Morning Breakouts

Latest KFF Health News Stories

More Research Needed Into How Transgender Persons In Asia, Pacific Affected By HIV, Stigma, Report Says

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A report released Thursday in Bangkok by the United Nations Development Programme (UNDP) and the Asia Pacific Transgender Network (APTN) says more research needs to be conducted to determine the extent to which transgender persons in Asia and the Pacific are affected by HIV, are socially ostracized, and lack fundamental rights, including access to basic health care, a UNDP press release reports. The report, released to mark the International Day Against Homophobia and Transphobia, is “a comprehensive review of material gathered from across the region over the past 12 years” and “emphasizes that inclusive research, designed and implemented in partnership with the transgender community, is critical to enable governments, community-based organizations and supporting organizations to enhance HIV and sexual health care services specific to the needs of transgender people, and foster action by governments to adopt more socially equitable policies and practices to protect their rights,” according to the press release (5/17).

First Edition: May 17, 2012

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Today’s early morning highlights from the major news organizations, including reports about the deadline set by the federal government regarding the creation of state-based health insurance exchanges.

States Must Submit Plans For Insurance Marketplaces By Nov. 16

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States must provide details to the federal government by Nov. 16 — just 10 days after the presidential election — on how they will run online insurance marketplaces, according to guidance released Wednesday.

Targeting Diabetes Prevention Among Medicare Beneficiaries

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Recent studies might suggest an increase of Type 2 diabetes among children and young adults, but the real low hanging fruit, according to diabetes and policy experts, may be among the Medicare population.

Lawmakers Discuss UNFPA In China At Hearing On Activist Chen Guangcheng

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At a House Foreign Affairs subcommittee on Human Rights hearing “on blind Chinese activist Chen Guangcheng and his campaign against Chinese human-rights abuses,” “Republican and Democratic lawmakers clashed Tuesday over the effects of” the U.N. Population Fund (UNFPA) on China’s so-called “one-child policy,” The Hill’s “Global Affairs” blog reports. “Chen’s escape from house arrest last month is drawing renewed attention to the [UNFPA], which a Republican-controlled House panel voted last week to defund in their annual spending bill for foreign aid,” the blog writes. “Democrats say the U.N. Population Fund enables millions of women around the world to have access to contraception, prenatal care and screenings,” the blog writes, adding, “The program, however, is controversial because it operates in China, whose single-child policy is seen as incompatible with U.S. notions of human rights” (Pecquet, 5/15).

WHO Releases World Health Statistics 2012 With First-Time Data On Blood Pressure, Diabetes

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The WHO on Wednesday released its World Health Statistics 2012 report, which “for the first time includes a look at blood pressure and glucose levels, two of the risk factors for diabetes and cardiovascular disease,” according to the Associated Press/Washington Post (5/16). The “data showed one in three adults worldwide has raised blood pressure — the cause of around half of all deaths from stroke and heart disease — and the condition affects almost half the adult population in some countries in Africa,” Reuters writes (Kelland, 5/16). “One in 10 people are estimated to have diabetes, rising to up to one third in Pacific Island countries,” Agence France-Presse notes (5/16). According to Reuters, “Obesity is another major issue, the WHO said, with data showing rates of obesity doubling in every region of the world between 1980 and 2008” (5/16). “This report is further evidence of the dramatic increase in the conditions that trigger heart disease and other chronic illnesses, particularly in low- and middle-income countries,” WHO Director-General Margaret Chan said, the news agency reports (5/16).

CEWG Recommends WHA Adopt International Convention On R&D

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The chairs of the Consultative Expert Working Group on Research and Development (CEWG), John-Arne Rottingen and Claudia Chamas, in this week’s PLoS Medicine “recommen[d] the May 2012 World Health Assembly adopt an international convention on research and development (R&D) that will bind member states to action and catalyze new knowledge for diseases that primarily affect the global poor but for which patents provide insufficient market incentives,” a PLoS press release states. They write, “We recommend a role for WHO in the stronger coordination of R&D and suggest pooling of financial investments to secure efficient allocations to where demands and opportunities are identified through active participation of developing countries,” according to the press release (5/15).

Driving Food, Nutrition Security To Top Of Global Agenda

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In a guest post in the Chicago Council on Global Affairs’ “Global Food for Thought” blog, Ertharin Cousin, executive director of the U.N. World Food Programme (WFP), examines global efforts to promote food security, noting, “WFP is deploying game-changing initiatives to build capacity, reduce hunger, and eliminate malnutrition through our groundbreaking partnerships with national governments, U.N. agencies, non-governmental organizations and the private sector.” She writes, “Thanks to tireless studies and technological advancements, our toolbox to solve hunger is large, life-changing, and cost-effective.” She concludes, “The world’s nearly one billion people who woke up hungry this morning have not seen the proposed agenda for the upcoming G8 summit. They are counting on people like you and me to drive food and nutrition security to the top of the global agenda” (5/14).

Estimated 740,000 Deaths In Africa Averted Between 2004-2008 In Association With PEPFAR, Study Shows

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“The lives of more than 740,000 people in nine African countries were saved between 2004 and 2008 by the U.S. President’s Emergency Plan for AIDS Relief [PEPFAR],” according to a study conducted by Stanford University School of Medicine researchers and published in the Journal of the American Medical Association (JAMA) on Wednesday, HealthDay News reports (3/15). “The study is the first to show a decline in all-cause mortality related to the program,” a Stanford press release notes, adding, “To measure the impact of the program, [Eran Bendavid, assistant professor of medicine at Stanford,] and his colleagues analyzed health and survival information for more than 1.5 million adults in 27 African countries, including nine countries where PEPFAR has focused its efforts” (Richter, 5/10). According to the study, “an estimated total of 740,914 all-cause adult deaths were averted between 2004 and 2008 in association with PEPFAR,” and “[i]n comparison, PEPFAR was associated with an estimated 631,338 HIV-specific deaths averted during the same period,” a JAMA press release states, noting that “all-cause adult mortality declined more in African countries in which … PEPFAR operated more intensively” (5/15).

Immediate Response Required To Curb Spread Of Artemisinin-Resistant Malaria In Burma

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In this Wall Street Journal opinion piece, Jay Winsten, associate dean at the Harvard School of Public Health, and Trish Stroman, a principal at the Boston Consulting Group, examine “the emergence in Southeast Asia of malarial parasites resistant to artemisinin — the current gold-standard drug for treating the disease,” writing it “poses grave new challenges.” Winsten and Stroman recount a brief history of artemisinin resistance in the region and note, “While many affected countries in the region are taking swift countermeasures, the situation remains serious in Burma,” also known as Myanmar.

Treating Prenatal Maternal Infections Could Improve Birth Outcomes, Study Suggests

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Clinical trials are underway to test an azithromycin-based combination treatment for pregnant women, “which could tackle some of the leading preventable causes of death for babies in sub-Saharan Africa,” according to researchers from the London School of Hygiene & Tropical Medicine (LSHTM), who published a report on Wednesday in the Journal of the American Medical Association (JAMA) showing that “[a] large number of pregnant women in sub-Saharan Africa are infected with both malaria and sexually transmitted/reproductive tract infections (STIs/RTIs),” AlertNet reports (Mollins, 5/15). “The researchers looked at 171 studies from sub-Saharan Africa over a 20-year period, which showed whether women attending antenatal clinics were infected with malaria, or with a range of sexually transmitted and reproductive tract infections — syphilis, gonorrhea, chlamydia and bacterial and parasitic infections of the vagina,” IRIN writes, adding, “If left untreated, these can lead to miscarriages, stillbirths, premature births and low birthweight babies” (5/16).

Haitian Government, Health Workers Show Commitment To Nationwide Vaccination Campaign

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In this post in the Huffington Post Blog, Dagfinn Hoybraten, vice president of the Norwegian Parliament and chair of the GAVI Alliance Board, examines a nationwide vaccination campaign in Haiti, through which “[h]ealth officials are targeting measles, rubella and polio and [are] also introducing pentavalent vaccine, one shot against five diseases.” He writes, “Questions have been raised, understandably, about whether the international community has done enough to help” after an earthquake devastated the country in 2010, but “the nationwide vaccination campaign is a powerful sign of Haitians helping themselves.”

U.S. Support For Global Fund May Be ‘America’s Greatest Global Health Legacy’

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“This year marks the 10th anniversary of the Global Fund to Fight AIDS, Tuberculosis and Malaria, the world’s most powerful tool in the fight against the three pandemics,” Jonathan Klein, co-founder and CEO of Getty Images, Inc., writes in this post in the Huffington Post Blog, adding, “Since 2002, the Global Fund has saved and improved millions of lives.” Klein notes the Board of the Global Fund convened in Geneva, Switzerland, for its 26th meeting last week, where Board members “discussed progress to date on the current transformation of the Global Fund from emergency response to long-term sustainability.”

Insecticide Resistance Threatens Malaria Control Efforts, WHO Warns

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“Malaria-carrying mosquitoes in Africa and India are becoming resistant to insecticides, putting millions of lives at greater risk and threatening eradication efforts, health experts said on Tuesday,” Reuters reports (Kelland, 5/15). Experts fear resistance “could reverse the recent drop in malaria mortality credited to insecticide spraying in the home and coating of bed nets, which save about 220,000 children’s lives each year, according to the WHO,” Nature writes, adding, “Insecticide resistance could also result in as many as 26 million further cases a year, the organization predicts, costing an extra $30 million to $60 million annually for tests and medicines” (Maxmen, 5/15).

U.N. Appeals For More Than $500M In Emergency Aid For South Sudan; WFP Says $360M Shortfall To Address Food Insecurity In Sahel

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The U.N. is calling for $505 million in emergency aid for the people of South Sudan, with the bulk of the funding going “toward providing food to tens of thousands of South Sudanese, many of whom are returning home from Sudan,” VOA News reports (Doki, 5/15). “It is uncertain whether the appeal will be fully funded, given the status of last year’s humanitarian appeal,” Devex writes, noting that “[o]nly one-third of the nearly $800 million appeal in 2011 has been funded as of May 16” (Ravelo, 5/16). Lisa Grande, the U.N. humanitarian aid program coordinator in South Sudan, “said the amount of food needed for the region has doubled compared to last year,” according to VOA (5/15).

Republicans Set Up Election-Year Showdown On Budget

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As the Senate prepares to vote today on four separate budget plans — all of which will likely be rejected — House Speaker John Boehner, R-Ohio, says he will use the next go-round over the debt limit to force Democrats to make deeper cuts to federal health and safety-net programs, including Medicare.

MSF Report Criticizes Global Vaccine Action Plan

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In a report (.pdf) released on Tuesday, the non-governmental organization Medecins Sans Frontieres (MSF), also known as Doctors Without Borders, said a new $10 billion global vaccination plan “fails to address the 20 percent of babies — some 19 million infants — who never receive basic, life-saving shots,” and that, “[r]ather than pushing for novel vaccines, the plan should focus more concretely on strategies to get existing vaccines to children,” Nature’s “News Blog” reports (Maxmen, 5/15). The “‘Global Vaccine Action Plan’ has been designed to implement the ‘Decade of Vaccines’ project and will be considered by health ministers gathering next week in Geneva for the 65th World Health Assembly,” according to an MSF press release, which adds, “MSF welcomed the increased emphasis on vaccines stimulated by the ‘Decade of Vaccines’ but expressed concern that some key challenges are being glossed over” (5/15).

Global Health Experts Discuss End Of AIDS At GBCHealth Conference In New York

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GlobalPost reports on the GBCHealth Conference, which took place in New York City on Monday and where “panelists at a session titled ‘AIDS@30’ were asked how they would fulfill U.S. Secretary of State Hillary Clinton’s call late last year for an ‘AIDS-free generation.'” According to the news service, “Ambassador Eric Goosby, the U.S. global AIDS coordinator, said the key will likely be a combination HIV prevention strategy” that “includes expansion of treatment to help prevent new infections; major scale-up of male circumcision; and treating all HIV-positive pregnant women to end the transmission of HIV from mother to child.” GlobalPost adds, “Michel Sidibe, UNAIDS executive director, said the way to defeat AIDS had to include more financial contributions from developing countries.” GlobalPost quotes several other conference attendees (Donnelly, 5/15).