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December 2008 Health in the News Archive

[ Monthly Index of New Briefs ]


Kids' Worst Health Habits

December 26, 2008

By KAREN ASP, fitness columnist for Allure and the sport training columnist for Oxygen Magazine.

The health of today's children is in jeopardy. "In the last 10 years, diabetes in children has doubled; there's a growing obesity epidemic among children, and we're seeing heart disease start in children," says Joel Fuhrman, M.D., family physician in Flemington, N.J., and author "Eat for Health and "Disease-Proof Your Child."

The consequences are so dire, in fact, that health authorities are now predicting that this generation of children will be the first to have a shorter life span than their parents. So what habits are putting kids in jeopardy?

Fuhrman pulled together the 10 worst offenders but issues this warning: "Parents can't force children to do anything they aren't doing themselves, which is why parents also need to change their habits to become better role models."

1. Drinking soda
2. Not exercising
3. Eating processed and barbecued meats
4. Being overweight
5. Not eating enough fruits and veggies
6. Too many hours in front of the TV
7. Noshing sugary treats and foods
8. Eating fast food
9. Not getting enough vitamin D
10. Filling up on food made with white flour

Dr. Grout's Comment:
I couldn't have said it better myself. Paying attention to these "10 worst offenders," is a general roadmap for better health for children. Fuhrman recommends 400 IU of vitamin D, however this is not nearly enough for most of us, children or adults. I would also add that some children simply do not tolerate cow's milk – after all, cow's milk was intended for baby cows, not baby people. But on the whole, these are excellent suggestions, and we would all do well to follow them.

FDA Reconsiders BPA Risk

December 24, 2008

Weeks after its own advisory board accused the Food and Drug Administration of failing to adequately consider research about the dangers of bisphenol-A (BPA), the agency has agreed to reconsider the issue. BPA is used in many plastic baby bottles, sports bottles, plastic food containers, and metal can linings.

The FDA's draft risk assessment in August found BPA safe as it is now used. But that finding stood out against a tide of recent scientific opinion. The National Toxicology Program said there was reason to be concerned that BPA could harm the brain, behavior and the prostate gland. Canada added the chemical to its list of toxic substances this year and has said it will ban BPA from polycarbonate baby bottles.

A study published September in the Journal of the American Medical Association found that adults with high levels of BPA in their urine were more prone to heart and liver disease and diabetes.

"This was the F.D.A. finally acknowledging that its assertion that BPA is safe may not be correct," said Dr. Anila Jacob, a physician and senior scientist at the Environmental Working Group, a Washington-based advocacy group. "Still, we don't think it's enough. With millions of babies being exposed to this chemical on a daily basis, every day we continue to delay removing this chemical from baby products is another day millions of infants continue to be exposed."

Makers of BPA say that the chemical poses no known risk to human health.

Dr. Grout's Comment:
This move by the FDA to reconsider its position is a good one. Exposure to BPA is widespread. A study by the Centers for Disease Control and Prevention found it in the urine of nearly 93 percent of a sample population.

According to the Can Manufacturers Institute, more than 22 billion cans to be used for food and more than 100 billion cans for beer and soft drinks were produced last year. John Rost, a chemist and chair of the North American Metal Packaging Alliance, says "the vast majority" of them are lined with a resin coating containing BPA.

Given the threat to human health, it is better to be safe than sorry. The more we find out about plastics, the more we understand their downsides.

Flu Campaign Worth Questioning

December 19, 2008

The American Medical Association e-Voice dated December 18, 2008, contains the following paragraph, from the President of the AMA, Nancy H. Nielsen, MD, PhD:
Influenza season is in full swing. The Centers for Disease Control and Prevention (CDC) designated last week as National Influenza Vaccination Week to highlight the importance of immunization and to foster greater use of the flu vaccine through this month and well into next year. I encourage you to view the various resources the CDC has prepared to help clinicians emphasize the importance of getting vaccinated—and of course we should be immunized ourselves.
Dr. Grout's Comment:
Flu shots are vigorously promoted each year, but the latest science suggests they simply don't work very well because the flu virus mutates each year. The annual flu vaccine has not been shown to prevent flu-related deaths in people over the age of 65, according to the 2005 and 2007 Cochrane Collaborative's reports in the Lancet medical journal. Flu vaccine is preserved with thimerosal, which is 50% mercury. So with each shot comes a dose of a neurotoxin. Several states have prohibited the use of thimerosal in children's vaccines because of the debate over its role in autism and other developmental delays.

Many parents are fearful of vaccinating their children, and are questioning their pediatricians about the practice. The incidence of childhood vaccination does appear to be decreasing, and we are seeing more measles outbreaks in young children. Is this a matter for concern?

The American Medical News, a free publication for physicians put out by the AMA, has a headline on the front page of the December 15, 2008 edition: "Speaking language of vaccine safety" with the subtitle: "Easing parents' fears may mean moving beyond answers couched with scientific caveats".

In the body of the article, we read: "Dr. [Paul] Offit said the language of science can confuse lay people. Instead, physicians should rachet up the message and state their point emphatically – that the (MMR) vaccine does not cause autism." So physicians are urged to use techniques common in demagoguery – to cut back on scientific evidence, and have parents simply imaging what would happen if they did NOT vaccinate their child. The example given involves a child who grows up to work in a far-off place in the world where polio is still endemic. What a tragedy it would be if that child got polio because he had not been vaccinated. Indeed, more children are getting the measles in England, because "people are much more afraid of autism than they are of measles." And with good reason – measles is, for the most part, a fairly mild childhood infection which on rare occasion can go on to infect the brain, causing encephalitis. Autism is now seen in 1 of every 160 children, and appears to be pretty much life-changing for the entire family, in all those in whom it is diagnosed.

The estimated incidence of measles encephalitis, according to the Journal of the American Medical Association in 1972, was 1 in 100,000 cases of measles infection. Their calculation of the incidence of subacute sclerosing panencephalitis (SCPE, hardening of the brain, almost always fatal) was 1 in a million cases of measles. Somehow by 1997, the American Academy of Pediatrics reported that the incidence of measles encephalitis was 1 in 1000 cases. They reported that the incidence of mortality was increased in children with leukemia and HIV infection, or otherwise compromised immune systems. Better statistics? Someone else's database? It's hard to figure out how the incidence could have changed so drastically in 15 years. After all, the MMR vaccine was being given during that time. Did the introduction of the MMR vaccine cause the incidence of measles encephalitis to skyrocket?

Too many people have seen their children change after vaccination with large numbers of vaccines (5 or 6 at a time) for us to ignore the association. Some become ill with high fever, some lose their words, others develop a change in their behavior, some in their personalities, still others become diagnosed with speech delay, or PDD NOS, or autism, or ADHD within 1-2 weeks after vaccination Is it always caused by mercury in the thimerosal preservative which used to be used? Probably not, since we are no longer using thimerosal preservative in children's vaccines – except flu vaccine, which is recommended for children at 6 months. Is it the massive assault on their immune systems because of multiple vaccinations? Possibly. There are lots of anecdotes, but no controlled studies. Is it the assault on the immune systems of specific children who have poor detoxification capability? More likely. Many children indeed do just fine after vaccination – sometimes they get a fever, sometimes they are fussy for a couple of days, but most of them do not have lasting effects – that we have been able to measure. On the other hand, the incidence of AD/HD and behavioral problems has skyrocketed in the last 15 years, since we have been giving large numbers of vaccinations to infants. Why take chances?

Where is the harm in spreading out the vaccines – doing them one at a time, using preservative-free preparations, and monitoring neurologic status? Or even doing a genetic test of the methylation-sulfation cycle within the first couple of months of their lives, so that we might have some clue which children need to be treated differently? Yes, it would cost some more money. But think how much money we might be able to save in NOT having to care for developmentally delayed and dysfunctional children later on. I hope to see more rational dialog between pro- and anti- vaccine camps. I am of the moderate camp – my kids grew up in the era when they received one or two vaccinations at a time, and I never saw a child with autism until just the last decade. I love not seeing H flu meningitis – that was a horrific disease. But I surely do not like seeing autism. Somewhere in there must be a middle ground.

Prevention is NOT early diagnosis of a disease. It is diagnosis of the metabolic potential for disease, and then doing something about it. That is true prevention. Pre-venire comes from the Latin, meaning: to go before. BEFORE the disease manifests is when we want to make the diagnosis. It may not help today's bottom line, but surely will help tomorrow's.

Whole-Grain Diet Not Good for Diabetics

December 18, 2008

People with Type 2 diabetes on a high-fiber diet kept their blood sugar under better control when they ate foods like beans and nuts instead of the recommended whole-grain diet, researchers have found. Scientists describe beans and nuts as having a low glycemic index, meaning they only modestly increase blood glucose levels.

The new study is one of the largest and longest to assess the impact of foods with a low-glycemic index, researchers said. It involved 210 people and lasted six months. The study was published Tuesday in the Journal of the American Medical Association.

Participants on the low-glycemic diet also saw significant improvements in cholesterol after six months, with increases in HDL, the so-called "good" cholesterol associated with a reduced risk of heart disease, the study found.

"That's an important issue today, because there's a double whammy for people who are diabetic," said Dr. David J. A. Jenkins, lead author of the report and a professor of nutritional sciences at the University of Toronto. "If they're men, they have twice the risk of heart disease, and if they're women, they have four times the risk. If you can hit the heart disease to which they're particularly vulnerable, you may have something useful."

"Pharmaceuticals used to control Type 2 diabetes have not shown the expected benefits in terms of reducing cardiovascular disease," he added.

"We've been telling people to eat whole grains for a long time," said Emmy Suhl, a nutrition and diabetes educator at the Joslin Diabetes Center in Boston. "What this study shows is that it's not enough to have whole grains. It's these very specific low-glycemic carbohydrates that do a much better job."

Dr. Grout's Comment:
The high-cereal high fiber diet emphasized "brown foods" such as whole-grain bread and breakfast cereal, brown rice and potatoes with the skin on. The low-glycemic diet included beans, peas, lentils, pasta, quickly boiled rice and certain breads, like pumpernickel and rye, as well as oatmeal and oat bran cereals.

It is interesting with the rise in celiac disease and other digestion disorders, that the nutritionists did not consider the impact of wheat, a component in both diets. The wheat available today, whether whole-grain or not, is an intensely hybridized wheat that is very different from what was eaten during Roman times for example. Ancestral grains are generally superior to the modern hybrids in mineral, vitamin, protein and fat content. Modern wheat has a higher gluten content so that commercial baked goods will rise higher. Remember that fluffy Wonder Bread? Gluten, the protein found in wheat, rye, barley, can be very inflammatory; some experts believe an estimated 40 percent of the population has wheat allergies and/or sensitivities. Food long revered as "the staff of life" has become a toxic substance to large numbers of people.

Brain Injury Screening Urged for Soldiers

December 5, 2008

A report released Thursday concludes that traumatic brain injury (TBI) is often called the signature injury of the war in Iraq, and soldiers who suffer such injuries face some frightening prospects.

Many veterans have complained of persistent, sometimes disabling symptoms like sleeplessness, dizziness and confusion that can resemble disorders like post-traumatic stress and can complicate disability assessments.

The Institute of Medicine (IOM) issued a long-awaited government report calling on the military to test all new recruits for cognitive skills, and then do large-scale studies of returning combat veterans to better evaluate and respond to TBI. The authors, who reviewed 1,900 previous studies of brain trauma, found a link between moderate and severe injuries and rising depression, memory loss, aggression, Parkinson's-like tremors, and social problems that hinder employment.

For some time now, veterans' advocates and researchers have called for more careful investigation of head injuries -- not just severe wounds, but also 'closed head' injuries, which do not produce visible damage, and do not show up on CT scans. In fact, some physicians and veterans say the high blast impact of IED's, the roadside explosives that have accounted for most head injuries to troops in Iraq, may be creating symptoms that differ from the sort of concussions suffered in sports or car accidents.

Serious brain injuries account for 22 percent of U.S. casualties in the two conflicts, according to the report. In fact, "the brain injury rate is almost double that of the Vietnam War, pushed up by the increasing power of enemy attacks as well as stronger body armor and better medical care that keep more soldiers alive."

Dr. Grout's Comment:
Screening for Traumatic Brain Injury (TBI) is all well and good – at least we are beginning to recognize that TBI exists, and that it can affect lives. Unfortunately, the best that allopathic medicine has to offer is talk therapy or drugs, neither of which really addresses the root of the problem – the massive disruption of individual nerves and nerve bundles that occurs with shearing and twisting forces. Neurotherapy is a very well known and well researched way to treat TBI. It is effective in a remarkably short period of time, and could save the mildly brain injured untold hours of grief and disability. Neurotherapy can be done through the older style of EEG-feedback training, or through the newer HEG biofeedback. They are both effective. HEG biofeedback takes less time and is less messy than EEG biofeedback. I wonder why this modality of treatment is not more widely recognized in the allopathic medicine community. Could part of the reason be that it is relatively inexpensive and does not use pharmaceutical drugs? Or is it because this form of therapy is also used by psychologists and other health care practitioners who are not medical doctors? Whatever the reason, I think it's a great shame that we physicians are so unwilling to embrace new modalities of therapy which are effective both in terms of cost and therapeutic outcome. At the Arizona Center for Advanced Medicine we treat people with traumatic brain injury, using a whole therapeutic program which includes 20 sessions of HEG, restoring brain function and abilities better than any other program I have ever experienced.

Fluoridation Unpopular on November Ballot

December 3, 2008

Now that the dust has settled from the elections, we have an accurate picture of what happened when voters were asked about water fluoridatation.

Whether to add fluoride to drinking water was on the ballot in numerous communities in Nebraska, one city in New York state, one in Maine, and two in Wisconsin. According to figures posted by the Fluoride Action Network, it was rejected overall by 79 percent of the voters. It failed in Corning, New York; failed in Prairie du Chien, Wisconsin, and failed in about 45 cities in Nebraska.

Fluoridation has always been controversial. A 2005 Centers for Disease Control study found too much fluoride has caused irreversibly discolored teeth in one out of three children. And a major report by the National Academy of Sciences says toxic levels can lead to severe, permanent pitting of the enamel in children. Fluoride can also build up in the bones to cause pain, stiff joints, and skeletal abnormalities when they get older.

"It's an accumulative poison," said Bob Carton, former EPA scientist: It just gradually builds up and it gradually causes harm. It was a foolish thing to do years ago. They didn't have enough information. It hadn't really been tested."

Dr. Grout's Comment:
The American Medical Association, WHO, and the American Dental Association all back fluoridation, but there is a growing understanding among the public that it is not safe — hence all those ballot measures.

A year ago, a tidal wave of concerns over excess fluoride prompted the American Dental Association (ADA) to warn parents not to mix baby formula with tap water during an infant's first twelve months.

In 2005, frustrated by EPA administrators' lack of response to mounting evidence of harm from fluoride, eleven unions within EPA representing 7,000 lab workers, scientists, and others publicly called for the immediate halt to fluoridation based on concerns about fluoride-caused bone cancer.

The Fluoride Deception by prize-winning journalist Christopher Bryson documents how industrial interests, concerned about liabilities from fluoride pollution, played a significant role in the early promotion of fluoridation. Bryson shows that the endorsement of fluoridation was about far more than a simple concern for preventing tooth decay. Check out http://wideeyecinema.com/?p=29

Fluoride proponents overlook a basic question: What causes cavities? Bacteria and acids in the mouth mix with food particles and our saliva to form plaque. Bacteria, not sugar, are directly to blame for cavities. But sugar feeds the bacteria, makes the plaque will grow faster and thicker. As the ADA points out, I in every 4 beverages consumed in American today is a sugary soft drink.

Melamine Shows Up in US-Made Baby Formula

December 1, 2008

Less than two months after federal regulators said they were unable to set a safety threshold for the industrial chemical melamine in baby formula, they announced a standard that allows for higher levels than those found in U.S.-made batches of the product.

Food and Drug Administration officials on Friday set a threshold of 1 part per million of melamine in formula, provided a related chemical isn't present. They insisted the formulas are safe. Last Wednesday, the FDA said Nestle's Good Start Supreme Infant Formula with Iron had two positive tests for melamine on one sample; Mead Johnson's Infant Formula Powder, Enfamil LIPIL with Iron had three positive tests on one sample for cyanuric acid. Separately, a third major formula maker, Abbott Laboratories, told the Associated Press that in-house tests had detected trace levels of melamine in its infant formula. Those three formula makers manufacture more than 90 percent of all infant formula produced in the United States.

Dr. Stephen Sundlof, FDA's director of food safety, said Friday the agency was confident in setting the 1 part per million level for either of the chemicals alone, although there has been no new scientific studies since October that would give regulators more safety data. He had no ready explanation for why the level wasn't set earlier.

The standard is the same as the one public health officials have set in Canada and China where in September the problem of melamine in infant formula first surfaced. But it is 20 times higher than the most stringent level in Taiwan.

Dr. Grout's Comment:
There was outrage when dogs and cats were sickened and died a few months ago, because of melamine contamination of their food. We did not discover melamine contamination of baby formula until thousands of infants became ill in China. Why is there melamine contamination in the first place? We all are familiar with melamine dishes – hard glossy plastic dishes. It is also used for laminates (kitchen counter tops, furniture) and flame retardants. Melamine also was found to help control the dispersion of nitrogen in the soil – and so it is applied along with fertilizer to food crops, without any governmental control over how much is applied. The melamine is incorporated into the food crops, because it shows up in animal feed made from those food crops. So there is no reason to be surprised that it would show up in products made from those food crops, or from the animals which ate the crops.

It would appear that the only relatively safe source of food would be organic, food produced without artificial fertilizers – assuming that the organic animals did not eat grass fertilized with artificial fertilizers. It is becoming more and more difficult to feed our families food which is safe. I wonder whether our government will realize there is an opportunity to set standards for the use of this chemical in food products. In the meantime, organic is safer than non-organic. Breast milk is safer than formula. Cow's milk is for baby cows.

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