the center for disease control and prevention

Tom Price belongs to a fringe, conservative group of doctors known for its unorthodox health care views – and its bashing of the department he now leads. Amy Goldstein reports: “The group, the Association of American Physicians and Surgeons (AAPS), holds positions that are at wide variance with basics of federal health policy. It opposes Medicare … [and offers] extensive training to doctors on how to opt out of the program. It also opposes mandatory vaccination as ‘equivalent to human experimentation,’ a stance contrary to requirements in every state and recommendations of major medical organizations and the federal Centers for Disease Control and Prevention. Such positions are part of an underlying credo, which Price has long espoused, that doctors should be autonomous in treating their patients — with far fewer government rules, medical quality standards, insurance coverage limits and legal penalties when they make mistakes. The congressman’s ardent hostility toward the Affordable Care Act, before its passage in 2010 and ever since, springs from that credo’s anti-government sentiment.“
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Tom Price belongs to a doctors group with unorthodox views on government and health care.

They’re tearing apart our government, and our country, and the Republicans in Congress are collaborators.

‘Drug Dealer, MD’: Misunderstandings And Good Intentions Fueled Opioid Epidemic

America’s attitude towards pain has shifted radically over the last century. Psychiatrist Anna Lembke says that 100 years ago, the medical community thought that pain made patients stronger.

“Doctors believed that pain was salutary,” she tells Fresh Air’s Terry Gross, “meaning that it had some physiologic benefit to the individual, and certainly some spiritual benefit.”

But as prescription painkillers became more available, patents became less willing to endure pain. Suddenly, Lembke says, “doctors began to feel that pain was something they had to eliminate at all cost.”

Prescriptions for opioid painkillers increased, and so, too, did cases of opioid addiction. In 2011, the Centers for Disease Control and Prevention declared a prescription drug epidemic as a result of doctors overprescribing painkillers to patients. Lembke’s new book, Drug Dealer, MD, explores the origins of the prescription drug epidemic from a doctor’s perspective.

“Starting in the 1980s, doctors started to be told that opioids were effective treatment for chronic pain, and that treating patients long-term with opioids was evidence-based medicine,” she says. “That was patently false and that was propagated by what I call 'big medicine,’ in cahoots with Big Pharma.”

Photo: Endai Huedl/fStop/Getty Images

Tom Price, Trump’s pick for health secretary, is a troubling sign for reproductive rights

Rep. Tom Price, President-elect Donald Trump’s selection to head the Department of Health and Human Services, has spent much of his political career pursuing initiatives that would, in his view, improve the American health care system. Apparently, that means making women’s health care much, much more difficult to get and eliminating access to abortion.

The congressman has a lengthy record of opposing abortion access, reproductive rights and civil rights for women and LGBTQ people at every turn. He promises to bring those attitudes with him to the nation’s top health agency, where he’ll be responsible for overseeing government health programs including Medicare and Medicaid, as well as the Food and Drug Administration, the Centers for Disease Control and Prevention, and the National Institutes of Health.

A former orthopedic surgeon, Price has spent the last several years in Congress as a leading opponent of the Affordable Care Act, and has proposed an alternative to the health care law. His appointment could be a sign of just how serious Trump is about repealing Obamacare, but it also indicates something else: Women’s health and well-being likely won’t be of much concern to the incoming administration. Where the president-elect has spoken in vague terms about his policy plans for limiting people’s access to reproductive health care, Price has a legislative history that proves he’s intent on dismantling reproductive rights — and that he knows how to do it. 

Should my son get the HPV vaccine?

Maya Kumar, MD, adolescent medicine specialist at UC San Diego Health answers:

“According to the Centers for Disease Control, 79 million Americans are infected with human papillomavirus (HPV), with 14 million new infections each year. Many people know about the association between HPV infection and cervical cancer in women. As a consequence, HPV has been dubbed a “woman’s infection.” However, approximately 40 percent of HPV-related cancers occur in men.

The most common HPV-related cancers in men are oropharyngeal cancers, such as mouth, tongue or laryngeal cancer. Women can get these too, but men are three times as likely as women to carry oral HPV. Rarer HPV-related cancers in men include penile cancer and anal cancer. HPV can also cause warts in the head and neck region (example: laryngeal warts affecting the voice box) and on the genitals. While these warts are not life-threatening, they significantly impact quality of life.

Parents have often heard that the virus is sexually transmitted and wonder why their child would need vaccination. Most STDs affect a small proportion of the population and can generally be avoided with safe sexual practices alone, making vaccination against these diseases on a large scale unnecessary. HPV is different. About 90 percent of all men and women will be infected with HPV at some point in their lives, even with safe sexual practices. Even if you only have one partner for your whole life, you can still get HPV and suffer its devastating consequences. HPV vaccination is the only dependable way to prevent it because it is almost impossible to avoid with lifestyle and behavioral decisions alone.

Parents may also wonder why it is necessary in childhood. Vaccines work best when they are given well before a person is exposed to a disease. The CDC recommends age 11-to-12 years old as the ideal time for vaccination. Recently, the CDC announced that if HPV vaccination is initiated before age 14, only two doses of the vaccine (at least six months apart) are required. If, however, vaccination begins at age 15 or older, three doses of the vaccine (at 0, 1-2 months and 6 months) are needed. This may be because the antibody response to the vaccine appears to be more robust in children 14 years and under, so fewer doses still provide sufficiently strong protection.

The HPV vaccine is an extremely safe vaccine. It contains no mercury, thimerosal or any other harmful preservatives. It also does not contain any live virus, or even any inactivated viral components that could cause infection. Because it is a completely synthetic vaccine, getting infected from it is impossible. As with any vaccine there are some risks. However, as of March 2016, almost 90 million doses of HPV vaccine had been distributed in the United States with no new long-term serious adverse effects identified.

On a personal note, I elected to be vaccinated against HPV when the vaccine became available years ago. I would have no hesitation vaccinating my own children or the children of my friends or relatives. So take it from someone who walks the walk: I strongly recommend the HPV vaccine for both your sons and your daughters.”

 HIV’s Patient Zero exonerated

n 1982, sociologist William Darrow and his colleagues at the US Centers for Disease Control and Prevention (CDC) travelled from Georgia to California to investigate an explosion in cases of Kaposi’s sarcoma, a type of skin cancer, among gay men. Darrow suspected that the cancer-causing agent — later shown to be a complication of HIV infection — was sexually transmitted, but lacked proof. His breakthrough came one day in April when three men from three different counties told Darrow that they had had sex with the same person: a French Canadian airline steward named Gaétan Dugas.

CDC researchers tracked down Dugas in New York City, where he was being treated for Kaposi’s sarcoma. With his cooperation, the scientists definitively linked HIV and sexual activity1. They referred to Dugas as ‘Patient Zero’ in their study, and because of a misunderstanding by journalists and the public, the flight attendant became known as the person who brought HIV to the United States. Dugas and his family were vilified for years2.

But an analysis of HIV using decades-old blood serum samples exonerates the French Canadian, who died in 1984. The paper3, published on 26 October in Nature, shows that the virus had been circulating in North America since at least 1970, and that the disease arrived on the continent through the Caribbean from Africa.

Participants in a 1983 Gay Pride parade in New York City protest against panic over AIDS. Barbara Alper/Getty Images

Earning Morning Exercise Tips

The Centers for Disease Control and Prevention (CDC) recommends adults between the ages of 18 and 64 get 75 minutes of vigorous exercise per week. Unfortunately, though, adults only do 17 minutes of exercise on average.

Among the most common reasons cited for not exercising is lack of time. When you’re busy jugging work/school, friends, relationships, paying the bills, and the countless number of other tasks and responsibilities associated with living, it’s difficult to set aside time for exercising. If this sounds like a familiar scenario, you should try waking earlier in the morning to squeeze in your exercise. Turning back your alarm clock 45 minutes could provide the perfect window of opportunity in which you can exercise. But there are a few things you’ll want to know to make the most of your early morning workout sessions.

Breakfast

Breakfast really is the most important meal of the day, especially if you’re working out. Rather than grabbing a pastry or doughnut, though, you should prepare a nutritious breakfast that includes protein, fiber, carbohydrates and fruit. A couple scrambled eggs on whole wheat toast with a side of fresh fruit, for instance, is the perfect meal for an early-morning workout.

After-Workout Snack

In addition to breakfast, you should also prepare a snack for after your morning workout session. Stick with a nutritious snack like yogurt or a protein shake to supply your fatigued muscles with much-needed protein and nutrients.

Stretching

Don’t underestimate the importance of stretching before exercising in the morning. After lying down for seven or more hours in the bed, your body and its muscle may be somewhat stiff, which could increase the risk of injury. You can loosen your muscles and protect against injury, however, by performing a light pre-workout stretching.

Set Two Alarms

The first week of early-morning workout sessions is often the most difficult, largely in part because your body hasn’t adjusted to the new time schedule yet. Therefore, you may struggle to get out of bed in the morning, in which case it’s probably best to set a backup alarm just in case the first fails to wake you.

Prepare Your Gym Bag the Night Before

Assuming you exercise at a gym, try preparing your gym bag the night prior. Doing so will allow you to get up and moving in less time, which means you’ll have more time to spend at the gym.

Drug overdose deaths aren't just a white, middle-aged, rural problem anymore
A new report from the Centers for Disease Control and Prevention reveals that the problem of drug overdoses has hit a much wider range of people than researchers first realized. Holly Hedegaard, one of the CDC report’s authors, said the number of drug overdose deaths has climbed significantly for younger people, too. It’s clear white Americans have died disproportionately from drug overdoses in recent years, largely fueled by highly addictive synthetic opioids and heroin. Read more

so just messing around with the CDCs (center for disease control and prevention) BMI calculator, if you’re extremely underweight (in BMI standards) with a BMI of 13 it says: “Talk to your healthcare provider and see IF you need to gain weight.” if you’re slightly “overweight” (in BMI standards) with a BMI of 25.1 it says “you should try to lose weight.” lmao. It doesn’t say “talk to your healthcare provider to see if you need to lose weight.” it just fuckin’ says lose weight. lmaao. all right. just take that in.

Some facts to help dispel the myth of the absent black father:

Let’s look at some statistics from the Centers for Disease Control and Prevention (CDC) 2015:

• Children under the age of 5: Black Fathers prepared and/or ate meals more with their children vs their white and Hispanic counterparts.
•Children 5-18: Black fathers took children to and from activities daily more compared to their white and Hispanic counterparts.
•Children 5-18: Black Fathers also helped their kids with homework more than their white and Hispanic counterparts.

~ Hannah

Today In History

‘Dr. David Satcher, genetic researcher, was named as the first Black Director of the Centers for Disease Control and Prevention (CDC) on this date August 20, 1993. Dr. Satcher has received over 40 honorary degrees and numerous distinguished honors including top awards from the National Medical Association, the American Medical Association, the American Academy of Family Physicians and the Symbol of H.O.P.E. Award for health promotion and disease prevention.’

(photo: Dr. David Satcher)

- CARTER Magazine

The nation’s falling teen birth rate saw an even bigger drop over the past decade, with dramatic declines among Hispanic and black teens.

Birth rates are down a whopping 51 percent among Hispanics age 15 to 19 since 2006, and down 44 percent among black teens, according to a survey of census data by the Centers for Disease Control and Prevention. Teen pregnancy rates among whites also fell by a third.

“It’s really a one-two punch,” says study co-author Shanna Cox, associate director for science for the CDC’s Division of Reproductive Health. “Teens are having less sex, and among the teens who are having sex, they’re using more effective methods of birth control.”

The study finds the use of long-acting contraceptives like IUDs and implants jumped from 1 percent of teens a decade ago to 7 percent in 2014. While teen birth rates for minorities are still nearly double that for whites, the CDC finds that disparity has shrunk in many areas.

Teen Birth Rates Plummet For Hispanic And Black Girls

Graphic: Alyson Hurt/NPR

After months of speculation and mounting data, the Centers for Disease Control and Prevention officially confirmed today that the Zika virus does indeed cause microcephaly, a devastating birth defect in which babies are born with small, malformed heads and brains.

Zika, which is currently ripping through South and Central America and feared to be about to enter the US, generally only causes mild disease in adults. But, in pregnant women, the virus has been linked to causing not just microcephaly, but miscarriages, premature birth, vision problems in babies, and other birth defects. A study released Monday by the journal Science found that the Zika virus preferentially kills off developing brain cells. In an experiment, researchers grew brain organoids—a bundle of brain cells used to model brain development, then infected them with Zika. The virus killed off 40 percent of the organoids’ cells. The findings echo a study published last month where researchers reported watching the virus melt the brain of a baby in utero after the mother had been infected.

Rocky Mountain spotted fever is a nasty disease.

“It’s super, super scary,” says F. Scott Dahlgren, an epidemiologist with the Centers for Disease Control and Prevention.

“If you don’t treat for Rocky Mountain spotted fever by the fifth day of illness, there’s a really good chance you’re going to die,” says Dahlgren. “And it’s an ugly, ugly death, too,” he adds. “It’s a horrific thing to go through and to see a loved one go through.”

The Lone Star Tick May Be Spreading A New Disease Across America

Photo: James Gathany/CDC
Caption: The lone star tick (Amblyomma americanum) is spreading north, carrying bacteria with it.

If you’re a taxpayer, you’re in on this system.

We — the U.S. taxpayers — help subsidize farmers by paying part of the premiums on their crop insurance. This helps ensure that farmers don’t go belly up, and it also protects against food shortages.

But are there unintended consequences? For instance, do subsidies encourage the production — and perhaps overconsumption — of things that we’re told to eat less of? Think high fructose corn syrup or perhaps meat produced from livestock raised on subsidized grains.

Researchers at the Centers for Disease Control and Prevention and Emory University in Atlanta were curious. In a paper published in JAMA Internal Medicine, they point to a disconnect between the nation’s agricultural policies and nutritional recommendations.

Does Subsidizing Crops We’re Told To Eat Less Of Fatten Us Up?

Photo: Robert Nickelsberg/Getty Images

mic.com
New report shows Obamacare is working, especially for the poor
By Mic

In March, Republican presidential candidate Jeb Bush called Obamacare a “monstrosity.” His colleagues have been less kind. Bush and the GOP argue that the law is bad for economic growth. What they do not question, however, is whether the Affordable Care Act has succeeded in its most core mission of insuring Americans. A new report out Wednesday from the Centers for Disease Control and Prevention shows why. The charts don’t lie.

Don’t kiss your chickens!

That’s the message from the Centers for Disease Control and Prevention, which is blaming a salmonella outbreak on backyard chicken owners being overly affectionate with their flocks.

The CDC says more than 180 people have come down with salmonella across the U.S. this year from contact with backyard poultry. Thirty-three of them became so sick they required hospitalization.

“We do not recommend snuggling or kissing the birds or touching them to your mouth,” says Megin Nichols, a veterinarian with the CDC, “because that is certainly one way people become infected with salmonella.”

Chicken Owners Brood Over CDC Advice Not To Kiss, Cuddle Birds

Photo credit: Jason Beaubien/NPR