Preventable death rate U.S.higher than Canada

Canada's health care system offers "excellent value for the money" says a British researcher who has studied preventable deaths in 19 industrialized nations.

The study, to be released today in Health Affairs, looks at "amenable mortality", deaths that would not have occurred if effective health care had been available.

Conditions that caused these deaths included bacterial infections, treatable cancers, diabetes, some cardiovascular disease and the complications of common surgical procedures. The study, which looked at figures from 2002-03, updated a similar report based on 1997-98 figures.
Its goal was to compare amenable deaths in the United States with 14 western European nations, plus Canada, Australia, New Zealand and Japan.

The study also tracked whether gaps in these countries had narrowed or widened. The figures were computed according to amenable deaths per 100,000 population under the age of 75.
In the first study, the researchers found that amenable deaths in the U.S. stood at 114.74 per 100,000 population, exceeded only by Ireland, Portugal, Finland and the United Kingdom.

In that time period, Canada's amenable mortality rate was 88.77, the seventh-lowest rate after France, Japan, Spain, Australia, Sweden and Italy.
In the most recent study, Canada's amenable death rate had dropped to 76.83, putting Canada sixth after France, Japan, Australia, Spain and Italy.

Meanwhile, amenable mortality rates in the U.S. have barely budged from 114.74 to 109.65 in 2002-03, taking the U.S. from 15th place to last place among the 19 countries.

"This study shows that Canada's health system has performed very well in its ability to prevent people from dying from treatable conditions," said Martin McKee, a researcher at the London School of Hygiene and Tropical Medicine, and co-author of the study.

"While everyone has to die from something, sometime, in an ideal world, no-one would die from the causes we have looked at, in the age groups we have included."

"Of course, we don't live in an ideal world," said McKee.
"However, the bottom line is that the Canadian health system delivers outcomes that are substantially better than those in its southern neighbour."

"More importantly, outcomes in Canada are improving more quickly than those in the U.S.," he said.
"Given that the U.S health care system is far more expensive, this suggests that Canadians are getting excellent value for money."

The researchers expect there will be further improvements in amenable mortality rates in industrialized countries, but the rate will slow down.

The most significant gains were made in the 1970s and 1980s, when drugs to treat common conditions such as hypertension became widely available, said McKee.
That raises questions about whether the U.S. will be able to narrow the gap between itself and countries with much lower amenable mortality rates, he said.

"Other research shows that many Americans are unable to afford the prescription drugs they need," said McKee.

"So, if some future administration can tackle this then we could see real improvements there." In countries like Canada, he expects the main gains will be less in amenable mortality and more the the quality of life, especially for older people.

Source: Ottawa Citizen

Europeans tallest, North Americans smallest brains?

Recently, according to a study Europeans, The Dutch in particular, are now the tallest people in the World.

North Americans were always the tallest, but haven't grown since the last 25 years and are 2 inches shorter than their Dutch counterparts.

We're used to the notion of the United States as the world's dominant power, a land of untold resources, wealth and consumption.

And one reflection of this abundance is the fact that for most of the past 2 1/2 centuries, Americans have been literally the tallest people on the planet.
Feeding off the abundant wild game and rich agriculture of their vast new land, colonial Americans measured a full three inches taller than Europeans.

Not so any more.
Compared to Europeans, Americans have effectively shrunk.
Indeed, among all advanced industrial nations, Americans are now at the bottom end of the height scale.

And, no, it's not the influx of short Hispanics. The height pattern is the same for Americans even when the sample is limited to non-Hispanic, native-born Americans.

It seems to be a reflection of something more basic.
According to an influential paper in Social Science Quarterly last June by economic historians John Komlos and Benjamin Lauderdale, "height is indicative of how well the human organism thrives in its socioeconomic environment."

The relative shrinking of Americans on the world scene is perhaps then an indicator of something Americans are doing badly, not in Iraq, but right at home.

And that something should be of more than passing interest to Canadians as we continue, consciously and unconsciously, to shape our economic and social systems with the U.S. in mind.

Actually, Canada has traditionally been a blend of the U.S. and European approaches.
But in the last couple of decades, as we have focused increasingly on cutting taxes and have adopted the attitude that individuals must make it on their own in society, we've veered more closely to the U.S. model.

We tend to view the low-tax, low-spending U.S. model as simply the norm in the era of globalization. But in fact it is only the U.S. norm.

Europeans, particularly northern Europeans, have traditionally done things differently.
They have been imposing much higher taxes and delivering much more generous social programs that provide a striking array of benefits to every member of society.

Contrary to our impressions here in the West that globalization has fundamentally redesigned the world, the Europeans have stuck with their high-tax, high-spending model in the globalized era.

Read the full story here

Solution donor shortage right under nose of Canadian Blood Services

Earlier this week I reported that Canadian Blood Services needs more blood donors (click here to read the article)

The following article proofs that some solutions to that problem are right under their noses and it might be time to do something about the ancient rules and regulations for giving blood!

Namely, Some Canadian university groups are speaking out loud over what they feel are outdated and discriminatory screening practices for blood donors.

Several student groups and gay rights activists say they're particularly concerned about Canadian Blood Services' lifetime ban against blood donations from gay men.
Their concerns largely stem from sections of a lengthy questionnaire potential donors need to fill out.

Question No. 18 of the blood agency's questionnaire asks potential male donors if they have had sex with a man, even once since 1977.
If the answer is yes, even if the person has practiced safe sex and is in a monogamous relationship, they are instantly deemed ineligible to donate.

"It makes people believe that, yes, gay men are likely to have HIV, likely to have AIDS," Andrew Brett, advocacy and outreach co-ordinator at the University of Toronto's student union in Mississauga, told CBC News.
"It kind of makes it official, and it's like official discrimination."

The student federation doesn't condone banning blood drives on campuses. But Brett said some campuses have canceled their blood donor days.

Lorna Tessier, director of public relations with Canadian Blood Services in Ottawa, said she hasn't heard of any cancellations.

Canadian Blood Services said it's reliant on student donations.

"We are very dependent on being able to do blood donor clinics in universities," said Dr. Margaret Fearon, executive director of medical microbiology at the blood agency.
She said students are mistaken to see the policy as a gay rights issue.

"People who receive blood have a right to safe blood. People do not have a right to donate blood. It's a privilege, really."

Many countries are struggling with the issue, in addition to Canada.
In the U.S., a lifetime ban on men who have had homosexual encounters was upheld earlier this year, even though the American Red Cross recommended a change.

According to Tessier, Canadian Blood Services has begun research into whether more specific questions about risky behavior would be a better addition to the screening process.

Dr. Steven Klinman, senior medical advisor with the American Association of Blood Banks, said that a lifetime ban isn't necessary because HIV testing is so accurate now.
But he also said recent sex between men still presents a risk blood agencies can't ignore.

Source: CBC News

Related Article:

Canadian Blood Services needs 'New Blood', literally!

Medical Honey back in the health care game

Amid growing concern over drug-resistant super bugs and non-healing wounds that endanger diabetes patients, nature's original antibiotic honey, is making a comeback.

More than 4,000 years after Egyptians began applying honey to wounds, Derma Sciences Inc., a New Jersey based American company with branches in China and Toronto, that makes medicated and other advanced wound care products, began selling the first honey-based dressing this fall after it was approved by the U.S. Food and Drug Administration.

It is called Medihoney, it's made from a highly absorbent seaweed-based material, saturated with Manuka honey, a particularly potent type that experts say kills germs and speeds healing.

Also called Leptospermum honey, Manuka honey comes from hives of bees that collect nectar from manuka and jelly bushes in Australia and New Zealand.

Derma Sciences now sells two Medihoney dressings to hospitals, clinics and doctors in North and South America under a deal with supplier Comvita LP of New Zealand.Derma Sciences hopes to have its dressings in U.S. and Canadian drug stores in the next six months, followed by adhesive strips.

Comvita, which controls about 75 percent of the world's Manuka honey supply, sells similar products under its own name in Australia, New Zealand and Europe, where such products have been popular for over a decade.

"The reason that Medihoney is so exciting is that antibiotics are becoming ineffective at fighting pathogens," said Derma Sciences CEO Ed Quilty.

"Another big advantage is that the dressings' germ-fighting and fluid-absorbing effects last up to a week, making them convenient for patients being cared for at outpatient clinics or by visiting nurses."

"They also reduce inflammation and can eliminate the foul odors of infected wounds," he said.

Honey dressings and gels, as well as tubes of Manuka honey, have been gaining in popularity overseas, fueled by scientific reports on their medical benefits and occasional news accounts of the dramatic recovery of a patient with a longtime wound that suddenly healed.

Read the rest of the article here

Poor people in Canada healthier than in the U.S.

Poor and less-educated Canadians are healthier than their American counterparts, according to a Kaiser health economist based in Portland.

Although overall population health is similar in both countries, there were differences at the lowest levels of income and education, said David Feeny, senior investigator at Kaiser Permanente's Center for Health Research.
He was co-author of a study that included the largest survey comparing health in the two countries.

"Income and education are well-known predictors of health status," said Feeny.
"What was surprising, however, was the statistically significant health gap between people in the U.S. and Canada at the lowest levels of income and education. The question is, what explains this gap?"

The most obvious difference between the two countries is Canada's universal health coverage, Fenny said.

"From prenatal care through death, there is no co-pay to see a family doctor or visit the hospital," he said.

"Some people think that is probably important in the differences people observe in the less advantaged. The less advantaged in the United States often have no health insurance, or inadequate insurance."

"There is an argument, not a definitive one, that with access to routine care, people seek care earlier in the progression of a disease, instead of coming in late when you've already become a complicated case."

Source: The Columbian

Almost 80% of Canadians wary of Plastic Surgery

Almost eight out of ten Canadians would not have a face lift, droopy eyelids fixed or unwanted fat suctioned from their body, even if they could afford it.

This is the conclusion of the latest poll about plastic surgery, conducted in the wake of several high-profile cosmetic surgery deaths.

The Ipsos Reid survey for CanWest News Service and Global National found only 20 percent of 1,000 adults surveyed agreed with the statement, "If I had the means and ability, I'd have cosmetic surgery done."
Seventy-nine percent disagreed and one percent didn't know or refused to answer.)

Similar surveys in the United States suggest approval of such procedures is at an all-time high, with more than half of Americans in favour of surgical enhancement.

"I think that, with what's happened in the news in Canada, people here are a little bit more worried about plastic surgery," says Frank Lista, medical director and founder of the Plastic Surgery Clinic in Mississauga, Ontario, and past president of the Canadian Society of Aesthetic (Cosmetic) Plastic Surgery.

Last September, 32-year-old Krista Stryland, a real estate agent and mother of one, died in a hospital emergency room following a liposuction procedure performed by a family doctor who advertised as a cosmetic surgeon.

Stryland's death raised fresh alarms over untrained and unqualified doctors in Ontario performing cosmetic surgery and the increase in risky procedures being done in private "corner store" clinics.

Read the rest of the story here

Statistics Canada underestimates our health care system, report says

Canadians are likely getting more value from the health care system than Statistics Canada's figures suggest, says an Ottawa-based think tank in a report criticizing the agency for shoddy estimates.

In a report to be released today and obtained by The Canadian Press, the Centre for the Study of Living Standards says Statistics Canada "may seriously underestimate" the health care system's true economic effectiveness.

It also says the agency "should devote more effort to develop better estimates of output and productivity."

"The true contribution of the health-care sector to the well-being of the Canadian population ... is not being captured in current estimates of health-care output and productivity," the report says.

Statistics Canada estimates productivity in the health care and social assistance industry fell 0.69 per cent per year from 1987-2006, the report says.

The report says that's in opposition to a 1.14 per cent increase in overall productivity in Canada during the same 20-year period.

"It is widely recognized, including by Statistics Canada officials, that these numbers may seriously underestimate the true contribution of the health-care sector to real output, and more importantly to the economic well-being of Canadians," it says.

Reached at his in-laws' house in Toronto, Andrew Sharpe, one of the authors of the report and the executive director of the centre, said the statistics agency's measurement system is flawed.

"It's an input-based measure that doesn't give you a true measure of the output of the sector," he said.

"So, there's a massive downward biased output in the health care sector in the official numbers."

The report notes several European countries and the United States are starting to measure actual output of their health care systems, and suggests Canada adopt this framework.

It suggests Statistics Canada's measurements might not fully account for improvements in the quality of health care. It notes life expectancy in Canada rose by 5.3 years from 1979 to 2004.

There will be "very different" policy implications depending on whether increased health spending stems from higher prices or improving quality, the report says.

Times&Transcript

Hospitalists reduce patients' stay in the hospital

Patients cared for by doctors called "hospitalists," who work full-time in hospitals to focus on general patient care, fare slightly better than those cared for by general internists or family doctors, finds a new study.

Hospitalists reduce a patient's average hospital stay by 12 per cent, and modestly lower treatment costs, the study found. But they do not help lower patients' death risk or the chance that they will have to be readmitted.

Hospitalists are doctors who work full-time at hospitals, performing generalist duties traditionally handled by family doctors or internists making rounds.

Though hospitals in Canada are just beginning to make use of "hospitalists", many hospitals in the U.S. have well-established hospitalist programs. In fact, the category has been one of the fastest-growing medical specialties of the past decade in the U.S., according to the Society of Hospital Medicine.

Researchers from Tufts University School of Medicine decided to take the first wide-scale look at hospitalists, to see whether their use saves hospitals time and money.

They followed 75,000 patients admitted to 45 U.S. hospitals between September 2002 and June 2005 for such common conditions as pneumonia, stroke, chest pain, heart attack or heart failure, and urinary tract infection.

As compared with patients cared for by general internists, those under the watch of hospitalists had a slightly shorter hospital stay, about half a day off the average of four days.

Read the full story here

Canada most dangerous to the United States?

Which country is most dangerous to the United States?
This question was posed to the presidential candidates in the United States by CBS' Katie Couric last week.
Most of the candidates named Iran as the most worrisome country with Pakistan coming in a somewhat distant second place.
There was one vote for China which is not an unreasonable choice considering the quality of their exports.

"In pondering my choice, I must admit that I was heavily influenced by the recent Michael Moore movie, "Sicko." There is no question that Canada must be considered the more immediate danger to the United States...................................................."

Read what a Massachusetts' Doctor has to say about Canada and the Canadian health care system here

Japanese study finds: Green Tea halves risk of Prostate Cancer

Drinking green tea may reduce the risk of advanced prostate cancer, according to a study by researchers at Japan’s National Cancer Center.
It finds that men who consume 5 cups a day or more could halve risk.

It said men who drank five or more cups a day might halve the risk of developing advanced prostate cancer compared with those who drank less than one cup a day.

“This does not mean that people who drink green tea are guaranteed to have reduced risk of advanced prostate cancer,” said Norie Kurahashi, a scientist who took part in the study.

Prostate cancer is much less common among Asian men than Western men, and that may be partly due to the effects of the high consumption of green tea in Asia, the study said.

But it said further studies are needed to confirm the preventive effects of green tea on prostate cancer, including well-designed clinical trials.

The study, published in the American Journal of Epidemiology, compiled data from 50,000 men aged 40-69 over a period of up to 14 years from 1990.

British charity Cancer Research K says on its Web site that a study of almost 20,000 Japanese men published in the British Journal of Cancer in 2006 found no relationship between green tea and prostate cancer.

Reuters

Chalk River restarting isotope production

The nuclear reactor whose shutdown created a critical shortage of radioactive isotopes used to diagnose and treat cancer patients in Canada, the U.S. and many other nations, will resume its operation shortly.

Atomic Energy of Canada Ltd. said yesterday that it expected to begin producing the medical isotopes within seven or eight days.

The announcement came a day after the government scrambled to pass legislation allowing the company to bypass Canada's nuclear safety watchdog and immediately restart the 50-year-old reactor at Chalk River, Ontario.

The reactor was shut down Nov. 18 for maintenance and was scheduled resume operation Nov. 23.
But the Canadian Nuclear Safety Commission ordered an indefinite stoppage after discovering the reactor had been running for a year without the emergency power system being connected to two cooling pumps.

Prime Minister Stephen Harper said there was no risk of a meltdown with the startup. Company executives proposed an interim fix, in which one pump will be hooked up to the emergency power supply.

The reactor produces a radioactive substance called molybdenum-99, which is processed and packaged into canisters that are sold to big hospitals and specialized pharmacies.

The cylinders, in turn, are "milked" for technetium-99, which is used on patients. Technetium-99 is injected into patients undergoing body scans to assess a wide variety of conditions, including cancer, heart disease and bone or kidney illnesses.

Health Minister Tony Clement said he couldn't believe the AECL didn't inform health officials about the extended shutdown.

"I think it's shocking quite frankly," Clement told reporters yesterday. "... If there is an issue of extended shutdown in the future, Health Canada has to be notified immediately."

Source: The Associated Press

Related articles:

Decision made by the Commons: Chalk River "open for the public"

Isotopes Chalk river: production could start very soon

Breaking news: federal government to legislate temporary production of radio isotope at Chalk River

St. Joseph's Health Care to receive scarce medical isotope today

AECL blunder choked supply of key isotope

Ontario reactor shutdown forces cancellation of cancer tests worldwide

Deathly virus starts like an innocent cold

By Guy Derla

Last Tuesday, my eye fell on an article in the Washington Post who reported that an apparently common cold virus (adenovirus) has mutated into a killer strain quite unexpectedly.

In the State Oregon in the U.S. it recently caused a death rate as high as 23%!

The American government run Centers for Disease Control and Prevention, the CDC, has been tracking the virus over the past year and has recorded outbreaks in Oregon, Texas, Washington State and New York.
The virus, first discovered in 1955 in The Netherlands as the adenovirus 14, has recently mutated into a more severe virulent form.

The Frightening thing about this virus is that it's so strong that it can kill strong, young and otherwise healthy people, rather than the usual "at risk" populations of the very young and the very old. There's no way to know if this virus will spark an epidemic, or whether it will die down and disappear for momentarily.

Those who have survived the virus, say that it came on like a usual cold.
But then, instead of getting better at the usual 4-7 day point, their symptoms got worse and turned into high fevers, coughs, and difficult breathing.
Some people have even required mechanical ventilation in Intensive Care to help them breathe.

Could this be, like the in my earlier post mentioned acinetobacter baumannii, next avian flu (bird flu) or SARS -like outbreak and turn into a real pandemic? Will it come our way?

It makes you think when you have a stuffy nose next time!

Source: RevolutionHealth

Electronic personal health instructor calls: "Get your but off the couch!"

Fitness research done in Berkeley, CA in the US proofs that when a recorded voice tells them, even people who hardly get any exercise can be convinced to get off the couch and have a workout.

Researchers at Stanford University, who studied inactive people for a year, discovered that an automated exercise reminder phone call had about the same get-up-and-go power as calls from human motivators.

"The recording had a very nice, kind of cheerleader voice. It sounded very natural," said study participant Rita Horiguchi, who was initially disappointed to be assigned to get computer calls. "She would say things like, 'That's very good. I think you can go a little farther next week. So I would do a little bit more".

Horiguchi was one of 218 adults over 55 in the San Francisco Bay area who took part in the study, known as Community Health Advice by Telephone, or Chat. The goal was to get them out walking at a brisk pace for 30 minutes most days, or engage in some other medium-intense activity, for a total of about 150 minutes a week.

The group was divided into three: people who got no calls, people who were called by trained health educators and people who got computer calls.

The automated calls were interactive —for instance, asking participants to press "1" if they reached their goals in the previous week — and participants got prerecorded advice on how to overcome challenges.

Exercise levels were measured with devices that estimate physical activity and intensity.

After a year, both of the called groups were topping 150 minutes of exercise a week. Those who got computer calls averaged 157 minute while human-called participants logged an average 178 minutes. The no-call group averaged only 118 minutes.

Results of the study, funded by the US National Institute on Aging, are in the current issue of the journal Health Psychology.

MSNBC

Canada's Expectant Moms Heading to U.S. to Deliver

"I just want to go home and see my kids," she said from her Seattle hospital bed. "I think it's stupid I have to be here."

Mothers in British Columbia are having a baby boom, but it's the United States that has to deliver, and that has some proud Canadians blasting their highly touted government health care system.

Jill Irvine: "I'm a born-bred Canadian, as well as my daughter and son, and I'm ashamed!" Irvine's daughter, Carri Ash, is one of at least 40 mothers or their babies who've been airlifted from British Columbia the U.S. this year because Canadian hospitals didn't have room for the preemies in their neonatal units.

"It's a big number and bigger than the previous capacity of the system to deal with it," said Adrian Dix, a British Columbia legislator. "So when that happens, you can't have a waiting list for a mother having the baby. She just has the baby."

The mothers have been flown to hospitals in Seattle, Everett, Wash., and Spokane, Wash., to receive treatment, as well as hospitals in the neighboring province of Alberta, Dix said. Three mothers were airlifted in the first weekend of October alone, including Carri Ash.

Canada's socialized health care system, hailed as a model by Michael Moore in his documentary, "Sicko," is hurting, government officials admit, citing not enough money for more equipment and staff to handle high risk births.

Sarah Plank, a spokeswoman for the British Columbia Ministry of Health, said a spike in high risk and premature births coupled with the lack of trained nurses prompted the surge in mothers heading across the border for better care.

"The number of transfers in previous years has been quite low," Plank told a reporter. "Before this recent spike we went for more than a year with no transfers to the U.S., so this is something that is happening in other provinces as well."

Critics say these border crossings highlight the dangers of a government-run health care system.

"The Canadian health care system has used the United States as a safety net for years," said Michael Turner of the Cato Institute. "In fact, overall about one out of every seven Canadian physicians sends someone to the United States every year for treatment."

Neonatal intensive care units in Alberta and Ontario have also been stretched to capacity, she said.

The cost of these airlifts and treatments, paid to U.S. hospitals by the province under Canada's universal health care system, runs upwards of $1,000 a child.

"We clearly want to see more capacity built in the Canadian system because it’s also expensive for taxpayers here to send people out of the country," Dix said.

The surge could be due to women giving birth later in life, and passport restrictions and family separation adds to the stress.

"I think it’s reasonable to think that this is a trend that would continue and we have to prepare for it and increase the number of beds to deal with perhaps the new reality of the number of premature babies and newborns needing a higher level of care in Canada," Dix said.

British Columbia has added more neonatal beds and increased funding for specialized nurse training, Plank said.

"There is an identified need for some additional capacity just due to population growth and that sort of thing and that is actively being implemented," she said.

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