Category: In the News

A First: Uterine Transplant from Deceased Donor Allows for Live Birth

Innovation within the field of organ transplantation has grown tremendously in the past decade. Amongst this progress is a new story of success from São Paolo, Brazil.

A new study, revealed that for the first time ever, a baby was delivered via a uterus which had been transplanted from a deceased donor. The mother had an abnormality which rendered her infertile, and resultantly needed a transplanted uterus in order to conceive and give birth. This has been done before with living donors, but never had it been done with a deceased donor. The mother delivered the baby in c-section to a health newborn baby. Now, almost a year later, the child has continued to live a healthy, normal life.

This example is especially unique because of the donor. When transplanting from a deceased donor, there are always several hours of transport and surgery which leave the organ without oxygen. In this case, the uterus went without oxygen for nearly 8 hours. Dr. Andrew Shennan, an obstetrics professor at Kings College London noted the rareness and importance of this case in particular. This study demonstrated that the uterus can remain functioning and intact despite this 8-hour period. This information is invaluable, and can inform other operations in the future.

 

https://www.cnn.com/2018/12/04/health/uterus-transplant-deceased-donor-study/index.html

 

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31766-5/fulltext

 

https://www.kcl.ac.uk/lsm/newsevents/newsrecords/2018/Jan/New-Years-Honours.aspx

 

A Lack of Vacc’s in this “Mild” Flu Season

Every year, our immune systems are exposed to a new strain of the flu. The flu evolves and changes constantly. This is why we have to get a new vaccine or “flu shot” every year. However, as the viruses change, so does the severity of their disease.

The impact of the flu virus is unpredictable, and that is why the CDC (and many other public health professionals) will always advise people to get their flu shot.  However, this year, a majority of adults are refusing to get their shot. A survey from mid-November showed that only 43% of 18+ adults have gotten their flu shots in the US.

From this survey, many of the people who have not been vaccinated claim they do not intend to get vaccinated. People seem to believe this is a “mild” flu season – as the death toll is not comparable to the high burden from the previous year. However, there is no way to know if the flu itself is actually “mild” this early in the season.

 

 

https://www.cdc.gov/flu/protect/keyfacts.htm

http://www.norc.org/NewsEventsPublications/PressReleases/Pages/41-percent-of-americans-do-not-intend-to-get-a-flu-shot.aspx

https://www.cnn.com/2018/12/07/health/flu-season-vaccination-november-30-cdc/index.html

 

 

 

Drug Overdose & Suicide Rates Climb in the US While Life Expectancy Falls

Despite being leaders in medical innovation, the United States is often criticized for healthcare problems that don’t exist in other developed nations. Lately, increasing rates of suicide and drug overdose have taken a toll on our population’s life expectancy. Recent government reports from the CDC have shown a decrease in life expectancy from 2016 to 2017.

 

In 2017, approximately 70,000 yearly deaths were attributed to drug overdosing, which is almost 7,000 more than the year before. In addition to this, suicide rates had increased by nearly 4% from the previous year. Both of these statistics are alarming and disturbing. For while we are constantly advancing science and medicine to create novel disease treatments and cures, we often are ignoring preventable public health crises.

 

These statistics contribute to the evidence that drug overdose is a mishandled and somewhat neglected epidemics in the United States. Other sources suggest that mental health has been on the decline in the United States for years. Taken as a whole, these findings highlight the need for more attention to these preventable morbidities and mortalities.

 

https://www.cnn.com/2018/11/29/health/life-expectancy-2017-cdc/index.html

https://www.cdc.gov/nchs/

https://www.realclearhealth.com/articles/2018/05/17/cdc_neglect_is_killing_americans_110787.html

https://www.scientificamerican.com/article/is-mental-health-declining-in-the-u-s/

 

Why Waste “Waste Water”?

The impacts of climate change have a wide range, from severe floods to crippling drought. Most prominently, our changing climate change has and will continue to cause extreme fluctuations in regional weather patterns. El Paso is not the first town in the States to experience these impacts, but the way they may be forced to respond will be unique.

The city of El Paso depends on the Rio Grande River as their main source of potable water. Due to increased temperatures and limited rainfall, the river is unable to provide the needed amount of water for the city. Due to this, El Paso is on its way to becoming the first large US city to directly reuse treated waste water. This means that the city’s sewer and waste water will be cleaned and immediately reintroduced back into people’s drinking water.

These extreme weather events are forcing the city of El Paso to search for water alternatives. And in this case, reusing sewage water is actually a safe and reasonable step. However, this measure does symbolize a growing trend in water resource shortages out west due to our changing climate. In many of these places, cities will have to search for innovative and novel approaches to meeting a growing population’s water needs in the midst of new climate challenges.

 

 

https://www.ipcc.ch/pdf/assessment-report/ar5/wg2/WGIIAR5-Chap11_FINAL.pdf

https://www.cnn.com/2018/11/30/health/water-climate-change-el-paso/index.html

https://www.epa.gov/sites/production/files/2018-01/documents/potablereusecompendium_3.pdf

https://journals.ametsoc.org/doi/full/10.1175/JHM428.1

 

 

Vaping on the Rise

In 1965, the National Health Interview Survey (NHIS) began tracking cigarette smoking in the United States. Although it is still a widespread and serious problem in the US, the rates of traditional cigarette smoking have steadily declined. Now, in 2018, our nation is faced with a new tobacco use: vaping.

A new statement by the Food and Drug Administration (FDA) states that adolescents are vaping at a dangerous level. From 2017 to 2018, the FDA found an 80% increase in the number of high schoolers vaping, and a 50% increase in middle schoolers. In total, the FDA and the Centers for Disease Control found that one out of five high schoolers have vaped in the last month.

Many people worry that the spike in adolescent vaping is a result of youth-targeted branding by e-cigarette companies. In particular, many people have pointed fingers at the e-cigarette brand “Juul”. In the recent past, Juul’s advertising campaigns contained images full of young faces, bright colors, and several fruit-flavored vaping options. Now, due to a series of initiatives from the FDA, Juul has recalled many of these campaigns and suspended sales of untraditional flavors.

Evidence does suggest that e-cigarettes should be safer than traditional tobacco cigarettes. However, these products are still new to the market and health-associated risks have not been fully evaluated.  In addition, when adolescents vape they are still being exposed to nicotine. This is a dangerous and addictive substance which can be harmful to a developing brain.

 

 

https://www.cdc.gov/media/releases/2018/p0118-smoking-rates-declining.html

https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm625884.htm

https://www.cnn.com/2018/11/15/health/fda-vaping-ecigarette-regulation/index.html

https://www.nytimes.com/2018/11/13/health/juul-ecigarettes-vaping-teenagers.html

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4110871/

https://e-cigarettes.surgeongeneral.gov/knowtherisks.html

 

 

 

Health and the midterm elections

Today is election day. Across the country there are numerous elections which are weighing in on important health issues. There are several important health topics in the ballots, including: abortion rights, Medicaid expansion, marijuana usage, grocery taxes, and laws related to drug use and possession charges. Due to the political leanings of the current national administration, abortion rights are particularly vulnerable during this time.

Alabama, West Virginia, and Oregon are voting on legislation which will seriously affect access to abortion. On Alabama’s ballot, a newly proposed Amendment 2 is trying to change the wording which defines a fetus’ rights on the state Constitution. The amendment is aiming to grant a fetus the same rights and protections as a baby who has been born. If passed, this issue could have serious implications on further legislation which may eventually outlaw abortion in the state. In addition, this ballot measure doesn’t include the right to an abortion in the case of rape, incest, or if the mother’s life is at-risk.

West Virginia and Oregon are voting on measures which attempt to withhold state funding for abortion cases in respect to state employees and Medicaid recipients. However, in contrast to Alabama’s measure, these states do grant the right to victims of rape, incest, or when the mother’s life is in danger.

It is important to consider how our votes can act as determinants for health issues like these and many others. Voting at a state level can have a much larger impact on both national and local issues – especially pertaining to public health and medicine. Go out and vote today!

Look up your registration status, local polling place, and sample ballot here:

https://vt.ncsbe.gov/RegLkup/

 

 

https://www.cnn.com/2018/11/05/health/health-ballot-initiatives/index.html

https://ballotpedia.org/Alabama_Amendment_2,_State_Abortion_Policy_Amendment_(2018)

 

Run Long, Live Longer?

Everyone knows that regular exercise is good for you – it controls your weight, helps you combat disease, improves mood and energy, and many other benefits. However, the extent to which exercising can improve and lengthen your life is still being discovered. Now, a new literature review has shown that exercising regularly can generously lengthen life expectancy.

The review found that people who engage in the highest levels of physical activity lived up to 5.5 years on average longer than those who did not. A different study discovered similar benefits. Researchers found that women who regularly exercised were at a 31% lower chance of dying prematurely.

These results show that exercise may be a crucial tool to living a longer life. The Centers for Disease Control (CDC) has published physical activity guidelines which can help people improve their health by exercising. Following these recommendations can help anyone engage in this healthy behavior, and get them on track for a longer, healthier lifestyle.

 

https://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/exercise/art-20048389

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139866/pdf/ms115_p0098.pdf

https://www.ncbi.nlm.nih.gov/pubmed/25844730

https://www.cdc.gov/cancer/dcpc/prevention/policies_practices/physical_activity/guidelines.htm

 

 

meet the new, self-lubricating condom

It’s no secret that the U.S. still has a long way to go in the field of contraceptives and STI prevention. According to the CDC in 2017, only about one-third of sexually active Americans use condoms, and it has been a long-term public health issue. Abstaining from condom use (or other forms of protection) during sex can lead to a myriad of health concerns, including unwanted pregnancies, bacterial and viral infections. These new troubling statistics beg questions as to why condom use is so low, especially amongst those who aren’t opting for other birth control or protective options.

Scientists at Boston University have acknowledged this issue, and have responded with a new, friction-lowering self-lubricating condom that may up condom usage. Some of the reasons people abstain from use is due to complaints that condoms are uncomfortable, painful and detract from sensation and sexual pleasure. The team at BU has found a way to eliminate some of these negative qualities with their new technology. This new condom has the ability to self-lubricate when it comes into contact with moisture – such as bodily fluids – making sexual experiences more comfortable and enjoyable.

Their study showed that 73% individuals surveyed preferred the texture of their new condom, and also noted that they would be more inclined to use condoms such as this one. The condom still has to be tested during sex, but if introduced to the market, it could increase the prevalence of safe-sex behaviors and contraceptive use.

 

 

 

https://www.cdc.gov/nchs/data/nhsr/nhsr105.pdf

https://consumer.healthday.com/sexual-health-information-32/condom-health-news-154/only-about-one-third-of-americans-use-condoms-cdc-725436.html

https://www.cnn.com/2018/10/17/health/condoms-self-lubricating-prevent-stds-intl/index.html

http://journals.sagepub.com/doi/abs/10.1258/ijsa.2008.008120?journalCode=stda

http://rsos.royalsocietypublishing.org/content/5/10/180291

 

 

 

 

Yogurt: a health food packing stealthy sugar

It seems as if everyone is always trying to find foods that are both nutritious AND delicious. Recently, it seems as if yogurt has become many people’s go-to option. Yogurt is praised for its nutritious profile: it’s high in protein, calcium, and “healthy” probiotics. While all this remains true, it’s important to consider the looming sugar content within these products.

A new study is criticizing many popular yogurts for their deceptively high sugar contents. Within the study – which examined over 900 yogurt brands found in UK grocery stores – only 9% of general yogurts can be considered low in sugar. What’s worse, only a measly 2% of yogurts marketed exclusively to children can be classified as low sugar.

Along with these findings, it became apparent that products marketed as “organic” may be among the worst offenders. Organic is a term used to described the processes behind a food’s production. Although items which are USDA Organic Certified may be produced ethically, this label does not have specific nutrition implications. Despite this, people often think an organic product is healthier than a non-organic option. The study found quite the opposite: that organic yogurts have substantial amounts of sugar, especially when compared to their natural and Greek yogurt counterparts.

As a snack, yogurt is not a bad choice. The health benefits prevail, and it often beats out many other sugary snack options. But when picking out your next yogurt at the store, it’s worthwhile to pause and consider the varying sugar contents. This way, you can pick the healthiest option… or just call it dessert.

 

https://invisiverse.wonderhowto.com/news/yogurt-isnt-just-probiotic-its-unique-proteins-kill-bad-bacteria-0178030/

https://bmjopen.bmj.com/content/8/8/e021387

https://www.foodandwaterwatch.org/about/live-healthy/consumer-labels?gclid=Cj0KCQjwuafdBRDmARIsAPpBmVXF1IT7cB-KLvFRhzGXTiRjwaGDyUr5wOmO3zPqDxUJn8YLRswira4aAgHiEALw_wcB

 

 

 

Dr. Leana Wen Selected as New President of Planned Parenthood

Last week, it was announced that Dr. Leana Wen, Baltimore City Health Commissioner, will serve as the new president of Planned Parenthood Federation of America, an organization that provides vital sexual and reproductive health care and education to millions of people around the world. Dr. Wen will be the first physician in almost 50 years to serve in this role. She will succeed Cecile Richards, who has served as president of Planned Parenthood for the past 12 years.

Dr. Wen, an emergency medicine physician, has led the Baltimore City Health Department since January 2015. She is a passionate public health leader and active champion for communities and patients. During her tenure as Baltimore City Health Commissioner, Dr. Wen led a lawsuit against the Trump administration after its abrupt decision to cut funding for teen pregnancy prevention programs, resulting in $5 million of funding being restored to two of these programs in Baltimore. Additionally, Dr. Wen has fought to preserve Title X in Baltimore, which funds a variety of health care services for low-income women.

Dr. Wen is no stranger to Planned Parenthood. After she and her family immigrated to the U.S. from China, they depended on Planned Parenthood for their health care. Dr. Wen also volunteered at a Planned Parenthood health center in St. Louis during medical school.

In a recent statement posted on the Baltimore City Health Department website, Dr. Wen wrote:

“A core principle in public health is to go where the need is. The single biggest public health catastrophe of our time is the threat to women’s health and the health of our most vulnerable communities.”

She continues, in referring to Planned Parenthood, writing:

“I have seen firsthand the lifesaving work it does for our most vulnerable communities. As a doctor, I will ensure we continue to provide high-quality health care, including the full range of reproductive care, and will fight to protect the access of millions of patients who rely on Planned Parenthood.”

Dr. Wen’s last day as Baltimore City Health Commissioner will be Friday, October 12th, where she will then begin her new role as President of Planned Parenthood.

References:

Planned Parenthood. (N.d.). Dr. Leana Wen. Retrieved from  https://www.plannedparenthood.org/about-us/our-leadership/dr-leana-wen

Planned Parenthood. (N.d.). Cecile Richards. Retrieved from  https://www.plannedparenthood.org/about-us/our-leadership/cecile-richards

Zernike, Kate. (2018, September 12). Planned Parenthood Names Leana Wen, a Doctor, Its New President. Retrieved from https://www.nytimes.com/2018/09/12/us/politics/planned-parenthood-president-wen.html?rref=collection%2Fsectioncollection%2Fpolitics

Wen, Leana S. (2018, July 6). Trump’s family planning dystopia. Retrieved from http://www.baltimoresun.com/news/opinion/oped/bs-ed-op-0708-wen-dystopia-20180703-story.html

Baltimore City Health Department. (2018, September 12). Statement from Baltimore City Health Commissioner, Dr. Leana Wen. Retrieved from https://health.baltimorecity.gov/news/press-releases/2018-09-12-statement-baltimore-city-health-commissioner-dr-leana-wen