Fair Use Notice

FAIR USE NOTICE


OCCUPY WELLNESS

This site may contain copyrighted material the use of which has not always been specifically authorized by the copyright owner. We are making such material available in an effort to advance understanding of environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. we believe this constitutes a ‘fair use’ of any such copyrighted material as provided for in section 107 of the US Copyright Law.

In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: http://www.law.cornell.edu/uscode/17/107.shtml

If you wish to use copyrighted material from this site for purposes of your own that go beyond ‘fair use’, you must obtain permission from the copyright owner.

FAIR USE NOTICE FAIR USE NOTICE: This page may contain copyrighted material the use of which has not been specifically authorized by the copyright owner. This website distributes this material without profit to those who have expressed a prior interest in receiving the included information for scientific, research and educational purposes. We believe this constitutes a fair use of any such copyrighted material as provided for in 17 U.S.C § 107.

Read more at: http://www.etupdates.com/fair-use-notice/#.UpzWQRL3l5M | ET. Updates
FAIR USE NOTICE FAIR USE NOTICE: This page may contain copyrighted material the use of which has not been specifically authorized by the copyright owner. This website distributes this material without profit to those who have expressed a prior interest in receiving the included information for scientific, research and educational purposes. We believe this constitutes a fair use of any such copyrighted material as provided for in 17 U.S.C § 107.

Read more at: http://www.etupdates.com/fair-use-notice/#.UpzWQRL3l5M | ET. Updates

All Blogs licensed under Creative Commons Attribution 3.0

Friday, July 6, 2012

Heart disease and stroke deaths drop significantly for people with diabetes



CDC 24/7: Saving Lives. Protecting People. Saving Money Through Prevention.

Press Release

For Immediate Release: May 22, 2012
Contact :Division of News & Electronic Media, Office of Communication
(404) 639-3286

Heart disease and stroke deaths drop significantly for people with diabetes

Healthier lifestyles, better disease management are helping people live longer
Death rates for people with diabetes dropped substantially from 1997 to 2006, especially deaths related to heart disease and stroke, according to researchers at the Centers for Disease Control and Prevention and the National Institutes of Health.

Deaths from all causes declined by 23 percent, and deaths related to heart disease and stroke dropped by 40 percent, according to the study published today in the journal Diabetes Care (http://care.diabetesjournals.org/content/35/6/1252.fullExternal Web Site Icon).  Scientists evaluated 1997-2004 National Health Interview Survey data from nearly 250,000 adults who were linked to the National Death Index. Although adults with diabetes still are more likely to die younger than those who do not have the disease, the gap is narrowing.

Improved medical treatment for cardiovascular disease, better management of diabetes, and some healthy lifestyle changes contributed to the decline. People with diabetes were less likely to smoke and more likely to be physically active than in the past. Better control of high blood pressure and high cholesterol also may have contributed to improved health.  However, obesity levels among people with diabetes continued to increase.

“Taking care of your heart through healthy lifestyle choices is making a difference, but Americans continue to die from a disease that can be prevented,” said Ann Albright, Ph.D., R.D., director of CDC’s Division of Diabetes Translation.  “Although the cardiovascular disease death rate for people with diabetes has dropped, it is still twice as high as for adults without diabetes.”

Previous studies have found that rates of heart disease and stroke are declining for all U.S. adults. Those rates are dropping faster for people with diabetes compared to adults without diabetes.  Recent CDC studies also have found declining rates of kidney failure, amputation of feet and legs, and hospitalization for heart disease and stroke among people with diabetes.

Because people with diabetes are living longer and the rate of new cases being diagnosed is increasing, scientists expect the total number of people with the disease will continue to rise. The number of Americans diagnosed with diabetes has more than tripled since 1980, primarily due to type 2 diabetes, which is closely linked to a rise in obesity, inactivity and older age. CDC estimates that 25.8 million Americans have diabetes, and 7 million of them do not know they have the disease.

CDC and its partners are working on a variety of initiatives to prevent type 2 diabetes and to reduce its complications. CDC leads the National Diabetes Prevention Program, a public-private partnership designed to bring evidence-based programs for preventing type 2 diabetes to communities. The program supports establishing a network of lifestyle-change classes for overweight or obese people at high risk of developing type 2 diabetes.

“Diabetes carries significant personal and financial costs for individuals, their families, and the health care systems that treat them,” said Edward W. Gregg, Ph.D., the study’s lead author and chief of epidemiology and statistics in CDC’s Division of Diabetes Translation. “As the number of people with diabetes increases, it will be more important than ever to manage the disease to reduce complications and premature deaths.”

Controlling levels of blood sugar (glucose), cholesterol and blood pressure helps people with diabetes reduce the chance of developing serious complications, including heart disease, stroke, blindness and kidney disease.

In 2001, the National Diabetes Education Program (NDEP), a joint effort of CDC and NIH with the support of more than 200 partners, developed a campaign to raise awareness of the link between diabetes and heart disease and reinforce the importance of a comprehensive diabetes care plan that focuses on the ABCs of diabetes – A1C (a measure of blood glucose control over a two- to three-month period), Blood pressure and Cholesterol.  For more information, visit www.YourDiabetesInfo.orgExternal Web Site Icon or call toll-free 1-888-693-NDEP (1-888-693-6337).

Last year CDC and the Centers for Medicare & Medicaid Services launched Million Hearts, an initiative to prevent 1 million heart attacks and strokes over the next five years.  The initiative focuses on two main goals: empowering Americans to make healthy choices and improving care for people, focusing on aspirin for people at risk, blood pressure control, cholesterol management and smoking cessation. More than 2 million heart attacks and strokes occur every year, and treatment for these conditions and other vascular diseases account for about 1 of every 6 health care dollars.  Up to 20 percent of deaths from heart attack and 13 percent of deaths from stroke are attributable to diabetes or prediabetes. For more information on Million Hearts, visit http://millionhearts.hhs.govExternal Web Site Icon.

Diabetes was the seventh leading cause of death in 2009 and is the leading cause of new cases of kidney failure, blindness among adults younger than 75, and amputation of feet and legs not related to injury. People with diagnosed diabetes have medical costs that are more than twice as high as for people without the disease. The total costs of diabetes are an estimated $174 billion annually, including $116 billion in direct medical costs.

For information about diabetes visit www.cdc.gov/diabetes or the National Diabetes Education Program at www.yourdiabetesinfo.orgExternal Web Site Icon.
 
CDC works 24/7 saving lives, protecting people from health threats, and saving money through prevention. Whether these threats are global or domestic, chronic or acute, curable or preventable, natural disaster or deliberate attack, CDC is the nation’s health protection agency.

Sleep apnea gets worse in the winter






Sleep apnea gets worse in the winter


Wednesday, July 4, 2012
Related MedlinePlus Pages
By Kerry Grens

NEW YORK (Reuters Health) - The breathing problems caused by sleep apnea appear to worsen during the colder months of the year, according to a new study from Brazil.

People with the common sleep disorder stop breathing multiple times throughout the night, each bout lasting from seconds to minutes.

Jerome Dempsey, who studies breathing problems at the University of Wisconsin and was not involved in the new study, said it makes sense that airway infections and weather would have an effect on sleep apnea.

But the changes in sleep apnea across seasons are small, Dempsey added, and the study does not prove that winter weather in itself makes sleep apnea worse.

According to the National Heart, Lung, and Blood Institute, one in 10 adults over age 65 has sleep apnea.

Seasonal changes in weight and allergies can affect sleep apnea, and the Brazilian researchers, led by Cristiane Maria Cassol at Universidade Federal do Rio Grande do Sul, wanted to see if weather changes might also have any impact on the disorder.

They used data from patients who came in for testing at a sleep clinic on how many times their sleep was disturbed by breaks in breathing. The study included one night of sleep for more than 7,500 patients over a 10-year period.
The researchers then compared the severity of the patients' apnea to the weather conditions at the time, including humidity, temperature and air pollution.

Patients who came in during the colder months had more nighttime breaks in breathing than those who sought treatment during the warmer months. For instance, during the winter, patients stopped breathing an average of 18 times per hour, compared to 15 times an hour during the summer.

Similarly, the sleep clinic was more likely to see the most severe cases - people who stopped breathing more than 30 times an hour - in the colder months.

About 34 percent of patients who came in during cold weather had severe apnea, while 28 percent of patients during warm weather had severe apnea.

The team found that certain weather conditions - high atmospheric pressure and humidity and high levels of the air pollutant carbon monoxide - were tied to worse cases of apnea.

But the study could not determine whether it's the weather that's responsible for the more severe sleep apneas.

The researchers write in their report, published in the journal Chest, that more severe apnea in the winter "can be due to several circumstances, including winter-related upper-airway problems that intensify the severity of (sleep apnea) symptoms."

Another possibility is that wood burning to heat homes during the winter can cause irritation in the airways and aggravate sleep apnea.

"There are so many things that affect sleep apnea, including the decision of when to come visit" a sleep clinic, Dempsey told Reuters Health.

In other words, it might not be the weather, but the time of year that makes it more convenient for patients to take the time to seek treatment.

Dempsey said researchers would have to follow patients for at least a year and observe how their conditions change in order to say whether sleep apnea really does worsen in the winter.

While winter-related conditions such as colds or allergies might intensify sleep apnea, Dempsey said the biggest risk factor is obesity.

SOURCE: http://bit.ly/MqNmmE Chest, online June 14, 2012.

Reuters Health
More Health News on:
Health Statistics
Sleep Apnea
Recent Health News

6 Bogus Economic Arguments Used to Trash Local Food




AlterNet.org



A critique of local food proves that the models used in neoliberal economics do not accurately apply to food and agriculture.

 
Photo Credit: Baloncici/ Shutterstock.com

A physicist, a chemist and an economist are stranded on an island, with nothing to eat. A can of soup washes ashore. The physicist says, “Let's smash the can open with a rock.” The chemist says, “Let's build a fire and heat the can first.” The economist says, “Let's assume that we have a can-opener...”

Economists all know this joke, which “comes from the stereotype that many economic models require unrealistic or absurd assumptions in order to obtain results.” And yet, how many heed its warning?

A new book, The Locavore's Dilemma: In Praise of the 10,000 Mile Diet by Pierre Desroches and Hiroku Shimizu, uses arguments from neoliberal economics to explain why those who advocate eating local food are wrong. Often, their arguments require assumptions as silly as the one in the joke. For example, in making the case that the world moved from a diet of local food to a global food system for a good reason (and therefore we should not return to eating local), they assume that modern locavores will face the same technological limitations as our ancestors, who were also locavores. But aside from the numerous strawman arguments found throughout the book, there are several points where economics are properly applied to food and agriculture and – the authors charge – prove that local food is a bad idea.

But perhaps the opposite is true instead; that the models used in neoliberal economics do not accurately apply here. Here are six economic principles that do not fit when it comes to food and agriculture:

1. Assume the Players are Rational:

In economics, one assumes all of the players are rational. When it comes to food, we are far from it. For example, frozen dinners had been introduced to supermarkets unsuccessfully before the TV dinner came along. The TV dinner succeeded because Americans were excited about TVs. When the Pepsi Challenge showed that Americans prefer the flavor of Pepsi to Coke, Coca-Cola took the bait and introduced New Coke, which tested better than Coke and Pepsi in taste tests. Turned out, consumers don't drink Coke because of the flavor. They drink it because it's “American” and “fun.” Coke learned its lesson, and its slogans have reflected it ever since (“Open happiness”).

2. Standardization of Food:

Much of economic theory rests on the assumption that the goods in question are commodities. Our food is standardized so that it can be treated as a commodity. One Granny Smith apple is the same as any other Granny Smith apple, no matter where it’s from or how it was produced. But many foods are not so interchangeable, and indeed, when they are standardized, they often become standardly bad.

Take the strawberry. There’s nothing like the flavor of a fresh-picked, juicy strawberry. But if you pay $3.99 a pint for strawberries in your supermarket in January, the berries you buy will hardly even give a hint of flavor. They’ll be big and red, but who cares if the berry is perfectly red if it doesn’t deliver on strawberry flavor?

The market can deliver on the idea of year-round strawberries, but it cannot deliver on the delectable flavor one associates with those berries. Truly ripe strawberries are highly perishable, so they can’t be too ripe when picked. And strawberry flavor deteriorates when the berry goes in the fridge, but there’s no way to transport perishable berries across the country without refrigeration. Even in California, where nature provides fresh, local berries for about half the year, the flavor changes throughout the season. Early season berries aren’t very sweet or flavorful, unfortunately. It takes until May or June to get perfect, sweet, juicy strawberries. That goodness is fleeting and ephemeral, and it only comes once a year.

In addition to flavor, foods are not identical in terms of nutrition. It’s likely that supermarket eggs are standardized, all with roughly the same nutrition content. They were all produced in nearly identical conditions from genetically identical birds who were fed exactly the same feed. But when chickens can roam freely, eating grass and bugs in addition to chicken feed, their eggs become more nutritious. It would be extremely difficult to produce eggs this way on a large scale and do so profitably. But it’s easy and fun to do for homeowners with small backyard flocks.

Another factor is genetics. It’s certainly convenient to produce genetically identical food for the market, especially if you find the perfect combination of genetics to give you a high yield and great taste with disease and pest resistance. But what happens when Mother Nature throws a curveball at you and a disease comes along that your crop has no resistance to? You need new genes. Sure, scientists can keep a supply of biodiversity in a seed vault and that might provide the new genes you’re looking for. But for genes that really keep up with the current challenges of nature, you need genetic diversity grown in nature, under conditions that change over time.

When governments signed NAFTA, they assumed that corn is corn is corn, and the U.S. produces corn cheaper than Mexican peasants are able to produce it. But those Mexican peasants are the guardians of the world’s most valuable supply of corn genetics. And in that sense, they can hardly be compared to an Iowa corn farmer who buys seeds each year from DuPont or Monsanto.

3. Creative Destruction:

Economist Joseph Schumpeter spoke of creative destruction, explaining how new inventions will disrupt old, established businesses. When automobiles were introduced, carmakers and their employees succeeded as horse-drawn buggy makers went out of business and their employees lost their jobs. Therefore, under this line of thinking, it makes perfect sense for Florida to grow oranges until the global market some day decides to source oranges from Brazil instead. There's no need for Florida to diversify its crops, not while Florida oranges are in demand. They can worry about switching to a more profitable crop (or perhaps, switch from farming to tourism) when the time comes, just like cassette tape makers in the 1980s did not stop making cassette tapes because some day CDs would become popular and put them out of business.

The devil here is in the details. Desroches and Shimizu specifically say that “profitable monocultures should be pursued as long as they remain viable in a particular location.” So California should provide all of the nation's almonds and strawberries, while the entire midwestern United States is blanketed in corn and soybeans. But it is nearly impossible to grow monocultures year after year in the same field without running into pest and fertility problems.

Right now some experts predict the downfall of the Cavendish banana, the variety of banana sold in U.S. supermarkets, due to a fungal disease. Enormous fields of genetically identical bananas make easy prey for pests and diseases. Accepting large scale monoculture means accepting lots of pesticide use. When one crunches the numbers, the costs might add up because revenues outweigh the extra money spent on pesticides, but the equation leaves out the impact those pesticides have on farmworkers, eaters and the environment.

4. Comparative Advantage:

The idea expressed above goes hand in hand with the principle of comparative advantage. The idea is simple. If Idaho can produce potatoes cheaper than California can, and California can produce strawberries cheaper than Idaho can, then Idaho should grow all of the potatoes and California should grow all of the strawberries, and they should trade. To some extent, this makes sense. No one is suggesting that Mexico attempt to produce its own maple syrup or that Vermont should try to grow its own pineapple. But relying on large-scale monoculture as suggested by the notion that California should supply the nation with strawberries runs into the need for toxic agrochemicals.

Until recently, California was set to approve a potent carcinogen to fumigate strawberry fields. This chemical, methyl iodide, was to replace its predecessor, methyl bromide, which was phased out globally because it harmed the ozone layer. Should Californians be exposed to a carcinogen just so a few strawberry growers can get rich and the rest of the country can eat cheap (but flavorless) strawberries year-round? Or should midwesterners drink tapwater laced with the herbicide atrazine? When confronted with this question, Desroches dismissed the idea that agrochemicals are harmful, pointing to the increasing human lifespan in recent times.

5. Legal System:

In a recent case Nicaraguan farmworkers brought against Dole, the workers sued over health problems caused by a pesticide called Nemagon used on the Dole Plantations. Nemagon has been banned in the U.S. since 1979. Initially, the farmworkers won their case, but it was overturned in an appeal after Dole found 27 secret witnesses who testified that the plaintiffs were fraudulent. After Dole's victory, several of the secret witnesses came forward and recanted their testimony, saying they testified because Dole offered them bribe money -- and then never even paid them the bribe money.

Most recently, Dole settled out of court with the farmworkers. Economists might assume we can create a perfect legal system that passes laws protecting workers' rights and enforces them as much as they assume they have can-openers -- but it doesn't make either one true.

In our global food system, human rights abuses abound. Most are invisible to us when we shop at the grocery store. A recent WTO ruling challenged even the basic principle that we should be allowed to know what country our beef comes from. Pesticide standards only require that residue on food in our stores is limited, but nobody checks to find out what farmworkers were exposed to. Did the company that grew your food drive an indigenous community of their ancestral land with bulldozers, or did they irrigate their crops so heavily that an entire river the community relied on now runs dry? Did somebody’s property value plummet after a factory farm moved in next door, forcing them to smell manure night and day while simultaneously killing their chances to sell their home and move? These are not made-up scenarios -- all of them have happened. But in the grocery store, you don't know.

6. GDP Meets Human Health:

From the perspective of maximizing GDP, our current food system cannot be beat. We have found ways to make people eat more than ever (and more processed foods than ever), and then they spend more money on diet books, weight loss programs, gyms, and health care for diet-related illnesses. This boosts the GDP much more than if people just ate the right amounts of a diverse mix of whole foods and then skipped the weight loss programs and the diabetes meds. But is it what we want?

For an economist, our current food system is highly efficient, producing, distributing, and selling the maximum amount of cheap food. A large amount of food is “value-added” (i.e. highly processed), which means that more companies and employees will earn money from each food. Instead of wheat or even wheat flour, a consumer buys a loaf of bread, giving jobs to the bakery and requiring dough conditioners, preservatives and a plastic bag that would not have been necessary if they just baked a loaf of bread at home.

Unfortunately, economics only quantifies dollars, not human health. According to those looking for GDP growth, it’s better if you buy a bottle of Heinz ketchup than if you grow tomatoes from seed in your garden, and it’s better if you buy a Snapple made with 10 percent juice than if you eat a piece of fruit. Maybe we would be better off if economists start assuming that we don’t have can-openers, so we have to cook healthy whole foods from scratch.

Jill Richardson is the founder of the blog La Vida Locavore and a member of the Organic Consumers Association policy advisory board. She is the author of Recipe for America: Why Our Food System Is Broken and What We Can Do to Fix It..

Thursday, July 5, 2012

Why genetically engineered food is dangerous: New report by genetic engineers







Why genetically engineered food is dangerous: New report by genetic engineers

GMO Myths and Truths Earth Open Source press release 17 June 2012

Aren’t critics of genetically engineered food anti-science? Isn’t the debate over GMOs (genetically modified organisms) a spat between emotional but ignorant activists on one hand and rational GM-supporting scientists on the other?

A new report released today, “GMO Myths and Truths”,[1] challenges these claims. The report presents a large body of peer-reviewed scientific and other authoritative evidence of the hazards to health and the environment posed by genetically engineered crops and organisms (GMOs).

Unusually, the initiative for the report came not from campaigners but from two genetic engineers who believe there are good scientific reasons to be wary of GM foods and crops.

Dr Michael Antoniou
Dr Michael Antoniou
One of the report’s authors, Dr Michael Antoniou of King’s College London School of Medicine in the UK, uses genetic engineering for medical applications but warns against its use in developing crops for human food and animal feed.

Dr Antoniou said: “GM crops are promoted on the basis of ambitious claims – that they are safe to eat, environmentally beneficial, increase yields, reduce reliance on pesticides, and can help solve world hunger.
“I felt what was needed was a collation of the evidence that addresses the technology from a scientific point of view.

“Research studies show that genetically modified crops have harmful effects on laboratory animals in feeding trials and on the environment during cultivation. They have increased the use of pesticides and have failed to increase yields. Our report concludes that there are safer and more effective alternatives to meeting the world’s food needs.”

Dr John Fagan
Dr John Fagan
Another author of the report, Dr John Fagan, is a former genetic engineer who in 1994 returned to the National Institutes of Health $614,000 in grant money due to concerns about the safety and ethics of the technology. He subsequently founded a GMO testing company.

Dr Fagan said: “Crop genetic engineering as practiced today is a crude, imprecise, and outmoded technology. It can create unexpected toxins or allergens in foods and affect their nutritional value. Recent advances point to better ways of using our knowledge of genomics to improve food crops, that do not involve GM.

“Over 75% of all GM crops are engineered to tolerate being sprayed with herbicide. This has led to the spread of herbicide-resistant superweeds and has resulted in massively increased exposure of farmers and communities to these toxic chemicals. Epidemiological studies suggest a link between herbicide use and birth defects and cancer.


Claire Robinson
Claire Robinson
“These findings fundamentally challenge the utility and safety of GM crops, but the biotech industry uses its influence to block research by independent scientists and uses its powerful PR machine to discredit independent scientists whose findings challenge this approach.”

The third author of the report, Claire Robinson, research director of Earth Open Source, said, “The GM industry is trying to change our food supply in far-reaching and potentially dangerous ways. We all need to inform ourselves about what is going on and ensure that we – not biotechnology companies – keep control of our food system and crop seeds.

“We hope our report will contribute to a broader understanding of GM crops and the sustainable alternatives that are already working successfully for farmers and communities.”

Notes

The report, “GMO Myths and Truths, An evidence-based examination of the claims made for the safety and efficacy of genetically modified crops”, by Michael Antoniou, PhD, Claire Robinson, and John Fagan, PhD is published by Earth Open Source (June 2012). The report is 123 pages long and contains over 600 citations, many of them from the peer-reviewed scientific literature and the rest from reports by scientists, physicians, government bodies, industry, and the media. The report is available here: http://earthopensource.org/index.php/reports/58

A shorter summary version will be released in the coming weeks.

Key points from the report

  1. Genetic engineering as used in crop development is not precise or predictable and has not been shown to be safe. The technique can result in the unexpected production of toxins or allergens in food that are unlikely to be spotted in current regulatory checks.
  2. GM crops, including some that are already in our food and animal feed supply, have shown clear signs of toxicity in animal feeding trials – notably disturbances in liver and kidney function and immune responses.
  3. GM proponents have dismissed these statistically significant findings as “not biologically relevant/significant”, based on scientifically indefensible arguments.
  4. Certain EU-commissioned animal feeding trials with GM foods and crops are often claimed by GM proponents to show they are safe. In fact, examination of these studies shows significant differences between the GM-fed and control animals that give cause for concern.
  5. GM foods have not been properly tested in humans, but the few studies that have been carried out in humans give cause for concern.
  6. The US FDA does not require mandatory safety testing of GM crops, and does not even assess the safety of GM crops but only “deregulates” them, based on assurances from biotech companies that they are “substantially equivalent” to their non-GM counterparts. This is like claiming that a cow with BSE is substantially equivalent to a cow that does not have BSE and is thus safe to eat! Claims of substantial equivalence cannot be justified on scientific grounds.
  7. The regulatory regime for GM foods is weakest in the US, where GM foods do not even have to be assessed for safety or labelled in the marketplace, but in most regions of the world regulations are inadequate to protect people’s health from the potential adverse effects of GM foods.
  8. In the EU, where the regulatory system is often claimed to be strict, minimal pre-market testing is required for a GMO and the tests are commissioned by the same companies that stand to profit from the GMO if it is approved – a clear conflict of interest.
  9. No long-term toxicological testing of GMOs on animals or testing on humans is required by any regulatory agency in the world.
  10. Biotech companies have used patent claims and intellectual property protection laws to restrict access of independent researchers to GM crops for research purposes. As a result, limited research has been conducted on GM foods and crops by scientists who are independent of the GM industry. Scientists whose work has raised concerns about the safety of GMOs have been attacked and discredited in orchestrated campaigns by GM crop promoters.
  11. Most GM crops (over 75%) are engineered to tolerate applications of herbicides. Where such GM crops have been adopted, they have led to massive increases in herbicide use.
  12. Roundup, the herbicide that over 50% of all GM crops are engineered to tolerate, is not safe or benign as has been claimed but has been found to cause malformations (birth defects), reproductive problems, DNA damage, and cancer in test animals. Human epidemiological studies have found an association between Roundup exposure and miscarriage, birth defects, neurological development problems, DNA damage, and certain types of cancer.
  13. A public health crisis has erupted in GM soy-producing regions of South America, where people exposed to spraying with Roundup and other agrochemicals sprayed on the crop report escalating rates of birth defects and cancer.
  14. A large number of studies indicate that Roundup is associated with increased crop diseases, especially infection with Fusarium, a fungus that causes wilt disease in soy and can have toxic effects on humans and livestock.
  15. Bt insecticidal GM crops do not sustainably reduce pesticide use but change the way in which pesticides are used: from sprayed on, to built in.
  16. Bt technology is proving unsustainable as pests evolve resistance to the toxin and secondary pest infestations are becoming common.
  17. GM proponents claim that the Bt toxin engineered into GM plants is safe because the natural form of Bt, long used as a spray by conventional and organic farmers, has a history of safe use. But the GM forms of Bt toxins are different from the natural forms and could have different toxic and allergenic effects.
  18. GM Bt toxin is not limited in its toxicity to insect pests. GM Bt crops have been found to have toxic effects on laboratory animals in feeding trials.
  19. GM Bt crops have been found to have toxic effects on non-target organisms in the environment.
  20. Bt toxin is not fully broken down in digestion and has been found circulating in the blood of pregnant women in Canada and in the blood supply to their foetuses.
  21. The no-till method of farming promoted with GM herbicide-tolerant crops, which avoids ploughing and uses herbicides to control weeds, is not more climate-friendly than ploughing. No-till fields do not store more carbon in the soil than ploughed fields when deeper levels of soil are measured.
  22. No-till increases the negative environmental impacts of soy cultivation, because of the herbicides used.
  23. Golden Rice, a beta-carotene-enriched rice, is promoted as a GM crop that could help malnourished people overcome vitamin A deficiency. But Golden Rice has not been tested for toxicological safety, has been plagued by basic development problems, and, after more than 12 years and millions of dollars of research funding, is still not ready for the market. Meanwhile, inexpensive and effective solutions to vitamin A deficiency are available but under-used due to lack of funding.
  24. GM crops are often promoted as a “vital tool in the toolbox” to feed the world’s growing population, but many experts question the contribution they could make, as they do not offer higher yields or cope better with drought than non-GM crops. Most GM crops are engineered to tolerate herbicides or to contain a pesticide – traits that are irrelevant to feeding the hungry.
  25. High adoption of GM crops among farmers is not a sign that the GM crop is superior to non-GM varieties, as once GM companies gain control of the seed market, they withdraw non-GM seed varieties from the market. The notion of “farmer choice” does not apply in this situation.
  26. GM contamination of non-GM and organic crops has resulted in massive financial losses by the food and feed industry, involving product recalls, lawsuits, and lost markets.
  27. When many people read about high-yielding, pest- and disease-resistant, drought-tolerant, and nutritionally improved super-crops, they think of GM. In fact, these are all products of conventional breeding, which continues to outstrip GM in producing such crops. The report contains a long list of these conventional crop breeding successes.
  28. Certain “supercrops” have been claimed to be GM successes when in fact they are products of conventional breeding, in some cases assisted by the non-GM biotechnology of marker assisted selection.
  29. Conventional plant breeding, with the help of non-GM biotechnologies such as marker assisted selection, is a safer and more powerful method than GM to produce new crop varieties required to meet current and future needs of food production, especially in the face of rapid climate change.
  30. Conventionally bred, locally adapted crops, used in combination with agroecological farming practices, offer a proven, sustainable approach to ensuring global food security.

About the authors


Michael Antoniou, PhD is reader in molecular genetics and head, Gene Expression and Therapy Group, King’s College London School of Medicine, London, UK. He has 28 years’ experience in the use of genetic engineering technology investigating gene organisation and control, with over 40 peer reviewed publications of original work, and holds inventor status on a number of gene expression biotechnology patents. Dr Antoniou has a large network of collaborators in industry and academia who are making use of his discoveries in gene control mechanisms for the production of research, diagnostic and therapeutic products and human somatic gene therapies for inherited and acquired genetic disorders.

John Fagan, PhD is a leading authority on sustainability in the food system, biosafety, and GMO testing. He is founder and chief scientific officer of a GMO testing and certification company. He is a director of Earth Open Source. Earlier, he conducted cancer research at the US National Institutes of Health (NIH) and in academia. He holds a PhD in biochemistry and molecular and cell biology from Cornell University.

Dr Fagan became an early voice in the scientific debate on genetic engineering when in 1994 he took an ethical stand challenging the use of germline gene therapy (which has subsequently been banned in most countries) and genetic engineering in agriculture. He underlined his concerns by returning a grant of around $614,000 to the US National Institutes of Health, awarded for cancer research that used genetic engineering as a research tool. He was concerned that knowledge generated in his research could potentially be misused to advance human germline genetic engineering (for example, to create “designer babies”), which he found unacceptable on grounds of both safety and ethics. For similar reasons, around the same time, he withdrew applications for two additional grants totalling $1.25 million from the NIH and the National Institute of Environmental Health Sciences (NIEHS). In 1996 he founded one of the pioneering GMO testing and certification companies after realising that this could be useful to assist industry in providing consumers with the transparency that they desired regarding the presence of GMOs in foods.

Claire Robinson, MPhil is research director at Earth Open Source. She has a background in investigative reporting and the communication of topics relating to public health, science and policy, and the environment. She is an editor at GMWatch (www.gmwatch.org), a public information service on issues relating to genetic modification, and was formerly managing editor at SpinProfiles (now Powerbase).

New Report on the Dangers of Genetically Modified Foods


CommonDreams.org


 
Soy bean field (Image: earthopensource.org)
“Aren’t critics of genetically engineered food anti-science? Isn’t the debate over GMOs (genetically modified organisms) a spat between emotional but ignorant activists on one hand and rational GM-supporting scientists on the other?”
These questions are posed by Earth Open Source, a not-for-profit organization dedicated to assuring the sustainability, security, and safety of the global food system. They answer their own questions in a new study “GMO Myths and Truths.” The myth, they say, is that GM foods have been proven safe. The truth is that there are hidden dangers which corporate-funded research has not yet adequately investigated.

What makes this report unusual is that it was authored not by the usual food activists and environmentalists, but by two well known genetic engineers with help from an investigative reporter. The team conducted an exhaustive survey of hundreds of peer-reviewed scientific studies and concluded not only that GM food crops pose significant, if largely under-evaluated, health risks, but that they have so far failed to deliver on their promise to increase crop yields and lower herbicide and pesticide use.

The authors argue, moreover, that there are already safer environmentally friendly ways to grow more food for the planet’s exploding population. By focusing on the false panacea of genetic modification as a way to feed the world’s hungry, vital research dollars have been siphoned away from more promising lower-tech approaches to increasing the efficiency of the global food system.

The report’s authors include Dr Michael Antoniou of King's College London School of Medicine in the UK, who helped to develop genetic engineering for medical applications, and John Fagan, a biomedical researcher and expert in food system sustainability and GMO testing, who returned $614,000 in grant money to the National Institutes of Health in 1994 because of his concerns about the safety and ethics of genetic modification.

The paper, produced together with Claire Robinson, research director of Earth Open Source, comes out at a critical moment as California voters are considering a referendum which will appear on their ballot in November calling for the labeling of genetically modified foods in the state. Such labeling is already mandatory in Europe, China, India and many other nations.

Seventy percent of the foods that Americans purchase in the supermarket contain ingredients (mostly corn, soy and canola oil) that are genetically modified. The food industry, and often the media, assure us that there is a scientific consensus that GM foods are equivalent nutritionally to foods that have not been modified and not a danger to those who consume them. But it is just not true that all scientists agree. Given the uncertainties in the field and the lack of long-term health studies, some groups like the American Academy of Environmental Medicine and the Union of Concerned Scientists have called for labeling of GM foods.

If Californians agrees, it could have a big impact on the rest of us. Some believe that if the labeling referendum there passes, other states may follow suit. Furthermore, as I reported in the Guardian last month, if food companies are made to label GM foods in California, the nation’s most populous state, they may well do so all over the country, rather than maintain a costly two-tier packaging and distribution system.

The food and biotech industries are expected to fight the labeling initiative with a multi-million dollar statewide PR blitz, like the one which helped to defeat a similar measure in Oregon in 2002. But nearly 90% of Americans-- Republicans and Democrats equally according to a recent survey-- want to see GMOs labeled. This latest report on the dangers of genetically engineered foods will give the referendum’s advocates valuable ammunition in the upcoming California debate.
Here are some of the conclusions of the report:
*Genetically modifying crops, which involves the transfer of genes between biologically unrelated species, is not an extension of traditional plant hybridization, but a radical departure which can produce new toxins or allergens in food that are unlikely to be spotted in current regulatory checks.
*GM foods have not been adequately safety tested. There has been no long term research, and the few short term studies have been inadequate. In many cases proprietary restrictions put in place by biotech companies like Monsanto have prevented independent research by scientists not connected to the corporations which are making claims about their safety.

*Animal studies of the effects of GM foods have disclosed clear signs of toxicity– notably disturbances in liver and kidney function and immune responses.

*Over 75% of genetical modification are to to increase crop tolerance of herbicides. Where these crops are grown there has been a massive increases in herbicide use.

*Over half of GM crops are engineered to withstand application of Monsanto’s best selling Roundup. Contrary to the company’s claims Roundup is not safe at the levels it is being use, but has been found to be associated with miscarriage, birth defects, neurological development problems, DNA damage, and certain types of cancer. A public health crisis has occurred in GM soy-producing regions of South America, where people exposed to spraying with Roundup and other agrochemicals report escalating rates of birth defects and cancer.
*There is insufficient evidence that the BT toxin engineered into the plant structure of corn and cotton (whose seeds are used in food oil production) is safe for human consumption. Bt crops have been found to have toxic effects on laboratory animals in feeding trials. These toxins have also been found circulating in the blood of pregnant women in Canada and in the blood supply to their foetuses.
*GM crops have not been shown to offer higher crop yields, enhanced nutritional value or greater drought tolerance, as they have been hyped to do. The products of conventional breeding continue to outstrip GM in all of these arenas.

*Conventionally bred, locally adapted crops, used in combination with environmentally sustainable farming practices, offer a safer, cheaper and more efficient way to ensure global food security than genetic modification.
“Crop genetic engineering as practiced today is a crude, imprecise, and outmoded technology,” says the report's coauthor John Fagan. “Recent advances point to better ways of using our knowledge of genomics to improve food crops, that do not involve GM."
 
Selling patented genetically modified seeds, and the agro-chemicals designed to be used with them, has earned biotech giants like Monsanto, Dupont, Bayer and Syngenta untold billions of dollars in the past two decades. But what is good for these corporate bottom lines may not be good for human health, or the integrity of the environment.
 
Richard Schiffman
Richard Schiffman is the author of two books and a former journalist whose work has appeared in, amongst other outlets, the New York Times and on a variety of National Public Radio shows including Morning Edition and All Things Considered.

Can Too Much Information Harm Patients? [Excerpt]


Science News




Features | Health

Can Too Much Information Harm Patients? [Excerpt]

In his new book, cardiologist Eric Topol explores the ways in which the digital age is transforming medicine



Editor's Note: The following is an excerpt from The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care (Basic Books, 2012), by Eric Topol, a professor of innovative medicine and the director of the Scripps Translational Science Institute.


Nearly 7 Billion people on the planet

Over 3 million doctors

Tens of thousands of hospitals

6000 prescription medicines, 4000 procedures and operations

Countless supplements, herbs, alternative treatments

Who gets what, when, where, why and how?

When a 58 year old, active, lean, intelligent financier from Florida came to see me for a second opinion, I should not have been surprised. For Valentine's Day the prior year, his wife's present was a computed tomography (CT) scan for his heart. She heard about it on the radio and also saw heart scan billboards on the highway. There was even a special deal of $100 off for Valentine's.

But her husband didn't have any symptoms of heart disease, didn't take any medications, and played at least two rounds of golf a week. On the other days, he worked out on an elliptical machine for 30 to 40 minutes. Until he got the heart scan.

My patient was told that he had a score of 710—a high calcium score—and his physician had told him that he would need to undergo a coronary angiogram, a roadmap movie of the coronary anatomy, as soon as possible. He did that and was found to have several blockages in two of the three arteries serving his heart. His cardiologists in Florida immediately put in five stents (even though no stress-test or other symptoms had suggested they were necessary), and put him on a regimen of Lipitor, a beta-blocker, aspirin and Plavix.

Now, in my office four months later, this patient is not doing well at all. He is worried that he might have a heart attack if one of the stents becomes clotted. He feels profoundly tired and has muscle aches that are so disturbing he can neither play golf nor do his usual exercise. He complains of marked depression and an inability to have or sustain an erection. A fit individual, who had taken good care of himself and was enjoying his life, was now debilitated and depressed. The cardiology trainee who saw this patient with me asked, "How could this have happened?"

Unfortunately, this individual's story is not so uncommon. Think predator and prey: the physicians and hospital advertise, leading to a high volume of heart scans, billed directly to the patients at some $500 each. Then, should an abnormal score come up, the patient may be quickly referred for first a diagnostic procedure, and then one to implant metal stents in the arteries on the surface of the heart. Naturally the cardiologist who put in multiple stents feels gratified to have saved the patient's life with unsuspected, advanced coronary disease. Overall, however these cases are like riding a train to the last stop, regardless of the most logical destination. All procedures are performed, as likely as not, the outcome is not a saved life but a "cardiac cripple."

I didn't enjoy telling the patient that he should probably not have ever had the stents. I could see the cholesterol buildup in the two arteries on an angiogram he brought with him, but the case was not severe. Of course, it was too late to do anything about the stents, which can't be removed, except to reassure him that he was not in any imminent or real danger, but I could get him off some of his medications, which would help his current symptoms and get him back to golf and exercise.

Mark Twain said, "To a man with a hammer, a lot of things looks like nails that need pounding." Surgeons are notorious for a similar bias: "When it doubt, cut it out." My patient was the victim of the same tendency. As badly as he got pounded, it could have been worse: in 2010 the "Olympic record" of stenting was published. One patient had sixty-seven stents placed throughout his coronary arteries and bypass grafts, in the course of twenty-eight coronary angiograms over a ten-year period.

This problem of inappropriate use or overuse of medical procedures is a difficult nut to crack. For one, physicians, hospitals, and the life science industry are all aligned and incentivized to do more procedures. Even at the subconscious level, as graphically portrayed in Atul Gwande's 2009 New Yorker article, "The Cost Conundrum," patients can be seen as representing an ATM. Certainly not all those procedures are carried out in the patients' best interests; the profound regional variability seen in the use of all sorts of procedures and operations across the United States reinforces the fact that appropriateness and need are not the sole determinants of whether patients are subjected to them. And it isn't just across the United States. For every 1,000 people in France, 192 will have an angioplasty or stent procedure. In the United States, the number is more than double at 437. Too few in France, or too many in the U.S.? The difference can't simply be attributed to Americans drinking less French red wine.

In the case of my patient, of course, it didn't just start with the unnecessary procedure, but with the initial response to an advertisement, followed by his trust in his original physicians to make objective recommendations about what the proper course of care would be. Similar problems confront anyone trying to navigate all the medical procedures, operations, prescription medications, vitamins, supplements, herbs, alternative treatments, over-the-counter products, and home devices that confront them. The key to the problem is an empowered, knowledgeable patient, but, as we shall see, extra information need not lead to empowerment. Whether information is pushed to consumers (by the news media or by direct-to-consumer advertising) or pulled out of the system by consumers themselves (by, for example, visiting Google Scholar or a social-networking site developed for sufferers of a particular disease), if a consumer can't make the best, most intelligent use of it, all sorts of trouble can unfold.


Reprinted from The Creative Destruction of Medicine, by Eric Topol, by arrangement with Basic Books. Copyright © 2012 by Eric Topol.

Wednesday, July 4, 2012

10 Reasons Most People Like Obamacare Once They Know What's Really In It

AlterNet.org

PERSONAL HEALTH  

People are suspicious of Obamacare in the abstract, but when it gets to the specifics they tend to like it a lot better.

 
Photo Credit: ShutterStock.com
 
 
There are two Affordable Care Acts. There's the legislation passed by Congress in 2009, and then there's the mythical Affordable Care Act – the perfidious “government takeover” decried and demagogued by so many conservatives (and quite a few liberals). The former is quite popular, the latter gets decidedly mixed reviews.

Don't take my word for it. A recent poll by the Kaiser Family Foundation found Americans split down the middle, with 41 percent approving of the law, and 40 percent saying they didn't like it (PDF). But then Kaiser asked about 12 specific provisions in the legislation, and found that, on average, 63 percent of respondents approved of the nuts and bolts of Obamacare. Of the 12 measures they tested, only one – the controversial mandate to carry health insurance or pay a penalty – received the approval of less than half of Americans (35 percent).

Or consider this divide: while only 12 percent of Republicans had a positive view of the law overall, 47 percent, on average, viewed its specifics favorably.

And here's the kicker: Kaiser found that the most popular parts of the law were also the ones most Americans weren't aware of, and vice-versa. Almost everyone knows about the mandate, which most people don't like, but fewer than half of those polled knew about the law's tax credits for small businesses that offer their employees coverage, a provision that eight out of 10 people liked when they heard about it.

None of this should come as a surprise, given the level of mendacity of the law's opponents. If the Affordable Care Act did in fact feature “death panels,” resulted in deep cuts to Medicare, represented a "massive” tax increase and “Sovietized” our healthcare system, nobody would support it. Fortunately, none of that bears any resemblance to reality.

Obviously, the law should be judged on what it actually contains, but according to Kaiser, six in 10 say they don't have enough information about the details to understand how it will impact them personally. So here, in no particular order, are 10 things you may not know about the Affordable Care Act.

1. People Will Be Getting Checks

Call it a crazy hunch, but my guess is that the law will look a lot less tyrannical when people start getting checks in the mail to help pay for their insurance.
Folks making up to four times the federal poverty line will be eligible for subsidies. In 2012, that would mean a family of four making up to $92,200 (it's a bit higher in Alaska) would see some cash.

Those subsidies will come in the form of “advanceable” tax credits, meaning that people won't have to wait until they pay their taxes to get the cash, and they'll be fully refundable, so those who don't pay enough in federal income taxes will get a check in the mail from the IRS.

2. The Richest Americans Are Going to Pay More Taxes

Wealthy investors are outraged, but most people probably don't know that a 3.8% surcharge on investment income – dividends and capital gains -- kicks in this January for everyone with an adjusted gross income of over $200,000 ($250,000 for joint filers). So those currently enjoying the lowest rate on investments in our nation's history will pay for a decent chunk of the bill.

3. Insurers' Overhead – and Profit Margins -- Are Limited

For the past 18 months or so, insurers have been required to spend 85 percent of the premiums they collect on healthcare (80 percent for individual and small-group plans). If they spend less than that, they have to send their customers a rebate to cover the difference.

Forbes' Rick Ungar called it, “the true ‘bomb’ contained in Obamacare and the one item that will have more impact on the future of how medical care is paid for in this country than anything we’ve seen in quite some time.”

4. Much Ado About the Mandate

With the Supreme Court's ruling last week, the mandate is gone, but the penalty for not carrying insurance remains. If there's one thing Democrats, Republicans and independents agree on, it's that they don't like it.

And they shouldn't. But most people probably don't know just how modest the impact of the mandate really is. According to the Congressional Budget Office, just 1 percent of the population will pay the penalty, which maxes out at 1 percent of one's income.

A lot of conservatives are convinced that jack-booted gummint thugs will round them up and stick them in FEMA camps if they don't pay up. But as Timothy Noah points out, “the health reform law explicitly states (on Page 336): 'In the case of any failure by a taxpayer to timely pay any penalty imposed by this section, such taxpayer shall not be subject to any criminal prosecution or penalty with respect to such failure.'" They can only dock future tax refunds.

5. And Nobody Ever Talks About the Employer Mandate

Starting in 2014, companies with 50 or more full-time workers (two part-timers count as one full-timer for this purpose) will have to pay penalties if they don't cover their employees' health insurance. (This provision is a bit complicated -- all the details are here.)

6. Shaves the Deficit

Mitt Romnney says that “Obamacare adds trillions to our deficits and to our national debt, and pushes those obligations onto coming generations.”
That message appears to be sinking in. According to Kaiser, a majority of Americans – and a third of Democrats – think the healthcare law will increase the deficit. But according to the Congressional Budget Office, the law will reduce the projected deficit by $210 billion over the next decade.

7. Chicks Will Dig This

Many people are aware of the regulation requiring insurers to cover people with pre-existing conditions. It's one of the most popular parts of the whole. But fewer know that, beginning in 2014, insurers won't be able to charge women higher premiums than men.

Also coming in 2014: a ban on insurers placing annual limits on healthcare (lifetime coverage limits were already banned in 2010).

The Kaiser poll found that few people were aware of another popular new insurance regulation: since 2010, insurance companies can no longer charge co-pays or hold you to a deductible for preventive health services.

8. New Dollars for Community Health Centers

Kaiser didn't ask for people's opinions on this one, but it may be one of those under-the-radar provisions that actually ends up helping a lot of people.
Community health centers (CHCs) now serve the primary care needs of about 20 million Americans, and they have a proven track record. But the system is strained and underfunded.

The expansion of Medicaid will help alleviate some of the pressure, and the healthcare law also allocates $11 billion over a five-year period to build new CHCs and upgrade existing infrastructure. Most of the dollars will end up in poorer communities.

A lot of underserved people live in rural America, and the law also provides money to train and place 16,000 primary caregivers in rural communities over a five-year period.

9. Essential Benefits

Starting in 2014, in order for insurers to sell coverage through state-based exchanges – a place where a lot of the newly insured will likely end up – they will be required to cover a package of “essential benefits,” including maternity care, mental healthcare and substance abuse treatment, pediatric care, ambulance rides and hospitalization.

They don't have to if they don't want to participate in the exchanges, yet this measure is, according to many, at the heart of the supposed “government takeover” of our healthcare system.

10. It's Not So Easy to Repeal

There is no doubt that we'll hear lots of Republicans blustering about how they'll repeal Obamacare on day one if they win the White House and the Senate, but it's a lot less clear that they'd actually follow through.

As Igor Volsky notes, unless the Republicans were to win both the White House and a huge number of senate seats, they “can do little more than weaken Obamacare’s regulations and defund some of its provisions.” They also have nothing to replace it with, and would own our screwed up healthcare system for a generation. And they'd lose an issue that fires up the conservative base. They will, however, do their best to gum up the works as the law is implemented.
The takeaway to all of this is that the healthcare law is only going to get more popular as it's provisions kick in. People will see some tangible benefits, and the fearmongering will prove unfounded.

Like the idea of government itself, people are suspicious of the Affordable Care Act as an abstraction, but when it gets to the specifics they tend to like it a lot better.

Joshua Holland is an editor and senior writer at AlterNet. He is the author of The 15 Biggest Lies About the Economy: And Everything else the Right Doesn't Want You to Know About Taxes, Jobs and Corporate America. Drop him an email or follow him on Twitter.