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U.S. Health and Human Services Secretary Sebelius Releases New Report On Health Disparities
U.S. Health and Human Services (HHS) Secretary Kathleen Sebelius today released a new report on health disparities in America and participated in a White House Health Care Stakeholder Discussion on the importance of reform that reduces disparities that exist in our current health care system. The new report Health Disparities: A Case for Closing the Gap is available at http://www.HealthReform.gov.
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Increase In Contraception Sales, Vasectomies Linked To Recession, Slate Column Says
The "hard truth of our economic turmoil is almost at term," as hospitals are beginning to report a decrease in the number of births, about nine months after "American banks first admitted their collective crisis," author Lauren Sandler writes in Slate"s "The Big Money" column. Sandler writes that the trend is "hardly unprecedented," noting that the contraception business "was just about the only one booming" during the Great Depression. She asks, "Are market forces the great contraceptive?" Sandler continues that in the first few months of 2009, Nielsen reported a 10% increase in U.S. sales of condoms and emergency contraceptive pills. Additionally, sales of the permanent female contraceptive Essure have increased 28% over the past year, and clicks on physician profiles on Vasectomy.com have risen 40%. According to Sandler, Vasectomy.com"s chief operating officer, Maya Wank, reports that many urologists say that vasectomies are increasing because patients" salaries are down, with many men seeking vasectomies out of fear of job or health insurance loss.Sandler writes that the "tanking economy has delivered an awakening" that the "choice to have a child is probably the most serious, not to mention one of the most costly, that you"ll ever make." According to Sandler, a Gallup poll found that 12% of women say they know someone who has delayed a planned pregnancy because of the recession. The poll also found that one in five women reports that she is more concerned about unintended pregnancy than she was one year ago, and the same number reports being more "conscientious" about using birth control. Additionally, the poll found that, compared with one year ago, 13% more women who use hormonal contraception are concerned that they will be unable to afford their birth control. Since 2008, there has been an increase of 15% in the number of U.S. residents who say they had to cut back on medications due to cost.Sandler writes that it is "not surprising" that the National Network of Abortion Funds reports a fourfold increase in the number of calls from women who need assistance paying for abortion procedures. The Centers for Disease Control and Prevention also recently announced that teen birth rates are up after a 14-year decline. "In other words, the recession could result in a drop in birth rates for women with easy access to contraception and abortion," Sandler writes, adding that experts believe that women with "more limited access ... may see the rate climb." Sandler concludes that "it"s not unreasonable to consider what things will look like if the middle class reduces its reproduction, while men and women who are struggling to even afford condoms expand their numbers despite their personal choice" (Sandler, "The Big Money," Slate, 5/17).
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Breakthrough Treatment For Rheumatoid Arthritis Offers New Hope To Patients
Today"s Irish launch of RoActemra, a new treatment for rheumatoid arthritis (RA) from Roche, is being hailed as a breakthrough in the fight against this incurable and often debilitating disease. RoActemra (tocilizumab) is the first medication of its kind developed for the treatment of RA and provides an innovative therapy option (1), which gives people with RA fast relief of RA signs and symptoms, such as pain. Also, people receiving RoActemra continue to benefit from increased relief during the course of treatment, with approximately half reaching remission (minimal signs and symptoms) by one year.
Endocrinology

Risk Of Complications In Pregnancy Increased By Obesity, Study Shows

Expectant mothers who are obese are much more likely to suffer from minor complications such as heart burn and chest infections during pregnancy, a study suggests. Research by the University of Edinburgh found that obese mothers-to-be were nearly 10 times more likely to suffer from chest infections, and more than twice as likely to suffer from headaches and heartburn, compared with pregnant women of a healthy weight. Researchers studied the records of more than 650 pregnant women, of whom nearly half were overweight or obese at the beginning of their pregnancy. The study took into account factors such as age and smoking. Obese pregnant women were three times more likely to have carpal tunnel syndrome, which occurs when an increase in fluid causes swelling in the wrist. The condition can lead to tingling, pain, numbness and lack of coordination in the hands. The study, published in the British Journal of Obstetrics and Gynaecology, also found that obese women had a more than three-fold increased risk of suffering from a condition known as symphysis-pubis dysfunction, which affects the pelvic joints and may cause walking difficulties if severe. The costs of treating minor complications in obese women were estimated to be more than three times that of treating women of a healthy body weight. Dr Rebecca Reynolds, of the Tommy"s Centre for Maternal and Fetal Health at the University of Edinburgh: "Although symptoms such as heartburn are common and generally perceived to be benign, they can still have a major impact on the quality of life for pregnant women and can be linked to more serious conditions. What may be termed as minor complications can make a pregnancy much more uncomfortable and are also associated with higher treatment costs." Around a quarter of pregnant women giving birth are obese. The Tommy"s Centre for Maternal and Fetal Health at the University of Edinburgh is investigating the implications of obesity in pregnancy and how this can be addressed to improve both the health of mother and child. Obesity during pregnancy also increases the risk of more serious conditions such as gestational diabetes, pre-eclampsia and the need for a caesarean section. More than one-third of pregnancy-related deaths occur in mothers who are obese. Tara Womersley University of Edinburgh


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