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Vermont Legislature Passes Law Regulating All Drug/Device Company Marketing, Requiring Disclosure Of Gifts To Doctors
The Vermont Legislature has passed legislation (S 48) that bans nearly all gifts from pharmaceutical and medical device companies to health care providers, administrators and facilities in the state, the New York Times reports. The legislation specifically would prohibit drug and device makers from giving providers no-cost meals. Vermont"s legislation would go further than similar laws in other states like Massachusetts and Minnesota by requiring drug and medical device manufacturers who give gifts to health providers to publicly disclose recipients" names and dollar amounts of payments and gifts. The measure would not require manufacturers to disclose payments for clinical research of products undergoing FDA review, the Times reports. The legislation also would eliminate a loophole that allows manufacturers to conceal certain expenses by claiming them as trade secrets. In a recent report, the Vermont Office of the Attorney General said that medical product makers spent about $2.9 million on promotional efforts to the state"s health care providers in fiscal year 2008 and that nearly half of the state"s 4,573 licensed providers had received some type of incentive from drugmakers in the same year. The report, which was developed prior to passage of the new legislation, offers only aggregate data, as 83% of the manufacturer-declared payments were deemed to be trade secrets, the Times reports.Gov. Jim Douglas (R) is expected to sign the law, which would take effect July 1. Several state medical groups -- including the Vermont Association for Mental Health and the Vermont Medical Society -- have indicated support for the legislation.Marjorie Powell, a senior lawyer for the Pharmaceutical Research and Manufacturers of America, said the requirements under the new law appear redundant with new voluntary guidelines the group has issued on physician gifting practices. She said, "We think this is unnecessary, and it is not going to improve patient care," adding, "It makes it onerous not only for the company but also for the physician in Vermont, because this is going to be on a Web site" (Singer, New York Times, 5/20).
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A Research Group Focus On Neurobiology Of Parkinson's Disease An The Early Detection Of The Disease
A research group based at the University of Granada, in cooperation with the Neurology Unit of the San Cecilio Hospital of Granada and the Department of Experimental Sciences of the University of Jaen, is studying the Neurobiology of Parkinson"s disease (PD). They have developed a non-invasive method for serological diagnosis of Parkinson"s disease, which is being patented by the University of Granada. To this end, the scientists analyzed and purified proteins associated with this disease, such as aminopeptidase. However, it is not an easy task: "there are thousands of proteins in the blood, and only a few are related to neurodegenerative diseases."
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ECOSOC's Agenda Should Include Noncommunicable Disease Threat In Developing Countries
"[E]xplicit indicators to measure progress in reducing heart diseases, stroke, diabetes, cancers and chronic respiratory diseases" are missing from the U.N. Economic and Social Council (ECOSOC) agenda as it meets in Geneva this week "to focus on implementing the internationally agreed goals and commitments in regard to public health," and the "omission needs to be urgently addressed if the intent is to have a major impact on reducing poverty by 2015," Ala Alwan, WHO"s assistant director-general for Noncommunicable Diseases and Mental Health; George Alleyne, PAHO"s director emeritus; and Martin Silink, president of the International Diabetes Federation write in an opinion piece in the Hindu.
Cardiovascular

Is Organic Food Really No Better Than Other Foods?

The Food Standards Agency (FSA), UK, issued a report last week claiming that there is no evidence of any significant benefits to human health from consuming organic foods. It is surprising that such a claim could be made from a public health agency after what could best be described as rather limited research - according to much of the British press. Some facts about the study: *It did not include papers that were not written in English - estimated to be about half of all good quality studies. *It did not include research from the European Union published in April, 2009. *It ignored a study by scientists at Rhode Island Hospital which found a substantial link between increased levels of nitrates in our environment and food, with increased deaths from diseases, including Alzheimer"s, diabetes mellitus and Parkinson"s. The study was published in the peer-reviewed Journal of Alzheimer"s Disease (Volume 17:3 July 2009). Fair enough, this was published after the FSA had concluded their research. However, everyone knew this study was ongoing. Why not wait a little bit longer until it was completed? *It did not use the top British centers of excellence in this field to carry out the study. Scientists at the Nafferton Ecological Farming Group at Newcastle University, in one of many studies, found that grazing cows on organic farms in the UK produce milk which contains significantly higher beneficial fatty acids, antioxidants and vitamins than their conventional "high input" counterparts. A nationwide British daily newspaper, The Daily Mail, could not understand why the FSA used the London School of Hygiene and Tropical Medicine to carry out the study - a center of excellence, but not renowned as a leading center in this field - instead of, for example Newcastle University. Why do people choose organic? Putting the health issue to one side, there are many other reasons people wish to buy organic - two of them are listed below: *The environment *The effect on life forms within the soil - if you look at video footage of tractors ploughing fields forty years ago you will notice there used to be a sizeable number of birds gobbling up worms and bugs. Today there are very few of them, and sometimes none at all. *There are significantly more birds, butterflies, beetles, bats and wild flowers on organic farms than conventional farms. *Protection of endangered species - intensive farming is known to have a negative impact on the future of many endangered species. "A staggering 5 million skylarks are estimated to have vanished in the past 30 years as a result of agricultural intensification," (Speech given by Sir John Krebs, Chair of the Food Standards Agency at Queen"s University, Belfast, on 5 November 2003). *Coastal waters - there is much less run-off of nutrients from organic farms, compared to other farms, which cause algae blooms in coastal waters. *Organic farming encourages practices which are more in line with measures to combat climate change. An example is the use of solar powered fertility through crops like red clover that fix nitrogen into the soil for subsequent crops. *Animal welfare (farm animals) As organically farmed animals are encouraged to pursue natural behavior, which usually includes plenty of space, more natural feeding habits, as well as receiving fewer drugs and antibiotics, their quality of life is generally better compared to animals in other farms. In the vast majority of cases, organic farms with livestock have free-range animals. In every organic poultry farm in the UK, birds are kept in smaller flocks and spend much more of their time roaming outside on fresh grass - they also have considerably more indoor space, compared to non-organic poultry farms. What about unknown long-term complications? Can we really say organic is not better for health if we do not have enough long term evidence? Scientists at Emory University, the University of Washington, and the Centers for Disease Control and Prevention (CDC), found that by substituting elementary school-age children"s foods with just organic products, the concentration of the organophosphorus pesticides found in their bodies decreased substantially to non-detectable levels until the conventional diets were re-introduced. The researchers were specifically measuring the exposure of two organophosphorus pesticides - malathion and chlorpyrifos. Research team leader, Dr. Lu said "During the days when children consumed organic diets, most of their urine samples contained zero concentration for the malathion metabolite. However, once the children returned to their conventional diets, the average malathion metabolite concentration increased to 1.6 parts per billion with a concentration range from 5 to 263 parts per billion." An elementary school child will most likely live another 70, 80 or even 90 years. We cannot and should not ignore potential long-term complications. Written by Christian Nordqvist Copyright: Medical News Today Not to be reproduced without permission of Medical News Today


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