Growing drug resistance
According to the report, approximately 20% of TB cases globally are estimated to be resistant to at least one of the first- or second-line anti-TB drugs, and 5% are resistant to both isoniazid and rifampicin, the most powerful and commonly used antibiotics in first-line treatment. Of the estimated 480,000 cases of multidrug-resistant (MDR) TB, approximately 10% are either extensively drug-resistant (XDR)—with additional resistance to second-line drugs—or totally drug resistant.While TB is curable when patients adhere to the treatment regimen, MDR- and XDR-TB are more problematic. Treatment options are limited, expensive, and often toxic, and drug therapy can last up to 2 years. The report estimates mortality rates of around 40% for MDR-TB and 60% for XDR-TB. And while China, India, Russia, and South Africa have the highest burden of MDR- and XDR-TB, widespread international travel and migration means drug-resistant TB has no borders.Although shorter treatment regimens and new drugs are providing hope for some MDR- and XDR-TB patients, the authors of the report say the fight against drug-resistant TB has to be fought on several fronts. “Addressing drug-resistant tuberculosis requires an urgent and concerted effort to manage the disease and prevent onward transmission with sustained research to develop and assess new tools,” the authors write.
Source: Report warns of rise in drug-resistant tuberculosis | CIDRAP
The controversial Canyon Mine, located just six miles from Grand Canyon’s South Rim, is filling with surplus water after a wet winter. In an effort to dispose of the water from the bottom of the mine shaft, mine owner Energy Fuels Resources (USA) Inc. is trucking the contaminated water to the White Mesa Mill uranium processing facility near Blanding, Utah and spraying it, into the air and on the adjacent Kaibab National Forest, in an attempt to evaporate it. The Plan of Operations requires that all excess water be retained in holding ponds and be treated on-site.Simultaneously, Energy Fuels has allowed state environmental permits intended to help protect groundwater to expire.Communities on the Navajo Nation along the haul route from Canyon Mine to the White Mesa Mill were not formally notified of hazardous materials being transported. The route traverses 300 miles, with approximately 180 miles going through Navajo Nation and the Ute Mountain Ute community south of the Mill. The Navajo Nation has a law that restricts transport of radioactive materials, including uranium ore, “over, under or across Navajo Indian Country”; however, Navajo does not have jurisdiction over the state roads of the haul route. Trucks are marked “non-potable water” and at least one truck observed had a placard misidentifying the contents as petroleum products.Indigenous peoples are not just concerned about the transport, but also Red Butte, a designated Traditional Cultural Property and sacred site, near the mine, as well as risks to precious water resources, possibility of accidents, lack of emergency response, and impacts to human health, plants, and wildlife.“As Navajo Nation, we have dealt with uranium since the cold war and still dealing with mines left behind by irresponsible people….the last thing we need is for another mine transferring it though our communities….No Haul!” said Milton Tso, Cameron Chapter President.The U.S. Forest Service did not require Energy Fuels to update its 1986 Plan of Operations to reflect any new information or technology when it began drilling after nearly 30 years on “standby,” where the mine sat and was nonoperational. Now, before the mine has even removed any uranium ore, they seem to be out of compliance with their Plan.
Source: Uranium Mine Near Grand Canyon Filling with Contaminated Water – Intercontinental Cry
More than 95,000 people, around 10% of Kern’s population, will lose health cover after funding for Medicaid – the public health system extended by Obama – is cut, according to a study by the University of California, which says that more than 16,000 people will lose subsidies toward their private health insurance. Under Obamacare, the number of people without medical cover fell in the county from 18.2% to 7.9%. The study also estimates that withdrawing the funding will mean the loss of 5,000 jobs in the county.
Source: Obamacare: How Americans who voted for Trump now fear for their health insurance | In English | EL PAÍS
Two people have died following an outbreak of listeria linked to a popular artisanal raw milk cheese made in upstate New York, the authorities said this week.The deaths occurred in Vermont and Connecticut, local officials said. Four other people in New York and Florida reported feeling sick after eating Ouleout, the artisanal cheese, which is produced by Vulto Creamery in Walton, N.Y.Illnesses started on dates between Sept. 1 of last year to Jan. 22, the Food and Drug Administration said. All six people were hospitalized and two people died.Ouleout has been celebrated across the United States as much for its unusual back story as for its flavor: It was created by Jos Vulto, a Dutch artist linked to the Museum of Modern Art, who started making cheese in his apartment and aging it under a sidewalk in Brooklyn.Continue reading the main storyVulto Creamery, which produces Ouleout, said it was recalling the product, and, as a precautionary measure, three other soft wash-rind raw milk cheeses: Miranda, Heinennellie, and Willowemoc. “We are very busy working on this recall with FDA and our customers,” the creamery said in an email without offering details on the cause of the outbreak.
CDC adds 4 nations to Zika travel guidanceThe CDC announcement adds Angola, Guinea-Bissau, Maldives, and Solomon Island to a long list of countries on its travel advisory. For all four, public health officials are reporting that mosquitoes infected with Zika virus are spreading the disease to people.The CDC’s Angola and Maldives advisories includes maps showing parts of the country that are above 6,500 feet elevation, thought to be a lower risk, because mosquitos that spread Zika don’t usually live at higher elevations.
Source: CDC expands Zika travel advisory as WHO updates risk levels | CIDRAP
Let us be clear.1. 20 million people will lose healthcare2. The bad old days will be back3. You will be bankrupt once again from one illness4. The working poor, who got access to healthcare because of Medicaid Expansion – THEY ARE SCREWED5. Grandma and Grandpa in the nursing home paid by Medicaid-you better have a place in your house when they’re kicked out of the nursing home6. Preventive care measures – those wellness measures that have been so popular – GONE7. The subsidies which help the working class/middle class get Obamacare – GONE8. This WILL make Medicare insolvent, which folds into the plan to turn Medicare into a voucher system9. THIS IS A HUGE TAX CUT-$600 BILLION- FOR THE WEALTHY. THEY ARE TAKING AWAY FUNDS FROM THE POOR AND GIVING THEM TO THE WEALTHY.10. GOP health bill includes tax break for insurance execs making $500,000+11. Health insurance isn’t the end goal of #TrumpCare. Tax cuts for the rich is.And, for those of you who are smug, because you don’t think that Trumpcare will affect your Employer Given Healthcare?
Source: Here’s the Outline of the Garbage Known As Trumpcare…. | 3CHICSPOLITICO
Six people have been sickened—two fatally—in a four-state listeriosis outbreak that began last September and has been traced to soft raw milk cheese made by Vulto Creamery of Walton, N.Y., which has issued a recall, federal officials said today.The outbreak strain of Listeria monocytogenes is known to cause serious, life-threatening disease.Deaths in Connecticut, VermontListeria specimens were taken from two of the patients in September, one in October, and the other three in January, the Centers for Disease Control and Prevention (CDC) said in its first statement on the outbreak today.Half of the patients are from New York, while Connecticut, Florida, and Vermont have each reported one case. All case-patients required hospitalization. The patients in Connecticut and Vermont died.
Source: Six ill, 2 dead in Listeria outbreak tied to Vulto soft cheese | CIDRAP
On Sudden Infant Death Syndrome (SIDS) and vaccine use…sleeping environment is the main risk, vaccines show no increased riskThat quote comes from a new review of the current understanding of the risk factors for SIDS. SIDS is the leading cause of death in infants aged 1 month to 1 year in the United States.While we don’t know everything about SIDS yet, this review tells us that we do know some major risk factors for infants include:prone and side sleepingsoft beddingbed sharinginappropriate sleep surfaces (including sofas)exposure to tobacco smokeprematurityProtective factors include breastfeeding, pacifier use, room sharing, and immunizations. In other words, vaccinating your child is not a cause of SIDS. Facts matter because life matters.
Source: VDU’s blog: On Sudden Infant Death Syndrome (SIDS) and vaccine use…sleeping environment is the main risk, vaccines show no increased risk
In the latest H7N9 avian influenza developments, analysis of virus samples from China and Taiwan hint at mutations including resistance to the antiviral class of drugs known as neuraminidase inhibitors, and the World Health Organization (WHO) said today that the burgeoning number of cases this season now account for a third of all cases reported since the outbreak began in 2013.
Source: H7N9 analyses hint at genetic mutations, drug resistance | CIDRAP