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"A NATURAL ENVIRONMENTAL HEALTH FACTS Ezine"
Here to Inform and Help You Become Healthier and Happier while Achieving Quality
Longevity!
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Email Lena
928-636-9425
Friday September 14, 2007
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=> IN THIS ISSUE!
============================
==> Editors' Ranting & or Warnings
==> Something To Think About
==> Health Thought for the day!
==> Showcase Health Spotlight
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==> Today's Health Tip
==> Health Today
==> Environmental Report
==> Life Changing Information
+++++++++++++++++++++
EDITORS' RANTING
+++++++++++++++++++++
Greetings and thank you for
being an optin subscriber!
Another weekend is just around the corner and for the second weekend in a row I'm
definitely ready for it. Keeping my sanity with the hassles of a new
computer and wrestling with the new Vista operating system's inability
to react with some of my software and printer and dealing with different
computer guru's to try and clear it all up, has
really been a trial but getting better, I hope! My wish for you and me
is to relax and Enjoy the weekend...
Be smart and take charge of your
health before it takes charge of
you!
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==================================
Something To Think About
============================
How Keeping A Medical
Journal Can Improve Your Health Care
By Rusty Ford
I am a two-time survivor of cancer. Chemotherapy did significant damage
to my heart and lungs.* Because of this I have spent a lot of time in
the health care system. I have an ology problem. I have more ologists in
my life than I know what to do with. I have a Cardiologist, Neurologist,
Urologist, Anesthesiologist, Hematologist, Oncologist, Pulmonologist,
Rheumatologist and a Nephrologist. My brain is not able to keep up with
just one of these. If you have any chronic illness then you understand
the dilemma that I have. How does a person keep up with all of this? The
simple answer is by keeping a medical journal. It does not matter if you
have one doctor in your life or like me a dozen, keeping a medical
journal will not only help you manage your health care but it will
improve the quality of the care you get as well.
There are four sections that I keep in my medical journal. There is a
section for notes I take at the doctor's office, a section for questions
I have for the doctors, a section for research and a section for the
drugs I take. Each one of the sections has a purpose and each can help
insure improve the quality of care you receive.
The first section is I have in my journal is for notes I take at the
doctors office. This is important for two reasons. It is hard to
remember the things you talk to your doctor about when you get home,
much less to remember it a month later when you are seeing a different
doctor. Create a separate page or section for each doctor you see. When
you have a chronic illness you have different doctors from different
specialties that you see. This helps you keep up with what you have
talked about with each. Always take notes while you are at your
appointment with the doctor. It is important to get the information down
when it is fresh in your mind. It is ok to be brief with your notes
while you are in the room with the doctor because you can sit down
before you leave the medical office and finish them. Remember to date
your entries for the doctor visit section of your journal. If for any
reason you need to go to court then these notes are admissible.
The second section is your research section. As you look over your notes
from your doctor visit if there is anything you do not understand you
can research it. This research can be on the Internet, asking friends
and family or talking with others in a support group for your condition.
Personally I use all three. While in the doctor's office, if we talk
about something I do not understand, I put it in my notes. Sometimes I
even ask the doctor to spell the term. You are the one who has power in
making your medical decisions. These decisions are best made with as
much understanding as possible. When you get home from an appointment go
over your notes and see if there is anything you need to have more
information about. Then write this in question form in your research
section. Say your doctor says that your hematocrit in your CBC is off.
First of all you ask your doctor what that means. If after his
explanation you feel you would like to have more information you can
look it up. For example he tells you that your hematocrit showed that
your white blood cell count was elevated you can lookup to see what that
means.
The third is a very important section. In fact if you only have one
section this is the one to have. It is the questions you want to ask
your doctor. All of us have been to the doctor some time and after we
left we remember that we forgot to ask the doctor something. This helps
prevent that from happening. This should include questions from your
self and from your medical support team. First if there are any
questions you have after looking over your notes from a doctor visit
write it down. If while doing any research a question comes up you write
it down. If a question comes up while talking with friends and family,
someone in your medical support team or condition related support group
you write it down. Before you go to a doctor visit you go over these
questions and write down all that are relevant to discuss with this
doctor. This way when you go to the appointment all the questions I want
to ask are right there in front of you.
The last section is for drugs. This section lists all the drugs you are
on. Every time you see a new doctor they want to know what drugs you are
taking. It also should list all the drugs you have been on before. It is
important when you stop taking a drug to write down why you stopped
taking them. If the doctor takes you off of a drug because it is not
working you should write that down. It is really important to write down
any drugs your doctor takes you off of because of side effects. You
should have a page in this section that lists drugs you can not take and
the reason you cannot take them. I have been taken off so many drugs
because of side effects that I cannot remember them all. When a new
doctor recommends a drug to me I look to make sure it is not one I have
stopped taking for a specific reason.
After a while this notebook may get large. You do not have to carry it
to every appointment. Usually I take a spiral notebook that includes the
questions I want to ask and room for me to take notes on. When I see a
new doctor or I am seeing several doctors about the same condition I
take the whole notebook with me.
If you keep up with your medical journal I am sure you will find that
the quality of your health care will improve.
* For those of you considering Chemo this is a rare occurrence of two of
the specific chemo drugs I was taking.
* For more information about a medical support team look up my article
"How to make the most of your health care with a medical support team."
About The Author: Rusty Ford, Managing editor of
http://arthritis-symptom.com/
=======================
THOUGHT FOR THE DAY!
=======================
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WHOLE
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TODAY'S HEALTH TIP
~^~^~^~^~^~^~^~^~^~^~^~
A Very Long Article so relax and make sure you have plenty of
time before reading on...
Chip Implants Linked to Animal Tumors
Sep 9, 2007
By TODD LEWAN
When the U.S. Food and Drug Administration approved implanting microchips in
humans, the manufacturer said it would save lives, letting doctors scan the tiny
transponders to access patients' medical records almost instantly. The FDA found
"reasonable assurance" the device was safe, and a sub-agency even called it one
of 2005's top "innovative technologies."
But neither the company nor the regulators publicly mentioned this: A series of
veterinary and toxicology studies, dating to the mid-1990s, stated that chip
implants had "induced" malignant tumors in some lab mice and rats.
"The transponders were the cause of the tumors," said Keith Johnson, a retired
toxicologic pathologist, explaining in a phone interview the findings of a 1996
study he led at the Dow Chemical Co. (DOW) in Midland, Mich.
Leading cancer specialists reviewed the research for The Associated Press and,
while cautioning that animal test results do not necessarily apply to humans,
said the findings troubled them. Some said they would not allow family members
to receive implants, and all urged further research before the glass-encased
transponders are widely implanted in people.
To date, about 2,000 of the so-called radio frequency identification, or RFID,
devices have been implanted in humans worldwide, according to VeriChip Corp.
(CHIP) The company, which sees a target market of 45 million Americans for its
medical monitoring chips, insists the devices are safe, as does its parent
company, Applied Digital Solutions, of Delray Beach, Fla.
"We stand by our implantable products which have been approved by the FDA and/or
other U.S. regulatory authorities," Scott Silverman, VeriChip Corp. chairman and
chief executive officer, said in a written response to AP questions.
The company was "not aware of any studies that have resulted in malignant tumors
in laboratory rats, mice and certainly not dogs or cats," but he added that
millions of domestic pets have been implanted with microchips, without reports
of significant problems.
"In fact, for more than 15 years we have used our encapsulated glass
transponders with FDA approved anti-migration caps and received no complaints
regarding malignant tumors caused by our product."
The FDA also stands by its approval of the technology.
Did the agency know of the tumor findings before approving the chip implants?
The FDA declined repeated AP requests to specify what studies it reviewed.
The FDA is overseen by the Department of Health and Human Services, which, at
the time of VeriChip's approval, was headed by Tommy Thompson. Two weeks after
the device's approval took effect on Jan. 10, 2005, Thompson left his Cabinet
post, and within five months was a board member of VeriChip Corp. and Applied
Digital Solutions. He was compensated in cash and stock options.
Thompson, until recently a candidate for the 2008 Republican presidential
nomination, says he had no personal relationship with the company as the
VeriChip was being evaluated, nor did he play any role in FDA's approval process
of the RFID tag.
"I didn't even know VeriChip before I stepped down from the Department of Health
and Human Services," he said in a telephone interview.
Also making no mention of the findings on animal tumors was a June report by the
ethics committee of the American Medical Association, which touted the benefits
of implantable RFID devices.
Had committee members reviewed the literature on cancer in chipped animals?
No, said Dr. Steven Stack, an AMA board member with knowledge of the committee's
review.
Was the AMA aware of the studies?
No, he said.
---
Published in veterinary and toxicology journals between 1996 and 2006, the
studies found that lab mice and rats injected with microchips sometimes
developed subcutaneous "sarcomas" - malignant tumors, most of them encasing the
implants.
- A 1998 study in Ridgefield, Conn., of 177 mice reported cancer incidence to
be slightly higher than 10 percent - a result the researchers described as
"surprising."
- A 2006 study in France detected tumors in 4.1 percent of 1,260 microchipped
mice. This was one of six studies in which the scientists did not set out to
find microchip-induced cancer but noticed the growths incidentally. They were
testing compounds on behalf of chemical and pharmaceutical companies; but they
ruled out the compounds as the tumors' cause. Because researchers only noted the
most obvious tumors, the French study said, "These incidences may therefore
slightly underestimate the true occurrence" of cancer.
- In 1997, a study in Germany found cancers in 1 percent of 4,279 chipped
mice. The tumors "are clearly due to the implanted microchips," the authors
wrote.
Caveats accompanied the findings. "Blind leaps from the detection of tumors to
the prediction of human health risk should be avoided," one study cautioned.
Also, because none of the studies had a control group of animals that did not
get chips, the normal rate of tumors cannot be determined and compared to the
rate with chips implanted.
Still, after reviewing the research, specialists at some pre-eminent cancer
institutions said the findings raised red flags.
"There's no way in the world, having read this information, that I would have
one of those chips implanted in my skin, or in one of my family members," said
Dr. Robert Benezra, head of the Cancer Biology Genetics Program at the Memorial
Sloan-Kettering Cancer Center in New York.
Before microchips are implanted on a large scale in humans, he said, testing
should be done on larger animals, such as dogs or monkeys. "I mean, these are
bad diseases. They are life-threatening. And given the preliminary animal data,
it looks to me that there's definitely cause for concern."
Dr. George Demetri, director of the Center for Sarcoma and Bone Oncology at the
Dana-Farber Cancer Institute in Boston, agreed. Even though the tumor incidences
were "reasonably small," in his view, the research underscored "certainly real
risks" in RFID implants.
In humans, sarcomas, which strike connective tissues, can range from the highly
curable to "tumors that are incredibly aggressive and can kill people in three
to six months," he said.
At the Jackson Laboratory in Maine, a leader in mouse genetics research and the
initiation of cancer, Dr. Oded Foreman, a forensic pathologist, also reviewed
the studies at the AP's request.
At first he was skeptical, suggesting that chemicals administered in some of the
studies could have caused the cancers and skewed the results. But he took a
different view after seeing that control mice, which received no chemicals, also
developed the cancers. "That might be a little hint that something real is
happening here," he said. He, too, recommended further study, using mice, dogs
or non-human primates.
Dr. Cheryl London, a veterinarian oncologist at Ohio State University, noted:
"It's much easier to cause cancer in mice than it is in people. So it may be
that what you're seeing in mice represents an exaggerated phenomenon of what may
occur in people."
Tens of thousands of dogs have been chipped, she said, and veterinary
pathologists haven't reported outbreaks of related sarcomas in the area of the
neck, where canine implants are often done. (Published reports detailing
malignant tumors in two chipped dogs turned up in AP's four-month examination of
research on chips and health. In one dog, the researchers said cancer appeared
linked to the presence of the embedded chip; in the other, the cancer's cause
was uncertain.)
Nonetheless, London saw a need for a 20-year study of chipped canines "to see if
you have a biological effect." Dr. Chand Khanna, a veterinary oncologist at the
National Cancer Institute, also backed such a study, saying current evidence
"does suggest some reason to be concerned about tumor formations."
Meanwhile, the animal study findings should be disclosed to anyone considering a
chip implant, the cancer specialists agreed.
To date, however, that hasn't happened.
---
The product that VeriChip Corp. won approval for use in humans is an electronic
capsule the size of two grains of rice. Generally, it is implanted with a
syringe into an anesthetized portion of the upper arm.
When prompted by an electromagnetic scanner, the chip transmits a unique code.
With the code, hospital staff can go on the Internet and access a patient's
medical profile that is maintained in a database by VeriChip Corp. for an annual
fee.
VeriChip Corp., whose parent company has been marketing radio tags for animals
for more than a decade, sees an initial market of diabetics and people with
heart conditions or Alzheimer's disease, according to a Securities and Exchange
Commission filing.
The company is spending millions to assemble a national network of hospitals
equipped to scan chipped patients.
But in its SEC filings, product labels and press releases, VeriChip Corp. has
not mentioned the existence of research linking embedded transponders to tumors
in test animals.
When the FDA approved the device, it noted some Verichip risks: The capsules
could migrate around the body, making them difficult to extract; they might
interfere with defibrillators, or be incompatible with MRI scans, causing burns.
While also warning that the chips could cause "adverse tissue reaction," FDA
made no reference to malignant growths in animal studies.
Did the agency review literature on microchip implants and animal cancer?
Dr. Katherine Albrecht, a privacy advocate and RFID expert, asked shortly after
VeriChip's approval what evidence the agency had reviewed. When FDA declined to
provide information, she filed a Freedom of Information Act request. More than a
year later, she received a letter stating there were no documents matching her
request.
"The public relies on the FDA to evaluate all the data and make sure the devices
it approves are safe," she says, "but if they're not doing that, who's covering
our backs?"
Late last year, Albrecht unearthed at the Harvard medical library three studies
noting cancerous tumors in some chipped mice and rats, plus a reference in
another study to a chipped dog with a tumor. She forwarded them to the AP, which
subsequently found three additional mice studies with similar findings, plus
another report of a chipped dog with a tumor.
Asked if it had taken these studies into account, the FDA said VeriChip
documents were being kept confidential to protect trade secrets. After AP filed
a FOIA request, the FDA made available for a phone interview Anthony Watson, who
was in charge of the VeriChip approval process.
"At the time we reviewed this, I don't remember seeing anything like that," he
said of animal studies linking microchips to cancer. A literature search "didn't
turn up anything that would be of concern."
In general, Watson said, companies are expected to provide
safety-and-effectiveness data during the approval process, "even if it's adverse
information."
Watson added: "The few articles from the literature that did discuss adverse
tissue reactions similar to those in the articles you provided, describe the
responses as foreign body reactions that are typical of other implantable
devices. The balance of the data provided in the submission supported approval
of the device."
Another implantable device could be a pacemaker, and indeed, tumors have in some
cases attached to foreign bodies inside humans. But Dr. Neil Lipman, director of
the Research Animal Resource Center at Memorial Sloan-Kettering, said it's not
the same. The microchip isn't like a pacemaker that's vital to keeping someone
alive, he added, "so at this stage, the payoff doesn't justify the risks."
Silverman, VeriChip Corp.'s chief executive, disagreed. "Each month pet
microchips reunite over 8,000 dogs and cats with their owners," he said. "We
believe the VeriMed Patient Identification System will provide similar positive
benefits for at-risk patients who are unable to communicate for themselves in an
emergency."
And what of former HHS secretary Thompson take on chips Click to find out?
Verichip Corp.
AntiChips
FDA
~^~^~^~^~^~^~^~^~^~^~^
FOOD OF THE WEEK
~^~^~^~^~^~^~^~^~^~^~^
An herb to entice and
give your food great flavor but also a great natural health builder!
Fenugreek herb aka Greek hay!
Not something you would eat by itself but used as seasoning with a huge
benefit in doing so. Grows up to 2 to 3 foot tall annual herb with light
green leaves and small white flowers. The seed pods contain 10 to 20
small, flat, yellow-brown, pungent, aromatic seeds to a pod. The seeds
have a strong aroma and somewhat bitter taste, variously described as
similar to celery, maple syrup, or burnt sugar. One of the spices the
Egyptians used for embalming, and the Greeks and Romans used it for
cattle fodder (animal feed hence the Latin name foenum graecum
meaning Greek hay).

Historically a native to southern Europe, the Mediterranean region, and
Western Asia, is cultivated from Western Europe to China for the
aromatic seeds, and is still grown for fodder in parts of Europe and
northern Africa. It was grown extensively in the imperial gardens of
Charlemagne. It is necessary ingredient in Indian curries. Both seeds
and leaves are used!
Store in a cool, dry place for maximum of 6 months. Uncooked fenugreek
seeds have an unpleasant, bitter taste, so the seeds are usually roasted
and ground before use to decrease the bitterness. The seeds are very
hard, and difficult to grind, a mortar and pestle works best. Seed
extract is used in imitation vanilla, butterscotch and rum flavorings,
and is the main flavoring in imitation maple syrup. Also used in breads
in Egypt and Ethiopia. Ground seeds and/or leaves, can give a nice lift
to some bland vegetarian dishes and especially flavorful with lamb.
Also good in marinades. Generally, a nice unusual flavor to experiment
with to achieve some different effects. Use very young shoots with only
a few leaves and some watercress for a nice salad addition. Fenugreek
seeds are also used in candy, baked goods, ice cream, chewing gum and
soft drinks. The seeds can be roasted and used as a coffee substitute.
Once used as a yellow dye. The leaves are dried and used as an insect
repellent in grain storage units.
In various areas of North Africa the seeds (ground into a paste) were
traditionally
eaten by women to gain weight, in combination with sugar and olive oil.
The seeds are still used for weight gain in Libya and other areas. They
are also an important source of diosgenin, which is widely used in the
production of steroids (probably accounts for the weight gain ability),
sex hormones, oral contraceptives and veterinary medicines.
Rich in vitamins and minerals, and because it is a seed and a legume, it
is high in protein, which makes it very useful in vegetarian diets.
Those Vitamins are; A, B12, B6, E, D, C, K, Retinol, Alpha Carotene,
Beta Carotene, lycopene, Lutein+Zeaxanthin, Beta & gamma & delta
Tocopherols, Thiamin, Riboflavin, Niacin, Folic Acid and Pantothenic
Acid. Also rich in minerals; Calcium, Iron, Magnesium, Phosphorus,
Potassium, Sodium, Zinc, Copper, Manganese and Selenium.
Known Health Benefits:
Lowers blood sugar: Fenugreek Studies have shown that it
helps stabilize blood sugar control in people with either type 1 or type
2 diabetes. But if you're currently on medication for diabetes, inform
your physician if you decide to try fenugreek. It is so effective; its
hypoglycemic effect could be dangerous if taken suddenly and in high
doses. But when monitored by a physician, preferably one who is herb
knowledgeable, it could be part of your natural management of blood
sugar.
Lowers "bad" cholesterol: Fenugreek is apparently able to sort
out the good from the bad when it comes to cholesterol. 25 g a day was
consumed for a 24 week-study, HDL (good) cholesterol showed a 10 percent
total increase, while LDL (bad) levels steadily decreased throughout the
testing period.
Aids digestion: Fenugreek stimulates the pancreas and can
aid in digestion. However, too much can cause diarrhea -- something to
watch out for and back off on your dose if it occurs.
Increases mothers
breast milk production: Fenugreek seeds contain hormone precursors
that increase milk supply. Scientists do not know for sure how this
happens. Some believe it is possible because breasts are modified sweat
glands, and fenugreek stimulates sweat production. It has been found
that fenugreek can increase a nursing mother's milk supply within 24 to
72 hours after first taking the herb. Once an adequate level of milk
production is reached, most women can discontinue the fenugreek and
maintain the milk supply with adequate breast stimulation.
The medicinal properties are in their highest concentration in the
seeds, which have a bitter taste that improves when toasted.
If you've been thinking about branching out in the kitchen, you might
want to try some Middle Eastern or North African dishes that are heavily
spiced with fenugreek.
Found on herb store shelves in powder, capsules and gum forms or in
combination with other medicinal herbs. One Dr. Wayne Garland uses in
many of his Master Formulas Herbal Formulas!
For recipes galore try
http://fooddownunder.com/cgi-bin/search.cgi?q=fenugreek
Season and be healthy!
Lena
~^~^~^~^~^~^~^~^~^~^
HEALTH TODAY
~^~^~^~^~^~^~^~^~^~^~
Number of
U.S. Deaths Up in 2005
Sep 13, 2007
By MIKE STOBBE
ATLANTA (AP) - The number of deaths in the United States rose in
2005 after a sharp decline the year earlier, a disappointing
reversal that suggests the 2004 numbers were a fluke. Cancer
deaths were also up.
U.S. health officials said they believe the drop in deaths seen
earlier may have been due to 2004's unusually mild flu season.
Deaths from flu and lower respiratory disease jumped in 2005.
The new mortality data was released Wednesday in a report by the
National Center for Health Statistics. It was a preliminary
report, based on about 99 percent of the death records reported
in all 50 states and the District of Columbia for 2005.
Last year, statistics from 2004 showed U.S. deaths fell to
2,397,615. It was a decline of about 50,000 from 2003, and was
the largest drop in deaths in nearly 70 years. Some experts saw
it as a sign of the triumph of modern medicine.
But the preliminary 2005 death count was up more than 50,000 -
about 2,447,900 - almost back to the 2003 level.
"The best way to look at this is in five-year groupings, because
every once in a while you are going to have an aberration," said
Ken Thorpe, an Emory University health policy professor.
An unusually mild flu season in 2004 cut the flu death rate -
deaths per 100,000 population - by 7 percent. And it likely had
a ripple effect by not worsening the condition of frail patients
who ultimately died of something else, government health
scientists said.
The 2005 flu season was closer to normal, and deaths from the
virus rose by more than 3,000 from 2004. Deaths from chronic
lower respiratory diseases increased by nearly 9,000.
Heart disease and stroke - the No. 1 and No. 3 killers - killed
fewer people in 2005 than 2004. But the No. 2 cause of death,
cancer, rose to about 559,000 from 554,000, according to the
report.
The overall age-adjusted rate for all deaths in 2005 fell to 799
per 100,000 population, down from 801 per 100,000 in 2004. The
2005 rate was an all-time low, but the rate has been in a
general decline for more 50 years, according to government data.
The death rates for heart disease, stroke and cancer all
declined too. The death rate was 210 per 100,000 for heart
disease; 184 for cancer; and 46.5. for stroke.
The success against heart disease is at least partly due to
better treatments, which overcame the impact of an aging,
growing population, Thorpe said.
But with total cancer deaths, there was no such offset in 2005.
"That's unfortunate news," he said.
"You continue to hope with earlier detection diagnosis and
treatment, we will pick these things up faster" and prevent
deaths. But because a growing number of Americans lack health
insurance, many may not be getting those services, Thorpe said.
U.S. life expectancy inched up to 77.9 from the previous record,
77.8, recorded for 2004. The increase was more dramatic in
contrast with 1995, when life expectancy was 75.8, and 1955,
when it was 69.6.
A final report will be released later, and the numbers may
change a little. Last year, when releasing its preliminary death
data for 2004, the government reported a 77.9 life expectancy.
That figure later dropped to 77.8 in the final report.
"If death rates from certain leading causes of death continue to
decline, we should continue to see improvements in life
expectancy," said study co-author Hsiang-Ching Kung, in a
prepared statement.
Researchers also noted continued differences by race and sex.
Life expectancy for whites in 2005 was 78.3, the same as in
2004. Black life expectancy rose from 73.1 in 2004 to 73.2 in
2005, but it was still nearly five years lower than the white
figure.
Life expectancy for women continues to be five years longer than
for men, the report also found. The infant mortality rate
remained roughly the same as the previous year, about 6.9 per
1,000 live births.
Also, there were 5 percent increases in the rates for
Alzheimer's disease, the No. 7 leading cause of death, and for
Parkinson's disease, which was No. 14.
The United States continues to lag at least 40 other nations.
Andorra, a tiny country in the Pyrenees mountains between France
and Spain, has the longest life expectancy, at 83.5 years,
according to a U.S. Census Bureau analysis of 2004 international
data. It was followed by Japan, Macau (which is part of China),
San Marino and Singapore.
Center For
Health Statistics CDC
LENA'S COMMENT: Isn't it strange that in
2004 there weren't enough flu vaccine to go around yet it was a
light flu season and less people died from it? My take on this;
Not a coincidence in my book... Flu immunizations bring on more
flu and create more deaths... If they look close they are going
to find out the percentages of flu and deaths match the
percentage of flu vaccine shortage!
^~^~^~^~^~^~^~^~^~^~^~^~^~^~^
ENVIRONMENTAL REPORT
~^~^~^~^~^~^~^~^~^~^~^~~^~^~^
Pollution
Raises Exercise Risks
Sep 12, 2007
By LINDA A. JOHNSON
People with heart disease may want to steer clear of heavy
traffic when exercising or simply take their workout indoors to
avoid breathing polluted air.
Exercising in areas with high levels of diesel exhaust and
microscopic soot particles is especially risky for people with
heart disease, according to the first study in which heart
patients were directly exposed to pollution.
European researchers found that brief exposure to diluted diesel
exhaust during exercise reduced a key anticlotting substance in
the blood and worsened exercise-induced ischemia, or
insufficient flow of blood and oxygen to the heart - changes
that can trigger a heart attack and even death.
"We now have evidence that being exposed to diesel fuel during
exercise will cause cardiac ischemia and that if you have heart
disease, it can only make things worse," said Dr. Abraham
Sanders, a lung specialist at New York-Presbyterian Hospital who
was not involved in the study.
The results have big implications: About 16 million Americans
have heart disease, according to the American Heart Association.
In addition, people with asthma, bronchitis and chronic
obstructive pulmonary disease also should use caution and avoid
polluted air when exercising, Sanders recommended. But heart and
respiratory patients should keep exercising regularly because it
is so beneficial to overall health, doctors stress.
Numerous studies have shown a link between short-term and
long-term exposure to air pollution and higher rates of
hospitalizations and deaths due to poor blood supply to the
heart, abnormal heart rhythms, gradual heart failure and stroke.
This study adds to that knowledge about how air pollution harms
people and aims to show what pollution is doing in the body,
information that might eventually give clues for preventing such
problems, said Dr. Howard M. Kipen, director of clinical
research at Rutgers University's Environmental and Occupational
Health Sciences Institute.
"It's quite amazing, what they found," but not a surprise, he
said. Still, "most doctors aren't aware that little bits of
pollution can cause heart attacks."
The European study was reported in Thursday's New England
Journal of Medicine.
Researchers in Sweden and the United Kingdom tested 20 men aged
about 60 who had survived a heart attack at least six months
earlier, had blockages cleared and propped open with a stent,
and were getting treatment to prevent a second heart attack. The
researchers noted they only tested men with stable heart disease
and good tolerance for exercise, and monitored each closely to
ensure none suffered any health problems.
On two separate occasions, each man was put in an enclosed
chamber for an hour and exposed to either diluted diesel exhaust
or clean, filtered air. They rode an exercise bike for two
15-minute periods and rested in between. The men had electrodes
attached to their bodies to monitor the heart's electrical
activity, like what happens in a standard heart stress test.
While exercising and exposed to diesel exhaust, the men
experienced drops in the heart's electrical activity two to six
times greater than when they were breathing filtered air. Those
reductions indicated the heart muscles were not getting enough
blood.
While diesel exhaust contains many harmful chemicals, the
researchers said they believe that particulates in the exhaust
are the main harm to the heart patients.
A 2000 study in six U.S. cities found the strongest association
between risk of death in heart patients and air pollution
exposure was for microscopic air particulates, such as those in
diesel exhaust.
The European researchers noted particulate concentrations can
regularly hit 300 micrograms per cubic meter - the level to
which the study participants were exposed - in heavy traffic,
workplaces such as factories and refineries and in the world's
largest cities. Levels of some of the pollutants in the diesel
exhaust were far above the limits recommended by the World
Health Organization, they noted.
This study only included men, but Sanders said he thinks the
findings probably apply to women. A recent report from the
federal Women's Health Initiative found exercise in polluted
environments causes a temporary reduction in blood flow to the
heart muscle.
In an editorial, Dr. Murray A. Mittleman of Beth Israel
Deaconess Medical Center in Boston wrote, "these findings may
represent the tip of an iceberg" on how spikes in air pollution
levels affect cardiovascular risk.
Kipen said his institute also studies health effects of diesel
exhaust, generally on healthy people under age 45, but they use
a more natural setting rather than an exposure chamber.
"We put them in a car and drive them around on the (New Jersey)
turnpike at rush hour for two hours," Kipen said.
New England Journal of Medicine
AHA American Heart Association
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