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"content": "\u003cfigure id=\"attachment_18177\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/stk116189rke-e1395165944260.jpg\">\u003cimg class=\"size-large wp-image-18177\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/stk116189rke-640x425.jpg\" alt=\"Headaches are almost never caused by a tumor, say neurologists. (Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Headaches are almost never caused by a tumor, say neurologists. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Over at NPR, the Shots blog reports that Americans get $1 billion (yes, with a \"B\") worth of brain scans every year -- because they have a headache. That's according to research at the University of Michigan.\u003c/p>\n\u003cp>Headaches are one of the most common reasons people go to the doctor -- up to a quarter of all doctor visits, says Shots.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Sending a billion dollars \"down the drain.\" Annually.\u003c/aside>\n\u003cp>Presumably people are getting the scans because they're worried that headache is a sign of something much more scary -- say a brain tumor.\u003c/p>\n\u003cp>There's just one problem. Most headaches are just that -- a headache.\u003c/p>\n\u003cp>From the \u003ca href=\"http://www.npr.org/blogs/health/2014/03/18/291044766/yes-its-a-headache-no-you-dont-need-a-brain-scan\" target=\"_blank\">Shots post\u003c/a>:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>(S)ince headaches are almost never caused by a tumor or other serious brain problem, that $1 billion is money down the drain, according to Dr. Brian Callaghan, the assistant professor of neurology who led the study.\u003c/p>\n\u003cp>\"It's such a big number,\" Callaghan told Shots. \"It's just an incredible number of MRIs and CTs that people get.\"\u003c/p>\n\u003cp>From 2007 to 2010, people visited the doctor 51 million times for headache-related problems, according to a national database of outpatient visits. And 12 percent of the time, the doctors sent their patients for a brain scan. Those numbers are on the rise, the analysis found, even though \u003ca href=\"http://www.choosingwisely.org/doctor-patient-lists/imaging-tests-for-headaches/\" target=\"_blank\">guidelines \u003c/a>urge doctors to shun the scans. The \u003ca href=\"https://archinte.jamanetwork.com/article.aspx?articleid=1835347\" target=\"_blank\">results \u003c/a>were published Monday in \u003cem>JAMA Internal Medicine\u003c/em>.\u003c/p>\u003c/blockquote>\n\u003cp>I'm guilty of sending part of that billion down the drain. A few years ago, I was driving on the highway with my two children in the back seat. I glanced down, then back at the road, and suddenly was seeing double. I managed to pull over but was very shaken. I didn't know if I was having a stroke. But over a few minutes, the symptoms subsided. I won't drag you through everything I did next, but in short, I got home safely and made an appointment with the doctor.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>She listened to my story, then pointed out that this episode was likely a version of the migraines I get. Migraines are often preceded by an aura, a visual effect that can include \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/migraine-with-aura/basics/definition/con-20030404\" target=\"_blank\">flashing lights or blind spots\u003c/a>, according to the Mayo Clinic.\u003c/p>\n\u003cp>But I was freaked out. She referred me to an ophthalmologist with whom I had a long conversation about getting an MRI. He said he wouldn't do it.\u003c/p>\n\u003cp>I did it.\u003c/p>\n\u003cp>I was lucky -- not because the MRI came back normal (which I'm sure you expected by now) but also because it didn't turn up any false positives as can happen, often, with MRIs. If the MRI turns up something suspicious, it can \"prompt a cascade of tests and invasive procedures,\" Shots says, over things that will never cause any harm.\u003c/p>\n\u003cp>But that's not as bad as a CT scan -- in that case, you're exposing your brain to needless radiation. Personally, I like my brain not irradiated, if at all possible.\u003c/p>\n\u003cp>Patients like me certainly bear some responsibility, but doctors are guilty as well, says Callaghan. Ordering a scan both gets the patient out the door quickly and it does make the patient feel like someone is taking care of them.\u003c/p>\n\u003cp>Still, there are times you should worry. Again, from Shots:\u003c/p>\n\u003cblockquote>\u003cp>When should we worry? If a \u003ca href=\"http://www.nlm.nih.gov/medlineplus/headache.html\" target=\"_blank\">severe headache\u003c/a> strikes suddenly, the neurologists say. People also should seek medical help for \u003ca href=\"http://www.npr.org/blogs/health/2014/03/18/291044766/Different%20from%20other%20headaches%20you've%20had%20in%20the%20past,%20especially%20if%20you're%2050%20or%20older.%20Brought%20on%20by%20exertion.%20Accompanied%20by%20fever,%20seizure,%20vomiting,%20a%20loss%20of%20coordination,%20or%20a%20change%20in%20vision,%20speech,%20or%20alertness.\" target=\"_blank\">headaches \u003c/a>that are markedly different than ones in the past, are brought on by exertion, or come with fever, vomiting, loss of coordination, or a change in vision, speech or alertness.\u003c/p>\u003c/blockquote>\n\u003cp>In retrospect, my doctor was taking care of me by pointing out the correct problem: the migraine. In the weeks after that first episode, I had a few more episodes of double vision. It turns out if I stopped what I was doing, closed my eyes and took some deep breaths, my vision returned to normal.\u003c/p>\n\u003cp>That's a lot cheaper and easier than an MRI.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"JxVXk0bjis5QvOXUSNT42V5dBltPTkye\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18177\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/stk116189rke-e1395165944260.jpg\">\u003cimg class=\"size-large wp-image-18177\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/stk116189rke-640x425.jpg\" alt=\"Headaches are almost never caused by a tumor, say neurologists. (Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Headaches are almost never caused by a tumor, say neurologists. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Over at NPR, the Shots blog reports that Americans get $1 billion (yes, with a \"B\") worth of brain scans every year -- because they have a headache. That's according to research at the University of Michigan.\u003c/p>\n\u003cp>Headaches are one of the most common reasons people go to the doctor -- up to a quarter of all doctor visits, says Shots.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Sending a billion dollars \"down the drain.\" Annually.\u003c/aside>\n\u003cp>Presumably people are getting the scans because they're worried that headache is a sign of something much more scary -- say a brain tumor.\u003c/p>\n\u003cp>There's just one problem. Most headaches are just that -- a headache.\u003c/p>\n\u003cp>From the \u003ca href=\"http://www.npr.org/blogs/health/2014/03/18/291044766/yes-its-a-headache-no-you-dont-need-a-brain-scan\" target=\"_blank\">Shots post\u003c/a>:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>(S)ince headaches are almost never caused by a tumor or other serious brain problem, that $1 billion is money down the drain, according to Dr. Brian Callaghan, the assistant professor of neurology who led the study.\u003c/p>\n\u003cp>\"It's such a big number,\" Callaghan told Shots. \"It's just an incredible number of MRIs and CTs that people get.\"\u003c/p>\n\u003cp>From 2007 to 2010, people visited the doctor 51 million times for headache-related problems, according to a national database of outpatient visits. And 12 percent of the time, the doctors sent their patients for a brain scan. Those numbers are on the rise, the analysis found, even though \u003ca href=\"http://www.choosingwisely.org/doctor-patient-lists/imaging-tests-for-headaches/\" target=\"_blank\">guidelines \u003c/a>urge doctors to shun the scans. The \u003ca href=\"https://archinte.jamanetwork.com/article.aspx?articleid=1835347\" target=\"_blank\">results \u003c/a>were published Monday in \u003cem>JAMA Internal Medicine\u003c/em>.\u003c/p>\u003c/blockquote>\n\u003cp>I'm guilty of sending part of that billion down the drain. A few years ago, I was driving on the highway with my two children in the back seat. I glanced down, then back at the road, and suddenly was seeing double. I managed to pull over but was very shaken. I didn't know if I was having a stroke. But over a few minutes, the symptoms subsided. I won't drag you through everything I did next, but in short, I got home safely and made an appointment with the doctor.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She listened to my story, then pointed out that this episode was likely a version of the migraines I get. Migraines are often preceded by an aura, a visual effect that can include \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/migraine-with-aura/basics/definition/con-20030404\" target=\"_blank\">flashing lights or blind spots\u003c/a>, according to the Mayo Clinic.\u003c/p>\n\u003cp>But I was freaked out. She referred me to an ophthalmologist with whom I had a long conversation about getting an MRI. He said he wouldn't do it.\u003c/p>\n\u003cp>I did it.\u003c/p>\n\u003cp>I was lucky -- not because the MRI came back normal (which I'm sure you expected by now) but also because it didn't turn up any false positives as can happen, often, with MRIs. If the MRI turns up something suspicious, it can \"prompt a cascade of tests and invasive procedures,\" Shots says, over things that will never cause any harm.\u003c/p>\n\u003cp>But that's not as bad as a CT scan -- in that case, you're exposing your brain to needless radiation. Personally, I like my brain not irradiated, if at all possible.\u003c/p>\n\u003cp>Patients like me certainly bear some responsibility, but doctors are guilty as well, says Callaghan. Ordering a scan both gets the patient out the door quickly and it does make the patient feel like someone is taking care of them.\u003c/p>\n\u003cp>Still, there are times you should worry. Again, from Shots:\u003c/p>\n\u003cblockquote>\u003cp>When should we worry? If a \u003ca href=\"http://www.nlm.nih.gov/medlineplus/headache.html\" target=\"_blank\">severe headache\u003c/a> strikes suddenly, the neurologists say. People also should seek medical help for \u003ca href=\"http://www.npr.org/blogs/health/2014/03/18/291044766/Different%20from%20other%20headaches%20you've%20had%20in%20the%20past,%20especially%20if%20you're%2050%20or%20older.%20Brought%20on%20by%20exertion.%20Accompanied%20by%20fever,%20seizure,%20vomiting,%20a%20loss%20of%20coordination,%20or%20a%20change%20in%20vision,%20speech,%20or%20alertness.\" target=\"_blank\">headaches \u003c/a>that are markedly different than ones in the past, are brought on by exertion, or come with fever, vomiting, loss of coordination, or a change in vision, speech or alertness.\u003c/p>\u003c/blockquote>\n\u003cp>In retrospect, my doctor was taking care of me by pointing out the correct problem: the migraine. In the weeks after that first episode, I had a few more episodes of double vision. It turns out if I stopped what I was doing, closed my eyes and took some deep breaths, my vision returned to normal.\u003c/p>\n\u003cp>That's a lot cheaper and easier than an MRI.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"JxVXk0bjis5QvOXUSNT42V5dBltPTkye\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Measles Cases on Rise Statewide",
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"content": "\u003cfigure id=\"attachment_17842\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-e1393030020245.jpg\">\u003cimg class=\"size-large wp-image-17842\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-640x613.jpg\" alt=\"Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images\" width=\"640\" height=\"613\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images\u003c/figcaption>\u003c/figure>\n\u003cp>The California Department of Public Health says that California has 32 confirmed cases of measles so far this year. At this time last year, only three cases had been reported.\u003c/p>\n\u003cp>The cases are reported in both Northern and Southern California. Measles was declared to be eliminated in 2000 in the United States and CDPH says that many cases are linked to travel to parts of the world where measles is circulating. Of the cases reported so far this year, seven people had traveled to the Philippines where a large outbreak of measles is ongoing, two had been to India and one had traveled to Vietnam.\u003c/p>\n\u003cp>Health officials recommend that anyone planning travel outside of North or South America and has not been vaccinated to make sure they get the MMR (measles, mumps, rubella) vaccine before they go.\u003c!--more-->\u003c/p>\n\u003cp>Children typically receive their first of two doses at 12 to 15 months of age and the second one before they start kindergarten. But babies as young as 6 months can be vaccinated at six months if they are traveling.\u003c/p>\n\u003cp>The breakdown of cases by California county is as follows:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Alameda -- 1\u003c/p>\n\u003cp>Contra Costa -- 4\u003c/p>\n\u003cp>Los Angeles -- 10\u003c/p>\n\u003cp>Orange -- 7\u003c/p>\n\u003cp>Riverside -- 5\u003c/p>\n\u003cp>San Mateo -- 1\u003c/p>\n\u003cp>San Diego -- 3\u003c/p>\n\u003cp>Santa Clara -- 1\u003c/p>\n\u003cp>Measles is a highly contagious illness, and infants, pregnant women and those with compromised immune systems are at greatest risk of complications which include pneumonia, diarrhea and even death, in severe cases. Measles can make a \u003ca href=\"http://www.cdc.gov/measles/about/overview.html\" target=\"_blank\">pregnant woman miscarry\u003c/a> or give birth prematurely, according to the Center for Disease Control.\u003c/p>\n\u003cp>Here's a description of measles symptoms from the California Department of Public Health:\u003c/p>\n\u003cblockquote>\u003cp>Symptoms begin with a fever that lasts for a couple of days, followed by a cough, runny nose, red, watery eyes and rash. The rash typically appears first on the face, along the hairline, and behind the ears and then affects the rest of the body. Infected people are usually contagious for about eight days, four days before their rash starts and four days after.\u003c/p>\u003c/blockquote>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"vdNRdlohgoFdlh0Ijrb8ceR0aeylnHiA\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17842\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-e1393030020245.jpg\">\u003cimg class=\"size-large wp-image-17842\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-640x613.jpg\" alt=\"Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images\" width=\"640\" height=\"613\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images\u003c/figcaption>\u003c/figure>\n\u003cp>The California Department of Public Health says that California has 32 confirmed cases of measles so far this year. At this time last year, only three cases had been reported.\u003c/p>\n\u003cp>The cases are reported in both Northern and Southern California. Measles was declared to be eliminated in 2000 in the United States and CDPH says that many cases are linked to travel to parts of the world where measles is circulating. Of the cases reported so far this year, seven people had traveled to the Philippines where a large outbreak of measles is ongoing, two had been to India and one had traveled to Vietnam.\u003c/p>\n\u003cp>Health officials recommend that anyone planning travel outside of North or South America and has not been vaccinated to make sure they get the MMR (measles, mumps, rubella) vaccine before they go.\u003c!--more-->\u003c/p>\n\u003cp>Children typically receive their first of two doses at 12 to 15 months of age and the second one before they start kindergarten. But babies as young as 6 months can be vaccinated at six months if they are traveling.\u003c/p>\n\u003cp>The breakdown of cases by California county is as follows:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Alameda -- 1\u003c/p>\n\u003cp>Contra Costa -- 4\u003c/p>\n\u003cp>Los Angeles -- 10\u003c/p>\n\u003cp>Orange -- 7\u003c/p>\n\u003cp>Riverside -- 5\u003c/p>\n\u003cp>San Mateo -- 1\u003c/p>\n\u003cp>San Diego -- 3\u003c/p>\n\u003cp>Santa Clara -- 1\u003c/p>\n\u003cp>Measles is a highly contagious illness, and infants, pregnant women and those with compromised immune systems are at greatest risk of complications which include pneumonia, diarrhea and even death, in severe cases. Measles can make a \u003ca href=\"http://www.cdc.gov/measles/about/overview.html\" target=\"_blank\">pregnant woman miscarry\u003c/a> or give birth prematurely, according to the Center for Disease Control.\u003c/p>\n\u003cp>Here's a description of measles symptoms from the California Department of Public Health:\u003c/p>\n\u003cblockquote>\u003cp>Symptoms begin with a fever that lasts for a couple of days, followed by a cough, runny nose, red, watery eyes and rash. The rash typically appears first on the face, along the hairline, and behind the ears and then affects the rest of the body. Infected people are usually contagious for about eight days, four days before their rash starts and four days after.\u003c/p>\u003c/blockquote>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"vdNRdlohgoFdlh0Ijrb8ceR0aeylnHiA\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_18141\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/177861835-e1394820572797.jpg\">\u003cimg class=\"size-large wp-image-18141\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/177861835-640x494.jpg\" alt=\"Women ages 19 to 25 have higher rates of ADHD medication use than girls ages 12 to 18. (Getty Images)\" width=\"640\" height=\"494\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Women ages 19 to 25 have higher rates of ADHD medication use than girls ages 12 to 18. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Nancy Shute\u003c/strong>, \u003ca href=\"http://www.npr.org/blogs/health/2014/03/14/289821414/young-women-increasingly-turn-to-adhd-drugs\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Use of ADHD drugs continues to rise in the United States, but the group whose use is increasing the most may come as a surprise: young women.\u003c/p>\n\u003cp>An \u003ca href=\"http://lab.express-scripts.com/wp-content/uploads/2014/03/ADHD_March2014_ExpressScripts.pdf\">analysis\u003c/a> of prescriptions filled from 2008 to 2012 through Express Scripts, a pharmacy benefit management company, found that use of ADHD medications rose 35.5 percent overall. The company's database includes 15 million people with private insurance.\u003c/p>\n\u003cfigure id=\"attachment_18147\" class=\"wp-caption alignleft\" style=\"max-width: 259px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-14-at-11.20.07-AM.png\">\u003cimg class=\"size-medium wp-image-18147\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-14-at-11.20.07-AM-300x347.png\" alt=\"Children and young adults on ADHD medications by gender. (Express Scripts)\" width=\"259\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Children and young adults on ADHD medications by gender. (Express Scripts)\u003c/figcaption>\u003c/figure>\n\u003cp>The medications, largely stimulants like Ritalin and Adderall, are still most commonly prescribed to boys ages 12 to 18. In 2012 7.8 percent of boys ages 4 to 18 were taking an ADHD medication -- that's more than twice the rate of girls (3.5 percent). But in young adulthood, ages 19 to 25, men's use plummets, while young women's rate increases. From ages 26 to 64, use of ADHD medications by women exceeds that of men.\u003c/p>\n\u003cp>To find out more about what's going on, we talked with \u003ca href=\"http://lab.express-scripts.com/author/david-muzina/\">Dr. David Muzina\u003c/a>, a psychiatrist who is the vice president and national practice leader for neuroscience at Express Scripts. This is an edited version of our conversation.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>The Centers for Disease Control and Prevention and others have \u003ca href=\"http://www.npr.org/blogs/health/2013/11/22/246771526/more-children-are-being-medicated-for-adhd-than-before\">reported\u003c/a> increases in use of ADHD medications in children, but this increase in adults seems huge. What's happening there?\u003c!--more-->\u003c/strong>\u003c/p>\n\u003cp>ADHD is no longer just a childhood condition. Many of the children and adolescents who were diagnosed 10 years ago are now adults, and we know that about 1 in 3 kids carry ADHD with them into adulthood. I think that's one reason why the numbers in adults are going up. And there's been progressively more attention on ADHD in the public sphere. More adults recognize the symptoms: \"Oh, I'm not concentrating, I'm not focusing. Maybe I have ADHD.\"\u003c/p>\n\u003cp>Then there's overdiagnosis, overtreatment and perhaps misuse. Frankly, many prescribers mistake a patient's objective reporting of symptoms like being forgetful for ADHD. Are there life stressors, is there a medical condition, is there depression or anxiety that explains this better?\u003c/p>\n\u003cp>\u003cstrong>You're seeing a drop-off in young men using ADHD drugs after age 18. Why?\u003c/strong>\u003c/p>\n\u003cp>Men are less likely to go to the doctor, and take the meds, and fill the meds. We're thinking about the 18-, 19-year-old who's going off to college. They're going to the doctor only once or twice a year.\u003c/p>\n\u003cp>\u003cstrong>But then why this big spike among women the same age, with 4 percent of young women taking ADHD meds in 2012?\u003c/strong>\u003c/p>\n\u003cp>It's been known for a long, long time that if girls have ADHD they are more likely to have the inattention form, not the hyperactive, aggressive, disruptive form. Perhaps that difference in how ADHD can look is why the diagnosis is missed in girls. They may be quietly suffering and having trouble in school, but they're not disruptive.\u003c/p>\n\u003cp>They move on into life, where those inattentive symptoms may reveal themselves as academic and social pressures compound. Now it's becoming more of an issue.\u003c/p>\n\u003cp>And lastly, we know that women in the United States are increasingly juggling more and more and more. Women still tend to have the majority of the responsibilities at home, particularly when families start up. That elevation of pressure and stress can either produce symptoms like ADHD, or that additional stress can express the underlying ADHD that previously had not been diagnosed.\u003c/p>\n\u003cp>\u003cstrong>Stimulant drugs like Ritalin are pretty well-known for improving energy and concentration, even if you don't have ADHD. Could that be a factor here?\u003c/strong>\u003c/p>\n\u003cp>There may be an element here of medication being prescribed off-label to help with that, as well as the desire to suppress appetite and lose weight. It's totally not approved for that. But it's popularized and perhaps glorified to some extent in popular media, including women's magazines. I've seen references to using these medications for weight loss.\u003c/p>\n\u003cp>\u003cstrong>Is this the tip of the iceberg?\u003c/strong>\u003c/p>\n\u003cp>I think we're into the iceberg. We forecast that use of ADHD medications will be 25 percent higher in five years. That's the main reason why Express Scripts decided to do this deeper analysis, to see what's driving the trend. If we see patterns from prescriptions that are coming in, we can intervene if someone shouldn't be on this medication or if we suspect fraud. We're beginning to put our brains around tightening those monitoring systems.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"7WRNz7KKp9AwOEcEZQA5VRzGtVm5qH8j\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18141\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/177861835-e1394820572797.jpg\">\u003cimg class=\"size-large wp-image-18141\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/177861835-640x494.jpg\" alt=\"Women ages 19 to 25 have higher rates of ADHD medication use than girls ages 12 to 18. (Getty Images)\" width=\"640\" height=\"494\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Women ages 19 to 25 have higher rates of ADHD medication use than girls ages 12 to 18. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Nancy Shute\u003c/strong>, \u003ca href=\"http://www.npr.org/blogs/health/2014/03/14/289821414/young-women-increasingly-turn-to-adhd-drugs\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Use of ADHD drugs continues to rise in the United States, but the group whose use is increasing the most may come as a surprise: young women.\u003c/p>\n\u003cp>An \u003ca href=\"http://lab.express-scripts.com/wp-content/uploads/2014/03/ADHD_March2014_ExpressScripts.pdf\">analysis\u003c/a> of prescriptions filled from 2008 to 2012 through Express Scripts, a pharmacy benefit management company, found that use of ADHD medications rose 35.5 percent overall. The company's database includes 15 million people with private insurance.\u003c/p>\n\u003cfigure id=\"attachment_18147\" class=\"wp-caption alignleft\" style=\"max-width: 259px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-14-at-11.20.07-AM.png\">\u003cimg class=\"size-medium wp-image-18147\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-14-at-11.20.07-AM-300x347.png\" alt=\"Children and young adults on ADHD medications by gender. (Express Scripts)\" width=\"259\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Children and young adults on ADHD medications by gender. (Express Scripts)\u003c/figcaption>\u003c/figure>\n\u003cp>The medications, largely stimulants like Ritalin and Adderall, are still most commonly prescribed to boys ages 12 to 18. In 2012 7.8 percent of boys ages 4 to 18 were taking an ADHD medication -- that's more than twice the rate of girls (3.5 percent). But in young adulthood, ages 19 to 25, men's use plummets, while young women's rate increases. From ages 26 to 64, use of ADHD medications by women exceeds that of men.\u003c/p>\n\u003cp>To find out more about what's going on, we talked with \u003ca href=\"http://lab.express-scripts.com/author/david-muzina/\">Dr. David Muzina\u003c/a>, a psychiatrist who is the vice president and national practice leader for neuroscience at Express Scripts. This is an edited version of our conversation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>The Centers for Disease Control and Prevention and others have \u003ca href=\"http://www.npr.org/blogs/health/2013/11/22/246771526/more-children-are-being-medicated-for-adhd-than-before\">reported\u003c/a> increases in use of ADHD medications in children, but this increase in adults seems huge. What's happening there?\u003c!--more-->\u003c/strong>\u003c/p>\n\u003cp>ADHD is no longer just a childhood condition. Many of the children and adolescents who were diagnosed 10 years ago are now adults, and we know that about 1 in 3 kids carry ADHD with them into adulthood. I think that's one reason why the numbers in adults are going up. And there's been progressively more attention on ADHD in the public sphere. More adults recognize the symptoms: \"Oh, I'm not concentrating, I'm not focusing. Maybe I have ADHD.\"\u003c/p>\n\u003cp>Then there's overdiagnosis, overtreatment and perhaps misuse. Frankly, many prescribers mistake a patient's objective reporting of symptoms like being forgetful for ADHD. Are there life stressors, is there a medical condition, is there depression or anxiety that explains this better?\u003c/p>\n\u003cp>\u003cstrong>You're seeing a drop-off in young men using ADHD drugs after age 18. Why?\u003c/strong>\u003c/p>\n\u003cp>Men are less likely to go to the doctor, and take the meds, and fill the meds. We're thinking about the 18-, 19-year-old who's going off to college. They're going to the doctor only once or twice a year.\u003c/p>\n\u003cp>\u003cstrong>But then why this big spike among women the same age, with 4 percent of young women taking ADHD meds in 2012?\u003c/strong>\u003c/p>\n\u003cp>It's been known for a long, long time that if girls have ADHD they are more likely to have the inattention form, not the hyperactive, aggressive, disruptive form. Perhaps that difference in how ADHD can look is why the diagnosis is missed in girls. They may be quietly suffering and having trouble in school, but they're not disruptive.\u003c/p>\n\u003cp>They move on into life, where those inattentive symptoms may reveal themselves as academic and social pressures compound. Now it's becoming more of an issue.\u003c/p>\n\u003cp>And lastly, we know that women in the United States are increasingly juggling more and more and more. Women still tend to have the majority of the responsibilities at home, particularly when families start up. That elevation of pressure and stress can either produce symptoms like ADHD, or that additional stress can express the underlying ADHD that previously had not been diagnosed.\u003c/p>\n\u003cp>\u003cstrong>Stimulant drugs like Ritalin are pretty well-known for improving energy and concentration, even if you don't have ADHD. Could that be a factor here?\u003c/strong>\u003c/p>\n\u003cp>There may be an element here of medication being prescribed off-label to help with that, as well as the desire to suppress appetite and lose weight. It's totally not approved for that. But it's popularized and perhaps glorified to some extent in popular media, including women's magazines. I've seen references to using these medications for weight loss.\u003c/p>\n\u003cp>\u003cstrong>Is this the tip of the iceberg?\u003c/strong>\u003c/p>\n\u003cp>I think we're into the iceberg. We forecast that use of ADHD medications will be 25 percent higher in five years. That's the main reason why Express Scripts decided to do this deeper analysis, to see what's driving the trend. If we see patterns from prescriptions that are coming in, we can intervene if someone shouldn't be on this medication or if we suspect fraud. We're beginning to put our brains around tightening those monitoring systems.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"7WRNz7KKp9AwOEcEZQA5VRzGtVm5qH8j\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Study: Estrogen Therapy May Help Some Older Women at Risk for Alzheimer's Disease",
"title": "Study: Estrogen Therapy May Help Some Older Women at Risk for Alzheimer's Disease",
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"content": "\u003cfigure id=\"attachment_18086\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/2380867-e1394646803472.jpg\">\u003cimg class=\"size-large wp-image-18086\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/2380867-640x341.jpg\" alt=\"Estrogen replacement patches. (Ian Waldie/Getty Images)\" width=\"640\" height=\"341\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Estrogen replacement patches. (Ian Waldie/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Postmenopausal women have heard just about everything when it comes to hormone therapy. In the 1990s, doctors routinely recommended it, believing that it helped women avoid heart attacks, thinning bones and other problems of aging. Then along came the Women's Health Initiative study, which first found hormone therapy (HT) created more risks than benefits -- \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=1745676\" target=\"_blank\">then found that over time \u003c/a>some of those risks subsided, at least somewhat.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"It's a very provocative finding, without a doubt.\" \u003c/aside>\n\u003cp>But one main criticism of the Women's Health Initiative study was that women were recruited to start on hormone therapy long after they had gone through menopause. The women were ages 65 or older.\u003c/p>\n\u003cp>Today, \u003ca href=\"http://www.menopause.org/for-women/menopauseflashes/news-you-can-use-about-hormone-therapy\" target=\"_blank\">many doctors believe\u003c/a> that HT started at the time of menopause -- or soon after -- can help women with hot flashes, vaginal dryness and other symptoms.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Now a small study at Stanford has looked at another area of interest with HT -- the possible effects of estrogen on the brain. Conflicting evidence has indicated that HT can help women fight dementia.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In this study, instead of starting women on hormones, as the Women's Health Initiative study did, the Stanford researchers recruited women already taking them and then randomized them into two groups -- some would continue taking hormones, some would stop.\u003c/p>\n\u003cp>\"They start women on hormones, and we stopped women on hormones. Biologically it's a very different phenomenon,\" said Dr. Natalie Rasgon, director of the Stanford Center for Neuroscience in Women's Health, lead author of the study.\u003c/p>\n\u003cp>Rasgon and her team also recruited significantly younger women, ages 50-65. The researchers measured metabolic activity in specific brain regions associated with memory and executive function, using sophisticated PET scans. Rasgon said that studies have shown that these areas can show a decline before a person would notice symptoms of Alzheimer's disease.\u003c/p>\n\u003cp>\u003cstrong>One Type of Estrogen Helps, Another Doesn't\u003c/strong>\u003c/p>\n\u003cp>They found that women taking a type of synthetic estrogen called estradiol saw that their brain function was better preserved. But here's the rub: Another kind of estrogen, conjugated equine estrogen, often known by the brand name Premarin, did not confer the same benefit. The study found that women who took Premarin saw a decline in the key brain regions studied. Results were published in \u003ca href=\"http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0089095\">Plos One.\u003c/a>\u003c/p>\n\u003cp>Many women who take hormone therapy take both synthetic estrogen and progesterone, in part because estrogen therapy alone increases a woman's risk of uterine cancer. In women in the study who took both hormones, the synthetic progesterone wiped out any benefits provided by estradiol and increased the brain decline seen in women taking Premarin.\u003c/p>\n\u003cp>\"It's a very provocative finding, without a doubt,\" Rasgon said.\u003c/p>\n\u003cp>Estradiol is a \"synthetic molecule which exactly mimics the estrogen produced by the ovary,\" Rasgon said. Pfizer, which manufactures Premarin,\u003ca href=\"http://labeling.pfizer.com/showlabeling.aspx?id=131\" target=\"_blank\"> describes it\u003c/a> as \"a mixture of conjugated estrogens obtained exclusively from natural sources.\"\u003c/p>\n\u003cp>Before you rush out to take estradiol to help ward off Alzheimer's disease, Rasgon was careful to issue clear caveats. First, this is a small study, just 45 women, \"and it's a very specific population,\" she said. \"It's a population that is at risk for Azheimer's disease.\"\u003c/p>\n\u003cp>In order to be included in the study, women were required to be at increased risk for dementia, as indicated by having a first-degree relative with Alzheimer's disease, or that they were known to carry a specific variant of the \u003ca href=\"http://www.nia.nih.gov/alzheimers/publication/alzheimers-disease-genetics-fact-sheet\" target=\"_blank\">ApoE gene\u003c/a>, which is associated with increased risk of Alzheimer's. Women who had a personal history of major depression were also eligible.\u003c/p>\n\u003cp>In the PET scans, researchers were looking only at changes in metabolic activity in the brain -- a marker for brain preservation -- and not at direct cognition among the women. \"Metabolic changes in these brain regions presage overt symptoms of cognitive decline, sometimes by decades,\" Rasgon said. \"We're finding significant changes in women who are still cognitively intact.\"\u003c/p>\n\u003cp>\"This is a wonderful study,\" said Dr. David Rubinow, former head of the division of behavioral endocrinology at the National Institute of Mental Health and now at the University of North Carolina-Chapel Hill. He was not involved in the study. \"Dr. Rasgon was able to demonstrate that there were marked differences between conjugated equine estrogen and estradiol, and both of those observations had been suggested but were untested.\"\u003c/p>\n\u003cp>Rubinow said that more study is needed. \"Is this a study that suggests that we need to redouble our efforts to determine the effects of estradiol administered during perimenopause on cognitive function? The answer is yes.\"\u003c/p>\n\u003cp>\u003cstrong>Lack of Randomization Raises Questions\u003c/strong>\u003c/p>\n\u003cp>Dr. Rita Redberg, director of Women's Cardiovascular Services at UC San Francisco, was more skeptical. While changes in metabolic activity in the brain are a marker for disease, \"a marker is a long way from dementia,\" she noted. While people who now have Alzheimer's disease may well have started off with these changes years ago, it's likely that many people will experience these metabolic changes but never go on to develop dementia.\u003c/p>\n\u003cp>Redberg also was concerned that women came into the study already taking hormones. The study required that women already be taking them for at least one year, so this means the women were not randomly assigned estradiol or Premarin. \"There were likely differences among women who chose to take estradiol and women who chose to take (Premarin), so it wasn't randomized.\"\u003c/p>\n\u003cp>Women can slow or prevent memory loss by eating a healthy diet and getting regular exercise, Redberg said. Also, estrogen therapy increases a woman's risk for breast cancer.\u003c/p>\n\u003cp>Rasgon agreed that diet and exercise can help people reduce their risk of dementia, but she also stressed that women should assess risks and benefits of hormone therapy individually. \"Those risks and benefits have to be accounted for now for the type of hormone preparation they are taking and presence or absence of progestin,\" she said. \"Not every women taking progestin may need it. … Those factors were not part of the equation in the past and now they should be -- at least for those who are at risk for Alzheimer's disease.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"48k9vaFKqfQgzEla6UEXSIUUWAXWPjmR\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18086\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/2380867-e1394646803472.jpg\">\u003cimg class=\"size-large wp-image-18086\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/2380867-640x341.jpg\" alt=\"Estrogen replacement patches. (Ian Waldie/Getty Images)\" width=\"640\" height=\"341\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Estrogen replacement patches. (Ian Waldie/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Postmenopausal women have heard just about everything when it comes to hormone therapy. In the 1990s, doctors routinely recommended it, believing that it helped women avoid heart attacks, thinning bones and other problems of aging. Then along came the Women's Health Initiative study, which first found hormone therapy (HT) created more risks than benefits -- \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=1745676\" target=\"_blank\">then found that over time \u003c/a>some of those risks subsided, at least somewhat.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"It's a very provocative finding, without a doubt.\" \u003c/aside>\n\u003cp>But one main criticism of the Women's Health Initiative study was that women were recruited to start on hormone therapy long after they had gone through menopause. The women were ages 65 or older.\u003c/p>\n\u003cp>Today, \u003ca href=\"http://www.menopause.org/for-women/menopauseflashes/news-you-can-use-about-hormone-therapy\" target=\"_blank\">many doctors believe\u003c/a> that HT started at the time of menopause -- or soon after -- can help women with hot flashes, vaginal dryness and other symptoms.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Now a small study at Stanford has looked at another area of interest with HT -- the possible effects of estrogen on the brain. Conflicting evidence has indicated that HT can help women fight dementia.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In this study, instead of starting women on hormones, as the Women's Health Initiative study did, the Stanford researchers recruited women already taking them and then randomized them into two groups -- some would continue taking hormones, some would stop.\u003c/p>\n\u003cp>\"They start women on hormones, and we stopped women on hormones. Biologically it's a very different phenomenon,\" said Dr. Natalie Rasgon, director of the Stanford Center for Neuroscience in Women's Health, lead author of the study.\u003c/p>\n\u003cp>Rasgon and her team also recruited significantly younger women, ages 50-65. The researchers measured metabolic activity in specific brain regions associated with memory and executive function, using sophisticated PET scans. Rasgon said that studies have shown that these areas can show a decline before a person would notice symptoms of Alzheimer's disease.\u003c/p>\n\u003cp>\u003cstrong>One Type of Estrogen Helps, Another Doesn't\u003c/strong>\u003c/p>\n\u003cp>They found that women taking a type of synthetic estrogen called estradiol saw that their brain function was better preserved. But here's the rub: Another kind of estrogen, conjugated equine estrogen, often known by the brand name Premarin, did not confer the same benefit. The study found that women who took Premarin saw a decline in the key brain regions studied. Results were published in \u003ca href=\"http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0089095\">Plos One.\u003c/a>\u003c/p>\n\u003cp>Many women who take hormone therapy take both synthetic estrogen and progesterone, in part because estrogen therapy alone increases a woman's risk of uterine cancer. In women in the study who took both hormones, the synthetic progesterone wiped out any benefits provided by estradiol and increased the brain decline seen in women taking Premarin.\u003c/p>\n\u003cp>\"It's a very provocative finding, without a doubt,\" Rasgon said.\u003c/p>\n\u003cp>Estradiol is a \"synthetic molecule which exactly mimics the estrogen produced by the ovary,\" Rasgon said. Pfizer, which manufactures Premarin,\u003ca href=\"http://labeling.pfizer.com/showlabeling.aspx?id=131\" target=\"_blank\"> describes it\u003c/a> as \"a mixture of conjugated estrogens obtained exclusively from natural sources.\"\u003c/p>\n\u003cp>Before you rush out to take estradiol to help ward off Alzheimer's disease, Rasgon was careful to issue clear caveats. First, this is a small study, just 45 women, \"and it's a very specific population,\" she said. \"It's a population that is at risk for Azheimer's disease.\"\u003c/p>\n\u003cp>In order to be included in the study, women were required to be at increased risk for dementia, as indicated by having a first-degree relative with Alzheimer's disease, or that they were known to carry a specific variant of the \u003ca href=\"http://www.nia.nih.gov/alzheimers/publication/alzheimers-disease-genetics-fact-sheet\" target=\"_blank\">ApoE gene\u003c/a>, which is associated with increased risk of Alzheimer's. Women who had a personal history of major depression were also eligible.\u003c/p>\n\u003cp>In the PET scans, researchers were looking only at changes in metabolic activity in the brain -- a marker for brain preservation -- and not at direct cognition among the women. \"Metabolic changes in these brain regions presage overt symptoms of cognitive decline, sometimes by decades,\" Rasgon said. \"We're finding significant changes in women who are still cognitively intact.\"\u003c/p>\n\u003cp>\"This is a wonderful study,\" said Dr. David Rubinow, former head of the division of behavioral endocrinology at the National Institute of Mental Health and now at the University of North Carolina-Chapel Hill. He was not involved in the study. \"Dr. Rasgon was able to demonstrate that there were marked differences between conjugated equine estrogen and estradiol, and both of those observations had been suggested but were untested.\"\u003c/p>\n\u003cp>Rubinow said that more study is needed. \"Is this a study that suggests that we need to redouble our efforts to determine the effects of estradiol administered during perimenopause on cognitive function? The answer is yes.\"\u003c/p>\n\u003cp>\u003cstrong>Lack of Randomization Raises Questions\u003c/strong>\u003c/p>\n\u003cp>Dr. Rita Redberg, director of Women's Cardiovascular Services at UC San Francisco, was more skeptical. While changes in metabolic activity in the brain are a marker for disease, \"a marker is a long way from dementia,\" she noted. While people who now have Alzheimer's disease may well have started off with these changes years ago, it's likely that many people will experience these metabolic changes but never go on to develop dementia.\u003c/p>\n\u003cp>Redberg also was concerned that women came into the study already taking hormones. The study required that women already be taking them for at least one year, so this means the women were not randomly assigned estradiol or Premarin. \"There were likely differences among women who chose to take estradiol and women who chose to take (Premarin), so it wasn't randomized.\"\u003c/p>\n\u003cp>Women can slow or prevent memory loss by eating a healthy diet and getting regular exercise, Redberg said. Also, estrogen therapy increases a woman's risk for breast cancer.\u003c/p>\n\u003cp>Rasgon agreed that diet and exercise can help people reduce their risk of dementia, but she also stressed that women should assess risks and benefits of hormone therapy individually. \"Those risks and benefits have to be accounted for now for the type of hormone preparation they are taking and presence or absence of progestin,\" she said. \"Not every women taking progestin may need it. … Those factors were not part of the equation in the past and now they should be -- at least for those who are at risk for Alzheimer's disease.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Parents Love Their Phones, Tablets Even During Meals With Kids",
"title": "Parents Love Their Phones, Tablets Even During Meals With Kids",
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"content": "\u003cfigure id=\"attachment_18051\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/186132947-e1394477207222.jpg\">\u003cimg class=\"size-large wp-image-18051\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/186132947-640x426.jpg\" alt=\"Study shows that plenty of parents can't put the phone down even when eating with their kids. (Getty Images) \" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Study shows that plenty of parents can't put the phone down even when eating with their kids. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Brittany Patterson\u003c/strong>\u003c/p>\n\u003cp>We know Americans' use of mobile gadgets has reached near ubiquitous status in our daily lives. Research shows our continued use has \u003ca href=\"http://www.sciencedaily.com/releases/2013/09/130905160452.htm\">health effects\u003c/a> on our skeletons, is changing they way we communicate, and even making \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22226937\">walking less safe\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“My concern is that it’s becoming such an obsessive habit that we’re missing interaction with our kids.” \u003c/aside>\n\u003cp>But a \u003ca href=\"http://pediatrics.aappublications.org/content/early/2014/03/05/peds.2013-3703.abstract\" target=\"_blank\">new study\u003c/a> published Monday in \u003cem>Pediatrics\u003c/em> quantifies for the first time yet another side effect of our technological obsession: Many of us are engrossed with our devices even when eating with our children.\u003c/p>\n\u003cp>Researchers anonymously watched 55 caregivers eating with one or more young children in fast food restaurants across different Boston neighborhoods and took copious notes. (They couldn't call the caregivers \"parents\" because they were watching surreptitiously.) Researchers watched how often and for how long caregivers used devices during the meal -- and if the children tried to get the caregiver’s attention. Their notes were independently analyzed and coded to identify common themes.\u003c/p>\n\u003cp>Dr. Jenny Radesky led the team of researchers, from Boston Medical Center.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Like a lot of people I know, I was observing a lot of interesting behavior in public, parents using devices a lot and kids trying to get their attention,” Radesky said. “Their interactions were very fascinating to me.”\u003c/p>\n\u003cp>The team found that 40 of the 55 interactions involved use of a mobile device and the interactions varied. Some caregivers kept the device out, but on the table. Others spent the meal almost entirely engrossed in the screen. And there was everything in between. But overall the more engrossed the caregiver was with a device, the more likely he or she was to ignore the children. In some cases, researchers even observed parents getting physical with their little ones who vied for their attention. One adult woman kicked a child’s foot under the table and a second female caregiver pushed a young boy’s hands away when he repeatedly tried to lift her face up from her tablet.\u003c/p>\n\u003cp>The more absorbed a caregiver was, the more likely they were not to react to their children’s questions, speak to their children, or make eye contact.\u003c/p>\n\u003cp>Face-to-face interaction is often cited as an important component to child development because it is a foundation for learning language, learning how to regulate strong emotions, and developing empathy and social skills.\u003c/p>\n\u003cp>Radesky, who is also a pediatrician and worked for a time in Seattle, one of the technology hubs of the United States, said she became increasingly concerned with the effects of technology on the development of these skills in children.\u003c/p>\n\u003cp>“My concern is that it’s becoming such an obsessive habit that every time we have some downtime or a routine interaction we reach for our phones and we’re missing some fascinating interaction with our kids or maybe not even a fascinating one, but an interaction that their brains are wired to want from us,” she said.\u003c/p>\n\u003cp>The children, researchers observed, reacted to their unresponsive parents in different ways, in some cases accepting the lack of engagement and entertaining themselves -- or in other cases becoming more and more disruptive hoping to recapture their caregiver’s attention.\u003c/p>\n\u003cp>As a parent herself with two young kids and a hyperactive email, Radesy said she is acutely aware that devices are woven into our daily lives. According to \u003ca href=\"http://www.pewinternet.org/2013/09/16/cell-internet-use-2013/\">The Pew Research Internet Project\u003c/a>, 91 percent of the American population owns a cell phone and nearly two-thirds of them use their device to go online.\u003c/p>\n\u003cp>“It’s not the purpose of this study to say not to use devices around our kids, because there is some good to their use,” she said citing evidence that technology can be an effective tool for education. “But what is now perhaps becoming a cultural or family norm doesn’t necessarily mean that it’s a good thing.\u003c/p>\n\u003cp>Radesky said she hopes this study opens the door for continued research into the potential effects of device use and child development such as if device use relates to obesity.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"LuSH9NHUw6o92jM975e7ybpXwl5HHnjj\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18051\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/186132947-e1394477207222.jpg\">\u003cimg class=\"size-large wp-image-18051\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/186132947-640x426.jpg\" alt=\"Study shows that plenty of parents can't put the phone down even when eating with their kids. (Getty Images) \" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Study shows that plenty of parents can't put the phone down even when eating with their kids. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Brittany Patterson\u003c/strong>\u003c/p>\n\u003cp>We know Americans' use of mobile gadgets has reached near ubiquitous status in our daily lives. Research shows our continued use has \u003ca href=\"http://www.sciencedaily.com/releases/2013/09/130905160452.htm\">health effects\u003c/a> on our skeletons, is changing they way we communicate, and even making \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22226937\">walking less safe\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“My concern is that it’s becoming such an obsessive habit that we’re missing interaction with our kids.” \u003c/aside>\n\u003cp>But a \u003ca href=\"http://pediatrics.aappublications.org/content/early/2014/03/05/peds.2013-3703.abstract\" target=\"_blank\">new study\u003c/a> published Monday in \u003cem>Pediatrics\u003c/em> quantifies for the first time yet another side effect of our technological obsession: Many of us are engrossed with our devices even when eating with our children.\u003c/p>\n\u003cp>Researchers anonymously watched 55 caregivers eating with one or more young children in fast food restaurants across different Boston neighborhoods and took copious notes. (They couldn't call the caregivers \"parents\" because they were watching surreptitiously.) Researchers watched how often and for how long caregivers used devices during the meal -- and if the children tried to get the caregiver’s attention. Their notes were independently analyzed and coded to identify common themes.\u003c/p>\n\u003cp>Dr. Jenny Radesky led the team of researchers, from Boston Medical Center.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Like a lot of people I know, I was observing a lot of interesting behavior in public, parents using devices a lot and kids trying to get their attention,” Radesky said. “Their interactions were very fascinating to me.”\u003c/p>\n\u003cp>The team found that 40 of the 55 interactions involved use of a mobile device and the interactions varied. Some caregivers kept the device out, but on the table. Others spent the meal almost entirely engrossed in the screen. And there was everything in between. But overall the more engrossed the caregiver was with a device, the more likely he or she was to ignore the children. In some cases, researchers even observed parents getting physical with their little ones who vied for their attention. One adult woman kicked a child’s foot under the table and a second female caregiver pushed a young boy’s hands away when he repeatedly tried to lift her face up from her tablet.\u003c/p>\n\u003cp>The more absorbed a caregiver was, the more likely they were not to react to their children’s questions, speak to their children, or make eye contact.\u003c/p>\n\u003cp>Face-to-face interaction is often cited as an important component to child development because it is a foundation for learning language, learning how to regulate strong emotions, and developing empathy and social skills.\u003c/p>\n\u003cp>Radesky, who is also a pediatrician and worked for a time in Seattle, one of the technology hubs of the United States, said she became increasingly concerned with the effects of technology on the development of these skills in children.\u003c/p>\n\u003cp>“My concern is that it’s becoming such an obsessive habit that every time we have some downtime or a routine interaction we reach for our phones and we’re missing some fascinating interaction with our kids or maybe not even a fascinating one, but an interaction that their brains are wired to want from us,” she said.\u003c/p>\n\u003cp>The children, researchers observed, reacted to their unresponsive parents in different ways, in some cases accepting the lack of engagement and entertaining themselves -- or in other cases becoming more and more disruptive hoping to recapture their caregiver’s attention.\u003c/p>\n\u003cp>As a parent herself with two young kids and a hyperactive email, Radesy said she is acutely aware that devices are woven into our daily lives. According to \u003ca href=\"http://www.pewinternet.org/2013/09/16/cell-internet-use-2013/\">The Pew Research Internet Project\u003c/a>, 91 percent of the American population owns a cell phone and nearly two-thirds of them use their device to go online.\u003c/p>\n\u003cp>“It’s not the purpose of this study to say not to use devices around our kids, because there is some good to their use,” she said citing evidence that technology can be an effective tool for education. “But what is now perhaps becoming a cultural or family norm doesn’t necessarily mean that it’s a good thing.\u003c/p>\n\u003cp>Radesky said she hopes this study opens the door for continued research into the potential effects of device use and child development such as if device use relates to obesity.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"LuSH9NHUw6o92jM975e7ybpXwl5HHnjj\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Just One Dose of Many Common Medicines Can Kill a Child",
"title": "Just One Dose of Many Common Medicines Can Kill a Child",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17955\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/56492598-e1393869663329.jpg\">\u003cimg class=\"size-large wp-image-17955\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/56492598-640x426.jpg\" alt=\"Many over-the-counter products contain acetaminophen. One dose is usually not a problem, but it's easy to lose track of how much your child is taking. An overdose can cause liver failure or death. (Scott Olson/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Many over-the-counter products contain acetaminophen. One dose is usually not a problem, but it's easy to lose track of how much your child is taking. An overdose can cause liver failure or death. (Scott Olson/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Scott Hensley,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2014/02/28/283933166/just-one-dose-of-many-common-medicines-can-kill-a-child\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Concerns about drug risks have led 28 state attorneys general to ask the Food and Drug Administration to reverse its approval of Zohydro, a long-acting narcotic painkiller, before the medicine is even \u003ca href=\"http://www.reuters.com/article/2014/02/27/us-usa-fda-zohydro-idUSBREA1Q1VT20140227\" target=\"_blank\">put on the market\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignleft\">People often underestimate the risks of individual drugs and combinations of drugs for young children.\u003c/aside>\n\u003cp>The risks for addiction and overdose from the potent opioid outweigh the benefits of pain relief, critics say. Some point to the risk for children, in particular. A single capsule of Zohydro \u003ca href=\"https://www.zohydroerrems.com/Portal/Content%20Library/ZO0024.1213%20-%20Zohydro%20ISI.pdf\" target=\"_blank\">could kill a kid\u003c/a>, the medicine's instructions warn.\u003c/p>\n\u003cp>Other opioid painkillers, such as Vicodin and Percocet, are already fixtures in America's medicine cabinets. And as the prescriptions for drugs like these have surged, so have the reports of overdoses and deaths — for children and adults.\u003c/p>\n\u003cp>But opioids are just one kind of risky medicine. Doctors \u003ca href=\"http://webapps.acep.org/sa/Syllabi/SU-161.pdf\" target=\"_blank\">have a disturbingly long list of drugs\u003c/a> that can lead to the death of a child after just one or two doses.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"There are lots of pills that kill,\" says Dr. Cathleen Clancy, associate medical director for the National Capital Poison Center in Washington, D.C. People often underestimate the risks of individual drugs and combinations of drugs for young children, she says.\u003c/p>\n\u003cp>\u003cstrong>Pain Relievers Top List of Drugs that Can Poison Kids\u003c/strong>\u003c/p>\n\u003cp>Pain relievers, or analgesics, are at the top of the list of drugs that poison kids. And a single dose of codeine, morphine or methadone can end a toddler's life.\u003c/p>\n\u003cp>Acetaminophen, sold generically and under the brand name Tylenol, is a popular pain reliever for children. A single dose isn't usually a problem. But an overdose can cause liver failure and death. The drug is an ingredient in many over-the-counter remedies, so it's easy to lose track of how much a child is taking.\u003c/p>\n\u003cp>\"Acetaminophen is probably the most common ingestion of analgesics that we get called about,\" Clancy says. \"It's just overwhelmingly available. Parents will give it to their kids maybe not respecting the dosage limitations.\"\u003c/p>\n\u003cp>One or two pills of blood pressure medicines known as calcium channel blockers can be lethal for kids. These drugs are usually generics. Diltiazem, nifedipine and verapamil are some of the common ones.\u003c/p>\n\u003cp>Several different medicines to control irregular heartbeats can also be deadly. They include quinidine and procainamide.\u003c/p>\n\u003cp>Clancy says a recent poisoning case involved a 12-month-old boy who ate a \u003ca href=\"http://www.nlm.nih.gov/medlineplus/druginfo/meds/a684030.html\" target=\"_blank\">verapamil\u003c/a> tablet he found in his father's wallet. The boy was treated in the emergency room and later put in the pediatric intensive care unit. He responded well to treatment and survived.\u003c/p>\n\u003cp>\u003cstrong>Some Diabetes Drugs Dangerous for Kids, Too\u003c/strong>\u003c/p>\n\u003cp>Some pills adults take to manage diabetes can be extremely hazardous, too, including Glucotrol, or glipizide, and chlorpropamide. Clancy noted three recent cases that involved young children getting ill after taking small doses of medicines like these. After treatment, all three children survived.\u003c/p>\n\u003cp>Pills aren't the only form of medicine that can be lethal for children, Clancy says. \"One patch can kill, too,\" she says. Patches containing \u003ca href=\"http://www.nlm.nih.gov/medlineplus/druginfo/meds/a608049.html\" target=\"_blank\">clonidine\u003c/a>, a blood pressure medicine, can be deadly. Pain patches made with fentanyl can be, too. Even nicotine patches can be hazardous, Clancy says.\u003c/p>\n\u003cp>Be careful about disposing of patches where children might come across them. Used patches can still contain enough drug to do harm, if a small child sucks on them or swallows them.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"9sGBsEJfkjmAX6nTXs3XIdIAJoRdDxRW\"]\u003c/p>\n\n",
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"excerpt": "\"There are lots of pills that kill,\" says Dr. Cathleen Clancy, associate medical director for the National Capital Poison Center in Washington, D.C. People often underestimate the risks of individual drugs and combinations of drugs for young children, she says.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17955\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/56492598-e1393869663329.jpg\">\u003cimg class=\"size-large wp-image-17955\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/56492598-640x426.jpg\" alt=\"Many over-the-counter products contain acetaminophen. One dose is usually not a problem, but it's easy to lose track of how much your child is taking. An overdose can cause liver failure or death. (Scott Olson/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Many over-the-counter products contain acetaminophen. One dose is usually not a problem, but it's easy to lose track of how much your child is taking. An overdose can cause liver failure or death. (Scott Olson/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Scott Hensley,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2014/02/28/283933166/just-one-dose-of-many-common-medicines-can-kill-a-child\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Concerns about drug risks have led 28 state attorneys general to ask the Food and Drug Administration to reverse its approval of Zohydro, a long-acting narcotic painkiller, before the medicine is even \u003ca href=\"http://www.reuters.com/article/2014/02/27/us-usa-fda-zohydro-idUSBREA1Q1VT20140227\" target=\"_blank\">put on the market\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignleft\">People often underestimate the risks of individual drugs and combinations of drugs for young children.\u003c/aside>\n\u003cp>The risks for addiction and overdose from the potent opioid outweigh the benefits of pain relief, critics say. Some point to the risk for children, in particular. A single capsule of Zohydro \u003ca href=\"https://www.zohydroerrems.com/Portal/Content%20Library/ZO0024.1213%20-%20Zohydro%20ISI.pdf\" target=\"_blank\">could kill a kid\u003c/a>, the medicine's instructions warn.\u003c/p>\n\u003cp>Other opioid painkillers, such as Vicodin and Percocet, are already fixtures in America's medicine cabinets. And as the prescriptions for drugs like these have surged, so have the reports of overdoses and deaths — for children and adults.\u003c/p>\n\u003cp>But opioids are just one kind of risky medicine. Doctors \u003ca href=\"http://webapps.acep.org/sa/Syllabi/SU-161.pdf\" target=\"_blank\">have a disturbingly long list of drugs\u003c/a> that can lead to the death of a child after just one or two doses.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"There are lots of pills that kill,\" says Dr. Cathleen Clancy, associate medical director for the National Capital Poison Center in Washington, D.C. People often underestimate the risks of individual drugs and combinations of drugs for young children, she says.\u003c/p>\n\u003cp>\u003cstrong>Pain Relievers Top List of Drugs that Can Poison Kids\u003c/strong>\u003c/p>\n\u003cp>Pain relievers, or analgesics, are at the top of the list of drugs that poison kids. And a single dose of codeine, morphine or methadone can end a toddler's life.\u003c/p>\n\u003cp>Acetaminophen, sold generically and under the brand name Tylenol, is a popular pain reliever for children. A single dose isn't usually a problem. But an overdose can cause liver failure and death. The drug is an ingredient in many over-the-counter remedies, so it's easy to lose track of how much a child is taking.\u003c/p>\n\u003cp>\"Acetaminophen is probably the most common ingestion of analgesics that we get called about,\" Clancy says. \"It's just overwhelmingly available. Parents will give it to their kids maybe not respecting the dosage limitations.\"\u003c/p>\n\u003cp>One or two pills of blood pressure medicines known as calcium channel blockers can be lethal for kids. These drugs are usually generics. Diltiazem, nifedipine and verapamil are some of the common ones.\u003c/p>\n\u003cp>Several different medicines to control irregular heartbeats can also be deadly. They include quinidine and procainamide.\u003c/p>\n\u003cp>Clancy says a recent poisoning case involved a 12-month-old boy who ate a \u003ca href=\"http://www.nlm.nih.gov/medlineplus/druginfo/meds/a684030.html\" target=\"_blank\">verapamil\u003c/a> tablet he found in his father's wallet. The boy was treated in the emergency room and later put in the pediatric intensive care unit. He responded well to treatment and survived.\u003c/p>\n\u003cp>\u003cstrong>Some Diabetes Drugs Dangerous for Kids, Too\u003c/strong>\u003c/p>\n\u003cp>Some pills adults take to manage diabetes can be extremely hazardous, too, including Glucotrol, or glipizide, and chlorpropamide. Clancy noted three recent cases that involved young children getting ill after taking small doses of medicines like these. After treatment, all three children survived.\u003c/p>\n\u003cp>Pills aren't the only form of medicine that can be lethal for children, Clancy says. \"One patch can kill, too,\" she says. Patches containing \u003ca href=\"http://www.nlm.nih.gov/medlineplus/druginfo/meds/a608049.html\" target=\"_blank\">clonidine\u003c/a>, a blood pressure medicine, can be deadly. Pain patches made with fentanyl can be, too. Even nicotine patches can be hazardous, Clancy says.\u003c/p>\n\u003cp>Be careful about disposing of patches where children might come across them. Used patches can still contain enough drug to do harm, if a small child sucks on them or swallows them.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"9sGBsEJfkjmAX6nTXs3XIdIAJoRdDxRW\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "New Food Labels to Focus on Calories, Sugar",
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"content": "\u003cfigure id=\"attachment_17920\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/dannynic/8407037563/sizes/l/\">\u003cimg class=\"size-large wp-image-17920\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/8407037563_11bbebbee2_b-640x470.jpg\" alt=\"Many processed foods, including bottled tomato sauce, have added sugars, which would be required under the proposed label. (Danny Nicholson/Flickr)\" width=\"640\" height=\"470\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Many processed foods, including bottled tomato sauce, have added sugars, which would be required under the proposed label. (Danny Nicholson/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Allison Aubrey,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/thesalt/2014/02/27/283055089/first-look-the-fdas-nutrition-label-gets-a-makeover\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Ready for a reality check about how many calories you're eating or drinking?\u003c/p>\n\u003cp>The proposed new nutrition facts panel may help.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"I've been hoping for years that the FDA would list added sugars,\" -- Marion Nestle, NYU Nutrition Professor \u003c/aside>\n\u003cp>The Obama administration Thursday released its proposed tweaks to the iconic black and white panel that we're all accustomed to seeing on food packages.\u003c/p>\n\u003cp>The most visible change is that calorie counts are bigger and bolder — to give them greater emphasis.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In addition, serving sizes start to reflect the way most of us really eat. Take, for example, ice cream. The current serving size is a half-cup. But who eats that little?\u003c/p>\n\u003cp>Under the proposed new label, the serving size would become 1 cup. So, when you scoop a bowl of mint chocolate chip, the calorie count that you see on the label will probably be much closer to what you're actually eating.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Another example: A 20-ounce bottle of soda would be labeled as one serving. And with that, the calorie count at the top would come closer to reality.\u003c/p>\n\u003cp>Another significant change: The new panel will include a separate line for added sugars.\u003c/p>\n\u003cp>This is aimed at helping consumers distinguish between the sugars that are naturally found in foods (such as the sugar in raisins found in cereal) from the refined sugars that \u003ca href=\"http://www.webmd.com/food-recipes/features/sugar-shockers-foods-surprisingly-high-in-sugar\" target=\"_blank\">food manufacturers add to their products\u003c/a>.\u003c/p>\n\u003cp>\"I've been hoping for years that the FDA would list added sugars,\" Marion Nestle, a professor of nutrition at New York University, tells us. \"I definitely think it's helpful.\"\u003c/p>\n\u003cp>As we've reported, there's a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/04/sugar-is-a-risk-for-heart-disease-too/\" target=\"_blank\">solid body of evidence\u003c/a> linking excessive sugar consumption to an increased risk of heart disease and other ailments.\u003c/p>\n\u003cp>And the intent here, senior administration officials say, is to help cue Americans to consume less of it. Despite industry opposition to the listing of added sugars, officials say they're confident the science is strong enough to justify adding it to the label.\u003c/p>\n\u003cfigure id=\"attachment_17917\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/Screen-Shot-2014-02-27-at-10.55.04-AM.png\">\u003cimg class=\"size-large wp-image-17917\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/Screen-Shot-2014-02-27-at-10.55.04-AM-640x553.png\" alt=\"Proposed new food label from the Food and Drug Administration. \" width=\"640\" height=\"553\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Proposed new food label from the Food and Drug Administration.\u003c/figcaption>\u003c/figure>\n\u003cdiv>\u003c/div>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"xMOBk5ALaPzOtje43iBVRVTPGrSv2FkY\"]\u003c/p>\n\n",
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"excerpt": "The Obama administration Thursday released its proposed tweaks to the iconic black and white panel that we're all accustomed to seeing on food packages.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17920\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/dannynic/8407037563/sizes/l/\">\u003cimg class=\"size-large wp-image-17920\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/8407037563_11bbebbee2_b-640x470.jpg\" alt=\"Many processed foods, including bottled tomato sauce, have added sugars, which would be required under the proposed label. (Danny Nicholson/Flickr)\" width=\"640\" height=\"470\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Many processed foods, including bottled tomato sauce, have added sugars, which would be required under the proposed label. (Danny Nicholson/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Allison Aubrey,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/thesalt/2014/02/27/283055089/first-look-the-fdas-nutrition-label-gets-a-makeover\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Ready for a reality check about how many calories you're eating or drinking?\u003c/p>\n\u003cp>The proposed new nutrition facts panel may help.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"I've been hoping for years that the FDA would list added sugars,\" -- Marion Nestle, NYU Nutrition Professor \u003c/aside>\n\u003cp>The Obama administration Thursday released its proposed tweaks to the iconic black and white panel that we're all accustomed to seeing on food packages.\u003c/p>\n\u003cp>The most visible change is that calorie counts are bigger and bolder — to give them greater emphasis.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In addition, serving sizes start to reflect the way most of us really eat. Take, for example, ice cream. The current serving size is a half-cup. But who eats that little?\u003c/p>\n\u003cp>Under the proposed new label, the serving size would become 1 cup. So, when you scoop a bowl of mint chocolate chip, the calorie count that you see on the label will probably be much closer to what you're actually eating.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Another example: A 20-ounce bottle of soda would be labeled as one serving. And with that, the calorie count at the top would come closer to reality.\u003c/p>\n\u003cp>Another significant change: The new panel will include a separate line for added sugars.\u003c/p>\n\u003cp>This is aimed at helping consumers distinguish between the sugars that are naturally found in foods (such as the sugar in raisins found in cereal) from the refined sugars that \u003ca href=\"http://www.webmd.com/food-recipes/features/sugar-shockers-foods-surprisingly-high-in-sugar\" target=\"_blank\">food manufacturers add to their products\u003c/a>.\u003c/p>\n\u003cp>\"I've been hoping for years that the FDA would list added sugars,\" Marion Nestle, a professor of nutrition at New York University, tells us. \"I definitely think it's helpful.\"\u003c/p>\n\u003cp>As we've reported, there's a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/04/sugar-is-a-risk-for-heart-disease-too/\" target=\"_blank\">solid body of evidence\u003c/a> linking excessive sugar consumption to an increased risk of heart disease and other ailments.\u003c/p>\n\u003cp>And the intent here, senior administration officials say, is to help cue Americans to consume less of it. Despite industry opposition to the listing of added sugars, officials say they're confident the science is strong enough to justify adding it to the label.\u003c/p>\n\u003cfigure id=\"attachment_17917\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/Screen-Shot-2014-02-27-at-10.55.04-AM.png\">\u003cimg class=\"size-large wp-image-17917\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/Screen-Shot-2014-02-27-at-10.55.04-AM-640x553.png\" alt=\"Proposed new food label from the Food and Drug Administration. \" width=\"640\" height=\"553\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Proposed new food label from the Food and Drug Administration.\u003c/figcaption>\u003c/figure>\n\u003cdiv>\u003c/div>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"xMOBk5ALaPzOtje43iBVRVTPGrSv2FkY\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Death Cafe: Talking About Death -- While Eating Cake",
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"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17875\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/Death-Cafe_LR-e1393300359473.jpg\">\u003cimg class=\"size-large wp-image-17875\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/Death-Cafe_LR-640x480.jpg\" alt=\"A recent Death Cafe, held at San Francisco's Zen Hospice Project. (Jeremy Raff/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A recent Death Cafe, held at San Francisco's Zen Hospice Project. (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jeremy Raff\u003c/strong>\u003c/p>\n\u003cp>In a dimly lit room decorated with several Buddhas and a large red-and-white Zen illustration, twenty-nine people sat in a circle. Some were eating chocolate bundt cake. It was an unusual setting to be discussing the topic at hand: death and dying. These \u003ca href=\"http://deathcafe.com/\">death cafes\u003c/a> have sprung up around the world to address the taboo subject head-on. Organizers hope that increased awareness of death will help people make the most of their lives.\u003c/p>\n\u003cp>Roy Remer, the group's facilitator, hushed the room and passed around pieces of cardstock covered in Post-its. Each person wrote intimate words on them -- family members’ names, roles they play (mother, mentor), significant relationships and important objects. The Post-its became a boiled-down map of what each person holds dearest. Then, Remer walked the circle, visiting each person with inevitable gravity. He then ripped away Post-its from each one.\u003c/p>\n\u003cp>Some reflexively clutched their children's names. But most averted their eyes, looking stunned. It wasn’t easy for Remer either. \"It felt violent,\" he said. The exercise simulated loss and started the conversation about death and dying.\u003c!--more-->\u003c/p>\n\u003cp>“It made me realize I haven’t grieved for my grandmother,” said Samuel Domingo. When her grandmother died, “I ignored it,” she said. Domingo described the weight of unaddressed grief. Some in the circle nodded with understanding. He hopes to lift some of that burden by addressing his fears. “I’m still learning to \u003cem>be \u003c/em>a person,” he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Domingo’s family is scattered across the Philippines, England and the U.S., which partly accounts for his emotional distance from his grandmother's death. “If we really embraced our mortality, we wouldn't take our lives, our relationships, for granted.”\u003c/p>\n\u003cfigure id=\"attachment_17876\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/Delfina-Piretti-e1393300574439.jpg\">\u003cimg class=\"size-medium wp-image-17876\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/Delfina-Piretti-300x200.jpg\" alt=\"Delfina Piretti attended a recent Death Cafe at San Francisco's Zen Hospice Project. (Jeremy Raff/KQED)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Delfina Piretti attended a recent Death Cafe at San Francisco's Zen Hospice Project. (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Delfina Piretti, an art therapist, is also opening herself to grief. Her mother died last March, then her 3-year-old niece was diagnosed with leukemia in August (the prognosis is good). The 61-year-old says she’s learning how to be an elder in her family now. She said the Death Cafe helped her be “creatively alive” to that transition instead of “just guessing through it.”\u003c/p>\n\u003cp>While lively, intellectual European salons are the model, the Death Cafe at the six-bed Zen Hospice Project's Guest House in San Francisco was more solemn. Family members of hospice patients filed past the group and up the stairs for their visits, but did not participate. Death Cafés are not grief counseling.\u003c/p>\n\u003cp>Still, a Death Cafe is a good fit for the Zen Hospice Project -- its mission is to make end-of-life care more patient-centered. UC San Francisco reserves half the beds for patients who would otherwise die in an acute-care setting.\u003c/p>\n\u003cp>End-of-life care is “the most important and costly conversation Americans are not having,” said Michael Hebb in\u003ca href=\"http://www.tedmed.com/speakers/show?id=62068\"> a TedMed talk\u003c/a> announcing an effort similar to the Death Cafés. Seventy-five percent of Americans want to die at home,\u003ca href=\"http://www.pbs.org/wgbh/pages/frontline/facing-death/facts-and-figures/\"> but only 25 percent do.\u003c/a> Most Californians (67 percent)\u003ca href=\"http://www.chcf.org/Publications/2013/04/EOL-What-You-Want/#lightbox=BA5602BC-051C-40EC-BE10-8A6B32CD4286\"> want low-intensity care\u003c/a> at end-of-life — a more natural death — but 42 percent receive aggressive care, seeing 10+ doctors in the last six months of life.\u003c/p>\n\u003cp>\u003cstrong>Talking about Death as Therapy\u003c/strong>\u003c/p>\n\u003cp>Talking about death can be therapeutic for dying people. Shelley Adler, the UCSF professor who organized the Death Cafe, saw this first-hand doing research with cancer patients from underserved communities. “I worry when we don’t ask people if they want to participate,” said Adler, “when we act like they’re already dead.”\u003c/p>\n\u003cp>Some of her research participants did not live long enough to finish a twelve-week study. “You better have a really good reason to talk to someone when they don’t have much time left,” says Adler. So to give something back, she began using her interview transcripts to draft ethical wills. The documents detail patients’ core values, accomplishments and regrets. They are a legacy for family and friends in lieu of money or property.\u003c/p>\n\u003cp>“People asked for (multiple) copies,” Adler says.\u003c/p>\n\u003cp>Despite patients’ rapidly declining health, the interview process decreased their pain and fatigue -- it improved their quality of life. Adler says finding meaning in suffering makes all the difference. For example, \"the pain of giving birth is excruciating, but very different from the pain of being shot,\" she noted.\u003c/p>\n\u003cp>Of course, most people don’t receive such special attention. Adler studied impoverished people in San Francisco and the East Bay. One woman had such little experience with health care that she didn’t understand her cancer diagnosis. She first learned just how serious it was from her support group’s crestfallen expression when, by way of introduction, she said her name and the words “stage four.”\u003c/p>\n\u003cp>Adler thinks Death Cafes can help break the taboo so more people can find meaning in mortality.\u003c/p>\n\u003cp>“It's interesting that it has to be a big deal that we are having conversations on death,” Adler says. “Wouldn’t it be more intuitive that, since everybody dies, we would actually mention it a few times?”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"bQXlQcYbSui4AHSdn8tN3u2vs94gXFvv\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17875\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/Death-Cafe_LR-e1393300359473.jpg\">\u003cimg class=\"size-large wp-image-17875\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/Death-Cafe_LR-640x480.jpg\" alt=\"A recent Death Cafe, held at San Francisco's Zen Hospice Project. (Jeremy Raff/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A recent Death Cafe, held at San Francisco's Zen Hospice Project. (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jeremy Raff\u003c/strong>\u003c/p>\n\u003cp>In a dimly lit room decorated with several Buddhas and a large red-and-white Zen illustration, twenty-nine people sat in a circle. Some were eating chocolate bundt cake. It was an unusual setting to be discussing the topic at hand: death and dying. These \u003ca href=\"http://deathcafe.com/\">death cafes\u003c/a> have sprung up around the world to address the taboo subject head-on. Organizers hope that increased awareness of death will help people make the most of their lives.\u003c/p>\n\u003cp>Roy Remer, the group's facilitator, hushed the room and passed around pieces of cardstock covered in Post-its. Each person wrote intimate words on them -- family members’ names, roles they play (mother, mentor), significant relationships and important objects. The Post-its became a boiled-down map of what each person holds dearest. Then, Remer walked the circle, visiting each person with inevitable gravity. He then ripped away Post-its from each one.\u003c/p>\n\u003cp>Some reflexively clutched their children's names. But most averted their eyes, looking stunned. It wasn’t easy for Remer either. \"It felt violent,\" he said. The exercise simulated loss and started the conversation about death and dying.\u003c!--more-->\u003c/p>\n\u003cp>“It made me realize I haven’t grieved for my grandmother,” said Samuel Domingo. When her grandmother died, “I ignored it,” she said. Domingo described the weight of unaddressed grief. Some in the circle nodded with understanding. He hopes to lift some of that burden by addressing his fears. “I’m still learning to \u003cem>be \u003c/em>a person,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Domingo’s family is scattered across the Philippines, England and the U.S., which partly accounts for his emotional distance from his grandmother's death. “If we really embraced our mortality, we wouldn't take our lives, our relationships, for granted.”\u003c/p>\n\u003cfigure id=\"attachment_17876\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/Delfina-Piretti-e1393300574439.jpg\">\u003cimg class=\"size-medium wp-image-17876\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/Delfina-Piretti-300x200.jpg\" alt=\"Delfina Piretti attended a recent Death Cafe at San Francisco's Zen Hospice Project. (Jeremy Raff/KQED)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Delfina Piretti attended a recent Death Cafe at San Francisco's Zen Hospice Project. (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Delfina Piretti, an art therapist, is also opening herself to grief. Her mother died last March, then her 3-year-old niece was diagnosed with leukemia in August (the prognosis is good). The 61-year-old says she’s learning how to be an elder in her family now. She said the Death Cafe helped her be “creatively alive” to that transition instead of “just guessing through it.”\u003c/p>\n\u003cp>While lively, intellectual European salons are the model, the Death Cafe at the six-bed Zen Hospice Project's Guest House in San Francisco was more solemn. Family members of hospice patients filed past the group and up the stairs for their visits, but did not participate. Death Cafés are not grief counseling.\u003c/p>\n\u003cp>Still, a Death Cafe is a good fit for the Zen Hospice Project -- its mission is to make end-of-life care more patient-centered. UC San Francisco reserves half the beds for patients who would otherwise die in an acute-care setting.\u003c/p>\n\u003cp>End-of-life care is “the most important and costly conversation Americans are not having,” said Michael Hebb in\u003ca href=\"http://www.tedmed.com/speakers/show?id=62068\"> a TedMed talk\u003c/a> announcing an effort similar to the Death Cafés. Seventy-five percent of Americans want to die at home,\u003ca href=\"http://www.pbs.org/wgbh/pages/frontline/facing-death/facts-and-figures/\"> but only 25 percent do.\u003c/a> Most Californians (67 percent)\u003ca href=\"http://www.chcf.org/Publications/2013/04/EOL-What-You-Want/#lightbox=BA5602BC-051C-40EC-BE10-8A6B32CD4286\"> want low-intensity care\u003c/a> at end-of-life — a more natural death — but 42 percent receive aggressive care, seeing 10+ doctors in the last six months of life.\u003c/p>\n\u003cp>\u003cstrong>Talking about Death as Therapy\u003c/strong>\u003c/p>\n\u003cp>Talking about death can be therapeutic for dying people. Shelley Adler, the UCSF professor who organized the Death Cafe, saw this first-hand doing research with cancer patients from underserved communities. “I worry when we don’t ask people if they want to participate,” said Adler, “when we act like they’re already dead.”\u003c/p>\n\u003cp>Some of her research participants did not live long enough to finish a twelve-week study. “You better have a really good reason to talk to someone when they don’t have much time left,” says Adler. So to give something back, she began using her interview transcripts to draft ethical wills. The documents detail patients’ core values, accomplishments and regrets. They are a legacy for family and friends in lieu of money or property.\u003c/p>\n\u003cp>“People asked for (multiple) copies,” Adler says.\u003c/p>\n\u003cp>Despite patients’ rapidly declining health, the interview process decreased their pain and fatigue -- it improved their quality of life. Adler says finding meaning in suffering makes all the difference. For example, \"the pain of giving birth is excruciating, but very different from the pain of being shot,\" she noted.\u003c/p>\n\u003cp>Of course, most people don’t receive such special attention. Adler studied impoverished people in San Francisco and the East Bay. One woman had such little experience with health care that she didn’t understand her cancer diagnosis. She first learned just how serious it was from her support group’s crestfallen expression when, by way of introduction, she said her name and the words “stage four.”\u003c/p>\n\u003cp>Adler thinks Death Cafes can help break the taboo so more people can find meaning in mortality.\u003c/p>\n\u003cp>“It's interesting that it has to be a big deal that we are having conversations on death,” Adler says. “Wouldn’t it be more intuitive that, since everybody dies, we would actually mention it a few times?”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"bQXlQcYbSui4AHSdn8tN3u2vs94gXFvv\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "'Insufficient Evidence' That Vitamins Prevent Heart Disease, Cancer",
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"content": "\u003cfigure id=\"attachment_16791\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/146873360-e1387392461923.jpg\">\u003cimg class=\"size-large wp-image-16791\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/146873360-640x425.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Brittany Patterson\u003c/strong>\u003c/p>\n\u003cp>Toss those vitamin bottles and instead opt for a well-balanced diet if you’re looking to prevent heart disease or cancer.\u003c/p>\n\u003cp>The U.S. Preventive Services Task Force released\u003ca href=\"http://annals.org/article.aspx?articleid=1832969\" target=\"_blank\"> new recommendations\u003c/a> Monday regarding both multivitamins and certain supplements -- and their potential to help prevent heart disease and cancer. The task force \"concludes that the current evidence is insufficient to assess the balance of benefits and harms\" of the use of multivitamins, vitamins, minerals and other dietary supplements to prevent heart disease or cancer.\u003c/p>\n\u003cp>The task force is, however, recommending against use of beta-carotene and vitamin E supplements.\u003c!--more-->\u003c/p>\n\u003cp>“It’s essential to know that science has told us something — vitamin E and beta-carotene, they don’t work and sometimes cause harm,” said Dr. Kirsten Bibbins-Domingo, a cardiovascular epidemiologist at UC San Francisco and member of the task force.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The recommendations apply to healthy adults ages 50 and older who do not have any special nutritional needs.\u003c/p>\n\u003cp>The task force, a 16-member volunteer panel of national experts in prevention that makes evidence-based recommendations about preventive services -- including screenings and medications -- examined recent studies and found mostly inconclusive evidence.\u003c/p>\n\u003cp>For vitamin E they found no net preventive benefit, but for beta-carotene the research showed increased risk for lung cancer in some people, including those who smoke or are exposed to asbestos.\u003c/p>\n\u003cp>According to the Centers for Disease Control and Prevention, about 600,000 people die of heart disease in the United States every year. Nearly as many people die of all forms of cancer combined.\u003c/p>\n\u003cp>Vitamin and supplement use has been on the rise in the United States. In 2011, the CDC reported that more than half of adult Americans take at least one dietary supplement, such as multivitamins, minerals and herbs.\u003c/p>\n\u003cp>According to Bibbins-Domingo, some vitamins are essential for certain biological processes in the body, and researchers are examining how some of them, such as antioxidants, might have protective qualities. But, she said, the research hasn’t shown these nutrients work when people take them as individual supplements.\u003c/p>\n\u003cp>This new recommendation is an update to one the task force \u003ca href=\"http://www.uspreventiveservicestaskforce.org/uspstf/uspsvita.htm\" target=\"_blank\">initially made in 200\u003c/a>3. The panel has the option to revisit its stance on issues every five years if new evidence is available, Bibbins-Domingo said. In this case new studies had been done, but the evidence was still not enough to make a recommendation either way for most supplements.\u003c/p>\n\u003cp>A diet with fruits, vegetables, whole grains, fat-free and low-fat dairy products and seafood has been associated with a reduced risk of heart disease and cancer.\u003c/p>\n\u003cp>“If you’re taking supplements because you want to prevent heart disease and cancer, there’s just not enough evidence,” she said. “If your goal is to prevent heart disease and cancer, a healthy, balanced diet is the way to go.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"VNNUDz7ewE2xWSLBN7AcBnOBBgYIQjUU\"]\u003c/p>\n\n",
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"excerpt": "The U.S. Preventive Services Task Force released new recommendations Monday regarding both multivitamins and certain supplements -- and their potential to help prevent heart disease and cancer. The Task Force \"concludes that the current evidence is insufficient to assess the balance of benefits and harms\" of the use of multivitamins, vitamins, minerals and other dietary supplements to prevent heart disease or cancer.\r\n\r\nThe task force is, however, recommending against use of beta-carotene and vitamin E supplements.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16791\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/146873360-e1387392461923.jpg\">\u003cimg class=\"size-large wp-image-16791\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/146873360-640x425.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Brittany Patterson\u003c/strong>\u003c/p>\n\u003cp>Toss those vitamin bottles and instead opt for a well-balanced diet if you’re looking to prevent heart disease or cancer.\u003c/p>\n\u003cp>The U.S. Preventive Services Task Force released\u003ca href=\"http://annals.org/article.aspx?articleid=1832969\" target=\"_blank\"> new recommendations\u003c/a> Monday regarding both multivitamins and certain supplements -- and their potential to help prevent heart disease and cancer. The task force \"concludes that the current evidence is insufficient to assess the balance of benefits and harms\" of the use of multivitamins, vitamins, minerals and other dietary supplements to prevent heart disease or cancer.\u003c/p>\n\u003cp>The task force is, however, recommending against use of beta-carotene and vitamin E supplements.\u003c!--more-->\u003c/p>\n\u003cp>“It’s essential to know that science has told us something — vitamin E and beta-carotene, they don’t work and sometimes cause harm,” said Dr. Kirsten Bibbins-Domingo, a cardiovascular epidemiologist at UC San Francisco and member of the task force.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The recommendations apply to healthy adults ages 50 and older who do not have any special nutritional needs.\u003c/p>\n\u003cp>The task force, a 16-member volunteer panel of national experts in prevention that makes evidence-based recommendations about preventive services -- including screenings and medications -- examined recent studies and found mostly inconclusive evidence.\u003c/p>\n\u003cp>For vitamin E they found no net preventive benefit, but for beta-carotene the research showed increased risk for lung cancer in some people, including those who smoke or are exposed to asbestos.\u003c/p>\n\u003cp>According to the Centers for Disease Control and Prevention, about 600,000 people die of heart disease in the United States every year. Nearly as many people die of all forms of cancer combined.\u003c/p>\n\u003cp>Vitamin and supplement use has been on the rise in the United States. In 2011, the CDC reported that more than half of adult Americans take at least one dietary supplement, such as multivitamins, minerals and herbs.\u003c/p>\n\u003cp>According to Bibbins-Domingo, some vitamins are essential for certain biological processes in the body, and researchers are examining how some of them, such as antioxidants, might have protective qualities. But, she said, the research hasn’t shown these nutrients work when people take them as individual supplements.\u003c/p>\n\u003cp>This new recommendation is an update to one the task force \u003ca href=\"http://www.uspreventiveservicestaskforce.org/uspstf/uspsvita.htm\" target=\"_blank\">initially made in 200\u003c/a>3. The panel has the option to revisit its stance on issues every five years if new evidence is available, Bibbins-Domingo said. In this case new studies had been done, but the evidence was still not enough to make a recommendation either way for most supplements.\u003c/p>\n\u003cp>A diet with fruits, vegetables, whole grains, fat-free and low-fat dairy products and seafood has been associated with a reduced risk of heart disease and cancer.\u003c/p>\n\u003cp>“If you’re taking supplements because you want to prevent heart disease and cancer, there’s just not enough evidence,” she said. “If your goal is to prevent heart disease and cancer, a healthy, balanced diet is the way to go.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"VNNUDz7ewE2xWSLBN7AcBnOBBgYIQjUU\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "15 Measles Cases Confirmed Statewide; State Officials Urge Vaccination",
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"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17842\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-e1393030020245.jpg\">\u003cimg class=\"size-large wp-image-17842\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-640x613.jpg\" alt=\" prepare an injection of the combined Measles Mumps and Rubella (MMR) vaccination. Geoff Caddick/AFP/Getty Images\" width=\"640\" height=\"613\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Preparing an injection of the combined measles, mumps and rubella (MMR) vaccination. (Geoff Caddick/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>First the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/07/5-things-you-should-know-about-this-years-h1n1-flu-influenza/\" target=\"_blank\">flu\u003c/a>, then \u003ca href=\"http://www.cdph.ca.gov/Pages/NR14-018.aspx\" target=\"_blank\">whooping cough\u003c/a> and now measles. State health officials announced Friday morning that the state has 15 confirmed cases, compared with just two at this time last year.\u003c/p>\n\u003cp>Of the 15 cases, three are in people who traveled to the Philippines, where a large outbreak is occurring, according to the California Department of Public Health (CDPH). Two more cases are in recently returned travelers from India, where measles is endemic. Nearly half of the cases -- seven -- are in people who were \"intentionally not vaccinated,\" said Dr. Gil Chavez, state epidemiologist with the CDPH.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Measles is one of the most contagious viral illnesses. \u003c/aside>\n\u003cp>\"Today I am asking unvaccinated Californians who are traveling outside the Americas to get vaccinated before you go,\" Chavez said.\u003c/p>\n\u003cp>The measles vaccine is highly effective. It is administered in \u003ca href=\"http://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html\" target=\"_blank\">two doses,\u003c/a> as part of the measles-mumps-rubella shot, or MMR. The first dose is given to toddlers at 12-15 months, and the second is recommended before children start kindergarten. \u003ca href=\"http://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html\" target=\"_blank\">CDC guidelines\u003c/a> also clearly state that infants who are being taken for travel internationally can receive the first dose as young as 6 months. Two doses provide about 98 percent protection against measles, said Kathleen Harriman, with the CDPH. If you have had the measles, you are also protected.\u003c!--more-->\u003c/p>\n\u003cp>Measles is one of the most contagious viral illnesses, marked by a fever as high as 105 degrees, cough, runny nose and rash. One-third of cases result in complications ranging from diarrhea, ear infections, pneumonia, seizures and \"in some cases death is the final outcome,\" Chavez said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And yet, some people continue to worry more about the vaccine than they do about the disease, even though concerns that the MMR vaccine causes illness have not held up scientifically.\u003c/p>\n\u003cp>\"It's very clear to anyone that's been following the issue that there's no information that supports the theory that vaccines are harmful to kids, and that any link to long-term problems, such as autism, has been debunked,\" Chavez said.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[RELATED: \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\">Five Things You Should Know About Vaccines\u003c/a>]\u003c/strong>\u003c/p>\n\u003cp>Of the seven measles cases in people intentionally not vaccinated, the age range was 1 year to 32 years -- so they are either children or young adults whose parents did not have them vaccinated, Chavez noted.\u003c/p>\n\u003cp>Harriman said the measles outbreak in the Philippines was exacerbated by Typhoon Haiyan, which hit in November. In 2013, the country saw 1,700 cases and 21 deaths, most in the Manila area, she said.\u003c/p>\n\u003cp>If you're not vaccinated and \"you travel to these areas,\" Chavez said, \"the likelihood of getting infected is very high.\"\u003c/p>\n\u003cp>Of the 15 California cases, two are in Contra Costa County, one is in Alameda, and one in San Mateo County. The rest are in Southern California: five in Los Angeles County, three in Riverside County and three in Orange County.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"ar7yQ4lJHjhoqZi2fSJlZMEklhSWxD0L\"]\u003c/p>\n\n",
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"excerpt": "First the flu, then whooping cough and now measles. State health officials announced Friday morning that the state has 15 confirmed cases, compared with just two at this time last year.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17842\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-e1393030020245.jpg\">\u003cimg class=\"size-large wp-image-17842\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-640x613.jpg\" alt=\" prepare an injection of the combined Measles Mumps and Rubella (MMR) vaccination. Geoff Caddick/AFP/Getty Images\" width=\"640\" height=\"613\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Preparing an injection of the combined measles, mumps and rubella (MMR) vaccination. (Geoff Caddick/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>First the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/07/5-things-you-should-know-about-this-years-h1n1-flu-influenza/\" target=\"_blank\">flu\u003c/a>, then \u003ca href=\"http://www.cdph.ca.gov/Pages/NR14-018.aspx\" target=\"_blank\">whooping cough\u003c/a> and now measles. State health officials announced Friday morning that the state has 15 confirmed cases, compared with just two at this time last year.\u003c/p>\n\u003cp>Of the 15 cases, three are in people who traveled to the Philippines, where a large outbreak is occurring, according to the California Department of Public Health (CDPH). Two more cases are in recently returned travelers from India, where measles is endemic. Nearly half of the cases -- seven -- are in people who were \"intentionally not vaccinated,\" said Dr. Gil Chavez, state epidemiologist with the CDPH.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Measles is one of the most contagious viral illnesses. \u003c/aside>\n\u003cp>\"Today I am asking unvaccinated Californians who are traveling outside the Americas to get vaccinated before you go,\" Chavez said.\u003c/p>\n\u003cp>The measles vaccine is highly effective. It is administered in \u003ca href=\"http://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html\" target=\"_blank\">two doses,\u003c/a> as part of the measles-mumps-rubella shot, or MMR. The first dose is given to toddlers at 12-15 months, and the second is recommended before children start kindergarten. \u003ca href=\"http://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html\" target=\"_blank\">CDC guidelines\u003c/a> also clearly state that infants who are being taken for travel internationally can receive the first dose as young as 6 months. Two doses provide about 98 percent protection against measles, said Kathleen Harriman, with the CDPH. If you have had the measles, you are also protected.\u003c!--more-->\u003c/p>\n\u003cp>Measles is one of the most contagious viral illnesses, marked by a fever as high as 105 degrees, cough, runny nose and rash. One-third of cases result in complications ranging from diarrhea, ear infections, pneumonia, seizures and \"in some cases death is the final outcome,\" Chavez said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And yet, some people continue to worry more about the vaccine than they do about the disease, even though concerns that the MMR vaccine causes illness have not held up scientifically.\u003c/p>\n\u003cp>\"It's very clear to anyone that's been following the issue that there's no information that supports the theory that vaccines are harmful to kids, and that any link to long-term problems, such as autism, has been debunked,\" Chavez said.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[RELATED: \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\">Five Things You Should Know About Vaccines\u003c/a>]\u003c/strong>\u003c/p>\n\u003cp>Of the seven measles cases in people intentionally not vaccinated, the age range was 1 year to 32 years -- so they are either children or young adults whose parents did not have them vaccinated, Chavez noted.\u003c/p>\n\u003cp>Harriman said the measles outbreak in the Philippines was exacerbated by Typhoon Haiyan, which hit in November. In 2013, the country saw 1,700 cases and 21 deaths, most in the Manila area, she said.\u003c/p>\n\u003cp>If you're not vaccinated and \"you travel to these areas,\" Chavez said, \"the likelihood of getting infected is very high.\"\u003c/p>\n\u003cp>Of the 15 California cases, two are in Contra Costa County, one is in Alameda, and one in San Mateo County. The rest are in Southern California: five in Los Angeles County, three in Riverside County and three in Orange County.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"ar7yQ4lJHjhoqZi2fSJlZMEklhSWxD0L\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "HPV Vaccine Prevents Cancer, Yet Parents Slow To Make Sure Kids Get It",
"title": "HPV Vaccine Prevents Cancer, Yet Parents Slow To Make Sure Kids Get It",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17815\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/vcucns/6792819478/sizes/l/\">\u003cimg class=\"size-large wp-image-17815 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/6792819478_ce19ec1b85_b-640x425.jpg\" alt=\"Studies show the HPV vaccine is highly protective, but as many as two-thirds of 11 and 12-year-old girls don't get it. (Art Writ/Flickr)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Studies show the HPV vaccine is highly protective, but as many as two-thirds of 11 and 12-year-old girls don't get it. (Art Writ/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Patti Neighmond\u003c/strong>, \u003ca href=\"http://www.npr.org/blogs/health/2014/02/19/279609708/parents-and-teens-arent-up-to-speed-on-hpv-risks-doctors-say\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>You would think that a vaccine that could prevent cancer would be an easy sell, but that's hasn't proven to be true so far with the vaccine to prevent cervical cancer.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"This is a vaccine that protects against cancer; what could be better than that?\" \u003c/aside>\n\u003cp>Just 33 percent of girls and less than 7 percent of boys in the U.S. have gotten all three recommended doses of the vaccine to protect against the \u003ca href=\"http://www.cdc.gov/std/hpv/stdfact-hpv.htm\" target=\"_blank\">human papillomavirus\u003c/a>, which causes cervical and other cancers. Compare that to the tiny African nation of Rwanda, where \u003ca href=\"www.who.int/bulletin/volumes/90/8/BLT-11-097253-table-T1.html\" target=\"_blank\">more than 90 percent\u003c/a> of sixth-grade girls were vaccinated in 2011, or Australia, where \u003ca href=\"http://www.bmj.com/content/346/bmj.f2032\" target=\"_blank\">73 percent \u003c/a>of 12- and 13-year-old girls have gotten all three vaccines.\u003c/p>\n\u003cp>\"This is a vaccine that protects against cancer; what could be better than that?\" asks Shannon Stokley, an epidemiologist with the Centers for Disease Control and Prevention. She and other public health officials are trying to figure out the best ways to persuade American teenagers and preteens to get the HPV vaccine.\u003c!--more-->\u003c/p>\n\u003cp>The argument for it is simple: HPV is the \u003ca href=\"http://www.cdc.gov/hpv/whatishpv.html\" target=\"_blank\">most common\u003c/a> sexually transmitted infection. Most HPV viruses are harmless. But a few types can cause cervical, anal and penile cancer, as well as genital warts.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We don't know who is going to develop cancer or who will clear infection,\" Stokley says, \"which is why it's so critical to protect adolescents with the vaccine long before they're ever exposed to the virus.\"\u003c/p>\n\u003cp>The federal government \u003ca href=\"http://www.cdc.gov/vaccines/hcp/vis/vis-statements/hpv-gardasil.html\">recommends\u003c/a> that the first of three HPV vaccine doses be given to children when they turn 11 or 12. A second dose is given about one month later, with a third and final dose within six months. HPV vaccine has been recommended for routine vaccination for girls since 2006 and for boys since 2011.\u003c/p>\n\u003cp>A recent \u003ca href=\"http://www.idsociety.org/2013_HPV_Vaccine/\">CDC study\u003c/a> found HPV prevalence was reduced by 56 percent among teenage girls between the ages of 14 and 19 who were vaccinated, suggesting the vaccine is highly protective. But as many as two thirds of 11- and 12-year-old girls don't get the HPV vaccine when they are at the doctor getting other vaccines.\u003c/p>\n\u003cp>About one quarter of parents say they don't plan on getting their daughters vaccinated in the next year, according to a \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6229a4.htm\">survey\u003c/a> published in July 2013 by the CDC. The most common reasons parents gave were thinking that the vaccine wasn't necessary (19.1 percent); the doctor didn't recommend it (14.2 percent); and safety concerns (13.1 percent).\u003c/p>\n\u003cp>Studies to date have shown no significant safety problems.\u003c/p>\n\u003cp>Then there are logistical issues. In countries like Australia and Rwanda with high rates of coverage, children are vaccinated at school. In the U.S., parents have to take children to a doctor or clinic three times to get all three shots.\u003c/p>\n\u003cp>Younger kids routinely go to a doctor for well child visits, but teenagers typically don't see a doctor regularly. And Stokley says \"doctors may feel uncomfortable\" talking about a vaccine that protects against sexually transmitted disease with teens or with parents of kids as young as 11.\u003c/p>\n\u003cp>The fact that one-fifth of parents think the vaccine isn't necessary shows that doctors have to be more vigilant in recommending the HPV vaccine, says Dr. Jeffrey Duchin. He is chief of the Communicable Disease Epidemiology & Immunization Section at the Seattle & King County Department of Public Health. \"Our research showed that parents did not have a lot of knowledge about how widespread HPV was, how readily it was transmitted, how easy it is to acquire and also about the severity of illness it can cause,\" he says.\u003c/p>\n\u003cp>People often mistakenly think the vaccine is targeted at teens who are sexually active, which Duchin says is simply not true. \"Once you become sexually active, you can acquire HPV infection quite readily. The entire strategy is based on protecting kids before they get infected, just like it is with all our other vaccine preventable diseases.\"\u003c/p>\n\u003cp>Earlier in February, the \u003ca href=\"http://deainfo.nci.nih.gov/advisory/pcp/annualReports/HPV/ExecutiveSummary.htm#sthash.acdO8QX4.3kLUVmTo.dpbs\">President's Cancer Panel\u003c/a> said that more need to be done to get the public educated about HPV and cancer. The panel also called for more efforts by health care providers to recommend and give vaccines, and to make sure the vaccines are available where teenagers get their health care.\u003c/p>\n\u003cp>Convenience is key, Duchin says. And that may include offering the HPV vaccine in school-based health clinics, or at pharmacies, similar to the flu vaccine.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"YKhgJlz1h9Hz9yGeIIPqNu1SOz9EU5SN\"]\u003c/p>\n\n",
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"excerpt": "You would think that a vaccine that could prevent cancer would be an easy sell, but that's hasn't proven to be true so far with the vaccine to prevent cervical cancer.\r\n\r\nJust 33 percent of girls and less than 7 percent of boys in the U.S. have gotten all three recommended doses of the vaccine to protect against the human papillomavirus, which causes cervical and other cancers. Compare that to the tiny African nation of Rwanda, where more than 90 percent of sixth-grade girls were vaccinated in 2011.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17815\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/vcucns/6792819478/sizes/l/\">\u003cimg class=\"size-large wp-image-17815 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/6792819478_ce19ec1b85_b-640x425.jpg\" alt=\"Studies show the HPV vaccine is highly protective, but as many as two-thirds of 11 and 12-year-old girls don't get it. (Art Writ/Flickr)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Studies show the HPV vaccine is highly protective, but as many as two-thirds of 11 and 12-year-old girls don't get it. (Art Writ/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Patti Neighmond\u003c/strong>, \u003ca href=\"http://www.npr.org/blogs/health/2014/02/19/279609708/parents-and-teens-arent-up-to-speed-on-hpv-risks-doctors-say\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>You would think that a vaccine that could prevent cancer would be an easy sell, but that's hasn't proven to be true so far with the vaccine to prevent cervical cancer.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"This is a vaccine that protects against cancer; what could be better than that?\" \u003c/aside>\n\u003cp>Just 33 percent of girls and less than 7 percent of boys in the U.S. have gotten all three recommended doses of the vaccine to protect against the \u003ca href=\"http://www.cdc.gov/std/hpv/stdfact-hpv.htm\" target=\"_blank\">human papillomavirus\u003c/a>, which causes cervical and other cancers. Compare that to the tiny African nation of Rwanda, where \u003ca href=\"www.who.int/bulletin/volumes/90/8/BLT-11-097253-table-T1.html\" target=\"_blank\">more than 90 percent\u003c/a> of sixth-grade girls were vaccinated in 2011, or Australia, where \u003ca href=\"http://www.bmj.com/content/346/bmj.f2032\" target=\"_blank\">73 percent \u003c/a>of 12- and 13-year-old girls have gotten all three vaccines.\u003c/p>\n\u003cp>\"This is a vaccine that protects against cancer; what could be better than that?\" asks Shannon Stokley, an epidemiologist with the Centers for Disease Control and Prevention. She and other public health officials are trying to figure out the best ways to persuade American teenagers and preteens to get the HPV vaccine.\u003c!--more-->\u003c/p>\n\u003cp>The argument for it is simple: HPV is the \u003ca href=\"http://www.cdc.gov/hpv/whatishpv.html\" target=\"_blank\">most common\u003c/a> sexually transmitted infection. Most HPV viruses are harmless. But a few types can cause cervical, anal and penile cancer, as well as genital warts.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We don't know who is going to develop cancer or who will clear infection,\" Stokley says, \"which is why it's so critical to protect adolescents with the vaccine long before they're ever exposed to the virus.\"\u003c/p>\n\u003cp>The federal government \u003ca href=\"http://www.cdc.gov/vaccines/hcp/vis/vis-statements/hpv-gardasil.html\">recommends\u003c/a> that the first of three HPV vaccine doses be given to children when they turn 11 or 12. A second dose is given about one month later, with a third and final dose within six months. HPV vaccine has been recommended for routine vaccination for girls since 2006 and for boys since 2011.\u003c/p>\n\u003cp>A recent \u003ca href=\"http://www.idsociety.org/2013_HPV_Vaccine/\">CDC study\u003c/a> found HPV prevalence was reduced by 56 percent among teenage girls between the ages of 14 and 19 who were vaccinated, suggesting the vaccine is highly protective. But as many as two thirds of 11- and 12-year-old girls don't get the HPV vaccine when they are at the doctor getting other vaccines.\u003c/p>\n\u003cp>About one quarter of parents say they don't plan on getting their daughters vaccinated in the next year, according to a \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6229a4.htm\">survey\u003c/a> published in July 2013 by the CDC. The most common reasons parents gave were thinking that the vaccine wasn't necessary (19.1 percent); the doctor didn't recommend it (14.2 percent); and safety concerns (13.1 percent).\u003c/p>\n\u003cp>Studies to date have shown no significant safety problems.\u003c/p>\n\u003cp>Then there are logistical issues. In countries like Australia and Rwanda with high rates of coverage, children are vaccinated at school. In the U.S., parents have to take children to a doctor or clinic three times to get all three shots.\u003c/p>\n\u003cp>Younger kids routinely go to a doctor for well child visits, but teenagers typically don't see a doctor regularly. And Stokley says \"doctors may feel uncomfortable\" talking about a vaccine that protects against sexually transmitted disease with teens or with parents of kids as young as 11.\u003c/p>\n\u003cp>The fact that one-fifth of parents think the vaccine isn't necessary shows that doctors have to be more vigilant in recommending the HPV vaccine, says Dr. Jeffrey Duchin. He is chief of the Communicable Disease Epidemiology & Immunization Section at the Seattle & King County Department of Public Health. \"Our research showed that parents did not have a lot of knowledge about how widespread HPV was, how readily it was transmitted, how easy it is to acquire and also about the severity of illness it can cause,\" he says.\u003c/p>\n\u003cp>People often mistakenly think the vaccine is targeted at teens who are sexually active, which Duchin says is simply not true. \"Once you become sexually active, you can acquire HPV infection quite readily. The entire strategy is based on protecting kids before they get infected, just like it is with all our other vaccine preventable diseases.\"\u003c/p>\n\u003cp>Earlier in February, the \u003ca href=\"http://deainfo.nci.nih.gov/advisory/pcp/annualReports/HPV/ExecutiveSummary.htm#sthash.acdO8QX4.3kLUVmTo.dpbs\">President's Cancer Panel\u003c/a> said that more need to be done to get the public educated about HPV and cancer. The panel also called for more efforts by health care providers to recommend and give vaccines, and to make sure the vaccines are available where teenagers get their health care.\u003c/p>\n\u003cp>Convenience is key, Duchin says. And that may include offering the HPV vaccine in school-based health clinics, or at pharmacies, similar to the flu vaccine.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"YKhgJlz1h9Hz9yGeIIPqNu1SOz9EU5SN\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Whooping Cough Vaccine: Does Its Effectiveness Wear Off Faster?",
"title": "Whooping Cough Vaccine: Does Its Effectiveness Wear Off Faster?",
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"content": "\u003cfigure id=\"attachment_17600\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/104228158-e1392067906728.jpg\">\u003cimg class=\"size-large wp-image-17600\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/104228158-640x425.jpg\" alt=\"A vial containing the acellular pertussis vaccine. (Robyn Beck/AFP/Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A vial containing the acellular pertussis vaccine. (Robyn Beck/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A new rise in whooping cough cases in California is raising questions among doctors about whether there are problems with the current vaccine. California \u003ca href=\"http://www.cdph.ca.gov/HealthInfo/discond/Documents/Pertussis%20report%202-4-2014.pdf\" target=\"_blank\">public health data \u003c/a>show a spike in whooping cough cases in 2013 compared to the year before, and last week officials confirmed the first death from the disease since the major outbreak of 2010: an infant in Riverside.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"The attempt at making vaccines safer has created a potential lapse in protection.\" \u003c/aside>\n\u003cp>Whooping cough, or pertussis as it is referred to in medical circles, is cyclical in nature and tends to peak every three to five years. But doctors are now finding evidence that the new vaccine may start to wear off on a similar timeline, despite medical recommendations that allow for a span of eight years between booster shots.\u003c/p>\n\u003cp>[contextly_sidebar id=\"75e2b90f971831849adca0e1633a4908\"]\u003c/p>\n\u003cp>“The efficacy of the new vaccine is really good, it works. It’s just that it wanes, and it wanes more quickly,” said Dr. Michael Witte, a pediatrician in Pt. Reyes, north of San Francisco.\u003c/p>\n\u003cp>The new acellular whooping cough vaccine was introduced in the 1990s. It has fewer side effects than the earlier whole-cell vaccine that had been in use since the 1940s. By 2001, the old vaccine was completely phased out. So while many adolescent kids have received boosters of the new vaccine, they would have gotten shots when they were babies that included the old vaccine.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Kids who are now between 11 and 15 years old -- the main group that is getting sick -- are the first generation to have received only the new vaccine. That is leading doctors treating them to conclude that immunity from the acellular vaccine starts to wear off after three years.\u003c/p>\n\u003cp>[contextly_sidebar id=\"0518368a6e2e7d73af4dc8bfccc32f06\"]\u003c/p>\n\u003cp>“Pertussis vaccines have never been that strong,” said Paul Katz, a pediatrician at Kaiser Permanente in San Rafael. “But the attempt at making vaccines safer has created a potential lapse in protection in older people.”\u003c/p>\n\u003cp>Dr. Katz’s \u003ca href=\"http://www.marinmedicalsociety.org/magazine/articles/?articleid=608\" target=\"_blank\">recent research\u003c/a> in Marin County shows that kids who have received had only the new vaccine are five times more likely to get whooping cough.\u003c/p>\n\u003cp>The current medical recommendation is for kids to get four whooping cough shots in the first two years of life, then a booster before kindergarten and another in middle school. That’s a span of up to eight years. Now doctors are talking about whether the recommendations need to be updated to account for the three year dip in the vaccine’s effectiveness.\u003c/p>\n\u003cp>“This phenomenon of waning immunity is just coming to the surface,” said Dr. James Watt, the chief of communicable disease control for the California Department of Public Health. He says the review of current recommendations has reached the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>“Folks at the national level are looking at information about the effectiveness of giving additional doses, whether there are issues with any local reactions associated with additional doses, things like that,” he said.\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>Dr. Katz and Dr. Witte agree that the root of both the 2010 and 2013 whooping cough outbreaks in Marin was a cluster of kids who had never been vaccinated. Marin has the highest rate of the disease of any county in California, according to \u003ca href=\"http://www.cdph.ca.gov/HealthInfo/discond/Documents/Pertussis%20report%202-4-2014.pdf\" target=\"_blank\">public health data\u003c/a>. Doctors believe those numbers are directly related to the county's comparatively high rate of parents who \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2012-2013%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" target=\"_blank\">declined to vaccinate\u003c/a> their children.\u003c/p>\n\u003cp>“We had a lot of unvaccinated children that acted as the kindling to start an outbreak,” said Dr. Katz. “Those children were able to infect all the other children who were vaccinated but were too early for a booster – they became the rest of the wood to start the fire.”\u003c/p>\n\u003cp>A \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\">new state law\u003c/a> that went into effect in January now requires families who refuse vaccines to talk to a health care provider about the risks and benefits of vaccines.\u003c/p>\n\u003cp>\u003cstrong>Listen to the story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/134124755&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n",
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"excerpt": "A new rise in whooping cough cases in California is raising questions among doctors about whether there are problems with the current vaccine. California public health data show a spike in whooping cough cases in 2013 compared to the year before, and last week officials confirmed the first death from the disease since the major outbreak of 2010: an infant in Riverside.\r\n\r\nWhooping cough, or pertussis as it is referred to in medical circles, is cyclical in nature and tends to peak every three to five years. But doctors are now finding evidence that the new vaccine may start to wear off on a similar timeline, despite medical recommendations that allow for a span of eight years between booster shots.",
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"description": "A new rise in whooping cough cases in California is raising questions among doctors about whether there are problems with the current vaccine. California public health data show a spike in whooping cough cases in 2013 compared to the year before, and last week officials confirmed the first death from the disease since the major outbreak of 2010: an infant in Riverside.\r\n\r\nWhooping cough, or pertussis as it is referred to in medical circles, is cyclical in nature and tends to peak every three to five years. But doctors are now finding evidence that the new vaccine may start to wear off on a similar timeline, despite medical recommendations that allow for a span of eight years between booster shots.",
"title": "Whooping Cough Vaccine: Does Its Effectiveness Wear Off Faster? | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17600\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/104228158-e1392067906728.jpg\">\u003cimg class=\"size-large wp-image-17600\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/104228158-640x425.jpg\" alt=\"A vial containing the acellular pertussis vaccine. (Robyn Beck/AFP/Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A vial containing the acellular pertussis vaccine. (Robyn Beck/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A new rise in whooping cough cases in California is raising questions among doctors about whether there are problems with the current vaccine. California \u003ca href=\"http://www.cdph.ca.gov/HealthInfo/discond/Documents/Pertussis%20report%202-4-2014.pdf\" target=\"_blank\">public health data \u003c/a>show a spike in whooping cough cases in 2013 compared to the year before, and last week officials confirmed the first death from the disease since the major outbreak of 2010: an infant in Riverside.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"The attempt at making vaccines safer has created a potential lapse in protection.\" \u003c/aside>\n\u003cp>Whooping cough, or pertussis as it is referred to in medical circles, is cyclical in nature and tends to peak every three to five years. But doctors are now finding evidence that the new vaccine may start to wear off on a similar timeline, despite medical recommendations that allow for a span of eight years between booster shots.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“The efficacy of the new vaccine is really good, it works. It’s just that it wanes, and it wanes more quickly,” said Dr. Michael Witte, a pediatrician in Pt. Reyes, north of San Francisco.\u003c/p>\n\u003cp>The new acellular whooping cough vaccine was introduced in the 1990s. It has fewer side effects than the earlier whole-cell vaccine that had been in use since the 1940s. By 2001, the old vaccine was completely phased out. So while many adolescent kids have received boosters of the new vaccine, they would have gotten shots when they were babies that included the old vaccine.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Kids who are now between 11 and 15 years old -- the main group that is getting sick -- are the first generation to have received only the new vaccine. That is leading doctors treating them to conclude that immunity from the acellular vaccine starts to wear off after three years.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“Pertussis vaccines have never been that strong,” said Paul Katz, a pediatrician at Kaiser Permanente in San Rafael. “But the attempt at making vaccines safer has created a potential lapse in protection in older people.”\u003c/p>\n\u003cp>Dr. Katz’s \u003ca href=\"http://www.marinmedicalsociety.org/magazine/articles/?articleid=608\" target=\"_blank\">recent research\u003c/a> in Marin County shows that kids who have received had only the new vaccine are five times more likely to get whooping cough.\u003c/p>\n\u003cp>The current medical recommendation is for kids to get four whooping cough shots in the first two years of life, then a booster before kindergarten and another in middle school. That’s a span of up to eight years. Now doctors are talking about whether the recommendations need to be updated to account for the three year dip in the vaccine’s effectiveness.\u003c/p>\n\u003cp>“This phenomenon of waning immunity is just coming to the surface,” said Dr. James Watt, the chief of communicable disease control for the California Department of Public Health. He says the review of current recommendations has reached the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>“Folks at the national level are looking at information about the effectiveness of giving additional doses, whether there are issues with any local reactions associated with additional doses, things like that,” he said.\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>Dr. Katz and Dr. Witte agree that the root of both the 2010 and 2013 whooping cough outbreaks in Marin was a cluster of kids who had never been vaccinated. Marin has the highest rate of the disease of any county in California, according to \u003ca href=\"http://www.cdph.ca.gov/HealthInfo/discond/Documents/Pertussis%20report%202-4-2014.pdf\" target=\"_blank\">public health data\u003c/a>. Doctors believe those numbers are directly related to the county's comparatively high rate of parents who \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2012-2013%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" target=\"_blank\">declined to vaccinate\u003c/a> their children.\u003c/p>\n\u003cp>“We had a lot of unvaccinated children that acted as the kindling to start an outbreak,” said Dr. Katz. “Those children were able to infect all the other children who were vaccinated but were too early for a booster – they became the rest of the wood to start the fire.”\u003c/p>\n\u003cp>A \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\">new state law\u003c/a> that went into effect in January now requires families who refuse vaccines to talk to a health care provider about the risks and benefits of vaccines.\u003c/p>\n\u003cp>\u003cstrong>Listen to the story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/134124755&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n\u003c/div>\u003c/p>",
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},
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"officialWebsiteLink": "/californiareport",
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"order": 8
},
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"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
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},
"link": "https://www.cityarts.net",
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"order": 1
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"source": "Commonwealth Club of California"
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"order": 9
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"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"id": "fresh-air",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
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"source": "NPR"
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"how-i-built-this": {
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"jerrybrown": {
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"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
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},
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"id": "latino-usa",
"title": "Latino USA",
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"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
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"link": "/radio/program/latino-usa",
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"source": "WaitWhat"
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/onourwatch",
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"source": "kqed",
"order": 11
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