Wednesday, September 30, 2009

“County agency and friends help kids with asthma - San Bernardino County Sun” plus 3 more

“County agency and friends help kids with asthma - San Bernardino County Sun” plus 3 more


County agency and friends help kids with asthma - San Bernardino County Sun

Posted: 21 Sep 2009 01:06 PM PDT

Asthma is rampant among children of San Bernardino County, but help is available.

Bunny Kadzomve of San Bernardino is the grandmother of 4-year-old William, who has asthma and other developmental problems. She and daughter Marie Carter, William's mom, conferred with the county Public Health Department and its free Coordinated Asthma Referral and Education, or CARE, program.

The CARE program serves children only. It offers free home visits and gets support and financial help from the AQMD and the Children's Fund.

Other organizations that help the CARE program are the American Lung Association and Arrowhead Regional Medical Center in Colton, said Scott Rigsby, a Health Department spokesman.

"During home assessments," Rigsby said, "if our staff finds that a family needs clothing, bedding or other essential household items, they prepare a request for assistance to purchase those items and submit it to Children's Fund."

On occasion, Children's Fund has paid for air-conditioners and even refrigerators.

Two women with the Health Department asthma program, Marie Soria, a health education specialist, and Norma Mora, a health services assistant, visited the home of William and his two siblings, Layla, 2, and Ronald, 6. They delivered an air purifier, allergen-resistant covers for pillows and mattresses, other health aids and educational materials all provided by the AQMD.

On a recent Thursday, Soria and Mora took the

Carter family on a shopping trip to Target on San Bernardino's Orange Show Road, where they bought clothes and bedding for each of the children. The shopping trip was paid for by the Children's Fund.

Anyone caring for a child with asthma who hasn't had a home assessment from the CARE program should call (800) 722-3777.






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The Frequency And Severity Of Asthma Attacks Can Be Reduced By ... - Medical News Today

Posted: 22 Sep 2009 06:53 AM PDT


Main Category: Respiratory / Asthma
Also Included In: Medical Devices / Diagnostics
Article Date: 22 Sep 2009 - 7:00 PDT

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As the health care reform debate turns to cutting costs and improving treatment outcomes, two professors at Southern Methodist University in Dallas are expanding a study that shows promise for reducing both the expense and suffering associated with chronic asthma.

Thomas Ritz and Alicia Meuret, both in SMU's Psychology Department, have developed a four-week program to teach asthmatics how to better control their condition by changing the way they breathe.

With the help of a four-year, $1.4 million grant from the National Institutes of Health, they plan to engage 120 Dallas County patients in four weeks of breathing training by the study's projected end in July 2011. Their co-investigators include David Rosenfield, also of SMU's Psychology Department, and Mark Millard, M.D., of Baylor University Medical Center in Dallas.

More than 22 million Americans suffer from asthma at an estimated annual economic cost of more than $19 billion, according to the American Lung Association. The number of cases doubled between 1980 and 1995, prompting the U.S. Department of Health and Human Services to classify the disease as an epidemic in 2000.

During an attack, sufferers tend to hyperventilate, breathing fast and deep against constricted airways to fight an overwhelming feeling of oxygen deprivation.

Unfortunately, this makes the problem worse by lowering the body's carbon dioxide levels, which restricts blood flow to the brain and can further irritate already hypersensitive bronchial passages.

Patients who "overbreathe" on a sustained basis risk chronic CO2 deficiencies that make them even more vulnerable to future attacks. Rescue medications that relieve asthma symptoms do nothing to correct breathing difficulties associated with hyperventilation.

As part of SMU's "Stress, Anxiety and Chronic Disease Research Program," Ritz and Meuret use their biofeedback-based Capnometry-Assisted Respiratory Training (CART) to teach asthma patients to normalize and reverse chronic overbreathing. A hand-held device called a capnometer measures the amount of CO2 exhaled. Using this device, patients learn how to breathe more slowly, shallowly and regularly.

CART techniques could have a positive impact on quality of asthma treatment even as they reduce the need for acute care, Ritz says.

"The research shows that this kind of respiratory therapy can limit both the severity and frequency of asthma attacks," he says. "That means fewer doctor visits and less frequent use of rescue medications, with the associated savings of both time and money."

And for those who count any year without a trip to the emergency room as a year with a good treatment outcome, that means a higher quality of life, says Meuret, who lives with asthma herself.

"The training gives patients new ways to deal with acute symptoms, and that helps them to feel more in control," she says.

Source:
Kim Cobb
Southern Methodist University



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Vaccine 'probably did not cause death' - Channel 4 News

Posted: 30 Sep 2009 03:30 AM PDT

Updated on 30 September 2009

By Channel 4 News

The cervical cancer vaccine was "most unlikely" to have been the cause of death of 14-year-old Natalie Morton.

The preliminary finding of the teenager's post-mortem revealed the teenager had a rare, life-threatening health condition which was the most probable cause of death.

NHS Coventry told Channel 4 News that Natalie Morton's underlying condition was "grave" and not a common health condition such as diabetes, asthma or epilepsy.

The schoolgirl died shortly after receiving the cancer vaccine on Monday.

The final results of the post mortem are not expected for several weeks.



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Breathing technique can reduce frequency, severity of asthma attacks - Webindia 123

Posted: 21 Sep 2009 02:57 AM PDT


 Health

Breathing technique can reduce frequency, severity of asthma attacks
Washington |Monday, 2009 5:36:40 PM IST
 

As the health care reform debate turns to cutting costs and improving treatment outcomes, two professors at Southern Methodist University in Dallas in the US are expanding a study that shows promise for reducing both the expense and suffering associated with chronic asthma.

Thomas Ritz and Alicia Meuret, both in SMU's Psychology Department, have developed a four-week programme to teach asthmatics how to better control their condition by changing the way they breathe.

With the help of a four-year, $1.4 million grant from the National Institute of Health, they plan to engage 120 Dallas County patients in four weeks of breathing training by the study's projected end in July 2011. Their co-investigators include David Rosenfield, also of SMU's Psychology Department, and Mark Millard, M.D., of Baylor University Medical Center in Dallas.

More than 22 million Americans suffer from asthma at an estimated annual economic cost of more than $19 billion, according to the American Lung Association. The number of cases doubled between 1980 and 1995, prompting the U.S. Department of Health and Human Services to classify the disease as an epidemic in 2000.

During an attack, sufferers tend to hyperventilate, breathing fast and deep against constricted airways to fight an overwhelming feeling of oxygen deprivation.

Unfortunately, this makes the problem worse by lowering the body's carbon dioxide levels, which restricts blood flow to the brain and can further irritate already hypersensitive bronchial passages.

Patients who "overbreathe" on a sustained basis risk chronic CO2 deficiencies that make them even more vulnerable to future attacks. Rescue medications that relieve asthma symptoms do nothing to correct breathing difficulties associated with hyperventilation, reports sciencealert.com.

As part of SMU's "Stress, Anxiety and Chronic Disease Research Program," Ritz and Meuret use their biofeedback-based Capnometry-Assisted Respiratory Training (CART) to teach asthma patients to normalise and reverse chronic overbreathing. A hand-held device called a capnometer measures the amount of CO2 exhaled. Using this device, patients learn how to breathe more slowly, shallowly and regularly.

CART techniques could have a positive impact on quality of asthma treatment even as they reduce the need for acute care, Ritz says.

"The research shows that this kind of respiratory therapy can limit both the severity and frequency of asthma attacks," he says. "That means fewer doctor visits and less frequent use of rescue medications, with the associated savings of both time and money."

And for those who count any year without a trip to the emergency room as a year with a good treatment outcome, that means a higher quality of life, says Meuret, who lives with asthma herself.

"The training gives patients new ways to deal with acute symptoms, and that helps them to feel more in control," she says.

pb/dg

( 464 Words)

2009-09-21-14:16:04 (IANS)

\'Becket\' wins the main event 

No specific tsunami threat to India 

CMS multimedia conducts 2nd Graduation Day ceremony 

Wipro to open development centre in Melbourne 

Sibal inaugurates Central Varsity 

Grow cash crops because of limited season, J&K Minister to farmers 

Resume stalled peace process, resolve all issue, CPI-M to Indo-Pak 

Congress dares BJP to challenge closure of Quattrocchi case 





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Tuesday, September 29, 2009

“New study reveals that large abdominal fat cells contribute to type 2 ... - News-Medical.Net” plus 1 more

“New study reveals that large abdominal fat cells contribute to type 2 ... - News-Medical.Net” plus 1 more


New study reveals that large abdominal fat cells contribute to type 2 ... - News-Medical.Net

Posted: 21 Sep 2009 07:01 AM PDT

Middle-aged women with large abdominal fat cells have a higher risk of developing type 2 diabetes later in life compared to women with smaller fat cells. Waist circumference divided by body height can also be used to determine which women are at risk. This is shown in a new study from the Sahlgrenska Academy at the University of Gothenburg, Sweden.

The study, which will be published in the next issue of the scientific journal FASEB Journal, is based on the extensive population study of women in Gothenburg Kvinnounders-kningen i G-teborg.

'The results indicate that large fat cells contribute to the development of type 2 diabetes, and we will now begin investigating the mechanisms behind this finding. Increased knowledge about large fat cells and their effects may lead to new preventive and therapeutic alternativs, says Malin L-nn, associate professor in experimental medicine at the Sahlgrenska Academy.

The researchers analysed data on cell size collected from 245 women in 1974-75, and found that the 36 women who developed diabetes over the course of 25 years had larger abdominal fat cells than those who did not develop the disease. The larger the fat cells, the larger the probability of developing type 2 diabetes. Since a person's fat cells vary significantly in size, the researchers used an average for each person.

In addition, the study reveals a simpler and faster way to predict which women are at risk of developing type 2 diabetes: waist circumference divided by body height.

'Our study suggests that this ratio may be even better than fat cell size at estimating who is at risk of developing type 2 diabetes. The higher the waist-to-height ratio, the higher the risk', says L-nn.

The study is based on Kvinnounders-kningen i G-teborg, which was started in 1968 by Professor Emeritus Calle Bengtsson. Since the start, almost 1500 women aged 38-60 have been interviewed about their lives and examined by a physician regularly. New women have been recruited over the years, making it possible to both follow a generation over time and compare different generations.

Source: University of Gothenburg



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Health Calendar - News Sun

Posted: 29 Sep 2009 01:36 AM PDT


CLASSES/Events

Forum: Dr. Michael Greenbaum, a physician and researcher, will host an educational forum titled ADHD Out Loud to answer questions from parents of children with ADHD and discuss treatments, new research, and concerns about ADHD from 6 to 9 p.m. Thursday at Libertyville Sports Complex, 1950 North Highway 45. Details, (561) 350-9509 or www.ADHDOutLoud.com

Expo: The annual Grandparent's and Other Relative Caregivers Raising Children Expo will be held from 9 a.m. to 3 p.m. Saturday at Park Place Senior Center, 414 S. Lewis Ave., Waukegan. There will be information sessions and panel discussion. Free medical screenings and flu shots will be officer. A complimentary continental breakfast and lunch will be served. Registration requested. Details, (847) 244-9242.

Benefit: Lake Forest Hospital Women's Auxiliary Board Benefit will be held Saturday at Onwentsia Club, 300 N. Green Bay Road, Lake Forest. Cocktail reception at 6 p.m. followed by dinner and dancing at 7:30 p.m. It celebrates Lake Forest Hospital's 110 years of care to the community. The Board will honor six women who have demonstrated commitment and leadership to the hospital. Cost is $175. Details, (847) 535-6111.

Memory Walk: The Alzheimer's Association - Greater Illinois Chapter will hold its Memory Walk at 9 a.m. Saturday at Independence Grove Forest Preserve, 16400 Buckley Road, Libertyville. Details, (847) 933-2413.

Presentation: Dr. Pamela Norley will present information about modern acupuncture and chiropractic techniques which has successfully been used to treat such conditions as infertility, depression, anxiety, and pain at 6:30 p.m. Oct. 6 at 500 Park Ave., Suite 101, Lake Villa. Dr. Norley will also share stories of local residents who have used her medical techniques. Reservations requested Details, (847) 265-2225.

SCREENINGS

BLOOD PRESSURE: Lake County Health Department will offer free blood pressure screenings from 10:30 a.m. to 12:30 p.m. Oct. 5 at Lake County Courthouse, 18 N. County St., Waukegan. Details, (847) 377-8099. Free blood pressure checks are available at any Condell Immediate Care Center. No appointment is needed. Details, (800) 323-8622.

DENTAL HEALTH: Lake County Health Department maintains four dental clinics for all age groups that are open Monday through Saturday: Belvidere Medical Building, 2400 Belvidere St., Waukegan, (847) 377-8410; North Chicago Health Center, 2215 14th, (847) 984-5230; North Shore Health Center, 1840 Green Bay Road, Highland Park, (847) 984-5330; Mid-Lakes Medical and Dental Building, 224 Clarendon Ave., Round Lake Beach.

CARECOACH: Lake Forest Hospital CareCoach mobile health unit will provide free health screenings, including blood pressure, diabetes, cholesterol and asthma from 10 a.m. to 1 p.m. Wednesday at Holy Family Food Pantry, 914 8th St., Waukegan; 3 to 6 p.m. Oct. 5 at Nuestro Center, 624 Sheridan Road, Highwood; and Oct. 6 from 10:30 a.m. to 2:30 p.m. at Park Place Senior Center, 414 Lewis Ave., Waukegan, and from 4 to 6 p.m. at Open Arms Mission, 1548 S. Main St., Antioch. Details, (847) 535-6709.

IMMUNIZATIONS: Lake County Health Department will offer seasonal flu vaccines from 9 to 11 a.m. Mondays through Oct. 12 at Belvidere Medical Campus, 2303 Dodge Ave., Waukegan; and Oct. 2 from 9 to 11:30 a.m. at Ela Township Community Center YMCA, 1025 Old McHenry Road, Lake Zurich, and from 1:15 to 3:15 p.m. at Round Lake Senior Center, 814 Hart Road. Details, (847) 377-8470. Also, childhood immunizations will be given on a walk-in basis from 9 a.m. to 3 p.m. Mondays, from 1 to 3 p.m. Tuesdays, Wednesdays and Fridays, from 1 to 6 p.m. Thursdays, and from 9 to 11 a.m. the second Saturday of each month at Belvidere Medical Building, 2302 Dodge Ave., Waukegan; and from 4 to 6 p.m. Oct. 6 at Harvest Bible Church, 255 Quentin Road, Lake Zurich. Details, (847) 377-8470.

SUPPORT

ALS: A group meets at 6:30 p.m. Oct. 6 at Marytown Retreat Center, 1600 W. Park Ave., Libertyville. Details, (847) 679-3311.

Alzheimer's: A group meets at 6:30 p.m. Thursday at Westmoreland Nursing Center, 660 Westmoreland Road, Lake Forest. Details, (847) 535-6764.

Breast Cancer: A group meets at 6 p.m. Oct. 5 at Midwestern Regional Medical Center, 2520 Elisha Ave., Zion. Details, (847) 249-1432.

Stuttering Association: A group meets at 7 p.m. Thursday at Lake Forest Hospital. Details, (847) 970-5067.

Weight Watchers: A group meets at 6 p.m. Mondays, and at 5:30 p.m. Wednesdays at Mundelein Park District's Community Center, 1401 N. Midlothian Road. Details, www.weightwatchers.com .

Domestic violence: A Safe Place offers weekly support groups in confidential locations throughout Lake County. No fees or time limits on how often a survivor may attend. Groups meet at 7 p.m. Tuesdays in Deerfield; 7 p.m. Wednesdays in Round Lake; 1 p.m. Thursdays in Zion; 7 p.m. Thursdays in Vernon Hills; a Latina group meets at 7 p.m. Thursdays in Waukegan. Details, (847) 249-4450; (800) 600-7233; TTY (847) 249-6557.

Caregiver: Lake County Health Department offers a support group for caregivers at 1:30 p.m. Wednesdays at Warren Township Senior Center, 17801 W. Washington St., Gurnee. For those who care about a person who is 60 and older. Details, (847) 377-8310.

Health Calendar




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Monday, September 28, 2009

“Combined immunodeficiency results in severe health problems - News-Medical.Net” plus 1 more

“Combined immunodeficiency results in severe health problems - News-Medical.Net” plus 1 more


Combined immunodeficiency results in severe health problems - News-Medical.Net

Posted: 28 Sep 2009 01:52 AM PDT

Researchers at the National Institutes of Health have identified a genetic mutation that accounts for a perplexing condition found in people with an inherited immunodeficiency. The disorder, called combined immunodeficiency, is characterized by a constellation of severe health problems, including persistent bacterial and viral skin infections, severe eczema, acute allergies and asthma, and cancer.

The team that made the discovery was led by Helen Su, M.D., Ph.D., at the National Institute of Allergy and Infectious Diseases (NIAID), and included collaborators from NIAID and the National Cancer Institute (NCI). The research is reported in this week's New England Journal of Medicine.

"NIH clinicians have cared for people with unusual and difficult-to-treat immune disorders for decades," says NIAID Director Anthony S. Fauci, M.D. "This study exemplifies their commitment to improving the lives of people with these diseases by trying to uncover the causes of these disorders and thereby better understanding how to treat them."

Combined immunodeficiency is a type of primary immune deficiency disease (PIDD) in which several parts of the immune system are affected. This inherited disorder is characterized by increased susceptibility to bacterial, viral and fungal infections of various organs of the body. In some cases, susceptibility to cancers also may be seen.

There are 150 known PIDDs. Approximately 500,000 people in the United States have been diagnosed with a PIDD, while many more remain undiagnosed.

The NIAID and NCI investigators recognized that certain patients with an undefined form of combined immunodeficiency shared enough clinical features to make it likely that the cause might be a common genetic mutation. Originally, these individuals were thought to have a variant form of hyper-immunoglobulinema E syndrome (HIES), a disorder characterized by increased levels of a class of antibodies known as immunoglobulin E, superficial and systemic bacterial and fungal infections, and atopic dermatitis, also known as eczema.

This newly described group, however, had far more severe eczema than is typical in people with variant HIES. They also had extensive and difficult-to-manage viral infections of the skin, such as warts, molluscum contagiosum-a type of poxvirus that only infects the skin-and herpes simplex. Some in this group also developed skin cancers, as well as lymphoma of the skin.

"Even though these individuals were diagnosed with a more uncommon form of HIES, they were still considered to have a mystery disease, because they had severe allergies and had developed cancers," says Dr. Su.

Using a technique called comparative genomic hybridization, a process by which large amounts of DNA is fixed to a computer chip and analyzed for changes in the genes, scientists examined the genes in the tissue samples from five different groups: the 11 individuals with the unknown immunodeficiencies, people with the variant form of HIES, people with classic HIES, those with other immunological diseases, and healthy individuals.

The researchers discovered that people with the unique form of HIES had mutations in a gene called DOCK8 that led to deletions in parts of the gene. The normal function of DOCK8 is currently unknown.

When compared with healthy individuals, the people with DOCK 8 mutations had fewer CD8 positive T cells, immune cells needed to fight viral infections; fewer antibody-producing B cells; and increased numbers of eosinophils-immune cells associated with allergy.

According to Dr. Su, these findings indicate that DOCK8 is essential for defense against viral infections and for preventing the development of cancer and allergies.

Although further study is required to determine if DOCK8 mutations occur in other people with similar disease symptoms, DOCK8 immunodeficiency syndrome may be a new PIDD. These findings mean that individuals with this rare disease will be able to receive a more accurate diagnosis. Identifying a genetic cause for the disease provided comfort to some of those diagnosed who had battled an unknown immune disease for years, according to Dr. Su.

"The study of inherited disorders and the genetic alterations that are responsible for their complex array of disease symptoms has often resulted in the discovery of causative genes that play a role in cancer initiation," said NCI Director John E. Niederhuber, M.D. "The disease mutations found in this study in the DOCK8 gene exemplify that kind of important finding. As with any discovery of a genetic defect, the challenge going forward is to develop a complete knowledge of the cascading pathways of biological function for which DOCK8 is responsible."

Source: NIH/National Institute of Allergy and Infectious Diseases



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Weather shifts may spark asthma attacks in kids - CNBC

Posted: 22 Sep 2009 12:15 PM PDT

By Anne Harding

NEW YORK (Reuters Health) - People who say their asthma gets worse when the weather changes are on to something, new research hints.

Dr. Alan Baptist of the University of Michigan School of Medicine in Ann Arbor and his colleagues found that pediatric emergency department visits for asthma attacks jumped after increases -- or decreases -- in humidity, while rises in temperature also sent more asthmatic kids to the ER.

"When we ask patients what set off your asthma...they'll say it was the change in the weather," Baptist noted in an interview with Reuters Health. And while the National Institutes of Health lists weather changes as a risk factor for worsening of asthma symptoms, he and his colleagues note in their report, no one has yet investigated whether this is true, independent of known asthma aggravators like pollution and airborne allergens.

This led Baptist and his team to look at all pediatric emergency department visits to the Children's Hospital of Michigan in Detroit for treatment of asthma flare ups over a two-year period, including 25,401 visits in all. There were 35 such visits, on average, every day.

The researchers looked at day-to-day and within-day changes in temperature and humidity, controlling for levels of several air pollutants and for counts of seasonal allergens like pollen and mold.

They found that for every 10 percent decrease in relative humidity from one day to the next, there were about 1.3 additional visits for asthma attacks two days later. And for every 10 percent increase in humidity within a single day, there were 1.1 more visits two days later. On the day following a temperature jump, there were 1.8 additional visits for every 10-degree Fahrenheit increase.

"The timing and magnitude of change in humidity, rather than the direction, may be a more important influence on asthma exacerbations," the researchers write in the Annals of Allergy, Asthma and Immunology.

It's not clear why changes in humidity and temperature might lead to asthma exacerbations, Baptist said, although these shifts may aggravate the inflammation in the airways of the lungs that is a hallmark of asthma.

No matter what the mechanism involved, he added, people with asthma should pay particularly close attention to their symptoms if they notice changes in temperature and humidity, and use their peak flow monitor, if they have one, to check their lung function regularly.

"Catching asthma early can prevent the attack from worsening and can at times prevent a trip to the emergency department," Baptist said.

SOURCE: Annals of Allergy, Asthma and Immunology, September 2009.



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Sunday, September 27, 2009

“Evolution of Asthma Severity in a Cohort of Young Adults: Is There Any ... - Elites TV” plus 2 more

“Evolution of Asthma Severity in a Cohort of Young Adults: Is There Any ... - Elites TV” plus 2 more


Evolution of Asthma Severity in a Cohort of Young Adults: Is There Any ... - Elites TV

Posted: 27 Sep 2009 03:33 AM PDT

Introduction

Little is known about the distribution of asthma severity in men and women in the general population. The objective of our study was to describe asthma severity and change in severity according to gender in a cohort of adult asthmatics

Methods

Subjects with asthma were identified from random samples of the 22 to 44 year-olds from the general population, screened for asthma from 1991 to 1993 in 48 centers from 22 countries and followed-up during 1998–2002, as part of the European Community Respiratory Health Survey (ECRHS). All participants to follow-up with current asthma at baseline were eligible for the analysis. To assess change over the follow-up, asthma severity at the two surveys was defined using standardized data on respiratory symptoms, lung function and medication according to the Global Initiative for Asthma (GINA) Guidelines. Another quantitative score (Ronchetti) further considering hospitalizations was also analysed.

Results

The study included 685 subjects with asthma followed-up over a mean period of 8.65 yr (min 4.3-max 11.7). At baseline, asthma severity according to GINA was distributed as intermittent: 40.7%, 31.7% as mild persistent, 14% as moderate persistent, and 13.5% as severe persistent. Using the Ronchetti score derived classification, the distribution of asthma severity was 58% mild, (intermittent and mild persistent), 25.8% moderate, and 15.4% severe. Whatever the classification, there was no significant difference in the severity distribution between men and women. There was also no gender difference in the severity distribution among incident cases which developed asthma between the two surveys. Men with moderate-to-severe asthma at baseline were more likely than women to have moderate-to-severe asthma at follow-up. Using GINA, 69.2% of men vs. 53.1% of women (p = 0.09) with moderate-to-severe asthma at baseline were still moderate-to-severe at follow-up. Using Ronchetti score, 53.3% of men vs. 36.2% of women (p = 0.03) with moderate-to-severe asthma at baseline were still moderate-to-severe at follow-up.

Conclusions

There was no gender difference in asthma severity at the two surveys. However, our findings suggest that asthma severity might be less stable in women than in men.

For the full article visit:
Evolution of Asthma Severity in a Cohort of Young Adults: Is There Any Gender Difference?
Syndicated from:PLoS ONE

Article is licensed under a Creative Commons Attribution License.



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Weather Shifts May Spark Asthma Attacks in Kids - ABC News

Posted: 22 Sep 2009 12:22 PM PDT

NEW YORK (Reuters Health) - People who say their asthma gets worse when the weather changes are on to something, new research hints.

Dr. Alan Baptist of the University of Michigan School of Medicine in Ann Arbor and his colleagues found that pediatric emergency department visits for asthma attacks jumped after increases -- or decreases -- in humidity, while rises in temperature also sent more asthmatic kids to the ER.

"When we ask patients what set off your asthma...they'll say it was the change in the weather," Baptist noted in an interview with Reuters Health. And while the National Institutes of Health lists weather changes as a risk factor for worsening of asthma symptoms, he and his colleagues note in their report, no one has yet investigated whether this is true, independent of known asthma aggravators like pollution and airborne allergens.

This led Baptist and his team to look at all pediatric emergency department visits to the Children's Hospital of Michigan in Detroit for treatment of asthma flare ups over a two-year period, including 25,401 visits in all. There were 35 such visits, on average, every day.

The researchers looked at day-to-day and within-day changes in temperature and humidity, controlling for levels of several air pollutants and for counts of seasonal allergens like pollen and mold.

They found that for every 10 percent decrease in relative humidity from one day to the next, there were about 1.3 additional visits for asthma attacks two days later. And for every 10 percent increase in humidity within a single day, there were 1.1 more visits two days later. On the day following a temperature jump, there were 1.8 additional visits for every 10-degree Fahrenheit increase.

"The timing and magnitude of change in humidity, rather than the direction, may be a more important influence on asthma exacerbations," the researchers write in the Annals of Allergy, Asthma and Immunology.



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County agency and friends help kids with asthma - San Bernardino County Sun

Posted: 21 Sep 2009 01:06 PM PDT

Asthma is rampant among children of San Bernardino County, but help is available.

Bunny Kadzomve of San Bernardino is the grandmother of 4-year-old William, who has asthma and other developmental problems. She and daughter Marie Carter, William's mom, conferred with the county Public Health Department and its free Coordinated Asthma Referral and Education, or CARE, program.

The CARE program serves children only. It offers free home visits and gets support and financial help from the AQMD and the Children's Fund.

Other organizations that help the CARE program are the American Lung Association and Arrowhead Regional Medical Center in Colton, said Scott Rigsby, a Health Department spokesman.

"During home assessments," Rigsby said, "if our staff finds that a family needs clothing, bedding or other essential household items, they prepare a request for assistance to purchase those items and submit it to Children's Fund."

On occasion, Children's Fund has paid for air-conditioners and even refrigerators.

Two women with the Health Department asthma program, Marie Soria, a health education specialist, and Norma Mora, a health services assistant, visited the home of William and his two siblings, Layla, 2, and Ronald, 6. They delivered an air purifier, allergen-resistant covers for pillows and mattresses, other health aids and educational materials all provided by the AQMD.

On a recent Thursday, Soria and Mora took the

Carter family on a shopping trip to Target on San Bernardino's Orange Show Road, where they bought clothes and bedding for each of the children. The shopping trip was paid for by the Children's Fund.

Anyone caring for a child with asthma who hasn't had a home assessment from the CARE program should call (800) 722-3777.






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Saturday, September 26, 2009

“New study reveals that large abdominal fat cells contribute to type 2 ... - News-Medical.Net” plus 4 more

“New study reveals that large abdominal fat cells contribute to type 2 ... - News-Medical.Net” plus 4 more


New study reveals that large abdominal fat cells contribute to type 2 ... - News-Medical.Net

Posted: 21 Sep 2009 07:01 AM PDT

Middle-aged women with large abdominal fat cells have a higher risk of developing type 2 diabetes later in life compared to women with smaller fat cells. Waist circumference divided by body height can also be used to determine which women are at risk. This is shown in a new study from the Sahlgrenska Academy at the University of Gothenburg, Sweden.

The study, which will be published in the next issue of the scientific journal FASEB Journal, is based on the extensive population study of women in Gothenburg Kvinnounders-kningen i G-teborg.

'The results indicate that large fat cells contribute to the development of type 2 diabetes, and we will now begin investigating the mechanisms behind this finding. Increased knowledge about large fat cells and their effects may lead to new preventive and therapeutic alternativs, says Malin L-nn, associate professor in experimental medicine at the Sahlgrenska Academy.

The researchers analysed data on cell size collected from 245 women in 1974-75, and found that the 36 women who developed diabetes over the course of 25 years had larger abdominal fat cells than those who did not develop the disease. The larger the fat cells, the larger the probability of developing type 2 diabetes. Since a person's fat cells vary significantly in size, the researchers used an average for each person.

In addition, the study reveals a simpler and faster way to predict which women are at risk of developing type 2 diabetes: waist circumference divided by body height.

'Our study suggests that this ratio may be even better than fat cell size at estimating who is at risk of developing type 2 diabetes. The higher the waist-to-height ratio, the higher the risk', says L-nn.

The study is based on Kvinnounders-kningen i G-teborg, which was started in 1968 by Professor Emeritus Calle Bengtsson. Since the start, almost 1500 women aged 38-60 have been interviewed about their lives and examined by a physician regularly. New women have been recruited over the years, making it possible to both follow a generation over time and compare different generations.

Source: University of Gothenburg



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Breathing technique could control asthma - eMaxHealth.com

Posted: 21 Sep 2009 09:53 AM PDT

Two researchers at Southern Methodist University in Dallas have developed a program that teaches a breathing technique to help control asthma. The study has received a $1.4 million grant from the National Institutes of Health, and should be completed next year. The technique is designed to change the way a person breathes during an asthma attack.

The four week program seeks to help asthma sufferers reduce the severity and frequency of asthma attacks by teaching specific breathing techniques, and is designed by Thomas Ritz and Alicia Meuret, both in SMU's Psychology Department. The goals are to breathe more slowly, control stress, and prevent low levels of carbon dioxide that can lead to more difficulty breathing and increase the severity of future asthma attacks.

Teaching breathing techniques to control asthma also reduces irritation to the airways that can occur with hyperventilation. Faster breathing can harm individuals with asthma by restricting blood flow to the brain.

In 2000, the U.S. Department of Health and Human Services classified asthma as an epidemic. The American Lung Association estimates the economic health burden of asthma at $19 billion annually. The research uses bio feedback to measure exhaled carbon dioxide, teaching asthma sufferers how to breathe more slowly.

Teaching asthmatics to breathe more slowly is facilitated with the use of a hand held capnometer. The program is called Capnometry-Assisted Respiratory Training (CART).

Thomas Ritz hopes the end result will be improved quality of life, and fewer asthma attacks. "That means fewer doctor visits and less frequent use of rescue medications, with the associated savings of both time and money".

Numerous studies show the importance of controlled breathing – something Yoga masters have known for centuries. Controlling the breath benefits both mind and body, and could provide significant benefits for managing asthma.

Breathing techniques to limit the frequency and severity of asthma attacks also provide a greater sense of control for patients. Alicia Meuret also suffers from asthma. Learning to breathe during an asthma attack could help 22 million Americans who currently suffer from the disease.

Source: SMU Research
Written by Kathleen Blanchard RN
Charlotte, NC
Exclusive to eMaxHealth



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Breathing technique can reduce frequency, severity of asthma attacks - PhysOrg

Posted: 21 Sep 2009 03:33 AM PDT

Breathing technique can reduce frequency, severity of asthma attacks

September 21st, 2009

As the health care reform debate turns to cutting costs and improving treatment outcomes, two professors at Southern Methodist University in Dallas are expanding a study that shows promise for reducing both the expense and suffering associated with chronic asthma.

Thomas Ritz and Alicia Meuret, both in SMU's Psychology Department, have developed a four-week program to teach asthmatics how to better control their condition by changing the way they breathe.

With the help of a four-year, $1.4 million grant from the National Institutes of Health, they plan to engage 120 Dallas County patients in four weeks of breathing training by the study's projected end in July 2011. Their co-investigators include David Rosenfield, also of SMU's Psychology Department, and Mark Millard, M.D., of Baylor University Medical Center in Dallas.

More than 22 million Americans suffer from asthma at an estimated annual economic cost of more than $19 billion, according to the American Lung Association. The number of cases doubled between 1980 and 1995, prompting the U.S. Department of Health and Human Services to classify the disease as an epidemic in 2000.

During an attack, sufferers tend to hyperventilate, breathing fast and deep against constricted airways to fight an overwhelming feeling of oxygen deprivation.

Unfortunately, this makes the problem worse by lowering the body's carbon dioxide levels, which restricts blood flow to the brain and can further irritate already hypersensitive bronchial passages.

Patients who "overbreathe" on a sustained basis risk chronic CO2 deficiencies that make them even more vulnerable to future attacks. Rescue medications that relieve asthma symptoms do nothing to correct breathing difficulties associated with hyperventilation.

As part of SMU's "Stress, Anxiety and Chronic Disease Research Program," Ritz and Meuret use their biofeedback-based Capnometry-Assisted Respiratory Training (CART) to teach asthma patients to normalize and reverse chronic overbreathing. A hand-held device called a capnometer measures the amount of CO2 exhaled. Using this device, patients learn how to breathe more slowly, shallowly and regularly.

CART techniques could have a positive impact on quality of asthma treatment even as they reduce the need for acute care, Ritz says.

"The research shows that this kind of respiratory therapy can limit both the severity and frequency of asthma attacks," he says. "That means fewer doctor visits and less frequent use of rescue medications, with the associated savings of both time and money."

And for those who count any year without a trip to the emergency room as a year with a good treatment outcome, that means a higher quality of life, says Meuret, who lives with asthma herself.

Source: Southern Methodist University (news : web)


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  • Yevgen - Sep 21, 2009
    • Rank: not rated yet
    This appear to be a high-tech and expensive solution. Free and just as effective solution is to develop good breathing practices by regularly doing simple exercise routine that does not require any measurements. Some such routines have been tested in clinical trials. For example, Strelnikova exercise,
    see details here: http://sudy_zhenja.tripod.com/strelnikova_exercises.htm



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Thailand prescribes bug-free diet for asthma patients - Thaindian.com

Posted: 17 Sep 2009 04:53 PM PDT

March 23, 2009
by DPA (From Bangkok)

 

Thailand's health ministry has warned people suffering from asthma and allergies to avoid eating fried insects, a popular street-stall snack in Bangkok and other cities, media reports said Sunday.

A recent study conducted by the ministry found that the fried silk worms, grasshoppers and other six-legged delicacies often contain excessively high levels of histamine that can trigger allergic reactions or asthma attacks, The Nation newspaper reported.

According to ministry data, some 118 people were hospitalized between Dec 24 and Jan 7 with allergic reactions and food-poisoning symptoms after eating fried bugs from street vendors in seven provincial cities.

Insects have been on the menu in rural Thailand for centuries, but only in the past two decades have improved logistics and bulk bug wholesaling networks made the creatures widely available in urban centres.

Health officials warn that the bugs can pick up high levels of bacterial contamination during storage and transportation, while excessive reuse of cooking oil to fry the critters can also lead to toxic build up.

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Memphis girl becomes county's second swine-flu victim - Memphis Commercial Appeal

Posted: 26 Sep 2009 04:46 AM PDT

A Memphis girl who died this week after becoming infected with the swine-flu virus had many "underlying health issues," officials at Le Bonheur Children's Medical Center said Friday.

But hospital spokeswoman Jennifer Parris, citing federal regulations, declined to specify the health problems or confirm the identity of the victim.

The girl, who died Wednesday, was the second fatality at Le Bonheur attributed to the H1N1 virus. Michael Howse, 13, an eighth-grader at White Station Middle School, died earlier this month.

Health officials also were trying to determine if the death this month of a 60-year-old Munford man was caused by swine flu.

Because hospitals are not required to report swine-flu cases or fatalities, the Health Department had no detailed information on the latest victim, said Dr. Kenneth S. Robinson, Shelby County Health Officer.

"As with any flu season, we are anticipating flu-related deaths," he said.

Ever since swine flu began spreading across the U.S. earlier this year, officials have found most cases to be relatively mild except when underlying health troubles -- including asthma, heart conditions and neuro-developmental problems -- already exist.

The epidemic has sent a surge of patients to Le Bonheur's emergency room, even though health officials advise parents to keep sick children at home unless there are pre-existing problems or severe symptoms.

Since Aug. 1, Le Bonheur's emergency department has seen more than 5,100 children with flu-like symptoms and admitted 103 of them for further treatment.

The patient influx has been so heavy it overwhelmed Le Bonheur's emergency room, forcing the hospital to erect a tent in which children could be given health screenings.

-- Tom Charlier: 529-2572

There are 11 responses to this article.

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Posted by deltamomof2 on September 25, 2009 at 12:47 p.m.

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WHAT many underlying health issues are we talking about?

Posted by uofmtigers on September 25, 2009 at 12:53 p.m.

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My deepest sympathies to this child's family and friends.

Posted by Snarky_Spice on September 25, 2009 at 12:53 p.m.

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sad for this child,, prayers of comfort to her family

Posted by FBIsecretary on September 25, 2009 at 12:58 p.m.

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Prayers from here to the family.

Posted by belgiandescent on September 25, 2009 at 1:03 p.m.

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May God give you comfort in the midst.

Posted by missingmemphis on September 25, 2009 at 2:59 p.m.

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in response to deltamomof2

My child currently has H1N1 and his doc ask about all kinds of other health issues that could be effected by this virus. This is an especially dangerous virus if your child has respiratory or digestive illnesses (like asthma or food allergies). There are a lot of different underlying illness that could have caused this child's death.

My heart is heavy for this family.

Posted by Aquarius on September 25, 2009 at 3:16 p.m.

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in response to deltamomof2

Could be many things especially those affecting the lungs such as asthma but any flu strain can become deadly when the lungs or immune system are not working properly.

Posted by benefited on September 25, 2009 at 4:54 p.m.

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My thoughts and prayers go out to the family.

Posted by sassyteachaa on September 25, 2009 at 5:06 p.m.

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She was a wonderful child who was loved by so many. My heart is heavy and I am thankful to have known her. Continue to pray for her parents...as a mom, myself, I cannot imagine how hard this must be.

Posted by circleoffaithcc on September 25, 2009 at 9:35 p.m.

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PLEASE PRAY FOR THE FAMILY.

Posted by rattlebone on September 26, 2009 at 1:03 a.m.

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I feel terrible for the family.

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Friday, September 25, 2009

“Seasonal and H1N1 flu vaccines from Priority Health - News-Medical.Net” plus 3 more

“Seasonal and H1N1 flu vaccines from Priority Health - News-Medical.Net” plus 3 more


Seasonal and H1N1 flu vaccines from Priority Health - News-Medical.Net

Posted: 25 Sep 2009 01:27 AM PDT

Priority Health has announced its coverage of both the seasonal flu and H1N1 flu vaccines. "Preventing the flu through immunization is the best way to keep yourself and your family healthy," said John Fox, M.D., associate vice president of Medical Affairs at Priority Health. "We encourage our members to receive both vaccines to protect themselves against the two viruses."

The CDC has identified specific populations at risk for H1N1 flu. Among those at higher risk for H1N1 flu are: pregnant women, health care workers, infants, household contacts of infants six months and younger, children and young people through age 24 and adults age 19 through 64 with underlying chronic health conditions such as asthma or diabetes.

Priority Health has long covered seasonal flu vaccines as part of its extensive prevention and wellness initiatives. This year, Priority Health has added coverage for the H1N1 influenza vaccine, which is expected to be available from the Centers for Disease Control and Prevention this October. H1N1 vaccine benefits are extended to those members with immunization coverage. (A small number of self-funded plans do not carry immunization coverage. These plans will be given the opportunity to add flu shot coverage in light of heightened concerns surrounding this flu season.)

To make life easier for our members and improve access to the vaccines, Priority Health will cover flu shots given at participating pharmacies as well as physician offices. The pharmacy can bill Priority Health directly eliminating the member's need to pay out-of-pocket. "Because the initial distribution of H1N1 vaccines is expected to be in short supply, we are working to remove all barriers our members face to receiving the vaccine," said Fox. "And by offering to cover the flu shot at participating pharmacies, we can alleviate some of the strain physicians' offices are expected to feel this flu season."

In addition to getting a flu shot, Fox – an epidemiologist who previously worked at the CDC – recommends taking precautions to limit the spread of germs. "Frequent hand washing is an important way to kill germs and limit the spread of viruses," said Fox. "In addition, remember to sneeze or cough into your elbow or a tissue. Because the flu viruses are spread through person-to-person contact, it's important for someone with the flu to stay home from work or school to limit the spread of the illness until they have been symptom-free for 24 hours."

http://www.priorityhealth.com/



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Green light for swine flu vaccine - Ananova

Posted: 25 Sep 2009 06:49 AM PDT

A swine flu vaccine to be used in the UK has been approved by European regulators.

The European Medicines Agency has recommended to the European Commission that Pandemrix, made by GlaxoSmithKline (GSK), be granted a licence for use across Europe, including the UK.

Another vaccine intended for use in the UK, made by Baxter, is still being considered by the European Medicines Agency.

The European Commission will probably rubber-stamp the decision on the GSK vaccine in the next few weeks.

GSK has not yet delivered stocks of its vaccine to the Government, a spokesman for the Department of Health said.

Some stocks of the Baxter vaccine have already arrived.

It is not yet clear when the swine flu vaccine will be available to patients in the UK.

The Government had been hoping to start vaccinating people in high-risk groups, such as those with asthma and diabetes, and health workers, in October.

A spokesman for the Department of Health said: "We are pleased that the European regulator has recommended that the GSK vaccine should be granted a licence by the European Commission.

"This is a positive step towards getting full licences for vaccine to protect the public. The European Commission must now consider the recommendations and we hope for their decision as quickly as possible."



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Doctors urge calm after student's death - The State

Posted: 25 Sep 2009 03:43 AM PDT

Parents and coaches expressed shock and sadness Thursday at the death of the vibrant 11-year-old, a standout on the softball field. But medical professionals are urging parents to remain calm, stressing the H1N1 flu is not a great threat to otherwise healthy children.

"That case (Wednesday) was very unusual. ... She did have some underlying asthma issues, and that put her at higher risk for complications," said Dr. Anna-Kathryn Rye, a pediatric infectious disease physician at Palmetto Health Richland.

An autopsy was conducted, and results may be available as soon as today, said Sumter County Coroner Harvin Bullock.

"It scares people. That's normal," Rye said. "Of course, people get anxious when you hear about an 11-year-old who dies from the flu.

"I'd like to send out a message for everybody to stay calm. We are expecting deaths in children and adults who are in higher risk categories, but normal children and normal adults seem to be handling the flu very well."

'MOST YOUNG PEOPLE ... GET BETTER'

State epidemiologist Dr. Jerry Gibson agreed.

The recent case is "very sad, but it's not at all characteristic of what's going to happen for most cases," Gibson said. "For most young people, it's just the flu. They get better.

"How a child, or an adult, does with this is a lot like how they would do with seasonal flu."

In other words, people with underlying health problems - asthma, diabetes, cystic fibrosis or HIV - are at greater risk and need to take special precautions and react immediately to any symptoms. But health experts still suggest otherwise healthy people should treat swine flu as they would seasonal flu. For most, that means treating symptoms with over-the-counter drugs and getting lots of fluids and rest.

"Unless there are signs of severe illness, you don't need to take children to emergency rooms," Gibson said. "You're not going to enjoy going there."

Patients with flu symptoms have been flooding emergency rooms and doctors' offices.

The pediatric emergency room at Palmetto Health Richland in Columbia is seeing an average of 40 children a day with influenza-like illness, spokeswoman Tammie Epps said.

The emergency room at Tuomey in Sumter, which treats children and adults, has been seeing about 200 people a day for the past several weeks with flu symptoms, "a huge number for us," said spokeswoman Brenda Chase.

Doctors' offices are as well-equipped as emergency rooms to deal with most flu cases. But Gibson also doesn't suggest rushing to doctors' offices at the first sign of flu symptoms. Call first, and you might be able to get enough advice over the phone to avoid a trip.

If a child has underlying health problems or shows one of the danger signs - trouble breathing, is unresponsive or inattentive, difficult to wake or refusing to eat - doctors can prescribe an anti-viral drug that lessens the time and symptoms of the flu. Tamiflu is the most common pill form, while Relenza is a nasal form.

Since Sept. 1, there have been 76 hospitalizations in South Carolina with lab-confirmed cases of flu and three deaths - not counting Ashlie Pipkin, according to DHEC. While the agency didn't break down whether those cases were all H1N1 flu, the Centers for Disease Control and Prevention have said the vast majority of the flu active now is the H1N1 strain.

'I JUST STARTED CRYING'

In Sumter and Manning Thursday, parents were grappling with the death of a child who seemed so healthy - even playing in a softball tournament this past Saturday and Sunday.

"She was a great athlete, a great person - always cheerful," said Dupree Cantley, who coached Ashlie on a Sumter all-star softball team this summer. "She was always willing to listen to the coaches. ... Before I coached her in all-stars, she beat my team in the championships with a home run. Just a great athlete and a great kid."

Headmaster Jordan had a similar reaction.

"As I walk around on my daily tours, I would go to the playground. ... Ashlie would be leading the charge on a football team with 95 percent boys, and she'd be holding her own if not beating them," Jordan said.

"This is such a shock to Laurence Manning Academy," he said. "We pride ourselves on being a close-knit family."

Of Laurence Manning Academy's 1,010 students, 287 were absent Monday, prompting the decision to close for the rest of the week.

Jordan said parents supported the decision to close the school. On Thursday, a professional cleaning crew came in to disinfect all of the school's surfaces with a bleach solution.

School will reopen Monday. Jordan said he has heard from several parents who want to be sure it's safe. "We've done everything we can do," he said.

Amy Marshall, who has a daughter in kindergarten at the school, said she agreed with the decision to close this week.

"When we found out Tuesday they were going to close I was kind of relieved," said Marshall, a graduate of Laurence Manning Academy.

"People are freaking out so bad about it. You hear about people dying. But I think 99 percent of cases had something other than flu-like symptoms," she said.

Wednesday night, after she heard about Ashlie's death, Marshall said her own daughter was misbehaving.

"I started to get mad, and then I said, 'You know what. The Pipkins don't have their daughter to hug.'

"I just started crying, and I held her."



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HEALTH » - Sun-Times news group

Posted: 18 Sep 2009 02:47 AM PDT

2 MILLION DOSES | People at high risk get it first

Illinois will get about 2 million of the 45 million doses of swine flu vaccine expected to be available nationwide by mid-October, state health officials said Thursday.

First to receive the vaccine will be those at highest risk for complications from the H1N1 flu virus: pregnant women; caregivers of infants under 6 months; health-care workers; children; adults under 24 and adults 25 to 64 who have underlying medical conditions such as asthma and diabetes.

Everyone else will have to wait, the Illinois Department of Public Health said. Flu shot providers are being asked not to vaccinate people who don't fall into one of the high-priority groups until the target population has been vaccinated, said department spokeswoman Melaney Arnold.

About 20 million doses of swine flu vaccine will be distributed nationwide each week after the initial rollout.

The federal government is covering the cost of the vaccine and supplies, but some providers, such as privately owned clinics and hospitals, might charge a fee to administer the shot. County and city health departments will provide free vaccinations, Arnold said.

Chicago's initial shipment of about 500,000 doses of the vaccine will be distributed at 1,045 sites. There will be 2,783 vaccination sites outside of Chicago.

For regular flu updates and more information about preventing infection, go to www.ready.illinois.gov.



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