Schizophrenia Risk May Start in Womb

Over the past several decades, a steady stream of studies has documented that people born in winter and spring have an increased risk for schizophrenia, a serious mental illness characterized by disordered thinking, hallucinations and other psychotic symptoms.
Explanations for the increased risk have ranged from the astrological -- different signs of the zodiac have been associated with various mental problems -- to accounts that suggested the risk came from seasonal variations in sunlight.
In recent months and years, scientists have developed a different explanation: Studies show the increased risk of schizophrenia appears linked to maternal infections during the first and second trimesters of pregnancy -- especially flu infections. Since the flu peaks in the fall, this might explain why babies born in the winter and spring have the higher risk.

A warning on safe sex at any age

KANSAS CITY, Mo. — Jane Fowler thinks it's about time college students had "the talk" with their grandparents.She doesn't mean grandmothers and grandfathers explaining the facts of life. She wants kids to explain safe sex to their elders.It's part of a broader message the 72-year-old has advocated for more than a decade. Ever since she contracted HIV when she was in her 50s, Fowler has made it her mission to help aging baby boomers and members of her generation avoid her mistakes."Once people get past their own embarrassment and understand grandparents today are still sexually active, they realize I'm right," said Fowler, who is scheduled to speak at a safe-sex event on the Kansas State University campus today. "Their grandparents face the same risks of sexually transmitted diseases as they do."

Costs of Hospice Care Rising

Hundreds of hospice providers across the country are facing the catastrophic financial consequence of what would otherwise seem a positive development: their patients are living longer than expected.
Over the last eight years, the refusal of patients to die according to actuarial schedules has led the federal government to demand that hospices exceeding reimbursement limits repay hundreds of millions of dollars to Medicare.

Older white women join Kenya's sex tourists

[T]he health risks are stark in a country with an AIDS prevalence of 6.9 percent. Although condom use can only be guessed at, Julia Davidson, an academic at Nottingham University who writes on sex tourism, said that in the course of her research she had met women who shunned condoms -- finding them too "businesslike" for their exotic fantasies.

Hard choices on healthcare (LA Times)

By most accounts, the SCHIP program has been a 10-year success story. The number of uninsured children dropped steadily from 11.1 million in 1998, the year after the program began, to its lowest level of 7.9 million in 2004, according to U.S. Census Bureau figures. But the number of kids without insurance grew by about 1 million from the beginning of 2004 through 2005, and according to the Kaiser Family Foundation, half of the newly uninsured children came from families earning from about $40,000 to about $80,000 a year (based on a family of four). "It increased in the last year, probably because both adults and kids are losing job-based coverage," says E. Richard Brown, director of the UCLA Center for Health Policy Research.Some of those newly uninsured children qualify for SCHIP but their families are unaware of the program. In some cases, states with budget shortfalls have stopped enrolling children. And when a family loses employer coverage, their children must go through a waiting period of a year, extended in August by the Department of Health and Human Services from three months, before being eligible.What's certain is that SCHIP-insured kids get their checkups. Children in the program are more likely to receive preventive healthcare, specialty care and dental care than uninsured children, and their parents report fewer financial burdens, unmet medical needs and less worry about their children, according to a report in the August 2007 journal Health Services Research. "It has provided access to kids who wouldn't have had coverage," says Brown. "It's cheap, and it'll help produce healthy and productive adults. I don't know what more we could ask for."

Health Care: Solutions Without Borders

At a time when most Americans favor an overhaul of the health care system, it's important to look closely at what other countries are getting right. A growing number of health care stakeholders, including policymakers and insurance industry officials, are recommending that we look across the Atlantic to explore the health systems in countries that cover all of their citizens.
The Commonwealth Fund's 2007 International Health Policy Survey released in October—our 10th annual international survey—reveals that, while no one health system provides an ideal model, we have much to learn from the other countries.
Rather than caricature the health systems in other nations, we should evaluate their strengths and shortcomings—and use that knowledge to create a high-performing health system in the United States.

Study Debunks Theory On Teen Sex, Delinquency

Researchers at Ohio State University garnered little attention in February when they found that youngsters who lose their virginity earlier than their peers are more likely to become juvenile delinquents. So obvious and well established was the contribution of early sex to later delinquency that the idea was already part of the required curriculum for federal "abstinence only" programs.
There was just one problem: It is probably not true. Other things being equal, a more probing study has found, youngsters who have consensual sex in their early-teen or even preteen years are, if anything, less likely to engage in delinquent behavior later on.

Veterans Without Health Care

Although many Americans believe that the nation’s veterans have ready access to health care, that is far from the case. A new study by researchers at the Harvard Medical School has found that millions of veterans and their dependents have no access to care in veterans’ hospitals and clinics and no health insurance to pay for care elsewhere. Their plight represents yet another failure of our disjointed health care system to provide coverage for all Americans.

Advocates tout rising support for child health plan

Democrats and healthcare advocates are expressing increasing confidence that their emphasis on expanding children's health insurance - a measure already vetoed once by President Bush - has succeeded in putting healthcare on the national agenda. They point to a new round of polls that found wide public support for the child health program. Proponents say the difference between the Republican and Democratic positions is stark, giving voters a clear choice on what many call the most important domestic issue in next year's presidential election.

Autism epidemic may be all in the label

A few decades ago, people probably would have said kids like Ryan Massey and Eddie Scheuplein were just odd. Or difficult.
Both boys are bright. But Ryan, 11, is hyper and prone to angry outbursts, sometimes trying to strangle another kid in his class who annoys him. Eddie, 7, has a strange habit of sticking his shirt in his mouth and sucking on it.
Both were diagnosed with a form of autism. And it's partly because of children like them that autism appears to be skyrocketing: In the latest estimate, as many as one in 150 children have some form of this disorder. Groups advocating more research money call autism "the fastest-growing developmental disability in the United States."

Suicide Tourism

People are traveling to New York City with the aim of killing themselves in a phenomenon researchers call "suicide tourism," a Manhattan public health expert reported Monday. Research reported in Washington at the annual meeting of the American Public Health Assn. suggests that one in 10 suicides committed in Manhattan since 1990 have involved nonresidents.

Shy? Or Something More Serious?

Bashfulness, once prized as a virtue, became a sign for medical concern. According to the 1994 National Comorbidity Survey, as much as 12.1 percent of the U.S. population might have social anxiety disorder and a staggering 28.8 percent suffer from some kind of anxiety disorder.
As a result of statistics like these and the disease criteria listed in the updated Diagnostic and Statistical Manual of Mental Disorders, or DSM, large numbers of people swallow daily doses of Paxil, Prozac and Zoloft for conditions that many experts now consider medical problems stemming from a chemical imbalance. After examining prescription rates for these three antidepressants alone, David Healy and Graham Aldred of the North Wales Department of Psychological Medicine at Britain's Cardiff University reported in the International Review of Psychiatry that just over 67.5 million Americans had taken at least one of them in the 15-year period ended in 2002. More than 18.5 million of those had received a prescription for Paxil, the first antidepressant to receive FDA approval for social anxiety disorder.

WHO aims to balance drug companies, poor

GENEVA - The U.N. health chief urged countries on Monday to come up with new ways to make medicine for HIV/AIDS and other diseases more affordable in the world's poorest countries, without stifling innovation among pharmaceutical companies.
The World Health Organization's 193 member states are hoping to forge a global strategy on the highly divisive issues of drug development, patenting and pricing by the end of the week.
"People should not be denied access to lifesaving and health-promoting interventions for unfair reasons," said Dr. Margaret Chan, WHO's director-general, in opening the agency's first meeting devoted to the subject since May, when the United States walked out of a negotiating session and dissociated itself from a WHO resolution.
Under rules agreed by the World Trade Organization, countries can issue so-called "compulsory licenses" to disregard patent rights, but only after negotiating with the patent owners and paying them adequate compensation. If they declare a public health emergency, governments can skip the negotiating.
Brazil and Thailand have invoked the procedure to import cheap generic versions of American AIDS drugs, among other medicines, to treat patients who developed resistance to older anti-retrovirals and needed more expensive, second-line drugs.
The moves by Brazil and Thailand were praised by health campaigners but criticized by industry groups. The United States later placed Thailand on a copyright watch list of nations where American companies face problems protecting intellectual property rights. Countries on the list are under extra scrutiny and can face trade sanctions if alleged violations worsen.
The international aid group Oxfam says compulsory licensing almost never occurs because developing countries face pressure from rich governments acting on behalf of their drug companies. Its report last year on drug access cited WHO statistics that 74 percent of AIDS medicines are still under monopoly, and that 77 percent of Africans still lack any access to AIDS treatment.

Are we too quick to medicate children?

In 2005, the latest year for which statistics are available, at least 2.2 million American children over the age of 4 were being treated for serious difficulties with emotion, concentration, behavior or ability to get along with others. It's a figure mental-health professionals say has exploded in the last decade and a half, along with sales of a wide range of psychiatric medications for use by children.A welter of studies has shown that kids are being diagnosed at younger ages, with a wider range of disorders and with more severe disorders than ever before. And in growing numbers, they are being medicated with drugs whose safety, effectiveness and long-range effects on children have not been demonstrated by extensive research.

Depressed male veterans have highest suicide risk

Among depressed U.S. military veterans, young white men have the highest risk of suicide, the results of a large VA study suggest. Using government data for more than 800,000 veterans who were treated for depression between 1999 and 2004, the investigators found that the overall suicide risk was 7 to 8 times higher compared with that in the general population.
Male veterans had roughly three times the rate of suicide as female veterans did, while younger veterans -- those ages 18 to 44 -- had a higher suicide rate than their older counterparts. Men who were 65 years or older had the second highest risk, while the lowest risk was seen among men between the ages of 45 and 64 years old.

New Film Stirs Up ’Ex-Gay’ Debate

In spite of a near-unanimous consensus from the psychological community that homosexuality is a normal, natural, and fixed orientation, ex-gay ministries and reparative therapy groups have only grown larger over the years. Salzer decided to make the film after attending an annual American Psychological Association (APA) meeting, in which participants were becoming more and more concerned about the overwhelming efforts of ministries and organizations like Exodus and Love Won Out to target and conduct public outreach in the gay community.

1.8 Million Veterans Lack Health Coverage

Of the 47 million uninsured Americans, one in every eight (12.2 percent) is a veteran or member of a veteran’s household, according to a study by Harvard Medical School researchers published in the December, 2007 issue of the American Journal of Public Health (galley version available here). 1.8 million Veterans (12.7 percent of non-elderly veterans) were uninsured in 2004, up 290,000 since 2000, the study found. An addition 3.8 million members of their households were also uninsured and ineligible for VA care.

In China, Brain Surgery Is Pushed on the Mentally Ill

The irreversible brain surgeries performed at No. 454 Hospital, which are all but blacklisted for mental illness in the developed world, are being done across China. They are a symptom of the problems plaguing the nation's health-care system, which has left hospitals with scant public funding and hungry for profit.