Sunday, February 28, 2010

plus 2 more, “C-section may raise kids' asthma risk: Study - The Province”

plus 2 more, “C-section may raise kids' asthma risk: Study - The Province”


C-section may raise kids' asthma risk: Study - The Province

Posted: 28 Feb 2010 04:31 AM PST

NEW YORK (Reuters Health) - Children born by caesarean delivery are at increased risk for developing asthma, particularly if their parents have allergies, according to a report published this month.

C-section has been thought to be a risk factor for asthma, although the relationship is controversial, Dr. H. A. Smit, from the National Institute for Public Health and the Environment in Bilthoven, the Netherlands, and colleagues note in the report.

Smit's team analyzed data from 2917 children to assess the association between caesarean delivery and asthma or allergies at 8 years of age.

Overall, 362, or 12.4 percent, of the children developed asthma at age 8, the researchers report, and 8.5 percent had been delivered by c-section.

Overall, children delivered by c-section were 79 percent more likely to develop asthma than children born vaginally, the investigators found. The association between c-section and asthma was even stronger for children born to one or two allergic parents than for children born to parents without allergies.

"Our results emphasize the importance of gene-environment interactions on the development of asthma in children," Smit and colleagues conclude.

"The increased rate of caesarean section is partly due to maternal demand without medical reason. In this situation, the mother should be informed of the risk of asthma for her child, especially when the parents have a history of allergy or asthma," they wrote.

SOURCE: Thorax, February 2009.

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BPA May Raise Risk of Asthma in Kids - YAHOO!

Posted: 28 Feb 2010 06:04 AM PST

SUNDAY, Feb. 28 (HealthDay News) -- Mouse pups whose mothers were exposed to a common but controversial chemical developed allergic asthma, new research has found.

Bisphenol A (BPA) is a chemical commonly found in polycarbonate plastic bottles and the aluminum lining of food and beverage cans. Production of the chemical started about 40 years ago, a timing that scientists note coincides with increasing asthma rates.

Various U.S. health agencies recently pledged $30 million toward short- and long-term research aimed at clarifying the health effects of BPA. It has caused problems in lab animals and in people who have had occupational exposure. On Thursday, Maryland became the third state to tackle the issue, when the state legislature passed a ban on BPA in cups and bottles used by children younger than age 4. Minnesota and Connecticut passed similar laws last year.

Although the newest study looked only at mice, several experts believed that the findings could be worrisome for humans.

"They're using what are probably going to be reasonable estimates of human neonatal exposure, and that seems to have an effect on the developing immune system or sensitivity to asthma," said Dr. Steve Georas, chief of pulmonary and critical care medicine and director of the Mary Parkes Center for Asthma, Allergy and Pulmonary Care at the University of Rochester Medical Center in New York. "If you take it together with some epidemiologic studies, I would consider it cause for concern."

Dr. Erick Forno, an assistant professor of pediatrics at the University of Miami Miller School of Medicine added that "the mice they used are very well-accepted models for asthma and allergies so it should be a very good model of what we would expect to happen in humans, although that is not always the case."

The findings were to be presented Sunday in New Orleans at the American Academy of Allergy, Asthma & Immunology annual meeting.

Previous studies by the same group had also suggested that pups born to mothers who had been exposed to BPA had an increased susceptibility to allergic asthma. The new study focused on which doses might tip the scale.

The researchers put 0.1, 1 or 10 micrograms per milliliter of BPA in the drinking water of female mice before, during and after pregnancy. Once born, their pups were injected with ovalbumin to make them susceptible to asthma.

Mice born to mothers who had been exposed to 10 micrograms of BPA developed airway problems, though that did not occur among mice born to mothers with lower or no exposure.

"It's an exciting finding, an initial finding," Forno said. "I think the next thing is going to have to be not only the level of exposure but also how much or how prolonged does the exposure have to be and if there are any other factors involved."

The study's senior author, Dr. Terumi Midoro-Horiuti, an associate professor of pediatrics and biochemistry and molecular biology in the Child Health Research Center at Children's Hospital, University of Texas Medical Branch in Galveston, said her group is now collecting cord blood in humans, grouping that according to BPA exposure and following offspring to see if they develop asthma.

A second study being presented at the meeting found that children whose mothers had high levels of folate, a B vitamin, during pregnancy were more likely to develop asthma by the age of 3.

Too little folate, or folic acid, can contribute to neural tube defects in babies.

"This goes along the lines of thinking if some is good, more is better, and we have seen certainly with vitamin supplements, especially with antioxidants, that more is not necessarily better and may be worse," Horovitz said. "Here we're seeing it again."

Data came from 507 mothers of children with asthma and 1,455 mothers of children without asthma, all part of the Norwegian Mother and Child Cohort Study.

"In both cases, these studies illustrate how much prenatal environmental influence there is," Horovitz said.

More information

The American Academy of Allergy, Asthma & Immunology has more on childhood asthma.

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Household Dirt Won't Raise Asthma Risk in Infants - AZCentral.com

Posted: 28 Feb 2010 06:33 AM PST

SUNDAY, Feb. 28 (HealthDay News) -- Exposure to unclean conditions early in life doesn't affect a child's risk of developing asthma, researchers say.

"In an earlier study, we found that infants were exposed to high levels of endotoxin and allergens [mite and cockroach] in their day-care centers. Therefore, we were anxious to find out, through a birth cohort study, if infants from low-income families with high risk of asthma might be protected from the development of the disease," lead author Vera E.V. Rullo said in a news release.

The new study included 104 newborns in Brazil who were from low-income families and at high risk for asthma. The researchers assessed respiratory infections, breast-feeding, exposure to allergens and endotoxins (toxins associated with certain bacteria), and wheezing in the children.

By the time the children were 5, about 19 percent of them had persistent wheezing. Only respiratory infection in the first year of life was found to be associated with persistent wheezing. Allergen and endotoxin exposure and breast-feeding for the first six months of life had no effect on the development of asthma, the researchers found.

The study authors also reported that 27 percent of the children had sensitization to a species of house dust mite called D. pteronyssinus, but this had no association with persistent wheezing.

The study was presented Saturday at the American Academy of Allergy, Asthma & Immunology annual meeting, in New Orleans.

More information

The U.S. National Heart, Lung and Blood Institute has more about asthma.

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Saturday, February 27, 2010

plus 3 more, “Existing Health Programs Could Help More Kids With Asthma - US News and World Report”

plus 3 more, “Existing Health Programs Could Help More Kids With Asthma - US News and World Report”


Existing Health Programs Could Help More Kids With Asthma - US News and World Report

Posted: 24 Feb 2010 07:06 AM PST

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WEDNESDAY, Feb. 24 (HealthDay News) -- The United States could lower the number of uninsured children with asthma by 75 percent by enrolling all those who are eligible for federally funded insurance programs and expanding eligibility, a new report suggests.

At the same time, the report notes health care for kids with asthma costs an average of 50 percent more than for other children.

"Childhood asthma presents one of the nation's starkest examples of what is wrong with the health-care system. Even as more than 1 million children with asthma lack coverage, the nation is squandering health-care dollars on costly treatment while missing key prevention opportunities," Sara Rosenbaum, chairwoman of the department of health policy at George Washington University and co-lead author of the report, said in a news release from the school.

"To date, the knowledge, programs and infrastructure America has amassed about childhood asthma is like an unassembled puzzle. We have the pieces; it's time that we put them together," Rosenbaum said.

The report stated that of the estimated 1.17 million children with asthma who aren't insured, there are 600,000 that are eligible, but haven't been enrolled in Medicaid or the Children's Health Insurance Program, known as CHIP. In addition, 180,000 children aren't eligible for coverage but would be if the entire country expanded eligibility to the levels already in place in seven states (that level being 300 percent of the federal poverty level).

"The good news is that significant improvements in childhood asthma could result from better use of existing programs," Dr. Floyd Malveaux, former dean of the College of Medicine at Howard University, explained in the news release. "For those children most at risk, stable and continuous health insurance could lead to greater access to care, controlled health spending and improved overall health."

The report is funded by Merck Childhood Asthma Network, a non-profit group founded by a philanthropic arm of the Merck pharmaceutical company, and RCHN Community Health Foundation.

More information

The Nemours Foundation has details on asthma in children.

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CORRECTING and REPLACING No More Secrets Growing in the Home: 1-800 ... - Investors Business Daily

Posted: 26 Feb 2010 05:27 PM PST

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Go to PDF Version | Go to Recent Issues

To save time in the future, you may select one of the preferences below. You may update your eIBD preferences at any time by going into My IBD and selecting Update Your eIBD Preferences.

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No More Secrets Growing in the Home: 1-800-GOT-MOLD? Is On a Mission ... - Forbes

Posted: 26 Feb 2010 02:56 PM PST

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BusinessWire - Put a hold on mold; 1-800-GOT-MOLD? is actively combating mold-induced health problems, such as asthma and sinusitis, affecting millions of families nationwide. 1-800-GOT-MOLD? is passionate about the welfare of children and adults who suffer from the adverse effects mold can have on one's health.

With the use of state-of-the-art technology, specially trained mold-detecting dogs (Mold Dogs(TM)), and extensive knowledge and training, 1-800-GOT-MOLD? sets the standard for hidden mold detection, as well as prevention and education.

Mold is much more than an unsightly attribute in the home; black mold in particular can be extremely dangerous and poses a broad range of health risks. Many families endure serious health complications such as asthma, sinusitis, allergies and other respiratory ailments as a result of living with black mold. Children exposed to mold growth have a greater risk of allergic reactions as well as other debilitating medical ailments.

Medical studies have found that 96 percent of the 37 million chronic sinus infections (sinusitis) are directly caused by mold, 21 percent of all asthma is mold-related, and a moldy environment may even lead to depression.

According to the US Environmental Protection Agency, the air inside the average American home can be over 100 times more polluted than the air outside. Mold can grow hidden beneath carpets, inside walls, in the ceiling, and in attics and crawl spaces. Unseen and unnoticed, indoor mold growth can ruin a family's health and peace of mind.

Founder of 1-800-GOT-MOLD?, Jason Earle, considers educating the public on mold to be a labor of love. As a result of living in a damp, moldy home as a child, Earle was plagued with sinusitis, asthma, compounded by pneumonia and extensive allergies.

"I now know it was mold and the other unhealthy byproducts of dampness indoors which were at the root of my severe allergies and asthmatic condition as a kid," says Earle. "Without the constant exposure to mold, I have become incredibly healthy."

Earle's mission is clear and focused when it comes to the protection of America's youth.

"There is absolutely no reason why people should have to needlessly suffer when there are so many solutions available for mold detection and remediation," said Earle. "If only the resources available now were in existence when I was a child, my family would never have suffered the constant panic and worry associated with such a common household issue.

"Peace of mind is priceless, but it's what we sell."

While "black mold" is often linked to asthma, allergies, sinusitis and other respiratory conditions in the media, any mold - regardless of its color - can serve as a trigger for these ailments.

For media inquiries and/or to arrange an interview, please contact Tyler Barnett at 323.937.1951 or tyler@tylerbarnettpr.com.

1-800-GOT-MOLD? is an indoor air quality company specializing in mold inspections, mold testing and mold remediation consulting. Based in New Jersey, the company is expanding nationwide via franchising.

SOURCE: 1-800-GOT-MOLD

1-800-GOT-MOLD? Tyler Barnett Media Representative Ph. 323-937-1951 Cel. 818-929-8166 Tyler@TylerBarnettPR.com

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Startling new childhood asthma data - PhysOrg

Posted: 23 Feb 2010 06:39 AM PST

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A new report from GW, Changing pO2licy: The Elements for Improving Childhood Asthma Outcomes, found that asthma adds about 50 cents to every health care dollar spent on children with asthma compared to children without asthma. Those most at risk - low income, medically underserved, and African-American and Hispanic children - have the least access to preventive care and the most visits to the ER.

"Childhood asthma presents one of the nation's starkest examples of what is wrong with the health care system. Even as more than 1 million children with asthma lack coverage, the nation is squandering health care dollars on costly treatment while missing key prevention opportunities," said Sara Rosenbaum, JD, Chair of GW's, Department of Health Policy and co-lead author of the new report. "To date, the knowledge, programs and infrastructure America has amassed about childhood asthma is like an unassembled puzzle. We have the pieces; it's time that we put them together."

The report, supported by the Merck Childhood Asthma Network, Inc., (MCAN) and the RCHN Community Health Foundation (RCHN CHF), is the result of a year-long investigation into America's childhood asthma problem to discover why the country has not benefitted more from what is known about asthma, the single most common chronic disease among children.

GW researchers found that of the 1.17 million children with asthma estimated to be uninsured, 600,000 are estimated to be eligible but not enrolled in Medicaid or the Children's Health Insurance Program (CHIP). Another 180,000 children with asthma would be eligible for coverage if all states were to increase coverage to 300 percent of the federal poverty level, as seven states already do. With these two simple steps, America could reduce the number of uninsured children with asthma by 75 percent.

"The good news is that significant improvements in childhood asthma could result from better use of existing programs," said Dr. Floyd Malveaux, Executive Director of MCAN and former Dean of the College of Medicine at Howard University. "For those children most at risk, stable and continuous health insurance could lead to greater access to care, controlled health spending and improved overall health."

GW identified community health centers as another resource that can be deployed to improve asthma management for children - one in every three of whom is poor.

"Located in medically-underserved and low income communities, health centers report that 20 percent of the children they serve have asthma," said Feygele Jacobs, MPH, MS, Executive Vice President/Chief Operating Officer of the RCHN CHF. "Community health centers could be the front door to better disease management for children with asthma."

GW identified five essential elements that are key to improving asthma outcomes and provided practical and evidence-based recommendations about how to bring these elements to life to improve childhood asthma outcomes:

  • Stable and continuous health insurance

    • Make continuous Medicaid and CHIP enrollment a part of every eligible child's asthma treatment plan developed by the child's health care provider team.
    • Encourage all states to expand Medicaid and CHIP to at least 300 percent of the federal poverty level and to adopt new options to fully cover legally resident children.
    • Encourage all states to adopt Medicaid and CHIP enrollment and retention reforms, especially reforms aimed at making enrollment and retention activities possible through community health care providers, schools, and other locations where children and families can easily apply for and renew coverage.
    • Make enhanced asthma treatment and management a specific focus of quality performance improvement in Medicaid and CHIP.
  • Provide high quality clinical care and case management for children whose asthma is hard to manage or control, and reach all children regardless of whether they have health insurance coverage
    • Create an HHS-led, cross-agency, Administration-wide national plan for changing childhood asthma outcomes, involving: CMS, HRSA, CDC, IHS, ONCHIT, ED, HUD and EPA.
    • Make performance improvement in childhood asthma a key program aim for community health centers and the Indian Health Service, which together are health care homes for over 7.5 million of the nation's most at risk children.
  • Continuous information exchange and monitoring, using heath information technology (HIT) as much as possible
    • Enhance asthma monitoring through model registries and target use of comprehensive integrated HIT systems to promote clinical reporting as well as coordination and communication among care providers, public health agencies and schools.
  • Asthma trigger reduction in homes and communities
    • Encourage public health agencies, housing authorities and environmental agencies to promote evidence-based interventions and services that are essential to reducing the many environmental asthma triggers that lie beyond the control of any one family and fall outside of traditional "health care" interventions.
  • Learning what works and increasing knowledge
    • Promote a strengthened and diversified Administration-wide research agenda to include basic, clinical and translational/ implementation investigations.
"For the first time, we have a national plan that turns decades of research and lessons learned from on-the-ground programs into recommendations that will improve outcomes," said Rosenbaum. "It's time to aim higher for the millions of children with asthma and their families."

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Friday, February 26, 2010

plus 1 more, “Existing Health Programs Could Help More Kids With Asthma - AZCentral.com”

plus 1 more, “Existing Health Programs Could Help More Kids With Asthma - AZCentral.com”


Existing Health Programs Could Help More Kids With Asthma - AZCentral.com

Posted: 23 Feb 2010 03:57 PM PST

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WEDNESDAY, Feb. 24 (HealthDay News) -- The United States could lower the number of uninsured children with asthma by 75 percent by enrolling all those who are eligible for federally funded insurance programs and expanding eligibility, a new report suggests.

At the same time, the report notes health care for kids with asthma costs an average of 50 percent more than for other children.

"Childhood asthma presents one of the nation's starkest examples of what is wrong with the health-care system. Even as more than 1 million children with asthma lack coverage, the nation is squandering health-care dollars on costly treatment while missing key prevention opportunities," Sara Rosenbaum, chairwoman of the department of health policy at George Washington University and co-lead author of the report, said in a news release from the school.

"To date, the knowledge, programs and infrastructure America has amassed about childhood asthma is like an unassembled puzzle. We have the pieces; it's time that we put them together," Rosenbaum said.

The report stated that of the estimated 1.17 million children with asthma who aren't insured, there are 600,000 that are eligible, but haven't been enrolled in Medicaid or the Children's Health Insurance Program, known as CHIP. In addition, 180,000 children aren't eligible for coverage but would be if the entire country expanded eligibility to the levels already in place in seven states (that level being 300 percent of the federal poverty level).

"The good news is that significant improvements in childhood asthma could result from better use of existing programs," Dr. Floyd Malveaux, former dean of the College of Medicine at Howard University, explained in the news release. "For those children most at risk, stable and continuous health insurance could lead to greater access to care, controlled health spending and improved overall health."

The report is funded by Merck Childhood Asthma Network, a non-profit group founded by a philanthropic arm of the Merck pharmaceutical company, and RCHN Community Health Foundation.

More information

The Nemours Foundation has details on kidshealth.org/kid/health_problems/allergy/asthma.html " target="_new">asthma in children.

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Special Journal of Allergy and Clinical Immunology (JACI) Supplement ... - Forbes

Posted: 26 Feb 2010 05:31 AM PST

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HORSHAM, Pa., Feb. 26 /PRNewswire-FirstCall/ -- Increasing evidence supports the importance of small airways in the diagnosis and treatment of asthma; however, focused areas of discussion and critical review of this topic have been lacking. To foster a better understanding of the role of small airways in asthma management, Teva Respiratory, a subsidiary of Teva Pharmaceutical Industries Ltd. (Nasdaq: TEVA), will be providing reprints of a special supplement entitled "Small Airway Involvement: A Key to Asthma" from the December issue of the Journal of Allergy and Clinical Immunology(JACI) at their exhibit (Booth #724) at the American Academy of Allergy, Asthma & Immunology (AAAAI) Annual Meeting being held Feb. 26-March 2, 2010 in New Orleans, La.

While there has been significant progress in the diagnosis of asthma, including prevention, education and treatment, asthma remains a major public health concern as millions of people still experience flare ups and miss school and work days as a result every year. Asthma at all levels of severity is the result of chronic inflammation in both the large and small airways, and if left untreated can result in permanent structure changes to the airways, whether patients are symptomatic or not.

The special JACI supplement provides a comprehensive scientific review of the emerging role of the small airways in the understanding and treatment of asthma, a key topic being discussed at the Annual Meeting. This publication represents the first time leading researchers from various institutions in the U.S. and Canada have organized information surrounding the small airways in asthma to set a benchmark for additional discussion and future research in this area.

"It is important for both patients and physicians to have a clear understanding of the role of the small airways in the pathology of asthma," said study author Richard J. Martin, MD, Chairman, Department of Medicine, National Jewish Health in Denver, Colo. "Poorly controlled inflammation in the small airways may exacerbate asthma symptoms, such as coughing and shortness of breath, which may lead to an asthma attack or need to seek emergency care. Physicians should consider an inhaled corticosteroid controller medication with a small particle size that delivers medication to both the large and small airways."

The below chart highlights the four articles included in the JACI supplement that were developed following the April 2009 symposium at which leading asthma specialists discussed various aspects surrounding the importance of small airways in asthma management*:


Article Title Key Highlights -- The Importance and -- The small airways play an important Features of the Distal role in the pathology of asthma Airways in Children and -- Inflammation of small airways may Adults (E. W. Gelfand and exacerbate asthma, contribute to an M. Kraft) accelerated decline in lung function and promote airway remodeling -- Anatomy, Pathology, and -- Airway inflammation and remodeling that Physiology of the characterize asthma occur in the small Tracheobronchial Tree: airways Emphasis on the Distal -- Small airways are an important target Airways (D. M. Hyde, Q. for asthma therapy Hamid and C. G. Irvin) -- Particle Size of -- HFA solution metered-dose inhalers, Inhaled Corticosteroids: such as QVAR(R) (beclomethasone Does it Matter? (C. dipropionate HFA) Inhalation Aerosol, Leach, G. L. Colice and produce small particles that are able to A. Luskin) reach and treat the large and small airways -- Most inhaled medications do not reach the small airways where many of the pathological changes in asthma may occur -- Imaging of the Distal -- High-resolution CT imaging can Airways (D. P. Tashkin assess small airway role in asthma and E. E. de Lange) -- Traditional diagnostic methods have not adequately measured small airway function

National guidelines recommend inhaled corticosteroids (ICSs) as first-line therapy to achieve asthma control; however, most of these medications do not reach and treat the small airways due to their large particle size, therefore, small airway inflammation may remain largely uncontrolled. There are treatments available with extra-fine particle size, such as QVAR(R), which allows asthma control to be delivered deep in the lung, due to more effective penetration throughout the large and small airways. Patients should talk to their healthcare provider to learn more about available treatment options that reach and treat both large and small airways.

* The symposium was supported by an unrestricted grant from Teva Respiratory, LLC.

About Asthma

Asthma is a chronic (long-term), treatable lung disease that causes narrowing of the large and small airways, making breathing difficult at times. Asthma causes recurring periods of wheezing (a whistling sound when you breathe), chest tightness, shortness of breath and coughing that often occurs at night or early in the morning. Without appropriate treatment, asthma symptoms may become more severe and result in an asthma attack, which can lead to hospitalization and even death.

Asthma affects people of all ages, but it most often starts in childhood. In the U.S., more than 22 million people are known to have asthma, including more than 6 million children. Each year in the U.S., asthma causes approximately 500,000 hospitalizations, 134 million days of restricted activity and 4,000 deaths.

About QVAR(R)

QVAR(R) is indicated in the maintenance treatment of asthma as prophylactic therapy in patients 5 years of age or older. QVAR(R) is also indicated for asthma patients who require systemic corticosteroid administration, where adding QVAR(R) may reduce or eliminate the need for systemic corticosteroids.

Important Safety Information

QVAR(R) is not a bronchodilator and is not indicated for relief of acute bronchospasm. Common side effects associated with the use of QVAR(R) and placebo in clinical trials include, but are not limited to, headache (12% and 9%, respectively) and pharyngitis (8% and 4%, respectively). Caution: Adrenal insufficiency may occur when transferring patients from systemic steroids (see WARNINGS, Prescribing Information). A reduction in growth velocity in growing children and teenagers may occur as a result of inadequate control of chronic diseases such as asthma or from use of corticosteroids for treatment.

For full Prescribing Information, please click here: http://www.qvar.com/Document/PrescribingInformation.pdf.

About Teva Respiratory

Teva Respiratory is the U.S.-based respiratory subsidiary of Teva Pharmaceutical Industries Ltd.Teva Pharmaceutical Industries Ltd., headquartered in Israel, is among the top 15 pharmaceutical companies in the world and is the leading generic pharmaceutical company. The company develops, manufactures and markets generic and innovative human pharmaceuticals and active pharmaceutical ingredients. Over 80 percent of Teva's sales are in North America and Europe.

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SOURCE Teva Respiratory, a subsidiary of Teva Pharmaceutical Industries Ltd.


Copyright 2009 PR Newswire All rights reserved.

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Thursday, February 25, 2010

plus 2 more, “FDA requires new warnings for asthma drugs - Reuters UK”

plus 2 more, “FDA requires new warnings for asthma drugs - Reuters UK”


FDA requires new warnings for asthma drugs - Reuters UK

Posted: 18 Feb 2010 04:03 PM PST

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By Lisa Richwine

WASHINGTON (Reuters) - U.S. health officials said Thursday they were taking steps to reduce the use of certain asthma drugs because of serious risks, including death.

Inhaled medicines known as long-acting beta-agonists, or LABAs, must carry warnings saying they should never be used alone to treat asthma, the Food and Drug Administration said.

LABAs are sold as Glaxo's Serevent and Novartis AG's Foradil, which Merck & Co Inc markets in the United States. Two more widely used blockbuster medicines -- GlaxoSmithKline Plc's Symbicort -- combine a LABA with an inhaled corticosteroid.

The combination products should only be used in patients with asthma that cannot be controlled by other medications and should be used for the shortest time possible, FDA officials said. The agency said it will require new warnings that reflect that advice.

"The idea here is to overall decrease the use of long-acting beta agonists even as a combination product," Dr. Badrul Chowdhury, head of the FDA's pulmonary drugs division, told reporters on a conference call.

The FDA said a review found "there is an increased risk for severe exacerbation of asthma symptoms, leading to hospitalizations in pediatric and adult patients, as well as death in some patients" who used LABAs to treat asthma.

An FDA analysis presented to an advisory panel in December 2008 found 2.8 more serious asthma-related complications, including deaths and hospitalizations, for every 1,000 patients treated with a LABA.

The agency said on Thursday there was "no conclusive evidence that the combination of an asthma controller medicine with a LABA decreases or eliminates the risk." The FDA is requiring studies by the manufacturers to better understand the safety of LABAs when used with an inhaled steroid. Continued...

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One in two children has chronic health issues - WBOC

Posted: 17 Feb 2010 09:48 PM PST

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By Serena Gordon
HealthDay Reporter

TUESDAY, Feb. 16 (HealthDay News) -- One in every two U.S. children now grapples at some time with a chronic health condition, such as asthma, attention-deficit hyperactivity disorder (ADHD) or obesity, new research suggests.

The good news is that for many of those children, their chronic childhood illness won't persist. Just over 7 percent of those who reported a chronic condition at the beginning of the study still had the condition six years later.

"Over time, we found the rates of chronic conditions and obesity in U.S. children increased, but quite a few of these conditions resolved on their own," said study author Dr. Jeanne Van Cleave, a pediatrician at MassGeneral Hospital for Children in Boston.

The findings are published in the Feb. 17 issue of the Journal of the American Medical Association.

A chronic health condition is one that lasts at least 12 months, according to the study. Some of the conditions included asthma, type 1 diabetes, type 2 diabetes, epilepsy, cystic fibrosis, heart problems, allergic conditions, learning disabilities, hyperactivity, sinus infections, ear infections and more. Obesity was defined as a body-mass index in the 95th percentile or higher for the child's gender and age.

The researchers conducted the study using three different groups of children. The first cohort, which included 2,337 children, was interviewed during 1988 to 1994; the second, which included 1,759 children, was interviewed during 1994 to 2000 and the final group, which included 905 children, was interviewed from 2000 to 2006.

At the beginning of each period, the children were between the ages of 2 and 8; chronic conditions were confirmed by reports from parents.

At the end of each study, the prevalence of chronic illness or obesity was 12.8 percent in the first (earliest) group, 25 percent for the second group and 26.6 percent for the third (and most recent) group. The third group also had the highest prevalence of reporting a chronic condition at any time during the six-year study period, with 51.5 percent reporting a chronic condition at some point during the study.

The risk of having a chronic condition was higher for males, and for children who were black or Hispanic. Kids who had overweight mothers were far more likely to be overweight themselves, according to the study.

What surprised the authors, however, was that the chronic conditions weren't always lasting. Overall, only 7.4 percent of the children who had a chronic condition at the start of the study still had that same condition at the end of the research period.

"We've always thought of chronic conditions as quite permanent, so these findings give a lot of hope for kids with chronic conditions and obesity," said Van Cleave.

She said these findings also raise a number of research questions, as well as point to the need for good health care, including prevention and education services.

"It's likely that a lot of these conditions resolved because families made lifestyle changes, such as eating healthier foods, reducing screen time and becoming more physically active," she said.

"The burden of chronic disease in children is pretty high," said Dr. Geetha Raghuveer, a cardiologist and an associate professor at Children's Mercy Hospital in Kansas City, Mo.

Raghuveer said she isn't sure how much of the fluctuation in chronic conditions is real, because they're based on parental reports. "Some of the major issues here, like established childhood obesity, don't fluctuate and go away in our experience without a rigorous attempt. Although it's probably reassuring that at least some of these conditions may go away in time," she said.

But the bottom line, she said, is that U.S. children need better health habits. "This is just another study emphasizing what many already knew. And, if we don't eradicate the root causes, such as bad eating and little exercise, we'll continue to see a lot more morbidity in children," Raghuveer said.

"I'm seeing more and more kids with high cholesterol and insulin resistance that already have blood vessel damage in them. They're already like a 45-year-old in terms of blood vessel health. We need a basic change in how we live and how we eat. Prevention is key," she stressed.

More information

To learn more about raising healthy children, visit the U.S. Centers for Disease Control and Prevention.

Copyright © 2010 HealthDay. All rights reserved.

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Asthma in Haifa children more than double the national average - Haaretz.com

Posted: 25 Feb 2010 03:59 AM PST

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The researchers linked the high incidence of asthma to the area's severe air pollution and a growing problem of obesity among schoolchildren. In Kiryat Yam, for instance, not only was the incidence of asthma even higher than the norm for the area, but the proportion of overweight children, at 12 percent, was almost three times the average for the Haifa Bay area.

Indeed, the researchers concluded that obesity is even more closely linked to asthma than pollution is. A quarter of the area's overweight children were found to have asthma, compared to 16 percent of children with normal weights. Boys were also found to be more prone to asthma than girls.

Though the incidence of asthma in the Haifa Bay area is higher than the national average, it is similar to that in other Western countries. In the United States, for instance, 22 percent of children have asthma, while 21 percent have the disease in Britain and 18 percent in Canada.

Several international studies have previously found a link between pollution and asthma, and have also discovered that some people have a genetic predisposition to the disease. The current study found that greater exposure to sulfur dioxide - which is produced by the fuel burned in Bay-area factories - increased the risk of asthma among children in the Haifa area by 11 percent, and in Kiryat Yam specifically by 37 percent. Increased exposure to other pollutants produced by the organic compounds burned in many Bay-area plants increased the risk of asthma in the area's children by 8 percent.

Though Health Ministry researchers were involved in the study, senior ministry officials expressed reservations about it yesterday.

"Even though a higher incidence of asthma was found compared to other studies that have examined other regions in Israel, the method for measuring the incidence of asthma was different than that used in the other studies," one explained.

Moreover, he noted, the link to air pollution was not proven definitively, since obesity was also identified as a risk factor.

Nevertheless, he said, "the Health Ministry is in favor of reducing air pollution as much as possible."

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Wednesday, February 24, 2010

plus 2 more, “Existing Health Programs Could Help More Kids With Asthma - US News and World Report”

plus 2 more, “Existing Health Programs Could Help More Kids With Asthma - US News and World Report”


Existing Health Programs Could Help More Kids With Asthma - US News and World Report

Posted: 24 Feb 2010 07:06 AM PST

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WEDNESDAY, Feb. 24 (HealthDay News) -- The United States could lower the number of uninsured children with asthma by 75 percent by enrolling all those who are eligible for federally funded insurance programs and expanding eligibility, a new report suggests.

At the same time, the report notes health care for kids with asthma costs an average of 50 percent more than for other children.

"Childhood asthma presents one of the nation's starkest examples of what is wrong with the health-care system. Even as more than 1 million children with asthma lack coverage, the nation is squandering health-care dollars on costly treatment while missing key prevention opportunities," Sara Rosenbaum, chairwoman of the department of health policy at George Washington University and co-lead author of the report, said in a news release from the school.

"To date, the knowledge, programs and infrastructure America has amassed about childhood asthma is like an unassembled puzzle. We have the pieces; it's time that we put them together," Rosenbaum said.

The report stated that of the estimated 1.17 million children with asthma who aren't insured, there are 600,000 that are eligible, but haven't been enrolled in Medicaid or the Children's Health Insurance Program, known as CHIP. In addition, 180,000 children aren't eligible for coverage but would be if the entire country expanded eligibility to the levels already in place in seven states (that level being 300 percent of the federal poverty level).

"The good news is that significant improvements in childhood asthma could result from better use of existing programs," Dr. Floyd Malveaux, former dean of the College of Medicine at Howard University, explained in the news release. "For those children most at risk, stable and continuous health insurance could lead to greater access to care, controlled health spending and improved overall health."

The report is funded by Merck Childhood Asthma Network, a non-profit group founded by a philanthropic arm of the Merck pharmaceutical company, and RCHN Community Health Foundation.

More information

The Nemours Foundation has details on asthma in children.

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Heavy youngsters at risk for asthma symptoms - Dose.ca

Posted: 24 Feb 2010 04:50 AM PST

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NEW YORK (Reuters Health) - Children who are overweight at age 6 to 7 years are at increased risk for having symptoms of asthma like shortness of breath and "twitchy" airways when they are 8 years old, results of a study conducted in the Netherlands show.

However, children who are overweight at a younger age but reach a normal weight by age 6 to 7 do not appear to have an increased risk for asthma symptoms, according to the study.

"These findings suggest that being overweight may affect a child's development of asthma symptoms," Dr. Salome Scholtens from the National Institute for Public Health and the Environment in Bilthoven told Reuters Health.

"However, if a previously overweight child develops a normal weight, then the asthma symptoms are less likely to persist. We propose that development of a normal weight might positively affect asthma symptoms in overweight children," Scholtens added.

Each year until the age of 8, Scholtens and colleagues had the parents of 3756 children report their children's weight and any episodes of wheezing or other breathing difficulties as well as the use of inhaled steroids. The researchers tested the children to see how sensitive their airways were to various inhaled allergens.

When the children were 8 years old, 275 (7.3 percent) wheezed, 361 (9.6 percent) had difficulty breathing and 268 (7.1 percent) had a prescription for an inhaled steroid in the preceding year.

According to the investigators, children who were persistently heavy from a very young age and between age 6 to 7 years were 68 percent more likely to have breathing difficulties and 66 percent more likely to have twitchy airways at age 8 than children who were leaner in childhood.

As mentioned, children who were heavier at a very young age, but who developed a normal weight at age 6 to 7 did not have an increased risk of breathing difficulties.

These findings suggest that being overweight in early childhood does not have a lasting effect on breathing difficulties if the child develops a normal weight by 8 years old.

The writers of a commentary published with the study in the Journal of Allergy and Clinical Immunology call the findings "encouraging."

SOURCE: Journal of Allergy and Clinical Immunology, June 2009.

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FDA's New Restrictions on LABA for Asthma Patients, Some Believe ... - Associated Content

Posted: 19 Feb 2010 10:47 AM PST

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On Thursday February 18, 2010, the FDA issued new restrictions over the use of four widely used asthma medications-Serevent, Symbicort, Foradil, and Advair. The new restrictions state that these drugs should only be used as a last resort when other medications arent effective. The FDA also recommends that these drugs should be used for only the shortest time possible.

Additionally, further restrictions are placed on drugs that contain LABAs (Long Acting Beta Agonist), including Serevent and Foradil. The FDA says that drugs containing LABA should only be used in conjunction with other asthma medications, such as an inhaled steroid.

LABA medications are effective for treating day to day ashtma problems but may mask more severe symptoms of a serious asthma attack. This increases the chances of hospitalization or even death for those taking these medications.

The risks are higher in children and teens. According to the FDA's Web site, Diane Murphy, M. D., director of the FDAs Office of Pediatric Therapeutics, said, "The risks of hospitalization and poor outcomes are of particular concern for children; parents need to know that their child with asthma should not be on a LABA alone."

Manufacturers are now required to change labeling for these and perform clinical studies to assess the safety and effectiveness of these LABA asthma medications when used with other asthma medications.

When children and teens are in need of LABAs, they should be prescribed a product that contains both the LABA medication and an inhaled steroid, ensuring compliance with the new guidelines.

Although other drugs contain LABAs, the FDA does not require any label changes for them. These drugs are not used for asthma patients, so they do not pose a risk.

The new recommendation may pose the question for parents of ashtma patients- Is there a way to avoid the need for medication altogether?

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Monday, February 22, 2010

The “Health Watch: Understanding prescription drug abuse - Observer-Dispatch”

The “Health Watch: Understanding prescription drug abuse - Observer-Dispatch”


Health Watch: Understanding prescription drug abuse - Observer-Dispatch

Posted: 22 Feb 2010 05:00 AM PST

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Prescription pain relievers help people with chronic pain lead productive lives. Most people who take prescription medications use them responsibly, but when abused, prescription medications can produce serious adverse health effects, including addiction.

The majority of people who report misusing pain medication say they got the medicine for free from family or friends, while only a very small percentage (2.3 percent) of people report giving their leftover medications away.

An estimated 72 percent of persons who were prescribed pain medication during the past year had leftover medication, and the majority (71 percent) of those with leftover medication reported keeping it, according to CDC research.

Opioids are analgesic, or pain-relieving, medications. Studies have shown that properly managed medical use (taken exactly as prescribed) of opioid analgesics is safe, can manage pain effectively, and rarely causes addiction.

But these drugs, which include hydrocodone, oxycodone, morphine and codeine, affect regions of the brain that mediate what one perceives as pleasure. Repeated abuse can lead to addiction—a chronic, relapsing disease characterized by compulsive drug seeking and abuse despite its known harmful consequences.

Opioids can produce drowsiness, cause constipation, and, depending upon the amount taken, depress breathing. Taking a large single dose could cause severe respiratory depression or death.

These medications are only safe to use with other substances under a physician's supervision. Individuals who abuse or are addicted to prescription opioid medications can be treated.

Visit www.samhsa.gov for more information on how to get help for substance addiction, or how to help someone who might have a drug problem.

-- Centers of Disease Control and Prevention, National Institute on Drug Abuse

New research: Get happy to protect your heart

People who are usually happy, enthusiastic and content are less likely to develop heart disease than those who tend not to be happy, according to a new study.

Over a period of 10 years, researchers followed 1,739 healthy adults who were participating in the 1995 Nova Scotia Health Survey. At the start of the study, trained nurses assessed the participants' risk of heart disease and measured symptoms of depression, hostility, anxiety and the degree of expression of positive emotions, which is known as "positive affect."

After taking into account age, sex, cardiovascular risk factors and negative emotions, the researchers found that increased positive affect predicted less risk of heart disease.

-- European Heart Journal

Did You Know?

University of Florida aquatic animal health experts say dolphins may be the ideal model for the study of cervical cancer in people.

Health Tip: 3 exercises for sculpted arms

As you dream of summer, why not tone your arms in preparation for the season of short sleeves and tank tops. Here are some tips:

- Overhead triceps press: Position dumbbells with both hands under the weights in a heart-shaped grip. With elbows overhead, lower the forearm behind the upper arm by flexing your elbows. Raise the weight overhead by extending your elbows while hyper-extending your wrists. Repeat for three sets of 12 repetitions.

- Build your biceps: Start with the weights in your hands at your sides, palms facing each other. Bending your elbows, lift the weights up to about 90 degrees and slowly lower. Repeat for three sets of 12 repetitions.

- Don't cut the cardio: Lean, sculpted arms are only achieved by reducing your body fat, so cardio exercises are a must.

-- Life Fitness, www.lifefitness.com

Number to Know: 40

A new study has found regular users of ibuprofen were 40 percent less likely to develop Parkinson's disease than people who didn't take ibuprofen. The results were the same regardless of age, smoking and caffeine intake.

-- American Academy of Neurology

Children's Health: Does your child have asthma?

Sometimes it's difficult to tell whether your child's respiratory symptoms are caused by asthma. Make a doctor's appointment if you notice:

- Coughing that's constant, intermittent or associated with physical activity.
- Wheezing or whistling sounds when your child exhales.
- Shortness of breath or rapid breathing that may or may not be associated with exercise.
- Complaints of chest tightness.
- Repeated episodes of suspected bronchitis or pneumonia

If your child is diagnosed with asthma, creating an asthma action plan can help you monitor symptoms and be ready if an asthma attack does occur.

-- Mayo Clinic, www.mayoclinic.com

Senior Health: Risks of untreated poor vision

Elderly people with visual disorders that are left untreated are significantly more likely to develop Alzheimer's disease, according to a University of Michigan Health System study.

The study used Medicare data and shows that those with poor vision who visited an ophthalmologist at least once for an examination were 64 percent less likely to develop dementia.

The types of vision treatment that were helpful in lowering the risk of dementia were surgery to correct cataracts and treatments for glaucoma, retinal disorders and other eye-related problems.

-- University of Michigan Health System

GateHouse News Service

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