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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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============================
=> IN THIS ISSUE!
============================


==> Editors' Ranting & or Warnings
==> Something To Think About
==> Health Thought for the day!
==> Showcase Health Spotlight
==> Monthly Spotlight Ads
==> Today's Health Tip
==> Health Today
==> Environmental Report
==> Life Changing Information



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EDITORS' RANTING
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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!

Question or comment (good or not so good) Click Here 

Lena

Remember ANEH Facts archives  Click Here 
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TidBits Of Info

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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!
=======================

EAT YOUR BEANS, GREENS AND GRAINS. 

Scientists have found a special group of substances locked inside of WHOLE
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suggests chemicals found in edible PLANTS are the BIGGEST BREAKTHROUGH IN NUTRITION since vitamins and minerals were discovered.  White bread, white flour, white rice and the rest of the gang of counterfeit carbs made with them do not provide the health promoting benefits of the phytochemicals. Organics being the highest phytochemical containing foods!

 


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 TODAY'S HEALTH TIP

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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 
 


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FOOD OF THE WEEK
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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


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 HEALTH TODAY
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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!


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    ENVIRONMENTAL REPORT      
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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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