December 14th, 2011 by RyanDuBosar in Research
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The investigation of a multistate outbreak of Shiga toxin-producing Escherichia coli O157:H7 (STEC) that sickened 77 people and hospitalized 35 was traced back to ready-to-bake cookie dough, prompting infectious disease specialists to ask for stronger pasteurization and more consumer warnings.
A report in Clinical Infectious Diseases outlined the outbreak and the work done by national and local health officials to track down the source.
No single source could be identified for certain for the outbreak. But one brand of dough was present in 94% of cases, and three nonoutbreak STEC strains were isolated from it, leading to a recall of 3.6 million packages of the cookie dough.
The detective work began with May 19, 2009, through PulseNet, the network of public health and food regulatory agency laboratories coordinated by the CDC. It identified Read more »
*This blog post was originally published at ACP Internist*
November 16th, 2011 by RyanDuBosar in Research
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A common flavoring of chewing gum was associated with a 25% reduction in acute otitis media (AOM) in a small meta-analysis of children in Finnish day care centers, researchers reported.
Chewing gum has long been touted by gum manufacturers for preventing tooth decay and by frequent flyers for keeping one’s ears from popping during take-offs and landings. It’s been looked at for heartburn from overeating, relief of stress and anxiety and in dieting (although sugar-free gum has no more effect, it’s been recently noted).
Now, one of gum’s common flavorings, xylitol (birch sugar) is being looked at for its antibitoic properties in an age of antibiotic overuse and potential drug resistence. Xylitol has been used for decades as a natural non-sugar sweetener in gum, toothpaste and medicines.
AOM is the most common bacterial infection among young children in the United States. By the age of one, approximately Read more »
*This blog post was originally published at ACP Internist*
July 11th, 2011 by AliKhanMD in Health Policy, Health Tips, Opinion
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Borders, Budgets, and the Rising Risk of Disease
Is there a perfect storm brewing along our nation’s southern border? Let’s take a look at the numbers in El Paso, Texas where I recently visited:
- There are 27 million crossings per year alone at the El Paso Point of Entry (POE)
- Cuts to federal funding including a 50% reduction in the Early Warning Infectious Disease Program as well as 12.5% cuts to critical preparedness and response funding;
- Texas is second in the nation for number of tuberculosis cases, the majority of which are found near the border and many of the cases involve tuberculosis strains that are drug resistant
- The bordering country, Mexico, was the source of the last global influenza pandemic
So is this a bad situation getting worse or a ticking bomb? Read more »
*This blog post was originally published at Public Health Matters Blog*
June 20th, 2011 by RyanDuBosar in Health Policy, Health Tips
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Salmonella food infections continue despite success reducing disease caused by other pathogens, the Centers for Disease Control and Prevention reports.
Salmonella should be targeted because while infection rates have not declined significantly in more than a decade, they are one of the most common, the CDC reports in its latest Vital Signs.
Contaminated food causes approximately 1,000 reported disease outbreaks and an estimated 48 million illnesses, 128,000 hospitalizations, and 3,000 deaths annually in the U.S. Salmonella causes 1 million foodborne infections annually, incurring an estimated $365 million in direct medical costs. Salmonella infections in 2010 increased 10% from 2006-2008.
The same prevention measures that reduced Escherichia coli infections to less than 1 case per 100,000 need to be applied more broadly to reduce Salmonella and other infections, the CDC reports. These measures include: Read more »
*This blog post was originally published at ACP Internist*
June 14th, 2011 by Mark Crislip, M.D. in Opinion, Quackery Exposed
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Ambiguity. Medicine, like art, is filled with ambiguity, at least the way I practice it. Most of my practice is in the hospital. I am sometimes called to see patients that other physicians cannot figure out. And that puts me at a disadvantage, because the doctors who were referring patients to me are all bright, excellent doctors. Often the question is ‘Why does the patient have a fever?’ or ‘Why is the patient ill?’ Sometimes I have an answer. Most of the time I do not.
I am happy, however, to be able to tell the patient what they don’t have. I can often inform the patient and their family that whatever they have is probably not life-threatening or life-damaging, just life-inconveniencing, and most acute illnesses go away with no diagnosis. I always put the ‘just’ in air quotes, because illnesses that require hospitalization are rarely ‘just.’ Just without quotes is reserved for the antivaccine crowd and applied to the small number of deaths from vaccine preventable diseases in unvaccinated children. John Donne they ain’t.
We are excellent, I tell them, at diagnosing life-threatening problems that we can treat, and terrible at diagnosing processes that are self-limited. Of course diagnostic testing is always variable. No test is 100% in making a diagnosis, and often with infections I cannot grow the organism that I suspect is causing the patient’s disease. So for hospitalized patients, ambiguity and uncertainty are the rule of the day. Read more »
*This blog post was originally published at Science-Based Medicine*
A report in Clinical Infectious Diseases outlined the outbreak and the work done by national and local health officials to track down the source.
