Britain seeks a million 'Dementia Friends'

CameronBritain is seeking a million “dementia friends” who will be trained to understand the illness and help those living with it, Prime Minister David Cameron announced Thursday.

The plan is one of a host of measures aimed at dealing with dementia as the country braces for the side effects of longer lifespans. British government officials say a quarter of hospital beds are already occupied by someone with dementia; the number of people with dementia is expected to double in the next three decades. 

“There are already nearly 700,000 sufferers in England alone but less than half are diagnosed and general awareness about the condition is shockingly low,” Cameron said.

The British numbers mirror global trends that are putting new pressures on health systems and families worldwide, as better healthcare leads to longer lives and more cases of ailments associated with aging.

Earlier diagnosis of dementia can help patients find ways to cope with the illness and reduce costs for care, health researchers have found, but stigma often steers people away from diagnosis.The World Health Organization estimates that even in wealthy countries, only 20% to 50% of cases are routinely recognized.

“Through the Dementia Friends project we will for the first time make sure a million people know how to spot those telltale signs and provide support,” Cameron said.
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Chinese officials back down on chemical plant in face of protests

China-protest
BEIJING — After a weekend of protests, Chinese authorities have capitulated to thousands of well-organized, middle-class demonstrators and canceled plans for the expansion of a petrochemical plant in a small coastal city near Shanghai.

Sinopec, the state oil monopoly, had been planning an $8-billion expansion of an industrial complex already suspected of raising cancer rates in Zhenhai.

"With living standards going up, people want not only fresh air and clean water, they want a stronger voice about what’s happening around them," said Timothy Tang, a 29-year-old working in finance who was involved in the protests in Ningbo, a larger city that administers Zhenhai.

Protest organizers said they had been encouraged by a similar uprising last year in Dalian, where middle-class protesters managed to stop a plant that was also supposed to produce paraxylene, a toxic petrochemical used in the manufacturing of plastic bottles and polyester.

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Australians torn over promises, risks of coal-seam 'fracking'

World Now 01
Lock the Gate appears to be a fitting name for Australia’s protest movement against hydraulic fracturing. It took activists years to identify threats to public health from "fracking," a classic case of getting mobilized only after the proverbial horse has escaped.

GlobalFocusAustralians in the rural reaches of Queensland greeted fracking with gusto when the northeastern state’s political leaders began about seven years ago to tout the profit potential of the unconventional extraction method that blasts sand, water and chemicals into coal and shale seams. Ambitious projects were drafted. More than 4,500 wells were drilled in barely two years, and work has begun on a 250-mile pipeline from the gas fields to Gladstone Harbor and a massive liquefaction facility there. Once construction of the port complex on Curtis Island is completed in 2014, gas will be converted to liquefied natural gas and shipped north to energy-hungry Asian neighbors.

It wasn’t until the buildup got into full swing about three years ago that locals began complaining of distressing side effects of fracking. Activists claim drinking-water aquifers have been contaminated, groundwater depleted and greenhouse gases released along a three-mile stretch of the Condamine River, which at times appears to be boiling.

Dredging in Gladstone Harbor has been blamed for disease outbreaks among fish and mud crabs. Marine scientists attribute the sickness to toxic metals being stirred up from the seabed. Port developers say the defects and deaths were caused by an excess of fresh water from seasonal flooding.

“What was a wonderful fish nursery has turned into an industrial harbor, with ships that will be driving straight through the Great Barrier Reef,” said Matt Landos, a University of Sydney researcher and private consultant in aquatic animal health.

A greater irritant for Australians, Landos said, is the lack of information being provided on the environmental and health costs entailed in the race to make Australia the No. 1 LNG exporter in the world by 2020.

Gas output in historically coal-dependent Australia took off in the last decade, beginning with undersea extraction off the northwestern coast. It quickly swept to the more populous east coast with the discovery of major coal-seam deposits in the Bowen and Surat basins that extend from Queensland into New South Wales.

The U.S. Energy Information Administration in its 2011 world energy outlook reports that Australia, already the fourth-biggest exporter of LNG, has the largest proven natural gas reserves in the Asia-Pacific region, with 110 trillion cubic feet. It has nearly four times that volume in technically recoverable shale gas, the agency estimates, leaving it well positioned to fill the booming energy needs of the region.

Queensland’s new premier, Campbell Newman, campaigned on a platform of support for the LNG buildup but insisted before his election in March that it wouldn’t be “at any cost,” that the agricultural state's farmland had to be protected.

But activists charge that pursuit of the gas bonanza has been unbridled. And the acrimony has only intensified since the appointment of rancher John Cotter as “gas sheriff,” charged with resolving disputes between landowners and gas industry interests. Cotter’s son, John Jr., is founder of a private company that does consulting and project management in mining operations, including contracts with the multibillion-dollar Queensland Curtis Project expanding coal seam fracking and helping build an underground pipeline.

Lock the Gate Chairman Drew Hutton accuses the Cotters of having an “intolerable” conflict of interest and calls the appointment “a most appalling, short-sighted decision,” the Sydney Morning Herald reported last month.

Landos accuses the Queensland government of being blinded to the environmental threats of expanded fracking by “starry-eyed economic forecasts” of Australia emerging as the new LNG global powerhouse.

“It’s a false accounting that doesn’t take into consideration the costs of environmental cleanup,” the veterinary scientist complained in a telephone interview from Sydney. Expectations of jobs and export income, he added, “are leading to tremendous enthusiasm among our politicians to push the industry forward with minimal impediment.”

He worries that the all-out drive for LNG dominance will destroy coastal fisheries and damage sites of natural beauty in exchange for an economy dependent on gas that could be exhausted in 25 years.

The U.N. Educational, Scientific and Cultural Organization warned the Australian government in June that its rapid LNG development plan was posing “a significant risk” to the Great Barrier Reef, which has been under World Heritage protection since 1981. It extends from Gladstone Harbor northward along the Queensland coast and would be traversed by gas exporting ships headed for China, Japan and Taiwan.

UNESCO asked the Queensland government to provide assurances by February 2013 that port development will be brought under control and the reef protected, warning that otherwise the site may be designated as "in danger," a shaming censure for any First World national steward.

Campbell, the state premier, responded to the world body report with assurances that the environment would be protected, "but we are not going to see the economic future of Queensland shut down."

Lock the Gate and other anti-fracking groups have exploded over the last year as farmers have seen their water tables drop and their land littered with mine tailings, said Mariann Lloyd-Smith, a lawyer and senior advisor to the International POPs (Persistent Organic Pollutants) Elimination Network. The groups seek clarity on what is being injected into the coal seams. Companies often refuse to disclose such information, saying the formulas are industrial secrets.

Groups such as Australia’s National Toxins Network have been collecting data on pollution and waste to use in legal challenges that have become so prevalent that some fracking companies are giving up and handing in their exploration permits, Lloyd-Smith said.

Unlike in the United States, where property owners hold the rights to resources beneath their land, the Australian government owns everything below the topsoil. The Gasfields Commission has the authority to compel landowners to accommodate energy exploration, typically resulting in compensation of about $1,500 per well, Lloyd-Smith said. That's turning out to be too little to clean up the mess once drilling is over, driving up opposition across Australia.

Temporary bans on fracking in the two states south of Queensland -– New South Wales and Victoria –- have been enacted in response to public demands for investigation of environmental damage claims.

“When one farmer locks his gate, the companies have the right to take the case to arbitration or to the courts, and they often do. But when 100 farmers lock their gates, it’s a case of diminishing returns for the companies,” Lloyd-Smith said. “It’s that sort of consolidation of the community opposition that to a degree is winning the battle.”

"To a degree" may be the operative assessment, as energy industry leaders are fighting back. In a speech in Melbourne this month, ExxonMobil Australia President John Dashwood blamed the fracking bans on “those who run agendas on emotional messages.” He pointed to reduced greenhouse gas emissions as a tangible benefit from replacing coal-generated power with natural gas from shale and coal seams.

With more than $500 billion in LNG-purchase commitments from Asian neighbors already on the books, even the more vociferous cries of fracking opponents are being drowned out by the drilling and blasting from new wells cropping up by the dozens each week.

As Hutton of Lock the Gate recently warned, "The Queensland environment is going to die a death of 1,000 cuts with this industry that it cannot control.”

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Follow Carol J. Williams at www.twitter.com/cjwilliamslat

Photo: Protests against the proliferation of coal-seam gas fracking have swelled in size and number in recent months as farmers, ranchers and rural residents confront industry and government leaders over the alleged polluting side effects of the unconventional gas extraction process. This protest last spring targeted plans to frack in New South Wales. Credit: Courtesy of Andrya Hart

 


Striking Egyptian doctors begin nationwide resignation campaign

This post has been updated. See the note below.

CAIRO -- Egyptian doctors began a mass resignation campaign in state-run hospitals across the country Thursday after the government failed to meet demands for higher salaries, better security and a dramatic increase in national healthcare spending.

"We're targeting at least a third of the 50,000 doctors employed through the state. This will cripple the Health Ministry,” said Dr. Ahmed Shoura, a member of the strike committee. “Our campaign is going to resume until at least 15,000 resignations have been collected, then we will submit our resignations to the ministry."

For the last three weeks, doctors in public hospitals have been on a partial strike across the country, handling only chronic cases once a week. Thousands of doctors have threatened to submit their resignations if the state did not meet their demands in a strike that has become an intensifying problem for President Mohamed Morsi's new government.

The strikers are also calling for "corrupt" Health Ministry employees and former officials loyal to ousted President Hosni Mubarak to be removed from office. 

[Updated  2:23 p.m., Oct. 18: Several doctors who helped organize the strike said the ministry has been unresponsive to their pleas for negotiations. However, Dr. Ahmed Sedeek of the Health Ministry previously told The Times that officials had been meeting with doctors to find a middle ground.

“Some of the people participating in the strike believe that the Health Ministry is against the doctors; this is not the case," Sedeek said. "We are doctors as well and the ministry needs all of its doctors to contribute.”

He said that while the doctors have legitimate demands, the new government needs more time to increase the health budget as promised and implement reform.

“Our main goal is to fix the health institution,” he said. “If the doctors don't want to give us a chance or abort the steps we've already taken, then this is just unfortunate.”]

Last week, 85 doctors resigned from one hospital in Cairo's urban slum district of Sayeda Zeinab, Shoura told The Times. He and several dozen doctors in Cairo and Alexandria have already resigned. He said he expects that they will reach their goal quickly because both doctors and patients are "fed up" with Egypt's healthcare system.

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German government drafts measure to keep circumcision legal

Germany circumcision

BERLIN -- The German government finalized its draft of a measure Wednesday to protect circumcision after a local court threw the practice into a legal quagmire in June.

The bill would allow circumcision to be carried out as long as it is performed in accordance with medical standards, does not put the child’s health in jeopardy and parents are notified of potential risks. Trained practitioners can also perform circumcisions on boys up to 6 months old even if they aren’t doctors, guaranteeing that mohels, Jews trained to perform the procedure, can do so in accordance with Jewish law.

The draft legislation by Chancellor Angela Merkel's Cabinet should help remove the legal uncertainties around the practice for religious communities in Germany, said Justice Minister Sabine Leutheusser-Schnarrenberger, who drew up the bill.

The measure came in response to a court ruling in the city of Cologne this summer that made circumcision illegal, saying it caused children bodily harm. The issue arose after a 4-year-old Muslim boy suffered complications from the practice.

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New virus doesn't spread easily person-to-person, WHO says

A new virus that has killed one person and landed another in a London hospital does not appear to spread easily from person to person, the World Health Organization said Friday.

The discovery this month of a never-before-seen coronavirus, part of a family of viruses that range from the common cold to the SARS virus that killed hundreds, had caused fear that it might spread further. The fact that the two known cases were linked to Saudi Arabia added to the concern, with millions of people headed to the country for an annual Muslim religious pilgrimage.

However, no new cases have emerged since Britain informed the WHO last week that a 49-year-old Qatari man with a history of traveling to Saudi Arabia  was suffering a severe respiratory infection. The first case was a 60-year-old Saudi national who died of the infection this year.

Though the virus does not appear to be spreading, the United Nations agency said it was still monitoring the situation, given the severity of the two known cases of the new virus. It has not recommended any travel or trade restrictions for Saudi Arabia or Qatar.

European Center for Disease Prevention and Control scientists wrote in a newly published paper that the infection probably originated with animals. Though it is in the same family of viruses as SARS, it is “quite different in behavior from SARS,” the scientists wrote in the  Eurosurveillance  journal.

The two people known to have been infected with the new virus suffered from fever, coughing and shortness of breath.

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-- Emily Alpert in Los Angeles


New virus akin to SARS reported; man hospitalized in London

A Qatari man hospitalized in London is suffering a severe infection in the same family as the SARS virus that killed hundreds and sickened thousands across the globe roughly a decade ago, the World Health Organization and British authorities have announced. The hospitalized man is the second of two known cases this year.

The 49-year-old man, who had a history of traveling to Saudi Arabia, showed symptoms of the illness three weeks ago and was admitted to an intensive care unit in Doha four days later, according to  WHO officials. He was transferred to Britain by air ambulance on Sept. 11.

The virus, detected with laboratory testing, was very similar to another virus that killed a 60-year-old patient from Saudi Arabia earlier this year, the health organization said in a statement Sunday. Both are coronaviruses, a large family of viruses that cause a range of ailments from the common cold to SARS. The two people known to have been infected with the new virus were struck with fever, coughing and shortness of breath.

The new virus is different than any previously identified in humans, the British Health Protection Agency said. Health officials are still investigating where it came from and how it is spread; similar viruses are typically passed when someone who is infected coughs or sneezes.

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Ebola outbreak coming to an end in Uganda, continues in Congo

Ebola

While Ebola continues to kill in the Democratic Republic of Congo, an outbreak of the virus in neighboring Uganda appears to be coming to an end, the World Health Organization said Monday, reporting that no new cases of the deadly virus had been confirmed in Uganda for a month.

Since the Ugandan outbreak began, 24 people are believed to have suffered from the virus, including 17 who died, the United Nations agency said. The last person confirmed to be stricken recovered from the virus and was discharged more than a week ago.

“All contacts of probable and confirmed cases have been followed up daily and have completed the recommended 21 days of monitoring for any possible signs or symptoms of Ebola,” the WHO said in a statement Monday. Ebola isolation facilities remain on standby.

The Ugandan outbreak was first declared by its health ministry in late July, spurring health officials and the president to warn Ugandans against handling dead animals and burying those who might have died from the virus. Many of the recent cases have been tied back to the funeral of a baby girl whose mother was also sick, Doctors Without Borders said last month.

While the outbreak in Uganda has waned, the neighboring Congo is still grappling with a separate outbreak of the virus. As of late August, the Congo outbreak had sickened 24 people and killed 11 more in the northeastern region of Province Orientale.

The two outbreaks were caused by different kinds of Ebola and “are not epidemiologically linked,” the WHO said. The highly infectious virus, which has no known treatment or vaccine, has caused more than 1,200 deaths since it was discovered, according to the U.N. agency.

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-- Emily Alpert in Los Angeles

Photo: A handout photograph released by Doctors Without Borders shows its staff launching an emergency intervention against an Ebolaoutbreak at the Kagadi hospital in western Uganda on July 31. Credit: Agus Morales / Doctors Without Borders / European Pressphoto Agency 


Apology from German thalidomide company after decades of silence

Thalidomide

The German company that manufactured thalidomide, the morning sickness drug that led to thousands of babies being born with deformed limbs and other defects, apologized to victims Friday after decades of silence.

At the Friday unveiling of a public memorial paid for by the company in the town of Stolberg, Grunenthal CEO Harald F. Stock said it regretted the grave problems the drug had caused before it was pulled from most markets in 1961.

Because its tests failed to detect hazards, many women took the medicine without knowing it could harm their babies, he said, and were left with “a heavy burden." For almost 50 years, Grunenthal had not found a way to reach out to the victims "person to person," Stock added.

“Instead, we have been silent and we are very sorry for that,” Stock said Friday, according to a translated copy of his planned remarks. “We ask that you regard our long silence as a sign of the silent shock that your fate has caused us.”

The new memorial was dismissed by some groups of thalidomide victims, who argued the company was only paying for the bronze sculptures to burnish its image, Der Spiegel reported. A German victims group told the Associated Press that the Friday apology wasn't enough.

“The apology as such doesn't help us deal with our everyday life,” Assn. of Contergan Victims spokeswoman Ilonka Stebritz told the news agency. “What we need are other things.”

After the effects were discovered, the company gave 114 million deutschmarks to a West German government foundation to support disabled children, but avoided legal liability. Nine of its executives and research employees were targeted in a lawsuit that was ultimately discontinued.

Victims around the world have continued to sue Grunenthal and the companies that marketed its drug. An Australian woman won millions of dollars earlier this year in a settlement with a British company that marketed thalidomide in her country, but had not reached agreement with Grunenthal as of last month.

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Novartis patent case in India seen as crucial for generic drugs

The Indian Supreme Court is scheduled Wednesday to take up a case that aid agencies warn could have sweeping effects on the price of medicine for the global poor.

The Swiss drug company Novartis is seeking a patent from India for a drug called Glivec, which is used to treat a rare form of leukemia and gastrointestinal tumors. The drug, known as Gleevec in the United States, has received patents in many countries and is viewed by the company as intellectual property that advances medicine and is deserving of patent protection to ensure that groundbreaking research can continue.

But those who oppose granting the patent to Novartis say that doing so could ultimately undercut the making of generic drugs that has given India a reputation as a mecca for making affordable medicine.

"The effects could be enormous," said Judit Rius, U.S. Access Campaign manager for Doctors Without Borders. "It is one of the most important cases on access to medicine right now."

Indian law allows the country to turn down patents for medicines that officials determine do not yield new benefits for patients over existing drugs. The law is meant to stop “evergreening” -- companies tweaking drugs slightly to keep them under patent longer.

The Indian law sets a higher bar than many other countries for drug patents, a frustration to pharmaceutical companies that say they need greater protection for innovation. India only started patenting medicines seven years ago when required to under a World Trade Organization agreement.

Six years ago, India turned down Novartis for a patent on Glivec, saying it was too much like older medicines on the market. Novartis argues that its form of the medicine was “a breakthrough.”

Novartis has lost earlier court challenges. Aid agencies have urged the company to drop the case, fearing that if it wins, it could open the door to rampant evergreening, paralyzing the Indian market for affordable generic drugs to treat HIV/AIDS and other maladies in the developing world.

Doctors Without Borders has called the court case an “attack on generic medicines,” Oxfam “a massive threat” to the poor and ill. Indian generics make up the bulk of medicines used to treat HIV/AIDS in developing countries, the groups said, and Glivec could set a perilous precedent.

Before granting patents, “the question has to be asked -- how much real innovation is going on?” said Tahir Amin, co-founder of the Initiative for Medicines, Access and Knowledge, which challenges drug patents it sees as questionable. “If you just improve the shelf life of a drug, that isn’t really a groundbreaking discovery. India has been trying to curb some of that behavior.”

Novartis says the case will not stop people in poorer countries from getting drugs they need. The vast majority of Indians who need Glivec get it for free through a company program, Novartis said. Generic drugs created before 2005 will still be available, it added.

“This case is not about changing the availability of existing generic medicines, but about protecting intellectual property to advance the practice of medicine and to serve patients’ unmet needs,” Ranjit Shahani of Novartis India wrote in Business Line, an Indian newspaper.

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-- Emily Alpert in Los Angeles


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