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"content": "\u003cfigure id=\"attachment_3050\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/EndOfLife_Hands_RosieOBeirne_Flickr_02142012.jpg\">\u003cimg class=\"size-medium wp-image-3050\" title=\"(Rosie O'Beirne: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/EndOfLife_Hands_RosieOBeirne_Flickr_02142012-300x199.jpg\" alt=\"(Rosie O'Beirne: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Rosie O'Beirne: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>It's a paradox of American health care that has been present for years, and a new study reinforces it: the overwhelming majority of Californians say they want to die a natural death, at home, but less than one in four has actually put their wishes in writing. This lack of clarity can leave loved ones and doctors to try to sort out wishes, often during a time of crisis.\u003c/p>\n\u003cp>The statewide survey is from the Oakland-based \u003ca title=\"http://www.chcf.org/\" href=\"http://www.chcf.org/\" target=\"_blank\">California HealthCare Foundation\u003c/a>. While so few have put their wishes in writing, the poll also found that 82 percent of Californians said it was important to do so. Another paradox.\u003c/p>\n\u003cp>\"When we juxtapose that to what actually happens to people,\" said \u003ca title=\"http://www.chcf.org/about/staff/kate-omalley\" href=\"http://www.chcf.org/about/staff/kate-omalley\" target=\"_blank\">Kate O'Malley\u003c/a>, senior program officer at the Foundation, \"We realize there is a lot of work to be done in helping people find a way to state their preferences and make sure that their family members and their providers know what their preferences are.\"\u003c!--more-->\u003c/p>\n\u003cp>The survey, \u003ca title=\"http://www.chcf.org/publications/2012/02/final-chapter-death-dying\" href=\"http://www.chcf.org/publications/2012/02/final-chapter-death-dying\" target=\"_blank\">Final Chapter: Californians' Attitudes and Experiences with Death and Dying\u003c/a>, found many other wide-ranging disparities between what people said they wanted and what actually happened:\u003c/p>\n\u003cul>\n\u003cli>70 percent want to die at home, but 32 percent actually do so; most die in a hospital or nursing home\u003c/li>\n\u003cli>60 percent do not want family members burdened by tough decisions, saying it's \"extremely important,\" but fewer than half have talked to loved one about personal wishes\u003c/li>\n\u003cli>8 in 10 say if they were seriously ill, they would like to talk to a doctor about their treatment wishes, but only 7 percent have done so\u003c/li>\n\u003c/ul>\n\u003cp>On this last question of doctors and patients talking about end-of-life wishes, Kate O'Malley pointed to a chicken or the egg problem. \"There was one study that showed that 75 percent of patients wanted to talk about this and were waiting for their doctors to bring it up,\" she said. \"Then when they (researchers) talked to the doctors, they found that many of them wanted to talk to their patients about this, but they were waiting for their patients to bring it up. So there's this question about what is the right moment?\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>This desire to talk with their doctor about end-of-life wishes is especially true for older patients, yet only 13 percent of those over 65 have done so. In a \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/12/08/how-much-do-elderly-patients-want-to-know-and-should-doctors-tell-them/\" href=\"http://ww2.kqed.org/stateofhealth/2011/12/08/how-much-do-elderly-patients-want-to-know-and-should-doctors-tell-them/\" target=\"_blank\">New England Journal of Medicine commentary\u003c/a> last December, a team of palliative care experts strongly encouraged doctors with elderly patients to bring up the subject.\u003c/p>\n\u003cp>Just over a week ago, Lisa Krieger, a reporter at the San Jose Mercury News, wrote movingly of the story of her\u003ca title=\"http://www.mercurynews.com/cost-of-dying\" href=\"http://www.mercurynews.com/cost-of-dying\" target=\"_blank\"> own father's death\u003c/a>. He had left clearly written instructions, yet what she experienced during the final ten days of his life captures the difficulty of making wrenching decisions, incrementally, during a health crisis. Her story triggered an outpouring of reader comments, with overwhelming support for being clear about wishes, well in advance. Sharone Demaree posted this comment on the Mercury News' Facebook page:\u003c/p>\n\u003cblockquote>\u003cp>My mother died one year ago, March 1. The hardest decision I think we ever had to make was to decide when to cease all attempts at prolonging death. I strongly urge any and all who read this to sit down and talk with your family and document their wishes.\u003c/p>\u003c/blockquote>\n\u003cp>Yet, even when wishes are made clear in advance, the survey found only 44 percent of Californians said those wishes were completely followed. But for a patient with a language barrier, that number drops to 26 percent. Kate O'Malley encourages people who feel that their wishes are not being respected to \"ask to be cared for by a different person,\" adding that it's also critical that the entire family be clear of the loved one's wishes as well.\u003c/p>\n\u003cp>The survey was conducted last fall and included 1,669 Claifornians 18 and older, including 393 people who had lost a loved one in the prior year. The survey was conducted by Lake Research Partners.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Related:\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>KQED's \u003ca title=\"http://www.kqed.org/a/forum/R201202150900\" href=\"http://www.kqed.org/a/forum/R201202150900\" target=\"_blank\">Forum: End-of-Life Decisions\u003c/a>\u003c/p>\n\u003cp>California HealthCare Foundation Video about the\u003ca title=\"http://www.capolst.org/\" href=\"http://www.capolst.org/\" target=\"_blank\"> Physicians Orders for Life-Saving Treatment\u003c/a> or \"POLST\" form:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[youtube http://www.youtube.com/watch?v=Os2mr2eVWTk]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_3050\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/EndOfLife_Hands_RosieOBeirne_Flickr_02142012.jpg\">\u003cimg class=\"size-medium wp-image-3050\" title=\"(Rosie O'Beirne: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/EndOfLife_Hands_RosieOBeirne_Flickr_02142012-300x199.jpg\" alt=\"(Rosie O'Beirne: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Rosie O'Beirne: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>It's a paradox of American health care that has been present for years, and a new study reinforces it: the overwhelming majority of Californians say they want to die a natural death, at home, but less than one in four has actually put their wishes in writing. This lack of clarity can leave loved ones and doctors to try to sort out wishes, often during a time of crisis.\u003c/p>\n\u003cp>The statewide survey is from the Oakland-based \u003ca title=\"http://www.chcf.org/\" href=\"http://www.chcf.org/\" target=\"_blank\">California HealthCare Foundation\u003c/a>. While so few have put their wishes in writing, the poll also found that 82 percent of Californians said it was important to do so. Another paradox.\u003c/p>\n\u003cp>\"When we juxtapose that to what actually happens to people,\" said \u003ca title=\"http://www.chcf.org/about/staff/kate-omalley\" href=\"http://www.chcf.org/about/staff/kate-omalley\" target=\"_blank\">Kate O'Malley\u003c/a>, senior program officer at the Foundation, \"We realize there is a lot of work to be done in helping people find a way to state their preferences and make sure that their family members and their providers know what their preferences are.\"\u003c!--more-->\u003c/p>\n\u003cp>The survey, \u003ca title=\"http://www.chcf.org/publications/2012/02/final-chapter-death-dying\" href=\"http://www.chcf.org/publications/2012/02/final-chapter-death-dying\" target=\"_blank\">Final Chapter: Californians' Attitudes and Experiences with Death and Dying\u003c/a>, found many other wide-ranging disparities between what people said they wanted and what actually happened:\u003c/p>\n\u003cul>\n\u003cli>70 percent want to die at home, but 32 percent actually do so; most die in a hospital or nursing home\u003c/li>\n\u003cli>60 percent do not want family members burdened by tough decisions, saying it's \"extremely important,\" but fewer than half have talked to loved one about personal wishes\u003c/li>\n\u003cli>8 in 10 say if they were seriously ill, they would like to talk to a doctor about their treatment wishes, but only 7 percent have done so\u003c/li>\n\u003c/ul>\n\u003cp>On this last question of doctors and patients talking about end-of-life wishes, Kate O'Malley pointed to a chicken or the egg problem. \"There was one study that showed that 75 percent of patients wanted to talk about this and were waiting for their doctors to bring it up,\" she said. \"Then when they (researchers) talked to the doctors, they found that many of them wanted to talk to their patients about this, but they were waiting for their patients to bring it up. So there's this question about what is the right moment?\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This desire to talk with their doctor about end-of-life wishes is especially true for older patients, yet only 13 percent of those over 65 have done so. In a \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/12/08/how-much-do-elderly-patients-want-to-know-and-should-doctors-tell-them/\" href=\"http://ww2.kqed.org/stateofhealth/2011/12/08/how-much-do-elderly-patients-want-to-know-and-should-doctors-tell-them/\" target=\"_blank\">New England Journal of Medicine commentary\u003c/a> last December, a team of palliative care experts strongly encouraged doctors with elderly patients to bring up the subject.\u003c/p>\n\u003cp>Just over a week ago, Lisa Krieger, a reporter at the San Jose Mercury News, wrote movingly of the story of her\u003ca title=\"http://www.mercurynews.com/cost-of-dying\" href=\"http://www.mercurynews.com/cost-of-dying\" target=\"_blank\"> own father's death\u003c/a>. He had left clearly written instructions, yet what she experienced during the final ten days of his life captures the difficulty of making wrenching decisions, incrementally, during a health crisis. Her story triggered an outpouring of reader comments, with overwhelming support for being clear about wishes, well in advance. Sharone Demaree posted this comment on the Mercury News' Facebook page:\u003c/p>\n\u003cblockquote>\u003cp>My mother died one year ago, March 1. The hardest decision I think we ever had to make was to decide when to cease all attempts at prolonging death. I strongly urge any and all who read this to sit down and talk with your family and document their wishes.\u003c/p>\u003c/blockquote>\n\u003cp>Yet, even when wishes are made clear in advance, the survey found only 44 percent of Californians said those wishes were completely followed. But for a patient with a language barrier, that number drops to 26 percent. Kate O'Malley encourages people who feel that their wishes are not being respected to \"ask to be cared for by a different person,\" adding that it's also critical that the entire family be clear of the loved one's wishes as well.\u003c/p>\n\u003cp>The survey was conducted last fall and included 1,669 Claifornians 18 and older, including 393 people who had lost a loved one in the prior year. The survey was conducted by Lake Research Partners.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Related:\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>KQED's \u003ca title=\"http://www.kqed.org/a/forum/R201202150900\" href=\"http://www.kqed.org/a/forum/R201202150900\" target=\"_blank\">Forum: End-of-Life Decisions\u003c/a>\u003c/p>\n\u003cp>California HealthCare Foundation Video about the\u003ca title=\"http://www.capolst.org/\" href=\"http://www.capolst.org/\" target=\"_blank\"> Physicians Orders for Life-Saving Treatment\u003c/a> or \"POLST\" form:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/Os2mr2eVWTk'\n title='//www.youtube.com/embed/Os2mr2eVWTk'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_2988\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/SusanGKomen_BrandiKorte_Flickr_02102012.jpg\">\u003cimg class=\"size-medium wp-image-2988\" title=\"(Brandi Korte: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/SusanGKomen_BrandiKorte_Flickr_02102012-300x200.jpg\" alt=\"(Brandi Korte: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Brandi Korte: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>While the widely regarded \u003ca title=\"http://www.cancerletter.com/articles/20120210\" href=\"http://www.cancerletter.com/articles/20120210\" target=\"_blank\">Cancer Letter\u003c/a> is usually available only by subscription at a hefty $405 a year, the current issue is available for free. It looks at the Susan G. Komen Foundation's \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/01/susan-g-komen-vs-planned-parenthood/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/susan-g-komen-vs-planned-parenthood/\" target=\"_blank\">decision to stop funding Planned Parenthood\u003c/a>. But the Cancer Letter is not concerned with the politics behind the story.\u003c/p>\n\u003cp>Instead, the Cancer Letter takes an extensive look at Planned Parenthood itself and why the organization is worried about screening mammography for the women it serves.\u003c/p>\n\u003cp>Remember, women who benefit most from mammography are post-menopausal, usually over age 50. Mammograms have been fiercely debated most for women in their 40's. But no credible organization recommends screening mammograms for women younger than 40.\u003c/p>\n\u003cp>And how old is the population served by Planned Parenthood? Nearly 90 percent are 35 and younger, according to a Planned Parenthood spokesperson quoted in the article.\u003c!--more-->\u003c/p>\n\u003cp>The Cancer Letter consulted with four experts in evidence-based medicine, people who have been trying to get the public to understand that all screening exams bring risks, chief among them the possibility of overtreatment. Mammography's rate of false positives means many women end up worrying needlessly until they have a biopsy. One of the experts consulted also mentioned the possibility of a woman being treated for a cancer that never would have caused a serious problem.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Here's \u003ca title=\"http://faculty.mdanderson.org/Donald_Berry/Default.asp?SNID=1201078252\" href=\"http://faculty.mdanderson.org/Donald_Berry/Default.asp?SNID=1201078252\" target=\"_blank\">Donald Berry\u003c/a>, a biostatisician at M.D. Anderson Cancer Center, as quoted in the Cancer Letter:\u003c/p>\n\u003cblockquote>\u003cp>\"It is far from clear that screening for breast cancer in the context of Planned Parenthood is an appropriate use of Komen’s money or Planned Parenthood’s time,” Berry wrote. “Had Komen chosen to cut funding on this basis and not on the basis of a political agenda, then this would have been a powerful and important statement.”\u003c/p>\u003c/blockquote>\n\u003cp>Specifically, the Cancer Letter asked its panel to review information about breast cancer screening on the Planned Parenthood website. All four were concerned about what they found.\u003c/p>\n\u003cp>As \u003ca title=\"http://tdi.dartmouth.edu/faculty/details/94\" href=\"http://tdi.dartmouth.edu/faculty/details/94\" target=\"_blank\">Lisa Schwartz\u003c/a> and \u003ca title=\"http://dms.dartmouth.edu/faculty/facultydb/view.php?uid=76\" href=\"http://dms.dartmouth.edu/faculty/facultydb/view.php?uid=76\" target=\"_blank\">Steven Woloshin\u003c/a> of Dartmouth Medical School said:\u003c/p>\n\u003cblockquote>\u003cp>\"The website presents screening the way a screening advocacy group might—persuading women to be screened rather than helping them understand the benefits and harms—an approach at odds with Planned Parenthood’s philosophy of 'respect for each individual’s right to make informed, independent decisions about health, sex, and family planning.'\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>It's worth reading \u003ca title=\"http://www.cancerletter.com/articles/20120210_2\" href=\"http://www.cancerletter.com/articles/20120210_2\" target=\"_blank\">the entire report.\u003c/a>\u003c/p>\n\u003cdiv>\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2988\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/SusanGKomen_BrandiKorte_Flickr_02102012.jpg\">\u003cimg class=\"size-medium wp-image-2988\" title=\"(Brandi Korte: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/SusanGKomen_BrandiKorte_Flickr_02102012-300x200.jpg\" alt=\"(Brandi Korte: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Brandi Korte: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>While the widely regarded \u003ca title=\"http://www.cancerletter.com/articles/20120210\" href=\"http://www.cancerletter.com/articles/20120210\" target=\"_blank\">Cancer Letter\u003c/a> is usually available only by subscription at a hefty $405 a year, the current issue is available for free. It looks at the Susan G. Komen Foundation's \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/01/susan-g-komen-vs-planned-parenthood/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/susan-g-komen-vs-planned-parenthood/\" target=\"_blank\">decision to stop funding Planned Parenthood\u003c/a>. But the Cancer Letter is not concerned with the politics behind the story.\u003c/p>\n\u003cp>Instead, the Cancer Letter takes an extensive look at Planned Parenthood itself and why the organization is worried about screening mammography for the women it serves.\u003c/p>\n\u003cp>Remember, women who benefit most from mammography are post-menopausal, usually over age 50. Mammograms have been fiercely debated most for women in their 40's. But no credible organization recommends screening mammograms for women younger than 40.\u003c/p>\n\u003cp>And how old is the population served by Planned Parenthood? Nearly 90 percent are 35 and younger, according to a Planned Parenthood spokesperson quoted in the article.\u003c!--more-->\u003c/p>\n\u003cp>The Cancer Letter consulted with four experts in evidence-based medicine, people who have been trying to get the public to understand that all screening exams bring risks, chief among them the possibility of overtreatment. Mammography's rate of false positives means many women end up worrying needlessly until they have a biopsy. One of the experts consulted also mentioned the possibility of a woman being treated for a cancer that never would have caused a serious problem.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Here's \u003ca title=\"http://faculty.mdanderson.org/Donald_Berry/Default.asp?SNID=1201078252\" href=\"http://faculty.mdanderson.org/Donald_Berry/Default.asp?SNID=1201078252\" target=\"_blank\">Donald Berry\u003c/a>, a biostatisician at M.D. Anderson Cancer Center, as quoted in the Cancer Letter:\u003c/p>\n\u003cblockquote>\u003cp>\"It is far from clear that screening for breast cancer in the context of Planned Parenthood is an appropriate use of Komen’s money or Planned Parenthood’s time,” Berry wrote. “Had Komen chosen to cut funding on this basis and not on the basis of a political agenda, then this would have been a powerful and important statement.”\u003c/p>\u003c/blockquote>\n\u003cp>Specifically, the Cancer Letter asked its panel to review information about breast cancer screening on the Planned Parenthood website. All four were concerned about what they found.\u003c/p>\n\u003cp>As \u003ca title=\"http://tdi.dartmouth.edu/faculty/details/94\" href=\"http://tdi.dartmouth.edu/faculty/details/94\" target=\"_blank\">Lisa Schwartz\u003c/a> and \u003ca title=\"http://dms.dartmouth.edu/faculty/facultydb/view.php?uid=76\" href=\"http://dms.dartmouth.edu/faculty/facultydb/view.php?uid=76\" target=\"_blank\">Steven Woloshin\u003c/a> of Dartmouth Medical School said:\u003c/p>\n\u003cblockquote>\u003cp>\"The website presents screening the way a screening advocacy group might—persuading women to be screened rather than helping them understand the benefits and harms—an approach at odds with Planned Parenthood’s philosophy of 'respect for each individual’s right to make informed, independent decisions about health, sex, and family planning.'\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>It's worth reading \u003ca title=\"http://www.cancerletter.com/articles/20120210_2\" href=\"http://www.cancerletter.com/articles/20120210_2\" target=\"_blank\">the entire report.\u003c/a>\u003c/p>\n\u003cdiv>\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>From \u003ca title=\"http://commonhealth.wbur.org/2012/02/cartoon-accountable-care/\" href=\"http://commonhealth.wbur.org/2012/02/cartoon-accountable-care/\" target=\"_blank\">CommonHealth\u003c/a> in Boston comes this nifty and amusing five minute cartoon that explains the Accountable Care Organization -- at least from the patient perspective. How is an ACO different from an HMO? And what does it mean for your health? (If you're not familiar with \u003ca title=\"http://www.xtranormal.com/\" href=\"http://www.xtranormal.com/\" target=\"_blank\">xtranormal\u003c/a>, get ready for computer generated voices.)\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.youtube.com/embed/ZsDfNov5CiM\" frameborder=\"0\" width=\"560\" height=\"315\">\u003c/iframe>\u003c/p>\n\u003cp>Related: \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/12/15/the-health-care-reform-interactive-cartoon/\" href=\"http://ww2.kqed.org/stateofhealth/2011/12/15/the-health-care-reform-interactive-cartoon/\" target=\"_blank\">Health Care Reform Cartoon and Video\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"disqusTitle": "California Gives Hair-Straightening Product \"Caution\" Label",
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"content": "\u003cfigure id=\"attachment_2961\" class=\"wp-caption alignleft\" style=\"max-width: 224px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/hair-salon.jpg\">\u003cimg class=\"size-medium wp-image-2961 \" title=\"Patricia Davis straightens a clients hair at her salon in Oakland.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/hair-salon-300x401.jpg\" alt=\"Patricia Davis straightens a clients hair at her salon in Oakland.\" width=\"224\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Patricia Davis straightens a client's hair at her salon in Oakland. (Photo: Shuka Kalantari)\u003c/figcaption>\u003c/figure>\n\u003cp>Oakland salon owner Patricia Davis leans over her client to get a better angle on the flat iron that's clamped to her hair. Steam rises up from the woman's hair and a spinning fan above spreads the steam throughout the room and out the windows. Sometimes, formaldehyde gas, a known carcinogen, is in that steam. And if that product is called \"Brazilian Blowout,\" then formaldehyde is definitely in there ... despite the fact that it says \"formaldehyde-free.\"\u003c/p>\n\u003cp>In a \u003ca title=\"http://oag.ca.gov/news/press_release?id=2617\" href=\"http://oag.ca.gov/news/press_release?id=2617\" target=\"_blank\">recent settlement agreement\u003c/a> with the California Attorney General, GIB, the company that makes the popular \u003ca title=\"http://www.brazilianblowout.com/\" href=\"http://www.brazilianblowout.com/\" target=\"_blank\">Brazilian Blowout\u003c/a> hair straightening treatment, will drop the claim that they're formaldehyde-free. They also have to add a caution label to their product.\u003c/p>\n\u003cp>\"California laws protect consumers and workers and give them fair notice about the health risks associated with the products they use,\" said Attorney General Harris. \"This settlement requires the company to disclose any hazard so that Californians can make more informed decisions.\"\u003c/p>\n\u003cp>But salon owner Davis says the controversy is overblown. \"I think it's much ado about nothing,\" she says as she continues flat-ironing her client's hair.\u003c/p>\n\u003cp>\u003c!--more-->Davis has been straightening hair at \u003ca title=\"http://www.firstimpressionhairdesigns.com/\" href=\"http://www.firstimpressionhairdesigns.com/\" target=\"_blank\">First Impressions Hair Designs\u003c/a> in downtown Oakland for over 20 years. She says most hair-straightening treatments have one thing in common: they emit smoke. So regardless of whether or not a product contains formaldehyde, or any other of the host of toxins in hair products, she says a salon owner must always get the smoke out of their salon.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"It can cause your eyes to burn and probably your skin to burn,\" Davis said. \"Absolutely. But only \u003cem>without\u003c/em> the proper ventilation and the circulation of air within your salon.\"\u003c/p>\n\u003cp>Davis points to two fans running in the room. She said she's never had health problems as long as she followed \u003ca title=\"http://www.dir.ca.gov/dosh/HairSmoothingPageVersion1Nov182010.pdf\" href=\"http://www.dir.ca.gov/dosh/HairSmoothingPageVersion1Nov182010.pdf\" target=\"_blank\">the guidelines\u003c/a> [PDF] of the Occupational Safety and Health Administration (OSHA) on proper ventilation. \"So even if it has a [label saying] ‘caution: formaldehyde in it,’ basically I’m like, 'And? We already have smoke in our salons.'”\u003c/p>\n\u003cp>Davis notes that ethnic hair salons have used hair straightening treatments with toxic chemicals for decades. She believes the reason the FDA is now receiving complaints may be because hair-straightening treatments have become popular outside of ethnic salons. \"[Ethnic salons] know all about the need for ventilation,\" Davis says. \"My point is as white-oriented salons become more familiar with strong chemicals, they are more challenged to not overlook the ventilation issues.\"\u003c/p>\n\u003cp>But Renee Sharpe, a scientist and the California director of the \u003ca title=\"http://www.ewg.org/\" href=\"http://www.ewg.org/\" target=\"_blank\">Environmental Working Group\u003c/a>, or EWG, says all salon owners should be concerned. The EWG did a \u003ca title=\"http://www.ewg.org/hair-straighteners/our-report/executive-summary/\" href=\"http://www.ewg.org/hair-straighteners/our-report/executive-summary/\" target=\"_blank\">study on formaldehyde\u003c/a> in hair products and say their \u003ca title=\"http://ewg.org/hair-straighteners/our-report/adverse-reactions-and-injuries-hair-straighteners/\" href=\"http://ewg.org/hair-straighteners/our-report/adverse-reactions-and-injuries-hair-straighteners/\" target=\"_blank\">reports\u003c/a> clearly show that some salon workers were having negative health effects.\u003c/p>\n\u003cp>\"People have really different sensitivities to chemicals. So what is fine for one person may not be fine for another person. Do you really want to have a product on the market where OSHA is saying that you have to follow all these precautions? Ultimately that means that product is toxic and shouldn’t remain on the market.\"\u003c/p>\n\u003cp>Sharpe says while the EWG welcomes the California Attorney General's decision, it's only a first step. They want the Food and Drug Administration (FDA) to ban all formaldehyde beauty products. Sharpe says the EWG filed a Freedom of Information Act request to the FDA and got back scores of consumer complaints about hair products containing formaldehyde.\u003c/p>\n\u003cp>\"We got back so many records of people complaining of nausea, of vomiting, of hair loss, of actually scalp burns, skin burns. There’s a huge volume of consumer experiences with this product that shows that this is dangerous.\" Indeed, these are all commonly known side effects of formaldehyde exposure.\u003c/p>\n\u003cp>Sharpe says EWG’s research shows that there are sixteen other companies that make hair-straightening products that contain formaldehyde, but many still claim to be formaldehyde-free. But you may find the ingredient methylene glycol, which Sharpe says is formaldehyde in solution. This was the case with Brazilian Blowout.\u003c/p>\n\u003cp>\"People have this perception that it’s just about Brazilian Blowout when it’s really this much wider class of products,\" she said. \"And it’s not just California, of course. This is an issue that is nationwide.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As part of the settlement, the makers of Brazilian Blowout must send warning letters to salon owners using their products, make changes to their website, and pay $600,000 in fines. In a statement they wrote, \"We believe the settlement reached with Attorney General Harris represents a fair and equitable resolution.\"\u003c/p>\n\u003cdiv>\n\u003cdiv>\n\u003cdiv>\n\u003cp>\u003cstrong>This post was updated to include Ms. Davis' views about ethnic vs. white-oriented salons' approaches to ventilation of hair straightening products.\u003c/strong>\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\n",
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"excerpt": "Oakland salon owner Patricia Davis leans over her client to get a better angle on the flat iron that's clamped to her hair. Steam rises up from the women's hair and a spinning fan above spreads the steam throughout the room and out the windows. Sometimes, formaldehyde gas, a known carcinogen, is in that steam. And if that product is called \"Brazilian Blowout,\" then formaldehyde is definitely in there...despite the fact that their says \"formaldehyde-free.\"",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2961\" class=\"wp-caption alignleft\" style=\"max-width: 224px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/hair-salon.jpg\">\u003cimg class=\"size-medium wp-image-2961 \" title=\"Patricia Davis straightens a clients hair at her salon in Oakland.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/hair-salon-300x401.jpg\" alt=\"Patricia Davis straightens a clients hair at her salon in Oakland.\" width=\"224\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Patricia Davis straightens a client's hair at her salon in Oakland. (Photo: Shuka Kalantari)\u003c/figcaption>\u003c/figure>\n\u003cp>Oakland salon owner Patricia Davis leans over her client to get a better angle on the flat iron that's clamped to her hair. Steam rises up from the woman's hair and a spinning fan above spreads the steam throughout the room and out the windows. Sometimes, formaldehyde gas, a known carcinogen, is in that steam. And if that product is called \"Brazilian Blowout,\" then formaldehyde is definitely in there ... despite the fact that it says \"formaldehyde-free.\"\u003c/p>\n\u003cp>In a \u003ca title=\"http://oag.ca.gov/news/press_release?id=2617\" href=\"http://oag.ca.gov/news/press_release?id=2617\" target=\"_blank\">recent settlement agreement\u003c/a> with the California Attorney General, GIB, the company that makes the popular \u003ca title=\"http://www.brazilianblowout.com/\" href=\"http://www.brazilianblowout.com/\" target=\"_blank\">Brazilian Blowout\u003c/a> hair straightening treatment, will drop the claim that they're formaldehyde-free. They also have to add a caution label to their product.\u003c/p>\n\u003cp>\"California laws protect consumers and workers and give them fair notice about the health risks associated with the products they use,\" said Attorney General Harris. \"This settlement requires the company to disclose any hazard so that Californians can make more informed decisions.\"\u003c/p>\n\u003cp>But salon owner Davis says the controversy is overblown. \"I think it's much ado about nothing,\" she says as she continues flat-ironing her client's hair.\u003c/p>\n\u003cp>\u003c!--more-->Davis has been straightening hair at \u003ca title=\"http://www.firstimpressionhairdesigns.com/\" href=\"http://www.firstimpressionhairdesigns.com/\" target=\"_blank\">First Impressions Hair Designs\u003c/a> in downtown Oakland for over 20 years. She says most hair-straightening treatments have one thing in common: they emit smoke. So regardless of whether or not a product contains formaldehyde, or any other of the host of toxins in hair products, she says a salon owner must always get the smoke out of their salon.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"It can cause your eyes to burn and probably your skin to burn,\" Davis said. \"Absolutely. But only \u003cem>without\u003c/em> the proper ventilation and the circulation of air within your salon.\"\u003c/p>\n\u003cp>Davis points to two fans running in the room. She said she's never had health problems as long as she followed \u003ca title=\"http://www.dir.ca.gov/dosh/HairSmoothingPageVersion1Nov182010.pdf\" href=\"http://www.dir.ca.gov/dosh/HairSmoothingPageVersion1Nov182010.pdf\" target=\"_blank\">the guidelines\u003c/a> [PDF] of the Occupational Safety and Health Administration (OSHA) on proper ventilation. \"So even if it has a [label saying] ‘caution: formaldehyde in it,’ basically I’m like, 'And? We already have smoke in our salons.'”\u003c/p>\n\u003cp>Davis notes that ethnic hair salons have used hair straightening treatments with toxic chemicals for decades. She believes the reason the FDA is now receiving complaints may be because hair-straightening treatments have become popular outside of ethnic salons. \"[Ethnic salons] know all about the need for ventilation,\" Davis says. \"My point is as white-oriented salons become more familiar with strong chemicals, they are more challenged to not overlook the ventilation issues.\"\u003c/p>\n\u003cp>But Renee Sharpe, a scientist and the California director of the \u003ca title=\"http://www.ewg.org/\" href=\"http://www.ewg.org/\" target=\"_blank\">Environmental Working Group\u003c/a>, or EWG, says all salon owners should be concerned. The EWG did a \u003ca title=\"http://www.ewg.org/hair-straighteners/our-report/executive-summary/\" href=\"http://www.ewg.org/hair-straighteners/our-report/executive-summary/\" target=\"_blank\">study on formaldehyde\u003c/a> in hair products and say their \u003ca title=\"http://ewg.org/hair-straighteners/our-report/adverse-reactions-and-injuries-hair-straighteners/\" href=\"http://ewg.org/hair-straighteners/our-report/adverse-reactions-and-injuries-hair-straighteners/\" target=\"_blank\">reports\u003c/a> clearly show that some salon workers were having negative health effects.\u003c/p>\n\u003cp>\"People have really different sensitivities to chemicals. So what is fine for one person may not be fine for another person. Do you really want to have a product on the market where OSHA is saying that you have to follow all these precautions? Ultimately that means that product is toxic and shouldn’t remain on the market.\"\u003c/p>\n\u003cp>Sharpe says while the EWG welcomes the California Attorney General's decision, it's only a first step. They want the Food and Drug Administration (FDA) to ban all formaldehyde beauty products. Sharpe says the EWG filed a Freedom of Information Act request to the FDA and got back scores of consumer complaints about hair products containing formaldehyde.\u003c/p>\n\u003cp>\"We got back so many records of people complaining of nausea, of vomiting, of hair loss, of actually scalp burns, skin burns. There’s a huge volume of consumer experiences with this product that shows that this is dangerous.\" Indeed, these are all commonly known side effects of formaldehyde exposure.\u003c/p>\n\u003cp>Sharpe says EWG’s research shows that there are sixteen other companies that make hair-straightening products that contain formaldehyde, but many still claim to be formaldehyde-free. But you may find the ingredient methylene glycol, which Sharpe says is formaldehyde in solution. This was the case with Brazilian Blowout.\u003c/p>\n\u003cp>\"People have this perception that it’s just about Brazilian Blowout when it’s really this much wider class of products,\" she said. \"And it’s not just California, of course. This is an issue that is nationwide.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As part of the settlement, the makers of Brazilian Blowout must send warning letters to salon owners using their products, make changes to their website, and pay $600,000 in fines. In a statement they wrote, \"We believe the settlement reached with Attorney General Harris represents a fair and equitable resolution.\"\u003c/p>\n\u003cdiv>\n\u003cdiv>\n\u003cdiv>\n\u003cp>\u003cstrong>This post was updated to include Ms. Davis' views about ethnic vs. white-oriented salons' approaches to ventilation of hair straightening products.\u003c/strong>\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Kids, Food Ads, and The First Amendment ",
"title": "Kids, Food Ads, and The First Amendment ",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_2916\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/FirstAmendmentPlaque_EdUthman_Flickr_02082012.jpg\">\u003cimg class=\"size-large wp-image-2916\" title=\"(Ed Uthman: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/FirstAmendmentPlaque_EdUthman_Flickr_02082012-620x380.jpg\" alt=\"(Ed Uthman: Flickr)\" width=\"620\" height=\"380\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Ed Uthman: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>I know this is a health blog and not a law blog, but there's certainly plenty of overlap. The Supreme Court's\u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/15/the-4-health-care-reform-questions-before-the-supreme-court/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/15/the-4-health-care-reform-questions-before-the-supreme-court/\" target=\"_blank\"> upcoming consideration\u003c/a> of the \u003ca title=\"http://www.healthcare.gov/law/full/\" href=\"http://www.healthcare.gov/law/full/\" target=\"_blank\">Affordable Care Act\u003c/a> springs to mind, for starters. Now, we have public health and the law intersecting over food marketing and children.\u003c/p>\n\u003cp>Since 2006 when the Institute of Medicine (IOM) filed its landmark report \u003ca title=\"http://www.iom.edu/Reports/2005/Food-Marketing-to-Children-and-Youth-Threat-or-Opportunity.aspx\" href=\"http://www.iom.edu/Reports/2005/Food-Marketing-to-Children-and-Youth-Threat-or-Opportunity.aspx\" target=\"_blank\">Food Marketing to Children and Youth\u003c/a>, health advocates have been agitating to alter the mediascape of advertising children are immersed in every day. Food companies spend more than \u003ca title=\"http://www.ftc.gov/os/2008/07/P064504foodmktingreport.pdf\" href=\"http://www.ftc.gov/os/2008/07/P064504foodmktingreport.pdf\" target=\"_blank\">$1.6 billion\u003c/a> [PDF] each year marketing food and beverages to children and teens.\u003c!--more-->\u003c/p>\n\u003cp>The IOM concluded that food marketing efforts aimed at children were \"out of balance with healthful diets and contribute to an environment that puts their health at risk.\" Additionally, the authors wrote, \"television advertising influences children to prefer and request high-calorie and low-nutrient foods and beverages.\"\u003c/p>\n\u003cp>To public health advocates, limiting advertising to children seemed like a good idea. But food companies have long countered that their ads are protected by the First Amendment.\u003c/p>\n\u003cp>Americans clearly hold a certain degree of reverence for the First Amendment. But free speech is not an unlimited right. And just as Oliver Wendell Holmes said the First Amendment does not protect anyone from \"\u003ca title=\"http://www.law.cornell.edu/supct/html/historics/USSC_CR_0249_0047_ZO.html\" href=\"http://www.law.cornell.edu/supct/html/historics/USSC_CR_0249_0047_ZO.html\" target=\"_blank\">falsely shouting fire in a theater\u003c/a>,\" two recent analyses say the First Amendment doesn't necessarily give food marketers the unregulated right to advertise to children either.\u003c/p>\n\u003cfigure id=\"attachment_2933\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/junk-food-candy.jpg\">\u003cimg class=\"size-medium wp-image-2933\" title=\"Food companies spend more than $1.6 billion each year marketing food and beverages to children and teens. (Kevin Krejci: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/junk-food-candy-300x199.jpg\" alt=\"Food companies spend more than $1.6 billion each year marketing food and beverages to children and teens. (Kevin Krejci: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Food companies spend more than $1.6 billion each year marketing food and beverages to kids. (Kevin Krejci: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca title=\"http://www.nplanonline.org/nplan/staff/graff\" href=\"http://www.nplanonline.org/nplan/staff/graff\" target=\"_blank\">Samantha Graff\u003c/a> co-authored both those analyses, one for the \u003ca title=\"http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2011.300328\" href=\"http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2011.300328\" target=\"_blank\">American Journal of Public Health \u003c/a>and one for \u003ca title=\"http://content.healthaffairs.org/content/31/2/392.abstract\" href=\"http://content.healthaffairs.org/content/31/2/392.abstract\" target=\"_blank\">Health Affairs\u003c/a>. Graff is the director of legal research at Oakland's \u003ca title=\"http://www.phlpnet.org/\" href=\"http://www.phlpnet.org/\" target=\"_blank\">Public Health Law and Policy\u003c/a>. \"My goal in these two articles was to clarify that it is not the First Amendment here that is a major impediment to government action to improve the food marketing environment for children.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>I don't want to get too much into the weeds of Constitutional case law. I'll leave that to Graff and her co-authors. But in short they argue the Supreme Court has determined that if the government can demonstrate \"the advertising at issue is 'inherently likely to deceive' or has produced a 'record indicate[ing] that a particular form or method of advertising has in fact been deceptive,' it may prohibit the advertising.\"\u003c/p>\n\u003cp>So, at first blush, you might be thinking, \"doesn't ALL advertising try to deceive us?\"\u003c/p>\n\u003cp>But remember, we're talking about children here. \u003ca title=\"http://www.yaleruddcenter.org/who_we_are.aspx?id=334\" href=\"http://www.yaleruddcenter.org/who_we_are.aspx?id=334\" target=\"_blank\">Jennifer Harris\u003c/a>, of Yale's \u003ca title=\"http://www.yaleruddcenter.org/\" href=\"http://www.yaleruddcenter.org/\" target=\"_blank\">Rudd Center for Food Policy and Obesity \u003c/a>co-authored the analysis for the American Journal of Public Health. She says that while children can tell the difference between a TV program and an advertisement by the time they're three or four years old, they don't understand that the ads are trying to sell them something. That recognition doesn't happen until about age six or seven.\u003c/p>\n\u003cp>But it's one thing to understand someone is trying to sell you something and another to be mature enough to stand up to it. \"In order to counteract the influence of the ad,\" Harris said in an interview, \"you have to consciously counter-argue what the ad is trying to tell you. 'Oh, that's a bad product, my mom doesn't want me to eat that, so I'm not going to pay attention to that.' Even when you teach them media literacy, they don't do that.\" These more sophisticated thought processes don't develop until about age 11 or 12.\u003c/p>\n\u003cp>\"Thus, the entire category of advertising to children younger than age 12 may be considered inherently misleading,\" the writers argue in the Health Affairs analysis, \"and therefore unprotected by the First Amendment.\" In addition, Graff told me, \"Our goal is to clarify for advocates and policy makers that the First Amendment should not be an impediment to carefully tailored restriction on advertising to children and youth.\"\u003c/p>\n\u003cp>The writers cite a study where even those children who participated in a media literacy training \"exhibited greater preferences\" for the foods they saw in advertisements they had just learned about in the course.\u003c/p>\n\u003cp>\u003ca title=\"http://www.bbb.org/us/cbbb-staff/elaine-kolish/\" href=\"http://www.bbb.org/us/cbbb-staff/elaine-kolish/\" target=\"_blank\">Elaine Kolish\u003c/a> is Director of the \u003ca title=\"http://www.bbb.org/us/children-food-beverage-advertising-initiative/\" href=\"http://www.bbb.org/us/children-food-beverage-advertising-initiative/\" target=\"_blank\">Children's Food and Beverage Advertising Initiative\u003c/a>, a program within the \u003ca title=\"http://www.bbb.org/us/\" href=\"http://www.bbb.org/us/\" target=\"_blank\">Better Business Bureau\u003c/a>. She also worked for 25 years at the \u003ca title=\"http://www.ftc.gov/\" href=\"http://www.ftc.gov/\" target=\"_blank\">Federal Trade Commission \u003c/a>and developed an expertise in advertising. She says the First Amendment \u003cem>does\u003c/em> apply to food advertising to kids. \"If their argument were true,\" she said in an interview, \"it would mean that any advertising to kids, for a bicycle, for a video game, a ball, a movie, where do you draw the line? You can argue harm from any of those things.\"\u003c/p>\n\u003cp>She also pointed to the efforts of the Advertising Initiative she heads, an industry self-regulating program. She says that changes under the program have been \"meaningful and dramatic.\" Some large candy companies have said they will stop advertising their products to kids under 12 completely, she said, as one example.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Like last week's \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" target=\"_blank\">sugar debate\u003c/a>, this debate will be going on for awhile.\u003c/p>\n\n",
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"excerpt": "I know this is the health blog and not the law blog, but there's certainly plenty of overlap. The Supreme Court's upcoming consideration of the Affordable Care Act springs to mind, for starters. Today we have public health and the law intersecting over food marketing and children.\r\n\r\nSince 2006 when the Institute of Medicine (IOM) filed its landmark report on the topic, health advocates have been agitating to change the mediascape of advertising children are immersed in every day. Food companies spend more than $1.6 billion [PDF] marketing food and beverages to children and teens.",
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"description": "I know this is the health blog and not the law blog, but there's certainly plenty of overlap. The Supreme Court's upcoming consideration of the Affordable Care Act springs to mind, for starters. Today we have public health and the law intersecting over food marketing and children.\r\n\r\nSince 2006 when the Institute of Medicine (IOM) filed its landmark report on the topic, health advocates have been agitating to change the mediascape of advertising children are immersed in every day. Food companies spend more than $1.6 billion marketing food and beverages to children and teens.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2916\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/FirstAmendmentPlaque_EdUthman_Flickr_02082012.jpg\">\u003cimg class=\"size-large wp-image-2916\" title=\"(Ed Uthman: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/FirstAmendmentPlaque_EdUthman_Flickr_02082012-620x380.jpg\" alt=\"(Ed Uthman: Flickr)\" width=\"620\" height=\"380\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Ed Uthman: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>I know this is a health blog and not a law blog, but there's certainly plenty of overlap. The Supreme Court's\u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/15/the-4-health-care-reform-questions-before-the-supreme-court/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/15/the-4-health-care-reform-questions-before-the-supreme-court/\" target=\"_blank\"> upcoming consideration\u003c/a> of the \u003ca title=\"http://www.healthcare.gov/law/full/\" href=\"http://www.healthcare.gov/law/full/\" target=\"_blank\">Affordable Care Act\u003c/a> springs to mind, for starters. Now, we have public health and the law intersecting over food marketing and children.\u003c/p>\n\u003cp>Since 2006 when the Institute of Medicine (IOM) filed its landmark report \u003ca title=\"http://www.iom.edu/Reports/2005/Food-Marketing-to-Children-and-Youth-Threat-or-Opportunity.aspx\" href=\"http://www.iom.edu/Reports/2005/Food-Marketing-to-Children-and-Youth-Threat-or-Opportunity.aspx\" target=\"_blank\">Food Marketing to Children and Youth\u003c/a>, health advocates have been agitating to alter the mediascape of advertising children are immersed in every day. Food companies spend more than \u003ca title=\"http://www.ftc.gov/os/2008/07/P064504foodmktingreport.pdf\" href=\"http://www.ftc.gov/os/2008/07/P064504foodmktingreport.pdf\" target=\"_blank\">$1.6 billion\u003c/a> [PDF] each year marketing food and beverages to children and teens.\u003c!--more-->\u003c/p>\n\u003cp>The IOM concluded that food marketing efforts aimed at children were \"out of balance with healthful diets and contribute to an environment that puts their health at risk.\" Additionally, the authors wrote, \"television advertising influences children to prefer and request high-calorie and low-nutrient foods and beverages.\"\u003c/p>\n\u003cp>To public health advocates, limiting advertising to children seemed like a good idea. But food companies have long countered that their ads are protected by the First Amendment.\u003c/p>\n\u003cp>Americans clearly hold a certain degree of reverence for the First Amendment. But free speech is not an unlimited right. And just as Oliver Wendell Holmes said the First Amendment does not protect anyone from \"\u003ca title=\"http://www.law.cornell.edu/supct/html/historics/USSC_CR_0249_0047_ZO.html\" href=\"http://www.law.cornell.edu/supct/html/historics/USSC_CR_0249_0047_ZO.html\" target=\"_blank\">falsely shouting fire in a theater\u003c/a>,\" two recent analyses say the First Amendment doesn't necessarily give food marketers the unregulated right to advertise to children either.\u003c/p>\n\u003cfigure id=\"attachment_2933\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/junk-food-candy.jpg\">\u003cimg class=\"size-medium wp-image-2933\" title=\"Food companies spend more than $1.6 billion each year marketing food and beverages to children and teens. (Kevin Krejci: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/junk-food-candy-300x199.jpg\" alt=\"Food companies spend more than $1.6 billion each year marketing food and beverages to children and teens. (Kevin Krejci: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Food companies spend more than $1.6 billion each year marketing food and beverages to kids. (Kevin Krejci: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca title=\"http://www.nplanonline.org/nplan/staff/graff\" href=\"http://www.nplanonline.org/nplan/staff/graff\" target=\"_blank\">Samantha Graff\u003c/a> co-authored both those analyses, one for the \u003ca title=\"http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2011.300328\" href=\"http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2011.300328\" target=\"_blank\">American Journal of Public Health \u003c/a>and one for \u003ca title=\"http://content.healthaffairs.org/content/31/2/392.abstract\" href=\"http://content.healthaffairs.org/content/31/2/392.abstract\" target=\"_blank\">Health Affairs\u003c/a>. Graff is the director of legal research at Oakland's \u003ca title=\"http://www.phlpnet.org/\" href=\"http://www.phlpnet.org/\" target=\"_blank\">Public Health Law and Policy\u003c/a>. \"My goal in these two articles was to clarify that it is not the First Amendment here that is a major impediment to government action to improve the food marketing environment for children.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>I don't want to get too much into the weeds of Constitutional case law. I'll leave that to Graff and her co-authors. But in short they argue the Supreme Court has determined that if the government can demonstrate \"the advertising at issue is 'inherently likely to deceive' or has produced a 'record indicate[ing] that a particular form or method of advertising has in fact been deceptive,' it may prohibit the advertising.\"\u003c/p>\n\u003cp>So, at first blush, you might be thinking, \"doesn't ALL advertising try to deceive us?\"\u003c/p>\n\u003cp>But remember, we're talking about children here. \u003ca title=\"http://www.yaleruddcenter.org/who_we_are.aspx?id=334\" href=\"http://www.yaleruddcenter.org/who_we_are.aspx?id=334\" target=\"_blank\">Jennifer Harris\u003c/a>, of Yale's \u003ca title=\"http://www.yaleruddcenter.org/\" href=\"http://www.yaleruddcenter.org/\" target=\"_blank\">Rudd Center for Food Policy and Obesity \u003c/a>co-authored the analysis for the American Journal of Public Health. She says that while children can tell the difference between a TV program and an advertisement by the time they're three or four years old, they don't understand that the ads are trying to sell them something. That recognition doesn't happen until about age six or seven.\u003c/p>\n\u003cp>But it's one thing to understand someone is trying to sell you something and another to be mature enough to stand up to it. \"In order to counteract the influence of the ad,\" Harris said in an interview, \"you have to consciously counter-argue what the ad is trying to tell you. 'Oh, that's a bad product, my mom doesn't want me to eat that, so I'm not going to pay attention to that.' Even when you teach them media literacy, they don't do that.\" These more sophisticated thought processes don't develop until about age 11 or 12.\u003c/p>\n\u003cp>\"Thus, the entire category of advertising to children younger than age 12 may be considered inherently misleading,\" the writers argue in the Health Affairs analysis, \"and therefore unprotected by the First Amendment.\" In addition, Graff told me, \"Our goal is to clarify for advocates and policy makers that the First Amendment should not be an impediment to carefully tailored restriction on advertising to children and youth.\"\u003c/p>\n\u003cp>The writers cite a study where even those children who participated in a media literacy training \"exhibited greater preferences\" for the foods they saw in advertisements they had just learned about in the course.\u003c/p>\n\u003cp>\u003ca title=\"http://www.bbb.org/us/cbbb-staff/elaine-kolish/\" href=\"http://www.bbb.org/us/cbbb-staff/elaine-kolish/\" target=\"_blank\">Elaine Kolish\u003c/a> is Director of the \u003ca title=\"http://www.bbb.org/us/children-food-beverage-advertising-initiative/\" href=\"http://www.bbb.org/us/children-food-beverage-advertising-initiative/\" target=\"_blank\">Children's Food and Beverage Advertising Initiative\u003c/a>, a program within the \u003ca title=\"http://www.bbb.org/us/\" href=\"http://www.bbb.org/us/\" target=\"_blank\">Better Business Bureau\u003c/a>. She also worked for 25 years at the \u003ca title=\"http://www.ftc.gov/\" href=\"http://www.ftc.gov/\" target=\"_blank\">Federal Trade Commission \u003c/a>and developed an expertise in advertising. She says the First Amendment \u003cem>does\u003c/em> apply to food advertising to kids. \"If their argument were true,\" she said in an interview, \"it would mean that any advertising to kids, for a bicycle, for a video game, a ball, a movie, where do you draw the line? You can argue harm from any of those things.\"\u003c/p>\n\u003cp>She also pointed to the efforts of the Advertising Initiative she heads, an industry self-regulating program. She says that changes under the program have been \"meaningful and dramatic.\" Some large candy companies have said they will stop advertising their products to kids under 12 completely, she said, as one example.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Like last week's \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" target=\"_blank\">sugar debate\u003c/a>, this debate will be going on for awhile.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "New Federal Plan to Reduce Early Elective Births",
"title": "New Federal Plan to Reduce Early Elective Births",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>Delivering early--for no medical cause--can harm babies.\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>By Emily Bazar, \u003ca title=\"http://centerforhealthreporting.org/blog/feds-announce-plan-reduce-early-elective-births781\" href=\"http://centerforhealthreporting.org/blog/feds-announce-plan-reduce-early-elective-births781\" target=\"_blank\">Center for Health Reporting\u003c/a>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_2882\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Birth_Baby_NathanLeClair_Flickr_02082012.jpg\">\u003cimg class=\"size-medium wp-image-2882\" title=\"(Nathan LeClair: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Birth_Baby_NathanLeClair_Flickr_02082012-300x199.jpg\" alt=\"(Nathan LeClair: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Nathan LeClair: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Now the feds are jumping in.\u003c/p>\n\u003cp>This morning, \u003ca href=\"http://www.hhs.gov/\" target=\"_blank\">the U.S. Department of Health and Human Services\u003c/a> announced a national campaign to reduce elective deliveries of babies before 39 weeks of pregnancy, saying the effort will improve care and save millions.\u003c/p>\n\u003cp>Under the “Strong Start” initiative, the government will work with hospitals across the country that have joined the \u003ca href=\"http://www.healthcare.gov/compare/partnership-for-patients/\" target=\"_blank\">Partnership for Patients\u003c/a>, a voluntary effort to reduce preventable injuries and complications.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It also will partner with organizations such as the \u003ca href=\"http://www.marchofdimes.com/\" target=\"_blank\">March of Dimes\u003c/a> and the \u003ca href=\"http://www.acog.org/\" target=\"_blank\">American Congress of Obstetricians and Gynecologists\u003c/a>, which have taken strong stands against early elective births.\u003c/p>\n\u003caside class=\"pullquote alignright\"> ... up to 10 percent of all deliveries are scheduled during weeks 37 and 38 without a medical reason. \u003c/aside>\n\u003cp>The federal government now joins a fast-growing movement to cut early elective births. \u003ca href=\"http://centerforhealthreporting.org/article/dramatic-gains-california-hospitals-reducing-early-deliveries759\" target=\"_blank\">As I wrote last week\u003c/a>, nearly 100 hospitals across California have adopted policies to discourage or prohibit doctors from scheduling deliveries – either by inducing labor or performing cesarean sections – between weeks 37 and 39 of pregnancy without a medical reason.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\u003ca href=\"http://www.leapfroggroup.org/media/file/FactSheet_ElectiveDeliveries.pdf\" target=\"_blank\">Data show\u003c/a> that delivering early without a valid medical reason increases the risk of complications to babies, including breathing and feeding problems and blood infections.\u003c/p>\n\u003cp>According to HHS, up to 10 percent of all deliveries are scheduled during weeks 37 and 38 without a medical reason.\u003c/p>\n\u003cp>“Preterm births are a growing public health problem that has significant consequences for families well into a child’s life,” HHS Secretary Kathleen Sebelius said.\u003c/p>\n\u003cp>The cost-savings for reducing early elective births could be significant. \u003ca href=\"http://www.healthcare.gov/using-insurance/low-cost-care/medicaid/\" target=\"_blank\">Medicaid\u003c/a>, the publicly funded health program for low-income people, pays for just less than half of the nation’s births each year. A 10 percent drop in deliveries before 39 weeks would lead to more than $75 million in annual Medicaid savings, HHS said.\u003c/p>\n\u003cp>HHS also announced a plan to distribute more than $40 million in grants to reduce preterm births before 37 weeks of gestation.\u003c/p>\n\u003cp>More than half a million preemies are born each year, HHS said, a number that has grown by 36 percent over the past two decades.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The grants will be awarded to providers and coalitions to improve prenatal care for women covered by Medicaid.\u003c/p>\n\u003cdiv>\u003c/div>\n\n",
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"excerpt": "Now the feds are jumping in.\r\n\r\nThis morning, the U.S. Department of Health and Human Services announced a national campaign to reduce elective deliveries of babies before 39 weeks of pregnancy, saying the effort will improve care and save millions.\r\n\r\nUnder the “Strong Start” initiative, the government will work with hospitals across the country that have joined the Partnership for Patients, a voluntary effort to reduce preventable injuries and complications.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Delivering early--for no medical cause--can harm babies.\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>By Emily Bazar, \u003ca title=\"http://centerforhealthreporting.org/blog/feds-announce-plan-reduce-early-elective-births781\" href=\"http://centerforhealthreporting.org/blog/feds-announce-plan-reduce-early-elective-births781\" target=\"_blank\">Center for Health Reporting\u003c/a>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_2882\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Birth_Baby_NathanLeClair_Flickr_02082012.jpg\">\u003cimg class=\"size-medium wp-image-2882\" title=\"(Nathan LeClair: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Birth_Baby_NathanLeClair_Flickr_02082012-300x199.jpg\" alt=\"(Nathan LeClair: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Nathan LeClair: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Now the feds are jumping in.\u003c/p>\n\u003cp>This morning, \u003ca href=\"http://www.hhs.gov/\" target=\"_blank\">the U.S. Department of Health and Human Services\u003c/a> announced a national campaign to reduce elective deliveries of babies before 39 weeks of pregnancy, saying the effort will improve care and save millions.\u003c/p>\n\u003cp>Under the “Strong Start” initiative, the government will work with hospitals across the country that have joined the \u003ca href=\"http://www.healthcare.gov/compare/partnership-for-patients/\" target=\"_blank\">Partnership for Patients\u003c/a>, a voluntary effort to reduce preventable injuries and complications.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It also will partner with organizations such as the \u003ca href=\"http://www.marchofdimes.com/\" target=\"_blank\">March of Dimes\u003c/a> and the \u003ca href=\"http://www.acog.org/\" target=\"_blank\">American Congress of Obstetricians and Gynecologists\u003c/a>, which have taken strong stands against early elective births.\u003c/p>\n\u003caside class=\"pullquote alignright\"> ... up to 10 percent of all deliveries are scheduled during weeks 37 and 38 without a medical reason. \u003c/aside>\n\u003cp>The federal government now joins a fast-growing movement to cut early elective births. \u003ca href=\"http://centerforhealthreporting.org/article/dramatic-gains-california-hospitals-reducing-early-deliveries759\" target=\"_blank\">As I wrote last week\u003c/a>, nearly 100 hospitals across California have adopted policies to discourage or prohibit doctors from scheduling deliveries – either by inducing labor or performing cesarean sections – between weeks 37 and 39 of pregnancy without a medical reason.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\u003ca href=\"http://www.leapfroggroup.org/media/file/FactSheet_ElectiveDeliveries.pdf\" target=\"_blank\">Data show\u003c/a> that delivering early without a valid medical reason increases the risk of complications to babies, including breathing and feeding problems and blood infections.\u003c/p>\n\u003cp>According to HHS, up to 10 percent of all deliveries are scheduled during weeks 37 and 38 without a medical reason.\u003c/p>\n\u003cp>“Preterm births are a growing public health problem that has significant consequences for families well into a child’s life,” HHS Secretary Kathleen Sebelius said.\u003c/p>\n\u003cp>The cost-savings for reducing early elective births could be significant. \u003ca href=\"http://www.healthcare.gov/using-insurance/low-cost-care/medicaid/\" target=\"_blank\">Medicaid\u003c/a>, the publicly funded health program for low-income people, pays for just less than half of the nation’s births each year. A 10 percent drop in deliveries before 39 weeks would lead to more than $75 million in annual Medicaid savings, HHS said.\u003c/p>\n\u003cp>HHS also announced a plan to distribute more than $40 million in grants to reduce preterm births before 37 weeks of gestation.\u003c/p>\n\u003cp>More than half a million preemies are born each year, HHS said, a number that has grown by 36 percent over the past two decades.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The grants will be awarded to providers and coalitions to improve prenatal care for women covered by Medicaid.\u003c/p>\n\u003cdiv>\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Screen All Kids for Cholesterol?",
"title": "Screen All Kids for Cholesterol?",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>It could raise awareness or lead to overtreatment, depending on whom you ask.\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>By Michelle Andrews\u003c/strong>, \u003ca title=\"http://www.kaiserhealthnews.org/Features/Insuring-Your-Health/2012/Michelle-Andrews-on-children-cholesterol-screenings.aspx\" href=\"http://www.kaiserhealthnews.org/Features/Insuring-Your-Health/2012/Michelle-Andrews-on-children-cholesterol-screenings.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_2865\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Children_Diverse_epSos.de_flickr.jpg\">\u003cimg class=\"size-large wp-image-2865\" title=\"(epSos.de: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Children_Diverse_epSos.de_flickr-620x348.jpg\" alt=\"(epSos.de: Flickr)\" width=\"620\" height=\"348\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(epSos.de: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>One in 500 kids has an inherited disorder that causes high levels of LDL (\"bad\") cholesterol that may require medication to control. However, since the problem doesn't create observable symptoms, as many as half of these kids don't know they have the condition. To help identify these children, late last year an expert panel convened by the National Heart, Lung, and Blood Institute \u003ca href=\"http://www.nhlbi.nih.gov/guidelines/cvd_ped/index.htm\" target=\"_blank\">recommended that all children be screened\u003c/a> for high cholesterol, once between the ages of 9 and 11 and again between ages 17 and 21.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Reaction to the guidelines, which were included as part of a larger NHLBI report on improving cardiovascular health in children and adolescents, has been mixed. Some clinicians and researchers say universal screening is an important tool not only to help identify children who are genetically predisposed to high cholesterol, a condition called \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001429/\" target=\"_blank\">familial hypercholesterolemia\u003c/a>, but also to pinpoint others who could benefit from treatment, including those with high LDL related to being overweight or obese. Working with these kids to eat more healthfully and to exercise more may reduce the cumulative negative effect of high cholesterol on their cardiovascular systems and lead to fewer heart attacks and strokes later in life, the experts say.\u003c/p>\n\u003cdiv>\n\u003cp>Others, including clinicians \u003ca href=\"http://jama.ama-assn.org/content/307/3/259.full\" target=\"_blank\">who authored\u003c/a> a \u003ca href=\"http://jama.ama-assn.org/content/307/3/257.full\" target=\"_blank\">pair of articles\u003c/a> in the Journal of the American Medical Association last month, express concerns that screening may do more harm than good. To identify the relatively small number of kids who really need medical treatment, doctors cast a wide and expensive net that identifies many children as at risk who will never develop premature cardiovascular disease, says \u003ca href=\"http://www.populationmedicine.org/content/personnelDetail.asp?PID=6&CID=1&Sub=Y\" target=\"_blank\">Matthew Gillman\u003c/a>, director of the obesity prevention program at Harvard Medical School, who co-authored one of the articles. Some of those children will probably be needlessly put on cholesterol-lowering medications, he says.\u003c/p>\n\u003c/div>\n\u003cp>The \u003ca href=\"http://www.ahrq.gov/clinic/uspstfix.htm\" target=\"_blank\">U.S. Preventive Services Task Force\u003c/a>, an independent group of primary-care providers that evaluates the evidence for clinical care, \u003ca href=\"http://www.uspreventiveservicestaskforce.org/uspstf/uspschlip.htm\" target=\"_blank\">concluded in 2007\u003c/a> that there isn't enough evidence to recommend for or against routine lipid screening in children and adolescents.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"http://www.pediatricsdigest.mobi/content/122/1/198.full\" target=\"_blank\">Research has shown\u003c/a> that 10 to 13 percent of children have elevated cholesterol levels. Treatment for the vast majority should focus on lifestyle interventions, says \u003ca href=\"http://www.ucdenver.edu/academics/colleges/medicalschool/departments/pediatrics/people/bios/Pages/danielsbio.aspx\" target=\"_blank\">Stephen Daniels\u003c/a>, chairman of the Department of Pediatrics at the University of Colorado School of Medicine, who led the NHLBI panel. A much smaller number of those children, the ones with a genetic predisposition to high cholesterol, may need to take a statin, he says.\u003c/p>\n\u003cp>Until the new guidelines were released, the American Academy of Pediatrics \u003ca href=\"http://www.pediatricsdigest.mobi/content/122/1/198.full\" target=\"_blank\">recommended cholesterol screening in children primarily based on family history\u003c/a>. If a child had a father who had heart disease or a heart attack before age 55, for example, screening would be indicated. Children who had risk factors such as obesity or diabetes were also candidates for screening. The AAP has since endorsed the new NHLBI guidelines.\u003c/p>\n\u003cp>\"Family history doesn't really catch everybody\" with familial hypercholesterolemia, says Sarah de Ferranti, a member of the AAP committee on nutrition and the director of preventive cardiology at Children's Hospital Boston. In addition, she says, \"Anecdotally, I can tell you that when someone comes to my office and they know they have high cholesterol values, they're much more focused.\"\u003c/p>\n\u003cp>That's the case with the McFeeley family. Bill and Carolyn McFeeley, of Mullica Hill, N.J., had always considered themselves very healthy - until Bill had a heart attack two years ago at age 47. The pediatrician for their three children checked the kids' cholesterol and found that while levels for the two girls - Chelsea, now 17, and Chandler, 13 - were normal, Chase, 10, had slightly higher values: His total cholesterol was roughly 210. (In general, \u003ca href=\"http://www.nhlbi.nih.gov/guidelines/cvd_ped/index.htm\" target=\"_blank\">anything over 200 is considered high\u003c/a>.)\u003c/p>\n\u003cp>Now Chase has replaced his beloved egg salad sandwiches with turkey and fat-free cheese ones. \"If we can get ahead of it and keep Chase healthy, it means a lot to us,\" says Bill.\u003c/p>\n\u003cp>\u003ca href=\"http://www.chop.edu/doctors/brothers-julie.html\" target=\"_blank\">Julie Brothers\u003c/a>, medical director of the lipid heart clinic at Children's Hospital of Philadelphia, sees Chase once a year now and says she hopes they can manage his cholesterol without medication. \"None of us wants to slap medication on anyone,\" she says.\u003c/p>\n\u003cp>Maybe not. \"But if you're going to test every child, it's a sure bet you're going to be medicating more kids,\" says \u003ca href=\"http://tdi.dartmouth.edu/faculty/details/119\" target=\"_blank\">H. Gilbert Welch\u003c/a>, a professor of medicine at the Dartmouth Institute for Health Policy and Clinical Practice, who has written extensively on the problems created by aggressive screening.\u003c/p>\n\u003cp>Research on the safety and effectiveness of statins in children is scant; studies that have looked at statin use haven't enrolled more than a few hundred kids, and none has followed them for more than two years, say experts. \"We don't know what taking a 10- to 11-year-old kid and putting them on statins long term will do,\" says \u003ca href=\"http://www.seattlechildrens.org/medical-staff/frederick-p-rivara/\" target=\"_blank\">Frederick Rivara\u003c/a>, division chief of general pediatrics at Seattle Children's Hospital and co-author of one of the JAMA articles.\u003c/p>\n\u003cp>Gillman says that while early intervention to prevent heart disease is critical, screening all children may not be the best way to do it. As an example, he cites a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/20850759\" target=\"_blank\">study that he co-authored last year examining the cost-effectiveness of blood pressure screening in adolescents\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The bottom line of that study is that population approaches like taking the salt out of food are more effective and less costly than any screening program,\" he says.\u003c/p>\n\n",
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"excerpt": "One in 500 kids has an inherited disorder that causes high levels of LDL (\"bad\") cholesterol that may require medication to control. However, since the problem doesn't create observable symptoms, as many as half of these kids don't know they have the condition. To help identify these children, late last year an expert panel convened by the National Heart, Lung, and Blood Institute recommended that all children be screened for high cholesterol, once between the ages of 9 and 11 and again between ages 17 and 21.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>It could raise awareness or lead to overtreatment, depending on whom you ask.\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>By Michelle Andrews\u003c/strong>, \u003ca title=\"http://www.kaiserhealthnews.org/Features/Insuring-Your-Health/2012/Michelle-Andrews-on-children-cholesterol-screenings.aspx\" href=\"http://www.kaiserhealthnews.org/Features/Insuring-Your-Health/2012/Michelle-Andrews-on-children-cholesterol-screenings.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_2865\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Children_Diverse_epSos.de_flickr.jpg\">\u003cimg class=\"size-large wp-image-2865\" title=\"(epSos.de: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Children_Diverse_epSos.de_flickr-620x348.jpg\" alt=\"(epSos.de: Flickr)\" width=\"620\" height=\"348\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(epSos.de: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>One in 500 kids has an inherited disorder that causes high levels of LDL (\"bad\") cholesterol that may require medication to control. However, since the problem doesn't create observable symptoms, as many as half of these kids don't know they have the condition. To help identify these children, late last year an expert panel convened by the National Heart, Lung, and Blood Institute \u003ca href=\"http://www.nhlbi.nih.gov/guidelines/cvd_ped/index.htm\" target=\"_blank\">recommended that all children be screened\u003c/a> for high cholesterol, once between the ages of 9 and 11 and again between ages 17 and 21.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Reaction to the guidelines, which were included as part of a larger NHLBI report on improving cardiovascular health in children and adolescents, has been mixed. Some clinicians and researchers say universal screening is an important tool not only to help identify children who are genetically predisposed to high cholesterol, a condition called \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001429/\" target=\"_blank\">familial hypercholesterolemia\u003c/a>, but also to pinpoint others who could benefit from treatment, including those with high LDL related to being overweight or obese. Working with these kids to eat more healthfully and to exercise more may reduce the cumulative negative effect of high cholesterol on their cardiovascular systems and lead to fewer heart attacks and strokes later in life, the experts say.\u003c/p>\n\u003cdiv>\n\u003cp>Others, including clinicians \u003ca href=\"http://jama.ama-assn.org/content/307/3/259.full\" target=\"_blank\">who authored\u003c/a> a \u003ca href=\"http://jama.ama-assn.org/content/307/3/257.full\" target=\"_blank\">pair of articles\u003c/a> in the Journal of the American Medical Association last month, express concerns that screening may do more harm than good. To identify the relatively small number of kids who really need medical treatment, doctors cast a wide and expensive net that identifies many children as at risk who will never develop premature cardiovascular disease, says \u003ca href=\"http://www.populationmedicine.org/content/personnelDetail.asp?PID=6&CID=1&Sub=Y\" target=\"_blank\">Matthew Gillman\u003c/a>, director of the obesity prevention program at Harvard Medical School, who co-authored one of the articles. Some of those children will probably be needlessly put on cholesterol-lowering medications, he says.\u003c/p>\n\u003c/div>\n\u003cp>The \u003ca href=\"http://www.ahrq.gov/clinic/uspstfix.htm\" target=\"_blank\">U.S. Preventive Services Task Force\u003c/a>, an independent group of primary-care providers that evaluates the evidence for clinical care, \u003ca href=\"http://www.uspreventiveservicestaskforce.org/uspstf/uspschlip.htm\" target=\"_blank\">concluded in 2007\u003c/a> that there isn't enough evidence to recommend for or against routine lipid screening in children and adolescents.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.pediatricsdigest.mobi/content/122/1/198.full\" target=\"_blank\">Research has shown\u003c/a> that 10 to 13 percent of children have elevated cholesterol levels. Treatment for the vast majority should focus on lifestyle interventions, says \u003ca href=\"http://www.ucdenver.edu/academics/colleges/medicalschool/departments/pediatrics/people/bios/Pages/danielsbio.aspx\" target=\"_blank\">Stephen Daniels\u003c/a>, chairman of the Department of Pediatrics at the University of Colorado School of Medicine, who led the NHLBI panel. A much smaller number of those children, the ones with a genetic predisposition to high cholesterol, may need to take a statin, he says.\u003c/p>\n\u003cp>Until the new guidelines were released, the American Academy of Pediatrics \u003ca href=\"http://www.pediatricsdigest.mobi/content/122/1/198.full\" target=\"_blank\">recommended cholesterol screening in children primarily based on family history\u003c/a>. If a child had a father who had heart disease or a heart attack before age 55, for example, screening would be indicated. Children who had risk factors such as obesity or diabetes were also candidates for screening. The AAP has since endorsed the new NHLBI guidelines.\u003c/p>\n\u003cp>\"Family history doesn't really catch everybody\" with familial hypercholesterolemia, says Sarah de Ferranti, a member of the AAP committee on nutrition and the director of preventive cardiology at Children's Hospital Boston. In addition, she says, \"Anecdotally, I can tell you that when someone comes to my office and they know they have high cholesterol values, they're much more focused.\"\u003c/p>\n\u003cp>That's the case with the McFeeley family. Bill and Carolyn McFeeley, of Mullica Hill, N.J., had always considered themselves very healthy - until Bill had a heart attack two years ago at age 47. The pediatrician for their three children checked the kids' cholesterol and found that while levels for the two girls - Chelsea, now 17, and Chandler, 13 - were normal, Chase, 10, had slightly higher values: His total cholesterol was roughly 210. (In general, \u003ca href=\"http://www.nhlbi.nih.gov/guidelines/cvd_ped/index.htm\" target=\"_blank\">anything over 200 is considered high\u003c/a>.)\u003c/p>\n\u003cp>Now Chase has replaced his beloved egg salad sandwiches with turkey and fat-free cheese ones. \"If we can get ahead of it and keep Chase healthy, it means a lot to us,\" says Bill.\u003c/p>\n\u003cp>\u003ca href=\"http://www.chop.edu/doctors/brothers-julie.html\" target=\"_blank\">Julie Brothers\u003c/a>, medical director of the lipid heart clinic at Children's Hospital of Philadelphia, sees Chase once a year now and says she hopes they can manage his cholesterol without medication. \"None of us wants to slap medication on anyone,\" she says.\u003c/p>\n\u003cp>Maybe not. \"But if you're going to test every child, it's a sure bet you're going to be medicating more kids,\" says \u003ca href=\"http://tdi.dartmouth.edu/faculty/details/119\" target=\"_blank\">H. Gilbert Welch\u003c/a>, a professor of medicine at the Dartmouth Institute for Health Policy and Clinical Practice, who has written extensively on the problems created by aggressive screening.\u003c/p>\n\u003cp>Research on the safety and effectiveness of statins in children is scant; studies that have looked at statin use haven't enrolled more than a few hundred kids, and none has followed them for more than two years, say experts. \"We don't know what taking a 10- to 11-year-old kid and putting them on statins long term will do,\" says \u003ca href=\"http://www.seattlechildrens.org/medical-staff/frederick-p-rivara/\" target=\"_blank\">Frederick Rivara\u003c/a>, division chief of general pediatrics at Seattle Children's Hospital and co-author of one of the JAMA articles.\u003c/p>\n\u003cp>Gillman says that while early intervention to prevent heart disease is critical, screening all children may not be the best way to do it. As an example, he cites a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/20850759\" target=\"_blank\">study that he co-authored last year examining the cost-effectiveness of blood pressure screening in adolescents\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The bottom line of that study is that population approaches like taking the salt out of food are more effective and less costly than any screening program,\" he says.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "What Does the FDA Think About Sugar?",
"title": "What Does the FDA Think About Sugar?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_2853\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/MargaretHamburg_FDA_USMissionGeneva_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-2853 \" title=\"Margaret Hamburg, FDA Commissioner. (US Mission Geneva: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/MargaretHamburg_FDA_USMissionGeneva_Flickr-300x220.jpg\" alt=\"Margaret Hamburg, FDA Commissioner. (US Mission Geneva: Flickr)\" width=\"300\" height=\"220\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Margaret Hamburg, FDA Commissioner. (US Mission Geneva: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Last week, the big story may have been the \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/03/komen-will-continue-funding-planned-parenthood-at-least-for-now/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/03/komen-will-continue-funding-planned-parenthood-at-least-for-now/\" target=\"_blank\">Susan G. Komen Foundation's flip-flopping over funding Planned Parenthood\u003c/a>. But coming in a close second (at least here at the health desk) was the call for \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" target=\"_blank\">regulating sugar\u003c/a> in the same way alcohol and tobacco are. The argument was made by UC San Francisco researchers in the journal \u003ca title=\"http://www.nature.com/nature/journal/v482/n7383/full/482027a.html\" href=\"http://www.nature.com/nature/journal/v482/n7383/full/482027a.html\" target=\"_blank\">Nature\u003c/a>. They laid out the science that sugar is behind many of the chronic maladies we see today--diabetes, heart disease and high blood pressure.\u003c/p>\n\u003cp>Today \u003ca title=\"http://www.fda.gov/AboutFDA/CommissionersPage/default.htm\" href=\"http://www.fda.gov/AboutFDA/CommissionersPage/default.htm\" target=\"_blank\">FDA Commissioner Margaret Hamburg\u003c/a> was a guest on KQED's \u003cem>\u003ca title=\"http://www.kqed.org/a/forum/R201202060930\" href=\"http://www.kqed.org/a/forum/R201202060930\" target=\"_blank\">Forum\u003c/a>. \u003c/em>Host Michael Krasny asked her if sugar should be removed from the FDA's \"\u003ca title=\"http://www.fda.gov/Food/FoodIngredientsPackaging/GenerallyRecognizedasSafeGRAS/default.htm\" href=\"http://www.fda.gov/Food/FoodIngredientsPackaging/GenerallyRecognizedasSafeGRAS/default.htm\" target=\"_blank\">GRAS\u003c/a>\" category--that's for Generally Recognized as Safe. Not surprisingly, the Commissioner did not announce imminent action. She said she did have a chance to \"look quickly at the initial report\" and that \"we’ll look very seriously at any new data that’s presented.\"\u003c!--more-->\u003c/p>\n\u003cp>In other words, nothing will be happening soon, just as researcher Robert Lustig expected when I talked to him last week. The commentary was an \"opening salvo,\" he said. \"Nothing in public health changes overnight. It's not possible to.\"\u003c/p>\n\u003cp>Here's the Commissioner's complete response to Krasny's question:\u003c/p>\n\u003cblockquote>\u003cp>Sugar is one important area of nutrition where there’s enormous interest in deepening our understanding of the health risks and benefits. It’s an area where consumers want to know more about what’s in the food that they’re eating and where the FDA has a critical role to play in terms of both supporting and building on important new research insights and through our responsibilities for providing accurate information about the content of processed foods.\u003c/p>\u003c/blockquote>\n\u003cp>As the Commissioner continued speaking, she seemed in this next section to be choosing her words very carefully:\u003c/p>\n\u003cblockquote>\u003cp>So, it’s an important area that sugar, along with other critical nutritional issues, such as sodium and saturated fats and overall calories all require strengthening our understanding of the science and really understanding individual and public health issues and linking that to what we do at the FDA.\u003c/p>\u003c/blockquote>\n\u003cp>Then she picked up steam again here:\u003c/p>\n\u003cblockquote>\u003cp>But I have had a chance to look quickly at this initial report, I understand the request that’s being made. We’ll look very seriously at any new data that’s presented. In the meantime, consumers should be aware that nutritional information is provided on the back of processed food packages that enables them to look at the relative contribution of different types of sugars in the foods that they’re eating along with other nutritional components and it’s an opportunity to make more informed choices about the food they eat and the food they serve their families.\u003c/p>\u003c/blockquote>\n\u003cp>More:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca title=\"http://www.kqed.org/a/forum/R201202030900\" href=\"http://www.kqed.org/a/forum/R201202030900\" target=\"_blank\">The Trouble with Sugar\u003c/a> on \u003cem>Forum\u003c/em>, February 2, 2012\u003c/p>\n\n",
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"excerpt": "Last week, the big story may have been the Susan G. Komen Foundation's flip-flopping over funding Planned Parenthood. But coming in a close second (at least here at the health desk) was the call for regulating sugar in the same way alcohol and tobacco are. The argument was made by UC San Francisco researchers in the journal Nature. They laid out the science that sugar is behind many of the chronic maladies we see today--diabetes, heart disease and high blood pressure.\r\n\r\nToday FDA Commissioner Margaret Hamburg was a guest on KQED's Forum. Host Michael Krasny asked her if sugar should be removed from the FDA's \"GRAS\" list--that's for Generally Recognized as Safe. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2853\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/MargaretHamburg_FDA_USMissionGeneva_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-2853 \" title=\"Margaret Hamburg, FDA Commissioner. (US Mission Geneva: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/MargaretHamburg_FDA_USMissionGeneva_Flickr-300x220.jpg\" alt=\"Margaret Hamburg, FDA Commissioner. (US Mission Geneva: Flickr)\" width=\"300\" height=\"220\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Margaret Hamburg, FDA Commissioner. (US Mission Geneva: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Last week, the big story may have been the \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/03/komen-will-continue-funding-planned-parenthood-at-least-for-now/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/03/komen-will-continue-funding-planned-parenthood-at-least-for-now/\" target=\"_blank\">Susan G. Komen Foundation's flip-flopping over funding Planned Parenthood\u003c/a>. But coming in a close second (at least here at the health desk) was the call for \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" target=\"_blank\">regulating sugar\u003c/a> in the same way alcohol and tobacco are. The argument was made by UC San Francisco researchers in the journal \u003ca title=\"http://www.nature.com/nature/journal/v482/n7383/full/482027a.html\" href=\"http://www.nature.com/nature/journal/v482/n7383/full/482027a.html\" target=\"_blank\">Nature\u003c/a>. They laid out the science that sugar is behind many of the chronic maladies we see today--diabetes, heart disease and high blood pressure.\u003c/p>\n\u003cp>Today \u003ca title=\"http://www.fda.gov/AboutFDA/CommissionersPage/default.htm\" href=\"http://www.fda.gov/AboutFDA/CommissionersPage/default.htm\" target=\"_blank\">FDA Commissioner Margaret Hamburg\u003c/a> was a guest on KQED's \u003cem>\u003ca title=\"http://www.kqed.org/a/forum/R201202060930\" href=\"http://www.kqed.org/a/forum/R201202060930\" target=\"_blank\">Forum\u003c/a>. \u003c/em>Host Michael Krasny asked her if sugar should be removed from the FDA's \"\u003ca title=\"http://www.fda.gov/Food/FoodIngredientsPackaging/GenerallyRecognizedasSafeGRAS/default.htm\" href=\"http://www.fda.gov/Food/FoodIngredientsPackaging/GenerallyRecognizedasSafeGRAS/default.htm\" target=\"_blank\">GRAS\u003c/a>\" category--that's for Generally Recognized as Safe. Not surprisingly, the Commissioner did not announce imminent action. She said she did have a chance to \"look quickly at the initial report\" and that \"we’ll look very seriously at any new data that’s presented.\"\u003c!--more-->\u003c/p>\n\u003cp>In other words, nothing will be happening soon, just as researcher Robert Lustig expected when I talked to him last week. The commentary was an \"opening salvo,\" he said. \"Nothing in public health changes overnight. It's not possible to.\"\u003c/p>\n\u003cp>Here's the Commissioner's complete response to Krasny's question:\u003c/p>\n\u003cblockquote>\u003cp>Sugar is one important area of nutrition where there’s enormous interest in deepening our understanding of the health risks and benefits. It’s an area where consumers want to know more about what’s in the food that they’re eating and where the FDA has a critical role to play in terms of both supporting and building on important new research insights and through our responsibilities for providing accurate information about the content of processed foods.\u003c/p>\u003c/blockquote>\n\u003cp>As the Commissioner continued speaking, she seemed in this next section to be choosing her words very carefully:\u003c/p>\n\u003cblockquote>\u003cp>So, it’s an important area that sugar, along with other critical nutritional issues, such as sodium and saturated fats and overall calories all require strengthening our understanding of the science and really understanding individual and public health issues and linking that to what we do at the FDA.\u003c/p>\u003c/blockquote>\n\u003cp>Then she picked up steam again here:\u003c/p>\n\u003cblockquote>\u003cp>But I have had a chance to look quickly at this initial report, I understand the request that’s being made. We’ll look very seriously at any new data that’s presented. In the meantime, consumers should be aware that nutritional information is provided on the back of processed food packages that enables them to look at the relative contribution of different types of sugars in the foods that they’re eating along with other nutritional components and it’s an opportunity to make more informed choices about the food they eat and the food they serve their families.\u003c/p>\u003c/blockquote>\n\u003cp>More:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca title=\"http://www.kqed.org/a/forum/R201202030900\" href=\"http://www.kqed.org/a/forum/R201202030900\" target=\"_blank\">The Trouble with Sugar\u003c/a> on \u003cem>Forum\u003c/em>, February 2, 2012\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Komen Will Continue Funding Planned Parenthood ... at Least For Now",
"title": "Komen Will Continue Funding Planned Parenthood ... at Least For Now",
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"content": "\u003cfigure id=\"attachment_2811\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Komen_PInkBalloons_BrandiKorte_Flickr_02032012.jpg\">\u003cimg class=\"wp-image-2811 size-medium\" title=\"(Brandi Korte: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Komen_PInkBalloons_BrandiKorte_Flickr_02032012-300x225.jpg\" alt=\"(Brandi Korte: Flickr) Komen, Breast Cancer\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Brandi Korte: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>It was only Tuesday when news broke that Susan G. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/01/susan-g-komen-vs-planned-parenthood/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/susan-g-komen-vs-planned-parenthood/\" target=\"_blank\">Komen would cease its funding\u003c/a> of Planned Parenthood for breast cancer screening and other programs.\u003c/p>\n\u003cp>In the days since, reaction has been swift and heated. Komen said it had new funding guidelines that prohibit the foundation from funding groups under investigation. While a Republican member of Congress has announced an intention to hold hearings of Planned Parenthood, critics say the intent is political. Hearings have yet to be held.\u003c/p>\n\u003cp>Today, Nancy Brinker, Founder and CEO of the Foundation announced what at first appeared to be a reversal and \u003ca title=\"http://ww5.komen.org/KomenNewsArticle.aspx?id=19327354148\" href=\"http://ww5.komen.org/KomenNewsArticle.aspx?id=19327354148\" target=\"_blank\">explained in a statement\u003c/a> published on their website:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>\u003cstrong>\"\u003c/strong>We want to apologize to the American public for recent decisions that cast doubt upon our commitment to our mission of saving women’s lives. The events of this week have been deeply unsettling for our supporters, partners and friends and all of us at Susan G. Komen. We have been distressed at the presumption that the changes made to our funding criteria were done for political reasons or to specifically penalize Planned Parenthood. They were not.\u003c/p>\n\u003cp>Our original desire was to fulfill our fiduciary duty to our donors by not funding grant applications made by organizations under investigation. We will amend the criteria to make clear that disqualifying investigations must be criminal and conclusive in nature and not political. That is what is right and fair.\"\u003c/p>\u003c/blockquote>\n\u003cp>But many observers have picked up on nuance that comes later in the statement:\u003c/p>\n\u003cblockquote>\u003cp>\"We will continue to fund existing grants, including those of Planned Parenthood, and preserve their eligibility to apply for future grants, while maintaining the ability of our affiliates to make funding decisions that meet the needs of their communities.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003ca title=\"http://www.dailykos.com/story/2012/02/03/1061450/-Lazy-media-reports-Komen-Foundation-decision-as-reversal-It-isnt\" href=\"http://www.dailykos.com/story/2012/02/03/1061450/-Lazy-media-reports-Komen-Foundation-decision-as-reversal-It-isnt\" target=\"_blank\">The Daily Kos \u003c/a>isn't so sure this is a true reversal in Komen's stance. As their reporter states:\u003c/p>\n\u003cblockquote>\u003cp>\"I just got off the phone with a Komen board member, and he confirmed that the announcement does not mean that Planned Parenthood is guaranteed future grants — a demand he said would be “unfair” to impose on Komen.\"\u003c/p>\u003c/blockquote>\n\u003cp>This statement in combination with the Board member's quote certainly seems as if Komen views Planned Parenthood as a grantee. But in its \u003ca title=\"http://www.plannedparenthood.org/about-us/newsroom/press-releases/statement-cecile-richards-planned-parenthood-federation-america-regarding-todays-komen-announce-38686.htm\" href=\"http://www.plannedparenthood.org/about-us/newsroom/press-releases/statement-cecile-richards-planned-parenthood-federation-america-regarding-todays-komen-announce-38686.htm\" target=\"_blank\">statement\u003c/a>, Planned Parenthood speaks of a \"partnership\" with Komen:\u003c/p>\n\u003cblockquote>\u003cp>“In recent weeks, the treasured relationship between the Susan G. Komen for the Cure Foundation and Planned Parenthood has been challenged, and we are now heartened that we can continue to work in partnership toward our shared commitment to breast health for the most underserved women. We are enormously grateful that the Komen Foundation has clarified its grantmaking criteria, and we look forward to continuing our partnership with Komen partners, leaders and volunteers.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003ca title=\"http://ww2.kqed.org/stateofhealth/jp/quick-read-susan-g-komen-official-resigned-over-planned-parenthood-decision/\" href=\"http://ww2.kqed.org/stateofhealth/jp/quick-read-susan-g-komen-official-resigned-over-planned-parenthood-decision/\" target=\"_blank\">The Atlantic\u003c/a> has a been closely following the politics of the back and forth. In a \u003ca title=\"http://www.theatlantic.com/politics/archive/2012/02/komen-changes-its-mind-on-planned-parenthood-but-will-donors-come-back/252524/\" href=\"http://www.theatlantic.com/politics/archive/2012/02/komen-changes-its-mind-on-planned-parenthood-but-will-donors-come-back/252524/\" target=\"_blank\">post\u003c/a> today, a senior editor sees more controversy to come. \"I doubt that this is over -- pro-lifers are now going to have their own round of outraged protest.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "It was only Tuesday when news broke that Susan G. Komen would cease its funding of Planned Parenthood for breast cancer screening and other programs. In the days since, reaction has been swift and heated. Komen said it had new funding guidelines that prohibit the foundation from funding groups under investigation. While a Republican member of Congress has announced an intention to hold hearings of Planned Parenthood, critics say the intent is political. Hearings have yet to be held.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2811\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Komen_PInkBalloons_BrandiKorte_Flickr_02032012.jpg\">\u003cimg class=\"wp-image-2811 size-medium\" title=\"(Brandi Korte: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Komen_PInkBalloons_BrandiKorte_Flickr_02032012-300x225.jpg\" alt=\"(Brandi Korte: Flickr) Komen, Breast Cancer\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Brandi Korte: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>It was only Tuesday when news broke that Susan G. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/01/susan-g-komen-vs-planned-parenthood/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/susan-g-komen-vs-planned-parenthood/\" target=\"_blank\">Komen would cease its funding\u003c/a> of Planned Parenthood for breast cancer screening and other programs.\u003c/p>\n\u003cp>In the days since, reaction has been swift and heated. Komen said it had new funding guidelines that prohibit the foundation from funding groups under investigation. While a Republican member of Congress has announced an intention to hold hearings of Planned Parenthood, critics say the intent is political. Hearings have yet to be held.\u003c/p>\n\u003cp>Today, Nancy Brinker, Founder and CEO of the Foundation announced what at first appeared to be a reversal and \u003ca title=\"http://ww5.komen.org/KomenNewsArticle.aspx?id=19327354148\" href=\"http://ww5.komen.org/KomenNewsArticle.aspx?id=19327354148\" target=\"_blank\">explained in a statement\u003c/a> published on their website:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>\u003cstrong>\"\u003c/strong>We want to apologize to the American public for recent decisions that cast doubt upon our commitment to our mission of saving women’s lives. The events of this week have been deeply unsettling for our supporters, partners and friends and all of us at Susan G. Komen. We have been distressed at the presumption that the changes made to our funding criteria were done for political reasons or to specifically penalize Planned Parenthood. They were not.\u003c/p>\n\u003cp>Our original desire was to fulfill our fiduciary duty to our donors by not funding grant applications made by organizations under investigation. We will amend the criteria to make clear that disqualifying investigations must be criminal and conclusive in nature and not political. That is what is right and fair.\"\u003c/p>\u003c/blockquote>\n\u003cp>But many observers have picked up on nuance that comes later in the statement:\u003c/p>\n\u003cblockquote>\u003cp>\"We will continue to fund existing grants, including those of Planned Parenthood, and preserve their eligibility to apply for future grants, while maintaining the ability of our affiliates to make funding decisions that meet the needs of their communities.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003ca title=\"http://www.dailykos.com/story/2012/02/03/1061450/-Lazy-media-reports-Komen-Foundation-decision-as-reversal-It-isnt\" href=\"http://www.dailykos.com/story/2012/02/03/1061450/-Lazy-media-reports-Komen-Foundation-decision-as-reversal-It-isnt\" target=\"_blank\">The Daily Kos \u003c/a>isn't so sure this is a true reversal in Komen's stance. As their reporter states:\u003c/p>\n\u003cblockquote>\u003cp>\"I just got off the phone with a Komen board member, and he confirmed that the announcement does not mean that Planned Parenthood is guaranteed future grants — a demand he said would be “unfair” to impose on Komen.\"\u003c/p>\u003c/blockquote>\n\u003cp>This statement in combination with the Board member's quote certainly seems as if Komen views Planned Parenthood as a grantee. But in its \u003ca title=\"http://www.plannedparenthood.org/about-us/newsroom/press-releases/statement-cecile-richards-planned-parenthood-federation-america-regarding-todays-komen-announce-38686.htm\" href=\"http://www.plannedparenthood.org/about-us/newsroom/press-releases/statement-cecile-richards-planned-parenthood-federation-america-regarding-todays-komen-announce-38686.htm\" target=\"_blank\">statement\u003c/a>, Planned Parenthood speaks of a \"partnership\" with Komen:\u003c/p>\n\u003cblockquote>\u003cp>“In recent weeks, the treasured relationship between the Susan G. Komen for the Cure Foundation and Planned Parenthood has been challenged, and we are now heartened that we can continue to work in partnership toward our shared commitment to breast health for the most underserved women. We are enormously grateful that the Komen Foundation has clarified its grantmaking criteria, and we look forward to continuing our partnership with Komen partners, leaders and volunteers.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003ca title=\"http://ww2.kqed.org/stateofhealth/jp/quick-read-susan-g-komen-official-resigned-over-planned-parenthood-decision/\" href=\"http://ww2.kqed.org/stateofhealth/jp/quick-read-susan-g-komen-official-resigned-over-planned-parenthood-decision/\" target=\"_blank\">The Atlantic\u003c/a> has a been closely following the politics of the back and forth. In a \u003ca title=\"http://www.theatlantic.com/politics/archive/2012/02/komen-changes-its-mind-on-planned-parenthood-but-will-donors-come-back/252524/\" href=\"http://www.theatlantic.com/politics/archive/2012/02/komen-changes-its-mind-on-planned-parenthood-but-will-donors-come-back/252524/\" target=\"_blank\">post\u003c/a> today, a senior editor sees more controversy to come. \"I doubt that this is over -- pro-lifers are now going to have their own round of outraged protest.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_2768\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Sugar_UweHermann_Flickr_02012012.jpg\">\u003cimg class=\"size-medium wp-image-2768\" title=\"(Uwe Hermann: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Sugar_UweHermann_Flickr_02012012-300x225.jpg\" alt=\"(Uwe Hermann: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Uwe Hermann: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>A spoonful of sugar may have helped the medicine go down when Julie Andrews sang the song, but fast forward to the 21st century and sugar isn't looking so sweet. Today in a provocative commentary in the journal \u003ca title=\"http://www.nature.com/nature/journal/v482/n7383/full/482027a.html\" href=\"http://www.nature.com/nature/journal/v482/n7383/full/482027a.html\" target=\"_blank\">Nature\u003c/a>, researchers argue that sugar is so toxic to our bodies, it should be regulated in the same way alcohol and tobacco are.\u003c/p>\n\u003cp>The three writers, all from UC San Francisco, say that every country that has adopted the Western diet, with its hallmark of highly-processed food, has seen rising rates of obesity and the diseases that go with it, such as heart disease and diabetes. But, in a turn, they argue against blaming obesity itself. \"Obesity is not the cause,\" they write, \"rather, it is a marker for metabolic dysfunction, which is even more prevalent.\"\u003ca title=\"http://www.nhlbi.nih.gov/health/health-topics/topics/ms/\" href=\"http://www.nhlbi.nih.gov/health/health-topics/topics/ms/\" target=\"_blank\"> Metabolic syndrome\u003c/a> leads to diabetes, high blood pressure, heart disease, fatty liver disease and even cancer, they say.\u003c!--more-->\u003c/p>\n\u003cp>And the culprit, they insist, is sugar, particularly its fructose component. \"Fructose, which is the sweet part of sugar,\" said co-author \u003ca title=\"http://chc.ucsf.edu/coast/faculty_lustig.htm\" href=\"http://chc.ucsf.edu/coast/faculty_lustig.htm\" target=\"_blank\">Robert Lustig\u003c/a> in an interview, \"is toxic beyond its caloric equivalent.\" People often refer to sugar as \"empty calories,\" but they are far from that, the writers say. \"A growing body of scientific evidence shows that fructose can trigger processes that lead to liver toxicity and a host of other chronic diseases. A little is not a problem, but a lot kills slowly.\"\u003c/p>\n\u003cp>At this point I was getting a sinking feeling. Maybe it's the way smokers felt when the bad news started coming out about tobacco in the late 50s and early 60s.\u003c/p>\n\u003cp>Sugar consumption has tripled worldwide in the last 50 years, the writers assert, and they say to combat the myriad health problems we face today, regulation is necessary. Sugar meets four criteria that merit government action. \"The first in unavoidability,\" Lustig said, \"it's everywhere. The second is toxicity beyond its calories. The third is potential for abuse because it activates the same areas of the brain as alcohol and tobacco creating a cycle of consumption and disease, and the fourth is negative impact on society.\" The negative impact on society is largely seen through high health care costs because of the many diseases associated with high sugar consumption.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The authors suggest a combination of taxes on processed foods that contain sugar, and limiting access to children through tighter controls on vending machines in schools, for example. They also recommend promoting healthier foods in government programs for the poor, including the \u003ca title=\"http://www.fns.usda.gov/wic/\" href=\"http://www.fns.usda.gov/wic/\" target=\"_blank\">Women, Infants and Children\u003c/a> program and \u003ca title=\"http://www.fns.usda.gov/snap/\" href=\"http://www.fns.usda.gov/snap/\" target=\"_blank\">Supplemental Nutrition Assistance Program\u003c/a> (formerly called Food Stamps).\u003c/p>\n\u003cp>Not surprisingly, the Sugar Association doesn't buy much of this. \u003ca title=\"http://www.sugar.org/sugar-and-your-diet/not-empty-calories.html\" href=\"http://www.sugar.org/sugar-and-your-diet/not-empty-calories.html\" target=\"_blank\">In a statement\u003c/a> on their website, the Association says:\u003c/p>\n\u003cblockquote>\u003cp>... the assertion that a food is less healthy just because it contains sugar is misleading and not science based. Numerous studies have confirmed that sugar makes many healthful foods palatable, which helps contribute to intakes of key vitamins and minerals necessary to maintain good health.\u003c/p>\u003c/blockquote>\n\u003cp>But Lustig views today's commentary as the \"opening salvo\" in a long public health discussion. \"I don't expect anything to change anytime soon,\" he said. \"Nothing in public health changes overnight. It's not possible to.\"\u003c/p>\n\u003cp>And judging from some of the comments on a \u003ca title=\"http://www.cnn.com/2012/02/01/health/opinion-regulate-sugar-alcohol/index.html\" href=\"http://www.cnn.com/2012/02/01/health/opinion-regulate-sugar-alcohol/index.html\" target=\"_blank\">CNN\u003c/a> story about the issue today, Lustig is right. Here are just two examples:\u003c/p>\n\u003cul>\n\u003cli>\"unbelievable nannyism. But I forgot that this is America, the land of the hopelessly dependent and depressingly irresponsible,\"\u003c/li>\n\u003cli>\"This article should be regulated as total garbage.\"\u003c/li>\n\u003c/ul>\n\u003cp>But as the writers close their commentary in Nature, they point to other public health issues: the bans on smoking in public places; the promotion of the designated driver; and airbags in cars. \"These simple measures--which have all been on the battleground of American politics--are now taken for granted as essential tools for our public health and wellbeing,\" Lustig said. \"It's time to turn our attention to sugar.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>More:\u003c/strong> \u003ca title=\"http://www.kqed.org/a/forum/R201202030900\" href=\"http://www.kqed.org/a/forum/R201202030900\" target=\"_blank\">The Trouble With Sugar from KQED's Forum \u003c/a>\u003c/p>\n\n",
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"excerpt": "A spoonful of sugar may have helped the medicine go down when Julie Andrews sang the song, but fast forward to the 21st century and sugar isn't looking so sweet. Today in a provocative commentary in the journal Nature, researchers argue that sugar is so toxic to our bodies, it should be regulated in the same way alcohol and tobacco are.\r\n\r\nThe three writers, all from UC San Francisco, say that every country that has adopted the Western diet, with its hallmark of highly-processed food, has seen rising rates of obesity and the diseases that go with it, such as heart disease and diabetes. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2768\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Sugar_UweHermann_Flickr_02012012.jpg\">\u003cimg class=\"size-medium wp-image-2768\" title=\"(Uwe Hermann: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Sugar_UweHermann_Flickr_02012012-300x225.jpg\" alt=\"(Uwe Hermann: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Uwe Hermann: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>A spoonful of sugar may have helped the medicine go down when Julie Andrews sang the song, but fast forward to the 21st century and sugar isn't looking so sweet. Today in a provocative commentary in the journal \u003ca title=\"http://www.nature.com/nature/journal/v482/n7383/full/482027a.html\" href=\"http://www.nature.com/nature/journal/v482/n7383/full/482027a.html\" target=\"_blank\">Nature\u003c/a>, researchers argue that sugar is so toxic to our bodies, it should be regulated in the same way alcohol and tobacco are.\u003c/p>\n\u003cp>The three writers, all from UC San Francisco, say that every country that has adopted the Western diet, with its hallmark of highly-processed food, has seen rising rates of obesity and the diseases that go with it, such as heart disease and diabetes. But, in a turn, they argue against blaming obesity itself. \"Obesity is not the cause,\" they write, \"rather, it is a marker for metabolic dysfunction, which is even more prevalent.\"\u003ca title=\"http://www.nhlbi.nih.gov/health/health-topics/topics/ms/\" href=\"http://www.nhlbi.nih.gov/health/health-topics/topics/ms/\" target=\"_blank\"> Metabolic syndrome\u003c/a> leads to diabetes, high blood pressure, heart disease, fatty liver disease and even cancer, they say.\u003c!--more-->\u003c/p>\n\u003cp>And the culprit, they insist, is sugar, particularly its fructose component. \"Fructose, which is the sweet part of sugar,\" said co-author \u003ca title=\"http://chc.ucsf.edu/coast/faculty_lustig.htm\" href=\"http://chc.ucsf.edu/coast/faculty_lustig.htm\" target=\"_blank\">Robert Lustig\u003c/a> in an interview, \"is toxic beyond its caloric equivalent.\" People often refer to sugar as \"empty calories,\" but they are far from that, the writers say. \"A growing body of scientific evidence shows that fructose can trigger processes that lead to liver toxicity and a host of other chronic diseases. A little is not a problem, but a lot kills slowly.\"\u003c/p>\n\u003cp>At this point I was getting a sinking feeling. Maybe it's the way smokers felt when the bad news started coming out about tobacco in the late 50s and early 60s.\u003c/p>\n\u003cp>Sugar consumption has tripled worldwide in the last 50 years, the writers assert, and they say to combat the myriad health problems we face today, regulation is necessary. Sugar meets four criteria that merit government action. \"The first in unavoidability,\" Lustig said, \"it's everywhere. The second is toxicity beyond its calories. The third is potential for abuse because it activates the same areas of the brain as alcohol and tobacco creating a cycle of consumption and disease, and the fourth is negative impact on society.\" The negative impact on society is largely seen through high health care costs because of the many diseases associated with high sugar consumption.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The authors suggest a combination of taxes on processed foods that contain sugar, and limiting access to children through tighter controls on vending machines in schools, for example. They also recommend promoting healthier foods in government programs for the poor, including the \u003ca title=\"http://www.fns.usda.gov/wic/\" href=\"http://www.fns.usda.gov/wic/\" target=\"_blank\">Women, Infants and Children\u003c/a> program and \u003ca title=\"http://www.fns.usda.gov/snap/\" href=\"http://www.fns.usda.gov/snap/\" target=\"_blank\">Supplemental Nutrition Assistance Program\u003c/a> (formerly called Food Stamps).\u003c/p>\n\u003cp>Not surprisingly, the Sugar Association doesn't buy much of this. \u003ca title=\"http://www.sugar.org/sugar-and-your-diet/not-empty-calories.html\" href=\"http://www.sugar.org/sugar-and-your-diet/not-empty-calories.html\" target=\"_blank\">In a statement\u003c/a> on their website, the Association says:\u003c/p>\n\u003cblockquote>\u003cp>... the assertion that a food is less healthy just because it contains sugar is misleading and not science based. Numerous studies have confirmed that sugar makes many healthful foods palatable, which helps contribute to intakes of key vitamins and minerals necessary to maintain good health.\u003c/p>\u003c/blockquote>\n\u003cp>But Lustig views today's commentary as the \"opening salvo\" in a long public health discussion. \"I don't expect anything to change anytime soon,\" he said. \"Nothing in public health changes overnight. It's not possible to.\"\u003c/p>\n\u003cp>And judging from some of the comments on a \u003ca title=\"http://www.cnn.com/2012/02/01/health/opinion-regulate-sugar-alcohol/index.html\" href=\"http://www.cnn.com/2012/02/01/health/opinion-regulate-sugar-alcohol/index.html\" target=\"_blank\">CNN\u003c/a> story about the issue today, Lustig is right. Here are just two examples:\u003c/p>\n\u003cul>\n\u003cli>\"unbelievable nannyism. But I forgot that this is America, the land of the hopelessly dependent and depressingly irresponsible,\"\u003c/li>\n\u003cli>\"This article should be regulated as total garbage.\"\u003c/li>\n\u003c/ul>\n\u003cp>But as the writers close their commentary in Nature, they point to other public health issues: the bans on smoking in public places; the promotion of the designated driver; and airbags in cars. \"These simple measures--which have all been on the battleground of American politics--are now taken for granted as essential tools for our public health and wellbeing,\" Lustig said. \"It's time to turn our attention to sugar.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>More:\u003c/strong> \u003ca title=\"http://www.kqed.org/a/forum/R201202030900\" href=\"http://www.kqed.org/a/forum/R201202030900\" target=\"_blank\">The Trouble With Sugar from KQED's Forum \u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Susan G. Komen Vs. Planned Parenthood",
"title": "Susan G. Komen Vs. Planned Parenthood",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_2737\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Komen_Flickr_BrandiKorte_02012012.jpg\">\u003cimg class=\"size-medium wp-image-2737\" title=\"(Brandi Korte: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Komen_Flickr_BrandiKorte_02012012-300x200.jpg\" alt=\"(Brandi Korte: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Brandi Korte: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Reaction has been swift since the AP broke the news yesterday that the breast cancer charity, \u003ca title=\"http://ww5.komen.org/\" href=\"http://ww5.komen.org/\" target=\"_blank\">Susan G. Komen for the Cure\u003c/a> is withdrawing future funding of any Planned Parenthood affiliates.\u003c/p>\n\u003cp>The \u003ca title=\"http://www.plannedparenthood.org/\" href=\"http://www.plannedparenthood.org/\" target=\"_blank\">Planned Parenthood Federation of America\u003c/a> said pressure from anti-abortion groups sparked the Komen decision. The Komen Foundation counters that its guidelines do not permit funding if any organization is under a governmental investigation.\u003c/p>\n\u003cp>But those guidelines appear to be recent and have political underpinnings. As \u003ca title=\"http://jezebel.com/5881057/susan-g-komen-foundation-bows-to-pro+life-bullying-stops-contributing-to-planned-parenthood\" href=\"http://jezebel.com/5881057/susan-g-komen-foundation-bows-to-pro+life-bullying-stops-contributing-to-planned-parenthood\" target=\"_blank\">Jezebel\u003c/a> reports:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>Interestingly, this brand new rule that suddenly appeared in the books of the Komen Foundation just so happened to coincide with a Congressional investigation launched by a Republican legislator, who himself was pressured by the pro-life group Americans United for Life. And last year's assault on Planned Parenthood also coincided with the addition of a vocally anti-abortion ex-politician to the ranks of Susan G Komen For the Cure.\u003c/p>\n\u003cp>Karen Handel, who was \u003ca href=\"http://rncnyc2004.blogspot.com/2010/07/sarah-palin-endorses-karen-handel-for.html\">endorsed\u003c/a> by Sarah Palin during her unsuccessful bid for governor of Georgia in 2010, has been the Foundation's Senior Vice President for Public Policy since April 2011. During her gubernatorial candidacy, she ran on an anti-choice platform, vowing that if elected, she'd defund Planned Parenthood.\u003c/p>\u003c/blockquote>\n\u003cp>Planned Parenthood now has a banner on its homepage announcing the end of Komen funding and asking viewers to \"Help Us Continue Lifesaving Breast Cancer Screenings.\"\u003c/p>\n\u003cp>“We are alarmed and saddened that the Susan G. Komen for the Cure Foundation appears to have succumbed to political pressure,\" said Cecile Richards, president of Planned Parenthood Federation of America \u003ca title=\"http://www.plannedparenthood.org/about-us/newsroom/press-releases/alarmed-saddened-komen-foundation-succumbing-political-pressure-planned-parenthood-launches-fun-38629.htm?utm_source=twitter&utm_medium=tweet&utm_campaign=komen\" href=\"http://www.plannedparenthood.org/about-us/newsroom/press-releases/alarmed-saddened-komen-foundation-succumbing-political-pressure-planned-parenthood-launches-fun-38629.htm?utm_source=twitter&utm_medium=tweet&utm_campaign=komen\" target=\"_blank\">in a statement\u003c/a>. \"Our greatest desire is for Komen to reconsider this policy and recommit to the partnership on which so many women count.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The clinic serving \u003ca title=\"http://www.plannedparenthood.org/orange-san-bernardino/\" href=\"http://www.plannedparenthood.org/orange-san-bernardino/\">Orange and San Bernardino Counties\u003c/a> appears to be the only Planned Parenthood affiliate in California to receive funds from Komen. That funding has been significant. For the last seven years, Komen has helped to fund breast cancer screening this affiliate does annually for 15-20,000 women, Stephanie Kight, Sr. Vice President of the affiliate told State of Health.\u003c/p>\n\u003cp>Last year, 400 women needed diagnostic services and Komen covered a little over half of those. \"Komen was also a key funder in education and screening in marginalized communities, especially the Vietnamese community, which has so little information about health care and breast cancer,\" Kight said. “Women’s health care and breast cancer care are way too important, and way too important to women all over this country, to be used as a political football. It’s just tragic.”\u003c/p>\n\u003cp>Meanwhile public comments on Twitter and Facebook have been heated. A non-scientific sampling showed sentiment running against Komen, even on \u003ca title=\"http://apps.komen.org/Forums/tm.aspx?&m=343860\" href=\"http://apps.komen.org/Forums/tm.aspx?&m=343860\" target=\"_blank\">its own message board\u003c/a>, as this post demonstrates:\u003c/p>\n\u003cblockquote>\u003cp>I am with all of you. I will return any Komen solicitations from friends with an explanation that i will no longer donate to Breast Cancer research through this organization. What a shame! It's outrageous that this organization, like so many others, is allowing itself to be bullied by the virulently anti-woman minority in Congress. Shame, shame, shame\u003c/p>\u003c/blockquote>\n\u003cp>Those who support Komen's move echo this tweet:\u003c/p>\n\u003cp>\"Awesome news broke today!\" tweeted @LilaGraceRose, \"Susan G. Komen has finally stopped funding Planned Parenthood!\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Many other tweets show people responding with their wallets. \"I just donated to Planned Parenthood to make up shortfall from shameful abandonment by Susan G. \u003cs>#\u003c/s>Komen Fdn,\" tweeted @KTKeith.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2737\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Komen_Flickr_BrandiKorte_02012012.jpg\">\u003cimg class=\"size-medium wp-image-2737\" title=\"(Brandi Korte: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Komen_Flickr_BrandiKorte_02012012-300x200.jpg\" alt=\"(Brandi Korte: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Brandi Korte: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Reaction has been swift since the AP broke the news yesterday that the breast cancer charity, \u003ca title=\"http://ww5.komen.org/\" href=\"http://ww5.komen.org/\" target=\"_blank\">Susan G. Komen for the Cure\u003c/a> is withdrawing future funding of any Planned Parenthood affiliates.\u003c/p>\n\u003cp>The \u003ca title=\"http://www.plannedparenthood.org/\" href=\"http://www.plannedparenthood.org/\" target=\"_blank\">Planned Parenthood Federation of America\u003c/a> said pressure from anti-abortion groups sparked the Komen decision. The Komen Foundation counters that its guidelines do not permit funding if any organization is under a governmental investigation.\u003c/p>\n\u003cp>But those guidelines appear to be recent and have political underpinnings. As \u003ca title=\"http://jezebel.com/5881057/susan-g-komen-foundation-bows-to-pro+life-bullying-stops-contributing-to-planned-parenthood\" href=\"http://jezebel.com/5881057/susan-g-komen-foundation-bows-to-pro+life-bullying-stops-contributing-to-planned-parenthood\" target=\"_blank\">Jezebel\u003c/a> reports:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>Interestingly, this brand new rule that suddenly appeared in the books of the Komen Foundation just so happened to coincide with a Congressional investigation launched by a Republican legislator, who himself was pressured by the pro-life group Americans United for Life. And last year's assault on Planned Parenthood also coincided with the addition of a vocally anti-abortion ex-politician to the ranks of Susan G Komen For the Cure.\u003c/p>\n\u003cp>Karen Handel, who was \u003ca href=\"http://rncnyc2004.blogspot.com/2010/07/sarah-palin-endorses-karen-handel-for.html\">endorsed\u003c/a> by Sarah Palin during her unsuccessful bid for governor of Georgia in 2010, has been the Foundation's Senior Vice President for Public Policy since April 2011. During her gubernatorial candidacy, she ran on an anti-choice platform, vowing that if elected, she'd defund Planned Parenthood.\u003c/p>\u003c/blockquote>\n\u003cp>Planned Parenthood now has a banner on its homepage announcing the end of Komen funding and asking viewers to \"Help Us Continue Lifesaving Breast Cancer Screenings.\"\u003c/p>\n\u003cp>“We are alarmed and saddened that the Susan G. Komen for the Cure Foundation appears to have succumbed to political pressure,\" said Cecile Richards, president of Planned Parenthood Federation of America \u003ca title=\"http://www.plannedparenthood.org/about-us/newsroom/press-releases/alarmed-saddened-komen-foundation-succumbing-political-pressure-planned-parenthood-launches-fun-38629.htm?utm_source=twitter&utm_medium=tweet&utm_campaign=komen\" href=\"http://www.plannedparenthood.org/about-us/newsroom/press-releases/alarmed-saddened-komen-foundation-succumbing-political-pressure-planned-parenthood-launches-fun-38629.htm?utm_source=twitter&utm_medium=tweet&utm_campaign=komen\" target=\"_blank\">in a statement\u003c/a>. \"Our greatest desire is for Komen to reconsider this policy and recommit to the partnership on which so many women count.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The clinic serving \u003ca title=\"http://www.plannedparenthood.org/orange-san-bernardino/\" href=\"http://www.plannedparenthood.org/orange-san-bernardino/\">Orange and San Bernardino Counties\u003c/a> appears to be the only Planned Parenthood affiliate in California to receive funds from Komen. That funding has been significant. For the last seven years, Komen has helped to fund breast cancer screening this affiliate does annually for 15-20,000 women, Stephanie Kight, Sr. Vice President of the affiliate told State of Health.\u003c/p>\n\u003cp>Last year, 400 women needed diagnostic services and Komen covered a little over half of those. \"Komen was also a key funder in education and screening in marginalized communities, especially the Vietnamese community, which has so little information about health care and breast cancer,\" Kight said. “Women’s health care and breast cancer care are way too important, and way too important to women all over this country, to be used as a political football. It’s just tragic.”\u003c/p>\n\u003cp>Meanwhile public comments on Twitter and Facebook have been heated. A non-scientific sampling showed sentiment running against Komen, even on \u003ca title=\"http://apps.komen.org/Forums/tm.aspx?&m=343860\" href=\"http://apps.komen.org/Forums/tm.aspx?&m=343860\" target=\"_blank\">its own message board\u003c/a>, as this post demonstrates:\u003c/p>\n\u003cblockquote>\u003cp>I am with all of you. I will return any Komen solicitations from friends with an explanation that i will no longer donate to Breast Cancer research through this organization. What a shame! It's outrageous that this organization, like so many others, is allowing itself to be bullied by the virulently anti-woman minority in Congress. Shame, shame, shame\u003c/p>\u003c/blockquote>\n\u003cp>Those who support Komen's move echo this tweet:\u003c/p>\n\u003cp>\"Awesome news broke today!\" tweeted @LilaGraceRose, \"Susan G. Komen has finally stopped funding Planned Parenthood!\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Many other tweets show people responding with their wallets. \"I just donated to Planned Parenthood to make up shortfall from shameful abandonment by Susan G. \u003cs>#\u003c/s>Komen Fdn,\" tweeted @KTKeith.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "HIV Prevention Drug to be Considered by FDA",
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"content": "\u003cp>By Bernice Yeung, \u003ca title=\"http://californiawatch.org/dailyreport/calif-drugmakers-hiv-prevention-pill-draws-concern-14668\" href=\"http://californiawatch.org/dailyreport/calif-drugmakers-hiv-prevention-pill-draws-concern-14668\" target=\"_blank\">California Watch\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_2693\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Truvada.jpg\">\u003cimg class=\"size-medium wp-image-2693\" title=\"The antiretroviral drug Truvada. (Justin Sullivan: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Truvada-300x202.jpg\" alt=\"The antiretroviral drug Truvada. (Justin Sullivan: Getty Images)\" width=\"300\" height=\"202\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The antiretroviral drug Truvada. (Justin Sullivan: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Foster City drugmaker Gilead recently updated its application with the federal Food and Drug Administration for approval to market its HIV treatment medication Truvada as a HIV prevention pill.\u003c/p>\n\u003cp>If the FDA approves Truvada for preventive use, it “would be the first agent indicated for uninfected individuals to reduce the risk of acquiring HIV through sex,” according to a company statement at the time of the \u003ca title=\"http://www.gilead.com/pr_1640306\" href=\"http://www.gilead.com/pr_1640306\" target=\"_blank\">filing\u003c/a> last month.\u003c/p>\n\u003cp>Gilead’s application, however, has sparked debate among public health advocates who argue that the wide availability of the drug would discourage safe sex and would, in fact, increase the incidence of HIV.\u003c!--more-->\u003c/p>\n\u003cp>“I believe that this could be catastrophic in terms of HIV prevention,” said Michael Weinstein, president the AIDS Healthcare Foundation, based in Los Angeles. There are \u003ca title=\"http://www.cdph.ca.gov/programs/aids/Documents/SSSemiAnnualRptJun2011.pdf\" href=\"http://www.cdph.ca.gov/programs/aids/Documents/SSSemiAnnualRptJun2011.pdf\" target=\"_blank\">\u003cstrong>nearly 42,000 Californians [PDF]\u003c/strong>\u003c/a> living with HIV as of June 2011.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Weinstein added that as an HIV treatment, he thinks Truvada is a “fabulous drug – it’s one pill once a day, and it has a low side-effect burden,” which include nausea, vomiting and weight loss.\u003c/p>\n\u003cp>This new pharmaceutical prevention approach to HIV and AIDS is known in scientific circles as “pre-exposure prophylaxis,” or PrEP, and it involves taking the antiretroviral medications on a daily basis. Clinical trials supported by the National Institutes of Health have shown that when taken daily, Truvada, a blue oval pill, reduced the risk for contracting HIV by between\u003ca title=\"http://www.nejm.org/doi/pdf/10.1056/NEJMoa1011205\" href=\"http://www.nejm.org/doi/pdf/10.1056/NEJMoa1011205\" target=\"_blank\"> \u003cstrong>44 percent\u003c/strong>\u003c/a> among gay men in four countries and 73 percent by heterosexual couples in Uganda and Kenya. One trial among women in sub-Saharan Africa was stopped in April 2011.\u003c/p>\n\u003cp>Overall, these studies have generated enthusiasm among many medical researchers.\u003c/p>\n\u003cp>The drug is “an incredible achievement, a wonderful new tool that could be available to people who need additional protection against the acquisition of HIV,” said Veronica Miller, executive director of The Forum for Collaborative HIV Research and a visiting professor at the UC Berkeley School of Public Health.\u003c/p>\n\u003cp>But Weinstein said he’s not yet convinced by the research, and he wouldn’t want to see future mass marketing of the drug discourage gay men – the risk group \u003cstrong>\u003ca title=\"http://www.cdc.gov/nchhstp/newsroom/docs/fastfacts-msm-final508comp.pdf\" href=\"http://www.cdc.gov/nchhstp/newsroom/docs/fastfacts-msm-final508comp.pdf\" target=\"_blank\">most seriously affected \u003c/a>[PDF]\u003c/strong> by HIV, according to the Centers for Disease Control and Prevention – from using condoms based on “the false belief that they are protected by this,” when there’s a possibility that those taking the medication still could contract the disease.\u003c/p>\n\u003cp>\u003ca title=\"http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(11)70219-5/fulltext\" href=\"http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(11)70219-5/fulltext\" target=\"_blank\">An article\u003c/a> in the British medical journal \u003cem>The Lancet\u003c/em> last year also argued that “although some of the trial results have been very impressive, the protection with pre-exposure prophylaxis is unlikely to be 100 percent, and making drugs available as prophylaxis could encourage high-risk sexual behaviour among those who believe themselves to be protected.”\u003c/p>\n\u003cp>Dr. Albert Liu of the San Francisco Department of Public Health's HIV Research Section is working on two studies, one that started last fall and one that will launch this spring, to determine who is interested in using the drug and how they adhere to it \"in the real world.\" Whether widespread access to the pill would lead to unsafe sex practices is a \"good question, and part of the goal of (the upcoming studies) is to evaluate what happens with people's sexual practices when they're taking PrEP,\" he said. \"We don't know the answer, and that's why it's important to study it.\"\u003c/p>\n\u003cp>The \u003ca title=\"http://hivforumannals.org/index.php/annals/article/view/91\" href=\"http://hivforumannals.org/index.php/annals/article/view/91\" target=\"_blank\">Annals of the Forum for Collaborative HIV Research\u003c/a> \u003ca href=\"http://hivforumannals.org/index.php/annals/article/view/91\">noted\u003c/a> that the drug had performed well in clinical trials; the safety risk is relatively low; and as a result, doctors can currently prescribe the drug for prevention off-label. However, those who use the drug could develop resistance to it, and if they don’t use it daily, the risk for contracting HIV increases, the forum said.\u003c/p>\n\u003cp>An article [PDF] by UCLA public affairs and medical school professors in the \u003ca title=\"http://nomagicpills.org/docs/US_Policy_Perspective_PrEP.pdf\" href=\"http://nomagicpills.org/docs/US_Policy_Perspective_PrEP.pdf\" target=\"_blank\">American Journal of Public Health\u003c/a> [PDF] also urged caution.\u003c/p>\n\u003cp>“These randomized clinical trial results suggest that PrEP is a promising strategy, but we must temper this promise with a healthy dose of caution,\" the authors wrote. \"PrEP is an intensive intervention for which cost, feasibility, and behavioral considerations may be as important as clinical efficacy.”\u003c/p>\n\u003cp>But the forum’s Miller said that these concerns, while valid, “can be dealt with” through additional research and planning.\u003c/p>\n\u003cp>Other drug companies, including ViiV Healthcare, also are planning studies to sell similar prevention drugs, but given the number of clinical trials performed or under way on Truvada, Gilead's product is likely to be the first to make it to market.\u003c/p>\n\u003cp>Gilead's total product sales were\u003ca title=\"http://www.sec.gov/Archives/edgar/data/882095/000119312511297580/d226980d10q.htm\" href=\"http://www.sec.gov/Archives/edgar/data/882095/000119312511297580/d226980d10q.htm\" target=\"_blank\"> $2 billion for the third quarter of 2011\u003c/a>, driven primarily by sales of Truvada and other antiviral drugs. Gilead did not respond to requests for comment.\u003c/p>\n\u003cp>Some HIV and AIDS awareness organizations say that while they wouldn't want to see Truvada trump other forms of prevention, they are hopeful that the drug will help reach high-risk individuals.\u003c/p>\n\u003cp>“It comes down to choices,” said David Evans, director of research advocacy at Project Inform, a San Francisco organization focused on improving the health of people with HIV. “For those who are high at risk, we want them to know that there is something new and a better option available to them.”\u003c/p>\n\u003cp>Nevertheless, Evans said he shares some of the drug critics' concerns. “We don’t want to see people give up safe sex practices,\" he said. \"We hope and expect that PrEP will not be given to people who do well with condoms, but to people who struggle with making safer choices.”\u003c/p>\n\u003cp>\u003cstrong>Read More:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca title=\"Interview: Drug May Be First to Prevent HIV Transmission in Healthy\" href=\"Drug%20May%20Be%20First%20to%20Prevent%20HIV%20Transmission%20in%20Healthy\" target=\"_blank\">Drug May Be First to Prevent HIV Transmission in Health\u003c/a> (from KQED News Fix blog)\u003c/p>\n\n",
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"excerpt": "Foster City drugmaker Gilead recently updated its application with the federal Food and Drug Administration for approval to market its HIV treatment medication Truvada as a HIV prevention pill.\r\n\r\nIf the FDA approves Truvada for preventive use, it “would be the first agent indicated for uninfected individuals to reduce the risk of acquiring HIV through sex,” according to a company statement at the time of the filing last month.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Bernice Yeung, \u003ca title=\"http://californiawatch.org/dailyreport/calif-drugmakers-hiv-prevention-pill-draws-concern-14668\" href=\"http://californiawatch.org/dailyreport/calif-drugmakers-hiv-prevention-pill-draws-concern-14668\" target=\"_blank\">California Watch\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_2693\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Truvada.jpg\">\u003cimg class=\"size-medium wp-image-2693\" title=\"The antiretroviral drug Truvada. (Justin Sullivan: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Truvada-300x202.jpg\" alt=\"The antiretroviral drug Truvada. (Justin Sullivan: Getty Images)\" width=\"300\" height=\"202\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The antiretroviral drug Truvada. (Justin Sullivan: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Foster City drugmaker Gilead recently updated its application with the federal Food and Drug Administration for approval to market its HIV treatment medication Truvada as a HIV prevention pill.\u003c/p>\n\u003cp>If the FDA approves Truvada for preventive use, it “would be the first agent indicated for uninfected individuals to reduce the risk of acquiring HIV through sex,” according to a company statement at the time of the \u003ca title=\"http://www.gilead.com/pr_1640306\" href=\"http://www.gilead.com/pr_1640306\" target=\"_blank\">filing\u003c/a> last month.\u003c/p>\n\u003cp>Gilead’s application, however, has sparked debate among public health advocates who argue that the wide availability of the drug would discourage safe sex and would, in fact, increase the incidence of HIV.\u003c!--more-->\u003c/p>\n\u003cp>“I believe that this could be catastrophic in terms of HIV prevention,” said Michael Weinstein, president the AIDS Healthcare Foundation, based in Los Angeles. There are \u003ca title=\"http://www.cdph.ca.gov/programs/aids/Documents/SSSemiAnnualRptJun2011.pdf\" href=\"http://www.cdph.ca.gov/programs/aids/Documents/SSSemiAnnualRptJun2011.pdf\" target=\"_blank\">\u003cstrong>nearly 42,000 Californians [PDF]\u003c/strong>\u003c/a> living with HIV as of June 2011.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Weinstein added that as an HIV treatment, he thinks Truvada is a “fabulous drug – it’s one pill once a day, and it has a low side-effect burden,” which include nausea, vomiting and weight loss.\u003c/p>\n\u003cp>This new pharmaceutical prevention approach to HIV and AIDS is known in scientific circles as “pre-exposure prophylaxis,” or PrEP, and it involves taking the antiretroviral medications on a daily basis. Clinical trials supported by the National Institutes of Health have shown that when taken daily, Truvada, a blue oval pill, reduced the risk for contracting HIV by between\u003ca title=\"http://www.nejm.org/doi/pdf/10.1056/NEJMoa1011205\" href=\"http://www.nejm.org/doi/pdf/10.1056/NEJMoa1011205\" target=\"_blank\"> \u003cstrong>44 percent\u003c/strong>\u003c/a> among gay men in four countries and 73 percent by heterosexual couples in Uganda and Kenya. One trial among women in sub-Saharan Africa was stopped in April 2011.\u003c/p>\n\u003cp>Overall, these studies have generated enthusiasm among many medical researchers.\u003c/p>\n\u003cp>The drug is “an incredible achievement, a wonderful new tool that could be available to people who need additional protection against the acquisition of HIV,” said Veronica Miller, executive director of The Forum for Collaborative HIV Research and a visiting professor at the UC Berkeley School of Public Health.\u003c/p>\n\u003cp>But Weinstein said he’s not yet convinced by the research, and he wouldn’t want to see future mass marketing of the drug discourage gay men – the risk group \u003cstrong>\u003ca title=\"http://www.cdc.gov/nchhstp/newsroom/docs/fastfacts-msm-final508comp.pdf\" href=\"http://www.cdc.gov/nchhstp/newsroom/docs/fastfacts-msm-final508comp.pdf\" target=\"_blank\">most seriously affected \u003c/a>[PDF]\u003c/strong> by HIV, according to the Centers for Disease Control and Prevention – from using condoms based on “the false belief that they are protected by this,” when there’s a possibility that those taking the medication still could contract the disease.\u003c/p>\n\u003cp>\u003ca title=\"http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(11)70219-5/fulltext\" href=\"http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(11)70219-5/fulltext\" target=\"_blank\">An article\u003c/a> in the British medical journal \u003cem>The Lancet\u003c/em> last year also argued that “although some of the trial results have been very impressive, the protection with pre-exposure prophylaxis is unlikely to be 100 percent, and making drugs available as prophylaxis could encourage high-risk sexual behaviour among those who believe themselves to be protected.”\u003c/p>\n\u003cp>Dr. Albert Liu of the San Francisco Department of Public Health's HIV Research Section is working on two studies, one that started last fall and one that will launch this spring, to determine who is interested in using the drug and how they adhere to it \"in the real world.\" Whether widespread access to the pill would lead to unsafe sex practices is a \"good question, and part of the goal of (the upcoming studies) is to evaluate what happens with people's sexual practices when they're taking PrEP,\" he said. \"We don't know the answer, and that's why it's important to study it.\"\u003c/p>\n\u003cp>The \u003ca title=\"http://hivforumannals.org/index.php/annals/article/view/91\" href=\"http://hivforumannals.org/index.php/annals/article/view/91\" target=\"_blank\">Annals of the Forum for Collaborative HIV Research\u003c/a> \u003ca href=\"http://hivforumannals.org/index.php/annals/article/view/91\">noted\u003c/a> that the drug had performed well in clinical trials; the safety risk is relatively low; and as a result, doctors can currently prescribe the drug for prevention off-label. However, those who use the drug could develop resistance to it, and if they don’t use it daily, the risk for contracting HIV increases, the forum said.\u003c/p>\n\u003cp>An article [PDF] by UCLA public affairs and medical school professors in the \u003ca title=\"http://nomagicpills.org/docs/US_Policy_Perspective_PrEP.pdf\" href=\"http://nomagicpills.org/docs/US_Policy_Perspective_PrEP.pdf\" target=\"_blank\">American Journal of Public Health\u003c/a> [PDF] also urged caution.\u003c/p>\n\u003cp>“These randomized clinical trial results suggest that PrEP is a promising strategy, but we must temper this promise with a healthy dose of caution,\" the authors wrote. \"PrEP is an intensive intervention for which cost, feasibility, and behavioral considerations may be as important as clinical efficacy.”\u003c/p>\n\u003cp>But the forum’s Miller said that these concerns, while valid, “can be dealt with” through additional research and planning.\u003c/p>\n\u003cp>Other drug companies, including ViiV Healthcare, also are planning studies to sell similar prevention drugs, but given the number of clinical trials performed or under way on Truvada, Gilead's product is likely to be the first to make it to market.\u003c/p>\n\u003cp>Gilead's total product sales were\u003ca title=\"http://www.sec.gov/Archives/edgar/data/882095/000119312511297580/d226980d10q.htm\" href=\"http://www.sec.gov/Archives/edgar/data/882095/000119312511297580/d226980d10q.htm\" target=\"_blank\"> $2 billion for the third quarter of 2011\u003c/a>, driven primarily by sales of Truvada and other antiviral drugs. Gilead did not respond to requests for comment.\u003c/p>\n\u003cp>Some HIV and AIDS awareness organizations say that while they wouldn't want to see Truvada trump other forms of prevention, they are hopeful that the drug will help reach high-risk individuals.\u003c/p>\n\u003cp>“It comes down to choices,” said David Evans, director of research advocacy at Project Inform, a San Francisco organization focused on improving the health of people with HIV. “For those who are high at risk, we want them to know that there is something new and a better option available to them.”\u003c/p>\n\u003cp>Nevertheless, Evans said he shares some of the drug critics' concerns. “We don’t want to see people give up safe sex practices,\" he said. \"We hope and expect that PrEP will not be given to people who do well with condoms, but to people who struggle with making safer choices.”\u003c/p>\n\u003cp>\u003cstrong>Read More:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca title=\"Interview: Drug May Be First to Prevent HIV Transmission in Healthy\" href=\"Drug%20May%20Be%20First%20to%20Prevent%20HIV%20Transmission%20in%20Healthy\" target=\"_blank\">Drug May Be First to Prevent HIV Transmission in Health\u003c/a> (from KQED News Fix blog)\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"soldout": {
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"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
"info": "Sold Out: Rethinking Housing in America",
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