Thursday, February 28, 2008

Cases of animal rabies Grandpuits


A case of animal rabies has been diagnosed in a dog to Grandpuits, in the department of Seine-et-Marne
"The Pasteur Institute has confirmed a case in a dog named Cracotte" with the analysis "showed a canine virus strain of Moroccan origin."

About 20 people identified as having been in contact with the animal, were directed towards a center to receive rabies, "if necessary", a preventive treatment. Toll free number: 0800 13 00 00.


Rabies is transmitted through bites, scratches and licking. It is fatal to humans if not treated before the onset of the first symptoms.

On Tuesday night, the prefecture of Seine-et-Marne announced that it had established a "perimeter of vigilance." A measure taken after an incident on February 18: a girl of 12 years was bitten in the hand by his dog, a staffordshire nine months which had to be euthanized on February 19. Autopsy results known Tuesday, have revealed the presence of the disease.

The death of another dog on January 5, also at Grandpuits, was deemed suspicious by the veterinary services. The period of risk of contamination of the animal, a black labrador cross-called Hurray, "would start on December 15, 2007 and end on February 19, 2008", it was clear from the same source.

A perimeter with 36 rural municipalities has been established, in which the owners of domestic animals are called to greater vigilance. They are invited to submit to a vet any pets (carnivore), which have signs of disease or die. Moreover, "any person who has been griffée, bitten, licked by a stray dog on the perimeter (vigilance) between late January and Feb. 19, 2008 is asked to contact" a number set up by the prefecture

It supports Paralysés de France


The APF organizes, in conjunction with the national week for people with physical disabilities from 10 to 16 March 2008, an operation to raise funds throughout France.

Buy bracelet of the difference!
As every year, the APF organizes, in conjunction with the national week for people with physical disabilities from 10 to 16 March 2008, an operation
Collecting funds throughout France.

These funds will enable the APF carry out projects and activities nearby for people with disabilities engine.
The APF therefore invites the public to make a gesture of solidarity, proximity during this week: € 2 to buy the bracelet of difference, a bracelet in symbolic message "Different like everyone else!"

To make this gesture of solidarity, go to the Web site of the Association of Paralysés de France
Concrete projects
The funds collected will allow delegations of the APF carry out projects to combat discrimination against people with disabilities.
This struggle often passes through a greater presence of people in society. Thus plans to end the isolation of people with disabilities, to promote the accessibility of public and private places or foster social support can be set up with the money

epidemic

The flu has reached 1,950,000 people in mainland France 7 weeks of an epidemic, said Tuesday the network Sentinels of Inserm, which provides for the end of the epidemic by 2 to 3 weeks. "The epidemic continues its downward trend," noted the network.

Last week, the flu has affected 375 people in 100,000 people, a rate well above the epidemic threshold to 147 cas/100.000 inhabitants.


The average age of those seized was 31 years, and men accounted for 48.7% of cases.

The vaccine efficacy was 72% among those under age 65 and 52% among those over 65, observed that the network will have a final estimate comparison with other years once the epidemic ended. Sixteen regions in metropolitan France had exceeded the epidemic threshold last week: Rhone-Alpes (780 cas/100.000 inhabitants), Champagne-Ardenne (537), Britain (435), PACA (374), Alsace (366), Ile-de - France (358).

In addition, on the front of chickenpox, the network Sentinel noted a "moderate". Last week, the disease has affected 32 people out of 100,000 residents, above the epidemic threshold of 29/100.000).

Five regions appeared hardest hit, including a significantly more than others: Picardie (332 cas/100.000 inhabitants.

Bistros without tobacco: Decreased 15% of heart attack

The ban on smoking in public places, including bars, cafes, clubs and boxes of nights showed in a study that the health effects are considerable: a decrease in myocardial infarction by 15%.

A 15% drop in infarction and cerebral vascular accidents since the ban on smoking in all public places contained in a study report delivered to the Ministry of Health. This study demonstrates that the ban had an immediate effect on public health.

Why a figure so spectacular? The reason comes from reducing exposure to passive smoking customers and staff will or working in these establishments.

Being a public health priority for the ministry, the fight against smoking is inevitable. Tobacco smoking kills one in two regular and 5,000 people fall victim every year in France of passive smoking

56% of French people find the health system uneven


ImprimerEnvoyer
Some 56% of French people think that their health care system does not allow "all inhabitants of the country to enjoy the same quality of care," according to a survey by LH2 for ISSC, a group of 27 users associations Health and sick.

To address the problems of medical demography, 75% agree with the idea of "forcing doctors to settle in areas where there are gaps" and 96% believe that "train over doctors, "according to the survey.

They are also 36% did not consider that the health care system is "increasingly high" (vs. 64% who think it is).

The majority of the French (65%) feel "well informed about actions to be taken if a problem arises due to an act of caring" and 86% consider that their physician "gives them the information they need."

Computerization of health data is collected by 72% of respondents as a way to better care for patients, even though 55% of respondents see "a risk of invasion of privacy."

New case of mad cow disease in Canada


The Canadian Food Inspection confirmed Tuesday the existence of a new case of mad cow disease in Alberta in western Canada. This is the twelfth case reported in the country since 2003.

The agency has indicated that the new case of bovine spongiform encephalopathy was detected in an animal aged six years. No part of the carcass of the animal did not enter the food and feed chains

New case of mad cow disease in Canada


The Canadian Food Inspection confirmed Tuesday the existence of a new case of mad cow disease in Alberta in western Canada. This is the twelfth case reported in the country since 2003.

The agency has indicated that the new case of bovine spongiform encephalopathy was detected in an animal aged six years. No part of the carcass of the animal did not enter the food and feed chains

Catherine Petitnicolas

This tropical fever, fostered by the proliferationof mosquitoes during this period of rains, has affected 72 people in recent weeks.
Dengue, also called fever or flu tropical red, re-emerged in New Caledonia, where 72 cases were recorded compared to 29 yesterday, there was less than two weeks, on Feb. 12. Because of the increase in the number of cases, health authorities reported the epidemic situation in the territory.

Several homes were seen Dumbéa in the suburbs of Noumea, where there were 26 people sick, and on the island of Lifou in the east of the main island, where 12 cases have been reported. And several people were hospitalized.

The rainfall and high temperatures currently raging encourage the proliferation of mosquitoes which transmit the tropical fever.

This viral disease transmitted by the Aedes mosquito, causes a high fever of 39 ° C to 41 ° C accompanied by severe headaches, nausea, vomiting, muscle and joint pain, an itchy rash on the trunk and members. Convalescence accompanied by pain and great fatigue lasts at least two weeks.


Use repellents

The severity of the disease is due to the complicating haemorrhagic form 1% of cases: fever persists for two to seven days and is accompanied by bleeding multiple gastrointestinal, skin and brain. This is a potentially lethal complication, but the cure may be rapid, total and without sequelae. The treatment is purely symptomatic (paracetamol), but aspirin is contraindicated.

Most patients were suffering from a dengue type 1, originally in a 2003-2004 epidemic affecting 6500 people and killed 19 of them. But the outbreak of dengue type 4 and 2, imported by individuals who have traveled to Indonesia, worrying authorities who fear a spread faster because the population immune to these two other types are low. Health authorities have recommended to use repellents, destroy their breeding grounds.

Dengue formerly confined to the South-East Asia continues to grow, the Indian Ocean, South Pacific and especially in Latin America.

all dogs classified as dangerous in foster care since 1999 for the killing,

The president of the refuge SPA Haguenau (Bas-Rhin) has been summoned by the police to recall all dogs classified as dangerous in foster care since 1999 for the killing, which it said Tuesday refused on behalf of his "ethical" .

"For me, there is no question of recall of dogs placed for several years without any problems: it goes against my ethics and the ethics of the profession," said Sabine Fghoul.

At a convocation Friday at the gendarmerie in Bischwiller, "I have been served in a rather harsh that I had a month to recover all dogs placed first class since 1999 and euthanized, as well as those who are still at the shelter, under pain of criminal prosecution, "she said.

The gendarmerie refers to the Act of January 6, 1999, which distinguishes between two categories of known dangerous dogs and prohibits the sale, purchase and import of dogs first class, a law that Mrs. Fghoul judge "absurd".

She said that this law introduces a "crime of facies. Any dog can become dangerous if it receives a bad education. In reality, dogs are essentially mordeurs dogs 2nd category. "

Half a dozen dogs could be placed euthanized and five others who are still in refuge, but no decision has been taken yet, Sabine Fghoul stresses.


"I have a month to reflect and m'exécuter with our lawyer and all the associations for the protection of animals in the wake of events," she said.

Ms. Fghoul was convened for the first time by gendarmes there is a fortnight in the wake of control of the owner of a dog classified as "dangerous". This person had reported having obtained his animal in October 2007 to the SPA of Haguenau.

, "the deficiencies in immunization coverage are responsible for all cases of tetanus,

In France, "the deficiencies in immunization coverage are responsible for all cases of tetanus," says the Weekly Epidemiological Bulletin (BEH), issued Tuesday, February 26 by the Institute of Health. The BEH recalls that "tetanus persists especially in the elderly population." Between 2001 and 2003, 70 years and older accounted for nearly 90% of the 75 reported cases.


Potentially fatal, tetanus occurs in a person unvaccinated or whose vaccination is no longer up to date and that is going to hurt, for example, gardening, as the tetanus bacillus spores can stay, or with an object rusty. In 1987, a survey by INSEE identified 10 million adults are not vaccinated against tetanus, and 17 million are not vaccinated against polio. As pointed out in the BEH, except for children under 6 years of age, "there is no monitoring of immunization coverage at the national level".

The study published by the BEH focuses on "immunization coverage against tetanus, polio and diphtheria in 2006 in a population aged francilienne." In this case, 600 people aged 60 to 97 years, came complete their immunizations against influenza immunization at the centre of the Institut Pasteur in Paris. In this population conscious of your health, "respectively 23%, 58% and 72% of those aged 60 or more are not up to date on their tetanus, polio and diphtheria."

The authors emphasize that "thanks to the effectiveness of post-exposure prophylaxis, tetanus in adults is contained in very low limits, but this is costly, and sérothérapie (with tetanus serum) is excessively used. " The use of combination vaccines (diphtheria, tetanus and polio) on the occasion of the influenza vaccination rates improve protection against the three diseases.

AFRICA HIGHLY AFFECTED

The rates of resistant forms of tuberculosis treatment have never been higher, revealed the World Health Organization (WHO), in a report released Tuesday, February 26. The international agency estimated that half a million the number of resistant forms on an annual total of 9 million TB cases.


The countries of the former Soviet Union and China registering the largest rate. Surveys in the Eastern countries have also shown a proportion of tuberculosis multidrug twice as high when the patient is also infected with the AIDS virus. In addition, 45 countries have reported at least one case of ultra-resistant tuberculosis, a form of the disease almost impossible to treat.

This report is the fourth since 1997 for this contagious and infectious disease that affects mostly the lungs. It is based on data on more than 90000 patients, collected between 2002 and 2006 in 82 countries.

For that TB is seen as multidrug (MR), its agent, the Koch bacillus, should not be susceptible to the two most effective anti-TB drugs, isoniazid and rifampicin. In cases - even tougher - of drug-resistant tuberculosis (UR), in addition to isoniazid and rifampicin, or molecules of the family of fluoroquinolones or injectable antibiotics are active.

Baku, the capital of Azerbaijan, holds the record proportion of tuberculosis multidrug: 22.3% of TB cases identified. This proportion reached 19.4% in Moldova and 16% in the Donetsk region (Ukraine).

The magnitude of the phenomenon is still not identified in Africa, a region where the incidence of tuberculosis is highest. Only six countries have been able to transmit data on the phenomenon of resistance. Among them, Rwanda presents the highest proportion of TB MR, with 3.9%.

The forms ultrarésistantes represent a quarter of multiresistant tuberculosis in Estonia. Each year occur approximately 40000 cases of tuberculosis UR in the world.

WHO estimates that more than 3 billion euros to effectively combat tuberculosis in countries with low-or intermediate, of which at least 20% on the forms and UR MR. It said the funding gap currently reach 1.6 billion euros, of which 330 million for the forms and MR UR

NEVADA

NEVADA
40,000 possible contamination with the AIDS virus and hepatitis B and C


The health authorities of the United States have launched an information campaign towards patients who were allegedly operated at a clinic in Las Vegas between March 2004 and January 2008
(Sipa photo)
Health authorities Nevada (west) have launched an information campaign targeting 40,000 people potentially contaminated with hepatitis B or C and AIDS at a clinic in Las Vegas, it was learned Thursday, February 28, official sources.
"The Department of Health of southern Nevada has announced that it warned about 40,000 patients to a clinic in the potential exposure to hepatitis C, as a result of an investigation into several cases of this acute disease," said this administration in a statement.

A property located in Las Vegas

The property in question is located in Las Vegas, the largest city in the south of the state.
The notification aims "of the patients operated in the clinic between March 2004 and January 11, 2008," according to public health officials who recommend these persons to contact their doctor to undergo tests for hepatitis C, hepatitis B and HIV, the AIDS virus, according to the same source

The household chemicals are harmful to the lungs of children

According to a study to be published in the March issue of the European Journal of Pneumology (ERJ), the frequent use of household chemicals (disinfectants, aerosol deodorants…) by women who are pregnant or shortly after birth, may affect the health of their children.

John Henderson and his colleagues at the British University of Bristol examined the frequency of use of 15 household chemicals (disinfectants, bleach, carpet cleaning products or carpeting, aerosol deodorants, Compound white-spirit, insecticides, paints and varnishes, paint strippers…) by pregnant women. They were also concerned with the consequences of such use on respiratory functions of their children.

The British study focused on 7,162 children. Their mothers completed a questionnaire about their use of 15 household chemicals. Asthma is the most common cause of chronic wheezing in children has been taken into account in the study and respiratory and skin tests were made with children.

Lower respiratory capacity

According to the authors of the study, the results show that children with a mother who frequently uses household chemicals in late pregnancy and shortly after birth, are more wheezing during childhood and decreased their Respiratory capacity at the age of 8.

John Henderson clarified to AFP that the study was not designed to determine which product has the most impact on children's health. According to him, further studies are needed to confirm these results

Generation shows no difference with placebos.

How are known for their French bulimia "pink pills of happiness" are they going to react to this news? Two scientists, Irving Kirsch of the University of Hull (United Kingdom), and Blair Johnston of the University of Connecticut (USA), just to review all clinical trials of six new antidepressants generation's most prescribed: Prozac, Effexor, Deroxat, Zoloft and Seropram (Serzone has been withdrawn from the market in 2003). Their verdict is final. These drugs, which all belong to the category known inhibitors of serotonin reuptake, is not more effective than placebo! In other words, a medicine containing no active ingredient…

How the medical profession has been able to prescribe these drugs to tens of millions of people worldwide over the past twenty years (in 2000, 9.7% of French in the general scheme, or about 5.5 million people , had been prescribed at least once an antidepressant)? The answer has already been given last month in the New England Journal of Medicine: pharmaceutical companies that do not publish studies giving positive results. As a result, the effectiveness of the drugs they promote with the help of psychiatrists opinion leaders is widely exaggerated…

Today, Kirsch and his team pound the nail in an original way. Thanks to a legal unique in the world, the Freedom of Information Act, which gives access to any American citizen to administrative documents public, they were able to get the Food and Drug Administration (FDA) the files of 47 clinical trials conducted by the laboratories to obtain permission to market their antidepressants. And including unpublished trials, which are very often negative.

The researchers discovered that four studies concerning Zoloft from Pfizer (among all existing tests) did not show significant therapeutic effect. Same for the Seropram, laboratory Lundbeck, with a negative test.

According to the authors, these "lies by omission" represent between 23 and 38% of patients included in all clinical trials evaluating antidepressants. What makes much… The complete analysis of all data carried out by these researchers, including those unpublished, has the effect of "diluting" the performance of drugs. So, once these negative studies taken into account, the effectiveness of antidepressants appears hardly different from placebo.


"Psychiatrists untrained"

The severity of depression was estimated based on the responses to 21 questions posed to the patient, according to a rating scale developed in 1960 by the British psychiatrist Max Hamilton. An analysis of clinical trials published and unpublished, submitted to the FDA, showed a difference of only 1.8 percentage points on the scale between the placebo and antidepressant. But the official recommendations of the National Institute for Clinical Excellence (Nice) British call for a gap of at least 3 points to validate the effectiveness of an antidepressant.

More embarrassing: unpublished studies were hidden in Nice, when its experts made recommendations on the treatment of depression.

Tim Kendall, deputy director of the Royal College of Psychiatrists Research Unit, said in the Times that the results of this study are "fantastically important" and that it was "dangerous to pharmaceutical companies not to publish all their data." For Professor Jean-Michel Ougourlian, a psychiatrist at the American Hospital in Neuilly, "the drama of the new antidepressants, they are ill prescribed. People have called for a love, a period of unemployment, a strong blues… It is ignorance of the doctors: a melancholy serious does not respond to these drugs. The problem is upstream: psychiatrists are not trained and diagnoses are not insured. "

The Rangueil Hospital in Toulouse (Sipa

"You can use the keywords most terrible, the most appalling for us it is a failure," said the hospital director, after the publication of reports on overexposure from 145 patients in 2006 and 2007.


The Rangueil Hospital in Toulouse (Sipa)
After hearing two reports published on Tuesday, February 26 overexposure to radiation of 145 patients at the Rangueil Hospital in Toulouse in 2006 and 2007, the Director General of the hospital, Jean-Jacques Romatet acknowledged responsibility for its establishment face what he calls "disaster" and "failure".

"Catastrophe and failure"

"When we are hospitable and we have the desire to heal, an accident like this is a disaster for us. You can use the keywords most terrible, the most appalling for us it is a failure," at he said at a press conference in the presence of Bernard Pradère, Chairman of the Medical Commission of establishment.

Organization insufficient

Jean-Jacques Romatet acknowledged "inadequate organization at the root of poor calibration, only the cause of the accident", and "the lack in the quality of the announcement" to the sick. "We will take all measures that are necessary for the organization in place should be improved, not only in this business but also in the field of risk management throughout the hospital," he continued.
According to him, the report by the Institute for Radiation Protection and Nuclear Safety (IRSN) was determined with precision the number of patients who have had damage, by types of pathology, and those that must be followed during the three to five years to come. "
According to the report, 31 patients are in this case and 11 others who for the moment have no effect but, as a precautionary measure, should be monitored. "

"Taking responsibility"

"Faced with the failures, we want to assume our responsibilities, ie at the same time correcting and draw conclusions with respect to our expertise sick after the damage and suffering," said the director of CHU Toulouse, who stated that "it can not be translated as compensation." On compensation, he said that the amount of 5,000 euros to "those who were told there had been an accident." "Those for whom life has changed benefit after expertise, compensation, which has nothing to do with the 5,000 euros," he said. The hospital hopes lead to "an agreement in April."
Jean-Jacques Romatet has however refused to recognize "a lack of competence" in Toulouse Rangueil-and competition with the Institute of Cancer Control Claudius-Régaud. "We are not on the same field," he said.
Finally, he said that Igas relieved suggested it "was not necessary to go to court". "Setting this question by looking for culprits is not the solution," he concluded.

Two investigative reports published

Earlier in the day, two reports were published Tuesday on the website of the Ministry of Health: one of the General Inspectorate of Social Affairs (IGAS), the other at the Institut de Radiation Protection and Nuclear Safety (IRSN). According to them, an error calibration of the machine by the manufacturer and a malfunction of the hospital would be at the root of surirradiations of 145 patients in the Rangueil Hospital in Toulouse
"The team from CHU Rangueil initially made a technical error calibration of a beam on the aircraft (...) It was only after a year that the firm went Brainlab account of the mistake. Meanwhile, 145 people received doses of radiation too strong, "explained the Minister of Health, Roselyne Bachelot, questioned Tuesday in" Le Parisien-Aujourd'hui en France. "

5000 euros per patient concerned

Roselyne Bachelot, who also reconnaîssait "breakdowns in the organisation of the hospital" and "information to victims (...) partial and too late", specified that "the insurer of the hospital agreed to pay 5,000 euros for each of the patients involved. "
According to the report of IGAS, "the error in causing the accident occurred during the calibration phase of the multi-blade collimator (...) At this stage, a measurement error leads to a mistake in the modeling of the dose and, ultimately, in the dose to the patient. " However, "the most advanced teams, especially the cancer centre of Nantes who came to install the same equipment, have not been adequately consulted" and "controls implemented could not detect the anomaly."

"No patient has been informed"

The same report points out that after the discovery of an overdose, "no patient has been informed in the statutory limit of 15 days." It was "by the media that the majority of patients have learned of the overdose of which they were victims."
The report of the IRSN also indicates that the calibration error is "exclusively due to non-compliance with the procedures established by the manufacturer to a single point, including the criticality be shielded from personal non-specialists Dosimetry.

Plan - and Téchiné Diagana to rescue the health of young

They will be charged respectively with a mission on suicide prevention and the development of sport at the university.
The plan of the Ministry of Health includes a medical consultation annual free for all young people aged 16 to 25.

The filmmaker André Téchiné and the athlete Stephane Diagana will participate in the "youth health plan" presented Wednesday by the Council of Ministers by the Health Minister Roselyne Bachelot, said the government spokesman. They will be charged respectively with a mission on suicide prevention and the development of sport at the university.

The plan Roselyne Bachelot focuses on the prevention of risk that are anorexia, "Practical addiction or suicide. The government plans and the generalization of "Houses of adolescents", aimed at young people in a situation of "extreme vulnerability." By 2010, there will be one for each department, "said Lawrence Wauquiez. A hotline "Over youth health" will also be set up for both adolescents and parents and will be extended to calls from mobile phones.

An annual consultation free for youth

From 1 January 2009, the plan was finally open for all young people aged 16 to 25 the possibility of a free annual consultation at the general practitioner of their choice, "according to Lawrence Wauquiez. The annual cost of this measure is estimated at a maximum of 10 million euros. "The situation of 16-25 years is a situation which may give rise to real or psychological distress, either by lack of resources (...). The announcement of a real health plan for young people has been eagerly awaited" commented government spokesman, who added that the plan "will be further enhanced in the future".

Health Minister went to the house of adolescents "La Casita" at the Ibn Sina Hospital in Bobigny, in Seine-Saint-Denis. "The use of drugs, new forms of alcohol, suicide or the importance of eating behavior disorders such as anorexia are many indicators worrying among young people," said Roselyne Bachelot, claiming that "900,000 adolescents in a state of psychological distress. "

Cases of animal rabies Grandpuits

Cases of animal rabies Grandpuits
A case of animal rabies has been diagnosed in a dog to Grandpuits, in the department of Seine-et-Marne
"The Pasteur Institute has confirmed a case in a dog named Cracotte" with the analysis "showed a canine virus strain of Moroccan origin."

About 20 people identified as having been in contact with the animal, were directed towards a center to receive rabies, "if necessary", a preventive treatment. Toll free number: 0800 13 00 00.


Rabies is transmitted through bites, scratches and licking. It is fatal to humans if not treated before the onset of the first symptoms.

On Tuesday night, the prefecture of Seine-et-Marne announced that it had established a "perimeter of vigilance." A measure taken after an incident on February 18: a girl of 12 years was bitten in the hand by his dog, a staffordshire nine months which had to be euthanized on February 19. Autopsy results known Tuesday, have revealed the presence of the disease.

The death of another dog on January 5, also at Grandpuits, was deemed suspicious by the veterinary services. The period of risk of contamination of the animal, a black labrador cross-called Hurray, "would start on December 15, 2007 and end on February 19, 2008", it was clear from the same source.

A perimeter with 36 rural municipalities has been established, in which the owners of domestic animals are called to greater vigilance. They are invited to submit to a vet any pets (carnivore), which have signs of disease or die. Moreover, "any person who has been griffée, bitten, licked by a stray dog on the perimeter (vigilance) between late January and Feb. 19, 2008 is asked to contact" a number set up by the prefecture: 01.64.71.75. 14.

A case of rabies had been diagnosed in November on a cat in Vendée. This was the first case of animal rabies in France since 2004
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