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Children and teenagers in New Orleans with chronic medical conditions in the time of Hurricane Katrina were a lot more likely than other youngsters to have worsening of physical and psychological symptoms, develop new symptoms, miss doctor appointments and run out of medicines inside the wake with the disaster.

Barbara Rath, M.D., in her affiliation together with the Tulane University Well being Sciences Center, and colleagues assessed medical and psychological characteristics in 531 children, including 209 youngsters with preexisting chronic medical conditions like asthma, diabetes and allergies.

Whether the worse outcomes inside the chronically ill children were more the result of hurricane aftereffects like mold and flooding or disruptions in medical care isn’t entirely clear.

“If you ask me as a pediatrician to single out specific causes, I would have to appear at such outcomes one by 1,” said Rath, who’s currently using the University Children’s Hospital Basel in Switzerland. “For example, missed asthma medicines may trigger asthma attacks as considerably as an increased exposure to mold or stress. Cough might be on account of asthma, but is also seen in a patient with too much fluid within the lungs because of a missed dialysis treatment or cardiac medicines.”

The study appears inside the May concern with the Journal of Well being Care for the Poor and Underserved.

Of the youths studied, practically 80 percent were younger than 13 years. Forty-three percent were white, 40 percent were black and 17 percent had been of another racial group. Girls and boys had been equally represented.

The young children with chronic medical conditions had difficulties for example allergies, HIV/AIDS, ADHD, heart disease or defect, mental or behavioral disorders and seizure disorders.

Children with chronic medical conditions had been far more most likely than kids without having to create new symptoms for example asthma (12.four percent vs. 1.five percent), shortness of breath (16.3 percent vs. four.two percent), difficulty breathing (12.9 percent vs. 5.two percent) and headaches (8.6 percent vs. 3.five percent). In addition, 41.1 percent missed a physician go to as a result of the hurricane, 19.7 percent ran out of medicines and 8.4 percent missed immunizations.

After the hurricane, children with chronic conditions had been a lot more most likely to visit a clinic or emergency room having a new well being difficulty (47.1 percent) and a lot more likely to report worsening of a preexisting health condition.

“Children are far much more vulnerable to traumatic events than adults and as a result are at a greater risk for emotional, social and mental wellness difficulties,” stated Bruce Perry, M.D., director of Child Trauma Programs at Baylor College of Medicine in Houston.

Rath said to increase the care of youngsters and adolescents in future events, “planning ahead of time is crucial, despite the fact that unpredicted events such as earthquakes will continue to be a challenge to all involved.” She continued, “Disaster drills might be beneficial to prepare health care experts as well as the general public in areas with an elevated risk of natural disasters.”

Rath B, et al. Adverse health outcomes soon after Hurricane Katrina amongst youngsters and adolescents with chronic conditions. Journal of Health Care for the Poor and Underserved 18(two), 2007.

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The United Nations World Food Programme (WFP) – the world’s largest humanitarian lifeline – welcomes a 30 million euro donation from the European Commission’s Humanitarian Aid Workplace (ECHO) to WFP’s major emergency relief efforts in the Darfur region of the Sudan.

“This generous contribution from the European Commission will save lives and help the hungry in Darfur, and at the same time help WFP achieve our aim of purchasing food in ways that benefit nearby markets and farmers,” said WFP Executive Director Josette Sheeran.

The contribution, equivalent to US$40 million, will be utilized to buy more than 32,000 metric tons of food assistance for Darfur – including more than 15,000 MT of locally-produced sorghum, 2,230 MT of local salt and 4,000 MT of beans purchased regionally.

“The EU as well as the European Commission are major donors and vital strategic partners in our efforts to fight global hunger and create food security in Africa and elsewhere,” said Sheeran, who earlier this week met with top EC officials in Brussels.

The European Commission is WFP Sudan’s largest cash contributor, giving the agency the flexibility to purchase food assistance commodities as needed.

“This latest donation will help WFP to purchase and pre-position food assistance in Darfur before the rainy season, which is about to start and will last until October,” said WFP Sudan Representative Kenro Oshidari.

WFP distributes food rations to more than two million people in Darfur – most of them in camps for internally displaced people. WFP’s overall plan for Darfur in 2007 anticipates as many as 2.8 million people may possibly require food assistance during the ‘hunger gap’ before this year’s harvest, which normally starts in October.

In all of Sudan, WFP’s emergency operation is targeting food aid for 5.5 million people, at a cost of US$685 million. So far this year, donors have ensured that the 2007 budget has received 74 percent of its requirements.

WFP is the world’s largest humanitarian agency: each year, we give food to an average of 90 million poor people to meet their nutritional desires, including 58 million hungry children, in at least 80 with the world’s poorest countries. WFP — We Feed People.

WFP Global School Feeding Campaign – For just 19 US cents a day, it is possible to help WFP give children in poor countries a healthy meal at school – a gift of hope for a brighter future.

www.wfp.org

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At the 116th Assembly of the Inter-Parliamentary Union (IPU), meeting in Nusa Dua (Indonesia), UNICEF and IPU members said more can be done to halt violence against children in every country.

According to the United Nations Secretary General’s recently released study on the subject, violence against children is widespread, underacknowledged and extremely damaging. The physical, emotional and psychological scars of violence can have severe implications for a child’s development, wellness and ability to learn.

“The best way to deal with violence against children is to stop it before it happens,” said UNICEF Deputy Executive Director Toshi Niwa. “Working through coordinated national strategies to prevent and respond to violence against children, governments and parliaments must build a protective environment that allows children to live without the threat of abuse and exploitation.”

“Violence perpetuates poverty, illiteracy and early mortality,” said the IPU President, Pier Ferdinando Casini. “Widespread violence robs society of its potential for development and impedes progress towards the Millennium Development Goals.”

To help parliaments tackle this problem, UNICEF along with the IPU have launched a handbook designed specifically for parliamentarians. “With this handbook, we hope that parliaments will have some with the tools they need to create a more protective environment for children,” President Casini added.

The parliamentarians and international organizations from over 100 countries attending the week-long meeting in Indonesia are discussing strategies to enhance religious tolerance, promote equal rights and combat violence against children.

“It is great to see so many legislators here committed to taking action to end violence,” said Niwa. “Parliamentarians can and should be among the foremost champions of child protection. They can legislate, oversee government activity, allocate financial resources and, as leaders within their nations, advocate for change.”

Established in 1889 and with its Headquarters in Geneva, the IPU, the oldest multilateral political organization, currently has 148 affiliated national parliaments and seven associated regional assemblies. The world organization of parliaments also has an Office in New York, which acts as its permanent observer with the United Nations.

UNICEF works in 150 countries. It undertakes child protection programmes in almost all of them, focusing on children without caregivers, the worst forms of child labour, and violence against children. Over the last two years, the organization has allocated over 240 million dollars to its function on child protection.

http://www.ipu.org.
http://www.unicef.org.

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Former US president Bill Clinton has announced that new deals have been struck with generic HIV/AIDS drug makers Cipla and Matrix to make 16 second line anti retroviral drugs (ARVs) and a new one a day pill available to 66 developing nations at significantly lower prices.

The price reduction deals were brokered by the Clinton Foundation and will be financed by UNITAID, the international drug purchase facility established in 2006 by France, Brazil, Chile, Norway and also the UK using a creative airline ticket levy method of fund raising.

The new deals will generate an average savings of 25 percent in low-income countries and 50 percent in middle-income countries in Africa, Asia, Latin America along with the Caribbean and drugs will be bought through the Clinton Foundation’s Procurement Consortium.

President Clinton said yesterday at a press conference that 7 million people in the developing world need HIV/AIDS drugs:

“We are trying to meet that need together with the best medicine available today, and at prices that low and middle income countries can afford. I applaud Cipla and Matrix for their commitment to lower the cost of new drugs at the forefront of the fight against AIDS, and I thank UNITAID for the funds that have enabled us to make these drugs widely available.”

French Foreign Minister Philippe Douste-Blazy, who chairs the UNITAID board, was also pleased with all the new deal:

“Every person living with HIV deserves access to the most effective medicines, and UNITAID aims to ensure that these are affordable for all developing countries.”

I am pleased that our partnership with President Clinton is lowering the price of second-line treatment, and that the new prices will be available to low and middle income countries alike,” he added.

Second line drugs are for patients who have developed resistance to first line drugs. According to the Clinton Foundation, by 2010 nearly half a million people will need second line drugs, which currently cost about 10 times more than first line ones.

The drugs will be bought by money from UNITAID, which has currently pledged to give the Clinton Foundation HIV/AIDS Initiative (CHAI) more than 100 million US dollars to buy second-line medicines for 27 countries until the end of 2008.

The new deals also include reduced prices for the “next generation” of first line treatment; a once a day pill created with the drugs tenofovir, lamivudine and efavirenz. An equivalent treatment has been available in the US since July last year and is regarded as the “gold standard” because of reduced side effects and much better outcomes compared to the current first line treatments used in the developing world.

The new treatment will cost 339 US dollars per patient, which is 45 per cent less than the price with the current first line treatment in low income countries, including sub-Saharan Africa. And for many middle income countries this represents a price fall of 67 per cent.

CHAI and UNITAID invited 15 drug makers nearly two months ago to put forward competitive proposals to supply second line drugs this year.

Cipla and Matrix, a division of Mylan Laboratories, by working with CHAI have negotiation lower raw material prices and changed the way the drugs are made, resulting in an overall reduction in manufacturing cost. They will be selling the drugs on a cost plus, guaranteed purchase volume basis, this enabling CHAI to buy them with UNITAID money at a much lower price than usual.

Other drug companies are also selected to supply drugs this year. These include: Abbott, Aurobindo, Bristol Myers Squibb, Gilead Sciences, Ranbaxy, and Aspen Pharmacare and IDS Group.

Further price reductions are expected later this year when CHAI embarks on a similar competitive bidding and supplier selection campaign for next year.

The Clinton Foundation was keen to emphasize that these deals are covered by the highest quality standards. The drugs that will be supplied under these agreements between the drug companies, CHAI and UNITAID will meet the quality standards with the Global Fund to Fight AIDS, Tuberculosis and Malaria.

httpClick here for the William J Clinton Foundation.

Click here for UNITAID.

Click here for more details about Anti Retroviral (ARV) drug therapy (from the World Health Organization).

Written by: Catharine Paddock
Writer: Medical News Today
Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today

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The United Nations World Food Programme said today that the first distributions of WFP food assistance had started in Mogadishu to 16,000 residents and people returning to districts most heavily damaged by the worst fighting in the Somali capital in 16 years.

By the end of this week, WFP expects to have distributed food since 27 April to a total of 114,000 people who fled the city plus vulnerable people unable to escape the fighting. Urgent WFP food distributions continue to be expanded given the prevailing security situation in and around the capital.

Yesterday, a Somali non-governmental organisation started distributing WFP maize, nutritious corn-soya blend and vegetable oil to 7,000 people at three sites in Mogadishu. Distributions are due to start today at another five sites to reach 9,000 others in the capital. WFP on Tuesday also plans to start distributing five tons of food to hospitals in Mogadishu for 1,500 people injured in the fighting.

“These people are exhausted,” said WFP Somalia Country Director Peter Goossens in Nairobi. “Most of them are women and they were either forced to flee their homes with their children during the recent fighting or they stayed in the city throughout the worst bombardments. These families require food and other assistance after their terrible ordeal.”

“We started in the heaviest damaged areas in north Mogadishu, where the fighting was concentrated. But we are also reaching many of those who are still outside Mogadishu and are too frightened to return, but are struggling in terrible conditions under trees in the rain,” he said.

Distributions of WFP food to 42,000 people displaced southwards from Mogadishu to the port of Merka were completed on Sunday and 9,000 displaced in Qoryoley district to the southwest with the capital received WFP food on Monday. Distributions to 13,500 people in Brava town are due to start on Wednesday. In late April, WFP food was distributed to 32,000 displaced west of the capital shortly before heavy fighting ended in Mogadishu on 27 April.

WFP wants an extra US$10 million in donations for its operation due to the fighting in Mogadishu and displacement of civilians. UNHCR estimates that 395,000 people fled the city – over a third with the capital’s population – since 1 February. But following the end of heavy fighting, some are now trickling back.

WFP is the world’s largest humanitarian agency: each year, we give food to an average of 90 million poor people to meet their nutritional desires, including 58 million hungry children, in at least 80 of the world’s poorest countries. WFP — We Feed People.

WFP Global School Feeding Campaign – For just 19 US cents a day, you can help WFP give children in poor countries a healthy meal at school – a gift of hope for a brighter future.

http://www.wfp.org

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“Global Fund To Fight AIDS, TB and Malaria Has Improved Its Documentation of Funding Decisions but Desires Standardized Oversight Expectations and Assessments,” Government Accountability Office: The report examines documentation by the Global Fund To Fight AIDS, Tuberculosis and Malaria of data utilised to support performance-based funding decisions. It also looks at progress made toward implementing a risk-assessment model and an early warning program, along with oversight with the efficiency of local fund agents, which monitor grant progress in countries that get funding. The report recommends that the secretaries of HHS along with the Department of State perform together with the Global Fund’s board chair and executive director to generate uniform expectations for local fund agents’ performance. The report also recommends that the HHS and state department secretaries perform together with the Global Fund to call for systematic evaluations of fund agents’ performance as well as the collection and analysis of performance data (Report highlights, May 2007).

“Reprinted with permission from http://www.kaisernetwork.org. You can view the entire Kaiser Every day Wellness Policy Report, search the archives, or sign up for e-mail delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Every day Well being Policy Report is published for kaisernetwork.org, a totally free service of the Henry J. Kaiser Household Foundation . ? 2005 Advisory Board Company and Kaiser Household Foundation. All rights reserved.

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CQ HealthBeat on Monday examined how the President’s Emergency Plan for AIDS Relief has progressed since its launch in 2004 (Blinkhorn, CQ HealthBeat, 5/7). Ambassador Mark Dybul, who serves as the U.S. global AIDS coordinator and administers PEPFAR, last month at a House Committee on Foreign Affairs hearing stated that the program is on track to reach its goals. As of September 2006, about 822,000 people were receiving access to antiretroviral drugs with PEPFAR support, Dybul said. He added that 61.five million people had been reached by HIV/AIDS prevention campaigns. Some committee members raised concerns about recommendations in a recent Institute of Medicine report that Congress get rid of all budget allocations in PEPFAR, which includes spending requirements for prevention efforts and abstinence and fidelity programs. Dybul stated such funding allocations have been useful in addressing HIV/AIDS prevention issues, adding that PEPFAR allows every focus country to develop its own HIV/AIDS prevention strategy. Dybul stated some PEPFAR-funded laboratories currently are used to diagnose tuberculosis. However, he stated it would be years before the use of new technologies, for example an HIV/AIDS vaccine and microbicides, could be put into location. He also stated that PEPFAR is examining circumcision programs following recent studies that identified male circumcision can reduce significantly a man’s risk of HIV infection through heterosexual sex (Kaiser Daily HIV/AIDS Report, 4/25).

According to CQ HealthBeat, PEPFAR often is considered an “unprecedented aid approach” that uses a country-based program allowing recipients to create specific plans customized to local needs and priorities. In accordance with Dybul, PEPFAR works in partnership with focus countries and not within the traditional model with donors setting standards for recipient countries. PEPFAR-funded programs in Vietnam recently started supporting substitution therapy for injection drug users to assist curb the spread of HIV, CQ HealthBeat reports. Furthermore, PEPFAR in Haiti works with a USAID microfinance program that gives women who obtain loans with HIV/AIDS information.

Dybul stated the biggest challenge in fighting HIV/AIDS is “vision,” adding, “Any time something this visionary gets started, it’s great up front, … and then you start dealing with all the bureaucracies and the politics, and things start breaking down. And then you don’t have that matching vision in the rest of the world.”

According to CQ HealthBeat, some international development workers are concerned that the program’s “high visibility siphons attention and resources away from more basic, but highly critical, issues,” for example poverty and childhood diseases. Smita Baruah, senior policy associate for government relations in the Global Wellness Council, stated, “PEPFAR requirements to be more in-sync with other well being and (poverty reduction) goals,” like allowing funds to be spent on child immunizations and prenatal care for HIV-positive women. Baruah added, “To treat HIV patients, you need clean water, nutrition and basic well being services” (CQ HealthBeat, 5/7).

“Reprinted with permission from http://www.kaisernetwork.org. You can view the entire Kaiser Day-to-day Well being Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Well being Policy Report is published for kaisernetwork.org, a free service with the Henry J. Kaiser Family Foundation . ? 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.

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A grant within the amount of $749,695 from the Robert Wood Johnson Foundation is funding a program developed by the Department of Psychiatry at LSU Wellness Sciences Center New Orleans to enhance mental well being services and capacity in Katrina-affected areas and to greater meet mental health needs following future disasters. Led by co-principal investigators Howard Osofsky, MD, PhD, Professor and Chairman of Psychiatry at LSU Wellness Sciences Center New Orleans and Joy Osofsky, PhD, Professor of Pediatrics and Psychiatry, Head of Pediatric Mental Health, and Director of LSUHSC’s Violence Intervention Program, the New Orleans Metropolitan Region Family Resiliency Project at LSU Well being Sciences Center New Orleans will:

* Enhance, present and evaluate critically necessary evidence-based behavioral and mental wellness services for young children and their families in school settings and for initial responders and families in New Orleans, St. Bernard, and Plaquemines parishes

* Conduct training for mental health professionals and others on evidence-based intervention protocols through the implementation of Learning Collaboratives inside the Gulf Region in collaboration using the National Child Traumatic Stress Network

* Develop Youth Leadership summer and year-round programs to support youth resilience, build self-efficacy, and decrease risky behaviors

* Develop prevention and intervention strategies that can be used as a knowledge base for future disasters and to inform policy decisions

* Develop a collaborative base with other public health and service agencies in the heavily impacted areas to re-establish needed infrastructure, increase collaborative efforts, and enhance service accessibility for youngsters and families

* Conduct awareness-building training for child-serving specialists and 1st responder counselors to increase their knowledge, capacity, and ability to create appropriate referrals

“Children and families who have returned to the New Orleans metropolitan location, although pleased to be back, continue to react to the ongoing stress, hardship, demoralization, economic losses, persistent issues with living arrangements, and uncertainties about the future,” noted Dr. Joy Osofsky, Professor of Pediatrics and Psychiatry. “First responders, such as police, firefighters along with other emergency workers deal together with the slow recovery, community difficulties, problems with infrastructure, and increasing numbers of private and family stresses.”

“The outcomes we can anticipate for participants in this program consist of reductions in individual and family symptoms, and school-related behavior troubles.” said Dr. Howard Osofsky, Professor and Chairman of Psychiatry at LSU Wellness Sciences Center New Orleans. “We anticipate to see an improvement in school performance, family strengths, and each individual and community resiliency.”

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About LSU Health Sciences Center New Orleans

LSU Wellness Sciences Center New Orleans educates the majority of Louisiana’s well being care professionals in its Schools of Medicine, Dentistry, Nursing, Allied Health Professions, Graduate Studies, and Public Well being. In the vanguard of biomedical analysis in several areas in a worldwide arena, the annual economic impact of LSUHSC pre-Katrina was more than $1 billion. LSUHSC faculty, residents, and students take care of Louisianians, such as the medically indigent and under-served, in hospitals and clinics throughout the state. LSUHSC faculty continued to care for their patients in the course of and following the 2005 flooding which decimated LSUHSC New Orleans campuses, and to offer immediate and continuing outreach services. LSUHSC resumed its educational and analysis enterprises on temporary campuses in Baton Rouge less than four weeks after Katrina. LSUHSC leadership continues to work with federal, state, and nearby agencies to rebuild Louisiana’s wellness infrastructure. For a lot more information, go to http://www.lsuhsc.edu/

About the Robert Wood Johnson Foundation

The Robert Wood Johnson Foundation focuses on the pressing wellness and health care issues facing our country. As the nation’s largest philanthropy devoted exclusively to improving the well being and health care of all Americans, we function having a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change.

For 35 years we’ve brought encounter, commitment as well as a rigorous, balanced approach towards the problems that impact the health and health care of those we serve. When it comes to helping Americans lead healthier lives and get the care they need to have, we expect to make a difference in your lifetime.

For more information go to http://www.rwjf.org/ .

Contact: Leslie Capo
Louisiana State University Health Science Center

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American actress Drew Barrymore, one with the world’s most recognized film stars, has been named Ambassador Against Hunger for the United Nations Globe Food Programme (WFP), it was announced on Wednesday.

Barrymore, 32, who recently returned from a second trip to Kenya to go to WFP-supported school feeding projects, joins globe marathon record-holder Paul Tergat, from Kenya, as Ambassador Against Hunger. Barrymore and Tergat, a former school feeding recipient, will focus their advocacy efforts on school feeding programs.

“I am honored and humbled to accept this challenging and rewarding assignment,” Barrymore stated Wednesday. “I can’t think of any concern that is more important than working to see that no schoolchild in this globe goes hungry.

“Feeding a child at school is such a easy thing – but it works miracles. I’ve seen it with my own eyes,” she added. “School feeding not only fills stomachs, but has a proven track record of boosting enrollment, attendance and academic performance. For just pennies a day per child, this program changes lives – and ultimately can impact the futures of poor countries worldwide in a profound way.”

Barrymore joins Tergat and WFP’s Executive Director, Josette Sheeran, in Washington this week to raise awareness about school feeding – and also advocate for passage of draft legislation within the US Congress that would expand and regularize funding for US-supported school feeding programs.

The McGovern-Dole International Food for Education and Child Nutrition Program, authorized inside the US Farm Bill and administered by the US Department of Agriculture, feeds millions of schoolchildren every year. Pending legislation would increase funding from the present average of US$ 100 million a year now, to about US$ 300 million a year within 5 years.

“The McGovern-Dole Program has proven to be 1 of the most efficient tools in the fight against hunger and poverty, but we have a long method to go to ensure that each child goes via school on a full stomach,” stated WFP Executive Director Josette Sheeran. “We estimate that there are a lot more than 112 million school-aged children who are undernourished and live in developing countries. School feeding provides them the opportunity to make the most of their education. It’s 1 with the single-best investments we can make, not only in the economic development of poor countries, but within the future collective security of our planet.”

“We are delighted to have Drew Barrymore join our team,” Sheeran added. “Her passion and commitment to changing the globe for the far better – and of course the respect and admiration she commands – will make her a wonderful champion for school feeding.”

In 2006, WFP fed 19.4 million youngsters in 71 countries via school feeding programs.

Note to broadcast news directors: A video news release on Barrymore’s recent trip to Kenya with Tergat is available for instant distribution. Contact Jonathan Dumont in Rome at: Cell: +39-3402249140, or Luescher and Parmelee at contacts below.

WFP is the world’s largest humanitarian agency: every year, we give food to an average of 90 million poor folks – two-thirds of them kids – to meet their nutritional wants, in a minimum of 80 of the world’s poorest countries. WFP — We Feed Men and women.

http://www.wfp.org

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National Medical Associations have been urged by the World MedicalAssociation to do much more to support and protect doctors who are beingpressured to condone or participate in cruel, inhuman or degradingprocedures, or even acts amounting to torture.

At its Council meeting in Berlin, WMA delegates expressed concern aboutcontinuing reports of doctors, especially those working with prisoners,who face pressure to violate medical ethics, as expressed in a number of WMADeclarations. Doctors are often forced to keep silent or condone unethicalsituations, not knowing where to seek support.

Dr Edward Hill, chair with the WMA, said: ‘We need to have to do all we can to supportand protect doctors who are resisting these pressures and we are anxious toensure that our national medical association members do their utmost to helpthese doctors in the hard situations they face.

‘It is a regrettable fact that inside the ten years since the WMA adopted theDeclaration of Hamburg which expressed support for doctors refusing toparticipate in, or to condone, the use of torture or other forms of cruel,inhuman or degrading treatment, these abuses have continued to be reportedthroughout the globe and doctors have continued to face unacceptablepressure. We urge medical associations to use the Declaration of Hamburg asan aid in resisting these pressures.’

The full text with the Declaration of Hamburg can be found on the WMA’swebsite: www.wma.net/e/policy/c19.htm

The World Medical Association will be the independent confederation of nationalmedical associations from much more than 80 countries and represents a lot more thaneight million physicians. Acting on behalf of patients and physicians, theWMA endeavours to achieve the highest possible standards of medical care,ethics, education and health-related human rights for all people.

www.wma.net