! - vi prego pietá non ce la faccio piú ho una certa etá - il buon pelato urla da sotto il palco 'BASTA!' ai Metallica che attaccavano Battery, ma loro suonavano da 3 ore, e noi da 12 eravamo al gods of metal (nel parcheggio del forum in giugno, a Milano); questi suonano da 90 minuti ed io sono quasi a pezzi, ricordi che riemergono assieme al puzzo di vomito, capelli strappati e umano sudato - i bassi che fanno vibrare il diaframma, le orecchie che fischiano, Highway to Hell di nuovo a saltare - by moonlight we ride - ten thousand side by side - la moonlight la immagino sopra le nuvole, sotto c'é un acquazzone che si adatterebbe meglio alla pesantezza dei Katatonia mentre quella voce rauca ed i riff rockeggianti mi fanno eco al vocione di Lars Goran Petrov sperduti in mezzo alla bassa pavese; For Those About to Rock - questa melodia non é ancora un  ricordo, gli applausi, le urla del pubblico, sono sudato, fradico, il vento mi appiccica addosso la mantellina plastificata - we salute you - sono senza voce - for those about to rock - é finito, é solo un concerto mi ripeto - we salute you... ed ecco cosa mi manca veramente di Milano - un tempo, un'atmosfera, delle presenze, l'etá eroica.

Enjoy,
JJ@pdepmcp
          CDC Report: If You Are Eating Walrus Meat, Make Sure It Is Well-Cooked        
This parasite can be in other meats as well.
          José Martí Child Development Center Graduates 88 Children to Kindergarten!        
On June 30th, José Martí CDC staff, teachers, and families gathered to celebrate and honor the 88 students from José Martí Child Development Center who successfully completed the school year and are graduating to kindergarten this year, including our first 10 graduates from our newest classrooms at Hirabayashi Place! The children worked hard all year […]
          Suicide post on Reddit and suicide as a rising epidemic in the US among teens        

The following statistics are very troubling Suicide is the SECOND leading cause of death for ages 10-24. (2015 CDC WISQARS) Suicide is the SECOND leading cause of death for college-age youth and ages 12-18. (2015 CDC WISQARS) More teenagers and young adults die from suicide than from cancer, heart disease, AIDS, birth defects, stroke, pneumonia, influenza, and chronic lung […]

The post Suicide post on Reddit and suicide as a rising epidemic in the US among teens appeared first on Hair Loss Information.


          Just vote NO!        
Here’s why I believe House Republicans are to blame for Congress’s latest failure to do their job and pass a budget:

As paid, elected representatives, just voting “no” is not an option.  It’s ok for the dirtbag whose sole participation in our representative democracy is paying taxes.  He’s allowed to come home from work, strip down to his boxers, crack open a Milwaukee’s Best, and watch TV all night in his recliner, isolated from, and not contributing to the outside world.  In fact, if he could squeeze in the occasional casting of a ballot among his commute and his beer runs, he’d be more involved than about half the population, and I’d be impressed, but our paid, elected, “professional” representatives have a slightly higher expectation of performance.  They can vote “no,” but they have to propose an alternative to that which they rejected.

So when it comes to this year’s version of Tea Party-induced debt ceiling hostage taking, the fault lies entirely with the House Republicans who have caved to this minority faction by submitting a budget they know won’t pass in an attempt to gain politically in the next election, mount at least the 42ndfailed attempt at blocking the Affordable Healthcare Act, and who offer up nothing in the way of real compromise or alternatives.  House Republicans have in effect just voted “no” by shutting down our government and they’ve failed to propose any alternative plan.  Again, acceptable for beer swilling recliner guy.  Unacceptable from paid elected officials.

You can say neither party is willing to compromise but the fact is, there’s a plan on the table.  The Affordable Healthcare Act is not only a compromise years in the making, it originated as a Republican idea.  It was passed by both houses of Congress and signed into law in 2010.  Regardless of what today’s House Republicans (influenced by a marginal group) think of it, (now that it’s too late to keep thinking about) they must either support it, work to improve it, or propose their own version that can be implemented in place of it.  Simply holding the nation hostage arguing over the routine approval of a debt ceiling increase isn’t living up to their responsibility.  It is the equivalent of holding their breath until they get their way.

To those of you who consider the status quo an alternative proposed by House Republicans, consider this:  America’s failed 60-year experiment in for-profit medicine will bankrupt us – individuals and the country – faster than the inevitable $1000 barrel of oil.  Medical care bankruptcy is a recognized specialty these days.  According to CDC and U.S. Court data compiled by NerdWallet.com, it’s the number one reason why individuals file for bankruptcy.  http://www.nerdwallet.com/blog/health/2013/06/19/nerdwallet-health-study-estimates-56-million-americans-65-struggle-medical-bills-2013/ 

Economic experts from varied political backgrounds agree individual bankruptcies are the least of our worries.  According to Forbes online U.S. healthcare costs rose 4% even during the worst economic downturn in several generations (2009) to 17.6% of our GDP.  This prompted the article to begin with “Health costs are by far the biggest threat to the nation’s fiscal health in the long run.”  http://www.forbes.com/forbes/2011/0314/health-care-recession-expenditure-bankrupt-america.html

We’re all prone to ignoring economists, but you can’t ignore this:  the U.S. spends twice as much of its GDP on healthcare as the next closest industrialized country but we’ve got very little to show for it.  Our longevity, chronic disease, and even infant mortality rates fall short of countries most Americans can’t find on a map.  The average American family spends $16,000.00 http://www.statisticbrain.com/health-insurance-cost-statistics/ on health insurance per year, but that number is deceptive.  First of all, the average American typically pays less than half of the total premium, while an employer pays the rest.  Second, there are about 47 million non-elderly, uninsured Americans, according to U.S. Census data compiled by the Kaiser Foundation, which means those folks paying that $16,000 per year (and their employers) for insurance are footing some of the bill for the uninsured as well.  Wait you say, that’s contradictory.  Nope. The under/uninsured only file for bankruptcy when they can’t pay the part we don’t already subsidize – talk about socialized medicine!

It comes down to this:  the cost of healthcare in the U.S. is higher than in any other country on Earth and it continues to rise.  The quality of healthcare in the U.S. remains embarrassingly lower than in countries who spend less than half what we do.  In other words, our free-market system is not working.  Unless you mean in terms of pure profit for the giant corporations who lobby Congress to maintain it.  When profit is what drives the healthcare industry, your health falls elsewhere on the priority list.  What’s worse, many of these Tea Party folks who inspired our current government shutdown stand to gain the most from full implementation of the Affordable Care Act.  (And once again, ACA began as a Republican plan that encourages participation in the free market healthcare industry.)  According to The Atlantic, “slightly more Republicans (107) than Democrats (99) represent districts where the uninsured percentage is above the national average.”  More than half of the most conservative Republicans represent districts who would benefit from ACA.  Ideology trumps reality every time.  Just as most Americans have no idea what we actually pay for healthcare, we’re too dumb to recognize any attempt at reigning those costs in as beneficial enough to outweigh the corporate lobbyist view. 

Regardless, just voting no and shutting down the entire government, at a cost of around $500 million per day, ain’t helpin’ the already struggling economy.  Just voting no without proposing a real alternative is not acceptable.  Holding the nation hostage in order to counteract a law you’ve already passed is not acceptable.  Waging political warfare while millions of Americans go without just to set yourself up as the ideologue some tiny fraction of the electorate wants to see in the next election is shameful. 



I sincerely hope we remember this longer than we did the last time Congress shut down our government because there’s only a few places where just voting no is acceptable.  Let your Representative know you’ll send him back to the recliner if he doesn’t earn his (or her) keep by ending this sand-kicking soon.

Luth

Out

          Why You Should Keep Dried Soup in Your Pantry to Fight Cold & Flu        

Let Soup Be Thy Medicine and Medicine Be Thy Soup

The famous advice from Hippocrates, “let food be thy medicine and medicine be thy food” is very wise to follow during cold and flu season. Warm soup eases cold and flu symptoms and may possibly help prevent you from getting sick in the first place! Here are a few of the ways you can turn your pantry into a veritable medicine chest by stocking it with a variety of dehydrated soups:

How Soup Eases Cold & Flu Symptoms

There is no known cure for the viruses that cause the common cold and influenza. When you do get sick with a cold, according to the U.S. Centers for Disease Control and Prevention (CDC), the two top things you can do to feel better are: 1. Get lots of rest and 2. Drink plenty of fluids. Soup broth will help keep you hydrated and can soothe some of the discomforts that may prevent you from sleeping.


When you are suffering from cold or flu, warm soup is one of the most effective home remedies you can use. According to The Mayo Clinic, soup soothes cold symptoms because: “warm liquids…help speed up the movement of mucus through the nose. This relieves congestion and limits the amount of time viruses are in contact with the lining of your nose. Plus, soup and other liquids help prevent dehydration.”


The Mayo Clinic’s advice is similar for people looking for a home remedy for influenza symptoms: “Drink plenty of liquids. Choose water, juice and warm soups to prevent dehydration. Rest. Get more sleep to help your immune system fight infection.”


Feeling run-down is one of the primary symptoms of cold and flu. That can make taking care of yourself by eating nutritious meals very difficult. Keep your pantry stocked with plenty of dried soup so you can make fast meals that will help you feel better fast. Our Dried Gourmet Soup Mixes and Blends are incredibly easy to make. Simply add water, heat, and eat.

Healthy Diet Supports a Healthy Immune System


Because there is no cure for cold and flu, prevention is truly the best medicine. During the winter season when you are indoors with coughing, sneezing friends, family, and co-workers, you are likely to be exposed to some cold and flu viruses. The best way to prevent cold and flu is to wash your hands regularly. The CDC also recommends that everyone over six months old get an annual flu vaccination.


For both cold and flu, boosting your immune system is a smart second line of defense. Medical experts agree that healthier eating supports optimal immune system function, so your body does a better job of fighting off viruses that can make us sick.


There are many products on store shelves that claim to improve the function of your immune system, but there is little scientific evidence to support those claims. Though pills and potions may not turn your immune system into a magical shield that will keep all viruses and bacterial infections at bay, medical experts agree that maintaining healthy lifestyle habits can help prevent illness by boosting immune system function.


A post published by Harvard Medical School suggests that eating “a diet high in fruits, vegetables, and whole grains, and low in saturated fat” is one of several “healthy-living strategies” that support immune system function. Other healthy-living strategies include getting regular exercise and plenty of sleep.


All Harmony House dehydrated soups make it easy to maintain a diet rich in whole foods, including vegetables, beans, and legumes. Our incredibly popular dried Vegetable Soup Mix contains a variety of dehydrated vegetables and herbs, including minced carrots, onions, tomatoes, peas, celery, green bell peppers, green beans, and parsley. Our dehydrated Vegetable Soup mix, like all our all-natural dried soup mixes is also vegan, gluten free, Kosher, pesticide free, MSG and additive free, and non-GMO.

A Vegetarian Alternative to Chicken Soup

One of the most enduring and popular old folk remedies for easing cold and flu symptoms is to eat chicken soup. For vegans, vegetarians, or those who are simply trying to follow a mostly vegetable based diet, we offer plenty of meat free alternatives.


If you want a vegetarian alternative, try our Garden Veggie Chickenish Soup (one of our gourmet dried soup blends). Our Chickenish Soup is made with flavored textured vegetable protein along with dehydrated diced potatoes, green peas, carrots, sweet corn, green beans, and onions.


Our vegan dehydrated soup options provide a quick, nourishing meal to ease your symptoms and fuel your immune system so you can get you up and back on your feet as quickly as possible. Try our Value Soup Variety Pack to stock your pantry with 12 of our dried vegan soup varieties, including Garden Veggie Chickenish Soup.

Ready to Stock Your Pantry?

Trying to decide between a Harmony House Soup and Chili Mix or Blend Sampler, Variety Pack, or Pantry Stuffer? Take a look at the Harmony House Soup Comparison Chart to see a side-by-side comparison of each package type we offer.


Get the Harmony House Dried Soup Comparison Chart Here.

          Sexist Headlines        
Here’s the headline from NBC: Suicides in Teen Girls Hit 40-Year High and from ABC: CDC report: Suicide rate among teen girls at all-time high and from Yahoo: What The Numbers Say About Teen Girls & Suicide …and here’s the chart from the NBC article: Seeing as the male teen suicide rate is about 3X […]
          Wrap It Up! Only A Third Of American Men Use Condoms During Sexual Contact        

The Hollywood Unlocked
The Hollywood Unlocked - The Hollywood Unlocked

This may have you celibate for awhile. In a recent CDC (Center of Disease Control) report, only a third of men in the United States use a condom when they have sex. According to reports, while the use of condoms  remains low, experts say they’re encouraged by the figures showing an increase in usage among males since 2002. […]

Wrap It Up! Only A Third Of American Men Use Condoms During Sexual Contact
Nycole Hutchens


          Peace Revolution episode 081: Self-Confidence vs. Social Engineering        
itunes pic

Peace Revolution episode 081: Self-Confidence vs. Social Engineering

To Donate or Subscribe to the Tragedy and Hope online learning community:

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The Peace Revolution Page (all feeds, formats, and episodes):

https://www.tragedyandhope.com/peace-revolution/

Follow Richard on Twitter (@TragedyandHope)

Reference Map to Episode 081 

Click here to DOWNLOAD this episode (or Right Click and "Save-As")

(01m-04m) Why Diamond Engagement Rings Are A Scam

(04m-6m30s) Bloomberg: Inside DeBeers (Netflix & Bloomberg TV)

(6m30s-7m) Conflict Diamonds by Lupe Fiasco

(7m-9m) Alan Watt & William Cooper on Media & Entertainment

(9m-11m) FLEMING: The Man Who Would Be Bond

(11m-29m) Continuation of Mixed Clips from above in the Introductory Montage

(29m-34m) Sample from 1976 lecture by Dr. Antony C. Sutton

(34m-40m) Man Who Fled Communism Warns Oregon Lawmakers

(40m-1h09m) Richard’s Introductory Monologue

2007-2036 DCDC Global Strategic Trends Programme

http://en.wikipedia.org/wiki/Global_Strategic_Trends_Programme

http://www.mod.uk/NR/rdonlyres/6AAFA4FA-C1D3-4343-B46F-05EE80314382/0/GST4_v9_Feb10.pdf

http://www.cfr.org/defense-strategy/dcdc-global-strategic-trends-programme-2007-2036/p13101

(1h09m-1h31m) “Love Your Work” talk by Simon Sinek

(1h31m-2h30m) Alan Watt lecture “1938 RIIA Global Meeting” referring to the Rhodesian “Royal Institute for International Affairs” created by the Rhodes Roundtable Group

(2h30m-3h10m) Dr. Antony C. Sutton’s 1976 lecture on Anglo-American Financing of the Cold War

(3h10m-4h20m) The Pathological Methodology of Forced Schooling by John Taylor Gatto

(4h20m-5h40m) “I Beg to Differ on Darwinian Evolution” by Manly Palmer Hall


Would You Like to Know More?

See also: (Audio)

Peace Revolution episode 027: DIAMONDS / The Jewel of Denial / Outgrowing Stockholm Syndrome

Peace Revolution episode 023: How to Free Your Mind / The Occulted (Hidden) Keys of Wisdom

Peace Revolution episode 046: Liberty is Life / Practical Applications of Rationality

Peace Revolution episode 047: Slavery is Death / Practical Applications of Irrationality

Peace Revolution episode 048: The Philosophy of Life / This is John Galt Speaking


          Medical Mondays: Fluoride Toxicity and Saying No To That 100th Cup of Tea        
I've been wanting to do a #MedMondays on this one for a while.

In the United States, pretty much everyone is familiar with fluoride. The element fluorine is the lightest halogen and exists as a highly toxic, yellow gas at room temperature. But we know it better in its anionic form, fluoride.

It's in our drinking water and toothpaste, and helps to prevent tooth decay and keep our teeth strong. (But did you know that several countries have chosen to no longer fluoridate their water? The CDC says it's one of the top ten greatest public health achievements. Others have argued that it's a compulsory, mass medication in our drinking water. Thoughts?)

A little too much fluoride in your drinking water (or swallowing too much toothpaste) can cause dental fluorosis, which is harmless but causes cosmetic changes to the enamel in the form of stained and pitted teeth.

Source: HealthyChildren.org
What about more severe toxicity? Well, it turns out that not only your teeth are affected by fluoride, but your bones. In some areas of the world, particularly where the fluoride levels in the water are high due to contaminated water supplies or geological sources, fluorosis can occur.

Chronic fluorosis, which is from consuming too much fluoride over time, can result in denser but brittle bones, calcified ligaments, stiffness and joint pain.
The arrows are pointing to excessive calcium deposits on the forearms and spine. Source: NEJM
Acute fluoride toxicity can occur in areas after industrial explosions or accidents (like from a hydrofluoric acid spill), or more commonly by ingestion of too way much fluoride-containing dental products. Symptoms can include nausea, vomiting and diarrhea (the trifecta of GI distress! In doctor's notes, we write that as N/V/D, in case you were wondering), kidney damage, heart damage, and possibly even death.

And guess what? You can get it from tea, too. Tea plants tend to accumulate fluoride from the soil. See those x-rays up there? They were from a woman who drank >100 tea bags worth of tea every day for 17 years (read here for the New England Journal of Medicine article.)

People who drink a lot of brick tea are at risk, too. What is brick tea? I actually snapped this photo at one of my favorite tea shops, thinking it looked just like an ink stone for Asian calligraphy.


Apparently, this type of tea can be made from older tea plants, and so they accumulate more fluoride than your usual cup of tea.

For more information, check out the CDC page on dental fluorosis and the WHO page on fluorosis due to drinking water. For parents, here's the info page on dental fluorosis by HealthyKids.org.

Have fun brushing your teeth and overthinking the entire process! :D
          How Much Fruit Should I Eat a Day to Lose Weight?        
how much fruit to eat

According to data from the CDC (1), about ¾ of American adults don’t meet the daily recommended fruit intake.  Many health campaigns are focused on getting Americans to eat more fruits and vegetables in their diet because eating a diet high in fruits and vegetables has been associated with lowering risk for heart disease, stroke, […]

The post How Much Fruit Should I Eat a Day to Lose Weight? appeared first on Calorie Secrets.


          One Plus One        

The Center for Disease Control has made huge strides toward ending the tobacco epidemic. They wanted a 90 second animation to celebrate their progress and to continue to inspire people forward into a tobacco-free future. I co-directed the spot with the amazing Melanie Dorn from ICF. Using bold colors and a simple cast of characters, we created graphic vignettes to illustrate all the great things the CDC has accomplished and what they’re working toward.

Style frames and sketches available here: seanmcclintock.tv/CDCONE-PLUS-ONE

Client: Centers for Disease Control and Prevention

Agency: ICF International 
Directed by: Melanie Dorn & Sean McClintock

Creative Director: Melanie Dorn
Illustration & Design: Sean McClintock

Character Animation Lead: Jules Guerin

Animation & Compositing: Nick Forshee, Marcus Bakka

Texturing: Sean McClintock
Copywriter: Alisa Weinstein
Sound Design: Bradley Tehaan

Cast: Sean McClintock

Tags: ANIMATION, 2D, AFTER EFFECTS and CHARACTER DESIGN


          Startling Look at Cost of Child Abuse        
A recent Centers for Disease Control and Protection(CDC)  study, The Economic Burden of Child Maltreatment in the United States and Implications for Prevention, was both interesting and frightening.  The CDC states that … the total lifetime estimated financial costs associated with just [...]
           Tanjong Pagar CDC District Raised $118,000 For The Disabled Through Recycling         
Residents from the Tanjong Pagar CDC District has raised $118,000 to help the disabled, simply by recycling their waste. This is part of the SPD Green Earth Programme, an activity organised by The Society for the Physically Disabled (SPD) which aims to help the disabled, protect the environment and care for the community.
          Chrome plated fraud        
In December we posted on a Wall Street Journal article about how a high priced corporate consultant (I hesitate to say, scientist) essentially ghost wrote an article which he signed for a now deceased Chinese doctor, apparently retracting earlier work the doctor had done showing exposure to chromium-VI was a risk factor for cancer. The orignal paper was some of the work relied on in the famous Erin Brockovich case featured in the movie starring Julia Roberts.

The Environmental Working Group, one of the environmental movement's more effective watchdog groups was all over the case and their efforts are bearing spectacular results.
In a real-life epilogue to "Erin Brockovich," a respected medical journal will retract a fraudulent article written and placed by a science-for-hire consulting firm whose CEO sits on a key federal toxics panel. The retraction follows a six- month internal review by the journal, prompted by an Environmental Working Group (EWG) investigation.

The July issue of the peer-reviewed Journal of Occupational and Environmental Medicine (JOEM), the official publication of the American College of Occupational and Environmental Medicine, will carry a retraction of a 1997 article published under the byline of two Chinese scientists, JianDong Zhang and ShuKun Li.

The article appeared to be a reversal of an earlier study by Zhang that found a significant association between chromium pollution of drinking water and higher rates of stomach cancer in villages in rural northeast China. Since its publication, the fraudulent article has influenced a number of state and federal regulatory decisions on chromium.

"It has been brought to our attention that an article published in JOEM in the April 1997 issue by Zhang and Li failed to meet the journal's published editorial policy in effect at that time," says the retraction, signed by JOEM Editor Dr. Paul Brandt-Rauf and obtained by EWG. "Specifically, financial and intellectual input to the paper by outside parties was not disclosed."

[snip]

Under the state Public Records Act, EWG obtained and posted online documents from California regulators and court records that showed the article was actually the work of ChemRisk, a San Francisco-based consulting firm whose clients include corporations responsible for chromium pollution. The documents and the story they outline are at http://www.ewg.org.

[snip]

ChemRisk's founder and CEO, Dennis Paustenbach, is a Bush Administration appointee to a U.S. Centers for Disease Control advisory panel on toxic chemicals and environmental health. His firm holds a lucrative contract with the CDC and the Energy Department to investigate radioactive and toxic releases from Los Alamos National Laboratory in New Mexico.

In this case, ChemRisk was working for Pacific Gas & Electric (PG&E), a San Francisco-based utility whose dumping of the industrial chemical chromium-6 had contaminated the drinking water of the small town of Hinkley, Calif. Hinkley residents' lawsuit against the company, which PG&E eventually paid $333 million to settle, was the basis for the film "Erin Brockovich," starring Julia Roberts as the legal investigator who uncovered the dumping.

PG&E hired ChemRisk to conduct a study to counter Hinkley residents' claims of cancer and other illnesses from chromium-6 in their water. ChemRisk tracked down Zhang, a retired Chinese government health officer, and paid him about $2,000 for his original data. ChemRisk distorted the data to hide the chromium-cancer link, then wrote, prepared and submitted their "clarification'" to JOEM under Zhang and Li's byline, and over Zhang's written objection. (Environmental Working Group)
This affair is not a tempest in a teapot. It has had real life implications for all of us. California regulators used the fraudulent paper to revise chromium-VI standards for drinking water, on recommendations from a panel upon which Paustenbach sat. And the EPA also used it to allow continued use of chromium as a wood preservative. CDC is refusing to remove Paustenbach as a member of the toxics advisory board or ChemRisk as a contractor.

EWG's coup comes on top of its recent victory to force DuPont to disclose drinking water tests on the teflon ingredient perfluorooctanoic acid (PFOA; posts here, here and here) and an earlier unmasking of ABC hack reporter John Stossel, whose use of fraudulent (non-existent) test results in one of his hatchet jobs (on organic food) forced him to make an on-air retraction and apology.

Kudos (once again) to EWG. I'm glad these guys are on our side.

          New rules in a dangerous game        
Declan Butler, senior correspondent for the scientific journal Nature, also has a blog and he used it to amplify on his piece in the journal today about the situation in Indonesia. In particular he quotes from correspondence we both have had with Dr. Andrew Jeremijenko, formerly with the influenza surveillance unit of the US Naval Medical Research Unit 2 in Jakarta (NAMRU-2).

Andrew is an astute observer of the scene there, and his correspondence is filled with worry about the inability of the Indonesian central government to cope with the endemic poultry infection throughout this vast country and the continual sporadic appearance of human cases, culminating two weeks ago in the large family cluster in Sumatra which infected all eight members of an extended family and killed seven of them. There was unmistakable evidence of human to human transmission, probably extending to three generations of cases (human to human to human). The actual response was such as to suggest the futility of the kind of almost instant response WHO says will be needed if there is any hope of smothering a pandemic at the source.

Declan gives us the bottom line:
Working at NAMRU-2, Andrew witnessed the enormous gap between the official rhetoric and the reality on the ground. Take the recent declaration by Michael Leavitt, US Secretary of Health and Human Services’ statement to the World Health Assembly: “In closing, I ask this Assembly today to pledge with me to abide by four principles of pandemic preparedness:
  • Transparency,
  • Rapid reporting,
  • Data sharing and,
  • Scientific cooperation.
In reality of course, for many political and cultural reasons — including those of the scientific community itself — although some progress is being made, lip service is often paid to these on the ground, and that includes the US’s own CDC. (Declan Butler's blog)
Declan goes on to reiterate what we have been saying here. WHO has had no inherent police authority over its member states. Under the international system WHO is bound by the principle of state sovereignty and its corollary, non-intervention in the internal affairs of a state. Under the International Health Regulations in effect until last week, WHO may only release information about infectious disease within a member state with the permission of that state. On one occasion only (cholera in Guinea, 1970), a strong and decisive Director-General (Marcolino Candau) ignored the IHR restrictions, but that was the only instance before the SARS outbreak of 2003 that WHO issued any epidemiological information or advice without the assent of a member state. SARS was the signal event that pushed WHO to a more drastic revision of the IHR, going into effect in 2007. WHO's governing body last week authorized it to ask for voluntary compliance for bird flu, one year ahead of time.

The newly revised IHR will require states to respond actively and provide immediate information. WHO hopes this will extend to the vexing problem of release of sequence information, bottled up in the no-man's land of fragmented authority and personal agendas. WHO works with scientists, laboratories and governments around the world and is privy to most of the sequence information. So far it has not gone outside the legal constraints on unilateral release of country information, but that doesn't mean it is powerless. It should be using whatever influence it has -- including withholding isolates from scientists who won't deposit sequence information immediately. Now that the WHA has authorized the early application of the revised IHR to bird flu, WHO should also begin pressuring recalcitrant states using the new authority. Indonesia is a prime candidate for this because it essentially has no central government at all. Instead it continually "yeses" international agencies, so WHO could take those empty assents as a signal the Indonesian sequences are released under the new IHR.

But it's not just state actors that are the problem. Prominent members of the community of flu scientists are also wearing out the world's patience. CDC, St. Jude's, Weybridge, Mt. Sinai and others have unreleased sequence data for H5N1. It is time to deposit them immediately in GenBank or risk losing the respect of colleagues and the public. WHO has no legal obligation to keep sequences that are not from a member state private and they shouldn't. As a data gathering scientist myself I have an appreciation for what this means to the scientists involved. But these aren't ordinary times and the failure of CDC and prominent flu scientists to release all their sequences is reckless, irresponsible and dismaying. Why should China, Turkey and Indonesia do it when the most famous flu scientists in the world won't? Currently they are setting an example of the worst kind. They should set a good one.

There's enough blame to go around here, but it should be placed where it belongs most, with the countries and the scientists. It is time for WHO to start exercising more muscle now that the WHA has authorized it for bird flu.

And there's a lot WHO can do besides issue unrealistic fireblanket scenarios few think will work. They can use the bully pulpit and their own new authority to push countries (including the UK labs and US CDC) to open up the spigot of epidemiological and genetic sequence information. This is an unaccustomed role, but they need to learn to use it quickly.

The revised IHR are new rules in a new game. And the game is dangerous.

          Another thought on the sequences        
Andrew Jeremijenko, the physician formerly in the influenza surveillance branch of NAMRU2 in Jakarta, has raised an interesting question about release of the sequences. The isolates come from patients and are sequenced elsewhere, often CDC or another WHO reference lab. One piece of information of interest to the treating doctors is whether the isolated strains have the genetic markers for adamantane-class and/or Tamiflu resistance. The adamantanes (amantidine, rimantadine) are older antivirals that are relatively inexpensive but little used in Indonesia, according to Jeremijenko. If the H5N1 strains there are sensitive to the adamantanes as some are elsewhere (although independent information suggests the ones in the Medan cluster were resistant), then this is important information for the treating physicians. There is an absolute moral obligation of the sequencing labs to provide the sequence information for use by treating physicians.

I don't know what, if anything, the Indonesian doctors have been told about the efficacy of amantadine. Jeremijenko suggests they have been told nothing. But this is just another case for releasing the sequences -- an urgent one. At the moment, post docs and young faculty (and their mentors) are aware that if they are sequencing H5N1 today they run the risk of having their work used by others who mine GenBank sequences for their own purposes. That's going to be a risk they must run if they want to work in this area. Meanwhile the profession should think of mechanisms to protect the sources of the sequences. GenBank might consider devising a policy requiring acknowledgment and credit (possibly co-authorship) for those using deposited sequence information so the careers of those providing the information will not be harmed.

But first things first. Scientists should not be the roadblock for H5N1 sequence release, despite the risk their work will be scooped by others. That's a hard case to make to someone who is trying to establish themselves in a competitive field. It should be one of the costs of entry, however. There are a lot of other scientific areas to work in, if that's unacceptable.

The sequence problem needs to be solved, and solved quickly. Time to cut the Gordian knot and for scientists to deposit them in GenBank on their own initiative and because its the right thing to do, career or no career. Maybe that will also shake some of the state actors loose.

          MerchantNavy Training And Placement         
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          Zoonotic Diseases Action Package        
I. How do Action Package leading countries engage other participating countries? 
1.     To explore the participation of other countries and organizations in ZDAP and possible solicitation to join and / or play a ZDAP leadership role
2.     All GHSA participating countries must strengthen their use of PVS in harmony with IHR 2005 within JEE and other tools in line with the targets stated in their ZDAP Road Map taking into account lessons learnt and best practices adopted in other countries
 
II. What are the challenges and opportunities in implementing the GHSA Action Packages roadmap?
•      Challenges and opportunities identified in the use of PVS and IHR 2005 within JEE tools, particularly in the areas of coordination, Collaboration and an appropriate balance in sector representation shall be rectified.

III. Current Activities (2014 - 2016)
1.     Building Global Commitment to Multi sector Approach to Manage Emerging Zoonotic Diseases in Support of the GSHA within the framework of Public Health.
2.     ASEAN Strategy on Rabies Elimination and the Action Plan.
3.     Update activities with GHSA steering group.
4.     OIE conference in Paris in June 2015.
5.     International Conference on ZDAP in Viet Nam àZDAP Action Plan.
6.     The Asia – Pacific Workshop on Multisectoral Collaboration for Prevention and Control of Zoonoses in Saporo Jepang in 2015.
7.     Global elimination of dog-mediated human rabies – The Time is Now, and the technical pre-meeting with the WHO Collaborating Centers in Geneva in 2015.
8.     Send assessors to JEE.
9.     2nd ZDAP meeting at Ritz Carlton Mega Kuningan Jakarta 22 August 2016.

IV. What are the coordination mechanism and efforts to be taken to strengthen the Action Packages?
1.     Effort will be made to improve (non-technical) communication about the importance and relevance of Zoonoses and One Health to the public and policy/decision-makers, including with ministries of finance, home affairs, planning, interior, etc.
2.     All GHSA participating countries must strengthen their use of PVS in harmony with JEE and other tools in line with the targets stated in their ZDAP Road Map taking into account lessons learnt and best practices adopted in other countries.
 
V. What are best practices to be shared?
1.     Integrated zoonoses prevention and control program.
2.     Enhance of knowledge and skill among health workers and education sectors.
3.     Integrated communities empowerment through IEC.
4.     Integrated Surveillance System, outbreak investigation and reporting from Districts/Cities, Province, Central level (Avian Influenza, Rabies, Anthrax, etc.).
5.     Sentinel surveillance of zoonoses.
6.     Zoonoses Epidemiology and Laboratory Network (Four Way Linking).
7.     Expert meeting of zoonoses integrated human and animal health.

Tools, Guidelines and Best Practices Partnerships Collaborations and Outreach for 2016
a.     Emergency operations Center (EOC) and Zoonotic Disease Action Package (ZDAP) in Viet Nam
b.     Strategic Plan for the elemination of Human Rabies in Kenya 2014 -2020
c.      GHSA Projecs and Partmers in Viet Nam
d.     Frequently Asked and Quetions on Rabies
e.      Zoonosis Electronical Comic
f.       Avian Influenza Pocket Book

IntersectorCoordination,Cooperation and Partnership Collaboration for Zoonoses Control  in Indonesia, 1972- 2016
1.     MOU 1972 (DG CDC MoH and DG Animal Health, MoA) : Strengthen Zoonosis Control.
2.     Three Minister Decree 1978 (Minister of : Health, Agriculture, Home Affair) : Guide line  of Rabies Control.
3.     National Comsion AI control, Pandemic Preparedness 2006 (Presidential Decree no. 7, Year  2006) : National Strategic plan of AI Control and Pandemic Influenza Preparedness, 2006.
4.     National Comission of Zoonosis Control 2011 (Presidential Decree no. 30 Year 2011) : National Strategic Plan of Integrated Zoonosis control, 2012.

ZDAP Logic Model
1.     Inputs
a.     Policy and Regulation : a. GHSA Technical Guidance Document; and b. IHR Document.
b.     Workforce and Training.
c.      Funds.
d.     Materials : a. Manuals and b. Protocols.
e.      National Partners : a. Relevant Govornment;  b. Public and Private Sectors.
f.       International Partners : WHO, FAO, OIE, World Bank, GHSA Partner Countries.

2.     Activities / Process
a.     Assessment and Planning.
b.     Framework Development and Implementation.
c.      Workforece Development.
d.     Prevention Policy.
e.      Outbreak Response.
f.       Partnership and Colaboration.
g.     Communication and Reporting.

3.     Monitoring and Evaluation

4.     Outcomes
a.     Short-term outcomes (1-3 years):
-         Health Facility,  Laboratory and surveilance system able to detect and diagnose prioritized zoonotic diseases.
-         National policy to detect, prevent and control zoonotic disease outbreak.
-         Joint outbreak response to real time zoonotic threats.
-         Animal and Public health staff trained in the implementation of one Health Approch.
b.    Intermediate outcomes (3-4 years):
-         Reduce time to detect zoonotic threats.
-         Early notification of zoonotic disease outbreak in both animal and human health sectors.
-         Innovation in prevention, detection and response of zoonotic diseases.
c.      Long-term outcomes (5 + years):
-    Avoidable zoonotic disease epidemics in animals and humans prevented.
-    Reduced impact of naturally occuring outbreaks and international or accidental release of dangerous pathogens.

6. Is there external assistance required for strengthening the Action Packages Implementation?
1.     Enhance capacity and number of human resource.
2.     Technical assisstance support (WHO and FAO) for zoonoses experties: Rabies, Pes, Leptospirosis and Antraks, etc.
3.     Strengten laboratorium capacity  for zoonoses.
4.     Research development support on zoonoses.
 
7. Key Milestones & Activities for 2016
1.     Collaboration on International Health Regulation (IHR) and Performance Veterinary Services (PVS) Training for human and animal health services.
2.     Enhance and strengthen surveillance and diagnose (early detection) of human and animal health using the existing system.
3.     Advocacy of policy and regulation on trade and production of poultry and other farm animal for national multisectoral stakeholder.
4.     Strengthen real-time bio-surveillance on animal and human implementation.
5.     Join zoonoses socialization for human and animal health workers

8.  Five-Year Action Items
1.     Emphasize One Health approaches across all relevant sectors of government.
2.     Implement joint IHR and PVS training programs for human and animal health services.
3.   &
          Pertemuan Koordinasi Paket Aksi GHSA : "Penguatan Kerjasama untuk Meningkatkan Kapasitas dalam Mengatasi Ancaman Kesehatan Masyarakat Global" di Jakarta, 23-25 ​​Agustus 2016        

Pembukaan Pertemuan Paket Aksi GHSA
 
Rapat Koordinasi Paket Aksi GHSA diselenggarakan di Jakarta 23-25 ​​Agustus 2016 dan dihadiri oleh sekitar 200 peserta dari negara tuan rumah, Indonesia, dan 16 negara peserta GHSA lainnya (Australia, Kanada, Côte d I'voire, Finlandia, India , Jepang, Kenya, Belanda, Republik Korea, Arab Saudi, Swedia, Swiss, Thailand, Inggris, Amerika Serikat, dan Vietnam), penasehat permanen (WHO, FAO, OIE) dan Sekretariat ASEAN.


Pertemuan dibuka secara resmi oleh H.E Prof. Dr. Nila F Moeloek, Menteri Kesehatan Republik Indonesia. Menteri menyoroti pentingnya kerjasama dalam konteks global Agenda Keamanan Kesehatan melalui implementasi Paket Aksi. Oleh karena itu penting untuk memperkuat kapasitas semua negara GHSA berpartisipasi dalam mendeteksi, mencegah, dan menanggapi semua ancaman keamanan kesehatan global. Hal ini juga penting bahwa pelaksanaan masing-masing Paket Aksi didukung oleh semua pemangku kepentingan.


Update Terkait Masalah GHSA 


Dr. Untung Suseno Sutarjo, Sekretaris Jenderal Kementerian Kesehatan Republik Indonesia, menyoroti kemajuan GHSA dari 2014 ke 2016. Sejak diluncurkan pada tahun 2014, GHSA telah membuat kemajuan yang signifikan, dan tonggak kunci dari prestasi termasuk adopsi piranti WHO Evaluasi Bersama Eksternal (JEE) sebagai hasil kolaborasi antara WHO, tim GHSA dan ahli lainnya; Rapat Tingkat Tinggi GHSA diadakan di Korea untuk menegaskan kembali upaya untuk mencapai GHSA; meningkatnya minat dari negara-negara untuk berpartisipasi dalam kegiatan JEE; memperluas keanggotaan GHSA; dan peningkatan kerjasama dengan pemangku kepentingan non-pemerintah (NGS), termasuk sektor swasta.


Dr. Rosa Peran Sala dari Belanda melaporkan persiapan dari Rapat Tingkat Tinggi GHSA mendatang yang akan diselenggarakan pada 12-14 Oktober 2016 di Rotterdam, Belanda.  Pertemuan tingkat tinggi ini akan menempatkan fokus yang kuat pada menghubungkan dengan sektor non-kesehatan, seperti pertahanan, transportasi, keamanan, dan urusan ekonomi, sebagai bagian dari upaya kolaboratif untuk memenuhi tujuan GHSA, dan partisipasi dari aktor non-pemerintah (NGA), termasuk sektor swasta dan LSM.


Bapak Jacob Eckles dari Amerika Serikat menyampaikan gambaran umum dari Paket Aksi. Ada 3 indikator yang diusulkan untuk mengukur kemajuan Paket Aksi: 1) pengembangan rencana tahunan; 2) komunikasi antara anggota; dan 3) berbagi alat dan keahlian dengan orang lain. Juga telah disampaikan Status Paket Aksi keseluruhan. Namun, status ini perlu diisi dengan tingkat rinci kemajuan untuk memberikan informasi yang lebih akurat tentang kemajuan di setiap AP. Langkah-langkah berikutnya untuk pelaksanaan Paket Aksi yang untuk fokus pada pekerjaan dan penekanan pada implementasinya yang kongkrit. AS juga menyoroti bahwa setiap Paket Aksi telah diberikan ruang untuk berbagi dokumen publik, sumber daya, dan bahan melalui website GHSA (ghsagenda.org).


Pembaruan dari Penasihat GHSA 


Bapak Ludy Suryantoro dari WHO disajikan update dari kemajuan terkait dengan JEE dan SPP (Kemitraan Strategis Portal) alat, terutama dalam kaitannya dengan rencana aksi nasional dari negara-negara peserta GHSA. Ia menegaskan bahwa alat JEE dapat digunakan baik untuk penilaian diri internal maupun evaluasi eksternal dan bahwa hasil JEE adalah untuk menentukan kapasitas dasar untuk pengembangan rencana implementasi atau peta jalan. Sebagai alat, JEE juga dikembangkan untuk mengukur kemajuan pekerjaan yang dilaksanakan di seluruh kapasitas inti IHR. Sementara itu, sebagai alat, SPP mungkin menyoroti kesenjangan dan kebutuhan untuk donor dan mitra saat ini dan calon untuk berkontribusi kesenjangan dan kebutuhan negara.


Dr James McGrane dari FAO menekankan bahwa sektor pertanian harus lebih aktif terlibat dalam kegiatan GHSA dan bahwa harus ada keterlibatan yang lebih besar dari sektor non-manusia dalam GHSA untuk mencerminkan Salah satu pendekatan Health. FAO telah memberikan kontribusi signifikan terhadap GHSA di tingkat nasional dan global. Hal ini juga berpartisipasi dalam sejumlah misi JEE, dan berharap untuk meningkatkan kontribusinya terhadap JEE di masa depan.


Dr. Ronello Abilla dari OIE menyampaikan gambaran tentang peran OIE di GHSA, dengan menyoroti krisis pandemi di Asia dan upaya organisasi untuk membawa pandemi di bawah kontrol. Dia menyatakan bahwa OIE PVS jalur merupakan proses yang berkesinambungan untuk secara berkelanjutan meningkatkan kepatuhan pelayanan kesehatan hewan dengan standar internasional, melalui proses yang independen eksternal yang dilakukan oleh ahli terlatih yang terdaftar di daftar tersebut, diikuti dengan analisis gap (PVS) untuk mengembangkan pengobatan dan rencana nasional. PVS dimulai pada tahun 2008, dan sejak itu OIE telah terlibat secara aktif dalam kegiatan evaluasi, pelatihan dan analisis untuk mengatasi kesenjangan dan kebutuhan di banyak negara di dunia sebagai bagian dari tujuan yang luas untuk mencapai tujuan GHSA dan IHR.


Resistance antimikroba dan Imunisasi


Helen Mary Shirley-Quirk dari Departemen Kesehatan Inggris menyampaikan gambaran Paket Aksi (PA) Antimicrobial Resistance (AMR). PA ini memiliki empat sub kelompok yang berorientasi aksi, yaitu Penelitian dan Pengembangan; One Health; Pengawasan; dan Pelayanan. Dia mencatat bahwa telah tumbuh pengakuan untuk PA AMR, ditunjukkan, antara lain, oleh anggota memperluas negara terkemuka dan memberikan kontribusi. Telah ada kemajuan yang signifikan dalam upaya untuk mengatasi AMR melalui Paket Aksi, dan salah satu tonggak penting adalah dukungan untuk pertemuan tingkat tinggi AMR akan diadakan selama Majelis Umum PBB pada bulan September 2016. Dia juga menyoroti perlunya koordinasi yang lebih baik dengan paket tindakan lain, seperti penyakit zoonosis, surveilans, laboratorium, dan pengembangan tenaga kerja.


Dr. Jane Soepardi dari Indonesia memfokuskan presentasinya pada pelaksanaan PA Imunisasi di Indonesia. Dia disajikan kapasitas imunisasi di Indonesia berdasarkan JEE indikator. cakupan vaksin adalah 92,3% menunjukkan "Kapasitas Menunjukkan" (Skor 4). Adapun indikator akses vaksin dan pengiriman nasional, Indonesia memiliki "Kapasitas Berkelanjutan" (Skor 5). Dia juga berbagi roadmap Indonesia pada imunisasi selama 5 tahun. Dia menyoroti beberapa masalah yang biasanya dihadapi dalam pengumpulan data karena ada beberapa sumber data yang berbeda yang harus diperhitungkan dalam merencanakan intervensi untuk mencapai tujuan imunisasi.


Dalam sesi ini, US CDC memberikan intervensi dari lantai dan menekankan pentingnya komunikasi reguler antara negara-negara di setiap paket tindakan, serta kerjasama antar negara dalam anggota paket tindakan dan dengan paket tindakan lain.


Penyakit Zoonosis dan Biosafetydan Biosecurity


Prof. Amin Soebandrio dari Komisi Nasional Zoonosis Pengendalian Indonesia menyampaikan update pada status Paket Aksi Penyakit Zoonosis seperti yang ditunjukkan oleh upaya dan prestasi yang dibuat untuk tanggal di penyakit zoonosis di Indonesia, bersama dengan contoh-contoh dari kegiatan dan program dirancang untuk memenuhi target yang ditetapkan untuk Paket Aksi penyakit zoonosis. Dia mendorong semua negara peserta GHSA untuk memperkuat penggunaan PVS selaras dengan WHO JEE dan piranti lainnya.


Ibu Anastasia Rogaeva Badan Kesehatan Masyarakat Kanada menyoroti kemajuan yang dibuat sejauh ini di bidang biosafety dan biosecurity yang terkait dengan Paket Aksinya. Ada kemajuan yang signifikan dalam inisiatif biosafety dan biosecurity seperti yang ditunjukkan, antara lain dengan 50 kemitraan yang saat ini sedang berlangsung, yang melibatkan sejumlah negara ketua dan negara yang berkontribusi pada PA biosafety dan biosecurity, dan terus didukung oleh sekitar 50 negara untuk memenuhi PA biosafety dan biosecurity di bidang kebijakan, legislasi, pembangunan kapasitas, pelatihan, pendidikan, infrastruktur, manajemen, analisis berbagi informasi dan penjangkauan.


Dr. Vu Ngoc Long dari Departemen Kesehatan Vietnam memberikan gambaran tentang kegiatan untuk mengatasi kesenjangan antara Paket Aksi penyakit zoonosis dan PA Biosafety dan PA Biosecurity dengan menyoroti pengalaman Vietnam dalam menangani penyakit menular yang baru muncul (EID), seperti flu burung, MERS, wabah, dll, dan isu-isu Biosafetydan Biosecurity. Ada beberapa prestasi yang dicapai pada kedua bidang Paket Aksi tersebut, seperti penegakan hukum nasional, hukum tentang penyakit menular, dan hukum hewan nasional. Namun, Vietnam juga menghadapi tantangan yang signifikan dalam keterbatasan sumber daya, peningkatan interkoneksi antara manusia dan hewan, peningkatan risiko penyakit di daerah tertinggal, dan keterbatasan kapasitas di tingkat lokal. Vietnam menyarankan bahwa kegiatan melibatkan perencanaan masa depan di tingkat nasional, regional, dan internasional untuk menutup kesenjangan setelah evaluasi baik internal dan eksternal telah dilakukan.


Dalam sesi ini, perwakilan dari Indonesia menyatakan kesediaannya untuk berkontribusi PA Biosafety dan Biosecurity. Selain itu, Thailand berbagi cerita keberhasilan mereka dalam pelaksanaan Biosafety dan Biosecurity melalui penegakan hukum.


Surveillance System Laboratorium Nasional dan Real Time


Dr. Phichet Banyati dari Departemen Kesehatan Thailand memfokuskan presentasinya pada keanggotaan AP dan pemerintahan, tonggak kunci dan kegiatan untuk tahun 2016, dan kemitraan dan penjangkauan untuk 2016. Thailand telah aktif terlibat dalam menjaga komunikasi antara negara ketua AP Sistem Laboratorium Nasional secara teratur melalui konferensi video, dan salah satu tonggak utama adalah lokakarya yang diselenggarakan pada bulan Juli 2016 di Bangkok untuk meningkatkan kemitraan regional terhadap penguatan sistem laboratorium dalam mempercepat pelaksanaan GHSA dari Deteksi 1.


Dr. Benjamin A Dahl dari US CDC menyampaikan gambaran pengawasan dan menekankan perlunya menghubungkan berbagai AP bersama-sama, dengan menunjukkan bahwa pengawasan adalah masalah lintas sektor, daripada satu vertikal. Ada lingkaran saleh pengawasan yang harus diperhitungkan dalam menyusun sistem pengawasan yang handal, mulai dari pengumpulan, analisis, interpretasi dan penyebaran.


Mr. Hendrik Jan Ormel dari FAO menyoroti kebutuhan untuk meningkatkan koordinasi di antara negara-negara peserta dan mitra, sebagaimana tercermin dalam tema pertemuan. GHSA harus mencerminkan partisipasi yang lebih besar dari sektor non-kesehatan, seperti pertanian, karena berperan penting dalam medukung keberhasilan pelaksanaan GHSA.


Pelaporan dan Tenaga Kerja Pembangunan


Pelaporan Paket Aksi tidak diwakili pada pertemuan ini oleh negara ketua atau negara kontributor.  Dr. Khanchit Limpakarnjanarat dari Thailand memberikan gambaran tentang Pengembangan Tenaga Kerja AP, dan menyoroti prestasi yang Thailand telah capai pada 2015 - 2016, yang mencakup sejumlah pertemuan GHSA terkait dimana Thailand telah memainkan peran penting. Selain itu, telah ada sejumlah kursus dan pelatihan yang ditujukan untuk mempercepat kemajuan menuju Paket Aksi pengembangan tenaga kerja ditingkatkan. Tonggak utama dan kegiatan berikutnya meliputi, antara lain, rencana kerja selama 3 tahun yang akan dikembangkan, komunikasi rutin dengan teleconferencetriwulanan, dan konsep GHSA roadmap untuk semua AP. Dia menggarisbawahi fakta bahwa pengembangan tenaga kerja adalah masalah lintas sektor, oleh karena itu, kerjasama antara Deteksi 1 dan Deteksi 5 untuk membangun Four Way Linking merupakan kesempatan yang menarik.


Pusat Operasi Darurat; Menghubungkan Kesehatan Masyarakat dengan UU dan Multisektor Rapid Response; Medis Kontra Ukur dan Deployment Personil


Paket Aksi Pusat Operasi Darurat tidak diwakili pada pertemuan ini oleh negara ketua atau negara kontributor.


Dr. Chaeshin Chu dari Republik Korea menyampaikan gambaran dari unsur-unsur kunci dari Menghubungkan Kesehatan Masyarakat dengan UU dan Multisektor Rapid Response AP untuk 2106 dan praktik terbaik yang meliputi latihan internasional dengan dukungan multi-sektoral terhadap bio-terorisme, dan koordinasi multisektoral yang memiliki petugas jaga 24 jam memantau setiap penyakit menular dengan dukungan dari divisi penilaian risiko. Banyak penekanan diletakkan pada berbagi informasi intens, yang berporos pada dua laporan berkala pada tren penyakit menular dan penilaian risiko dan evaluasi secara harian dan mingguan. Pelajaran dari informasi yang agresif berbagi menunjukkan bahwa informasi dengan penilaian risiko benar-benar bekerja, dengan informasi yang banyak digunakan untuk informasi publik perlu, dasar untuk penelitian dan yurisdiksi, dan untuk memulai "tingkat yang cocok" pengambilan keputusan peringatan oleh badan koordinasi. Selanjutnya, pengalaman Korea menunjukkan bahwa koordinasi yang sebenarnya dan kolaborasi antar PA GHSA adalah penting, dan bahwa komunikasi risiko benar-benar penting.


Mr. Jacob Eckles dari Amerika Serikat menyoroti kontra medis ukuran dan personil penyebaran AP. Dalam konteks darurat, personil besar menakut-nakuti penyebaran sangat penting. Beberapa inisiatif memerlukan perjanjian pemerintah, terutama dalam menanggapi epidemi dan penyebaran lintas-perbatasan, dan akses ke informasi real-time, serta operasi teknis untuk mendukung penyebaran personel internasional dan lintas-perbatasan. Selain itu, menghubungkan sektor pemerintah dengan sektor swasta dan masyarakat sipil sangat penting dalam berurusan dengan keadaan darurat dalam rangka untuk datang dengan penyebaran personel yang efektif. Namun, beberapa tantangan bertahan, khususnya yang berkaitan dengan masalah hukum, kewajiban, perlengkapan medis, dan bahkan masalah logistik, yang perlu diselesaikan untuk mencapai langkah-langkah counter medis yang efisien dan penyebaran pribadi.


Pembahasan Koordinasi Paket Aksi Mendatang


Dr Siswanto dari Indonesia menyampaikan gambaran umum tentang koordinasi kegiatan AP masa depan melalui model jaringan terpadu sistemik: model untuk mengkoordinasikan beberapa komponen dalam Security Global Health. Model ini mencoba untuk membingkai semua paket tindakan melalui pendekatan model yang bertujuan untuk meningkatkan koordinasi dan kemitraan di antara semua pemangku kepentingan terkait, untuk memastikan bahwa kerangka deteksi-cegah-respon dari GHSA dapat bekerja pada tingkat yang diharapkan. Model mengacu pada interaksi dari komponen tubuh manusia untuk mencapai tujuan yang ditetapkan, dan hal itu bisa dilaksanakan di tingkat lokal, nasional dan global untuk memenuhi tujuan GHSA.


Dr. Kumara Rai dari Indonesia kemudian menyampaikan gambaran umum dari model logika berdasarkan model logika yang disediakan oleh Amerika Serikat, dan diusulkan untuk menghubungkan roadmapdengan alat JEE. Model logika menyediakan pelacakan mudah dari kemajuan yang dibuat di daerah tertentu dari kegiatan, diatur dalam gradasi warna yang mencerminkan skor yang dicapai di bidang tertentu, dan tersebar di seluruh hasil jangka pendek, jangka menengah hasil dan jangka panjang hasil.


Pertemuan itu menyepakati bahwa model jaringan perlu dibahas lebih lanjut dan direkomendasikan pengembangan ToR (Terms of Reference) untuk koordinasi, yang meliputi peran negara Ketua PA dan negara kontributor PA dengan organisasi internasional dan mekanisme untuk berbagi informasi.


Jakarta Call for Action tentang Pelaksanaan GHSA Paket Action disajikan dan peserta pertemuan berkomentar dan menyarankan beberapa perubahan dalam dokumen. Jakarta Call for Action kemudian disepakati.


Simulasi Pandemi Influenza Preparedness di Perkotaan dan Pedesaan Indonesia


Sebagai contoh upaya kesiapsiagaan darurat, Indonesia disajikan video simulasi latihan untuk penahanan cepat dari episentrum pandemi influenza di dua provinsi. Latihan simulasi menunjukkan langkah-langkah berurutan dari tindakan kesehatan masyarakat yang penting dalam merespon kesiapan darurat, termasuk surveilans untuk deteksi dini dan pelacakan kontak, kasus rujukan ke rumah sakit, manajemen kasus di puskesmas dan rumah sakit, rumah tangga dan wilayah karantina, memberikan profilaksis massa, komunikasi risiko , dan mengamankan perimeter area.


Penutupan


Pertemuan secara resmi ditutup oleh Kepala Institut Kesehatan Nasional Penelitian dan Pengembangan Indonesia menekankan perlunya untuk bekerja sama lintas sektor dan pelaku dalam melaksanakan Paket Aksi GHSA.


Kunjungan ke Lapangan


Kunjungan ke lapangan dilaksanakan pada 25 Agustus 2016 di tiga tempat yang ditunjuk di mana peserta memiliki kesempatan untuk melihat langsung pelaksanaan beberapa kegiatan terkait GHSA di Indonesia.


Kunjungan 


Situs ke bandara Soekarno Hatta bertujuan untuk mengamati peran dan koordinasi berbagai unit kegiatan pencegahan dan pengendalian, terutama dalam menangani PHEIC. Peserta diajak untuk mengunjungi kantor otoritas bandara (Kementerian unit Perhubungan), Instalasi Karantina Pertanian (Departemen Pertanian Unit), serta Terminal 2D dan Terminal 3 Ultimate di mana peserta memiliki kesempatan untuk mengamati simulasi skala kecil yang dilakukan ketika berhadapan dengan PHEIC.


Kunjungan ke Rumah Sakit Persahabatan bertujuan untuk mengamati program pencegahan dan pengendalian resistensi antimikroba di rumah sakit. Peserta diajak untuk mengunjungi klinik rawat jalan TB MDR, laboratorium klinik mikrobiologi, dan TB MDR & bangsal rawat inap Avian Influenza.


Kunjungan ke Balai Besar Penelitian Veteriner bertujuan untuk mengamati kapasitas dan peran dari Balai Besar Penelitian Veteriner dalam mengendalikan penyakit zoonosis di Indonesia. Peserta memiliki kesempatan untuk mendapatkan pengetahuan tangan pertama dari pelaksanaan manajemen bio-risiko di Indonesia serta beberapa highlights dari hasil penelitian berdasarkan Salah satu pendekatan Kesehatan. Peserta juga diajak untuk mengunjungi BSL3 dan Laboratorium Virologi.


          Ebola and malaria: The Lancet Infectious Diseases: June 23, 2015        

Mateusz Plucinski of the CDC discusses how Ebola has affected malaria control in Guinea.


          New CDC Study Shows Increase in Cerebral Palsy - 1 in 278 Children Affected        

Reaching For the Stars. A Foundation of Hope for Children With Cerebral Palsy (RFTS, Inc.) reports more children have Cerebral Palsy than pediatric cancer, Down syndrome and hearing & vision loss.

(PRWeb March 04, 2008)

Read the full story at http://www.prweb.com/releases/cerebralpalsy/prevalence/prweb738194.htm


          Cadence @ DAC: What to Expect and What to See        

Cadence returns to DAC 2017 this year, showcasing our full verification suite. Here are some of the things you can look forward to from us in the upcoming week.

Once again, Cadence has the Expert Bar on Monday, Tuesday, and Wednesday. The Expert Bar is where engineers can visit our booth and have conversations with our technical experts. Cadence will be running many sessions, and those topics are listed below.

Topics List

Scheduled Time

Featured Products

Automotive: Functional Safety Focus

Tues 1:00-2:30, Wed 4:00-6:00

Xcelium Safety, DSG full-flow

Simplify SoC Verification with VIP

Mon 2:30-4:00, Tues 11:30-1:00

Cadence VIP

Performance Analysis and Traffic Optimization for ARM-Based SoCs

Mon 4:00-6:00, Wed 2:30-4:00

Interconnect Workbench, Palladium Z1, Xcelium simulator, vManager

Formal Verification Featuring the JasperGold Platform

Tues 2:30-4:00, Wed 2:30-4:00

JasperGold Apps

System Verification and HW/SW Co-Verification

with the Palladium Z1 Platform

Tues 1:00-2:30, Wed 10:00-11:30

Palladium Z1

Software Development with Protium S1 FPGA-Based Prototyping Platform

Tues 4:00-6:00, Wed 11:30-1:00

Protium S1

Verification Fabric: Portable Stimulus Generation Featuring Perspec System Verifier

Tues 10:00-11:30, Wed 1:00-2:30

Perspec System Verifier

High-Performance Simulation with Xcelium Parallel Simulation

Tues 11:30-1:00, Wed 1:00-2:30

Xcelium Simulator

Verification Fabric: Plan, Coverage, and Debug with vManager and Indago Solutions

Tues 1:00-2:30, Wed 4:00-6:00

vManager,, Indago

The Future of Verification with the Cadence Verification Suite

Mon 2:30-4:00

Cadence Verification Suite

Cadence Verification Implementation Solutions for ARM-Based Designs

Mon 10:00-11:30, Tues 1:00-2:30

 

 

Cadence will also be offering Tech Sessions—hour-long presentations about a singular topic. These will be held throughout DAC and cover the breadth of verification as listed below:

Topics List

Scheduled Time

Featured Products

Finding More Bugs Earlier in IP Verification by Integrating Formal Verification with UVM

Mon 3:30-4:30

JasperGold Apps, Verification IP, Xcelium Single-Core Simulator

High-Speed SoC Verification Leveraging Portable Stimulus with Multi-Core Simulation and Hardware Acceleration

Tues 2:30-3:30

Perspec System Verifier, Xcelium Multi-Core Simulator, Palladium Z1

Optimally Balancing FPGA-Based Prototyping and Emulation for Verification, Regressions, and Software Development

Wed 10:30-11:30

Palladium Z1, Protium S1, Palladium Hybrid

Automotive Functional Safety Verification

Tues 3:30-4:30

Xcelium Safety

RTL Designer Signoff with JasperGold Superlint and CDC Apps

Tues 12:30-1:30, Wed 11:30-12:30

JasperGold Apps

Cadence Verification Suite: Core Engines, Fabric Technologies, and Solutions

Wed 2:30-3:30

Cadence Verification Suite

In addition to these presentations, Cadence will be hosting a verification luncheon that offers a panel of experts from a variety of different companies to answer verification-related questions. In Monday’s luncheon, Cadence will share a table with Vista Ventures LLC, Hewett Packard Enterprise, and Intel to discuss “Towards Smarter Verification”—a panel asserting that the next big change in verification technology is not necessarily a new engine, but improved communication and compatibility between existing engines that may be optimized for different tasks. This panel will talk about how verification is changing in today’s application-specific world, as well as utilizing machine learning technology to assist in data analytics, among other topics.

Cadence technology experts will also be holding other events during DAC. Of chief importance are “Tutorial 8: An Introduction to the Accellera Portable Stimulus Standard,” presented by Sharon Rosenberg in room 18CD on Monday from 1:30pm to 3:00pm. The Designer/IP Track Poster Session regarding “Automating Generation of System Use Cases Using Model-Based Portable Stimulus Approach” is another important event, presented by Frederik Kautz, Christian Sauer, and Joerg Simon from 5:00pm to 6:00pm on the Exhibit Floor.

We have many exciting things in store for those who attend, and we hope to see you all at DAC this week!


          Uncovering the cause of chronic fatigue        

Uncovering the cause of chronic fatigue The CDC estimates that more than one million people are suffering from chronic fatigue or experience CFS like symptoms. Whether you call it CFS or ME (Myalgic Encephalomyelitis) uncovering the causes of chronic fatigue is a hot topic in holistic health circles. Chronic fatigue is no fun. I know […]

The post Uncovering the cause of chronic fatigue appeared first on Nourish Holistic Nutrition.


          Consumidor também comete dano moral        

O artigo analisa o comportamento do consumidor que pode configurar como dano moral. Analisa, também, o porquê do comportamento brasileiro de subtrair diretos de outros concidadãos.

A proteção do consumidor

A Constituição Federal de 1988 preconizou a defesa do consumidor (art. 5º, XXXII). O CDC é lei específica sobre a relação de consumo. Trata-se de uma lei cujo embasamento tem como escopo a proteção, a dignidade, a segurança dos consumidores frente às arbitrariedades [má-fé] dos fornecedores (art. 3º do CDC). Antes da Existência do CDC muitos consumidores não tinham uma proteção tão eficaz contra os atos de má-fé dos fornecedores. O consumidor, em muitos casos, saía prejudicado nas relações de consumo.

Direitos aquém dos direitos e para quais pessoas

Infelizmente, no Brasil, quanto se fala em direito – “eu tenho meus direitos” - há a mentalidade de ser [pensar ser] mais do que as demais pessoas. O problema é cultura desde o tempo do império. Como o Brasil foi colonizado para ser explorado economicamente, não houve uma identidade – formação psicológica coletiva – direcionada para construção ao bem-estar de todos, tanto que a escravidão negra foi marcante no Brasil, e seu término chancelou o Brasil como um país escravagista – o Brasil foi o último país a abolir a escravização negra.

A vinda de D. João VI ao Brasil, por situação internacional, o obrigou a desenvolver o Brasil para sua estadia. O Estado era absolutista na época, e toda conduta de respeito [submissão] era a máxima da vida no Brasil. Moldado nessa concepção ideológica de vida, pessoas ligadas à realeza possuíam vantagens e direitos sobre os demais indivíduos, que não tinham estes direitos [quase divino]. Também não é demais dizer que a Administração no Brasil sempre serviu mais aos interesses de poucos do que de muitos, desde a Constituição de 1824.

Os direitos preconizados na atual Constituição, a de 1988, não distingue quem têm direitos ou mais direitos, mas todos têm os mesmos direitos – para citar alguns, os artigos 5º, I, 6º e 7º, IV. Quando existe alguma Lei específica, como, por exemplo, o Estatuto do Idoso, não se trata de dar mais direitos aos idosos, mas, diante da fragilidade natural que se encontram, o Estado procura garantir proteções necessárias, pois sendo o idoso um “desigual” nada mais justo que ser reconhecido como “desigual”. A concepção de “desigual” se fundamenta na condição orgânica do cidadão idoso em relação aos não idosos. Esses possuem sistemas orgânicos com condições melhores de sobrevivência, seja para o trabalho, contra doenças diversas. A própria recuperação do idoso é mais lenta do que a de um não idoso. Assim, se justifica uma proteção a mais em relação aos não idosos. Todavia, tal direito [Estatuto do Idoso] não enseja atitudes que venham a violar as garantias fundamentais expressas na Constituição de 1988.

A construção do Brasil, infelizmente, foi modelada pelo princípio realeza e súbitos, e não é demais dizer que tal construção psicológica ainda reina em pleno século XXI. Mesmo com a mudança profunda na relação entre Estado e nação, iniciada pela Constituição de 1824, não se pode dizer que tal relação “realeza” e “súdito” não desapareceram nas condutas entre os próprios cidadãos e o Estado em relação aos cidadãos. A própria Administração, apesar dos avanços que vem sofrendo ao longo do tempo, ainda possui traços imperialistas [poder moderador] na conduta com o povo. A Emenda Constitucional nº 19, de 1988, por exemplo, trouxe mudanças substanciais na relação do Estado à nação, isto é, garantir que todos os cidadãos tenham serviços eficientes [qualidade, presteza, economicidade, objetividade, imparcialidade]. O professor Hely Lopes Meirelles já ensinava sobre o princípio da eficiência:

“Exige que a atividade administrativa seja exercida com presteza, perfeição e rendimento funcional”.

O princípio da eficiência tem como fundamento a administração gerencial [busca dos melhores resultados dos serviços prestado a coletividade], ou seja, prima pela adoção dos critérios legais e morais (moralidade administrativa) necessários para a melhor utilização dos recursos públicos sob o mando da igualdade de todos os cidadãos perante a lei.

Cultura

Apesar dos avanços – Estado de direito - nas Constituições brasileiras, e das normas contidas na Constituição Cidadã quanto à dignidade humana (art. 5º, § 1º) e direitos humanos (art. 5º, § 3º), e a própria submissão do Estado ao povo (art. 1º, § único, da CF/1988), a mentalidade de absolutista e sociedade da corte persiste no cotidiano dos brasileiros. Poucos cidadãos ousam dizer que tem deveres com a coletividade humana; o que se vê, porém, é a invocação peremptória de “tenho direitos”. Nessa mentalidade, as relações humanas passam a ser, novamente, de súdito e realeza.

Ao pé da letra [interpretações quanto às leis], muitos cidadãos tomam os direitos que possuem como condutas de imposições a outros cidadãos, mesmo que tal conduta viole o Estado de direito. Possuir algum direito não faz com que qualquer cidadão venha ser um monarca. Na mentalidade cultura brasileira tratar os desiguais como desiguais (sem direitos) é percepção de que os iguais [de certa classe social] não devem satisfações e respeitos aos “desiguais” [de classes sociais não elitizadas]. A distinção não termina nas diferenciações entre classes sociais, mas há também entre diferentes classes trabalhistas.

Apesar da evolução das leis brasileiras, quanto aos direitos e garantias fundamentais, ainda há mentalidades subversivas a universalidade dos direitos humanos.

Alexandre de Morais conceitua direitos humanos ou garantias fundamentais:

“Conjunto institucionalizado de direitos e garantias do ser humano que tem por finalidade básica o respeito e a sua dignidade, por meio de sua proteção contra o arbítrio do poder estatal e o estabelecimento de condições mínimas de vida e desenvolvimento da personalidade humana” (MORAES, 2000, p. 39).

República e desenvolvimento

Numa República, a civilidade é o pilar e norte a direcionar todas as relações sociopolíticas entre os próprios cidadãos e as relações do Estado ao povo. Os acontecimentos sociopolíticos e até sociojurídicos devem se pautar na civilidade universal. É a civilidade que proporcionará o desenvolvimento nacional – político, administrativo, social e jurídico – de forma a atender as reais necessidades de um país; gestores públicos, legisladores e administrados, de forma uníssona, buscarão, antes de tudo, o bem-estar físico e psíquico de todos os nacionais.

O trinômio consumidor, fornecedor e funcionário

Constitucionalmente, todos têm direitos e deveres. A dignidade humana é direito fundamental inalienável, irrevogável e de aplicabilidade imediata. Os direitos fundamentais se constroem através da história humana. Os direitos fundamentais vão sendo reconhecidos, construídos e inseridos no ordenamento jurídico conforme o evoluir da humanidade, isto é, o entendimento do que seja bom ou ruim nas relações sociais. Os direitos fundamentais passaram as ser considerados direitos humanos – estes de cunho filosófico, mas inerentes ao próprio ser humano [vida, existência digna] -, positivados em um determinado ordenamento jurídico, no caso a Constituição.

Seja em qualquer relação jurídica numa República, a civilidade é um preceito fundamental. Boa-fé, que um desdobramento da civilidade, é o que se espera de ambas as partes, consumidor e fornecedor, numa relação jurídica (art. 422, do CC). Boa-fé pode ser encontrada na própria Carta Cidadã (arts. 1º, III; e 3º, I). Quanto à relação consumidor e funcionário [de empresa], também estes devem se fundamentar na conduta de civilidade [dignidade humana].

Não obstante, pelos preceitos Constitucionais (arts. 1º, III; e 3º, I), se espera que qualquer membro do corpo social nas relações de convivência humana seja orientadas pela civilidade. Assim, civilidade deve nortear as relações humanas, não importando em qual situação se encontra membro do corpo social: se consumidor, fornecedor ou funcionário de empresa.

Código Penal:  antijuridicidade e tipicidade


É no capítulo V do DECRETO-LEI Nº 2.848, DE 7 DE DEZEMBRO DE 1940 que se encontram os crimes contra a honra. E o que é honra?

“Sentimento de dignidade própria que leva o indivíduo a procurar merecer e manter a consideração geral; pundonor, brio” (Dicionário Aurélio).

“Um bem imaterial de pessoas físicas e jurídicas protegida pela Carta de 1988” (BULOS, 2009, p. 463).

“Honra é a soma dos conceitos positivos que cada pessoa goza na vida em sociedade” (Farias, 2008, p 149).

A proteção à honra tem como objetivo evitar que o ser humano aja pelo ímpeto, que é comum em determinados acontecimentos, principalmente quanto mais estreito os relacionamentos humanos. A educação [verniz civilizatório] prima pela razão em vez da emoção súbita e irracional. Mas não é sempre que o ser humano consegue agir racionalmente, pois as emoções fluem naturalmente e, mesmo que o ser humano queira se controlar satisfatoriamente, o corpo reage preparando o indivíduo para a defesa ou o ataque. Além disso, valores familiares e culturais influenciam no comportamento humano: se tais valores são embasados na civilidade, a conduta humana será polida; quando os valores são baseados em discriminações, a postura será de subtração de direitos humanos.

Eis a existência do Código Penal - ora como inibidor, ora como punitivo – contra as atitudes antijurídicas. Importante esclarecer que existem excludentes aos atos antijurídicos. Para se avaliar o ato antijurídico se faz necessário analisar o fato típico ou tipicidade. Matar alguém é um crime cuja pena é a de reclusão, de 6 (seis) a 20 (vinte) anos (art. 121, do CP), todavia matar quando em legítima defesa, estado de necessidade ou em estrito cumprimento de dever legal ou no exercício regular de direito não é crime (art. 23, do CP). Depreende-se que para a existência de ilícito penal a conduta típica seja, também, antijurídica.

Conduta típica antijurídica

Feitas as devidas análises e considerações no decorrer do artigo, vamos agora analisar situações típicas de antijuricidade nas relações consumeristas.

Pelo CDC, quanto à responsabilidade pelo fato do produto e do serviço, sejam o fabricante, o produtor, o construtor, nacional ou estrangeiro, e o importador (art. 12), o comerciante (art. 13), os fornecedores de serviços (art. 14) e os fornecedores de produtos de consumo duráveis ou não duráveis, todos respondem (objetivamente) independentemente da existência de culpa (negligência, imprudência ou imperícia) pelos danos causados aos consumidores. Assim, sendo uma das características principais da exploração de atividade econômica o risco, CDC responsabilizou objetivamente quem explora atividade econômica.

Sendo o consumidor hipossuficiente - não tem a capacidade de saber, no momento de aquisição de produto ou serviço, todas as minúcias conglobadas desde a produção, distribuição, armazenamento e a tecnicidade exigida para a prestação do serviço - o CDC o considerou a parte mais fraca na relação consumerista. E o CDC visa o respeito à dignidade, à saúde e segurança, à proteção dos interesses econômicos, à melhoria da qualidade de vida do consumidor (art. 4º, do CDC).

Se há exploração de atividade econômica, quem explora assume risco inerente à atividade que explora. Isenta-se de obrigação de reparar, quem explora atividade econômica, quando a culpa é exclusiva do consumidor - não leu o manual de instruções antes de usar eletrodoméstico ou eletroeletrônico. Também se isenta de culpa o fornecedor de produto, quando a culpa é de terceiro (oscilações na corrente elétrica) – a não ser que o produto não tenha realmente as especificações técnicas ao fim a que se destina como [estabilizador de rede]. Quem explora atividade econômica e prova que não teve culpa no acontecimento desastroso ao consumidor fica isento de reparar danos morais e pecuniários. O CDC também responsabiliza o fornecedor de produtos ou serviços pelos atos de seus prepostos (art. 34).

Até aqui se falou na aquisição de produto ou serviço. A tipicidade do ato antijurídico está na falha de prestação de serviço (negligência, imprudência ou imperícia) e na falha do fornecimento de produto (também por negligência, imprudência ou imperícia) quanto à dignidade, a saúde e proteção do consumidor. Os fornecedores de produtos e serviços devem se ater as normas jurídicas (art. 5º, II, da CF) para não cometerem crimes.

A tipicidade do ato antijurídico quanto aos danos morais também se fundamenta nas normas jurídicas (art. 5, II, X, da CF). No dano moral não há prejuízo material, mas ação que viole a paz interior do ser humano seja em sua honra subjetiva (injúria) ou objetiva (calúnia e difamação).

Diferenças entre calúnia difamação e injúria:

  • Na calúnia há falsa imputação de fato e acontecimento;
  • Na difamação há fato ofensivo, que pode ser verídico ou não;
  • Na injúria há ofensa negativa (desprezo, escárnio ou ludíbrio) aos atributos físicos, morais e intelectuais.


Tanto a calúnia como a difamação diz respeito à honra externa do indivíduo, ou seja, o juízo que as demais fazem a respeito dos atributos de certo indivíduo. Já a injúria configura-se pela honra interna do indivíduo, ou seja, o juízo que o indivíduo faz de si mesmo em relação aos seus atributos pessoas.

O consumidor tem todo o direito de reclamar pela demora da prestação de serviço ou da entrega de produto. Quando se firma contrato entre consumidor e fornecedor, ambos devem se ater ao que foi acordado. No descumprimento no que rege o contrato, cada qual responde. Quanto aos serviços prestados pelo fornecedor, se há contrato estipulando tempo da prestação de serviço, o consumidor pode exigir celeridade no serviço para a conclusão deste, no tempo estipulado no contrato. O consumidor também pode pedir explicações sobre qualquer ação do fornecedor que esteja violando algum direito previsto em Lei (CDC).

Exigir um direito não é passar por cima de outro direito, ou seja, o consumidor pode exigir seus direitos quando violados, mas não pode ir além dos direitos que possui fazendo “justiça com as próprias mãos”. O único que detém total poder de coação é o Estado.

Alguns exemplos que podem levar o consumidor a ser processado por injúria:

  • “Seu macaco”, “seu evangélico vigarista”, “seu nordestino ignorante” (injúria racial);
  • “Seu filho de uma puta”, “corno manso”, “Cabeça de cervo”, “Família de ladrões” (injúria reflexa);
  • “Idoso preguiçoso”, “Burro e idoso”, “O gerente demora demais por ser um matusalém” (injúria etária);
  • “Por isso não enxerga o que tá na frente, pois usa óculos”, “Além de não saber explicar, é cago”, “Desajeitada e maneta”, “Esse mutilado canastrão”, “Boca torta” (injúria em razão de deficiência física);
  • “Além de analfabeto é maluco”, “Debiloide e fedorento” (injúria em razão de deficiência mental).


Além do que foi exemplificado acima há outras formas de injúrias: “professor bicha”; “cornudo”; “mentiroso”; “ignorante”; “bicha”; “suburbano”; “banana”; “trabalhador de empreguinho”; “mulherzinha balconista”, “queima-rosca”, “neguinho”, “cracudo” (que fuma crack)”; “bundão”; “vigarista”; “mal-amado”; “filhinha de papai”.

Conclusão

O CDC é Lei específica de proteção ao hipossuficiente [consumidor]. A própria Constituição Federal de 1988 consagra a obrigação do Estado na defesa do consumidor (art. 5º, XXXII - o Estado promoverá, na forma da lei, a defesa do consumidor). A mesma Carta Política garante a inviolabilidade da intimidade, da vida privada, da honra e da imagem das pessoas e garante o direito a indenização pelo dano material ou moral decorrente de violação (art. 5º, X). Quaisquer lesões aos direitos e garantias fundamentais têm aplicação imediata no ordenamento jurídico (art. 5º, § 1º).

Sejam consumidores ou fornecedores, todos têm responsabilidades recíprocas. Nas relações consumeristas a boa-fé sempre deve diligenciar as ações entre consumidor e fornecedor. A boa-fé não pode, jamais, ser subtraída, pois ela está consubstanciada tanto no CDC (art. 4º, III) como na CF (arts. 3º, I; e 170),

Referências

BULOS, Uadi Lammêgo. Curso de Direito Constitucional. 4ª ed. Atual. São Paulo: Saraiva. 2009.

FARIAS, Cristiano Chaves de; ROSENVALD, Nelson. Direito Civil: teoria geral. 7ª ed. Rio de Janeiro: Lumen Juris, 2008.

MORAES, Alexandre de. Direito Constitucional. 3ª ed. São Paulo: Atlas, 2000

Disponível em Consumidor também comete dano moral | Artigos JusBrasil

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          re: El CDC Ataca a la Comida Sin Procesar – ¿Deberías Creerles?        

como casi no me gustan las mascotas (tenerlas en casa) pues no me interesan los artìculos.


          2009 H1N1 toll in the United States        
– The Centers for Disease Control and Prevention has tabulated estimates of the toll the 2009 H1N1 pandemic took  in the United States. The numbers are sobering and require no additional comments. The CDC tabulated the numbers through direct observation in 62 counties covering 13 metropolitan areas of 10 states, which were then extrapolated to the […]
          Sociology professor receives national honor for work as an HIV/AIDS activist, survivor        
Carrie E. Foote INDIANAPOLIS—Indiana University-Purdue University Indianapolis professor Carrie E. Foote is among an elite group of individuals being honored as long-term gladiators in the fight against HIV/AIDS.POZ magazine has named Foote to its "2015 POZ 100" list for her work teaching "countless students how to think about HIV—compassionately and unconventionally—and how to get involved in HIV activism."Once a homeless injection-drug user addicted to heroin, Foote, 46, is now a respected sociology scholar and director of graduate studies in the School of Liberal Arts at IUPUI. She was diagnosed with HIV in 1988."I am honored," Foote said of her inclusion on the POZ list. This year’s list celebrates U.S. residents who are long-term survivors of HIV, defined as having been diagnosed in 1995 or earlier, before effective treatment was available.Nominated for the list by IUPUI students, colleagues and community partners, Foote said she is focused on reducing the stigma associated with having HIV/AIDS."The social stigma associated with being HIV-positive is the main barrier to our being able to end this epidemic," she said.Foote’s current research includes a project with the Indiana State Department of Health and the CDC regarding the Scott County, Ind., HIV outbreak among injection-drug users.POZ celebrated its sixth annual "100" list in conjunction with the Nov. 19 New York City debut of a traveling pop-up art installation featuring pictures and testimonials of HIV-positive men and women over 50 years of age. That exhibit, part of a Walgreens-Graying of AIDS project, "Well Beyond HIV," ran two days at Rogue Space Chelsea gallery in New York.Foote’s activism will be evident on World AIDS Day 2015 as her sociology class AIDS and Society will host longtime HIV survivor and advocate Sean Strub as a guest campus lecturer. "An Evening with Sean Strub: The Criminalization of HIV" will take place from 6 to 8 p.m. Thursday, Dec. 3, in Room 450C at the IUPUI Campus Center, 420 University Blvd. Author of "Body Counts: A Memoir of Activism, Sex and Survival," Strub will hold a book-signing immediately following his talk. The event is free and open to the public.
          Connecting the Dots: An Overview of the Links Among Multiple Forms of Violence        
CDC’s Division of Violence Prevention and Prevention Institute
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2014
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Download the Powerpoint slides (also in PDF) for a presentation discussing the resource from CDC and the Prevention Insitute. The resource it's based on discussed the connections between multiple forms of violence and promotes effective collaboration for prevention. 

Learn more about the research brief and project. 

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          The Best Tips and Tricks for Smuggling Drugs Into a Jail        

In April a federal indictment revealed that members of a prison gang called the Black Guerrilla Family had effectively taken control of the Baltimore City Detention Center. (I wrote about this case here and here.) They were allegedly aided by corrupt corrections officers (COs)—some of whom had become romantically involved with certain gang members—who smuggled drugs, cellphones, and other illicit material into the jail for the gang’s benefit. Now, an affidavit in the case provides new details on how the smuggling operation worked.

The document makes for fascinating reading, and could function as a best-practices manual for prisoners looking to set up a smuggling operation of their own. (Or, I suppose, a manual for wardens who want to put an end to such shenanigans.) Forget shooting weed into the exercise yard with a bow and arrow, or baking a file into a cake: If you want your scheme to succeed over the long term, here’s what you need to do.

Identify willing guards. Identifying and suborning pliant corrections officers is key to any successful jailhouse smuggling scheme. The affidavit in the Baltimore case asserts that “new BGF recruits are taught to target a specific stereotype of a CO, specifically women with low self-esteem, insecurities, and certain physical attributes.” The BGF members then attempt to seduce these women, and the relationships build from there. Male COs are more apt to be swayed by money than sexual advances; the affidavit alleges that one indicted male guard “would make $3,000-$5,000 a week smuggling contraband to one inmate.” That’s a lot of money for anyone, but especially for a low-paid corrections officer who knows that half of his co-workers are already on the take.

Refine your smuggling methods. After a CO has been turned, he or she still has to find a way to bring the contraband inside the facility. The affidavit alleges that corrupt COs did this by “hiding it on their person, concealing it in their clothing, disguising it in food items,” and other methods that exploited weak spots in the BCDC’s security protocols. Though guards were patted down every day before work, at least one CO found a novel workaround; the affidavit alleges that “one CO inserted an ounce of marijuana into her vagina every day before work for a period of several years and also carried a pouch of tobacco or Percoset pills concealed in her underwear.” If the contraband doesn’t fit inside your body, it might fit inside your lunch: The affidavit notes that “cell phones are routinely smuggled into the jail inside sandwiches which avoid detection.”

Get the “good prisoners” on your side. Almost every jail or prison has its share of well-behaved inmates who perform jobs that allow them greater freedom of movement within the facility. In the Baltimore City Detention Center, according to the affidavit, 95 percent of these “working men” were BGF members who served as contraband couriers; they used their access to pick up goods that had been stashed in certain areas of the prison, and then transport those goods to their intended recipients. Without these inmates’ cooperation, the smuggling scheme would have ceased to function.

By following these protocols, the Black Guerrilla Family was allegedly able to build a jailhouse smuggling system that was impressive in its audacity. Now that these indictments have come down, though, the Baltimore City Detention Center has tightened up, and inmates have been forced to employ other, less impressive methods for acquiring contraband. Justin George at the Baltimore Sun wrote last week that two people had been arrested after they were observed attempting to smuggle marijuana into the BCDC by attaching it to a rope that had been thrown down from a top-floor window. How the mighty have fallen.


          The Los Angeles Police Department Has Produced a Zombie-Themed Public Safety Video        

Now that zombies have conquered both the big and small screens, I guess it’s only natural that they’d make their way to the next frontier of filmed entertainment: police department public-safety videos. The Los Angeles Police Department has produced what is almost certainly the world’s first zombie-themed theft-prevention film, featuring a horde of felonious ghouls who would rather break into your car than eat your brains. The whole thing’s meant to alert Angelenos to the dangers posed by car burglars—who, like the undead, are relentless and foul-smelling, and easily repelled by locked doors. It’s way better than World War Z.

I’m not sure whether this means that the zombie trend has jumped the shark, or whether it’s poised to become bigger than ever, but, either way, I am glad that this video exists. (This is as good a place as any to note that the CDC did something similar in 2011 with a tongue-in-cheek website offering "zombie preparedness" tips.) If you don’t have time to watch the entire thing, here are a few highlights: 2:04, when a heroic cop subdues the zombie horde with an unenthusiastic “Hey, stop!”; 3:10, when a zombie suspect’s arm falls off as she is being handcuffed; and 4:07, when Capt. Jeffrey Bert of the LAPD ratchets up the terror with some frightening statistics about the rate of car burglaries in Los Angeles.

It isn’t broadcast-quality, of course, but as police-video standards go, “Invasion of the Zombie Bandits!” is truly outstanding. Most official police department videos are pretty dire, and they almost never reflect the latest trends in popular entertainment. But maybe we shouldn’t be surprised that Los Angeles cops were the ones to break the mold. As Richard Winton reported in the Los Angeles Times, “One of Bert’s officers is also a Hollywood makeup artist.” And that’s not all: “His adjutant, Officer Curtis Davis, is a screenwriter.” But he really wants to direct.


          MTS15 - Kathryn Boor - The Science of Foodborne Pathogens        

Dr. Kathryn Boor is a professor and chair in the Food Science department at Cornell University, where she’s director of the Food Safety Laboratory - a biosecurity level 2 laboratory that facilitates research on foodborne pathogens.  Her particular research interests lie in the “how” and “why” of pathogens and spoilage microbes in food.  Boor is also the director of the Milk Quality Improvement Program – a program funded by New York state to monitor and make recommendations to improve the quality of milk in the state.

When I think about the complicated way dairy products come to be on the shelf in my grocery store – farmers use machinery to extract milk from an animal that lives in a barn or a field; the milk is piped through long tubes to a tank on a truck that conveys the product to a plant that processes and divvies it up; the bottles and packages are put on another truck and carted to the store – it seems like a wonder dairy is ever safe to eat.  But dairy is safe: CDC data indicate that less than 1% of foodborne illness outbreaks in the U.S. involve dairy products1 2 .

Dr. Boor’s primary interest lies in Listeria monocytogenes, one of the few pathogens that is a problem in dairy, and most people who’ve heard of it associate it with unpasteurized soft cheese or cold cuts.  Listeriosis is not as common or familiar as some other foodborne illnesses, but it is more often fatal than salmonellosis or botulism, and in a pregnant woman even a mild case can be deadly for her fetus.  Dr. Boor’s research focuses on how this so-called “simple” organism is able to persist in some foods and overcome the stress of refrigeration and stomach acid to not only survive, but to make us really sick.

In this interview, I asked Dr. Boor about how she came to this particular niche in science, whether pasteurization is any better than keeping milk from getting contaminated in the first place, and what her trained eye for food safety looks out for when she’s buying food.


          Whooping Cough – Lies, Damn Lies and Statistics        
According to the CDC (2002) However, since the early 1980s, reported pertussis incidence has increased cyclically with peaks occurring every 3–4 years. And yet  whooping cough increases are being described as though they are a new problem. Here is an example, one of many: Whooping cough cases have outright ballooned in Washington; state health authorities […]
          NSCDC Rescues 3 Kids From Kidnappers In Abia        
Ignatius Okpara ABIA NIGERIA (AFRICAN EXAMINER – The Abia State Command of the Nigeria Security and Civil Defence Corps (NSCDC), has rescued three children, aged between 10 and 11), from kidnappers den as well as ritualists in Abia state, south East Nigeria. The victims, two females and one male, whose names were not made known […]
          Georgia Health Commissioner Named Director Of US Centers For Disease Control And Prevention        

from Talking Points Memo | Breaking News and Analysis, by Associated Press, on Jul 7

NEW YORK (AP) — Georgia’s health commissioner was named Friday to lead the U.S. Centers for Disease Control and Prevention, the federal government’s top public health agency.

Dr. Brenda Fitzgerald is an OB-GYN and has been head of the Georgia Department of Public Health since 2011. She succeeds Dr. Tom Frieden, who resigned as CDC director in January at the end of the Obama administration.

“I am humbled by the challenges that lie ahead, yet I am confident that the successes we’ve had in Georgia will provide me with a foundation for guiding the work of the CDC,” Fitzgerald said in a statement.

Fitzgerald was appointed by Dr. Tom Price, who was a Republican congressman from Georgia before he was selected by President Donald Trump to head the U.S. Department of Health and Human Services, which oversees the CDC.

“Having known Dr. Fitzgerald for many years, I know that she has a deep appreciation and understanding of medicine, public health, policy and leadership — all qualities that will prove vital as she leads the CDC in its work to protect America’s health 24/7,” Price said in a news release.

The 70-year-old Fitzgerald has had strong ties to the Republican Party. She was an unsuccessful GOP candidate for Congress twice in the 1990s. She was also a health care policy adviser to Newt Gingrich, the former House Speaker, and the late Sen. Paul Coverdell.

Fitzgerald is respected in the public health community, and her choice drew approval from Dr. Georges Benjamin, executive director of the American Public Health Association.

“From her work as a practicing obstetrician-gynecologist to her recent service as the commissioner of the Georgia Department of Public Health, Dr. Fitzgerald is more than prepared to face the health challenges of our time, including climate change, Zika, Ebola, and our growing burden of chronic disease,” Benjamin said in a statement.

The Atlanta-based CDC , with a budget of about $12 billion, investigates disease outbreaks, researches the cause and frequency of health problems and promotes prevention efforts. It is the only federal agency headquartered outside of Washington, D.C., and has nearly 12,000 employees and 10,000 contractors worldwide.

Fitzgerald has a bachelor of science degree in microbiology from Georgia State University and a medical degree from the Emory University School of Medicine. Her resume also includes being a major in the U.S. Air Force.

During her time as Georgia’s health commissioner, she won praise for campaigns against childhood obesity and to encourage language development in babies. She also led response efforts during the Ebola and Zika virus scares.

Her first day at CDC was Friday. A CDC spokeswoman said Fitzgerald was not available for interviews.

Former director Frieden wished her well, and noted she’ll be plunged into a continuing struggle to stop reductions in the CDC’s budget and to fill hundreds of jobs that have been vacant. Trump’s budget proposal would cut $1.2 billion from the CDC and legislation to repeal and replace the Obama-era health care law would cut other funding.

“By listening to and supporting CDC staff, she can succeed,” he said via email.


          023 Planting the vegetable gardens, injured chicks, humane treatment of animals / livestock, building a chicken brooder        
This week’s updates around the farm and gardens: Piglets getting porked up; getting names and getting weaned, New layer chickens now in coop with the rest of the flock, Cornish X chicks in the brooder had some pecking issues, Managing hurt chickens and turkeys, New brooder for turkeys, Veggies planted, seeds planted, mulching has begun - the gardens are in, CSA starting this week! In the News: Factory farm and its treatment of animals - http://www.huffingtonpost.com/2012/05/21/humane-society-wyoming-premium_n_1528541.html Baby chicks made 300 people sick over 8 years - ohh the horror - http://health.usnews.com/health-news/news/articles/2012/05/30/theyre-cute-but-baby-chicks-can-harbor-salmonella CDC Report on foodborne Salmonella numbers - http://www.cdc.gov/foodborneburden/2011-foodborne-estimates.html This week on Farm U: Building a chicken brooder, What makes a good brooder, Differences between broiler chicken / egg laying chicken and turkey brooder design, Some tips for managing your brooder to make life easier for you.
          STJ... Devo, não nego, pago quando puder.        
Devo, não nego, pago quando puder
A expressão popular descreve a situação financeira de muitos consumidores brasileiros diante dos bancos, financeiras, prestadoras de serviço e comércio em geral.

Dados recentes da Pesquisa Nacional de Endividamento e Inadimplência do Consumidor, realizada pela Confederação Nacional do Comércio, revelam que o percentual de famílias com dívidas ou contas em atraso subiu em novembro de 2013, em comparação com o mesmo mês de 2012.

Já a Serasa Experian, empresa especializada na administração de informações de crédito, divulgou que, no acumulado de janeiro a outubro de 2013, o índice de inadimplência do consumidor recuou0,6% na comparação com o mesmo período do ano anterior, a primeira queda desde o início da apuração, em 1999.

Em outra pesquisa, realizada em 2012 com aproximadamente mil consumidores, a Serasa Experian apontou que 25% dos entrevistados se declararam inadimplentes. Destes, 38% admitiram não ter ideia do valor total das contas ou parcelas em atraso. E 60% dos devedores afirmaram que normalmente falta dinheiro no fim do mês e quase a metade de sua renda mensal está comprometida com dívidas.

As constantes ofertas de crédito e facilidades de pagamento divulgadas diariamente incentivam os consumidores a assumir compromissos além de sua capacidade e acabam por levar grande número deles aos temidos cadastros de inadimplentes. Muitas dessas situações chegam ao Superior Tribunal de Justiça (STJ).

Obrigação do credor 

Em recente julgamento, a Quarta Turma do STJ concluiu que o ônus de baixar a inscrição do nome do consumidor nos cadastros de proteção ao crédito é do credor, e não do devedor. A tese foi aplicada no Agravo em Recurso Especial (AREsp) 307.336, cujo relator foi o ministro Luis Felipe Salomão.

O recurso envolveu a Sul Financeira e um consumidor cujo nome foi mantido indevidamente em cadastros de proteção ao crédito. Os ministros mantiveram o entendimento do Tribunal de Justiça do Rio Grande do Sul, que condenou a financeira a pagar indenização no valor de R$ 5 mil ao consumidor, por danos morais, em virtude da não retirada imediata do seu nome dos cadastros.

Salomão invocou o artigo 43, parágrafo 3º, e o artigo 73, ambos do Código de Defesa do Consumidor (CDC), para embasar sua conclusão. Esse último dispositivo caracteriza como crime a falta de correção imediata dos registros de dados e de informações inexatas a respeito dos consumidores.

Correção dos registros

A posição a respeito da obrigação do credor de providenciar a retirada do nome do devedor dos cadastros de inadimplentes, após a quitação da dívida, é entendimento pacífico nas Turmas que compõem a Segunda Seção, conforme o exposto pela ministra Nancy Andrighi no Recurso Especial (REsp) 1.149.998.

O recurso envolveu um consumidor e a empresa de telefonia e internet Global Village Telecom – GVT. Após ter conhecimento de que seu nome havia sido incluído em cadastro de inadimplentes, o recorrente quitou o débito que originou a inscrição. Decorridos 12 dias, o consumidor fez pedido de cartão de crédito a uma instituição financeira mas a solicitação foi rejeitada, pois seu nome ainda fazia parte dos registros do Serviço de Proteção ao Crédito (SPC), em virtude do débito quitado com a GVT.

Tal situação gerou o ajuizamento de ação de indenização por danos morais pelo cliente.
Ao se pronunciar sobre a lide, o tribunal gaúcho afirmou que as providências a serem tomadas para retirada do nome dos cadastros de inadimplentes cabiam ao autor, sendo exigido do credor “tão somente a conduta de não impor embaraços, o que se entende por satisfeito pelo fornecimento de recibo a autorizar a baixa do assento”.

Entretanto, de acordo com a ministra Nancy Andrighi, a melhor interpretação do artigo 43, parágrafo 3o, do CDC é a de que, uma vez regularizada a situação de inadimplência do consumidor, deverão ser imediatamente corrigidos os dados constantes nos órgãos de proteção ao credito, sob pena de ofensa à própria finalidade dessas instituições, visto que elas não se prestam a fornecer informações inverídicas a quem delas necessite.

“Induvidoso, portanto, que cabia à GVT ter procedido à baixa do nome do recorrente nos registros do SPC”, afirmou.

Prazo

Ao dizer que a correção deve ser feita “imediatamente” ou “em breve espaço de tempo”, por vezes, os julgados deixam dúvidas quanto ao prazo a ser considerado pelo consumidor para cobrar de maneira legítima a efetiva exclusão do seu nome dos cadastros de inadimplência. Da mesma forma, os credores ficam sem um balizador para adequar seus procedimentos internos, de modo a viabilizar o cumprimento da exigência.

A solução pode ser extraída do próprio parágrafo 3o do artigo 43, conforme explica a ministra, pois ele estabelece que “o consumidor, sempre que encontrar inexatidão nos seus dados e cadastros, poderá exigir sua imediata correção, devendo o arquivista, no prazo de cinco dias úteis, comunicar a alteração aos eventuais destinatários das informações incorretas”.

Dessa forma, “é razoável que o prazo de cinco dias do artigo 43, parágrafo 3o, do CDC norteie também a retirada do nome do consumidor, pelo credor, dos cadastros de proteção ao crédito, na hipótese de quitação da dívida. Por outro lado, nada impede que as partes, atentas às peculiaridades de cada caso, estipulem prazo diverso do ora estabelecido, desde que não se configure uma prorrogação abusiva desse termo pelo fornecedor em detrimento do consumidor”, ponderou Nancy Andrighi.

Após a demonstração da negligência da GVT na exclusão do nome do recorrente dos cadastros, o STJ aplicou o entendimento consolidado, segundo o qual “a inércia do credor em promover a atualização dos dados cadastrais, apontando o pagamento e, consequentemente, o cancelamento do registro indevido gera o dever de indenizar, independentemente da prova do abalo sofrido pelo autor, sob forma de dano presumido”, conforme preconizado no REsp 957.880, de relatoria do ministro Villas Bôas Cueva.

Notificação prévia

Em julgado de relatoria da ministra Isabel Gallotti (AREsp 169.212), a Quarta Turma entendeu que a Serasa e o Serviço de Proteção ao Crédito (SPC), quando importam dados do Cadastro de Emitentes de Cheques sem Fundos (CCF) do Banco Central (Bacen) para inscrição do nome do consumidor em seus cadastros, têm o dever de expedir notificação prévia.

O recurso tratava de demanda entre um consumidor e o Banco Itaú. O correntista afirmou que era nula a sua inscrição nos cadastros restritivos de crédito, pois ele não havia sido comunicado previamente pelo Itaú. Entretanto, a tese adotada pelo STJ é de que a obrigação de comunicar a inscrição em órgão de proteção ao crédito “é da entidade cadastral e não do credor”, ressaltou a ministra.

De acordo com Gallotti, o disposto no artigo 43 do CDC, apontado por violado no recurso especial, dirige-se à entidade mantenedora do cadastro de proteção ao crédito e não ao credor ou à instituição bancária.

O entendimento adotado pela Corte foi o mesmo ao julgar recurso que questionava o ressarcimento de um cliente por danos morais, em razão da falta de comunicação prevista no artigo 43, parágrafo 2º, do CDC. Nesses casos, o STJ entende que a legitimidade para responder por dano moral é do banco de dados ou da entidade cadastral, aos quais compete fazer a negativação que lhe é solicitada pelo credor (Ag 903.585).

Após consolidar a jurisprudência sobre esse ponto, o STJ editou a Súmula 359, que dispõe que a entidade mantenedora do cadastro de proteção ao crédito é que deve notificar o devedor antes de proceder à inscrição.

Recurso repetitivo 
Em virtude da multiplicidade de recursos que discutiam indenização por danos morais decorrentes de inscrição do nome do devedor nos cadastros de restrição ao crédito com ausência de comunicação prévia, em especial nos casos em que o devedor já possui outras inscrições nos cadastros, o REsp 1.061.134 foi utilizado como representativo de controvérsia e julgado de acordo com o artigo 543-C do Código de Processo Civil.

O recurso versava sobre o caso de um consumidor que pediu o cancelamento do registro de seu nome dos cadastros de inadimplentes e pleiteou danos morais em razão da falta de prévia comunicação pela Câmara de Dirigentes Lojistas de Porto Alegre (CDL). O Tribunal de Justiça do Rio Grande do Sul não acolheu os pedidos, pois considerou que o devedor possuía diversos registros desabonadores, que evidenciavam a reiteração da conduta.

Legitimidade

O recurso serviu para a consolidação de alguns entendimentos sobre legitimidade para responder em ação de reparação de danos, caracterização do dever de indenizar e inadimplência contumaz.

Sob a relatoria da ministra Nancy Andrighi, a Segunda Seção firmou o entendimento de que a entidade que reproduz ou mantém cadastro com permuta de informações entre bancos de dados pode responder em ação indenizatória.

Nesses casos, “o órgão que efetuou o registro viabiliza o fornecimento, a consulta e a divulgação de apontamentos existentes em cadastros administrados por instituições diversas com as quais possui convênio, como ocorre com as Câmaras de Dirigentes Lojistas dos diversos estados da federação entre si”, observou a ministra.

O colegiado firmou a posição de que o Banco Central não é parte legítima para responder em ações de indenização por danos morais e materiais pelo fato de manter o CCF, pois o cadastro é de consulta restrita. Segundo a relatora, os dados do CCF apenas podem ser acessados em virtude da reprodução de seu conteúdo por outras mantenedoras de cadastros restritivos de crédito.

Dano moral

No mesmo recurso, a Segunda Seção pacificou a tese de que, para a caracterização do dever de indenizar, é suficiente a ausência de prévia comunicação, mesmo quando existente a dívida que gerou a inscrição. “O objetivo da notificação não é comunicar o consumidor da mora, mas sim propiciar-lhe o acesso às informações e preveni-lo de futuros danos”, explicou Nancy Andrighi.

Todavia, o dever de indenizar sofre tratamento específico quando o consumidor possui inscrições preexistentes, regularmente realizadas em cadastros restritivos de crédito. O pensamento foiinaugurado no julgamento do REsp 1.002.985, de relatoria do ministro Ari Pargendler, que considerou que “quem já é registrado como mau pagador não pode se sentir moralmente ofendido pela inscrição do seu nome como inadimplente em cadastros de proteção ao crédito”.

Inadimplente contumaz

A existência de outras inscrições em nome do devedor afasta, portanto, o dever de indenizar por danos morais. De acordo com Pargendler, para que seja caracterizado o dano moral, “haverá de ser comprovado que as anotações anteriores foram realizadas sem a prévia notificação do interessado”.

Nesse sentido foi julgado o REsp 1.144.274, de relatoria da ministra Isabel Gallotti. O recorrente teve seu nome inscrito em cadastro de inadimplentes, sem notificação prévia, em virtude da emissão de dez cheques sem fundos em apenas um mês.

O Tribunal de Justiça da Paraíba considerou indevida a indenização por danos morais decorrente da inscrição irregular, quando o devedor já possui anotações anteriores. E determinou apenas a exclusão de seus dados do cadastro de maus pagadores.

Insatisfeito, o devedor recorreu ao STJ. Alegou que tinha direito à indenização. O STJ ratificou a tese do tribunal de origem, pois entende que a ausência de prévia comunicação ao consumidor atrai a compensação por danos morais, salvo quando preexista inscrição desabonadora regularmente realizada.

No julgamento, foi citada a Súmula 385, que dispõe que, da anotação irregular em cadastro de proteção ao crédito, não cabe indenização por dano moral quando preexistente legítima inscrição, ressalvado o direito ao cancelamento do registro.

Fonte: Site do STJ
http://www.stj.jus.br/portal_stj/publicacao/engine.wsp?tmp.area=398&tmp.texto=112579&utm_source=agencia&utm_medium=email&utm_campaign=pushsco





          STJ... Conflitos entre advogado e cliente: quando o aliado se torna rival        
Conflitos entre advogado e cliente: quando o aliado se torna rival
 
A relação contratual entre advogado e cliente tende a ser pacífica e cordial, já que ambos têm interesses comuns envolvidos. Contudo, nem sempre é assim. Quando a confiança recíproca entre esses dois personagens fica abalada, devido à falha de um deles, podem surgir conflitos e até mesmo novas ações judiciais. Veja nesta matéria alguns casos que chegaram ao Superior Tribunal de Justiça (STJ).

De modo geral, as obrigações do advogado consistem em defender o cliente em juízo e orientá-lo com conselhos profissionais. Em contrapartida, este deve recompensar o profissional (exceto o defensor público) com remuneração compatível com o trabalho e o valor econômico da causa; muitas vezes, independentemente do êxito no processo.

As relações contratuais entre clientes e advogados são regidas pelo Estatuto da Advocacia, instituído pela Lei 8.906/94.

Boa-fé objetiva

De acordo com a ministra Nancy Andrighi, da Terceira Turma do STJ, para que a relação entre advogado e cliente não seja fonte de prejuízo ou decepção para um deles, a boa-fé objetiva deve ser adotada como regra de conduta, pois tem a função de criar deveres laterais ou acessórios, que servem para integrar o contrato naquilo em que for omisso.

Além disso, “é possível utilizar o primado da boa-fé objetiva na acepção de limitar a pretensão dos contratantes quando prejudicial a uma das partes”, acrescenta (Recurso Especial 830.526).

Obrigação de meio
O ministro Luis Felipe Salomão considera que a obrigação assumida pelo advogado, em regra, não é de resultado, mas de meio, “uma vez que, ao patrocinar a causa, obriga-se a conduzi-la com toda a diligência, não se lhe impondo o dever de entregar um resultado certo”.

Em março de 2012, a Quarta Turma discutiu a possibilidade de condenação de advogado ao pagamento de indenização por dano moral ao cliente, em razão de ter perdido o prazo para interpor recurso especial.

No caso julgado, o advogado foi contratado para interpor recurso em demanda anterior (relativa ao reconhecimento de união estável), mas perdeu o prazo. Na ação de indenização, a cliente afirmou que a falha do profissional lhe trouxe prejuízos materiais e ofendeu sua honra.

Negligência
O juízo de primeiro grau julgou o pedido improcedente. Entretanto, o Tribunal de Justiça do Rio de Janeiro reformou a sentença para conceder à autora o direito de receber a reparação pelos danos materiais, correspondente aos valores pagos ao advogado. Em seu entendimento, o profissional agiu com negligência, mas não ofendeu a dignidade da cliente.

Para Salomão, relator do recurso especial, é difícil prever um vínculo claro entre a negligência do profissional e a diminuição patrimonial do cliente. “O que está em jogo, no processo judicial de conhecimento, são apenas chances e incertezas que devem ser aclaradas em juízo de cognição”, mencionou.

Isso quer dizer que, ainda que o advogado atue de forma diligente, o sucesso no processo judicial não depende só dele, mas também de fatores que estão fora do seu controle.

Perda da chance
Nesse contexto, Salomão mencionou a teoria da perda de uma chance, que busca responsabilizar o agente que causou a perda da possibilidade de se buscar posição mais vantajosa – que muito provavelmente seria alcançada, se não fosse pelo ato ilícito praticado.

Segundo o ministro, no caso de responsabilidade do advogado por conduta considerada negligente, e diante da incerteza do sucesso, a demanda que invoca a teoria da perda da chance deve ser solucionada a partir de uma análise criteriosa das reais possibilidades de êxito do cliente, eventualmente perdidas por culpa do profissional.

Para ele, o fato de o advogado ter perdido o prazo para contestar ou interpor recurso não resulta na sua automática responsabilização civil com base na teoria da perda de uma chance, como na hipótese. A Turma negou provimento ao recurso especial (REsp 993.936).

Aproveitamento indevido
Ocorre lesão quando um advogado, aproveitando-se da situação de desespero da parte, firma contrato no qual fixa remuneração ad exitum (quando o pagamento só é feito se a decisão for favorável à parte contratante) em 50% do ganho econômico da causa. Com esse entendimento, a Terceira Turma do STJ reduziu para 30% os honorários fixados em ação que buscava o pagamento de pensão por morte.

Com a vitória na ação, a autora recebeu R$ 962 mil líquidos. Desse montante, pagou R$ 395 mil (41%) aos dois advogados contratados, que já tinham levantado R$ 102 mil de honorários de sucumbência.

Descontentes com a porcentagem de 51% da causa (incluídos os honorários de sucumbência), os advogados decidiram ingressar em juízo para receber mais R$ 101 mil da cliente, pois, segundo eles, o valor pago não era compatível com o contrato. Em contrapartida, a autora moveu uma ação contra ambos.

O juízo de primeiro grau não deu razão à cliente. Para o magistrado, o contrato foi firmado de forma livre e consciente, “no pleno exercício da sua autonomia privada”. Na apelação, o Tribunal de Justiça do Distrito Federal (TJDF) afirmou que os contratos de serviços advocatícios são amparados pelo Código de Defesa do Consumidor (CDC) e possuem cláusulas livremente pactuadas pelas partes.

CDC
Contrariando a decisão do TJDF, a ministra Nancy Andrighi, que proferiu o voto vencedor, afirmou que a jurisprudência do STJ é pacífica no sentido de que o CDC não pode ser aplicado à regulação de contratos de serviços advocatícios. “A causa deverá ser julgada com base nos dispositivos do Código Civil”, disse.

Após verificar as peculiaridades do caso, como a baixa instrução da cliente, a sua condição de necessidade econômica no momento da contratação e o alto valor do crédito, ela chegou à conclusão de que os advogados agiram de forma abusiva. Eles propuseram o contrato a uma pessoa em situação de inferioridade, cobrando honorários no percentual máximo permitido pelo Código de Ética e Disciplina da Ordem dos Advogados do Brasil (OAB).

“Há claro exagero na fixação dos honorários e, portanto, também o requisito objetivo da lesão se encontra presente”, afirmou. Com base no artigo 187 do CC, Andrighi entendeu que, ainda que seja direito dos advogados, em princípio, celebrar um contrato quota litis no percentual de 50%, no caso específico houve abuso desse direito (REsp 1.155.200).

Danos morais
Em março de 2013, a Terceira Turma do STJ julgou o recurso de um advogado, condenado a pagar indenização por danos morais ao cliente, porque teria mentido para ele e para a OAB.

O profissional foi contratado para propor ação na qual se buscava o pagamento de diferenças salariais. Após quase 20 anos, ao ser procurado pelo cliente, afirmou que não tinha patrocinado nenhuma demanda judicial em nome do autor. Além disso, perante a OAB, negou o recebimento da procuração e o ajuizamento da ação.

No entanto, a nova advogada contratada descobriu que a ação havia sido efetivamente ajuizada, processada e julgada improcedente, decisão que ficou mantida após recursos às instâncias superiores.

Mentira
Diante disso, o cliente moveu ação indenizatória por danos morais, em razão da humilhação e do desgosto causados pela mentira do advogado. Condenado a pagar R$ 15 mil de indenização, o advogado recorreu ao STJ, sustentando a prescrição quinquenal, além da improcedência da ação, porque, segundo ele, não havia prova do dano suportado pelo cliente e do nexo de causalidade.

De acordo com o ministro Sidnei Beneti, relator do recurso especial, como na hipótese o dano moral tem caráter de indenização, de reparação de danos, deve ser aplicado o prazo de prescrição vintenária.

Em relação à questão fática, o ministro afirmou que as conclusões das instâncias ordinárias não poderiam ser alteradas pelo STJ, conforme orienta a Súmula 7 do Tribunal. A Turma manteve a decisão do tribunal de segunda instância (REsp 1.228.104).

Vínculo empregatício
Em alguns casos, o advogado é submetido à relação de emprego. Muitos profissionais são vinculados a empresas. Mesmo nesses casos, a Quarta Turma entende que não há submissão do advogado ao poder diretivo do empregador e este, por consequência, não se responsabiliza pelas ofensas feitas pelo profissional em juízo.

“O advogado, ainda que submetido à relação de emprego, deve agir em conformidade com a sua consciência profissional e dentro dos parâmetros técnicos e éticos que o regem”, afirmou o ministro Luis Felipe Salomão.

Para o desembargador Rui Stoco, “embora o advogado esteja representando quem o contratou e constituiu e fale em juízo em nome da parte, a responsabilidade por eventual abuso ou excesso de linguagem é sua e não do cliente” (Tratado de Responsabilidade Civil).

Ofensa
No caso julgado pela Quarta Turma, um juiz moveu ação contra o Banco do Estado do Espírito Santo, alegando ter sido vítima de abuso e violência pela conduta de um segurança da instituição, quando tentou entrar numa agência. Segundo ele, ao apresentar a defesa, o advogado do banco o ofendeu e o acusou de ter abusado de sua autoridade.

O magistrado moveu nova ação contra o banco. Em primeira instância, este foi condenado a pagar ao autor indenização por danos morais, fixada em dez vezes o valor dos vencimentos brutos que ele recebia como juiz de direito. Contudo, o Tribunal de Justiça do Espírito Santo (TJES) reformou a sentença, pois reconheceu a ilegitimidade da instituição bancária para responder pelos atos do advogado.

No STJ, o ministro Luis Felipe Salomão, relator do recurso especial, votou pelo afastamento da ilegitimidade do banco, reconhecida pelo TJES. “Na hipótese em que o advogado defende os interesses de seu empregador, ambos respondem solidariamente pelos atos praticados pelo causídico, cabendo, conforme o caso, ação de regresso”, afirmou.

Divergência
Entretanto, o ministro Fernando Gonçalves divergiu do entendimento do relator e seu voto foi acompanhado pela maioria dos ministros. Ele citou precedente do STJ, segundo o qual, “a imunidade profissional garantida ao advogado pelo Estatuto da Advocacia não alberga os excessos cometidos pelo profissional em afronta à honra de qualquer das pessoas envolvidas no processo” (REsp 357.418).

Gonçalves mencionou que, para o relator, a tese do precedente citado só valeria para atos praticados por advogado em defesa de um cliente da advocacia liberal, não se referindo àquele que atua com vínculo empregatício.

“Mesmo em se tratando de advogado empregado da instituição financeira, sua responsabilidade por eventuais ofensas atribuídas em juízo há de ser pessoal, não se cogitando de preposição apta a ensejar a responsabilidade do empregador”, concluiu (REsp 983.430).
 
Fonte: Site do STJ
 http://www.stj.jus.br/portal_stj/publicacao/engine.wsp?tmp.area=398&tmp.texto=109073&utm_source=agencia&utm_medium=email&utm_campaign=pushsco


          STJ... Princípio da boa-fé objetiva é consagrado pelo STJ em todas as áreas do direito        
Princípio da boa-fé objetiva é consagrado pelo STJ em todas as áreas do direito
 
Um dos princípios fundamentais do direito privado é o da boa-fé objetiva, cuja função é estabelecer um padrão ético de conduta para as partes nas relações obrigacionais. No entanto, a boa-fé não se esgota nesse campo do direito, ecoando por todo o ordenamento jurídico.

“Reconhecer a boa-fé não é tarefa fácil”, resume o ministro do Superior Tribunal de Justiça (STJ) Humberto Martins. “Para concluir se o sujeito estava ou não de boa-fé, torna-se necessário analisar se o seu comportamento foi leal, ético, ou se havia justificativa amparada no direito”, completa o magistrado.

Mesmo antes de constar expressamente na legislação brasileira, o princípio da boa-fé objetiva já vinha sendo utilizado amplamente pela jurisprudência, inclusive do STJ, para solução de casos em diversos ramos do direito.

A partir do Código de Defesa do Consumidor, em 1990, a boa-fé foi consagrada no sistema de direito privado brasileiro como um dos princípios fundamentais das relações de consumo e como cláusula geral para controle das cláusulas abusivas.

No Código Civil de 2002 (CC/02), o princípio da boa-fé está expressamente contemplado. O ministro do STJ Paulo de Tarso Sanseverino, presidente da Terceira Turma, explica que “a boa-fé objetiva constitui um modelo de conduta social ou um padrão ético de comportamento, que impõe, concretamente, a todo cidadão que, nas suas relações, atue com honestidade, lealdade e probidade”.

Ele alerta que não se deve confundi-la com a boa-fé subjetiva, que é o estado de consciência ou a crença do sujeito de estar agindo em conformidade com as normas do ordenamento jurídico.

Contradição
Ao julgar um recurso especial no ano passado (REsp 1.192.678), a Terceira Turma decidiu que a assinatura irregular escaneada em uma nota promissória, aposta pelo próprio emitente, constitui “vício que não pode ser invocado por quem lhe deu causa”. O emitente sustentava que, para a validade do título, a assinatura deveria ser de próprio punho, conforme o que determina a legislação.

Por maioria, a Turma, seguindo o voto do ministro Sanseverino, aplicou o entendimento segundo o qual “a ninguém é lícito fazer valer um direito em contradição com a sua conduta anterior ou posterior interpretada objetivamente, segundo a lei, os bons costumes e a boa-fé”. É o chamado venire contra factum proprium (exercício de uma posição jurídica em contradição com o comportamento anterior do exercente).

No caso, o próprio devedor confessou ter lançado a assinatura viciada na nota promissória. Por isso, a Turma também invocou a fórmula tu quoque, de modo a impedir que o emitente tivesse êxito mesmo agindo contra a lei e invocando-a depois em seu benefício (aquele que infringiu uma regra de conduta não pode postular que se recrimine em outrem o mesmo comportamento).

Seguro de vida

O STJ já tem jurisprudência firmada no sentido de que a seguradora não pode extinguir unilateralmente contrato renovado por vários anos. Num dos casos julgados na Terceira Turma em 2011 (REsp 1.105.483), os ministros entenderam que a iniciativa ofende o princípio da boa-fé. A empresa havia proposto à consumidora, que tinha o seguro de vida havia mais de 30 anos, termos mais onerosos para a nova apólice.

Em seu voto, o ministro Massami Uyeda, hoje aposentado, concluiu que a pretensão da seguradora de modificar abruptamente as condições do contrato, não renovando o ajuste anterior nas mesmas bases, ofendia os princípios da boa-fé objetiva, da cooperação, da confiança e da lealdade que devem orientar a interpretação dos contratos que regulam as relações de consumo.

O julgamento foi ao encontro de precedente da Segunda Seção (REsp 1.073.595), relatado pela ministra Nancy Andrighi, em que os ministros definiram que, se o consumidor contratou ainda jovem o seguro de vida oferecido pela seguradora e o vínculo vem se renovando ano a ano, o segurado tem o direito de se manter dentro dos parâmetros estabelecidos, sob o risco de violação ao princípio da boa-fé objetiva.

Neste caso, a Seção estabeleceu que os aumentos necessários para o reequilíbrio da carteira têm de ser estabelecidos de maneira suave e gradual, mediante um cronograma, do qual o segurado tem de ser cientificado previamente.

Suicídio

Em 2011, a Segunda Seção também definiu que, em caso de suicídio cometido durante os dois primeiros anos de vigência do contrato de seguro de vida, período de carência, a seguradora só estará isenta do pagamento se comprovar que o ato foi premeditado (Ag 1.244.022).

De acordo com a tese vencedora, apresentada pelo ministro Luis Felipe Salomão, o novo Código Civil presume em regra a boa-fé, de forma que a má-fé é que deve sempre ser comprovada, ônus que cabe à seguradora. No caso analisado, o contrato de seguro de vida foi firmado menos de dois anos antes do suicídio do segurado, mas não ficou provado que ele assinara o contrato já com a intenção de se matar e deixar a indenização para os beneficiários.

Plano de saúde

Em outubro do ano passado, a Terceira Turma apontou ofensa ao princípio da boa-fé objetiva quando o plano de saúde reajusta mensalidades em razão da morte do cônjuge titular. No caso, a viúva era pessoa de 77 anos e estava vinculada à seguradora como dependente do marido fazia mais de 25 anos (AREsp 109.387).

A seguradora apresentou novo contrato, sob novas condições e novo preço, considerado exorbitante pela idosa. A sentença, que foi restabelecida pelo STJ, considerou “evidente” que o comportamento da seguradora feriu o CDC e o postulado da boa-fé objetiva, “que impõe aos contratantes, desde o aperfeiçoamento do ajuste até sua execução, um comportamento de lealdade recíproca, de modo a que cada um deles contribua efetivamente para o atendimento das legítimas expectativas do outro, sem causar lesão ou impingir desvantagem excessiva”.

Em precedente (Ag 1.378.703), a Terceira Turma já havia se posicionado no mesmo sentido. Na ocasião, a ministra Nancy Andrighi afirmou que, se uma pessoa contribui para um seguro-saúde por longo tempo, durante toda a sua juventude, colaborando sempre para o equilíbrio da carteira, não é razoável, do ponto de vista jurídico, social e moral, que em idade avançada ela seja tratada como novo consumidor. “Tal postura é flagrantemente violadora do princípio da boa-fé objetiva, em seu sentido de proteção à confiança”, afirmou.

Defeito de fabricação

No ano passado, a Quarta Turma definiu que, independentemente de prazo contratual de garantia, a venda de um bem tido por durável (no caso, máquinas agrícolas) com vida útil inferior àquela que legitimamente se esperava, além de configurar defeito de adequação (artigo 18 do Código de Defesa do Consumidor), evidencia quebra da boa-fé objetiva que deve nortear as relações contratuais, sejam de consumo, sejam de direito comum (REsp 984.106).

“Constitui, em outras palavras, descumprimento do dever de informação e a não realização do próprio objeto do contrato, que era a compra de um bem cujo ciclo vital se esperava, de forma
legítima e razoável, fosse mais longo”, concluiu o ministro Luis Felipe Salomão, relator do recurso.

Bem de família em garantia

Contraria a boa-fé das relações negociais o livre oferecimento de imóvel, bem de família, como garantia hipotecária. Esta é a jurisprudência do STJ. Num dos precedentes, analisado em 2010, a relatora do recurso, ministra Nancy Andrighi, entendeu que o ato equivalia à entrega de uma garantia que o devedor, desde o início, sabe ser inexequível, esvaziando-a por completo (REsp 1.141.732).

Por isso, a Terceira Turma decidiu que o imóvel deve ser descaracterizado como bem de família e deve ser sujeitado à penhora para satisfação da dívida afiançada. No caso, um casal figurava como fiador em contrato de compra e venda de uma papelaria adquirida pelo filho. Os pais garantiram a dívida com a hipoteca do único imóvel que possuíam e que lhes servia de residência.

Comportamento sinuoso
O princípio da boa-fé objetiva já foi aplicado diversas vezes no STJ no âmbito processual penal. Ao julgar um habeas corpus (HC 143.414) em dezembro passado, a Sexta Turma não reconheceu a ocorrência de nulidade decorrente da utilização de prova emprestada num caso de condenação por tráfico de drogas. Isso porque a própria defesa do réu concordou com o seu aproveitamento em momento anterior.

A relatora, ministra Maria Thereza de Assis Moura, lembrou que a relação processual é pautada pelo princípio da boa-fé objetiva e invocou a proibição de comportamentos contraditórios. “Tendo em vista o primado em foco, por meio do qual à ordem jurídica repugna a ideia de comportamentos contraditórios, tendo em vista a anuência fornecida pela defesa técnica, seria inadequado, num plano mesmo de eticidade processual, a declaração da nulidade”, concluiu a ministra.

Em outro caso (HC 206.706), seguindo voto do ministro Og Fernandes, a Sexta Turma reconheceu haver comportamento contraditório do réu que solicitou com insistência um encontro com o juiz e, após ser atendido, fora das dependências do foro, alegou suspeição do magistrado em razão dessa reunião.

Mitigar o prejuízo

Outro subprincípio da boa-fé objetiva foi invocado pela Sexta Turma para negar um habeas corpus (HC 137.549) – o chamado dever de mitigar a perda (duty to mitigate the loss). No caso, o réu foi condenado a prestar serviços à comunidade, mas não compareceu ao juízo para dar início ao cumprimento, porque não foi intimado em razão de o endereço informado no boletim de ocorrência estar incorreto.

O juízo de execuções ainda tentou a intimação em endereço constante na Receita Federal e na Justiça Eleitoral, sem sucesso. Por isso, a pena foi convertida em privativa de liberdade. A ministra Maria Thereza de Assis Moura, ao analisar a questão, invocou a boa-fé objetiva. Para ela, a defensoria pública deveria ter informado ao juízo de primeiro grau o endereço correto do condenado.

“A bem do dever anexo de colaboração, que deve empolgar a lealdade entre as partes no processo, cumpriria ao paciente e sua defesa informar ao juízo o endereço, para que a execução pudesse ter o andamento regular, não se perdendo em inúteis diligências para a sua localização”, afirmou a magistrada.

Boa-fé da administração

O princípio da boa-fé permeia a Constituição e está expresso em várias leis regedoras das atividades administrativas, como a Lei de Licitação, Concessões e Permissões de Serviço Público e a do Regime Jurídico Único dos Servidores Públicos.

A doutora em direito administrativo Raquel Urbano de Carvalho alerta que, se é certo que se exige boa-fé do cidadão ao se relacionar com a administração, não há dúvida da sua indispensabilidade no tocante ao comportamento do administrador público.

E quando impõe obrigações a terceiros, “é fundamental que a administração aja com boa-fé, pondere os diferentes interesses e considere a realidade a que se destina sua atuação”. Para a doutrinadora, é direito subjetivo público de qualquer cidadão um mínimo de segurança no tocante à confiabilidade ético-social das ações dos agentes estatais.

Desistência de ações
A julgar mandado de segurança impetrado por um policial federal (MS 13.948), a Terceira Seção decidiu que a conduta da administração atacada no processo ofendeu os princípios da confiança e da boa-fé objetiva. No caso, o ministro da Justiça exigiu a desistência de todas as ações antes de analisar os pedidos de apostilamento do policial e, posteriormente, indeferiu a pretensão ao fundamento de inexistência de provimento judicial que amparasse a nomeação.

Conforme destacou o ministro Sebastião Reis Júnior, relator do caso, a atitude impôs prejuízo irrecuperável ao servidor: “Apesar da incerteza quanto ao resultado dos requerimentos, o pedido de desistência acarretou a extinção dos processos, com resolução do mérito, inclusive da demanda que lhe garantia a nomeação ao cargo, ceifando qualquer possibilidade de o impetrante ter um julgamento favorável, pois a apelação não havia, ainda, sido julgada.”

Em seu voto, o ministro ainda destacou doutrina que invoca como justificativa à proteção da boa-fé na esfera pública a impossibilidade de o estado violar a confiança que a própria presunção de legitimidade dos atos administrativos traz, agindo contra factum proprium.

Verbas a título precário

A Lei 8.112/90 prevê a reposição ao erário do pagamento feito indevidamente ao servidor público. O STJ tem decidido neste sentido, inclusive, quando os valores são pagos aos servidores em decorrência de decisão judicial de característica precária ou não definitiva (REsp 1.263.480).

No julgamento do AREsp 144.877, a Segunda Turma determinou que um servidor público que recebeu valores indevidos, por conta de decisão judicial posteriormente cassada, devolvesse o dinheiro à Fazenda Pública.

Essa regra, contudo, tem sido interpretada pela jurisprudência com alguns temperamentos, principalmente em decorrência de princípios como a boa-fé. Sua aplicação, por vezes, tem impedido que valores que foram pagos indevidamente sejam devolvidos. É o caso, por exemplo, do recebimento de verbas de boa-fé, por servidores públicos, por força de interpretação errônea, má aplicação da lei ou erro da administração.

“Objetivamente, a fruição do que foi recebido indevidamente está acobertada pela boa-fé, que, por sua vez, é consequência da legítima confiança de que os valores integravam o patrimônio do beneficiário”, esclareceu o ministro Humberto Martins, no mesmo julgamento.
 
Fonte: Site do STJ
http://www.stj.jus.br/portal_stj/publicacao/engine.wsp?tmp.area=398&tmp.texto=108925&utm_source=agencia&utm_medium=email&utm_campaign=pushsco


          STJ... Menos que público, mais que privado: os direitos transindividuais na jurisprudência do STJ        
Menos que público, mais que privado: os direitos transindividuais na jurisprudência do STJ
Os interesses coletivos e difusos sempre estiveram presentes na vida em sociedade. Entretanto, conforme a realidade social foi se tornando mais complexa, principalmente por conta das mudanças surgidas após a Revolução Industrial – como o surgimento dos conflitos de massa –, os chamados “interesses ou direitos transindividuais” ficaram mais evidentes.

Segundo o professor Pedro Lenza, “em decorrência das novas relações que marcaram a sociedade do final do século XIX e durante todo o século XX, a tradicional dicotomia estanque, rigidamente bifurcada, representada pela divisão do direito em dois grandes ramos – público e privado – não mais consegue abarcar as novas relações advindas com as transformações vividas pela sociedade moderna” (Teoria Geral da Ação Civil Pública).

No Brasil, a proteção dos interesses transindividuais, relacionados ao meio ambiente, ao consumo e a outros bens e direitos, legitimou-se com a Lei da Ação Civil Pública (Lei 7.347/85) e, posteriormente, foi ampliada pelo Código de Defesa do Consumidor (Lei 8.078/90).

Ações

Tanto a ação civil pública, como a ação popular, são instrumentos para defesa de tais direitos. Entretanto, a primeira tem abrangência maior. Segundo o ministro João Otávio de Noronha, integrante da Corte Especial do Superior Tribunal de Justiça (STJ), o cabimento da ação civil pública não prejudica a propositura da ação popular, nos termos do caput do artigo 1º da Lei 7.347.

“Ambas convivem no sistema pátrio, diferindo-se, basicamente, quanto à legitimidade ativa, porquanto, quanto ao objeto, tutelam praticamente os mesmos interesses, sendo a popular apenas mais restrita que a civil pública”, mencionou o ministro no julgamento do Recurso Especial (REsp) 224.677.

Economia processual

De acordo com a ministra Nancy Andrighi, da Terceira Turma do STJ, “as ações coletivas surgiram com o intuito de racionalizar a atividade judiciária e promover a isonomia entre os jurisdicionados”.

O ministro Humberto Gomes de Barros (já falecido) compartilhava o mesmo entendimento. “As ações coletivas foram concebidas em homenagem ao princípio da economia processual. Com apenas uma decisão, o Poder Judiciário resolve controvérsia que demandaria uma infinidade de sentenças individuais. Isso faz o Judiciário mais ágil”, afirmou no julgamento do Mandado de Segurança 5.187.

Para o ministro, outra vantagem é que a substituição do indivíduo pela coletividade torna possível o acesso dos “marginais econômicos” à Justiça e, dessa forma, “o Poder Judiciário aproxima-se da democracia”.

Nem público nem privado

Os interesses transindividuais ou metaindividuais não são públicos, nem individuais ou privados, ou seja, fazem parte de uma terceira categoria. Pertencem a grupos de pessoas ligadas por vínculos fáticos ou jurídicos. Além disso, caracterizam-se pela transcendência sobre o indivíduo; têm natureza coletiva ampla e não se restringem a nenhum grupo, categoria ou classe.

De acordo com o Código de Defesa do Consumidor (CDC), abrangem os interesses difusos (de pessoas indeterminadas e ligadas por circunstâncias de fato), os coletivos (de pessoas determinadas – grupo, categoria ou classe – ligadas entre si, ou contra outras, por relações jurídicas) e os individuais homogêneos (de pessoas ligadas por um evento de origem comum).

Ao longo dos anos, o STJ resolveu várias demandas acerca das ações usadas na defesa dos interesses transindividuais, relacionadas a legitimidade, alcance, prazo prescricional, competência para julgamento, entre outros. Também firmou jurisprudência que orienta os operadores do direito sobre a interpretação mais justa para a defesa desses interesses. Confira alguns casos.

Legitimidade
“O Ministério Público ostenta legitimidade para a propositura de ação civil pública em defesa de direitos transindividuais”, afirmou o ministro Luiz Fux no julgamento do REsp 1.010.130.

Em 2003, o Ministério Público de Minas Gerais (MPMG) ajuizou ação civil pública contra uma concessionária de energia elétrica, para que a empresa fosse obrigada a emitir faturas com dois códigos de barra, correspondentes aos valores da conta de energia e da contribuição de iluminação pública.

Para o juízo de primeiro grau, a matéria era de ordem tributária e, por essa razão, não poderia ser discutida em ação civil pública. Na apelação, o MPMG sustentou que a pretensão tinha natureza consumerista e não tributária.

O Tribunal de Justiça de Minas Gerais (TJMG) deu provimento ao recurso, pois reconheceu o direito do contribuinte de optar pelo pagamento dos valores de forma unificada ou individual. No recurso especial, a companhia afirmou que o MPMG não teria legitimidade para a propositura da ação.

Esfera individual

Segundo o ministro Luiz Fux, relator do recurso especial, as ações relacionadas a interesses individuais homogêneos, como a do caso específico, participam da ideologia das ações difusas.

“A despersonalização desses interesses está na medida em que o Ministério Público não veicula pretensão pertencente a quem quer que seja individualmente, mas pretensão de natureza genérica, que, por via de prejudicialidade, resta por influir nas esferas individuais”, explicou Fux.

Para o ministro, o simples fato de o direito ser supraindividual, já o torna indisponível, o que é suficiente para legitimar o Ministério Público para o ajuizamento da ação.

No julgamento do REsp 1.264.116, a Segunda Turma do STJ reconheceu a legitimidade da Defensoria Pública para ajuizamento de ação civil pública em defesa de interesses individuais homogêneos. De acordo com o ministro Herman Benjamin, relator do recurso especial, cabe ao órgão a proteção de qualquer interesse individual homogêneo, principalmente aqueles associados aos direitos fundamentais.

“Sua legitimidade ad causam [para a causa] não se guia, no essencial, pelas características ou perfil do objeto de tutela (critério objetivo), mas pela natureza ou status dos sujeitos protegidos, os necessitados (critério subjetivo)”, afirmou.

Edital

Na origem, a Defensoria Pública moveu ação civil pública contra regra de edital de processo seletivo da Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), que previa, como condição para a inscrição de interessados, a participação no Exame Nacional do Ensino Médio (Enem), além de exigir nota média mínima.

Em primeira instância, o juízo afirmou que, ao contrário do que ocorre nas ações individuais, nas quais a Defensoria pode atuar em todas as áreas, desde que a parte seja hipossuficiente, o órgão teria legitimidade para propor ação civil pública somente para proteção do consumidor, da criança e do adolescente.

“Nos termos do artigo 1º da LACP, a ação civil pública destina-se exclusivamente à proteção de interesses difusos e coletivos, mas não de individuais homogêneos”, disse a magistrada.

Direito à educação

Segundo o ministro Herman Benjamin, “o direito à educação, responsabilidade do estado e da família, é garantia de natureza universal e de resultado, orientada ao ‘pleno desenvolvimento da personalidade humana e do sentido de sua dignidade’, daí não poder sofrer limitação no plano do exercício, nem da implementação administrativa ou judicial”.

Para o relator, seria incompatível com a missão “tão nobre e indeclinável” do direito à educação interpretar as normas que o asseguram de maneira restritiva. Além disso, ele lembrou que é sólida a jurisprudência do STJ que admite a proteção dos interesses individuais homogêneos pelos legitimados para a propositura da ação civil pública.

Energia elétrica
De acordo com o artigo 82, inciso III, do Código de Defesa do Consumidor, além do MP, a União, os estados, os municípios e o Distrito Federal, as entidades e órgãos da administração pública direta e indireta e as associações legalmente constituídas há pelo menos um ano têm legitimidade para a defesa dos interesses transindividuais dos consumidores.

No julgamento do REsp 1.002.813, a Terceira Turma do STJ entendeu que o dispositivo mencionado “deve sempre receber interpretação extensiva, sistemática e teleológica, de modo a conferir eficácia ao preceito constitucional que impõe ao estado o ônus de promover, na forma da lei, a defesa do consumidor”.

No caso julgado, a Comissão de Defesa do Consumidor da Assembleia Legislativa do Rio de Janeiro ajuizou ação civil pública contra uma concessionária de energia elétrica, que pretendia substituir os antigos relógios, tradicionais medidores de energia, por medidores eletrônicos (chips).

Personalidade jurídica

O juízo de primeiro grau extinguiu o processo, considerando a ilegitimidade ativa da comissão para a propositura da ação civil pública. O Tribunal de Justiça do Rio de Janeiro também negou provimento à apelação.

Segundo a ministra Nancy Andrighi, relatora do recurso especial no STJ, “no que concerne à defesa dos interesses transindividuais, o critério para a aferição da legitimidade do agente público não deve ser limitado à exigência de personalidade jurídica ou mesmo ao rigorismo formal que reclama destinação específica do órgão público para a defesa dos interesses tutelados pelo CDC”.

Alcance

Em dezembro de 2011, a Corte Especial do STJ discutiu acerca do alcance dos efeitos da sentença coletiva. No REsp 1.243.887, o ministro Luis Felipe Salomão afirmou que “os efeitos e a eficácia da sentença não estão circunscritos a lindes geográficos, mas aos limites objetivos e subjetivos do que foi decidido, levando-se em conta, para tanto, sempre a extensão do dano e a qualidade dos interesses metaindividuais postos em juízo”.

A sentença proferida na ação civil pública ajuizada pela Associação Paranaense de Defesa do Consumidor (Apadeco) condenou o Banco Banestado ao pagamento de expurgos inflacionários sobre cadernetas de poupança de todos os poupadores do estado do Paraná que tinham contas em cadernetas de poupança na instituição financeira, entre junho de 1987 e janeiro de 1989.

Em razão da decisão, um dos clientes ajuizou execução individual na comarca de Londrina (PR) para receber a satisfação do que foi decidido na ação coletiva.

Limites territoriais

O Banestado interpôs recurso especial contra o cliente, no qual sustentou que os limites territoriais da sentença não poderiam ser todo o território do Paraná, mas somente o território de competência do órgão prolator da decisão, ou seja, a comarca de Curitiba.

Ao analisar o recurso, a Corte Especial entendeu que o alcance determinado pelo magistrado de primeiro grau não poderia ser alterado em execução individual, “sob pena de vulneração da coisa julgada”.

“A limitação contida no artigo 2º-A, caput, da Lei 9.494/97, de que a sentença proferida ‘abrangerá apenas os substituídos que tenham, na data da propositura da ação, domicílio no âmbito da competência territorial do órgão prolator’, evidentemente não pode ser aplicada aos casos em que a ação coletiva foi ajuizada antes da entrada em vigor do mencionado dispositivo, sob pena de perda retroativa do direito de ação das associações”, afirmou Salomão.

Prazo prescricional

“A ação civil pública e a ação popular compõem um microssistema de tutela dos direitos difusos, por isso que, não havendo previsão de prazo prescricional para a propositura da ação civil pública, recomenda-se a aplicação, por analogia, do prazo quinquenal previsto no artigo 21 da Lei 4.717/1965.” Esse foi o entendimento da Quarta Turma no julgamento do REsp 1.070.896.

Na origem, o Instituto Brasileiro de Defesa do Cidadão (IBDCI) ajuizou ação civil pública contra o Banco do Brasil, visando o pagamento, aos poupadores com conta na instituição financeira, das diferenças decorrentes dos denominados “expurgos inflacionários” referentes aos Planos Bresser e Verão (planos econômicos que geraram grandes desajustes às cadernetas de poupança).

Em primeira instância, o juízo julgou os pedidos improcedentes, sob o fundamento de que a demanda estaria fundada apenas no CDC, “que não se aplica aos contratos celebrados anteriormente à sua vigência”.

Cinco anos

O Tribunal de Justiça de Santa Catarina negou provimento aos recursos, mas por fundamento diferente. Aplicou o prazo prescricional de cinco anos para o ajuizamento da ação civil pública.

No recurso especial interposto no STJ, o Ministério Público de Santa Catarina pretendia que fosse reconhecido o prazo de 20 anos, em razão da ausência de previsão específica quanto ao prazo prescricional na Lei 7.347.

Segundo o ministro Luis Felipe Salomão, relator do recurso especial, “ainda que o artigo 7º do CDC preveja a abertura do microssistema para outras normas que dispõem sobre a defesa dos direitos dos consumidores, a regra existente fora do sistema, que tem caráter meramente geral e vai de encontro ao regido especificamente na legislação consumerista, não afasta o prazo prescricional estabelecido no artigo 27 do CDC [cinco anos]”.

Competência
Em dezembro de 2011, a primeira Seção do STJ analisou conflito de competência para o julgamento de ação civil pública ajuizada pelo Ministério Público de Alagoas (MPAL) contra o Partido Socialista Brasileiro (CC 113.433).

O MPAL pretendia que o partido político parasse de degradar o meio ambiente com pichações ou qualquer tipo de pintura nas edificações, muros ou monumentos urbanos.

O juízo comum entendeu pela sua incompetência para o julgamento da ação civil pública, pois, para ele, como a matéria tinha relação com propaganda política, cabia à atuação da Justiça Eleitoral. Entretanto, o juízo eleitoral suscitou o conflito e remeteu o processo ao Tribunal Regional Eleitoral, que o encaminhou ao STJ.

Natureza difusa

De acordo com o ministro Arnaldo Esteves Lima, relator do conflito de competência, a Justiça Eleitoral não tem competência para o julgamento da ação civil pública, uma vez que não estaria em discussão nenhuma matéria relacionada a direitos políticos, inelegibilidade, sufrágio, partidos políticos, normas eleitorais e processo eleitoral.

“A pretensão ministerial na ação civil pública, voltada à tutela do meio ambiente, direito transindividual de natureza difusa, consiste em obrigação de fazer e não fazer e, apesar de dirigida a partidos políticos, demanda uma observância de conduta que extravasa período eleitoral, apesar da maior incidência nessa época, bem como não constitui aspecto inerente ao processo eleitoral”, afirmou o relator.

Fonte: Site do STJ
http://www.stj.jus.br/portal_stj/publicacao/engine.wsp?tmp.area=398&tmp.texto=108171&utm_source=agencia&utm_medium=email&utm_campaign=pushsco

          Ranchi District Pin Codes in Jharkhand State        

Ranchi District Pin Codes in Jharkhand State

Ranchi District Pin Codes in Jharkhand

Ranchi District Pin Codes in Jharkhand State

Ranchi District in Jharkhand State Pin Codes

PinCodes
Karra S.O 835209 Ranchi Karra Ranchi JHARKHAND
Kasmar B.O 835227 Ranchi Torpa Ranchi JHARKHAND
Katamkuli B.O 835222 Ranchi Ratu Ranchi JHARKHAND
Katarpa B.O 835303 Ranchi Ratu Ranchi JHARKHAND
Katulahna B.O 835222 Ranchi Ratu Ranchi JHARKHAND
Kesha B.O 835202 Ranchi Bero Ranchi JHARKHAND
Khatanga B.O 835227 Ranchi Torpa Ranchi JHARKHAND
Khatri Khatanga B.O 835202 Ranchi Bero Ranchi JHARKHAND
Khijri B.O 834010 Ranchi Namkum Ranchi JHARKHAND
Khukhra B.O 835202 Ranchi Bero Ranchi JHARKHAND
Khunti S.O 835210 Ranchi Khunti Ranchi JHARKHAND
Koaselda B.O 835210 Ranchi Khunti Ranchi JHARKHAND
Kochasindri B.O 835225 Ranchi Tamar Ranchi JHARKHAND
Koisera B.O 835234 Ranchi Karra Ranchi JHARKHAND
Kokar S.O 834001 Ranchi Ranchi Ranchi JHARKHAND
Kokdoro B.O 834006 Ranchi Kanke Ranchi JHARKHAND
Kone B.O 835209 Ranchi Karra Ranchi JHARKHAND
Korambe B.O 835205 Ranchi Mandar Ranchi JHARKHAND
Kota B.O 835225 Ranchi Tamar Ranchi JHARKHAND
Krishnapuri S O 834011 Ranchi NA Ranchi JHARKHAND
Kuchu B.O 835101 Ranchi Silli Ranchi JHARKHAND
Kuchu B.O 835219 Ranchi Ormanjhi Ranchi JHARKHAND
Kuli B.O 835303 Ranchi Ratu Ranchi JHARKHAND
Kumharia B.O 834006 Ranchi Kanke Ranchi JHARKHAND
Kurse B.O 835209 Ranchi Karra Ranchi JHARKHAND
Lagam B.O 835101 Ranchi Silli Ranchi JHARKHAND
Lali B.O 834010 Ranchi Namkum Ranchi JHARKHAND
Lalpur S.O (Ranchi) 834001 Ranchi Ranchi Ranchi JHARKHAND
Landup B.O 835210 Ranchi Khunti Ranchi JHARKHAND
Landupdih B.O 835225 Ranchi Tamar Ranchi JHARKHAND
Lapa B.O 835234 Ranchi Karra Ranchi JHARKHAND
Lapung B.O 835234 Ranchi Lapung Ranchi JHARKHAND
Larta B.O 835209 Ranchi Karra Ranchi JHARKHAND
Late B.O 835234 Ranchi Karra Ranchi JHARKHAND
Lodhma B.O 834004 Ranchi Ranchi Ranchi JHARKHAND
Lota B.O 835102 Ranchi Silli Ranchi JHARKHAND
Lowahatu B.O 835204 Ranchi Bundu Ranchi JHARKHAND
Lower Bazar S.O 834001 Ranchi Ranchi Ranchi JHARKHAND
Lungtu B.O 835225 Ranchi Tamar Ranchi JHARKHAND
Maheshpur B.O 835103 Ranchi Angara Ranchi JHARKHAND
Mahilong B.O 835103 Ranchi Angara Ranchi JHARKHAND
Mahuajari B.O 835214 Ranchi Mandar Ranchi JHARKHAND
Mahuary B.O 835325 Ranchi Bhandra Ranchi JHARKHAND
Mahugaon B.O 835234 Ranchi Lapung Ranchi JHARKHAND
Makka B.O 835214 Ranchi Mandar Ranchi JHARKHAND
Malsering B.O 835222 Ranchi Ratu Ranchi JHARKHAND
Mandar S.O (Ranchi) 835214 Ranchi Mandar Ranchi JHARKHAND
Mandru B.O 835301 Ranchi Itki Ranchi JHARKHAND
Mankidih B.O 835225 Ranchi Tamar Ranchi JHARKHAND
Maranghada B.O 835210 Ranchi Khunti Ranchi JHARKHAND
Marcha B.O 835227 Ranchi Torpa Ranchi JHARKHAND
Marwa B.O 835222 Ranchi Ratu Ranchi JHARKHAND
Medha B.O 835103 Ranchi Angara Ranchi JHARKHAND
Mesra S.O 835215 Ranchi Ranchi Ranchi JHARKHAND
Morabadi S.O 834008 Ranchi Ranchi Ranchi JHARKHAND
Murhu S.O 835216 Ranchi Murhu Ranchi JHARKHAND
Murkuni B.O 835205 Ranchi Mandar Ranchi JHARKHAND
Murma B.O 835205 Ranchi Mandar Ranchi JHARKHAND
Murma Nayasarai B.O 835303 Ranchi Ratu Ranchi JHARKHAND
Murto B.O 835301 Ranchi Itki Ranchi JHARKHAND
Murupiri B.O 835214 Ranchi Mandar Ranchi JHARKHAND
Nagjua S.O 835325 Ranchi Itki Ranchi JHARKHAND
Nagra B.O 835205 Ranchi Mandar Ranchi JHARKHAND
Namkum S.O 834010 Ranchi Ranchi Ranchi JHARKHAND
Narauli B.O 835325 Ranchi Bhandra Ranchi JHARKHAND
Narkopi B.O 835301 Ranchi Itki Ranchi JHARKHAND
Nawagarh B.O 835103 Ranchi Angara Ranchi JHARKHAND
Ncdc S.O 834001 Ranchi Ranchi Ranchi JHARKHAND
Nehalu B.O 835202 Ranchi Bero Ranchi JHARKHAND
Neori Vikas Vidyalaya S.O 835217 Ranchi Ranchi Ranchi JHARKHAND
New Area Marabadi S.O 834008 Ranchi Ranchi Ranchi JHARKHAND
Nibaranpur B.O 834002 Ranchi Ranchi Ranchi JHARKHAND
Noadih B.O 835204 Ranchi Bundu Ranchi JHARKHAND
Norhi B.O 835225 Ranchi Tamar Ranchi JHARKHAND
Old Commissioner Compound S.O 834001 Ranchi Ranchi Ranchi JHARKHAND
Ormanjhi S.O 835219 Ranchi Ormanjhi Ranchi JHARKHAND
Paharkandaria B.O 835202 Ranchi Bero Ranchi JHARKHAND
Pali B.O 835205 Ranchi Mandar Ranchi JHARKHAND
Palu B.O 835219 Ranchi Ormanhji Ranchi JHARKHAND
Pancha B.O 835219 Ranchi Ormanjhi Ranchi JHARKHAND
Pandadih B.O 835102 Ranchi Silli Ranchi JHARKHAND
Parasi B.O 835225 Ranchi Tamar Ranchi JHARKHAND
Patpur B.O 835227 Ranchi Torpa Ranchi JHARKHAND
Patrachauli B.O 835303 Ranchi Ratu Ranchi JHARKHAND
Patrahatu B.O 835102 Ranchi Silli Ranchi JHARKHAND
Patratu B.O 835214 Ranchi Mandar Ranchi JHARKHAND
Phudi B.O 835210 Ranchi Khunti Ranchi JHARKHAND
Piska B.O 835102 Ranchi Silli Ranchi JHARKHAND
Piskanagri S.O 835303 Ranchi Ranchi Ranchi JHARKHAND
Pithoria B.O 834006 Ranchi Kanke Ranchi JHARKHAND
Pogra B.O 835102 Ranchi Silli Ranchi JHARKHAND
Pokta B.O 835234 Ranchi Karra Ranchi JHARKHAND
Pundag B.O 834004 Ranchi Ranchi Ranchi JHARKHAND
Pundidiri B.O 835225 Ranchi Tamar Ranchi JHARKHAND
Purio B.O 835205 Ranchi Mandar Ranchi JHARKHAND
Raghunathpur B.O 835214 Ranchi Mandar Ranchi JHARKHAND
Rahe B.O 835204 Ranchi Bundu Ranchi JHARKHAND
Railway Colony Hatia S.O 834003 Ranchi Ranchi Ranchi JHARKHAND
Raisimla B.O 835227 Ranchi Torpa Ranchi JHARKHAND
Rajadera B.O 835103 Ranchi Angara Ranchi JHARKHAND
Rajaulatu B.O 834010 Ranchi Namkum Ranchi JHARKHAND
Ramkrishna Sanatorium S.O 835221 Ranchi Ranchi Ranchi JHARKHAND
Ranchi Agriculture College S.O 834006 Ranchi Kanke Ranchi JHARKHAND
Ranchi Airport S.O 834002 Ranchi Ranchi Ranchi JHARKHAND
Ranchi Court S.O 834001 Ranchi Ranchi Ranchi JHARKHAND
Ranchi G.P.O. 834001 Ranchi Ranchi Ranchi JHARKHAND
Ranchi Medical College Campus S.O 834009 Ranchi Ranchi Ranchi JHARKHAND
Ranchi Medical College S.O 834009 Ranchi Ranchi Ranchi JHARKHAND
Ranchi University S.O 834008 Ranchi Ranchi Ranchi JHARKHAND
Ranchi Veterinary College S.O 834006 Ranchi Ranchi Ranchi JHARKHAND
Rania B.O 835227 Ranchi Rania Ranchi JHARKHAND
Ranikhatanga B.O 835301 Ranchi Itki Ranchi JHARKHAND
Rargaon B.O 835225 Ranchi Tamar Ranchi JHARKHAND
Ratu S.O 835222 Ranchi Ratu Ranchi JHARKHAND
Reladih B.O 835204 Ranchi Bundu Ranchi JHARKHAND
Rendwa B.O 835234 Ranchi Karra Ranchi JHARKHAND
Rugari B.O 835225 Ranchi NA Ranchi JHARKHAND
Sadma B.O 835219 Ranchi Ormanjhi Ranchi JHARKHAND
Saiko B.O 835210 Ranchi Khunti Ranchi JHARKHAND
Sakra B.O 835301 Ranchi Itki Ranchi JHARKHAND
Salgadih B.O 835225 Ranchi Tamar Ranchi JHARKHAND
Sangor B.O 835209 Ranchi Karra Ranchi JHARKHAND
Sanri B.O 835219 Ranchi Ormanchi Ranchi JHARKHAND
Saparam B.O 835303 Ranchi Ratu Ranchi JHARKHAND
Saparom B.O 835210 Ranchi Khunti Ranchi JHARKHAND
Sarbo B.O 835227 Ranchi Rania Ranchi JHARKHAND
Sarjomdih B.O 835225 Ranchi Tamar Ranchi JHARKHAND
Sarle B.O 835214 Ranchi Mandar Ranchi JHARKHAND
Sarwada B.O 835216 Ranchi Murhu Ranchi JHARKHAND
Satakanadu B.O 834006 Ranchi Kanke Ranchi JHARKHAND
Sataki B.O 835204 Ranchi Bundu Ranchi JHARKHAND
Satellite Colony S.O 834004 Ranchi Ranchi Ranchi JHARKHAND
Semra B.O 835301 Ranchi Itki Ranchi JHARKHAND
Sero B.O 835325 Ranchi Bhandra Ranchi JHARKHAND
Sikidiri B.O 835219 Ranchi Ranchi Ranchi JHARKHAND
Silagain B.O 835301 Ranchi Itki Ranchi JHARKHAND
Silli S.O 835102 Ranchi Silli Ranchi JHARKHAND
Simlia B.O 835222 Ranchi Ratu Ranchi JHARKHAND
Sirum B.O 835210 Ranchi Khunti Ranchi JHARKHAND
Sithio B.O 834004 Ranchi Ranchi Ranchi JHARKHAND
Soba B.O 835205 Ranchi Mandar Ranchi JHARKHAND
Sode B.O 835227 Ranchi Rania Ranchi JHARKHAND
Sonahatu B.O 835204 Ranchi Bundu Ranchi JHARKHAND
Sosai B.O 835214 Ranchi Mandar Ranchi JHARKHAND
Subarnrekha Hydai Project B.O 835219 Ranchi Ranchi Ranchi JHARKHAND
Sugnu B.O 835103 Ranchi Angara Ranchi JHARKHAND
Sukurhutu B.O 834006 Ranchi Kanke Ranchi JHARKHAND
Sundari B.O 835227 Ranchi Torpa Ranchi JHARKHAND
Susaimuru B.O 835214 Ranchi Mandar Ranchi JHARKHAND
T.T.Mankidih B.O 835102 Ranchi Silli Ranchi JHARKHAND
Taimara B.O 835204 Ranchi Bundu Ranchi JHARKHAND
Tala B.O 835214 Ranchi Mandar Ranchi JHARKHAND
Tamar S.O 835225 Ranchi Tamar Ranchi JHARKHAND
Tangar B.O 835214 Ranchi Mandar Ranchi JHARKHAND
Tangarbasli B.O 835301 Ranchi Itki Ranchi JHARKHAND
Tarasiladon B.O 835221 Ranchi Ranchi Ranchi JHARKHAND
Tati B.O 835102 Ranchi Silli Ranchi JHARKHAND
Tati B.O 835325 Ranchi Bhandara Ranchi JHARKHAND
Tatisilway S.O 835103 Ranchi Angara Ranchi JHARKHAND
Tetebandrampur B.O 835101 Ranchi Silli Ranchi JHARKHAND
Tetla B.O 835102 Ranchi Silli Ranchi JHARKHAND
Tetri B.O 834010 Ranchi Namkum Ranchi JHARKHAND
Tikratoli B.O 835301 Ranchi Itki Ranchi JHARKHAND
Tilmi B.O 835209 Ranchi Karra Ranchi JHARKHAND
Tirla B.O 835227 Ranchi Torpa Ranchi JHARKHAND
Torpa S.O 835227 Ranchi Torpa Ranchi JHARKHAND
Tuko B.O 835202 Ranchi Bero Ranchi JHARKHAND
Turmuli B.O 835205 Ranchi Mandar Ranchi JHARKHAND
Tutikinawadih B.O 835102 Ranchi Silli Ranchi JHARKHAND
Ulidih B.O 835225 Ranchi Tamar Ranchi JHARKHAND
Ulilohar B.O 835225 Ranchi Tamar Ranchi JHARKHAND
Umedanda B.O 835214 Ranchi Mandar Ranchi JHARKHAND
Urugutu B.O 835222 Ranchi Ratu Ranchi JHARKHAND
Vijaygiri B.O 835225 Ranchi Tamar Ranchi JHARKHAND

Ranchi District Pin Codes in Jharkhand State

Ranchi District Pin Codes in Jharkhand State
Ranchi District Pin Codes in Jharkhand State

          ACDC Hells Bells Official Video] HD        
AC/DC - Hells Bells
          Natural Sleep Solutions that work        

Natural sleep solutions that work For years the  CDC has reported we don’t get enough sleep. In their 2016 report they claim at least 1 in 3 adults don’t get enough sleep.  Enough sleep is is defined as at least 7 hours per night. The CDC has acknowledges this a problem of epidemic proportions.  ~ […]

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          Uso de la ciencia para prevenir el cáncer        
En las investigaciones sobre el cáncer más recientes de los CDC se encontró que los casos de cáncer de piel están en aumento en los EE. UU. Las investigaciones también analizaron uno de nuestros programas de detección, y ayudaron a rastrear las muertes por cáncer entre los indoamericanos y los nativos de Alaska.
          Día Mundial contra el Cáncer        
El 4 de febrero, los CDC se unen a personas, organizaciones y agencias gubernamentales en todo el mundo en la búsqueda de maneras en que cada quien puede ayudar a la prevención y el control del cáncer.
          Contaminated Childhood: The Chronic Lead Poisoning of Low-Income Children and Communities of Color in the United States        

The water crisis in Flint, Michigan, revealed systemic government malfeasance that exposed an entire city population to lead-contaminated water. It also alerted the nation to the fact that lead poisoning remains endemic and threatens the livelihood of children across the country. The problem extends beyond Flint—a recent report identified more than 2,600 areas in the United States that have lead poisoning rates at least double those recorded during the peak of the Flint crisis.

According to the American Healthy Homes Survey, conducted by the Department of Housing and Urban Development (HUD), more 23 million homes in the United States have one or more significant lead-based paint hazards, and an additional 37 million homes have lead-based paint that will become a hazard if not closely monitored and maintained. This means one in three homes with children younger than age six—the age group most vulnerable to lead poisoning—contain significant lead-based paint hazards. Outside the home, leaded gasoline and lead smelting plants have deposited dangerous levels of lead and other toxic contaminants in neighborhoods across the country.

The medical and public health fields and numerous federal agencies agree: There is no safe level of lead in the blood. The effect of lead poisoning on major bodily systems is permanent, and no amount of clinical or public health intervention can reverse it. For this reason, the American Academy of Pediatrics (AAP) has consistently recommended the adoption of health-based policies that require the identification of lead hazards before a child is exposed to them. Despite knowledge of the permanent morbidities caused by lead poisoning, the overwhelming majority of laws follow a “wait and see” approach. With few exceptions, federal, state, and local policies only require lead hazard identification and remediation after a child develops lead poisoning. The AAP statement from more than 30 years ago still rings true today: “In effect, children are used as biologic monitors for environmental lead.”

Despite the federal mandate to affirmatively further fair housing, the majority of federally assisted housing is clustered in low-income, segregated areas at high risk of lead poisoning. Decades of government-sanctioned discriminatory practices have burdened communities of color with increased poverty, segregation, substandard housing, and environmental hazards. Today, the black population has the highest rate of poverty at 24.1 percent compared to the white population at 9.1 percent. One-third of black children live below the poverty line and in high-poverty areas, nine times the rate of white children in poverty. The risk of lead poisoning falls disproportionately on minority children, as well, with black children nearly three times more likely than white children to have elevated blood-lead levels. One study found “extraordinarily high rates of lead toxicity” in black and Hispanic neighborhoods with “prevalence rates topping 90% of the child population.” The authors concluded, “Lead toxicity is a source of ecological inequity by race and a pathway through which racial inequality literally gets into the body.”

The risk of lead poisoning among children in federally assisted housing, such as the Housing Choice Voucher program and certain project-based Section 8 housing, is particularly acute, with black people disproportionately represented among those affected. In 2016, HUD identified 57,000 federally assisted housing units with lead hazards and 450,000 federally assisted housing units occupied by a child and built before 1978, the year lead-based paint was banned for residential purposes. HUD estimates that more than 62,000 public housing units are in need of lead abatement. As demonstrated by the following maps, created by the Sargent Shriver National Center on Poverty Law (Shriver Center), Housing Choice Voucher program households are concentrated in areas with the highest risk of lead poisoning.

Credit: Sargent Shriver National Center on Poverty Law

 

Credit: Sargent Shriver National Center on Poverty Law

In January 2017, and for the first time since 1999, HUD published a final rule reducing its definition of lead poisoning from “equal to or greater than 20 µg/dL for a single test or 15 µg/dL in two tests taken at least three months apart” to the Centers for Disease Control and Prevention’s (CDC’s) current reference value of 5 µg/dL. The CDC consistently warns that the reference value, which it is expected to update in the near future, does not reflect an acceptable level of lead and that primary prevention is critical.

Despite these recommendations, HUD does not require pre-rental lead hazard risk assessments in the Housing Choice Voucher program or project-based Section 8 housing for units receiving less than $5,000 in assistance. For Lanice Walker and Tolanda McMullen, Housing Choice Voucher program participants in Chicago, the lack of primary prevention resulted in lead poisoning and numerous disabilities for their once healthy children. Their pre-1978 units did not undergo a lead hazard risk assessment and still passed the housing authority’s “housing quality standards” inspection. Both mothers believed the “pass” result meant the home was safe for their children. They are not alone. Between 2010 and 2016, more than $5.6 million in federal funds were used to subsidize Housing Choice Voucher program units with known and uncontrolled lead hazards in Chicago alone. As a result, children in 187 homes were lead poisoned at levels above the CDC reference value, suffering permanent neurological damage. “My baby had been healthy,” Ms. McMullen told the Chicago Tribune, then “one day it seemed like the light in his eyes had just gone out.”

Lead hazard risk assessments and abatement are required in public housing and project-based Section 8 housing for units receiving more than $5,000 in assistance. However, enforcement of these rules is hampered by a lack of coordination between agencies. Federal investigators recently determined that the New York City Housing Authority falsely certified that it had inspected thousands of apartments for lead paint, exposing children in more than 4,700 federally assisted housing units to toxic lead paint. In East Chicago, Indiana, Stephanie King recently vacated the West Calumet Housing Complex due to hazardous levels of arsenic and lead surpassing 228 times the maximum permitted levels. Like all of the complex’s 1,100 residents, Ms. King was informed of the health hazards in her environment in August 2016, eight years after the area was designated a Superfund site by the Environmental Protection Agency (EPA). Generations of families and thousands of people have suffered prolonged exposure to neurotoxins and carcinogens since the complex was first erected in 1966 on the former site of the US Smelter and Lead (USS Lead) Refinery and near other smaller smelting plants. West Calumet is not an isolated incident. Approximately 70 percent of the nation’s federally assisted housing is located near one of the country’s 1,400 Superfund sites.

Racial bias explains, in great part, the lack of robust lead poisoning prevention policies and the persistently high rates of lead poisoning among communities of color. When lead poisoning became the focus of public health departments and first gained attention from the media in the 1950s, it was defined as a problem for poor black and Latino children, blamed largely on their parents instead of on substandard conditions, ineffective policies, or the lead and paint companies that introduced the toxin into homes in the first place. According to historians, the then-director of health and safety for the Lead Industry Association argued in 1956 that the problem was the “slums” and its occupants: “Most of the cases are in Negro and Puerto Rican families, and how … does one tackle that job? … Until we can find a means to (a) get rid of our slums and (b) educate the relatively ineducable parent, the problem will continue to plague us.”

As recently as 2016, former Indiana Governor (and current vice president) Mike Pence refused to provide disaster relief to move families out of the toxic West Calumet Housing Complex and surrounding areas, where the population is 99 percent black. He did not hesitate to provide assistance to Greentown, Indiana, when the lead content of its water was slightly elevated. Greentown’s population is 97 percent white. As Nicholas Kristof noted in an op-ed in the New York Times, “The continuing poisoning of half a million American children is tolerated partly because the victims often are low-income children of color.”

A recent Harvard Environmental Law Review article discusses the legislative history of federal lead poisoning prevention laws and argues that the government’s failure to prevent lead poisoning in federally assisted housing is not only an aberration from the duty to provide safe and decent housing and prevent environmental injustice, it is also a violation of major civil rights laws, including the Fair Housing Act, Americans with Disabilities Act (ADA), Title VI of the Civil Rights Act, Section 504 of the Rehabilitation Act, and the Affirmatively Furthering Fair Housing rule. In fact, residents of the West Calumet Housing Complex, represented by the Shriver Center, made a successful Title VI complaint against the East Chicago Housing Authority. Similarly, both Ms. Walker and Ms. McMullen, the Housing Choice Voucher program participants whose children developed lead poisoning, prevailed under the ADA and received reasonable accommodations in the form of an emergency move, lead hazard risk assessment, and remediation of their federally assisted housing units.

According to Gerald Markowitz and David Rosner, the authors of Lead Wars, countless children over the past century would have escaped lead poisoning but for government complacency and harmful policies that go against the longstanding and prevailing science on the harmful effects of lead. Unfortunately, the Trump administration has yet to demonstrate the ability or willingness to champion or fund lead poisoning prevention. In response to the reforms required by President Donald Trump’s executive order to reduce regulatory burden, the EPA proposed cutting more than $16 million in funding from lead poisoning risk reduction programs and eliminating lead hazard reduction regulations. The EPA received an earful from commenters defending the necessity of the Lead Renovation, Repair, and Painting Rule; the Lead Abatement Rule; and the Lead Disclosure Rule. Commenters also urged the EPA to update the lead hazard standards, which scientists say are set far too high to be protective. Numerous advocacy organizations recently sued the EPA over unnecessary delay in replacing these antiquated standards with health-based ones.

While the United States has made some progress since the scourge of lead poisoning was first acknowledged, HUD and most cities across the country still require that a child must be lead poisoned before lead hazards are removed from certain federally assisted housing and nearly all private housing. Both EPA administrator Scott Pruitt and HUD secretary Ben Carson have expressed a willingness to protect children from environmental harm, including lead hazards, and have the authority to do so. The recently passed Consolidated Appropriations Act of 2017 and reports from Congress direct HUD and the EPA to advance federal programs and improve regulations aimed at addressing lead poisoning. For example, the 2017 act mandates that the EPA increase trainings on proper lead reduction practices and evaluate and revise accordingly the lead hazard standards for lead-contaminated dust and soil. It also directs HUD to identify and disseminate best practices on making and keeping units lead-safe; provide training to public housing authorities; and increase tenant awareness around lead poisoning. According to a report from the House Appropriations Committee, HUD has the authority to conduct pre-rental lead hazard risk assessments in all federally assisted housing units, including in rental assistance programs such as the Housing Choice Voucher program. Secretary Carson and Administrator Pruitt have yet to exercise this authority.

Ultimately, the end of the lead poisoning epidemic requires addressing its underlying causes, such as housing quality, poverty, racial inequity, and environmental injustice. As an immediate step, it is critical that federal, state, and local governments engage in primary prevention practices in both private and federally assisted housing that include the identification and abatement of all lead hazards before a child is lead poisoned; increase enforcement, oversight, and reporting requirements; dedicate meaningful funding for lead poisoning prevention and hazard abatement activities; increase affordable housing and the development of healthy communities; and comply with fair housing and civil rights mandates.

Locally, individuals and health care providers can be instrumental in lead poisoning prevention. For example, providers can engage in universal screening for children younger than age six, collaborate with early intervention and special education systems, and compare public health data on the location of lead hazards with addresses in the electronic medical record to identify lead poisoning risk before children are exposed. Community leaders should examine their jurisdiction’s approach to lead poisoning prevention and proactively identify policies that could negatively affect health outcomes. Local governments can also work with contractors to ensure that the federal rules are followed to prevent the spread of lead hazards in the neighborhood. In addition, local public health departments can employ the community-based participatory response methodology to involve community members most affected by lead poisoning in defining the problem and developing a meaningful solution. Ultimately, the elimination of lead poisoning is predicated on a local commitment. National nonprofits, including Green and Health Homes Initiative and the National Center for Healthy Housing, have developed detailed strategic plans and robust policy recommendations for ending lead poisoning.

The societal benefits of addressing lead poisoning are great. According to Elise Gould, for just one cohort of children, the “net benefit of lead hazard control ranges from $181 to $269 billion, resulting in a return of $17–$221 for each dollar invested in lead hazard control.” These figures are conservative at best. Senator Ralph Yarborough’s (TX-D) 1970 testimony on lead poisoning still applies today: “We have a responsibility to protect the health of America’s children by providing the safe, decent, and nontoxic surroundings that they deserve.” If US policy were to reflect this duty, childhood lead poisoning could be eradicated. The alternative—government complacency and ineffective policies—will permanently alter the lives of millions of children for the worse.

Editor’s Note: This post was updated to reflect that the Title VI complaint that Shriver Center brought was against the East Chicago Housing Authority.


          Health for Harlem – Eat less Salt!        

HarlemCondoLife

By NativeNewYorker According to the CDC (Centers for Disease Control), 9 out of 10 Americans have too much salt (sodium chloride) in their diets.  For those of us who have or are at risk for developing high blood pressure, reducing... Continue Reading →

The post Health for Harlem – Eat less Salt! appeared first on HarlemCondoLife.


          DOES THE CDC REQUIRE HEALTHCARE WORKERS TO REPORT VIRAL MENINGITIS CASE TO HEALTH DEPARTMENT?        



          Latest Incident in Texas Emphasizes on Need for Awareness Regarding Dry Drowning         
After the sudden death of a preschooler in Texas, doctors around the country are stressing on the importance of knowing how dry drowning or delayed drowning occurs and how to prevent it from happening. Frankie Delgado of Harris County, Texas, was four years old and died within days of swimming at a local levee. Doctors stated that the boy died from “dry drowning”, a cause his parents had never even heard of before that day. What they had assumed to be a stomach bug was actually a lot of water inhaled by Frankie while swimming. His lungs had filled with fluid and it was too late for doctors to do anything for the preschooler. Dry Drowning Second Leading Cause of Death among Kids: CDC The Centers for Disease Control and Prevention states that among children, injury drowning is the second leading cause of death, with dry and delayed drowning making up for 1 per cent to 2 per cent of that. The CDC says that this can occur in just about any water body, even the bathtub. Chairman of Family Medicine at the MetroHealth System, Dr. Christine Alexander said that even though the incidence of dry and delayed drowning is rare, parents and people in general need to gain awareness about this condition and recognize the symptoms at the earliest. Some of the common symptoms include coughing and/or struggling to breathe, vomiting, diarrhea, chest pain, irritability, and extreme fatigue. If the child exhibits any of the aforementioned symptoms, Dr. Alexander recommends immediately calling a health care provider or taking the patient to the emergency room. Simple oxygen and various other treatments are used to help victims recover soon.

Original Post Latest Incident in Texas Emphasizes on Need for Awareness Regarding Dry Drowning source Twease
          NIH Describes Tai Chi        
http://nccam.nih.gov/health/taichi/

Tai Chi for Health Purposes
Tai chi (pronounced "tie chee" and also known by some other names and spellingsa) is a mind-body practice that originated in China as a martial art. A person doing tai chi moves his body slowly and gently, while breathing deeply and meditating (tai chi is sometimes called "moving meditation"). Many practitioners believe that tai chi helps the flow throughout the body of a proposed vital energy called qi (pronounced "chee," it means "air," "puff," or "power"). In the United States, tai chi for health purposes is part of complementary and alternative medicine, or CAM. This Backgrounder provides a general overview of tai chi and suggests some resources you can use to find more information.a Among the different names and spellings of tai chi are taiji and t'ai chi. Many consider the term "tai chi" to be a shortened form of "tai chi chuan" (two other spellings are t'ai chi ch'uan and taijiquan).

Key Points
Many people who practice tai chi do so to improve one or more aspects of their health and to stay healthy. Resources for finding published research on this practice are listed at the end of this Backgrounder.
It is not fully known what changes occur in the body during tai chi, whether they influence health, and, if so, how. The National Center for Complementary and Alternative Medicine (NCCAM) is sponsoring studies to find out more about tai chi's effects, how it works, and diseases and conditions for which it may be most helpful.
If you are considering or using any type of CAM, talk to your health care provider about it. This is for your safety and a complete treatment plan.

A Description of Tai Chi
Tai chi developed in China in about the 12th century A.D. It started as a martial art, or a practice for fighting or self-defense, usually without weapons. Over time, people began to use tai chi for health purposes as well. Many different styles of tai chi, and variations of each style, developed. The term "tai chi" has been translated in various ways, such as "internal martial art," "supreme ultimate boxing," "boundless fist," and "balance of the opposing forces of nature." While accounts of tai chi's history often differ, the most consistently important figure is a Taoist monk (and semilegendary figure) in 12th-century China named Chang San-Feng (or Zan Sanfeng). Chang is said to have observed five animals--tiger, dragon, leopard, snake, and crane--and to have concluded that the snake and the crane, through their movements, were the ones most able to overcome strong, unyielding opponents. Chang developed an initial set of exercises that imitated the movements of animals. He also brought flexibility and suppleness in place of strength to the martial arts, as well as some key philosophical concepts.

A person practicing tai chi moves her body in a slow, relaxed, and graceful series of movements. One can practice on one's own or in a group. The movements make up what are called forms (or routines). Some movements are named for animals or birds, such as "White Crane Spreads Its Wings." The simplest style of tai chi uses 13 movements; more complex styles can have dozens.
In tai chi, each movement flows into the next. The entire body is always in motion, with the movements performed gently and at uniform speed. It is considered important to keep the body upright, especially the upper body-many tai chi practitioners use the image of a string that goes from the top of the head into the heavens-and to let the body's weight sink to the soles of the feet.

In addition to movement, two other important elements in tai chi are breathing and meditation.b In tai chi practice, it is considered important to concentrate; put aside distracting thoughts; and breathe in a deep, relaxed, and focused manner. Practitioners believe that this breathing and meditation have many benefits, such as:
Massaging the internal organs.
Aiding the exchange of gases in the lungs.
Helping the digestive system work better.
Increasing calmness and awareness.
Improving balance. b For more on meditation, see NCCAM's Backgrounder "Meditation for Health Purposes."

Other Key Beliefs in Tai Chi
Certain concepts from Chinese philosophy were important in tai chi's development (although not every person who practices tai chi for health purposes, especially in the West, learns or uses them). A few are as follows:
A vital energy called qi underlies all living things.
Qi flows in people through specific channels called meridians.
Qi is important in health and disease.
Tai chi is a practice that supports, unblocks, and redirects the flow of qi.
Another concept in tai chi is that the forces of yin and yang should be in balance. In Chinese philosophy, yin and yang are two principles or elements that make up the universe and everything in it and that also oppose each other. Yin is believed to have the qualities of water--such as coolness, darkness, stillness, and inward and downward directions--and to be feminine in character. Yang is believed to have the qualities of fire--such as heat, light, action, and upward and outward movement--and to be masculine. In this belief system, people's yin and yang need to be in balance in order for them to be healthy, and tai chi is a practice that supports this balance.

Specific Health Purposes
People practice tai chi for various health purposes, such as:
For benefits from exercise:
Tai chi is a low-impact form of exercise.
It is a weight-bearing exercise that can have certain health benefits--for example, to the bones.
It is an aerobic exercise.c
To improve physical condition, muscle strength, coordination, and flexibility.
To have better balance and a lower risk for falls, especially in elderly people.
To ease pain and stiffness--for example, from arthritis.
For health benefits that may be experienced from meditation.
To improve sleep.
For overall wellness.
For research studies on tai chi for various health conditions, see "For More Information" below.
Many people practice tai chi for health purposes. In the United States, a 2002 national survey on Americans' use of CAM found that 1.3 percent of the 31,000 survey participants had used tai chi for health reasons in the year before the survey. Tai chi is widely practiced in China (including in its hospitals and clinics) and in other countries with a substantial native-Chinese population. In Asia, many people consider tai chi to be the most beneficial exercise for older people, because it is gentle and can be modified easily if a person has health limitations.c Aerobic exercise has benefits to the heart and possibly to cholesterol levels. This type of exercise causes the heart to work harder to pump blood more quickly and forcefully. The body adds oxygen to the blood faster, and the person breathes more quickly. Two other examples of aerobic exercise are swimming and brisk walking.

Side Effects and Risks
Tai chi is a relatively safe practice. However, there are some cautions.
Tell your health care provider if you are considering learning tai chi for health purposes (especially if you have a health condition for which you are being treated, if you have not exercised in a while, or if you are an older person).
If you do not position your body properly in tai chi or if you overdo practice, you may get sore muscles or sprains.

Tai chi instructors often recommend that people not practice tai chi right after they eat, or when they are very tired, or when they have an active infection.
Use caution if you have any of the conditions listed below, as your health care provider should advise you whether to modify or avoid certain postures in tai chi:
Pregnancy
Hernia
Joint problems, back pain, sprains, a fracture, or severe osteoporosis
A CAM approach should not be used to replace conventional medical care or to delay seeking that care.

Licensing, Training, and Credentialing
In the United States, people do not have to be health professionals or to be licensed to practice or teach tai chi. The practice is not regulated by state or Federal governments. There is no standard training for tai chi teachers.
If you are considering learning tai chi, ask about the teacher's training and experience (see also NCCAM's publication "Selecting a CAM Practitioner"). Learning tai chi from a teacher, compared with learning it from videos or books, allows a student to find out whether he is performing the movements correctly and safely.

Tai Chi as a Part of CAM
The concept that sickness and disease arise out of imbalances in a vital energy field (here, qi) is part of some other CAM therapies, such as Reiki (in which the energy field is called ki) and homeopathy (vital force). Within CAM, tai chi is a type of mind-body medicine (one of the four domains, or areas of knowledge, in CAM).d Generally, mind-body medicine focuses on:
The interactions among the brain, the rest of the body, the mind, and behavior.
The ways in which emotional, mental, social, spiritual, and behavioral factors can directly affect health.
Some people consider tai chi to be part of the CAM domain of energy medicine, because of the qi concept.d For an explanation of these terms, see nccam.nih.gov/news/camsurvey_fs1.htm.

Some Points of Controversy
As with other CAM approaches, there are aspects of tai chi on which not everyone agrees. For example:
Since little is known scientifically about tai chi, accepting its teachings is a matter of belief or faith rather than evidence-based science.
In addition to more traditional styles, some offshoots and blends of tai chi styles have also evolved. There are differences of opinion over which styles represent the "truest" tai chi.

NCCAM-Funded Research on Tai Chi
Recent NCCAM-supported studies have been investigating:
Tai chi for women recently diagnosed with breast cancer, to see if it helps them cope better, have less stress, and have an improved immune system and quality of life.
Tai chi compared with a cardiovascular exercise fitness program in terms of improving physical fitness and endurance, reducing stress, and improving well-being in adult survivors of cancer.
The effects of tai chi on physical and quality-of-life factors for patients who have chronic stable heart failure.
Tai chi for physical symptoms and psychological factors related to having osteoarthritis of the knee.
The effects of tai chi on rheumatoid arthritis, including on patients' physical function and immunity.

References
Sources are primarily recent reviews on the general topic of tai chi in the peer-reviewed medical and scientific literature in English in the PubMed database, selected evidence-based databases, and Federal Government sources.
Adler PA, Roberts BL. The use of tai chi to improve health in older adults. Orthopaedic Nursing. 2006;25(2):122-126.
Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. CDC Advance Data Report 343. 2004. Accessed on May 25, 2006.
Chu DA. Tai chi, qi gong and Reiki. Physical Medicine and Rehabilitation Clinics of North America. 2004;15(4):773-781.
Effect of tai chi vs. structured exercise on physical fitness and stress in cancer survivors. Description of a clinical trial at the National Institutes of Health Clinical Center sponsored by NCCAM. Accessed on May 2, 2006.
Farrell SJ, Ross AD, Sehgal KV. Eastern movement therapies. Physical Medicine and Rehabilitation Clinics of North America. 1999;10(3):617-629.
Lan C, Lai JS, Chen SY. Tai chi chuan: an ancient wisdom on exercise and health promotion. Sports Medicine. 2002;32(4):217-224.
Lewis D. T'ai chi ch'uan . Complementary Therapies in Nursing & Midwifery. 2000;6(4):204-206.
National Center for Complementary and Alternative Medicine. Expanding Horizons of Health Care: Strategic Plan 2005-2009. Bethesda, MD: National Institutes of Health; 2005. NIH publication no. 04-5568.
National Center for Complementary and Alternative Medicine. Mind-Body Medicine: An Overview . National Center for Complementary and Alternative Medicine Web site. Accessed on August 8, 2005.
Robins JL, McCain NL, Gray DP, et al. Research on psychoneuroimmunology: tai chi as a stress management approach for individuals with HIV disease. Applied Nursing Research. 2006;19(1):2-9.
Tai chi 101. American Tai Chi Association Web site. Accessed February 2, 2006.
Tai chi: Bottom Line monograph. Natural Standard Database Web site. Accessed August 8, 2005.
Tai chi: Natural Standard/Harvard Medical School monograph. Natural Standard Database Web site. Accessed August 8, 2005.
Wang C, Collet JP, Lau J. The effect of tai chi on health outcomes in patients with chronic conditions: a systemic review. Archives of Internal Medicine. 2004;164(5):493-501.

For More Information
NCCAM Clearinghouse
The NCCAM Clearinghouse provides information on CAM and on NCCAM, including publications and searches of Federal databases of scientific and medical literature. Examples of publications include "Energy Medicine: An Overview." The Clearinghouse does not provide medical advice, treatment recommendations, or referrals to practitioners.
Toll-free in the U.S.: 1-888-644-6226TTY (for deaf and hard-of-hearing callers): 1-866-464-3615Web site: nccam.nih.govE-mail: info@nccam.nih.gov
PubMed®
A service of the National Library of Medicine (NLM), PubMed contains publication information and (in most cases) abstracts of articles from scientific and medical journals. CAM on PubMed, developed jointly by NCCAM and NLM, is a subset of PubMed and focuses on the topic of CAM.
Web site: www.ncbi.nlm.nih.gov/entrezCAM on PubMed: nccam.nih.gov/camonpubmed
CRISP (Computer Retrieval of Information on Scientific Projects)
CRISP is a database of information on federally funded scientific and medical research projects being conducted at research institutions.
Web site: www.crisp.cit.nih.gov
ClinicalTrials.gov
ClinicalTrials.gov is a database of information on federally and privately supported clinical trials, for a wide range of diseases and conditions. It is sponsored by the National Institutes of Health and the U.S. Food and Drug Administration.
Web site: www.clinicaltrials.gov

Acknowledgments
NCCAM thanks the following people for their technical expertise and review of this publication: Gloria Yeh, M.D., M.P.H., Harvard Medical School; Laura Redwine, Ph.D., VA San Diego Healthcare System; Dan Halpain, A.B.T./H.H.P.; Chenchen Wang, M.D., M.Sc., Tufts-New England Medical Center; Adeline Ge, M.D., NIH Clinical Center; and Shan Wong, Ph.D., and Patrick Mansky, M.D., NCCAM.

NCCAM has provided this material for your information. It is not intended to substitute for the medical expertise and advice of your primary health care provider. We encourage you to discuss any decisions about treatment or care with your health care provider. The mention of any product, service, or therapy in this information is not an endorsement by NCCAM.
This publication is not copyrighted and is in the public domain. Duplication is encouraged.
National Institutes of HealthU.S. Department of Health and Human Services
NCCAM Publication No. D322June 2006
          Public Equity Deals Registered a 20% Rise on Fourth Quarter of 2014-2015        
Private Equity Investments in India registered a rise by whopping 20% as direct consequence to ascending blockbuster deals in the e-commerce. The news on magnified investments was reported as the fourth quarter ended in March 2015.  The overall worth of the deal stood at around US$2,646 million as the fourth quarter of the 2014-2015 financial year ended as compared to US$2,212 million recorded in the year before. However, the number of deals registered fell by 36% to 124 deals compared to the 132 transactions with regards to the previous quarter.  According to a leading research service, Venture Intelligence reported a public equity worth of more than US$100 million during the fourth quarter compared to four transactions on the same line, which were initiated around the same time last year. IFC was reported to have contributed the largest investment of US$260 million funding to Bandhan Financial Services. It is a microfinancier-turned bank license holder. Meanwhile, Ujjivan Financial Services, which is yet another microfinance agency, was successful to pocket investments worth US$100 million from a cluster of investors that included IFC, CDC Group, and CX Partners.  Hospital operators such as Medanta Medicity and Manipal Health were also successful to attract investments worth US$100 million plus rounds. While Manipal pocketed US$150 million from companies such as TPG Capital, Medanta got US$114 million from Temasek. However, the deal between Medanta and Temasek was initiated via a secondary purchase from Punj Llyod.  ShopClues.com cracked down the largest ecommerce deal worth a whopping US$100 million, during the fourth round. The amount is funded by Tiger Global, who is also a key investor for ShopClues rival Flipkart.  The power sector also registered impressive returns on investment, with IDFC Alternatives agreeing to invest US$81 million to Diligent Power, an SPV that executes thermal power project at Chhattisgarh. 

Original Post Public Equity Deals Registered a 20% Rise on Fourth Quarter of 2014-2015 source Twease
          Scientists Advertize Breakthrough in Chemical Weapons Clash        
This week, the chemical weapons are in the news as the U.S. military wiped out caches of the armaments. The new study is also holding the weapons in the limelight. Scientists state that they have discovered a new, fast way to annihilate chemical weapons and probably to protect the U.S. forces and first responders. The researchers at Northwestern University have created a new material that annihilates nerve agents at high speeds. As a matter of fact, it is so efficient that it can make one of the most poisonous nerve agents across the globe, Soman, powerless within mere minutes. Soman, or Military designation GD, is a clear, monochrome nerve agent similar to the more commonly known Sarin. The nerve agents are highly poisonous of famous chemical warfare agents. The Soman is not without; it can stink like camphor or a rotting fruit. Just a little bit of it on the skin can be lethal within minutes. The research of the team advises that the new material will also be efficient against other agents like the odorless and the tasteless VX. The VX is easy to make and considered the most potent of all known nerve agents.  Any liquid contact on skin could be lethal. This new material could be used for protective equipment of war fighters like gas masks. Protective equipment is essential to keep military personnel safe when they are working in environments where there is a potential use of chemical weapons. When first responders enter an environment where there may be nerve agents such as Soman or VX, the CDC recommends using a National Institute for Occupational Safety and Health certified Chemical, Radiological, Biological, and Nuclear Self Contained Breathing Apparatus with the ‘A’ Level protective suit.

Original Post Scientists Advertize Breakthrough in Chemical Weapons Clash source Twease
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          Comment on Council turns its back on supporting sustainable energy by Susan van de Ven | SCDC axes Sustainable Energy Committee, introduces new paid committee        
[...] More about what the Sustainable Energy Committee has achieved is outlined here. [...]
          By: jeannie queenie        
Over 6 months ago Karen, you put this one out showing that the right hand doesn't know what the left hand is doing in the circus run by DC clowns.       http://karendecoster.com/one-government-agency-says-no-to-mandatory-flu-shots Don't you just love it when government appears to be totally clueless when contradictory evidence arises from within one of their own agencies? Methinks that OSHA knows that the CDC is bad news if they would force employees to receive vaccines even when they previously had bad reactions...and yet, the CDC in all of its not so professional status, reveals shades of Hitlerian experimentation by forcing vaccines,no? Putting them right up there with the other loser agency DHS...Dept of Horror Stories, where robots put you through porn scanners when you ask them not too.
          By: jeannie queenie        
Over 6 months ago Karen, you put this one out showing that the right hand doesn't know what the left hand is doing in the circus run by DC clowns.       http://karendecoster.com/one-government-agency-says-no-to-mandatory-flu-shots.html Don't you just love it when government makes itself look like a really big ass when contradictory evidence arises? Methinks that OSHA is closer to the truth when not advocating for mandatory flu shots. Worse, is to think that the CDC would still force employees to receive said vaccines when they had previous bad reactions...shades of hitlerian experimentation,no?
          The CDC Nominee’s Links to Coca-Cola        
Last Sunday’s New York Times had a front-page story on Coca-Cola’s relationship to the current nominee for director of the CDC.  I’m quoted in it and soon got this request: Good morning, Marion: I saw this Times news coverage in which you’re quoted. Given this news about reversing the CDC’s position on aligning with the […]
           As consequências do consumo de álcool pelos jovens        
 por Yanka,

No Brasil há evidências claras de que o consumo de bebidas alcoólicas pelos jovens é alto. A lei proíbe, mas no fim, só ignora. Uma pesquisa realizada em São Paulo, Belo Horizonte, Porto Alegre, Recife, Rio de Janeiro, Belém e Campo Grande, comprova que adolescentes que tentam comprar bebidas alcoólicas tem 70% de chance de conseguir. Na capital paraense, o resultado é de 88%.

Muitas vezes, os pais não se preocupam em relação ao consumo de álcool pelos filhos. O que acaba dando aos jovens, a liberdade de se “embebedar” quando bem quererem. A pesquisa elaborada pela pesquisadora Zila Sanchez do Centro Brasileiro de Informações sobre Drogas Psicotrópicas (Cebrid) da Universidade Federal de São Paulo, diz que 11% dos adolescentes brasileiros se “embriagaram” em companhia de pais e tios. A mesma pesquisa afirma de que no último ano, 42% dos jovens de classe A consumiram bebidas alcoólicas, 31% dos jovens de classe B, 26% dos jovens de classe C E 23% dos jovens de classe D e E.   

Quanto mais cedo o jovem se envolver, pior. Além de desenvolver um comportamento inapropriado, o adolescente que consome álcool desde cedo, pode causar danos muito graves ao seu organismo. Algumas consequências do consumo frequente de álcool são na maioria das vezes: gravidez, doenças sexualmente trasmissíveis, sofrer um acidente de carro, envolvimento com brigas, rendimento escolar baixo. Consequências para quando se tornarem adultos são: virar dependentes do álcool, virar dependentes de drogas ilícitas e desenvolver depressão ou outro transtorno mental.

Para a saúde, os problemas devido ao cosumo do ácool se baseiam em: prejuízos no desenvolvimento do cérebro, desestruturação do fígado, redução da circulação sanguínea, impotência e infertilidade precoce, diminuição das taxas de hormônios de crescimento, e probabilidade de osteoporose na vida adulta.

Existe saída para a tragédia? Podemos dizer que sim. Com educação e respeito à lei, os EUA estão fazendo o que parecia impossível até então: reduzir o consumo de álcool entre os adolescentes. O levantamento bianual feito pela série histórica da Youth Risk Behavior Surveillance-CDC com adolescentes matriculados em escolas do ensino médio (14 a 18 anos), mostra queda no número dos jovens americanos que informam ter ingerido alguma bebida alcoólica nos trinta dias anteriores á pesquisa. Em 1999, o consumo equivalia á 50,0%. Já em 2001, era de 47%. Em 2003, 44,9% e em 2005, 43,3%. Já em 2009, equivalia á 41,8% e até 2011, caiu para 38,7%.  

  Qual seria a melhor saída para o Brasil?



Referência:
Revista Veja, edição 2277 – ano 45 – nº 28, 11 de julho de 2012.

          The autism "epidemic" - a plea at least for consistency of logic        
On Friday at the Congressional Autism Hearing, Bob Wright, founder of Autism Speaks testified to a "growing autism epidemic". He backed this up with figures from the Centre for Disease Control in the United States estimating that 1 in 88 Americans are autistic, an increase from the previous estimate of 1 in 110 reported six years previously.

He then proceeded to argue that the 1 in 88 figure is likely to be an underestimate, with the true rate being closer to the 1 in 38 reported in a study in South Korea.

However, the CDC report also showed huge differences across the various states sampled, and huge variation across different ethnic groups in terms of both the current numbers and the rate of change. If, like Bob, you take the overall rise in autism rates at face value as evidence for an epidemic, you also need to take at face value the geographical and ethnic variations. You need to take seriously the possibility that white kids from Utah really are 28 times more likely to be autistic than Hispanic kids from Alabama. And that rates among Hispanic kids in Missouri really did go up 460% in 6 years [1].

And if, like Bob, you're going to argue that the CDC figure of 1 in 88 is a gross underestimation, you're acknowledging that the CDC data speak to the number of kids flagged by health and education records, as opposed to the number of actual autistic people. And so you can't take the increase at face value as evidence for an increase in the number of autistic people.

As the CDC report concluded, there is a need to "focus on understanding disparities in the identification of ASDs among certain subgroups and on how these disparities have contributed to changes in the estimated prevalence of ASDs".

Underlying all of those disparities, there may be a true increase in the number of autistic people - and it's important to be open-minded. But it's also important to be consistent in your logic.


Footnote:

[1] Even at the lower end of the 95% confidence interval, rates in 2008 were 3.4 times what they were in 2002.


More on the Congressional Autism Hearing:

The Thinking Person's Guide to Autism has full coverage of the Congressional Autism Hearing. They highlight the testimony of Ari Ne'eman from the Autistic Self Advocacy Network, including this particularly striking except:
Of the approximately $217 million dollars that the National Institutes of Health (NIH) invested in autism research in 2010 (the most recent year for which data is available), only a meager 2.45% went towards improving the quality of services and supports available to Autistic people and our families. Only 1.5% went towards research that addresses the needs of Autistic adults. When compared to research on questions of causation, etiology and biology and diagnosis, the percentage of the autism research agenda focused on the actual needs of Autistic people in order to improve their quality of life is miniscule. We are pro-research, but the research agenda must be re-balanced to incorporate both causation and quality of life.

More on autism prevalence:

  • Paul Whiteley reviews a new study looking into the changes in prevalence in New Jersey
  • Guest post on the SFARI blog: Utah, revisited

          Comment on Episode 116 – Adventures in Boat Sitting Part 2 by Nata        
I know this is several years old, but there's a serious cognitive disconnect between hearing a child abuse incest joke at the end of this episode, and then 2 eps later hearing that you're raising money for the Trevor Project. Here's a fun fact from the CDC for you: "14% to 31% of gay and lesbian students and 17% to 32% of bisexual students had been forced to have sexual intercourse at some point in their lives." Gee wonder if uncles sneaking into kids beds at night and asking them to keep secrets could possibly contribute to a higher rate of suicide. I really love the podcast, and it made me super happy a few eps back when Jennifer found out that Sad Dead Lesbians is a trope we're all tired of, and that made me really hopeful that you guys wouldn't be taking any cheap shots (storytelling or joke wise, obviously cheap vodka shots are fine). There's a few other dnd podcasts that might be good, but I can't listen to them because they have rape jokes In the first episodes. I've loved this one because you guys don't do that - whatever Thom and Ros do with the fish bucket, they're clearly both into it. I hope this was a one time thing, because you all seem like great people, and everyone says shitty things occasionally (but this one has been recorded and put out on the internet).
          9-N        
Me sabe mal opinar sobre el estatus de Catalunya, que yo no soy ‘de casa’, pero un par de años atrás vi a otra persona que sabía que ‘no es de casa’ manifestarse el Diada a favor de la independencia de Catalunya, entonces bajó mi reticencia para opinar sobre el tema desde el otro punto de vista.

Se oye mucho que si David Cameron le puede permitir a Alex Salmond un voto sobre la independencia de Escocia, ¿por qué Mariano Rajoy no permite un voto para Catalunya?

Cómo un inglés la respuesta es super sencilla.

En Gran Bretaña no hay ninguna discusión entre independistas e unionistas sobre la historia de Escocia.  Todo el mundo reconoce que durante siglos Escocia era un país independiente.  En 1737 el Parlamento Escocés votó para unir Escocia con Inglaterra para formar la unión de naciones de Gran Bretaña.  Claro que los Escoces tenían el derecho para votar sobre la independencia.  Me da alivio que votaron “No”.

En España nadie está de acuerdo sobre la historia.  Hay Catalanistas que reivindican que Catalunya era un país durante 500 años desde Guifre el Pelòs hasta Martin el Humano, mientras que Españolistas como Mariano Rajoy dicen que Catalunya nunca jamás ha sido un país.

Desde mi punto de visto, los dos lados pueden hacer argumentos históricos legítimos a favor de la unidad de España o la independencia de Catalunya.  A fin de cuentas, me parece, creer en uno u otro, es cuestión de sentimiento emocional.

Estimo mucho la identidad Català, pero el sentimiento emocional de éste inglés es Españolista hasta la medula.

España es un gran país.  Sin España Europa sería musulmán.  Sin la Europa Cristiana no tendríamos la Europa democrática.  La democracia se radica en los valores judeo-cristianos de amor y perdón.  La tiranía florece en el mundo musulmán porque los valores de Islam se radican en el odio y la venganza.  Lo más que nos desanclamos de los valores cristianos, lo más que nos vamos a la deriva hacia la tiranía.  España era entre los dos países (Polonia el otro) que abogaban inclusión de referencia a las raíces Cristianas de Europa cuando se redactaba la Constitución Europea.

Cuando llegué a España en 2002 en el aeropuerto de Málaga, dejé una Gran Bretaña que se había entregado al terrorismo de la IRA, a un país que rompía los cristales de las oficinas de ETA-Batasuna y les arrastraba a la calle a los funcionarios-terroristas, gracias a la Ley de Partidos.  De inmediato me sentía en casa.

Ahora en mi barri, me doy cuenta de que los únicos partidos que defienden la democracia contra la violencia de Can Viés son Españolistas.  PSOE, PP y C’s.   ERC son cómplices por su denegación de condenar la violencia de Can Viés, CDC alzó la bandera blanca por miedo y porque no tienen los principios para defender la democracia.  Â¿Qué tipo de ‘amor per Catalunya’ es claudicar y colaborar con extremistas violentos?  No es un tipo de
‘patriotismo’ o modelo de gobernación que reconozco.  Me sorprendió este Diada que cuando los tipos de CDC se presentaron en el Fossar de les Moreres como los herederos de 1714, no hubo terremoto con los enterrados dándose vueltas por la presencia de traidores. Los herederos de 1714 son los que defienden la democracia en 2014 contra los violentos, no las desvergonzadas que alzan la bandera blanca.

El empuje de CDC hacia la independencia, no es por patriotismo, es por un berrinche presupuestario.  Proporcionalmente Madrid paga más al cofre de España que Catalunya.  Pero no hace ruidos tacaños e insolidarios en estos momentos de crisis por aportar su cuota justa.  Más vale que CDC sobreimpone un triángulo azul con estrella blanca sobre un billete grande de 500€ y lo alce por la asta como la bandera nueva de la independencia.  El proyecto soberanista de CDC no tiene que ver con amor per la patria, se trata de la vanidad e cinismo de hombres poderosos.

Es tan estúpido decir que 9-N es “anti-democrático” como decir que creer que la democracia nacional tiene precedencia a la democracia autonómica es “anti-democrático”.

Pero si se quiere aseverar que la democracia Català tiene precedencia al orden Constitucional de España, no lo haga salvo que a fin de cuentas estas plenamente dispuesta para hacer la guerra.

Es preocupante que entre los Catalanistas con los que hablo, ven poco o ningún posibilidad de ‘problemas’ si llega el día de que Catalunya haga declaración de independencia, pero entre los Españolistas dentro y fuera de Catalunya, tanto de izquierdas como de derechas, me dicen que si Catalunya declare la independencia “habrá guerra”.

Tengo la sensación de que la actitud que impere entre muchos separatistas, por cierto del estirpe CDC, es que ‘frente a nuestra sofisticación chulísima a estos chorizos palurdos de España, vamos a conseguir la independencia por los listos que somos’.  Este estupidez va a acabar con guerra.  Temo que ya el hybris de CDC ha destapado la caja de Pandora.  Al dar la razón a ERC, las próximas autonómicas en Mayo están en pleno camino a un Govern ERC/CUP/ICV/PODEMOS que si no garantice la guerra, aumente el riesgo con creces.

Un mundo mejor es posible.  Un mundo peor també.
          US Government Malware Policy Puts Everyone At Risk        
The NSA was weaponizing software vulnerabilities that it should have been helping to fix.

Last month, a massive ransomware attack hit computers around the globe, and the government is partly to blame.

The malicious software, known as “WannaCry,” encrypted files on users’ machines, effectively locking them out of their information, and demanded a payment to unlock them. This attack spread rapidly through a vulnerability in a widely deployed component of Microsoft's Windows operating system, and placed hospitals, local governments, banks, small businesses, and more in harm's way.

This happened in no small part because of U.S. government decisions that prioritized offensive capabilities — the ability to execute cyberattacks for intelligence purposes — over the security of the world’s computer systems. The decision to make offensive capabilities the priority is a mistake. And at a minimum, this decision is one that should be reached openly and democratically. A bill has been proposed to try to improve oversight on these offensive capabilities, but oversight alone may not address the risks and perverse incentives created by the way they work. It’s worth unpacking the details of how these dangerous weapons come to be.

Why did it happen?

All complex software has flaws — mistakes in design or implementation — and some of these flaws rise to the level of a vulnerability, where the software can be tricked or forced to do something that it promised its users it would not do.

For example, consider one computer, running a program designed to receive files from other computers over a network. That program has effectively promised that it will do no more than receive files. If it turns out that a bug allows another computer to force that same program to delete unrelated files, or to run arbitrary code, then that flaw is a security vulnerability. The flaw exploited by WannaCry is exactly such a vulnerability in part of Microsoft’s Windows operating system, and it has existed (unknown by most people) for many years, possibly as far back as the year 2000.

When researchers discover a previously unknown bug in a piece of software (often called a “zero day”), they have several options:

  1. They can report the problem to the supplier of the software (Microsoft, in this case).
  2. They can write a simple program to demonstrate the bug (a “proof of concept”) to try to get the software supplier to take the bug report seriously.
  3. If the flawed program is free or open source software, they can develop a fix for the problem and supply it alongside the bug report.
  4. They can announce the problem publicly to bring attention to it, with the goal of increasing pressure to get a fix deployed (or getting people to stop using the vulnerable software at all).
  5. They can try to sell exclusive access to information about the vulnerability on the global market, where governments and other organizations buy this information for offensive use.
  6. They can write a program to aggressively take advantage of the bug (an “exploit”) in the hopes of using it later to attack an adversary who is still using the vulnerable code.

Note that these last two actions (selling information or building exploits) are at odds with the first four. If the flaw gets fixed, exploits aren't as useful and knowledge about the vulnerability isn't as valuable.

Where does the U.S. government fit in?

The NSA didn’t develop the WannaCry ransomware, but they knew about the flaw it used to compromise hundreds of thousands of machines. We don't know how they learned of the vulnerability — whether they purchased knowledge of it from one of the specialized companies that sell the knowledge of software flaws to governments around the world, or from an individual researcher, or whether they discovered it themselves. It is clear, however, that they knew about its existence for many years. At any point after they learned about it, they could have disclosed it to Microsoft, and Microsoft could have released a fix for it. Microsoft releases such fixes, called “patches,” on a roughly monthly basis. But the NSA didn't tell Microsoft about it until early this year.

Instead, at some point after learning of the vulnerability, the NSA developed or purchased an exploit that could take advantage of the vulnerability. This exploit — a weapon made of code, codenamed “ETERNALBLUE,” specific to this particular flaw — allowed the NSA to turn their knowledge of the vulnerability into access to others’ systems. During the years that they had this weapon, the NSA most likely used it against people, organizations, systems, or networks that they considered legitimate targets, such as foreign governments or their agents, or systems those targets might have accessed.

The NSA knew about a disastrous flaw in widely used piece of software – as well as code to exploit it — for over five years without trying to get it fixed. In the meantime, others may have discovered the same vulnerability and built their own exploits.

Any time the NSA used their exploit against someone, they ran the risk of their target noticing their activity by capturing network traffic — allowing the target to potentially gain knowledge of an incredibly dangerous exploit and the unpatched vulnerability it relied on. Once someone had a copy of the exploit, they would be able to change it to do whatever they wanted by changing its “payload” — the part of the overall malicious software that performs actions on a targeted computer. And this is exactly what we saw happen with the WannaCry ransomware. The NSA payload (a software “Swiss Army knife” codenamed DOUBLEPULSAR that allowed NSA analysts to perform a variety of actions on a target system) was replaced with malware with a very specific purpose: encrypting all a users’ data and demanding ransom.

At some point, before WannaCry hit the general public, the NSA learned that the weapon they had developed and held internally had leaked. Sometime after that, someone alerted Microsoft of the problem, kicking off Microsoft’s security response processes. Microsoft normally credits security researchers by name or “handle” in their security updates, but in this case, they are not saying who told them. We don't know whether the weapon leaked earlier, of course — or whether anyone else had independently discovered knowledge of the vulnerability and used it (with this particular exploit or another one) to attack other computers. And neither does the NSA. What we do know is that everyone in the world running a Windows operating system was vulnerable for years to anyone who knew about the vulnerability; that the NSA had an opportunity to fix that problem for years; and that they didn't take steps to fix the problem until they realized that their own data systems had been compromised.

A failure of information security

The NSA is ostensibly responsible for protecting the information security of America, while also being responsible for offensive capabilities. “Information Assurance” (securing critical American IT infrastructure) sits next to “Signals Intelligence” (surveillance) and “Computer Network Operations” (hacking/infiltration of others’ networks) right in the Agency’s mission statement. We can see from this fiasco where the priorities of the agency lie.

And the NSA isn’t the only agency charged with keeping the public safe but putting us all at risk. The FBI also hoards knowledge of vulnerabilities and maintains a stockpile of exploits that take advantage of them. The FBI’s mission statement says that it works “to protect the U.S. from terrorism, espionage, cyberattacks….” Why are these agencies gambling with the safety of public infrastructure?

The societal risks of these electronic exploits and defenses can be seen clearly by drawing a parallel to the balance of risk with biological weapons and public health programs.

If a disease-causing micro-organism is discovered, it takes time to develop a vaccine that prevents it. And once the vaccine is developed, it takes time and logistical work to get the population vaccinated. The same is true for a software vulnerability: it takes time to develop a patch, and time and logistical work to deploy the patch once developed. A vaccination program may not ever be universal, just as a given patch may not ever be deployed across every vulnerable networked computer on the planet.

It’s also possible to take a disease-causing micro-organism and “weaponize” it — for example, by expanding the range of temperatures at which it remains viable, or just by producing delivery “bomblets”capable of spreading it rapidly over an area. These weaponized germs are the equivalent of exploits like ETERNALBLUE. And a vaccinated (or "patched") population isn't vulnerable to the bioweapon anymore.

Our government agencies are supposed to protect us. They know these vulnerabilities are dangerous. Do we want them to delay the creation of vaccine programs, just so they can have a stockpile of effective weapons to use in the future?

What if the Centers for Disease Control and Prevention were, in addition to its current mandate of protecting “America from health, safety and security threats, both foreign and in the U.S.,” responsible for designing and stockpiling biological weapons for use against foreign adversaries? Is it better or worse for the same agency to be responsible for both defending our society and for keeping it vulnerable? What should happen if some part of the government or an independent researcher discovers a particularly nasty germ — should the CDC be informed? Should a government agency that discovers such a germ be allowed to consider keeping it secret so it can use it against people it thinks are "bad guys" even though the rest of the population is vulnerable as well? What incentive does a safety-minded independent researcher have to share such a scary discovery with the CDC if he or she knows the agency might decide to use the dangerous information offensively instead of to protect the public health?

What if a part of the government were actively weaponizing biological agents, figuring out how to make them disperse more widely, or crafting effective delivery vehicles?

These kinds of weapons cannot be deployed without some risk that they will spread, which is why bioweapons have been prohibited by international convention for over 40 years. Someone exposed to a germ can culture it and produce more of it. Someone exposed to malware can make a copy, inspect it, modify it, and re-deploy it. Should we accept this kind of activity from agencies charged with public safety? Unfortunately, this question has not been publicly and fully debated by Congress, despite the fact that several government agencies stockpile exploits and use them against computers on the public network.

Value judgments that should not be made in secret

Defenders of the FBI and the NSA may claim that offensive measures like ETERNALBLUE are necessary when our government is engaged in espionage and warfare against adversaries who might also possess caches of weaponized exploits for undisclosed vulnerabilities. Even the most strident supporters of these tactics, however, must recognize that in the case of ETERNALBLUE and the underlying vulnerability it exploits, the NSA failed as stewards of America's — and the world's — cybersecurity, by failing to disclose the vulnerability to Microsoft to be fixed until after their fully weaponized exploit had fallen into unknown hands. Moreover, even if failing to disclose a vulnerability is appropriate in a small subset of cases, policy around how these decisions are made should not be developed purely by the executive branch behind closed doors, insulated from public scrutiny and oversight.

A bipartisan group of US Senators has introduced a bill called the Protecting our Ability To Counter Hacking (PATCH) Act, which would create a Vulnerabilities Equities Review Board with representatives from DHS, NSA, and other agencies to assess whether any known vulnerability should be disclosed (so that it can be fixed) or kept secret (thereby leaving our communications systems vulnerable). If the government plans to retain a cache of cyberweapons that may put the public at risk, ensuring that there is a permanent and more transparent deliberative process is certainly a step in the right direction. However, it is only one piece of the cybersecurity puzzle. The government must also take steps to ensure that any such process fully considers the duty to secure our globally shared communications infrastructure, has a strong presumption in favor of timely disclosure, and incentivizes developers to patch known vulnerabilities.

This will not be the last time one of these digital weapons leaks or is stolen, and one way to limit the damage any one of them causes is by shortening the lifetime of the vulnerabilities they rely on.


          CDC Allegedly Falsifies Reports – Ignoring up to 3,587 Miscarriages From H1N1 Vaccine         
A shocking report from the National Coalition of Organized Women (NCOW) presented data from two different sources demonstrating that the 2009/10 H1N1 vaccines contributed to an estimated 1,588 miscarriages and stillbirths. 
          Americans drowning in prescription drugs         
Nearly half of all Americans now use prescription drugs on a regular basis according to a CDC report that was just released.
          Un buen día        
25 febrero

Today was a great day.  This morning in clinic, I worked with Javier on some reporting tasks that he was given on Friday.  Some gentlemen from Guatemala City who work for the country's equivalent of the CDC visited and told him that he needs to be doing monthly reporting of the prevalence of various STIs and preventive behaviors.  (Coincidently, they knew of UNC-Chapel Hill because they had worked with the School of Public Health.)  This morning, I told Javier that it was interesting and he confessed that he didn't really understand what they wanted him to do.  We spent the next hour or so running reports from his electronic medical record, which is specially designed to track STIs internationally, and talking about the differences in calculating and interpreting incidence and prevalence.

Back at school, I skyped with Tyler, Owen, and Roy (Owen's duncle).  I donated 5Q to help pay for the school's ex-homeless cat's food.  My maestra and I talked about our weekends and, despite having spoken almost only English all weekend during the hike, my sentences were more coherent, the conversation easier.  It's been happening gradually but today I noticed it more, that my words are more liquid than individual solid states, like I'm starting to approximate the fluid in "fluency."

I walked back here, to school, from yoga feeling happy.  Despite my best efforts, I like the poneytailed teacher.  His classes are varied and I feel stronger but safer, with fewer twinges and asymmetrical aching than I've had in awhile and in spite of hiking to almost 14,000 feet yesterday.  I met a new friend from yoga, another medical student who is from San Francisco and is going into family medicine.  We are going to get dinner tomorrow.  I felt taller when I walked and realized that I actually kind of love the narrow, slippery cobblestoned sidewalks because they force a lot of "buenos días"es and other greetings as people squeeze past telephone poles and nearly run into each other.

Overall, I could appreciate a certain crescendo to my trip today.  I hope it continues!

3 days until Tyler gets here!
xoxo,
Rachel

          Placentofagia.        

Metto il bollino rosso a questo articolo perché mi rendo conto che possa essere per alcuni "disgustoso" ma la realtà non può esserlo in quanto realtà, va descritta ed ognuno decida se guardarla o meno.
La placenta è un "annesso" fetale, una di quelle parti che circondano il feto per aiutarlo a crescere e che poi, dopo il parto, sono eliminate perché hanno smesso di svolgere il loro compito. ha un aspetto spugnoso, è ricoperta da una membrana translucida ed è piena di vasi sanguigni, fondamentali per svolgere il suo compito di ossigenazione del feto. L'aspetto non è invitante ma, chiaro, non esiste per essere vista o mangiata ma per lavorare ed il suo lavoro lo svolge benissimo.

Placenta umana ripulita.

In alcune culture la placenta ha avuto anche un ruolo sacro, come "generatrice di vita" e nel regno animale può rappresentare un'immediata fonte di proteine per una madre che ha appena partorito ed è sfinita per riuscire a procurarsi del cibo in breve tempo. Nell'uomo, ovviamente, la placenta non ha ruoli sacri né alimentari e nessuna cultura, nemmeno antica, ne descrive il consumo.
Nell'uomo normale.
Poi noi esseri umani, in occidente, ci siamo annoiati delle comodità e cerchiamo sempre nuovi stimoli per motivare ogni nostro gesto. La placentofagia è probabilmente uno di questi, il ridurre a "rito magico" un normalissimo momento della vita umana.

Perché esistono persone che della placenta fanno un totem. Qualcuno la seppellisce nel proprio giardino, altri la conservano per farci un ciondolo, altre ancora, le più estremiste, la mangiano. In alcune sette è previsto il consumo della placenta dopo il parto. Seppellire o conservare la placenta è una scelta personale, io non lo farei ma pazienza, ognuno faccia ciò che vuole, non si fa del male a nessuno.


Pendagli di placenta.

Al contrario il consumo della placenta non ha alcuna utilità se non quella cerimoniale, quindi lascio ai sacerdoti o ai seguaci delle sette la spiegazione di questo atto inutile ma anche pericoloso. In genere si parla delle solite "energie" e di misteriosi poteri magici ma, come sappiamo, nel campo dell'esoterismo è praticamente inutile cercare di capire, ognuno si inventa ciò che vuole. L'usanza di mangiare la placenta ha avuto una spinta dalle dichiarazioni di alcuni "vip" (soprattutto attori statunitensi) che hanno dichiarato di aver mangiato la placenta o altri che hanno addirittura diffuso le foto mentre bevevano un frullato di placenta.
A me dispiace descrivere queste cose ma è la realtà.

Si sa però che le mode sono pericolose e così, soprattutto in certi ambienti "alternativi" ed annoiati della vita, si inizia a diffondere l'idea che mangiare placenta sia utile e salutare. La chiamano "placentofagia", ovvero l'abitudine a mangiare placenta (non solo la propria...) e viene "venduta" come una pratica utile, benefica, che ridurrebbe alcuni disturbi dopo il parto migliorando la ripresa. Chi la promuove mostra studi fatti su animali o teorie indimostrate ma c'è sempre un ostacolo a tutto, non scientifico ma pratico: il buon senso.
Mangiare placenta non serve a niente, nonostante ciò che dicono alcune modelle in calo di popolarità o alcune attrici che hanno perso il centro della ribalta.
Mangiare placenta è più o meno come mangiare una fetta di carne (un po' più piena di vasi sanguigni) e non approfondisco per non urtare gli stomaci più deboli ma esistono diverse aziende che offrono capsule di placenta, assaggini di placenta deidratata, dolci di placenta al cioccolato.

Alcune donne alle quali era stata chiesta una motivazione ed un giudizio sul loro utilizzo alimentare della placenta hanno descritto dei benefici dal consumo (soggettivi) e si sono dette pronte a rifarlo.
Il fatto è che la placenta non ha particolari utilità nutritive e non contiene sostanze che non troviamo in altro modo, il suo consumo è quindi totalmente ingiustificato e resta una semplice moda, oltre al fatto che è un "organo", un pezzo di carne che può essere sporco, contaminato, infetto. Anche rischioso. La placenta può infatti essere colonizzata da vari microorganismi (già durante la gravidanza, poi durante il parto ma anche dopo), alcuni dei quali molto pericolosi (l'infezione degli annessi fetali è una grave complicanza della gestazione). La sua conservazione è complicata e, l'eventuale e sconsigliato consumo, dovrebbe essere preceduto da attente procedure di pulizia e sterilizzazione, dalla cottura per esempio.
Ma non è sempre così. Alcune donne consumano la placenta anche cruda e persino aziende che ne offrono versioni in capsule o tintura non rispettano le procedure basali di sicurezza.

Quello che è successo in America.

Un'infezione grave che ha causato il ricovero di un neonato per insufficienza respiratoria. Il mistero era la causa. Dopo varie indagini si è scoperto che la mamma di quel bambino aveva assunto compresse di placenta, nuova frontiera dell'idiozia moderna, che però erano infettate da un batterio (Streptococco) che le avevano causato un'infezione.
Questa è stata poi contagiata al bambino che si è ammalato. Due ricoveri, uno in terapia intensiva e due cicli di terapia antibiotica, lo hanno salvato.
Il caso è descritto nel sito del CDC (ente sanitario statunitense).

L'argomento può sembrare ridicolo ed invece non lo è, visto che ci sono persone che si lasciano convincere da altre che esistano procedure come quella del consumo di placenta, che abbiano un senso e che servano dal punto di vista del benessere. Ognuno faccia ciò che vuole consapevole che una cosa del genere non ha nessuna utilità, non procura benefici ed ha qualche rischio.
E se proprio vi appassionate al consumo di placenta, almeno usate un libro di ricette.

Alla prossima.

          Bad Medicine: come inventarsi tutto pur di andare contro i vaccini.        
Trovo sempre triste quando un medico, che dovrebbe essere il ritratto della preparazione, aggiornamento, della precisione ed umanità, si abbassa a bugie e diffusione di notizie false.
La comparsa di medici che escono completamente fuori da ogni ragionamento scientifico è (secondo me) il risultato di anni di lassismo, di "vivi e lascia vivere" da parte di istituzioni, ordini dei medici ed università. Il falso diritto di libertà in campo scientifico ha consentito il proliferare indisturbato di ogni tipo di pratica pseudoscientifica, di veri e propri fenomeni paranormali (vedi omeopatia), quando non di ciarlatani.
Ora gli ordini dei medici sembrano riprendersi quella dignità persa negli anni ma ancora oggi c'è molto lavoro da fare.
Le bugie in medicina fanno male. La bugia va oltre l'errore che è, per definizione, involontario, casuale. In medicina l'errore può essere tragico, può creare danni irreparabili ma, almeno, non è stato pianificato, progettato. Nel mio ultimo libro ho espresso un pensiero che ribadisco.
La medicina è una pratica molto delicata (ed ognuno può capire perché) che ha molti anelli che compongono una catena. Gli scienziati che cercano le cure, le aziende che le producono, i medici che le prescrivono, i farmacisti che le vendono ed infine il paziente, colui che le usa. Ovviamente il paziente, oltre ad essere l'anello più fragile di questa catena, è quello che può subire maggiormente un errore o una bugia, non solo perché è l'ultimo utilizzatore ma anche perché si presuppone mancanza di errori, bugie e disonestà in tutti gli anelli, più sono questi anelli maggiore la possibilità di problemi.
Negli anni sono state pensate ed applicate tante regole per limitare gli errori (eliminarli del tutto è impossibile), per identificarli, per limitare le disonestà ma, umanamente, è quasi impossibile pretendere un sistema sanitario completamente pulito.
Questo è un peccato ma forse dobbiamo fare i conti con il mondo reale, senza troppe utopie.
È lecito però pretendere che chi fa il mestiere di medico faccia di tutto per lavorare con onestà e competenza.
Per questo, se è ammissibile l'errore è gravissima la bugia.

Quando leggo le affermazioni completamente infondate di un collega non posso fare a meno di pensare ad una sconfitta. Professionale, umana, scientifica. Un medico che diffonde voci false è una sconfitta per tutti.
Ovviamente non possiamo sapere se le falsità siano consapevoli o meno, potrebbero essere frutto di cattiva informazione anche da parte del medico, di poco aggiornamento, di stanchezza, di confusione mentale, non si sa, anche se, alcune di queste affermazioni sono evidentemente delle falsità palesi e, probabilmente, consapevoli.

In questi mesi, durante il dibattito sui vaccini in molti mi hanno scritto per smentire una o l'altra affermazione trovata su internet, a volte le segnalazioni sono state davvero tante e smentirle tutte è impossibile.
Non posso farlo, starei tutto il giorno a scrivere ed io faccio un altro lavoro. Però se qualcosa mi colpisce particolarmente o diventa un caso nazionale il tempo lo perdo volentieri.

Un giorno mi è saltata agli occhi una "lettera", segnalatami diverse volte da tante persone, mamme preoccupate, amici allibiti, colleghi scandalizzati. Era una dottoressa, italiana che lavora in una clinica privata svizzera, a scriverla: Gabriella Lesmo. La sua era una risposta ad un articolo uscito sul Corriere della Sera che parlava di vaccini, a firma Paolo Mieli. La dottoressa esordisce con una frase che si rivelerà ironica: " l’articolo dimostra quanto profonda sia la disinformazione".

Di "lettere" e "comunicati" sui vaccini ne ho letti tanti, spesso pieni di errori (consapevoli o meno non importa), furbizie usate per spaventare e trucchi per suscitare paura, sono abbastanza abituato. Ma leggere una lettera dove è impossibile trovare una riga di verità è davvero imbarazzante.
Prima pensavo ad una delle tante lettere "antivaccini", sciocche e senza spunti e poi, leggendo, sono restato sempre più colpito dalla normalità e naturalezza con la quale la collega snocciolava una serie di falsità e bugie sulla medicina e sul tema vaccini, mi ha colpito la scioltezza con la quale un dato sbagliato era seguito da un dato falso, bugie su bugie che costruivano un castello fatto per disseminare paura, dubbio, incertezza, una delle tecniche più note della propaganda: spargi falsità, nel tempo che servirà per smentirle avranno già fatto il giro del mondo.
Una naturalezza che, a chi non è del mestiere, potrebbe essere scambiata per conoscenza. Questo è il vero pericolo. Tanto che i commenti all'articolo che riporta la lettera sono (giustamente, la Lesmo è un medico) entusiasti: "complimenti", "bravissima!", "continui così", come se la dottoressa avesse rivelato grandi verità e coraggiosi complotti. Il problema è che la lettera descrive fatti falsi, inventati, errori madornali.

Non scherzo: trovare una notizia vera in tutta la lettera è stata un'impresa, non c'è. Ed invito i colleghi medici a smentirmi perché davvero sono rimasto senza parole.

Perché la collega ha fatto una cosa del genere?
Non lo so. Forse una vendetta nei confronti di chi lei ritiene colpevole dei suoi problemi (la dottoressa dice di avere un figlio danneggiato dai vaccini) oppure realmente una mancanza di conoscenza dei fatti, forse è lei stessa vittima della propaganda antivaccini, non si sa.

Un insieme di bufale come quelle contenute in questa "lettera", comunque, non è solo deprimente per la professione ma è pericoloso per il pubblico.
Così ho pensato che forse, a qualcuno, sarebbe interessato capire il metodo antivaccinista, la tattica del demolire ogni conoscenza fin qui raggiunta in un attimo, con il venticello della calunnia, distruggere ricerche, sacrifici e risorse con una parola, una frase sussurrata. Ogni parola, ogni fatto raccontato suscitano sospetto e timore, con un solo filo conduttore: è tutto falso.
Per smentire queste calunnie sono due le cose: o conosci l'argomento benissimo o dovresti andare a cercare riscontri per ognuno dei fatti elencati, uno per uno, un lavoro difficile, lungo, tecnico. Io ho un vantaggio: i fatti li conosco benissimo.

Ecco la lettera della dottoressa Lesmo.
Essendo molto lunga non la copierò (chi vuole può leggerla al link indicato) ma riporterò la frase che andrò poi a spiegare. Dovrò per forza di cose essere breve, la lettera è troppo lunga e dovrò scegliere gli errori più evidenti o scriverei un trattato. Procediamo?

1) "Il tetano non è una malattia infettiva"
Falso.
Il tetano è ovviamente una malattia infettiva e pure molto grave. Una malattia infettiva è qualsiasi patologia causata da un germe (virus, batteri, funghi, in questo caso il batterio Clostridium tetani) che causa infezione all'organismo, cosa che avviene nel tetano.

2) "nemmeno [possono verificarsi] epidemie di epatite B, che si trasmette per via parenterale e venerea"
Falso.
Oltre al fatto che le due vie di trasmissione possono ovviamente già essere causa di epidemie (se c'è una fonte di contagio e molti ne venissero a contatto si potrebbe scatenare un'epidemia) ed infatti le epidemie avvengono eccome, la dottoressa non dice che la malattia si può contagiare anche per via "parenterale inapparente", quella più subdola e pericolosa. Questo può succedere quando, la persona con la malattia, infetta un'altra indirettamente tramite l'uso di oggetti (per esempio forbicine, spazzolino, limette) o direttamente (graffi, piccole lesioni della cute o mucose), evento nemmeno così improbabile nei bambini piccoli e spesso sono proprio i contagi "silenti" (non avvertiti) i più pericolosi.

3) "la malattia invasiva da Haemophilus B [...] è più rappresentata negli over 65 che in età pediatrica."
Falso.
Sono più a rischio sia le persone anziane che i bambini di età inferiore ai 5 anni. Probabilmente per maggiore suscettibilità del sistema immunitario.

4) "Per ciò che riguarda l’efficacia della pratica vaccinale, non è possibile comprovare l’avvenuta immunizzazione dei vaccinati".
Falso.
Affermazione strumentale, sarebbe come chiedere che venga dimostrata la sicurezza dei paracadute. Esistono i "titoli anticorpali" che dimostrano come sia avvenuta la stimolazione del sistema immunitario. Ovviamente non possiamo infettare apposta un vaccinato per provare sia protetto ma, a rigor di logica, dal punto di vista immunologico e con buona probabilità lo è e questo è confermato dall'evidenza. In presenza di epidemie, infatti, come è successo anche in Italia in questi mesi, la stragrande maggioranza dei contagiati sono i non vaccinati, questo mostra come la vaccinazione dia immunizzazione. Inoltre, nei rari casi in cui questo non avvenisse, è proprio l'immunità di gruppo (gli individui che circondano gli altri sono protetti) ad evitare eventuali infezioni, abbassare il numero dei vaccinati ha anche questo effetto negativo, evita che sia protetto chi non ha ottenuto l'immunizzazione.

5) "Oltre a queste [vaccinazioni obbligatorie] vengono promosse e fornite dal SSN: [...] e anti-epatite A"
Falso.
La vaccinazione per l'epatite A non è prevista dal calendario vaccinale nazionale.

6) "Secondo le specifiche linee guida del Ministero della Salute, un lattante deve essere vaccinato anche se nato prematuro, di basso peso, epilettico, cerebropatico, HIV positivo, convalescente, “moderatamente” febbrile e persino se ha già avuto una reazione avversa grave ad una vaccinazione."
Falso.
Si tratta di un elenco strumentale di controindicazioni. Un cardiopatico deve essere vaccinato perché per lui la "banale" influenza potrebbe essere letale, perché si stupisce la dottoressa? È pediatria di base.
Al contrario, in caso di reazione allergica, la vaccinazione è controindicata. La prima riga (pag. 9) della guida dell'ISS alle vaccinazioni, indica come prima controindicazione proprio la reazione allergica al vaccino. Non c'è invece nessuna controindicazione alla vaccinazione di individui HIV positivi. Un neonato prematuro è invece caldamente invitato ad essere vaccinato proprio perché (ed una pediatra questo lo dovrebbe sapere) il suo stato lo rende particolarmente suscettibile alle infezioni e su di lui, inoltre, qualsiasi malattia, anche banale, potrebbe avere un esito devastante.

7) "è ormai disponibile a livello mondiale una notevole quantità di dati epidemiologici e di studi clinici ed autoptici che indicano che la malattia autistica si realizza nell’organismo infantile nella delicata fase di sviluppo, come effetto di una encefalopatia innescata dalle vaccinazioni "
Falso.
Non solo non esistono studi che mostrino un collegamento attendibile tra vaccinazioni (qualsiasi) ed autismo ma quelli disponibili, una grande quantità, escludono questo nesso. Sostenere che ci sia un collegamento dimostrato (o anche solo sospetto) tra vaccinazioni ed autismo è una bugia gravissima. Una menzogna consapevole (o in alternativa una lacuna culturale enorme).
C'è da aggiungere che questa ipotesi nacque grazie ad un falso studio il cui autore (Andrew Wakefield) fu radiato dall'ordine dei medici del suo paese. Una leggenda nata da una frode, propagata fraudolentemente.

8) "[la malattia autistica si realizza con] una encefalopatia innescata dalle vaccinazioni che danneggiano il tessuto nervoso con meccanismo immuno-allergo-tossico"
Falso.
Oltre a non esserci un nesso tra vaccinazioni ed autismo, il meccanismo "immuno-allergo-tossico" è letteralmente inventato, non è un'entità medica, è invece un cavallo di battaglia dei ciarlatani in quanto non vi sono riscontri della sua esistenza. L'autismo non è un'encefalopatia ed ha basi genetiche.

9) "In tempi recenti i lavori londinesi di Wakefield sono stati riabilitati ed il suo allora primario londinese ha avuto la meglio contro chi lo volle cacciare".
Falso.
Furba la dottoressa, sta confondendo le acque. Non solo nessuno studio o scienziato ha mai "riabilitato" Wakefield che è (e resta) un esempio mondiale di frode scientifica ed il suo studio resta ritirato perché falso ma il suo primario è stato assolto da ogni accusa perché ha dimostrato di non essere a conoscenza (come invece sembrava in un primo momento) della truffa del suo collega. Il primario di Wakefield, ovviamente, non è Wakefield che resta autore della truffa, perché la Lesmo li "associa"?. Questa assoluzione dimostra casomai quanto grave fu la colpa dell'ex medico scozzese, che nascose la sua truffa persino ai suoi collaboratori (che infatti si "ritirarono" tutti dallo studio). Perché la Lesmo fa finta di non capirlo?

10) "ricordo anche che alcuni studi danesi, citati per anni a dimostrazione della inesistente correlazione tra vaccinazioni e insorgenza di autismo si sono rivelati FALSI. Il principale autore degli studi danesi fu il Dr. Paul Thorsen, attualmente latitante, che figura nella lista dei maggiori ricercati dalla FBI, contro cui è stato spiccato mandato di cattura"".
Falso.
Non c'è nessuno studio danese rivelatosi "falso", questa è pura fantasia della dott.ssa Lesmo. È vero che Thorsen, scienziato del CDC, è ricercato ma questo non ha nulla a che vedere con i suoi studi sul nesso vaccino-autismo che non sono stati mai smentiti. Paul Thorsen è ricercato perché accusato di aver usato fondi di ricerca per fini privati (ha rubato soldi) e non è nemmeno "il principale autore" degli studi, che è invece Madsen. La frase della dott.ssa Lesmo è strumentale e serve a manipolare la realtà. Ancora una bugia consapevole.

11) "Lo “scandalo nello scandalo” è emerso altresì dalle dichiarazioni del Deputato americano Bill Posey"
Falso.
Le dichiarazioni di Posey (senatore complottista statunitense) si riferiscono alla vicenda del "CDC wistleblower", ormai nota e chiaramente una bufala montata ad arte dai movimenti antivaccino statunitensi e dallo stesso Andrew Wakefield che tenta di riabilitare la sua figura. Una storia tanto seria ed importante che lo stesso Wakefield l'ha trasformata addirittura in un film con tanto di marketing, tour mondiale, magliette e cappellini. Ne ho parlato qua. Non è uno scandalo, è business.

12) "un Ministro della sanità, De Lorenzo, fu condannato per tangenti ricevute in cambio di aver reso obbligatorio il vaccino anti-epatite B"
Falso.
L'ex ministro De Lorenzo fu condannato per aver chiesto ad aziende farmaceutiche, di versare soldi nelle casse del proprio partito, in cambio di una revisione dei prezzi di alcuni farmaci. Uno scandalo epocale nel quale però l'obbligatorietà del vaccino non c'entra niente (e quest'obbligo fu deciso da una legge discussa dal 1988) ed è una bugia ripetuta tante di quelle volte che ormai per molti è (falsa) verità. Ma pur ammettendo la corruzione di De Lorenzo, cosa c'entra questo con l'utilità o l'efficacia di un vaccino?


Ho omesso di smentire altre (tante) piccole bugie e trucchi retorici usati dalla dottoressa per mostrare uno scenario apocalittico che non esiste ma piccole o grandi le bugie restano bugie ed in questo scritto la dottoressa ne fa un elenco preoccupante.

La collega, invece di inventare storie e manipolare i fatti dovrebbe puntare all'interesse dal malato e della persona sana che cerca informazioni scientifiche, quello che ha fatto è non solo scorretto ma anche deludente per una persona che ha giurato di agire in scienza e coscienza ma racconta cose false e questo è gravissimo per un medico e mi sconvolge profondamente. Il pessimo servizio che la collega fa con queste informazioni alla collettività è letteralmente vergognoso.
E le persone che hanno pensato alle grandi verità rivelate dalla dottoressa, come si sentono ad essere state prese in giro? Cosa si prova ad essere trattati da idioti ed avere pure ringraziato?
Non deve essere una bella sensazione.
La cosa più interessante è comunque che la dottoressa Lesmo, oltre ad aver inanellato una serie infinita di "inesattezze" (so essere cavaliere, cosa credete?), è una che propone la chelazione (sostanze che legano e fanno eliminare i metalli dall'organismo) o la camera iperbarica (ossigeno ad alte concentrazioni) come cure per l'autismo, cure senza alcuna base scientifica (usate oltretutto da ciarlatani di mezzo mondo) ma anche totalmente inutili e che fanno correre alcuni rischi, tutto questo nella sua attività in clinica privata.
La Lesmo, inoltre, è un'omeopata, ovvero cura le malattie con pillole di zucchero magico.

Formidabile quindi come la critica ad uno dei più importanti mezzi di sanità pubblica arrivi da chi applica metodi fantasiosi, non scientifici e completamente campati in aria.
Per concludere, mi auguro che la collega, ripassando qualche testo di medicina e rileggendo i libri di pediatria, farmacologia e fisiologia, capisca meglio alcuni passaggi che le sono sfuggiti probabilmente per stanchezza e confusione e così avrà altre occasioni per fare un servizio alle persone che la leggono invece di inventare (chissà per quale scopo) ciò che scrive creando sospetto e confusione che non servono a lei né a nessuno. Tutti sono in tempo (volendolo) per rimediare agli errori, se di errori si tratta.

Perché tutto si può ammettere ma non la consapevole falsificazione dei fatti.

Alla prossima.

Nota: Ringrazio Cristina Sorlini che ha ispirato questo post (aveva risposto sulla sua pagina alle affermazioni iniziali della Lesmo) ed ha dato alcuni utili spunti.

          Vaxxed: Il misterioso complotto sui vaccini creato per farci un film. (seconda parte)        
Nella prima parte dell'articolo ho descritto una vicenda che ha suscitato molta polemica negli Stati Uniti, da noi non se ne è parlato tanto fino a pochi giorni fa.
Abbiamo conosciuto i punti principali della vicenda ed i protagonisti della storia, ora possiamo scendere nei particolari ed analizzare questo presunto scandalo che è diventato addirittura un documentario il cui regista è Andrew Wakefield.

È lui il medico che falsificò uno studio dicendo che il vaccino trivalente (morbillo-parotite-rosolia) fosse causa di autismo e che, per aver usato dati falsi, manipolazioni e per problemi etici, fu radiato dall'ordine dei medici britannico. Lo stesso argomento che a Wakefield costò la carriera è ripreso in questa vicenda: il vaccino trivalente sarebbe causa di autismo. Da tutto questo è stato tratto un documentario dal titolo "Vaxxed". In pratica c'è un filo conduttore unico, l'ex medico Wakefield che continua a riproporre la sua teoria.

Ma se questa è stata smentita, se il suo studio è stato sbugiardato e ritirato, se Wakefield ha perso la licenza per esercitare cosa è cambiato per tornare sull'argomento? Approfondiamo la storia e vedremo che non è proprio semplice. Prima un breve riassunto (per leggere più particolari meglio leggere la prima parte del post).

La storia: CDC whistleblower.

Antefatto : uno studio, pubblicato nel 2004 e che studia un gruppo di bambini statunitensi, conferma ciò che si era visto in altri studi, ovvero che non vi è alcuna connessione tra vaccino antimorbillo ed autismo. È la conclusione che oggi possiamo definire comunemente accettata dalla comunità scientifica.

Un bioingegnere, Brian Hooker, coinvolto nell'argomento perché direttamente interessato da cause di risarcimento da presunto danno da vaccino (ha un figlio autistico e crede che il problema derivi proprio dal vaccino trivalente) chiede alle autorità di avere i dati dello studio (li ottiene) per poterli rianalizzare e dalla sua "revisione" esce fuori un'altra conclusione: nel gruppo di bambini studiati per la ricerca, in alcuni di essi (neri, maschi, vaccinati entro i 36 mesi) il rischio di autismo associato alla vaccinazione è altissimo, c'è insomma una forte correlazione (attenzione: non un rapporto causa-effetto ma una correlazione, un semplice legame) tra vaccinazioni ed autismo, i bambini autistici sono molto più frequenti in quelli vaccinati. Questo rischio aumentato sarebbe già emerso nello studio originale ma gli autori, alla fine avrebbero deciso di non considerare le differenze di razza nelle conclusioni finali.

La cosa sarebbe stata confermata da William Thompson, co-autore di quello studio e scienziato statunitense del CDC (Center for Disease Control, ente sanitario statunitense) che si dice "pentito" per non aver rilevato quella scottante verità ai tempi della ricerca originale, l'uomo aggiunge che gli autori decisero di distruggere tutti i documenti dello studio che però lui conservò perché non gli sembrava giusto distruggere una tale mole di dati.
Questi dati (a fondo pagina trovate il link per scaricarli tutti) sono passati da Thompson a Wakefield ed Hooker e quest'ultimo pubblica queste sue conclusioni in un nuovo studio che è uscito dopo qualche mese. Il fatto che Thompson sia una persona "interna" alle istituzioni (è uno stimato studioso del CDC) crea ancora più mistero attorno alla storia. È lui ad essere chiamato "whistleblower" ("testimone", "informatore").

Le autorità e l'autore principale dello studio (il prof. DeStefano) smorzano le polemiche: non c'è nessuna novità e nessun segreto, Hooker ha semplicemente "ricalcolato" i dati inserendone altri in modo che alla fine si giungesse alla conclusione che desiderava. Hooker è d'altronde un antivaccinista convinto e da anni ha scelto ufficialmente la missione di "perseguire" il CDC per svelare quella che secondo lui è la verità, ovvero che il vaccino trivalente abbia causato l'autismo del figlio. A coordinare tutto sempre lui, Andrew Wakefield, l'ex medico capofila dei movimenti antivaccino del mondo che ha infine tratto il film Vaxxed dalla vicenda.
Saremmo quindi davanti ad una scoperta epocale condita da un complotto o si tratta della solita esagerazione di chi ha interesse (economico) a rendere esistente un collegamento smentito da più parti?
Approfondiamo. Partiamo dalla "rianalisi" che Hooker ha fatto dello studio originale.

L'analisi di Brian Hooker

Brian Hooker nella sua "rianalisi" (pubblicata su una rivista scientifica) parte male. Per riferirsi alle ipotesi che legano le vaccinazioni all'autismo si appoggia ad altri studi che però sono di livello bassissimo e senza impatto, per esempio cita diversi lavori di Mark Geier, ex medico (radiato per le sue pericolose pratiche ciarlatanesche, curava l'autismo con la castrazione chimica), considerato un guru dai movimenti antivaccino, poggiare le proprie ipotesi su altre ampiamente smentite non è il massimo dell'equilibrio, Hooker cita anche i lavori di Andrew Wakefield, la cui affidabilità è, diciamo, discutibile. Insomma, l'autore dello studio non sembra così "neutrale" e privo di pregiudizi da risultare attendibile. Si scopre anche che Hooker, come detto, è già un personaggio coinvolto in ambienti antivaccinisti, essendo padre di un bambino autistico con in corso una causa legale per ottenere risarcimento e basandosi proprio sull'ipotesi che sia stato un vaccino a causare il problema del ragazzo, fa parte di un gruppo antivaccini molto attivo, non si può parlare quindi di mancanza di interessi personali nell'ottenere quei dati. D'altronde lo stesso Hooker ha dichiarato ufficialmente (anche nel film Vaxxed) di aver perseguitato per anni gli scienziati delle istituzioni americane che studiano i vaccini e che il suo scopo era quello di demolire il CDC, il suo fine quindi è proprio quello: distruggere l'istituzione.

A quanto pare anche lo studio dei dati da parte di Hooker non sarebbe perfetto. C'è un detto tra gli statistici: "shit in, shit out", tradotto (in maniera elegante): "se inserisci spazzatura esce spazzatura", perché a quanto pare chi ha studiato quei dati non si è curato di farlo in maniera impersonale e fredda ma li ha "strizzati", ottenendo i risultati che voleva.
L'argomento è prettamente statistico e rischierebbe di annoiare (è anche complicato), ma le critiche alla parte statistica della ricerca non sono poche, provo a riportarle.
Hooker ad esempio ha usato il "chi quadro" (uno dei tanti metodi di analisi statistica, il test di Pearson) per controllare il nesso tra vaccinazione MPR ed autismo nelle varie età mentre, nei dati originali di DeStefano, era stata usata la regressione logistica condizionale (un altro metodo statistico), questa seleziona meglio i dati, quella usata da Hooker tende ad amplificare i risultati con più possibilità di errore poiché ha analizzato uno studio "caso controllo" (lo studio originale, che analizzava i fattori di rischio di individui paragonati a casi di controllo) come se fossero dati di "coorte" (che analizzano il rischio relativo ad una condizione, in individui con fattori di rischio diversi).
Questa anomalia statistica l'ho ricavata dai vari articoli di critica, non sono competente nel campo e quindi non saprei fino a che punto si possano ritenere motivi affidabili per "demolire" il lavoro di Hooker, per i curiosi, esistono in rete molti articoli che smontano pezzo per pezzo l'analisi statistica in questione.

Ma c'è dell'altro e molto più evidente. Per esempio il fatto stesso che l'aumento di incidenza di autismo sia stato notato solo in un sottogruppo (se cerchi a tutti i costi un risultato, selezionando progressivamente dei gruppi da studiare o riducendone i criteri di selezione è più semplice ottenerlo) fa pensare ad un risultato spurio (cioè non corretto, condizionato da altri fattori).

Hooker, inoltre, ha dovuto modificare (arbitrariamente) alcuni dati per ottenere quelli che cercava (i bambini di colore erano pochi e quindi ha abbassato il limite d'età della vaccinazione, considerando quello a 31 mesi, per inserirlo nello studio statistico, vedi tabella sotto). Insomma, ha cercato quei risultati, non li ha ottenuti in maniera equilibrata.

Hooker, avendo pochi bambini (cinque) nel gruppo da studiare, diminuisce i mesi di analisi dei dati, da 36 a 31

Che il rischio di autismo aumenti con l'età poi, può non sorprendere. Le diagnosi di autismo si fanno quando il bambino ha raggiunto almeno i 3 anni (perché è il quel momento che si possono notare anomalie del linguaggio, dello sviluppo, dell'interazione con l'ambiente, non prima), che rispetto ai più piccoli siano i bambini più grandi a ricevere più diagnosi di autismo non è un dato nuovo, lo sappiamo, ma Hooker associa anche questo dato con la vaccinazione, non nota rischio per la vaccinazione prima dei 18 mesi, un lieve rischio a 24 ma un rischio aumentato del 340% a 36 mesi, il dato è visto da Hooker come "interessante" quando potrebbe essere assolutamente normale senza studiarlo attentamente.
L'autore non tiene conto neanche del fatto che i bambini con diagnosi di autismo hanno più possibilità di essere vaccinati precocemente, spesso infatti (negli Stati Uniti, ma anche da noi) sono inseriti in attività di sostegno, in sistemi prescolastici o scolastici, in strutture che richiedono la vaccinazione obbligatoria (così spiega la correlazione il CDC in un suo comunicato relativo a questa vicenda) e non tiene conto nemmeno di altri fattori che in passato hanno mostrato di condizionare pesantemente la diagnosi di autismo, primo tra tutti lo stato economico e sociale delle famiglie e d'altronde non vi sarebbe alcun motivo biologico plausibile per spiegare una differenza tra bambini neri e bianchi nell'incidenza di autismo (infatti anche per questo non si differenzia l'etnia in questo tipo di studi), si tratta con molta probabilità di un dato, ammessa la sua correttezza, dipendente da altri fattori, quello che si dice "spurio"...e sono troppi questi fattori ignorati, volontariamente o meno non lo sappiamo.
Lo sottolinea anche Paul Offit, professore di pediatria e scrittore, che sostiene come quei dati mostrino semplicemente la realtà che però gli antivaccino hanno manipolato a loro vantaggio. Secondo Offit le comunità nere, avendo un minore livello socio-culturale tendono ad essere meno vaccinate. Quelli tra loro che hanno avuto una diagnosi di autismo sono però seguiti dagli enti preposti che quindi li inviano a vaccinazione perché "conosciuti" ai servizi sociali.
Per questo Offit dice che non sono stati i vaccini a provocare l'autismo di quei bambini ma è stato l'autismo che li ha fatti vaccinare (cosa che spesso non fanno se non seguiti dalle istituzioni) e per questo nel sottogruppo di bambini neri, gli autistici sono fortemente correlati alle vaccinazioni. Questo dato sembra essere confermato proprio dai registri vaccinali relativi all'anno studiato dalla ricerca di cui si parla, il 1993.
I bambini di colore hanno una percentuale minore del 10% di vaccinazione antimorbillo rispetto a tutti gli altri. Se quelli studiati nella ricerca mostrano una più alta percentuale di vaccinazioni, sembra plausibile che questo sia avvenuto perché si trattava di bambini con diagnosi di autismo. Con tutta probabilità, quindi, proprio chi tra loro ha ricevuto una diagnosi di autismo è stato avviato ai controlli e le procedure sanitarie (tra le quali la vaccinazione) che non seguivano in precedenza ed è per questo che ad aumento di vaccinazioni corrisponde aumento di autismo.

Nel 1993 i bambini di colore hanno avuto il 10% di vaccinazioni in meno rispetto agli altri.
Indubbiamente i bambini di colore o bianchi, ispanici, arabi o asiatici, sono ovviamente individui molto simili biologicamente e che l'analisi dei dati abbia dato questo risultato è quindi strano, soprattutto se consideriamo anche i numeri: il gruppo dei bambini di colore è troppo piccolo per farne una statistica attendibile.
Da sottolineare che, al contrario di quello che sostengono gli antivaccino (parlano di frode, imbroglio, danno deliberato), non vi è nessun dato censurato o nascosto, i dati sono quelli dello studio (che infatti il CDC ha fornito su richiesta ad Hooker), pubblici, a disposizione di tutti coloro che ne facciano richiesta, è la "lettura" degli stessi che è diversa.
Ho letto anche che dal calcolo (non posso rivedere i numeri visto che lo studio è stato ritirato) risulterebbe che il rischio aumenta di 2,4 volte e non di 3,4, ma il dato a questo punto sarebbe relativamente importante, prima bisognerebbe capire se è corretto o meno il risultato generale.
Per onestà e correttezza, infatti, non si può dire però che i dati siano sicuramente sbagliati o per forza manipolati in malafede, ma si può dire che così non dicono niente di nuovo, sono una rielaborazione di numeri conosciuti, il cui risultato è spiegabile in molti modi e proprio per questo si pongono diversi interrogativi sulla loro correttezza (interpretativa), troppi fattori che possono condizionarli e quindi nessuna conclusione sicura o probabile. Per questo motivo la storia, così com'è, non rappresenterebbe qualcosa di rivoluzionario o di particolarmente serio ma al limite un dato da valutare. Ma allora perché questo polverone ed addirittura un film che ha scatenato polemiche?
Perché gli autori del film, Wakefield in testa, descrivono tutto questo come una "truffa" accertata e dimostrata. È vero o gli autori sono in malafede?

La malafede si può sospettare solo conoscendo il contesto in cui è nata questa storia e sapendo chi è Wakefield, l'ex medico che ha orchestrato tutto.
Thompson, colui che avrebbe rivelato una grande frode del CDC non ha subito ripercussioni sul posto di lavoro, visto che è ancora un dipendente dell'ente (se avesse "rubato" dei dati nascosti probabilmente ora starebbe manifestando come disoccupato) ed ha ricevuto pure un premio produttività, ha dichiarato di avere buoni rapporti con i colleghi ed ha ribadito che per lui i vaccini restano efficaci e sicuri. L'atmosfera di spionaggio e segreti è quindi esagerata e costruita appositamente.

Questo studio quindi, molto probabilmente, non dimostra che nei bambini afro americani vaccinati prima dei 36 mesi vi sia un aumento di incidenza di sindrome dello spettro autistico rispetto agli altri bambini (perché questo non emerge in moltissimi altri studi).
Il clamore suscitato sembra quindi artificiale: ammesso e non concesso (e per trarre una conclusione da uno studio simile con conclusioni che smentiscono decine di altri studi di concessioni ne servono tante) che il dato emerso fosse attendibile, potrebbe essere un punto di partenza per ulteriori ricerche, per trovare un fattore che condiziona quel particolare sottogruppo ma non gli altri, ma tutto è stato usato per l'ennesimo scontro antivaccinisti/scienziati con un caos che alla fine non serve a nessuno, neanche a capire se da questa storia ci sia da salvare qualcosa. Nella migliore delle ipotesi insomma, questo sarebbe un dato che va in contrasto con decine di altri e che deve essere al massimo approfondito per confermarlo.
Ci sarebbe da aggiungere un altro dato provocatorio.
Se, come dicono anche in Italia i gruppi antivaccino, questa "rilettura" fosse corretta, se fosse vero che i vaccini aumentano il rischio di autismo nei bambini di colore, significa che abbiamo finalmente la dimostrazione che negli altri bambini questo rischio non esiste? Se prendiamo per vere le conclusioni del "nuovo" studio che ha causato la vicenda si potrebbe dire (usando i metodi antivaccinisti) di sì.
In parole povere: chi dice che alcuni bambini italiani non di colore abbiano un autismo causato dai vaccini starebbe mentendo. Curioso, vero?

Ma non è finita.
Tiriamo un po' il fiato e ricominciamo.

Le reazioni

Immancabilmente questa storia ha creato molta polemica.
Il CDC ha risposto in maniera netta.
I dati "non sono stati differenziati secondo la razza dei bambini in tutto il campione studiato" (solo una parte del campione era dotato di certificato di nascita dal quale si potevano estrarre informazioni supplementari). Per il CDC "i dati restano sempre a disposizione di chiunque li volesse studiare e sono benvenute le ulteriori analisi con possibilità di pubblicazione. Altri studi, anche i più rigorosi e recenti, hanno confermato che non vi è alcun nesso tra vaccinazione ed autismo".

A questo punto la rivista scientifica che aveva pubblicato lo studio, viste le polemiche e la possibilità che quelle conclusioni non fossero corrette, lo ha ritirato (perché l'autore non ha citato i suoi conflitti di interesse e perché i risultati sarebbero scorretti e frutto di una manipolazione statistica) l'informatore "segreto", ormai non più segreto, si è detto disposto a collaborare per rianalizzare i dati e rilascia un comunicato, inizialmente pubblicato nel sito del suo avvocato (pagina ora non raggiungibile, ma una copia si trova in vari siti, tra i quali questo), nel quale più o meno dice di essere dispiaciuto che gli autori dello studio (tra i quali vi era anche lui, ricordo) non abbiano messo in evidenza questi risultati e che non ha nulla contro i vaccini che hanno salvato milioni di vite umane incoraggiando i genitori a vaccinare i propri figli. Aggiunge poi:

"Ho discusso diverse volte dei miei lavori, non sapevo però di essere registrato e che la mia voce finisse su internet, non avevo dato nessun consenso"

...e sui dati dello studio:
"Mi sono preoccupato per la decisione di omettere risultati rilevanti in un particolare studio per un particolare sottogruppo di un particolare vaccino [...] uno scienziato ragionevole può avere interpretazioni diverse dei dati [...] farò di tutto per assistere qualsiasi ricercatore che abbia lo scopo di capire se i vaccini siano o meno correlati all'autismo. I miei colleghi al CDC sono stati decisamente professionali, non ho ricevuto pressioni, rappresaglie né sono stato allontanato dalla struttura, come qualcuno ha lasciato capire"
Insomma, Thompson ufficialmente non appare come lo spregiudicato antivaccinista che spara a zero ed urla allo scandalo, ha un atteggiamento molto più "diplomatico" ed accettabile e fa quasi un passo indietro, bisognerà capire se è stato messo in trappola da persone senza scrupoli, stia esprimendo un suo corretto dissenso scientifico o semplicemente si sia reso conto di averla fatta grossa. L'ipotesi dell'improvviso impazzimento la evito, anche se sicuramente il suo comportamento fa sorgere molte perplessità e sta imbarazzando più di una persona, tanto che qualcuno cerca spiegazioni nel carattere timido, ansioso ed ingenuo del ricercatore americano. D'altronde Thompson, anche nel suo comunicato, ribadisce che "i vaccini hanno salvato innumerevoli vite e mai suggerirei ad un genitore di evitare la vaccinazione". 

Ma perché allora se avesse avuto davvero dei dubbi su uno studio da lui stesso firmato non li ha esposti senza clamori e ufficialmente? Perché non li ha espressi nelle sedi adeguate e prima (sono passati 10 anni dallo studio di DeStefano firmato anche da lui)? Thompson ha fatto affermazioni molto gravi!
Perché le avrebbe rivelate con leggerezza ad un interlocutore del tutto inattendibile? In fondo in questo modo, ammessa la correttezza della sua ipotesi, l'ha svilita, ridicolizzata, l'ha resa inattendibile. Chi avesse la prova seria dell'esistenza della vita extraterrestre la rivelerebbe al direttore di un quotidiano scientifico noto e stimato per la sua attendibilità o la sussurrerebbe in segreto al rappresentante di un club ufologico considerato inaffidabile?

Il primo autore dello studio del 2004 (quello "originale" rianalizzato da Hooker), Frank DeStefano, ha dichiarato che il suo co-autore, Thompson, non ha mai avuto ripensamenti o dubbi su quei risultati, nemmeno pochi mesi fa, quando i due si erano incontrati.
In ogni caso DeStefano conferma i risultati dello studio, conferma che non evidenziano nessun collegamento tra vaccinazione ed autismo e sostiene che secondo lui il dato estrapolato da Hooker è probabilmente dovuto a fattori esterni (soprattutto l'aumento di vaccinati nei bambini autistici per il loro inserimento nel sistema educativo).
Il fatto che non sia emerso quel rischio nel sottogruppo dei bambini di colore, secondo DeStefano è dovuto all'esclusione della distinzione per etnia (race, "razza" in inglese) dei bambini studiati e questo perché mancavano, per molti di essi, i certificati di nascita. Questo ha un riscontro. Nelle bozze dello studio c'è un appunto a penna ("I would include race as a covariate, not as an exposure variable.") che dice chiaramente di non prendere in considerazione l'etnia dei bambini (vedi figura sotto) e quindi nessun complotto o censura, era un dato già deciso all'inizio.

Bozze dello studio di DeStefano: l'autore sottolineava già di non prendere in considerazione l'etnia dei bambini studiati.

Thompson (lo scienziato "traditore"), nel frattempo, ha ammorbidito la sua posizione, sembra abbia personalmente rianalizzato i dati giungendo alla conclusione che lo studio originale di cui era co-autore avesse concluso correttamente (e questa sua posizione ha irritato fortemente gli antivaccino che prima lo avevano avuto come "chiave" di tutta la vicenda ma ora parlano di manipolazione), cosa che dovrebbe annunciare a breve.

C'è da dire che il sospetto che si tratti di un'operazione "pilotata" e progettata è molto forte: già il giorno dell'uscita del video nel quale Wakefield annunciava lo "scoop" che ha dato inizio alla vicenda, si è scatenata sui social network (Facebook, Twitter) un'ondata organizzata di accuse, proteste e pressioni, anche ben orchestrata, con Andrew Wakefield in prima fila che parla di "rivoluzione" che dice "è solo l'inizio" e che incita i suoi "seguaci" a diffondere dovunque le proteste, molti "giornalisti indipendenti" hanno rilanciato la notizia in maniera martellante nei loro siti e nelle settimane passate è avvenuta una vera e propria campagna con forti pressioni della lobby antivaccinista nei confronti delle autorità, della stampa e di personalità di vario tipo (senza grandi risultati) con attacchi precisi e mirati a personalità influenti. Persino un politico americano (già noto per le sue simpatie "complottiste") ha fatto un'interrogazione al parlamento statunitense.

La mia prima impressione è stata quella di una reazione esagerata per qualcosa di assolutamente poco importante e la sequenza ravvicinata "scoop-scandalo-film-polemiche" è abbastanza tipico delle promozioni cinematografiche hollywoodiiane: creare un caso e legarlo all'uscita di un film è un vecchio mezzo pubblicitario delle produzioni di Hollywood. Se "puliamo" la storia di tutto il corollario "spionistico" e "complottistico", siamo davanti ad una rilettura di dati medici fatti da un bioingegnere (Hooker non è medico, né statistico o epidemiologo) con metodi discutibili e che evidenziano, ammesso e non concesso sia tutto vero, un risultato singolo, poco significativo e spiegabile in altri modi che non siano quelli cercati dalla lobby antivaccinista ma, se anche si ammettesse la correttezza dei dati saremmo molto lontani dal poter dare un giudizio definitivo, sono troppi i dati che smentiscono questa conclusione.
La cosa più probabile è comunque che si tratti di una conclusione errata: usando i numeri in maniera sbagliata si è ottenuto un risultato discutibile e poco importante, non invalida ciò che già sappiamo. L'interesse evocato è molto probabilmente costruito ed interessato.
Insomma, nella "peggiore" delle ipotesi, si tratterebbe di un dato da rivedere ed approfondire che nulla aggiunge o toglie a quello che sappiamo finora.
La "montatura" mi sembra abbastanza evidente.

Qualcuno parla di enorme ingenuità di Thompson che, probabilmente in buona fede, si sarebbe visto "rubare" dei pensieri poi usati in altri contesti e per interessi ben precisi, cosa verosimile, considerando che probabilmente il dott. Thompson con questa uscita ha bruciato decenni di onorata ed apprezzata carriera ed alla luce del suo probabile ed annunciato"passo indietro". Per completare il quadro sono state pubblicate delle mail che Thompson ha inviato ad una responsabile del CDC nelle quali si dichiarava preoccupato dei documenti relativi allo studio sui vaccini e delle conseguenze legali di una richiesta ufficiale di pubblicazione della documentazione relativa al suo studio sul vaccino trivalente (negli Stati Uniti esistono leggi che possono obbligare un'istituzione pubblica a pubblicare dati riservati per rispondere ad una richiesta di trasparenza).
Dagli antivaccino queste mail sono state interpretate come "paura" di dire la verità (quindi "prova" dell'inganno sui vaccini) da altri (ed a me sembra la spiegazione più plausibile) semplicemente la preoccupazione dello scienziato che avrebbe dovuto consegnare tutti i suoi documenti, appunti e note compresi, preoccupandosi delle conseguenze legali del diffondere dati e numeri dello studio che sarebbero riservati e sensibili.

Alla fine della vicenda, escludendo gossip e film scandalistici, dal punto di vista scientifico cosa è cambiato?
Niente, gli antivaccino continuano con la loro opera di terrorismo (molte ipotesi, tante congetture, nessun dato), le autorità sanitarie annaspano con la loro pachidermica maniera di informare ed i bambini continuano ad essere vaccinati mentre qualcuno casca con tutti i piedi nella disinformazione degli antivaccino. Chissà se questa storia avrà un seguito.

Il film: Vaxxed.

Per concludere arriviamo al film Vaxxed. Realizzato proprio da Andrew Wakefield il film parte da questa vicenda dello "scandalo" del CDC per poi concludere (senza altri elementi) con la tesi di partenza: "il vaccino trivalente è causa di autismo". In un attimo la truffa di Wakefield rinasce dalle sue ceneri ad opera di...Andrew Wakefield. Un tentativo di rifarsi un'immagine già distrutta dalla radiazione, dalla frode commessa e dalle violenze sui bambini di cui fu autore l'ex medico inglese.
L'operazione sembra ben architettata. Un presunto scandalo, un film che lo sfrutta per ripescare una vecchia tesi e tutto diretto da chi quella tesi l'aveva costruita con la menzogna. Argomenti perfetti: storie drammatiche, famiglie in crisi, bambini e ragazzi in condizioni pietose sbattuti in video e la solita storia: "mio figlio stava bene ma dopo il vaccino è stato male". Anche le immagini e le musiche guidano chi guarda nel tunnel: bambino allegro e vivace e poi bambino in cattive condizioni, scene che disturbano, che mostrano la sofferenza ad uso e consumo di Wakefield, che non fanno piacere perché strumentali. già l'inizio fa pensare ad un'operazione di propaganda, con la voce (doppiata) di Thompson (il "whistleblower") che dice "sono stato coinvolto in una frode che riguarda milioni di contribuenti" cosa assolutamente falsa, non c'è nessuna frode, come abbiamo visto.
Ho notato che i genitori di bambini autistici intervistati nel film sono tutti attivisti già noti e che tutti hanno tratto la loro conclusione, non hanno avuto una diagnosi di danno da vaccino ma hanno "capito" personalmente che il problema del figlio fosse dovuto al vaccino. Anche gli scienziati che parlano nel film sono noti per le loro posizioni non scientifiche e spesso estremiste, a partire dal premio Nobel Luc Montagnier, ormai da qualche anno dedito alla scienza spazzatura.

Spontaneamente mi è venuto da pensare che, se invece di perdere tempo e soldi dietro queste sciocchezze e queste persone lo facessero aiutando la ricerca sul campo, probabilmente aiuterebbero di più i loro bambini.

Ma il "documentario" non è a difesa dei bambini o delle famiglie, appare chiaro che si tratta di una vendetta di Wakefield, tutto è sfruttato a suo vantaggio. Il problema per lui è che alla fine il film non ha avuto il successo sperato, circola negli ambienti antivaccinisti (che non hanno certo bisogno del film per convincersi delle loro idee), in piccoli cinema e non ha avuto nemmeno un successo di pubblico, Nonostante si cercasse di farlo passare come "documentario" che rispecchia fatti reali, il carattere di lucro, lo scopo commerciale dell'operazione è abbastanza chiaro. Il film è stato inizialmente condiviso su internet ma il controllo severissimo della casa di produzione ne ha impedito la diffusione gratuita.
Un fenomeno curioso: alcune persone che cercavano il film in rete, trovandolo, notavano come il video scomparisse dopo pochi giorni, cancellato. Alcuni hanno gridato allo scandalo, alla censura, al fatto che si impedisse la diffusione di "argomenti scomodi" ma la realtà era ben diversa, era la stessa casa produttrice ad impedire la visione gratuita cancellando ogni condivisione pubblica, per non favorire la visione "pirata". Più che impedire la diffusione si è trattato semplicemente di un normale "impedire il business", anche qui, dunque, nessun mistero ma tanta voglia di guadagno.

Il business.

Che si trattasse di un'operazione commerciale non è neanche un mistero. Legittima ma subdola perché venduta come "documentario". Eppure un documentario che descrivesse un dramma ed un grande complotto medico sulla pelle dei bambini non arriverebbe a vendere cappellini e braccialetti o il sapone del film con tanto di merchandising ufficiale, almeno per delicatezza.
Proprio l'aspetto legato al lucro ha scandalizzato molte persone. Anche negli Stati Uniti alcuni rappresentanti di associazioni di bambini autistici hanno protestato vivacemente per l'uscita di questo film.
Una di esse, l'irlandese Fiona O' Leary, rappresentante di un'associazione di autistici (Autistic Right Together), ha criticato a più riprese il film definendolo menzognero e come un danno per le persone con autismo.
Fiona è una mamma in gamba, ha sempre lottato (e per questo è stata oggetto delle solite minacce) per difendere i bambini autistici (lei ne ha uno) dai ciarlatani, si è battuta contro le false cure per l'autismo (candeggina, terapie chelanti, diete, omeopatia ed altro), ha sottolineato i problemi che hanno gli autistici a scuola, al lavoro, in società.
Per questo motivo ha lanciato una petizione per fermare la programmazione del film ed impedirne la diffusione, quando le è stato chiesto il motivo per cui si impegnasse tanto contro questo film, Fiona ha risposto: "mette in pericolo migliaia di bambini perché migliaia di loro muoiono per malattie prevenibili con le vaccinazioni. I vaccini non causano l'autismo ma salvano delle vite!".
La risposta dei produttori del film non si è fatta attendere ed ha fatto molto scalpore. La compagnia di distribuzione del film ha inviato una lettera piuttosto minacciosa alla donna nella quale parla chiaramente di vie legali con un tono poco cordiale. Ecco la traduzione:
Miss O' Leary,
sono il responsabile di Cinema Libre Studio, distributore del film suddetto.
Ho saputo che lei ha iniziato una campagna diffamatoria contro il film ed i suoi realizzatori.
Inoltre sta tentando di evitare che il film venga distribuito e questo rappresenta un chiaro sforzo per danneggiare i nostri affari.
I suoi commenti riguardo al film sono diffamatori e rispetto ai registi sono chiaramente calunniosi.
È fatta richiesta affinché lei cessi immediatamente e desista dall'interferire con la distribuzione del film e anche di rilasciare qualsiasi dichiarazione su qualsiasi persona in riferimento al film, Cinema Libre Studio e/o Autism Media Channel, i suoi agenti, rappresentanti e/o impiegati inclusi il dott. Andrew Wakefield, Del Bigtree e Polly Tommey.
Nell'eventualità che lei non soddisfi questa richiesta procederemo in una causa contro di lei. Richiederemo il risarcimento dei danni per tutte le perdite che risultassero direttamente legate alla sua azione.
[...,]
Insomma, una minaccia vera e propria.


La lettera dei produttori di Vaxxed a Fiona O' Leary

Fiona non si è persa d'animo, ha raccontato questa vicenda ed ha ottenuto molta risonanza, soprattutto nei social network.

Sicuramente il film e la vicenda saranno sfruttati ancora per ribadire le vecchie tesi di Wakefield e quindi sapere cosa è successo e com'è andata può servire a chi vuole conoscere e capire. Per questo ho riassunto la vicenda.
Se ci fossero novità ne discuteremo, per ora sappiamo solo che una storia per niente chiara e che non ha cambiato nulla in ciò che conosciamo nell'ambito vaccinale è diventata "scandalo" con evidenti motivazioni pubblicitarie e ideologiche.

Conclusioni.

Di tutta questa vicenda, la cosa che più mi ha colpito ed intristito è l'aver assistito al tentativo goffo e mal riuscito di riabilitare Andrew Wakefield. Aver visto l'ex medico inglese entrare nel nostro senato della Repubblica, fare foto con i fans, apparire quasi come un idolo o un beniamino del pubblico fa riflettere. Stiamo parlando di una persona condannata per frode scientifica e maltrattamento di bambini, sicuramente un cattivo esempio di scienza, medicina e moralità, questo sembra non importare a tante persone che ergono ad idolo un semplice furbetto. Tutto ciò è impressionante, il male che attira e che suscita ammirazione, è qui ben rappresentato.
Wakefield, grazie a questo film ha conosciuto una nuova primavera, non ha probabilmente ottenuto quello che desiderava (una sua riabilitazione, dopo quello di cui si è macchiato, è molto improbabile) ma ha rafforzato la sua immagine di "guru" tra gli antivaccino.

Per il resto non ho trovato nessun complotto né notizia eclatante nella rilettura (anche abbastanza banale) dei dati da parte di Hooker, tutto ha l'aspetto di una manovra ben architettata e con un finale (il film) già pensato a priori. Questa vicenda non cambia nulla nelle conoscenze mediche attuali ed ovviamente deve essere preso per quello che è: propaganda di un ex medico radiato per frode scientifica. Lo studio che sarebbe prova di un nesso vaccini-autismo si sgonfia ad una prima analisi e credo che tutto si possa riassumere con le parole di Paul Offit: non sono stati i vaccini a provocare l'autismo di quei bambini ma è stato l'autismo che li ha fatti vaccinare.

Possiamo dunque concludere che non c'è nessuna novità nella falsa diatriba dei vaccini come causa di autismo, non c'è nessuna prova né nuovo dato. In particolare la vicenda CDC whistleblower è fondamentalmente una montatura creata per realizzare un caso con il doppio scopo di guadagnare tramite un film e di risollevare l'immagine ormai compromessa di Andrew Wakefield.

C'è solo un elemento che, in tutta la storia, non sono riuscito ad inquadrare e capire.

Una figura, quella di William Thompson (il "whistleblower", l'informatore).
Messi da parte i sospetti di "pazzia", ingenuità o il plagio, non capisco il suo ruolo. Si dice pentito di non aver "rivelato" quei dati ai tempi dello studio (ma anche se l'avesse fatto non si tratta di dati straordinari o incredibili e lui non può non saperlo), ha creato un caos indescrivibile per poi continuare il suo lavoro al CDC, smorzare i toni ed evitare ulteriori scandali, insomma non riesco a capirne il vero ruolo.
Se davvero fosse convinto di quanto detto, perché lo ha detto in segreto ed ora che tutto è pubblico non ne parla più? Semplice ingenuità? Vendetta verso qualcuno? Una bravata della quale non immaginava le conseguenze? Non si sa, di certo, per dare un'opinione precisa si dovrebbe giudicare l'attendibilità di William Thompson, probabilmente dipende tutto da questo, un piccolo mistero che devo chiarire e prometto di approfondire.

Ma dopo tutte queste brutte storie ed intricate vicende, il lieto fine: il film è stato praticamente un fiasco.

Quando si parlerà del film e della vicenda, quindi, non bisognerà mai dimenticare chi è Andrew Wakefield, definito dall'ordine dei medici inglesi (General Medical Council) come "disonesto ed irresponsabile". Una persona che ha mentito ripetutamente.

Forse questo chiarisce più di ogni altra cosa ciò di cui parliamo. Dimenticare di chi parliamo perché un film racconterebbe una storia di spionaggio significherebbe, ancora una volta, confondere realtà e fantasia e Wakefield, purtroppo, è reale ed è stato capace di danni irreparabili.
Non facciamolo accadere nuovamente.

Alla prossima.

NOTA:
Mi scuso per la lunghezza del post, per la sua complessità ed a volte difficoltà di chiarezza, i fatti sono tanti, complicati ed intricati, non ho saputo ricostruirli meglio.
Ci ho provato. La prima parte del post è qui.

Allegato: tutti i documenti che William Thompson ha passato agli autori del film (attenzione, file .zip molto voluminoso, più  di 182 MB): scaricabile qui.

          Vaxxed: Il misterioso complotto sui vaccini creato per farci un film. (prima parte)        
Nei mesi scorsi negli Stati Uniti, è avvenuta una vicenda che ha creato tantissime polemiche, dai giornali, agli ambienti medici, fino a quelli sanitari e governativi nazionali.
Da noi praticamente silenzio. Fino a quando qualche giornale ne ha parlato a proposito di un film. Già, un film.
Che c'entra un film con i vaccini? Questo è il problema.
Quello che è successo è molto complicato, difficile da capire, ingarbugliato e coinvolge tante persone ma il polverone che si è alzato è probabilmente molto più esagerato dei fatti oggettivi.
Non è facile quindi spiegarlo e soprattutto spiegarlo bene, per capirlo ho dovuto seguire varie fonti e perdere un bel po' di tempo e spero di essere riuscito a sbrogliare (almeno un po') la matassa.
Avevo a questo punto due scelte: usare quello che ho capito per mia cultura personale o raccontarlo con il rischio di scrivere un lunghissimo resoconto ma visto che quello che sto raccontando credo sia importante e che prima o poi qualcuno chiederà lumi, ho deciso di riportarlo, avvertendo che la storia è particolarmente lunga e complicata (però molto avvincente), chi vuole quindi, si prenda un po' di tempo e di relax e provi a seguirla. Io ho cercato di schematizzarla e renderla comprensibile (alcuni passi sono ancora oscuri anche a me) e per questo l'ho anche divisa in due parti.

Iniziamo da una notizia

La notizia: CDC whistleblower.

L'anno scorso è stato pubblicato uno studio che mostrava che alcuni bambini (maschi, neri, afroamericani, vaccinati prima dei 36 mesi di età) avrebbero un rischio di autismo associato al vaccino trivalente (MPR) maggiore di 3,4 volte rispetto agli altri gruppi di bambini.
Se facessi un'affermazione come questa, che reazione susciterei?
Allarme? Curiosità?
Un dato interessante da approfondire?
Fino ad oggi tutti gli studi sul tema hanno mostrato un'altra conclusione, quella che tra vaccini ed autismo non vi sia nessun legame, che le vaccinazioni non causino autismo è, infatti, un dato abbastanza saldo e ben dimostrato.
Sarebbe proprio questa l'eccezionalità della notizia, questo studio andrebbe infatti contro le attuali conoscenze (anche se il "nesso" sarebbe limitato ad una parte di bambini e non a tutti).
L'ipotesi che i vaccini causino l'autismo avrebbe quindi un fondo di verità?

È successo negli Stati Uniti e non avete idea di cosa abbia causato questa notizia.
Perché oltre alla notizia "nuda e cruda", c'è tutto un contorno di storie che sembrano un racconto di spie ed infiltrati.
Non solo: lo "scoop", degno di un romanzo giallo, sarebbe che questo dato, a disposizione del CDC (Center for Disease Control, importante ente sanitario statunitense), sarebbe stato nascosto dallo stesso ente americano e lo rivela proprio un collaboratore dell'ente, in maniera anonima. Un complotto, insomma.

Il nome di questo informatore è stato poi "rivelato" in un video (con spezzoni di sue dichiarazioni registrate solo in audio) e questo crea un polverone proprio negli ambienti antivaccino, perché il nome doveva restare coperto dal segreto. A fare questo nome, "bruciando" il testimone prezioso, è Andrew Wakefield, ex medico noto esponente del movimento antivaccini: fu lui infatti che, per primo, ipotizzò un nesso tra vaccini (in particolare il trivalente, MPR, morbillo, parotite, rosolia) ed autismo, tramite uno studio che poi si rivelò falso, realizzato dietro pagamento di un avvocato che si occupava di cause di presunti danneggiati da vaccini. Per la frode di cui si macchiò, Wakefield fu radiato con disonore dall'ordine dei medici ed ora si dedica completamente all'attivismo antivaccini.

Per alcuni fronti dell'antivaccinismo, per questo motivo, il componente del CDC (quello che avrebbe "confessato" questo complotto, chiamato per questo whistleblower, ovvero "informatore", "spia") subisce un affronto, un tradimento (così lo definisce un giornalista antivaccino) proprio da Andrew Wakefield poiché questi nel suo video lo cita, ne fa il nome senza consenso, così l'identità dell'informatore ormai è nota e questo scatena la rabbia di chi aveva ottenuto quelle "confessioni" verso Wakefield che ha "bruciato" il segreto.

Ma cerchiamo di capire meglio cosa è successo. La storia come detto è intricata e spero di non essermi perso niente, sono usciti decine di articoli sull'argomento e non è facile districarsi. Tutto inizia da una ricerca fatta da studiosi dello stesso CDC di cui ho parlato.

Lo studio.

Nel 2004 esce uno studio (primo autore Frank DeStefano, tra gli altri Willian Thompson, medici del CDC) che mostra come i bambini vaccinati (nella città di Atlanta) con la trivalente (morbillo, parotite, rosolia, MPR, in inglese MMR), non mostrino nessun aumento del rischio di autismo rispetto ai non vaccinati.

L'ennesima prova (anche molto citata) che tra le due cose non vi sia alcun collegamento, la conferma di ciò che sappiamo.

Qualche anno dopo un bioingegnere, Brian Hooker, chiese i dati del lavoro di DeStefano (riservati ma ottenuti tramite un "FOIA", una sorta di richiesta ufficiale permessa negli USA di dati di pubblica utilità) decidendo di rianalizzarli, di studiarli personalmente.

Così fa (in pratica dai dati ricalcola una sua statistica) e dalla sua analisi la conclusione è diversa da quella degli autori originali, più o meno che in una parte dei bambini studiati nella ricerca originale, ovvero nei bambini neri afro-americani che hanno ricevuto la vaccinazione trivalente prima dei 36 mesi di età e maschi, il rischio che la vaccinazione sia correlata all'autismo sia molto aumentato (vi sono più autistici in questo gruppo rispetto a tutti gli altri), attenzione: correlata, quindi non c'è un rapporto causa effetto ma una corrispondenza, in quel gruppo ci sarebbero più casi di autismo che negli altri, di 3,4 volte rispetto a tutte le altre classi di bambini (bianchi, neri femmine, neri-ispanici, vaccinati in altre età).

Gli altri gruppi di bambini non mostrano nessuna correlazione tra il loro autismo e la vaccinazione. Tutto pubblicato su rivista scientifica (rivista a dire il vero poco nota).

Detta così potrebbe essere anche una notizia interessante. Uno studioso serio potrebbe chiedersi come mai, se i calcoli risultassero esatti, quel piccolo gruppo di bambini abbia un aumentato rischio di autismo associato alla vaccinazione (dato che nello studio originale non era emerso) e proprio in quel tipo di vaccinazione ad un'età precisa, un dato che non rispecchia tutti quelli conosciuti finora e studiati da centinaia di scienziati in tutto il mondo e che contrasta pure con alcune considerazioni logiche. Insomma, se la rielaborazione di uno studio fornisce risultati differenti da quelli dello studio originale (e degli altri studi sull'argomento), forse sarebbe giusto prima accertarsi di non aver commesso errori o se esistono altri fattori che hanno condizionato i risultati e poi commentare quei risultati con altri scienziati.

Si potrebbe cercare di capire studiando altri fattori, se qualcosa insomma possa far aumentare quel rischio indipendentemente dalle vaccinazioni, se i risultati abbiano subìto qualche influenza. Ma questo non succede, anzi, si crea un polverone immediato. Sembra quasi non si aspettasse altro.

I gruppi antivaccino statunitensi, capitanati da Andrew Wakefield, hanno tratto le loro conclusioni urlandole ai quattro venti: questa sarebbe la dimostrazione che i vaccini causano l'autismo la prova definitiva e che le autorità nascondono questo dato, niente altro da dire. Da questo Wakefield ha fatto paragoni apocalittici, parlando di ecatombe, atteggiamenti criminali e paragonando il CDC addirittura ai nazisti.
Curioso: decine di studi smentiscono il nesso vaccini-autismo, la rilettura di uno di questi studi lo confermerebbe e questa sarebbe la prova definitiva. Non notate un lieve "sbilanciamento" di giudizi?

Ma continuiamo a districare la matassa, scopriremo così gli altri protagonisti ed attenzione, la storia si complica.


L'informatore.

L'"informatore" segreto, quello che avrebbe rivelato il "complotto" del CDC, è William Thompson, scienziato americano autore di molti buoni studi, autore anche di ricerche che mostravano come il Thimerosal (il derivato del mercurio un tempo usato nei vaccini) non fosse tossico e non avesse nesso con la comparsa di autismo. Thompson è uno degli autori dello studio di cui si parla.
Uno scienziato "insospettabile" dunque e che ha sempre realizzato ricerche utili per capire la sicurezza dei vaccini, che ha sempre sottolineato la loro utilità e per questo la sua uscita ha lasciato stupita più di una persona, soprattutto quando si è scoperto che le sue comunicazioni con Brian Hooker (l'autore della "rianalisi" con la nuova conclusione) erano vere.
Thompson parlò davvero con Hooker (registrato però a sua insaputa). A quanto pare dicendosi rammaricato che il CDC sapesse che i dati riguardanti i bambini maschi neri mostrassero quell'aumento di incidenza di autismo ma che, nonostante questo, i dati non apparvero nello studio del 2004.
Thompson racconta che tra gli autori dello studio si era discusso di quei dati dei bambini di colore ma che poi si era deciso di non differenziare i bambini studiati per razza, anche perché non di tutti si aveva un certificato di nascita che ne dichiarasse l'etnia di appartenenza.
Gli autori decisero quindi di distruggere tutti i dati raccolti durante una riunione ma in questo frangente Thompson pensò di conservarli (all'insaputa degli altri), sono proprio i dati che poi lui ha passato a Wakefield per il film.

In realtà è ovvio che il CDC "sapesse" dei dati, è chiaro, sono pubblici, sono parte di una loro ricerca, ma i risultati del primo studio erano diversi da questa "rilettura", quindi non c'è nulla di incredibile in questa affermazione. Forse il "complotto" starebbe nel fatto che il CDC avrebbe nascosto questa conclusione? Neanche questo: la conclusione di Hooker deriva dalla sua rilettura dei dati (ne riparlerò nella seconda parte del post), non si è "scoperto" un nuovo dato ma se ne è ottenuto uno nuovo perché è stato usato un metodo nuovo.
Allora dov'è il "complotto"?

Nel video che ha diffuso la vicenda si ascoltano spezzoni della presunta voce di William Thompson, drammatici, nei quali il medico dice di "vergognarsi" per quello studio, che lui definisce "il punto più basso della mia carriera". Le parole di Thompson, forti, lasciano un po' interdetti. Nessuno studioso parlerebbe così per un dato come quello che sembrerebbe emergere, ammessa la correttezza dell'analisi di Hooker si tratta sempre di un dato singolo, isolato, di un sottogruppo, di una rielaborazione di dati ufficiali, pubblici, nessuna "copertura" o "complotto", perché questo clamore?
In parole povere, lo studio originale che poi è stato "riletto" da Hooker non nasconde nulla, non dice bugie né cambia i dati: ha dato una lettura (anche spiegata nello studio stesso) che è stata invece rivista da un'altra persona, non c'è scandalo né complotto.

Sono centinaia gli studi (anche di ottima fattura) che possono essere discussi, riletti, persino smentiti, questo succede quotidianamente nella ricerca medica, pensiamo alle infinite ricerche sull'utilità di un farmaco ed anche in campo vaccinale. Sembra invece che Thompson (ripeto, anch'egli co-autore dello studio) si senta in colpa per qualcosa che non appare così "eccezionale", anche ammettendo come corretta la rilettura dei dati da parte di Hooker.
Il medico "pentito" (così emerge da alcune fonti "antivaccino") chiederebbe addirittura scusa via SMS a Wakefield per "quello che ha passato" perché lui si sente colpevole, nello stesso tempo qualcuno dubita sull'autenticità di questi messaggi. Ma che c'entra Wakefield in tutto questo? Nel suo caso si tratta di frode scientifica dimostrata e passata in giudicato, di altri dati, di altri studi, di un'altra vicenda.

Il ritorno di Wakefield.

Andrew Wakefield entra in pieno in questa storia. Ricordiamo che fu protagonista di una frode scientifica quando realizzò uno studio che secondo lui dimostrava che il vaccino trivalente (lo stesso di cui stiamo parlando) fosse causa di autismo. Successivamente si scoprì che Wakefield manipolò e falsificò i dati su richiesta di un avvocato che si occupava di cause di risarcimento da danni da vaccini al quale serviva qualche studio che dimostrasse come i vaccini fossero causa di autismo, fu per questo che Wakefield usò dati falsi ed un comportamento disonesto per la preparazione dello studio. Il medico per questo motivo fu radiato dal suo ordine professionale, In questa vicenda è colui che comunica con il ricercatore "pentito" e che sulla storia ha creato un film o meglio un documentario di cui parlerò più avanti.

Wakefield è sicuramente il principale guru della lobby antivaccino mondiale, un'occasione così non poteva non sfruttarla e che lui sia coinvolto in questa storia non deve quindi stupire.

Ad aggiungere mistero a questa strana storia, il fatto che il video nel quale Wakefield la raccontava (e nel quale appaiono gli spezzoni della "confessione" di Thompson), fu pubblicato nel sito della CNN (noto network televisivo statunitense) ma dopo pochi giorni la pagina che lo conteneva sparì nel nulla.
La CNN (dopo le accuse di "censura") ha spiegato quella "sparizione" in maniera molto più semplice: il video non era "ufficialmente" riconosciuto dalla rete televisiva ma, come abitudine, inserito da un utente perché tutta la comunità on line potesse scegliere se diffonderlo o meno (c'è una pagina dedicata a questa iniziativa, si chiama iReport, sono gli spettatori a scegliere i contenuti ed ho visto personalmente il video appena uscito con lo spazio per votarne la permanenza o la cancellazione dal sito). Il pubblico, votando negativamente, ha scelto di cancellarlo dal sito. In seguito alle proteste ed alle accuse di censura, la CNN lo ha rimesso on line con la dicitura "non verificato dalla CNN".
Il CDC, avvertito della polemica, stempera l'atmosfera sostenendo che quello di Thompson è un normale dissenso su una visione diversa dei dati dello studio, gli antivaccino parlano di frode deliberata, di scoperta epocale.
Il finale di questa storia (come accennavo prima) è un film. Andrew Wakefield ha diretto un "documentario" su questa vicenda, pellicola prima accettata e poi cancellata dal programma del Tribeca film festival (una rassegna cinematografica molto nota negli USA).

Il titolo è "Vaxxed" ed ha toni drammatici ed apocalittici, con testimonianze di genitori e le parole dell'ex medico truffaldino messe in risalto. Un classico del film scandalo che di oggettivo ha molto poco. Nel film (ovviamente?) non si accenna per niente ai trascorsi di Wakefield, alla sua radiazione ed alla sua frode scientifica.
Infine la politica. In una conferenza stampa che ha seguito una proiezione, Hooker si è arrabbiato con Thompson (lo scienziato del CDC che avrebbe confessato) chiamandolo "traditore" perché non si è mai dimesso dal suo lavoro "istituzionale" (come può lavorare per chi chiama "disonesto"?) ed anzi si è detto convinto di continuare con il suo impiego al CDC.
Infine, un deputato americano, Bill Posey (già noto per le sue posizioni "complottiste" e che ha ricevuto sostegno economico da antivaccinisti) ha raccontato la storia di cui parliamo durante una seduta del parlamento statunitense.
In Italia di questa vicenda si è parlato pochissimo, fino a pochi giorni fa, quando è stata annunciata la proiezione di Vaxxed in un'aula del Senato della Repubblica, proiezione poi annullata dagli stessi organizzatori ed occasione di proteste e preoccupazioni del mondo medico e scientifico del paese.

Ecco, questa è la storia, ho cercato di descriverne i protagonisti ed i particolari. Vi siete fatti un'idea? Secondo voi, a prima vista, c'è uno scandalo vero? Questo mi interessa perché mi sono avvicinato alla storia senza saperne tanto e, leggendo in giro, non riuscivo a capirne il significato. Solo studiandola e (con difficoltà) conoscendone i particolari, la nebbia un po' si dirada ed ho scoperto delle cose interessanti.
Questi sono i fatti, la vicenda.
Nella prossima parte dell'articolo scenderò invece nei particolari, parlerò dello studio che ha originato tutto ed approfondirò, discutendo anche dei dati che hanno originato la polemica. Almeno per capire qualcosa in più e per comprendere perché, di una storia ordinaria e per nulla "strana", si è creato un polverone. Tanto da farci un film.

Alla prossima.

          What is a Good Alternative to Coffee        
According to the CDC 30% of Americans have high blood pressure. Another statistic is 54% of Americans over 18 drink coffee according to www.statisticbrain.com . This is somewhat alarming considering that coffee can increase your blood pressure. Coffee has made it’s way into the typical American’s diet. I am sure many people you know would say that they would not start their morning without it. Coffee can be used safely for some and even have health benefits. There are antioxidants and a small amount of nutrients in coffee. The caffeine in coffee can also be effective in burning fat. There is also some research that points toward that it may lower risk for Alzheimer's, Dementia, and Parkinson's. Even though there are benefits, there are risks as well. Besides increasing blood pressure, coffee can have an addictive nature and cause osteoporosis at high levels due to calcium and magnesium loss. Fortunately there is a safer, and healthier alternative for those at risk.


Ziziphora is a herb in the Lamiaceae family. There are several species some of which are annuals and some are perennials. This herb can be found growing in the Mediterranean basin to Iran. This area would include Palestine/Israel, Syria, Lebanon, Turkey, Cyprus Iran, Sinai, Balkans, Caucasus, northern Iran, and southern Russia. Ziziphora has earned itself the nicknames, “Blue Mint Bush,” and “Medicinal jewel.” This herb has been studied for several years for it’s medicinal properties. The Uighur people used it for treating hypertension. The Siberian Altay Nomads would come home after a hard day of hunting to drink a cup of Ziziphora tea. There are several known medicinal properties to Ziziphora. Some of these include: anti-inflammatory, anti-septic, anti-vomiting, anti-tumor, stimulant, lowers blood pressure, anti-diarrheal, anti-gas, appetitive, helps insomnia, helps edema, antioxidant, blood purification anti-spasmodic, food stabilizer, food flavorer, anti-fever, anti-fungal, and antibacterial.


Ziziphora has been shown to be twice as effective against Ca. Albicans as Nystatin. Some of the bacteria they have found Ziziphora to be effective against include: gram - bacteria E. Aerogenes, K. Pneumoniae, S. Enleriticlis, Salmonella, and S.Typhimurium, Z. Clinopodioides. Some of the latest research is showing promise to it effectively treating gastric cancers. This has been suggested in a study published in Food and Agricultural Immunology. The trial was put on by researchers from Shahed University in Iran.


Another study investigated the ability of Ziziphora to lower cholesterol factors. This study was call, Studying the Effect of the Ziziphora tenuior L. Plant on Some Biochemical Factors of Serum in Rats. This study was done in 2014 at Islamic Azad University of Shahrekord Branch. This study looked at the chemical factors (HDL, LDL, ALT, AST, Triglycerides, Cholesterol, and Total Protein) of rats’ serum were measured.


There were 2 groups that Ziziphora tenuior L. plant essence was used in different dosages. The 3rd group was the control group. The plant essence was made by drying the leaves of the plant at 25-35 degrees celsius for 3 hours. They were then crushed and extracted. The rats received the plant essence for 21 days. At the end of the period, the amount of Cholesterol, ALT, and Triglyceride factors were significantly reduced in the two groups that received the plant essence. The group that got a higher dosage had an even larger reduction. This shows some positive evidence on Ziziphora’s ability to lower Cholesterol factors.


With all the evidence of the numerous health benefits that Ziziphora herb can bring into your life, I feel it would be worth considering taking advantage of this. One of the easiest ways to reap the herb’s benefits is by drinking tea of Ziziphora. Trading your morning cup of Joe for this tea may be the best decision you could make. This is especially true if you suffer from any heart conditions such as high blood pressure. One example of Ziziphora tea can
be found at Siberian Health . Happy drinking!


          When It's Not a "Snowden" Whistleblower        
From day one Edward Snowden had the press on-board. They dutifully reported some of the excesses of the surveillance society as was allowed. Most of which was already known or suspected. Millions of words have been spoken and written about the NSA and others sucking up all our data and saving it for a rainy day.

Of course most in America are not willing to give up their 'smart' phones and assorted toys and we ourselves are not giving up our computers, despite the spying. So nothing has changed and in spite of any debate, there has been no change in policy. If the truth be known the process of grabbing and storing all electronic data is becoming more sophisticated with each passing day. 

So Snowden has had no short term effect on protecting our privacy, much less a long term one. We've accepted our plight and in the eyes of those implementing the agenda, we have reluctantly embraced another part of our slavery. That was part of the plan. Sometimes plans work for awhile.


But what about whistleblowers who get no MSM time? Where there may be something to what they blow.

Is Dr. William (“Oh my God.  I cannot believe we did what we did, but we did.") Thompson telling us something long suspected, long debated, that vaccines can cause autism and who knows what else and that the CDC and big pharma know it and covered it up? For the profit of their friends and benefactors and themselves. For the slow burn of depopulation, genocide and compromising a population's health. 

Silence is golden. 

The idea that millions of children may have been affected in a scam that has many aspects cannot be debated in the corporate media or else too many questions may be asked. "That's my child they played with." What else have they lied about? "Take a flu shot?" I don't think so.

The most noticeable alternative voices in exposing this latest treason against humanity, Jon Rappoport and Mike Adams are tied in with Alex Jones. How about Jim Stone and his warnings? Many people will not even consider anything they don't see on TV even if it may be true.


NBC News tonight had a story that in their paid propaganda world is what amounts to addressing the issue and trying to diffuse the situation.by promoting fear of those awake people who are not allowing themselves or their children to get the poison jabs. They are a threat to the entire country. They may as well say that being anti-vaccination is terrorist.



Snowden's manufactured whistleblowing gets a pass and a kiss. Dr. William Thompson's statements get dismissed. That's our world of deceit. We have to change that. It's not easy. In the meantime, perhaps never getting a vaccination will send a message that these lies don't work anymore.


          CDC to provide an update on flu and vaccination activity this season and share new data on the impact of vaccination last season - Media Advisory        
CDC to provide an update on flu and vaccination activity this season and share new data on the impact of vaccination last season.
          CDC releases new findings and prevention tools to improve food safety in restaurants - Press Release        
Increased awareness and implementation of proper food safety in restaurants and delis may help prevent many of the foodborne illness outbreaks reported each year in the United States.
          Measles Still Threatens Health Security: On 50th Anniversary of Measles Vaccine, Spike in Imported Measles Cases - Media Advisory        
CDC will host a live media briefing at CDC to discuss the renewed spike of measles in the U.S. and its continued threat to health security.
          CDC Telebriefing: Status of Serogroup B Meningitis Cases in the United States - Transcript        
A telebriefing to provide an update on serogroup B meningitis cases in the United States and bacterial meningitis treatment and prevention.
          CDC Telebriefing: Status of Serogroup B Meningitis Cases in the United States - Media Advisory        
A telebriefing to provide an update on serogroup B meningitis cases in the United States and bacterial meningitis treatment and prevention.
          CDC Report Documents Health Disparities - Press Release        
Income, education level, sex, race, ethnicity, employment status, and sexual orientation are all related to health and health outcomes for a number of Americans, according to a new Morbidity and Mortality Weekly Report Supplement released today by the Centers for Disease Control and Prevention (CDC).
          CDC Director Dr. Tom Frieden releases Winnable Battles Progress Report 2010-2015, discusses successes and challenges - Statement        
CDC Director Dr. Tom Frieden discusses the Winnable Battles initiative.
          Get Smart About Antibiotics Week 2013 - Digital Press Kit        
Infections caused by resistant bacteria have become more common, and many bacteria have become resistant to multiple antibiotics. CDC released a report in September 2013 documenting that each year more than two million people in the United States get infections that are resistant to antibiotics and at least 23,000 people die as a result.
          CDC accredited for emergency management - Press Release        
The Centers for Disease Control and Prevention received accreditation from the Emergency Management Accreditation Program (EMAP) for its excellence in emergency management. CDC is the first federal organization to attain full accreditation.
          CDC finds cluster of newborns in Tennessee with bleeding disorder - Press Release        
The Centers for Disease Control and Prevention has identified a cluster of newborns in Tennessee with late vitamin K deficiency bleeding (VKDB). VKDB is a serious, but preventable bleeding disorder that can cause bleeding in the brain.
          New CDC Vital Signs: Colorectal cancer testing needs to increase among adults - Digital Press Kit        
Colorectal cancer is the second leading cancer killer among men and women in the United States, after lung cancer. About 1 in 3 adults is not getting screened for colorectal cancer as recommended by the U.S. Preventive services Task Force (USPSTF), according to a new Vital Signs report: Colorectal Cancer Screening Test Use - 2012, released today.
          CDC Telebriefing: New Vital Signs Report - How can more people get tested for colorectal cancer? - Media Advisory        
CDC Telebriefing: New Vital Signs ReportHow can more people get tested for colorectal cancer?
          CDC Update on the Multistate Outbreak of Fungal Meningitis and Other Infections: One Year Later - Statement        
A year ago this month, the Centers for Disease Control and Prevention activated its Emergency Operations Center as part of the response to the tragic outbreak of fungal meningitis.
          David J. Sencer CDC Museum open on Smithsonian magazine Museum Day Live!- Media Advisory         
The exhibit, Health is a Human Right: Race and Place in America, looks back through history at how minority groups have experienced health problems differently, helps us understand why these differences persist, and examines our efforts to reduce and eliminate health disparities.
          Business Pulse connects CDC and business to address public health threats - Statement        
Today, the CDC Foundation is launching Business Pulse: How CDC Protects the Health of Your Business. The first Business Pulse coincides with September’s National Preparedness Month and features a business continuity discussion between CDC and UPS.
          Statement from CDC Director Tom Frieden on the passing of Terrie Hall, former Tips From Former Smokers ad participant - Statement        
Statement from CDC Director Tom Frieden on the passing of Terrie Hall 
          CDC Telebriefing on Today's Drug-Resistant Health Threats - Transcript        
CDC telebriefing on today's drug-resistant health threats 
          Untreatable: Report by CDC details today’s drug-resistant health threats - Press Release        
Every year, more than two million people in the United States get infections that are resistant to antibiotics and at least 23,000 people die as a result, according to a new report issued by the Centers for Disease Control and Prevention.
          CDC director to host telebriefing on landmark report detailing drug resistance threats - Media Advisory        
CDC will host a media telebriefing to discuss a new report that describes the striking toll of antibiotic-resistant germs in the United States. The report provides a first-ever, criteria-based ranking of the organisms by their threat to human health.
          CDC Telebriefing on the National Immunization Survey, Vaccine for Children Program, and recent measles outbreaks in the U.S. - Transcript        
CDC telebriefing both on the release of the 2012 National Immunization Survey details in today’s MMWR as well as the increases we are seeing in measles around the country. 
          20 Years of Success: CDC Celebrates 20th Anniversary of Vaccines for Children Program - Digital Press kit        
This year marks the 20th Anniversary of passage of the legislation that created the Vaccines for Children Program (VFC), one of our nation’s most successful public-private partnerships for improving public health.
          CDC officials to share new data on immunization coverage among nation’s infants and recent measles outbreaks - Media Advisory        
CDC will host a telebriefing to discuss results from the National Immunization Survey, measles cases and outbreaks, and the 20th Anniversary of the passage of the legislation that created the Vaccines for Children program.
          CDC Telebriefing on Tips From Former Smokers ad campaign results - Transcript        
An estimated 1.6 million smokers attempted to quit smoking because of the Centers for Disease Control and Prevention’s “Tips From Former Smokers” national ad campaign, according to a study released by the CDC.
          Results from first ever federally-funded national education ad campaign, "Tips From Former Smokers" - Media Advisory        
CDC will host a media telebriefing to discuss the results of the Tips From Former Smokers campaign, a national advertising campaign designed to encourage smokers to quit by featuring emotionally powerful stories of former smokers living with smoking-related diseases and disabilities. The results exceeded the campaign’s original goals of quit attempts and successful quits.
          CDC Director to speak on the state of nation’s health security at the National Press Club - Media Advisory        
"The Cough Heard 'Round the World"
          CDC Telebriefing on CDC finding 200,000 heart disease and stroke deaths could be prevented - Transcript        
This September Vital Signs is on preventable death from heart disease, stroke, and hypertensive disease, United States 2001 to 2010.
          New CDC Vital Signs: CDC finds 200,000 heart disease and stroke deaths could be prevented - Digital press kit        
More than 200,000 preventable deaths from heart disease and stroke occurred in the United States in 2010, according to a new Vital Signs report from the Centers for Disease Control and Prevention.
          CDC finds 200,000 heart disease and stroke deaths could be prevented - Press Release        
More than 200,000 preventable deaths from heart disease and stroke occurred in the United States in 2010, according to a new Vital Signs report from the Centers for Disease Control and Prevention. More than half of these deaths happened to people younger than 65 years of age.
          CDC Telebriefing: New Vital Signs Report - How can progress be made in preventable deaths from heart attack and stroke? - Media Advisory        
One out of every three deaths in the U.S. is due to cardiovascular disease. A large proportion of heart attacks and strokes do not have to happen. CDC will discuss the latest data on number of preventable death from heart attack and stroke, who is most at risk, where progress is needed and what can be done to drive down these deaths.
          CDC releases 2012 School Health Policies and Practices Study results - Press Release        
School districts nationwide are showing improvements in measures related to nutritional policies, physical education and tobacco policies, according to the 2012 School Health Policies and Practices Study (SHPPS).
          CDC awards funding to help states face new infectious disease threats - Press Release        
The Centers for Disease Control and Prevention (CDC) announced an award to states of about $75.8 million through the Epidemiology and Laboratory Capacity for Infectious Diseases Cooperative Agreement (ELC).
          CDC provides estimate of Americans diagnosed with Lyme disease each year - Press Release        
Preliminary estimates released by the Centers for Disease Control and Prevention indicate that the number of Americans diagnosed with Lyme disease each year is around 300,000. The preliminary estimates were presented Sunday night in Boston at the 2013 International Conference on Lyme Borreliosis and Other Tick-Borne Diseases.
          CDC state data shows high costs due to excessive alcohol use - Press Release        
Excessive alcohol use causes a large economic burden to states and the District of Columbia, according to a new study released by the Centers for Disease Control and Prevention.
          CDC Telebriefing on Obesity Among Low-Income Preschool-Aged Children - Transcript        
After decades of rising rates, there are signs of progress in the fight against childhood obesity. CDC will discuss state-by-state obesity rates among low-income preschoolers, where progress is being made, and what can be done to continue this progress.
          New CDC Vital Signs: Obesity Declines Among Low-Income Preschoolers - Digital Press Kit        
Nineteen states and territories reported decreases in obesity among low-income preschoolers. Twenty states and Puerto Rico held steady at their current rate, and obesity increased slightly in three states.
          CDC Releases 2014 Edition of "Yellow Book" - Press Release        
The Centers for Disease Control and Prevention today released the online version of the 2014 edition of CDC Health Information for International Travel, commonly known as the "Yellow Book." Nicknamed for its yellow cover, this is the ultimate guide for healthy international travel.
          CDC Telebriefing: New Vital Signs Report - Obesity among low-income preschoolers declines in many states - Media Advisory        
After decades of rising rates, there are signs of progress in the fight against childhood obesity. CDC will discuss state-by-state obesity rates among low-income preschoolers, where progress is being made, and what can be done to continue this progress.
          CDC and Olympic Champion Amanda Beard team up for healthy swimming - Press Release        
No one spends more time in the pool than elite swimmers, including seven-time Olympic medalist and mom Amanda Beard. CDC and Beard are teaming up to encourage everyone to take steps to protect themselves and their family and friends while swimming.
          U.S. breastfeeding rates continue to rise - Press Release        
In a press conference held today, top officials from CDC and the American Academy of Pediatrics announced that HPV vaccination rates in girls aged 13-17 years failed to increase between 2011 and 2012, according to data from the Centers for Disease Control and Prevention (CDC).
          CDC Telebriefing on human papillomavirus (HPV) vaccination coverage and vaccine safety monitoring - Transcript        
CDC will host a telebriefing to discuss human papillomavirus (HPV) vaccination coverage among adolescent girls and postlicensure vaccine safety monitoring in the United States, 2007–2012.
          CDC officials to discuss Human papillomavirus (HPV) vaccination coverage and vaccine safety monitoring - Media Advisory        
CDC will host a telebriefing to discuss human papillomavirus (HPV) vaccination coverage among adolescent girls and postlicensure vaccine safety monitoring in the United States, 2007–2012.
          CDC releases report on 30-year low in youth homicide rates - Press Release        
The homicide rate for youth aged 10 to 24 years in the United States reached a 30-year low in 2010.
          New CDC Vital Signs: Deaths from Prescription Painkiller Overdoses Rise Sharply Among Women - Digital Press Kit        
The number of prescription painkiller overdose deaths increased five fold among women between 1999 and 2010, according to a Vital Signs report released today by the Centers for Disease Control and Prevention.
          New CDC Vital Signs: Deaths from Prescription Painkiller Overdoses Rise Sharply Among Women - Press Release        
The number of prescription painkiller overdose deaths increased five fold among women between 1999 and 2010, according to a Vital Signs report released today by the Centers for Disease Control and Prevention.
          CDC Telebriefing: New Vital Signs Report How has the prescription painkiller overdose epidemic grown in women? - Media Advisory        
The prescription painkiller epidemic is killing more women than ever before. New data shows prescription painkiller overdose deaths among women have skyrocketed.
          CDC advisory committee recommends an influenza vaccine option for persons with egg allergy - Media Advisory        
The Advisory Committee on Immunization Practices (ACIP) voted today, 13 to 0, in favor of recommending FluBlok during the 2013-2014 influenza seasons for vaccination of persons 18 through 49 years of age with egg allergy of any severity.
          CDC Telebriefing on HPV prevalence among young women following HPV vaccination introduction in the United States, NHANES, 2003-2010 - Transcript        
A new study looking at the prevalence of human papillomavirus (HPV) infections in girls and women before and after the introduction of the HPV vaccine shows a significant reduction in vaccine-type HPV in U.S. teens.
          CDC findings show higher suicide-related behaviors among youth involved in bullying - Media Advisory        
The Journal of Adolescent Health released a special issue focusing for the first time on the relationship between bullying and suicide. The special issue was assembled by an expert panel brought together by the Centers for Disease Control and Prevention.
          CDC officials to discuss decline in Human papillomavirus (HPV) infections in females since vaccination started in 2006 - Media Advisory        
CDC will host a telebriefing to discuss a new study published in The Journal of Infectious Diseases that looks at the prevalence of vaccine-type human papillomavirus (HPV) infections in females since the vaccine was introduced in 2006.
          David J. Sencer CDC Museum unveils cancer survivors’ photo exhibit - Media Advisory        
CDC cancer survivors are featured in the new exhibit, CANCER: Survivors in Focus, which highlights the public health impact of living with, through, and beyond cancer. The exhibit will be open June 17 through September 10, 2013. Several survivors will be available for pictures and interviews on Thursday, June 20.
          CDC partners with 104 employers for National Healthy Worksite Program - Press Release        
The Centers for Disease Control and Prevention, through its partner Viridian Health Management, has identified 104 employers in eight counties across the nation that have voluntarily chosen to participate in the National Healthy Worksite Program, a new initiative aimed at reducing chronic disease and building a healthier, more productive U.S. workforce. The initiative primarily focuses on small and mid-sized employers.
          CDC urges everyone: Get ready to stay cool before temperatures soar - Press Release        
Sometimes foods we love and count on for good health are contaminated with germs that cause serious illness and can be deadly for certain people. Listeria, while rare, is one of the most deadly germs spread by contaminated food.
          New CDC Vital Signs: Listeria Food Poisoning Striking Hard at Nation’s Most Vulnerable - Digital Press Kit        
Sometimes foods we love and count on for good health are contaminated with germs that cause serious illness and can be deadly for certain people. Listeria, while rare, is one of the most deadly germs spread by contaminated food.
          CDC director discusses Extreme Heat Awareness with Atlanta area school students - Media Advisory        
Because a doctors’ advice and assistance more than doubles the chances that a smoker will quit successfully, the Centers for Disease Control and Prevention is partnering with five national physician groups on the new “Talk With Your Doctor” campaign to encourage smokers to ask a doctor for help. The campaign also encourages clinicians to ask patients if they smoke and offer assistance in helping them to quit.
          CDC director discusses Extreme Heat Awareness with Atlanta area school students - Media Advisory        
No one should die from a heat wave. But every year, extreme temperatures kills an average of 675 people in the United States more than hurricanes, lightning, tornadoes, earthquakes, and floods combined. Extreme heat affects everyone, but children, the elderly, the poor or homeless, people who work or exercise outdoors, and those with chronic medical conditions are most at risk.
          CDC announces new members for the Advisory Committee on Breast Cancer in Young Women - Media Advisory        
The Centers for Disease Control and Prevention announced today seven new members who will serve on the Advisory Committee on Breast Cancer in Young Women (ACBCYW). The Committee was chartered in 2010 and consists of external experts and stakeholders. The committee members serve two- to four-year terms.
          CDC to issue first comprehensive report on children’s mental health in the United States - Digital Press Kit        
Up to 1 in 5 children in the U.S. have a mental disorder and estimates are increasing. Children’s mental disorders are associated with poor school and health outcomes, and greater demands on the health, education, and juvenile justice and welfare systems. The MMWR Weekly Report Supplement titled, "Mental Health Surveillance Among Children in the United States - 2005-2011," describes estimates of the number of children aged 3-17 years living in the United States with specific mental disorders, using information from different data sources collected in 2005-2011.
          CDC to issue first comprehensive report on children's mental health in the United States - Media Advisory        
Centers for Disease Control and Prevention will issue a report today, "Mental Health Surveillance Among Children in the United States - 2005-2011," appearing as a supplement of CDC’s Morbidity and Mortality Weekly Report. This is the first CDC report to track the number of U.S. children age 3-17 years who have specific mental disorders or indicators of mental health
          CDC study finds fecal contamination in pools - Press Release         
A study of public pools done during last summer’s swim season found that feces are frequently introduced into pool water by swimmers. Through the study, released today by the Centers for Disease Control and Prevention (CDC), researchers found germs in samples of pool filter water collected from public pools.
          Following CDC Protocols Cuts Dialysis Bloodstream Infections in Half - Press Release         
Today, the Centers for Disease Control and Prevention (CDC) released results of its Dialysis Bloodstream Infection Prevention Collaborative showing a 32 percent decrease in overall bloodstream infections and a 54 percent decrease in vascular access-related bloodstream infections after CDC prevention guidelines were used. Vascular access-related bloodstream infections are those related to devices used to access the bloodstream for hemodialysis.
          CDC releases final West Nile virus national surveillance data for 2012 - Media Advisory         
A total of 5,674 cases of West Nile virus disease in people, including 286 deaths, were reported to CDC from 48 states (excluding Alaska and Hawaii). Of all West Nile virus disease cases reported, 2,873 (51 percent) were classified as neuroinvasive disease (e.g., meningitis, encephalitis, or acute flaccid paralysis). The dates of illness onset (when the patients’ illness began) ranged from March through December 2012.
          Could eCigs Save Government Billions in Health Care Costs        

New Findings, Links Between Government Spending and Electronic Cigarettes A new report  based around state budgets suggests electronic cigarettes have the potential to save billions upon billions of dollars in Medicaid expenses regarding traditional “analog” cigarette smoking  by Americans .  The United States CDC states that the expenses of direct medical care as a result of traditional smoking […]

The post Could eCigs Save Government Billions in Health Care Costs appeared first on New Orleans VAPE Electronic Cigarettes & eJuice.


          Vital Signs: New CDC Vital Signs: Hepatitis C Testing - Digital Press Kit         
Only half of Americans identified as ever having had hepatitis C received follow-up testing showing that they were still infected, according to a Centers for Disease Control and Prevention analysis of data from a multi-area study published today in the CDC report Vital Signs.
          Study suggests only half of Americans with hepatitis C receive complete testing for the virus - Press Release         
Only half of Americans identified as ever having had hepatitis C received follow-up testing showing that they were still infected, according to a Centers for Disease Control and Prevention analysis of data from a multi-area study published today in the CDC report Vital Signs.
          CDC Telebriefing on Vital Signs Report: Hepatitis C Virus Infection Testing and Reporting - Media Advisory         
CDC will host a telephone-only media briefing to discuss the new Vital Signs report on hepatitis C testing and reporting. The multi-area analysis looks at the proportion of persons identified as ever having had hepatitis C that received complete testing for the virus, as well as the populations most affected by the disease.
          Controlling asthma in schools: CDC’s focus for asthma awareness month - Media Advisory         
May is Asthma Awareness Month. Throughout May, CDC will feature new information and updates about the success of CDC’s National Asthma Control Program with a special focus on children and adolescents by debuting facts sheets, an asthma awareness podcast and new instructional videos on inhaler use for use by individuals with asthma and clinicians.
          CDC finds suicide rates among middle-aged adults increased from 1999-2010 - Press Release         
Suicide deaths have surpassed deaths from motor vehicle crashes in recent years in the United States. In 2010 there were 33,687 deaths from motor vehicle crashes and 38,364 suicides. Suicide rates among middle-aged Americans have risen substantially since 1999, according to a report in today’s CDC journal, Morbidity and Mortality Weekly Report.
          New Food Safety Data for 2012 - Digital Press Kit         
Each year, roughly 1 in 6 people in the US gets sick from eating contaminated food. To understand trends in what germs are making people sick, CDC analyzes data from FoodNet, a surveillance system in 10 sites covering about 15 percent of the U.S. population.
          CDC launches a new educational website on laboratory science for teachers and students - Media Advisory         
CDC’s Office of Surveillance, Epidemiology and Laboratory has launched a new website, designed especially for teachers and students, to learn about the critical role of public health laboratories in protecting the public against diseases and other health hazards.
          Former CDC Deputy Director and NASA Scientist visit CDC to discuss space science research and its benefit to humanity - Media Advisory        
The David J. Sencer CDC Museum presents a look back at the Centers for Disease Control and Prevention’s collaboration with NASA during the 1960’s space program presented by Dr. Walter Dowdle, former CDC Deputy Director. A second presentation will be given by Dr. Tara Ruttley, Associate Program Scientist for the International Space Station, on scientific research in microgravity or weightlessness and how discoveries uncovered in space improve life on Earth.
          New CDC Vital Signs: Nearly 20 percent of teen births are repeat births - Press Release        
Nearly one in five teen births is a repeat birth, according to a Vital Signs report from the Centers for Disease Control and Prevention. Although teen births have fallen over the past 20 years, the number of repeat births remains high and there are substantial racial/ethnic and geographic differences.
          CDC Releases Second Round of ads in “Tips From Former Smokers” campaign - Media Advisory        
CDC will host a telephone-only media availability to discuss the Tips From Former Smokers campaign, a national advertising campaign designed to encourage smokers to quit by showing the devastating effects smoking and secondhand smoke have on real people.
          World TB Day: New U.S. Data for 2012 - Digital Press kit        
In advance of World TB Day, CDC has released preliminary national TB surveillance data for 2012. The new data show that after 20 consecutive years of declines, TB is at an all-time low in the United States.
          CDC and HRSA issue report on changes in prevalence of parent-reported Autism Spectrum Disorder in school-aged children - Media Advisory        
Changes in Prevalence of Parent-Reported Autism Spectrum Disorder in School-Aged Children: 2007 to 2011-2012. The report was co-authored by HRSA and data collection was conducted by the CDC. The data come from the National Survey of Children’s Health, a nationally representative phone survey of households with children. This survey is conducted every four years.
          CDC confirms rabies death in organ transplant recipient - Media Statement        
The Centers for Disease Control and Prevention (CDC) and Maryland Department of Health and Mental Hygiene have confirmed that a patient who recently died of rabies in Maryland contracted the infection through organ transplantation done more than a year ago. The patient was one of four people who had received an organ from the same donor. This week, CDC laboratories tested tissue samples from the donor and from the recipient who died to confirm transmission of rabies through organ transplantation.
          Mobile device use while driving more common in the U.S. than in several European countries - Digital Press Kit        
According to a CDC study, talking on the phone, texting, and reading email behind the wheel are reportedly more common behaviors in the United States than Europe.
          New CDC Vital Signs: Lethal, Drug-resistant Bacteria Spreading in U.S. Healthcare Facilities - Digital Press Kit        
A family of bacteria has become increasingly resistant to last-resort antibiotics during the past decade, and more hospitalized patients are getting lethal infections that, in some cases, are impossible to cure. The findings, published today in the Centers for Disease Control and Prevention's Vital Signs report, are a call to action for the entire health care community to work urgently – individually, regionally and nationally – to protect patients. During just the first half of 2012, almost 200 hospitals and long-term acute care facilities treated at least one patient infected with these bacteria.
          CDC Telebriefing: Vital Signs Report Details Rising Threat from Lethal CRE Bacteria - Media Advisory        
CDC will host a telephone-only media availability to discuss the new Vital Signs report on a drug-resistant bacteria called carbapenem-resistant Enterobacteriaceae (CRE) that is spreading in U.S. inpatient medical facilities. These bacteria cause life-threatening infections that are difficult, and in some cases, impossible to treat. In some places, these bacteria are already posing a routine threat to patients and their medical teams. Learn what this means to patients and health care providers, and what can be done about it.
          Climate and Health Symposium Puts Science into Practice        
The CDC and NIH will cohost in coordination with American Public Health Association (APHA), National Association of County and City Health Officials (NACCHO), and Association of State and Territorial Health Officials (ASTHO), a two-day symposium “Extreme Weather, Climate and Health: Putting Science into Practice.” This meeting is an opportunity for the research community and health departments to learn from each other about preparing for and responding to climate change.
          CDC releases first estimates of the food sources of all foodborne illnesses acquired in the United States        
A new CDC paper, “Attribution of Foodborne Illnesses, Hospitalizations, and Deaths to Food Commodities By Using Outbreak Data, United States, 1998-2008” is being published in the Emerging Infectious Diseases journal. For the first time, CDC developed a comprehensive set of estimates using data from more than a decade of foodborne disease outbreaks and previously published estimates on how many illnesses can be attributed to each food category.
          Tobacco Control State Highlights 2012 Released         
CDC released the Tobacco Control State Highlights 2012 report which provides an overview of the implementation of strategies that reduce tobacco use in each of the 50 states and the District of Columbia. While states have made progress, the reduction of tobacco use nationwide has slowed. The report shows that more work needs to be done to end the epidemic of tobacco-related death and disease.ies.
          CDC releases data on interpersonal and sexual violence by sexual orientation        
The first set of national prevalence data on intimate partner violence (IPV), sexual violence (SV), and stalking victimization by sexual orientation was released today by the Centers for Disease Control and Prevention (CDC). The study found that lesbians and gay men reported IPV and SV over their lifetimes at levels equal to or higher than those of heterosexuals; with sexual orientation based on respondents’ identification at the time of the survey.
          CDC Update: 2012-2013 Influenza Season        
CDC will host a telebriefing to provide an update on the 2012-2013 influenza season.
          13 in 2013: CDC Looks Ahead - Digital Press Kit         
As America’s health protection agency, CDC works 24/7 saving lives, protecting people from health threats, and saving money through prevention. Whether diseases start at home or abroad, are chronic or acute, curable or preventable, human error or deliberate attack, CDC is there for you. Here’s a glance of 13 public health topics to look for in 2013.
          CDC Vital Signs: Binge Drinking among Women and High School Girls - Digital Press kit        
Binge drinking is a dangerous behavior but is not widely recognized as a women's health problem. CDC's latest Vital Signs report shows that nearly 14 million U.S. women binge drink about three times a month, and consume an average of six drinks per binge. Binge drinking is defined as consuming four or more drinks on an occasion for women and girls.
          CDC Telebriefing on Vital Signs Report on Binge Drinking among Women and Girls        
CDC will host a telephone-only media availability to discuss the new Vital Signs report on binge drinking among women and high school girls.
          More women getting Pap tests as recommended - Press Release        
Younger women (30 and younger) are getting screened consistent with newer national recommendations, according to a report released by the Centers for Disease Control and Prevention. In a second study, CDC reported that 60 percent of women continue to get Pap tests even after having a total hysterectomy. The two studies are published in today’s issue of CDC’s Morbidity and Mortality Weekly Report.
          CDC 2012: A Year in Review - Digital Press kit        
CDC is known for outbreak response. We're known for being the first there, the best there, and being able to support our local and global partners in identifying problems and stopping them. We have America's back; we work to protect Americans from threats 24/7 and we work to help people lead longer, healthier, more productive lives by preventing heart attacks, cancer, stroke, diabetes and other leading causes of death. Here’s a highlight of how CDC has been there for America and the world in 2012.
          New CDC Vital Signs: HIV Among Youth - Digital Press Kit        
Young people between the ages of 13 and 24 represent more than a quarter of new HIV infections each year (26 percent) and most of these youth living with HIV (60 percent) are unaware they are infected, according to a Vital Signs report from the Centers for Disease Control and Prevention. The most-affected young people are young gay and bisexual men and African-Americans, the report says.
          CDC Telebriefing on Vital Signs Report: HIV Infection, Testing, and Risk Behaviors among Youths—United States - Media Advisory        
CDC will host a telephone-only media briefing to discuss the new Vital Signs report on the impact of HIV among young people in the U.S. The new report looks at data on new HIV infections, testing, and risk behaviors among young people between the ages of 13 and 24.
          New CDC Vital Signs: Racial Disparities in Breast Cancer Severity - Digital Press Kit        
Black women have higher death rates from breast cancer than any other racial or ethnic group. They are 40 percent more likely to die from breast cancer than white women, according to a Vital Signs report from the Centers for Disease Control and Prevention.
          CDC Telebriefing on Vital Signs Report on Racial Disparities in Breast Cancer - Media Advisory        
CDC will host a telephone-only media availability to discuss the new Vital Signs report on racial disparities in breast cancer severity.
          CDC announces release of important policy statement and national polling results on antibiotic resistance Get Smart About Antibiotics Week is November 12-18, 2012        
Get Smart About Antibiotics Week 2012 will highlight the threat of antibiotic resistance and the importance of appropriate antibiotic use nationally and globally.
          CDC Advisory Committee on Immunization Practices Recommends HibMenCY for Infants at Increased Risk for Meningococcal Disease        
The Advisory Committee for Immunization Practices voted today 13 to 1, with 1 abstention, to recommend that infants at increased risk for meningococcal disease should be vaccinated with 4 doses of HibMenCY at 2, 4, 6, and 12 through 15 months. These include infants with recognized persistent complement pathway deficiencies and infants who have anatomic or functional asplenia including sickle cell disease. HibMenCY can be used in infants ages 2 through 18 months who are in communities with serogroup C and Y meningococcal disease outbreaks.
          CDC Advisory Committee for Immunization Practices Recommends Tdap Immunization for Pregnant Women        
The Advisory Committee for Immunization Practices voted today 14 to 0, with one abstention, to recommend that providers of prenatal care implement a Tdap immunization program for all pregnant women. Health-care personnel should administer a dose of Tdap during each pregnancy irrespective of the patient's prior history of receiving Tdap. If not administered during pregnancy, Tdap should be administered immediately postpartum.
          CDC Hosts First Twitter Live Chat on Intimate Partner Violence        
CDC's VetoViolence – in partnership with the Administration of Children and Families (ACF) via the National Resource Center on Domestic Violence and VAWnet, Prevent Connect, and the Office of Violence Against Women (OVW) – is hosting a Twitter Live Chat about this important issue.
          CDC Responds to Multistate Meningitis Outbreak        
The Centers for Disease Control and Prevention (CDC), in collaboration with state and local health departments and the Food and Drug Administration (FDA) , is investigating a multistate outbreak of fungal meningitis and other infections among patients who received contaminated preservative-free MPA steroid injections from New England Compounding Center (NECC).
          CDC Releases First FluView Report for 2012-2013 Influenza Season        
The Centers for Disease Control and Prevention today issued the first "FluView" influenza activity report for the U.S. 2012-2013 flu season. The 2012-2013 reporting season began on September 30. The first FluView report shows that influenza activity is low nationwide. This season, FluView has new interactive visualization tools.
          National Latino AIDS Awareness Day        
While HIV poses a serious health threat to all Latinos, different Latino communities are impacted in different ways. In conjunction with National Latino AIDS Awareness Day (October 15), CDC releases new data reinforcing that the epidemic among Latinos is as diverse as the community itself here in the United States.
          Update on Nationwide Meningitis Outbreak        
In response to a nationwide outbreak of meningitis and stroke associated with a widely distributed medication, CDC is providing updated guidance to clinicians and patients about contaminated medication products received from the New England Compounding Center located in Framingham, Mass.
          CDC and FDA Joint Telebriefing on Investigation of Meningitis Outbreak (Transcript)        
CDC and FDA hosted a telephone-only media availability to discuss information about the multi-state investigation of meningitis among patients who have received epidural steroid injections.
          CDC and FDA Joint Telebriefing on Investigation of Meningitis Outbreak        
CDC and FDA will host a telephone-only media availability to discuss information about the multi-state investigation of meningitis among patients who have received epidural steroid injections.
          Vital Signs: Drinking and Driving Among High School Students Aged > 16 Years — United States, 1991–2011        
CDC hosted a telephone-only media availability to discuss the new Vital Signs report on drinking and driving among high school students.
          Digital Press Kit: CDC study shows 54 percent decrease in teen drinking and driving since 1991        
The percentage of teens in high school (aged 16 and older) who drove when they had been drinking alcohol decreased by 54 percent between 1991 and 2011, according to a Vital Signs study released today by the Centers for Disease Control and Prevention. Nine out of 10 high school teens (aged 16 and older) did not drink and drive during 2011.
          Press Release: CDC study shows 54 percent decrease in teen drinking and driving since 1991        
The percentage of teens in high school (aged 16 and older) who drove when they had been drinking alcohol decreased by 54 percent between 1991 and 2011, according to a Vital Signs study released today by the Centers for Disease Control and Prevention. Nine out of 10 high school teens (aged 16 and older) did not drink and drive during 2011.
          CDC Telebriefing on Vital Signs Report on Drinking and Driving Among High School Students        
CDC will host a telephone-only media availability to discuss the new Vital Signs report on drinking and driving among high school students.
          CDC Telebriefing on West Nile Virus Update        
CDC and the Texas Department of State Health Services will host a telephone-only media briefing to discuss updated West Nile Virus numbers and provide an update on the situation in Texas.
          CDC Telebriefing on West Nile Virus Update        
CDC and the Texas Department of State Health Services will host a telephone-only media briefing to discuss updated West Nile Virus numbers and provide an update on the situation in Texas.
          CDC Telebriefing on West Nile Virus Update        
CDC and the Texas Department of State Health Services will host a telephone-only media briefing to discuss updated West Nile Virus numbers and provide an update on the situation in Texas.
          Expanded Hepatitis C Testing Recommendations        
Expanded Hepatitis C Testing Recommendations To identify more hidden infections, provide prompt and appropriate care and treatment, and avoid tens of thousands of hepatitis C-related illnesses and deaths, CDC now recommends that all U.S. baby boomers get a one-time test for the hepatitis C virus.
          CDC Now Recommends All Baby Boomers Receive One-Time Hepatitis C Test        
All U.S. baby boomers should get a one-time test for the hepatitis C virus, according to final recommendations published today by the Centers for Disease Control and Prevention.
          2011 State Obesity Map Now Available        
CDC hosted a telephone-only media availability to give an update on influenza a H3N2 variant virus.
          CDC Update on H3N2v Cases Telebriefing        
2011 CDC map detailing adult obesity prevalence for all U.S. states based on Behavioral Risk Factor Surveillance System (BRFSS) data
          CDC Update: Influenza A (H3N2) Variant Virus         
CDC will host a telephone-only media availability to provide an update on the domestic influenza A (H3N2) variant ("H3N2v") virus situation. A number of additional cases of human infection with H3N2v virus have been confirmed in the United States and are being reported on Friday.
          CDC Vital Signs: Walking Among Adults — United States, 2005 and 2010 Telebriefing        
CDC hosted a telephone-only media availability to discuss the new Vital Signs report on walking among adults.
          CDC Telebriefing on Vital Signs Report: Walking Among Adults — United States, 2005 and 2010        
CDC will host a telephone-only media availability to discuss the new Vital Signs report on walking among adults.
          CDC Sponsors Conference on Health in the Arctic         
CDC co-hosts 15th International Congress on Circumpolar Health, the largest international health meeting for Arctic health issues.
          CDC Update: Influenza A (H3N2) Variant Virus         
CDC will host a telephone-only media availability to provide an update on the domestic influenza A (H3N2) variant ("H3N2v") virus situation.
          Digital Press Kit: Study Detects Rabies Immune Response in Amazon Populations        
Digital press kit for the CDC sponsored study of rabies exposures in the Amazon
          CDC reports progress, innovations and challenges in scaling-up Prevention of Mother-to-Child-Transmission (PMTCT) efforts in Africa        
Research and analysis from the Centers for Disease Control and Prevention (CDC) on Preventing Mother-to-Child Transmission (PMTCT) presented at the XIX International AIDS Conference reveal mother-to-child transmission has decreased in South Africa, provides insights into new clinical and laboratory data in resource-limited settings, and highlights the application of best practices in Mozambique.
          New CDC studies point to better practices in timing, testing, and retention of patients in HIV anti-retroviral drug treatment (ART) in Africa        
New collaborative studies being presented by the Centers for Disease Control and Prevention (CDC) at the XIX International AIDS Conference confirm early treatment of HIV patients results in better outcomes, suggest use of viral load testing to detect treatment failure, and highlight factors associated with low rate of ART enrollment.
          CDC helps increase countries' skills in HIV/AIDS prevention and treatment programs through collaborative research, training and mentoring in Africa         
Presentations at the XIX International AIDS Conference demonstrate how collaborative research, training and hands on mentoring from the U.S. Centers for Disease Control and Prevention (CDC) are helping to build capacity to prevent HIV/AIDS and provide live-saving care and treatment to those suffering from this devastating disease.
          CDC Telebriefing: Pertussis Epidemic in Washington State - 2012        
CDC hosted a telebriefing to provide updates on increases of pertussis cases in the United States and the epidemic in Washington State.
          Traveler's Health: 2012 London Olympics        
CDC wants your travel experience to the 2012 Olympic and Paralympics Games in London this summer to be healthy, safe, and memorable.
          Methadone linked to 30 percent of prescription painkiller overdose deaths        
The prescription drug methadone accounted for 2 percent of painkiller prescriptions in the United States in 2009, but was involved in more than 30 percent of prescription painkiller overdose deaths, according to a CDC Vital Signs report released today by the Centers for Disease Control and Prevention.
          CDC Telebriefing on Vital Signs Report: Risk for Overdose from Methadone Used for Pain Relief — United States, 1999–2010         
CDC will host a media telebriefing to discuss the new Vital Signs report on overdose deaths due to the opioid pain reliever methadone.
          Innovative CDC Effort Expands HIV Testing into Pharmacies        
A pilot project to train pharmacists and retail store clinic staff at 24 rural and urban sites to deliver confidential rapid HIV testing was announced today by the Centers for Disease Control and Prevention. The goal of the initiative is to extend HIV testing and counseling into the standard everyday services offered by pharmacies and retail clinics.
          New CDC test for dengue approved        
The Centers for Disease Control and Prevention has developed a new diagnostic test to detect the presence of dengue virus in people with symptoms of dengue fever or dengue hemorrhagic fever. The test, called the CDC DENV-1-4 Real Time RT PCR Assay, has been authorized by the Food and Drug Administration for use in the United States and can be performed using equipment and supplies many public health laboratories already use to diagnose influenza.
          CDC study finds universal motorcycle helmet laws increase helmet use, save money        
Annual cost savings in states with universal motorcycle helmet laws were nearly four times greater (per registered motorcycle) than in states without these comprehensive laws, according to a Morbidity and Mortality Weekly Report study released today by the Centers for Disease Control and Prevention. Universal helmet laws require that motorcycle riders and passengers wear a helmet every time they ride.
          CDC Adds Cell Phone Data to Annual Behavior Survey        
The 2011 Behavioral Risk Factor Surveillance System (BRFSS) reflects an adjustment in the way the Centers for Disease Control and Prevention collects and weighs data for this annual report. This year's report includes surveys collected using cellular telephone numbers in addition to land-line telephone numbers.
          CDC Telebriefing on 2011 Youth Risk Behavior Surveillance Survey        
CDC will host a telephone-only media availability to discuss the new 2011 results from the Youth Risk Behavior Surveillance Survey, a survey of high schools students (grades 9-12) conducted every other year.
          CDC Recognizes Obesity Prevention and Control Initiatives with Pioneering Innovation Awards        
Six organizations and one person are recipients of the Pioneering Innovation Award for their work in advancing policies and environmental strategies to prevent and control obesity.
          Weight of the Nation Telebriefing        
CDC will host a telebriefing to present findings of a study being presented at CDC's Weight of the Nation obesity conference, "Obesity and Severe Obesity Forecasts through 2030."
           CDC to Host Second Weight of the Nation Conference to Address Obesity         
Weight of the Nation Conference The Centers for Disease Control and Prevention will host its second Weight of the Nation conference, designed to provide a forum to highlight progress in the prevention and control of obesity through policy, systems and environmental approaches to help advance healthy eating and active living.
           CDC issues state health care-associated infection report         
A new state-by-state breakdown of health care-associated infections shows reductions in infection rates across the country.
           CDC Telebriefing: Measles — United States, 2011         
CDC will host a telebriefing to provide an update on measles in the United States.
           CDC Media Advisory on Vital Signs Report: Unintentional Injury Deaths Among Persons Aged 0–19 Years — United States, 2000–2009         
CDC will host a telephone-only media briefing to discuss the new Vital Signs report that describes 10-year trends in unintentional injury deaths among persons aged 0–19 years.
          CDC Hosts 61st Annual Epidemic Intelligence Services (EIS) Conference         
The Centers for Disease Control and Prevention (CDC) is hosting the 61st Annual Epidemic Intelligence Service (EIS) Conference.
          CDC Telebriefing on the Prevalence of Autism Spectrum Disorders         
CDC will host a telephone-only media briefing to discuss the MMWR surveillance summary on the prevalence of autism spectrum disorders.
          CDC estimates 1 in 88 children in United States has been identified as having an autism spectrum disorder         
The Centers for Disease Control and Prevention estimates that 1 in 88 children in the United States has been identified as having an autism spectrum disorder (ASD), according to a new study released today that looked at data from 14 communities.
          CDC research shows outbreaks linked to imported foods increasing        
Foodborne disease outbreaks caused by imported food appeared to rise in 2009 and 2010, and nearly half of the outbreaks implicated foods imported from areas which previously had not been associated with outbreaks, according to research from the Centers for Disease Control and Prevention, presented today at the International Conference on Emerging Infectious Diseases in Atlanta.
          Life-threatening germ poses threat across medical facilities         
CDC highlights steps to prevent spread of deadly C. difficile bacteria, which impacts patients in nursing homes and outpatient care, not just hospitals.
          CDC Media Advisory on Vital Signs Report: Preventing Clostridium difficile Infections        
CDC will host a telephone-only media briefing to discuss the new Vital Signs reports on Clostridium difficile infections (CDI), including nonhospital health-care exposures to the overall burden of CDI, and the ability of programs to prevent CDIs by implementing CDC recommendations across a range of hospitals.
          CDC Telebriefing: Influenza Update        
CDC will host a telebriefing to provide an influenza update, including providing recent information on influenza activity this season.
          CDC study finds levels of trans-fatty acids in blood of U.S. white adults has decreased        
Blood levels of trans-fatty acids (TFAs) in white adults in the U.S. population decreased by 58 percent from 2000 to 2009 according to a Centers for Disease Control and Prevention study published in the Feb. 8 edition of the Journal of the American Medical Association.
          CDC Telebriefing on Vital Signs Report: Food Categories Contributing the Most to Sodium Consumption – United States, 2007-2008        
CDC will host a telephone-only media availability to discuss the new Vital Signs report on food categories contributing the most sodium to the U.S. populations' diet.
          CDC and Partners Host International Conference on Emerging Infectious Diseases        
Journalists are invited to attend and cover the 2012 International Conference on Emerging Infectious Diseases (ICEID) in Atlanta. One of the world's premier infectious disease conferences, ICEID brings together thousands of public health professionals to explore issues in surveillance, research, epidemiology and prevention and control of emerging infectious diseases, both in the United States and abroad.
          CDC report finds large decline in lower-limb amputations among U.S. adults with diagnosed diabetes        
The rate of leg and foot amputations among U.S. adults aged 40 and older with diagnosed diabetes declined by 65 percent between 1996 and 2008, according to a study by the Centers for Disease Control and Prevention and published today in the journal, Diabetes Care.
          CDC Telebriefing on Vital Signs Report: Binge Drinking        
CDC will host a telephone-only media availability to discuss the new Vital Signs report on binge drinking in adults.
          CDC Issues Recommendations on Use of New Treatment Option for Latent TB Infection        
Health care providers in the United States have a new way to treat latent tuberculosis infection, according to recommendations released today by the Centers for Disease Control and Prevention.
          CDC now tracking antibiotic use in hospitals        
The Centers for Disease Control and Prevention is launching a new antibiotic tracking system allowing hospitals to monitor antibiotic use electronically, make better decisions about how to improve use, and compare themselves to other hospitals.
          CDC Telebriefing: Quitting Smoking Among Adults - United States, 2001-2010        
CDC will host a media telebreifing to discuss the new MMWR report on adult smoking cessation.
          Prescription painkiller overdoses at epidemic levels        
The death toll from overdoses of prescription painkillers has more than tripled in the past decade, according to an analysis in the CDC Vital Signs report released today from the Centers for Disease Control and Prevention.
          CDC Telebriefing on Vital Signs Report: Overdoses of Prescription Opioid Pain Relievers - United States, 1999-2008        
DC will host a media telebreifing to discuss the new Vital Signs report on prescription opioid pain reliever overdoses.
          CDC study shows suicidal thoughts and behavior vary among U.S. adults         
Every 15 minutes, someone in the United States dies by suicide. And for every person who dies, there are many more who think about, plan or attempt suicide, according to a report released today by the Centers for Disease Control and Prevention.
          FDA-CDC Telebriefing on Root Cause of Multi-state Listeria Outbreak        
A media briefing to discuss the results of the FDA-led root cause investigation of the multi-state listeria outbreak related to Jensen Farms cantaloupe.
          CDC's Advisory Committee on Immunization Practices Meeting         
CDC will host a telephone-only media briefing on a new study looking at the economic costs of excessive alcohol consumption.
          CDC Telebriefing on Economic Costs of Excessive Alcohol Consumption in the U.S., 2006         
CDC will host a telephone-only media briefing on a new study looking at the economic costs of excessive alcohol consumption.
          CDC reports excessive alcohol consumption cost the U.S. $224 billion in 2006         
The cost of excessive alcohol consumption in the United States in 2006 reached $223.5 billion or about $1.90 per drink, according to a new study by the Centers for Disease Control and Prevention.
          CDC issues initial 2011-2012 seasonal "FluView" report         
The Centers for Disease Control and Prevention released the initial "FluView" report for the U.S. 2011-2012 flu season with the message that flu activity is currently low, making this the perfect time to get vaccinated. There should be lots of vaccine available, because the supply is projected to set a U.S. record.
          CDC reports uneven declines in coronary heart disease by state and race/ethnicity        
The number of Americans who report they have coronary heart disease - which includes heart attack and angina (chest pain) - continues to decline but rates vary widely from state to state and by race and ethnicity, according to a new report published today in the Morbidity and Mortality Weekly Report of the Centers for Disease Control and Prevention.
          CDC announces new effort to boost number of Baby-Friendly hospitals        
The Centers for Disease Control and Prevention has awarded nearly $6 million over three years to the National Initiative for Children's Healthcare Quality to help hospitals nationwide make quality improvements to maternity care to better support mothers and babies to be able to breastfeed.
          CDC finds 60 percent increase in youth athletes treated for TBIs        
Emergency department visits for sports- and recreation-related traumatic brain injuries, including concussions, among children and adolescents increased by 60 percent during the last decade, according to a report by the Centers for Disease Control and Prevention.
          CDC Telebriefing on Vital Signs Report: Vital Signs: Alcohol-Impaired Driving Among Adults - United States, 2010         
CDC will host a telephone-only media availability to discuss the new Vital Signs report on alcohol-impaired driving among adults.
          CDC report shows about 112 million annual incidents of people drinking and driving        
Adults drank too much and got behind the wheel about 112 million times in 2010-that is almost 300,000 incidents of drinking and driving each day-according to a CDC Vital Signs study released today by the Centers for Disease Control and Prevention.
          CDC takes new steps to combat childhood obesity        
The Centers for Disease Control and Prevention (CDC) today launched a new effort to address childhood obesity.
          CDC and FDA media availability on multistate outbreak on Listeriosis        
CDC and FDA will hold a media availability on the ongoing multistate outbreak of Listeriosis linked to whole cantaloupes from Jensen Farms, Colorado.
          CDC releases surveillance data on waterborne disease outbreaks        
Surveillance for Waterborne Disease Outbreaks and Other Health Events
          CDC report highlights progress in nation's public health preparedness         
Public Health Preparedness: 2011 State-by-State Update on Laboratory Capabilities and Response Readiness Planning
          CDC report details influenza prevention and treatment for children and teens        
Although children and teenagers rarely die from flu-related causes, many of the deaths could have been prevented if the children had been vaccinated against the flu, according to a report by the Centers for Disease Control and Prevention.
          Current Cigarette Smoking Among Adults Aged 18 Years United States, 2005 through 2010        
CDC will host a telephone-only media availability to discuss the new Vital Signs report on cigarette smoking among adults.
          CDC Lancet article discusses public health preparedness progress and challenges        
The 10th anniversary of the 9/11 terrorist attacks is the focus of a special issue of the British medical journal Lancet. The issue features an article by Ali S. Khan, MD, director of the Centers for Disease Control and Prevention's Office of Public Health Preparedness and Response.
          New CDC Developed Diagnostic Lab Test for Flu Approved        
A laboratory diagnostic kit to diagnose human infections with seasonal influenza viruses and novel influenza A viruses with pandemic potential has been authorized for use by Food and Drug Administration.
          CDC national survey finds early childhood immunization rates increasing        
Immunization rates for children 19-35 months of age for most vaccine-preventable diseases are increasing or being sustained at high levels, according to a report from the Centers for Disease Control and Prevention.
          Report identifies need for increased monitoring of adult mental illness        
The report, Mental Illness Surveillance Among Adults in the United States, appears as a supplement in today's issue of the CDC Morbidity and Mortality Weekly Report.
          CDC report finds people live longer if they practice one or more healthy lifestyle behaviors        
CDC report finds people live longer if they practice one or more healthy lifestyle behaviors
          CDC Telebriefing on Influenza Vaccination        
CDC will host a telebriefing regarding this season's influenza vaccination recommendations and influenza vaccination coverage among health-care personnel and pregnant women.
          CDC Statement on World Hepatitis Day 2011        
On this first World Health Organization (WHO)-sponsored World Hepatitis Day, July 28, 2011, the Centers for Disease Control and Prevention (CDC) joins the world in reflecting on the remarkable successes and enormous challenges in the global effort to prevent and control viral hepatitis.
          CDC Urges: Stay Cool to Stay Healthy As Temperatures Soar        
Centers for Disease Control and Prevention officials are warning people to stay cool, hydrated and informed to prevent illnesses and injuries as cities across the Midwest, South and East Coast continue to issue heat warnings and watches. Extreme heat can lead to very high body temperatures, brain and organ damage, and even death.
          Latest State Data Show Rates of Obesity Remain High        
Obesity has become a problem in every state, according to data analyzed by the Centers for Disease Control and Prevention. No state reported that less than 20 percent of adults were obese in 2010, which means that no state met the national Healthy People 2010 goal to lower obesity prevalence to 15 percent within the past decade, CDC researchers say.
          CDC Releases Infection Prevention Guide to Promote Safe Outpatient Care        
Medical care in outpatient settings has surged in recent years, yet in many cases, adherence to standard infection prevention practices in outpatient settings is lacking. To protect patients and help educate clinicians about minimum expectations of safe care, the Centers for Disease Control and Prevention today released a new, concise guide and checklist specifically for health care providers in outpatient care settings such as endoscopy clinics, surgery centers, primary care offices, and pain management clinics.
          CDC Press Briefing on Vital Signs Report: Colorectal Cancer Screening, Incidence, and Mortality United States, 2002 through 2010        
CDC will host a telephone-only media briefing to discuss the new Vital Signs report on colorectal screening, incidence and mortality.
          Three Year CDC Initiative Tests 2.8 Million Americans for HIV        
A three-year, $111 million program to expand access to HIV testing in 25 of the U.S. areas most affected by HIV has provided nearly 2.8 million HIV tests and diagnosed 18,432 individuals who were previously unaware of their HIV infection, the Centers for Disease Control and Prevention announced today.
          CDC Identifies Top Global Public Health Achievements in First Decade of 21st Century        
Global public health advances during the first 10 years of the 21st century resulted in longer lives worldwide, increasing the average life expectancy at birth in low-income countries from 55 to 57 years, and in high-income countries from 78 to 80 years, according to a report from the Centers for Disease Control and Prevention.
          CDC Press Briefing on Vital Signs Report: Incidence and Trends of Infection with Pathogens Transmitted Commonly Through Food - Foodborne Disease Active Surveillance Network, 10 U.S. Sites, 1996-2010        
CDC will host a telephone-only media briefing to discuss the new Vital Signs reports on food safety and the annual FoodNet data.
          CDC Report Finds Gay, Lesbian and Bisexual Students At Greater Risk for Unhealthy, Unsafe Behaviors        
Students who report being gay, lesbian or bisexual and students who report having sexual contact only with persons of the same sex or both sexes are more likely than heterosexual students and students who report having sexual contact only with the opposite sex to engage in unhealthy risk behaviors such as tobacco use, alcohol and other drug use, sexual risk behaviors, suicidal behaviors, and violence, according to a study by the Centers for Disease Control and Prevention.
          CDC Announces Healthy Swimming Video Contest        
To help us educate swimmers, CDC's Healthy Swimming Program is asking the public to make short, creative videos that feature simple steps everyone can take to ensure a healthy and illness-free swimming experience.
          CDC Statement on Outbreak of STEC O104:H4 infections in Germany        
CDC is following a large outbreak of Shiga toxin-producing E. coli O104, or STEC O104, infections currently going on in Germany. As of May 31, 2011, the Robert Koch Institute (RKI), Germany's disease control and prevention agency, has confirmed six deaths and 373 patients with hemolytic uremic syndrome, or (HUS) (kidney failure), a life-threatening complication of E. coli infections.
          CDC Observes Lyme Disease Awareness Month        
In recognition of Lyme Disease Awareness month, the Centers for Disease Control and Prevention reminds Americans to learn about this common tickborne disease and take steps to protect themselves if they live in or visit areas with Lyme disease activity.
          CDC Identifies 10 Public Health Achievements of First Decade of 21st Century        
The major public health achievements of the first 10 years of the 21st century included improvements in vaccine preventable and infectious diseases, reductions in deaths from certain chronic diseases, declines in deaths and injuries from motor vehicle crashes, and more, according to a report from the Centers for Disease Control and Prevention.
          Swimmer's Ear Responsible for Nearly a Half Billion in Health Care Costs        
Swimmer's ear leads to about 2.4 million doctor visits each year and is responsible for nearly $500 million dollars in annual health care costs, according to estimates released by CDC on Thuday. The report, published in CDC's MMWR, is the first national study to estimate healthcare costs associated with this common ailment.
          Statement by CDC Director Thomas R. Frieden, M.D., M.P.H., on Early End of HPTN 052 Study        
CDC welcomes the report today from NIH that early HIV treatment can dramatically reduce the risk that an HIV-positive person will transmit the virus to their heterosexual partner. The study, known as HPTN 052, showed that early initiation of anti-retroviral therapy (ART) for HIV-positive people who were heterosexual led to a dramatic reduction in HIV transmission to the HIV-uninfected partner.
          CDC Finds Annual Estimated Cost of U.S. Crash-Related Deaths is $41 Billion        
Motor vehicle crash-related deaths in the United States resulted in an estimated $41 billion in medical and work loss costs in a year, according to state-based estimates released today by the Centers for Disease Control and Prevention. Half of this cost ($20.4 billion) was in 10 states, the report says.
          CDC Director to Participate in Media Briefing on Road Safety        
Dr. Thomas Frieden will participate in the May 11 launch of the first-ever United Nations-sanctioned Decade of Action for Road Safety (2011-2020). To coincide with the launch, CDC is releasing 50 state-specific fact sheets that detail the costs of motor vehicle crash deaths.
          Updated CDC Travel Health Book Released        
CDC's 2012 edition Yellow Book, the definitive health guide for international travel, will feature new sections on traveling to mass gatherings, preparing for study abroad, military deployments, and six new popular travel itineraries.
          CDC Press Briefing on Vital Signs Report: Asthma Prevalence, Disease Characteristics, and Self-Management Education - United States, 2001-2009        
CDC will host a telephone-only media briefing to discuss the new Vital Signs reports on asthma prevalence.
          Medical Costs for Youth with Diabetes More Than $9,000 a Year        
Young people with diabetes face substantially higher medical costs than children and teens without the disease, according to a CDC study published in the May issue of the journal Diabetes Care. The study found annual medical expenses for youth with diabetes are $9,061, compared to $1,468 for youth without the disease.
          CDC Report Highlights Lack of Healthy Food Environments for Children        
States can do more to improve food access, regulations and policies to promote healthy eating and fight childhood obesity, according to a report from the Centers for Disease Control and Prevention. The 2011 Children's Food Environment State Indicator Report also notes that the communities, child care facilities and schools all have roles to play.
          CDC Supports National Initiative to Improve Patient Safety        
On Tuesday, April 12, Health and Human Services Secretary Kathleen Sebelius announced an initiative, the Partnership for Patients: Better Care, Lower Costs, aimed at protecting patients in America's health care facilities through the prevention of health care-acquired conditions. CDC is one of several federal agencies participating in the initiative.
          CDC Study Finds Suicide Rates Rise and Fall with Economy        
The overall suicide rate rises and falls in connection with the economy, according to a Centers for Disease Control and Prevention study released online today by the American Journal of Public Health.
          U.S. Teen Birth Rate Fell to Record Low in 2009        
Teen birth rates have decreased by 37 percent in the last two decades, though U.S. rates are up to nine times higher than in other developed countries, according to the latest CDC Vital Signs report.
          CDC Press Briefing on Vital Signs Report: Teen Pregnancy - United States, 1991-2009        
CDC will host a telephone-only media briefing to discuss the new Vital Signs reports on teen pregnancy.
          CDC and NIH Update Guidelines to Protect Patients from Bloodstream Infections        
New guidelines outline steps to eliminate catheter-related bloodstream infections (CRBSI), one of the most deadly and costly threats to patient safety. Released by the Centers for Disease Control and Prevention and the Healthcare Infection Control Practices Advisory Committee (HICPAC), the guidelines were developed by a working group led by clinical scientists from the National Institutes of Health Clinical Center Critical Care Medicine Department (CCMD) along with 14 other professional organizations.
          Infections in ICUs Plummeting, Too Many Remain in Hospitals and Dialysis Clinics        
The number of bloodstream infections in intensive care unit patients with central lines decreased by 58 percent in 2009 compared to 2001, according to a new CDC Vital Signs report. During these nine years, the decrease represented up to 27,000 lives saved and $1.8 billion in excess health care costs.
          CDC Press Briefing on Vital Signs Report: Central Line-Associated Blood Stream Infections        
CDC will host a telephone-only media briefing to discuss the new Vital Signs reports on central line-associated blood stream infections in intensive care units, hospitals and dialysis centers.
          CDC Press Briefing on Vital Signs Report: Prevalence, Treatment, and Control of High Blood Pressure and High Cholesterol        
CDC will host a telephone-only media briefing to discuss two new Vital Signs reports on the prevalence of high blood pressure and high cholesterol among U.S. adults.
          CDC Report Documents Important Health Disparities, Need for Better Data        
Americans' differences in income, race/ethnicity, gender and other social attributes make a difference in how likely they are to be healthy, sick, or die prematurely, according to a report by the Centers for Disease Control and Prevention.
          CDC Study Finds Seat Belt Use Up to 85 Percent Nationally        
Almost 6 out of 7 U.S. drivers surveyed report that they always wear a seat belt when driving or riding in a motor vehicle, according to a study released today by the Centers for Disease Control and Prevention.
          CDC Press Briefing on Vital Signs Report: Nonfatal, Motor Vehicle-Occupant Injuries (2009) and Seat Belt Use (2008) Among Adults - United States        
CDC will host a telephone-only media briefing to discuss the new Vital Signs report on nonfatal motor vehicle-occupant injuries and seat belt use among U.S. adults.
          U.S. Teen Birth Rate Hits Record Low in 2009, CDC Report Finds        
The birth rate for U.S. teens aged 15-19 years fell to a record low, according to a report from the Centers for Disease Control and Prevention. The 2009 birth rate of 39.1 births per 1,000 teens is down 6 percent from the 2008 rate of 42.5 births per 1,000. This is the lowest ever recorded in seven decades of tracking teenage childbearing.
          CDC Recommends Precautions during Holiday Travel to Haiti        
If you plan to travel to Haiti or the Dominican Republic for the holidays, the CDC urges you to protect yourself from cholera. Cholera has been spreading in Haiti and, to a limited degree, the Dominican Republic since October and November respectively.
          CDC Reports 1 in 6 Get Sick from Foodborne Illnesses Each Year        
About 48 million people (1 in 6 Americans) get sick, 128,000 are hospitalized, and 3,000 die each year from foodborne diseases, according new estimates from the Centers for Disease Control and Prevention.
          CDC Media Telebriefing on the Burden of Foodborne Disease        
Release of two reports, Foodborne Illness Acquired in the United States-Major Pathogens and Foodborne Illness Acquired in the United States-Unspecified Agents, which are being published in an upcoming edition of CDC's Emerging Infectious Disease Journal.
          CDC Urges Older Adults 65 Years and Older to Get Vaccinated During National Influenza Vaccination Week        
The Centers for Disease Control and Prevention (CDC) has designated Thuday, December 9 of National Influenza Vaccination Week (NIVW) as Older Adults Vaccination Day to urge people 65 years and older to get vaccinated.
          CDC Designates Employee Health Day to Urge American Workforce to Get Flu Vaccine        
The Centers for Disease Control and Prevention (CDC) has designated Wednesday, December 8, of National Influenza Vaccination Week (NIVW) to reinforce to businesses and their employees that flu is a serious disease that can lead to hospitalization and sometimes even death.
          CDC Urges People with Chronic Medical Conditions to Get Flu Vaccine        
The Centers for Disease Control and Prevention (CDC) has designated Tuesday, December 7th, of National Influenza Vaccination Week (NIVW) to spotlight the risks flu poses for individuals with certain chronic medical conditions and encourage flu vaccination.
          CDC Announces National Influenza Vaccination Week - December 5-11        
On Sunday, December 5, the Centers for Disease Control and Prevention (CDC) is launching its fifth annual National Influenza Vaccination Week (NIVW). This week is an opportunity to highlight the importance and safety of flu vaccination, and to encourage individuals and families to get their flu vaccine during and after the holiday season.
          11 Million More Adults Tested for HIV for the First Time in 2006-2009        
The number of adults tested for HIV reached a record high in 2009, according to an analysis of national survey data released today in a CDC Vital Signs report. Last year 82.9 million adults between 18 and 64 reported having been tested for HIV.
          CDC Press Briefing on Vital Signs Report: HIV Testing and Diagnosis Among Adults - United States, 2001-2009        
CDC will host a telephone-only media briefing to discuss the new Vital Signs report on HIV testing and diagnosis among adults.
          CDC Names Dr. Linda C. Degutis New Injury Center Director        
Centers for Disease Control and Prevention (CDC) Director, Dr. Thomas R. Frieden, is pleased to announce that Dr. Linda C. Degutis, Dr.P.H, M.S.N., is now serving as director of CDC's National Center for Injury Prevention and Control (Injury Center).
          1 in 4 of the Largest U.S. Airports Still Allows Smoking Indoors        
As the nation approaches Thanksgiving, the busiest travel season of the year, a new CDC report shows that 22 percent of U.S. passenger boardings take place at seven of the largest airports that still allow smoking indoors, putting air travelers and workers at risk of being exposed to secondhand smoke.
          CDC Spotlights Global Efforts to Address Antibiotic Resistance        
Antibiotic resistance is one of the world's most pressing public health threats. To bring attention to this increasing problem, the Centers for Disease Control and Prevention and other government partners will observe its third annual Get Smart About Antibiotics Week on November 15-21, 2010.
          Statement by Tim McAfee, M.D., M.P.H., Director, Office on Smoking and Health, CDC - Half of States are Protected from Secondhand Smoke: South Dakota Goes Smoke-Free in all Workplaces, Restaurants, and Bars        
Today marks the half-way point in a remarkable journey for smoke-free air. At the start of the decade, there were no states in the U.S. with comprehensive smoke-free laws in workplaces, restaurants, and bars, and less than one percent of Americans were protected under such laws. Today, as South Dakota's smoke-free law goes into effect, 25 states and the District of Columbia-covering nearly 50 percent of Americans-prohibit smoking in workplaces, restaurants and bars.
          CDC Releases Two Reports on Excessive Alcohol Use and Related Harms        
CDC's Guide to Community Preventive Services has released two reports on "Maintaining Limits on Days and Hours of Sale of Alcoholic Beverages to Prevent Excessive Alcohol Consumption and Related Harms".
          Media Advisory - CDC Press Briefing on Vital Signs Report: Access to Health Care        
CDC will host a telephone-only media briefing to discuss the new Vital Signs report on access to health care.
          CDC Releases Data on Smokeless Tobacco Use Among Smokers        
Many smokers also use smokeless tobacco, according to new data compiled by the Centers for Disease Control and Prevention that covers use of smokeless tobacco in all 50 states, the District of Columbia, the U.S. Virgin Islands, Puerto Rico, and Guam.
          Number of Teen Drivers Involved in Fatal Crashes Drops, CDC Study Finds        
The number of fatal crashes involving 16- and 17-year old drivers dropped by more than a third between 2004 and 2008, but this doesn't mean that parents and teens should be satisfied with the progress, according to a report by the Centers for Disease Control and Prevention.
          CDC Announces Advisory Committee on Breast Cancer in Young Women        
The Centers for Disease Control and Prevention announced today it had invited 15 individuals to serve on the Advisory Committee on Breast Cancer in Young Women, a federal advisory committee established by the Affordable Care Act, subject to prescribed appointment procedures.
          CDC Awards $5.25 Million for State and Local Climate Change Programs        
Eight states and two cities will receive a total of $5.25 million for climate change prevention initiatives, the Centers for Disease Control and Prevention announced today.
          CDC Press Conference on Vital Signs Report: Binge Drinking Among High School Students and Adults        
CDC will host a telephone-only media briefing to discuss the new Vital Signs report on binge drinking among high school students and adults.
          CDC Awards $1.9 Million for State and Local Sodium Reduction Initiatives        
Five states and communities across the country will receive a total of $1.9 million for sodium (salt) reduction efforts, the Centers for Disease Control and Prevention announced today. The awards will support p