Friday, July 15, 2011

1st patient with man-made windpipe almost said no (AP)

REYKJAVIK, Iceland � The first person to receive an artificial windpipe says he almost refused the lifesaving operation.

Doctors in Sweden announced last week they had transplanted a laboratory-made windpipe into Andemariam Teklesenbet Beyene, a 36-year-old Eritrean. While studying at a university in Iceland, he was diagnosed with advanced cancer and had a large tumor almost completely blocking his windpipe.

His Icelandic doctor referred Beyene to Dr. Paolo Macchiarini, a surgeon at Stockholm's Karolinska Institute who has done windpipe transplants in the past. Macchiarini suggested replacing Beyene's damaged windpipe with one made in a laboratory. "He explained that this has never been done to human beings," Beyene told the Associated Press Thursday. "I said, 'Oh my God.' If this has not been done, how can I agree to this?"

But after talking to his Icelandic doctor and to his family, including his wife and two children in Eritrea, Beyene agreed to the revolutionary transplant. "Then I just prayed and accepted it," he said. "I was happy with the operation."

Beyene's new windpipe was made using a spongy, plastic polymer to speed cell growth. The device has previously been used in tear ducts and blood vessels. Once the windpipe was constructed in the laboratory, Beyene's own stem cells were used to create millions of other cells to line and coat the windpipe. That meant Beyene's body wouldn't reject the new organ and that he doesn't need to take anti-rejection medicines.

Other windpipe transplants have been performed using donor windpipes and the patient's own stem cells to cover the new trachea, but Beyene's case is the first to use a man-made organ.

Beyene recently arrived back in Reykjavik and is now recovering at the national hospital. His doctors will run scans on his new windpipe every six months for at least the next five years. They will be monitoring Beyene for any possible complications, including possible infections.

Beyene isn't sure when he will be released from the hospital but hopes to return to Eritrea to see his family soon. "I am very eager to see them and they are very eager to see me," he said. "But it depends on the health situation."



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UN reports measles outbreaks in Ethiopia, Kenya (AP)

GENEVA � United Nations officials say outbreaks of measles in Ethiopia and Kenya have killed dozens of children and sickened thousands of others.

UNICEF spokeswoman Marixie Mercado said Friday at least 17,584 measles cases, including 114 deaths, have been reported by Ethiopian health officials in the first half of the year.

World Health Organization spokesman Tarek Jasarevic says at least 462 cases of measles, including 11 deaths, have been confirmed in recent months among Somali refugee children in the Kenyan refugee complex known as Dadaab.

He says 2 million children in Ethiopia are at risk of contracting measles.

WHO has warned that the movement of people and poor sanitation in overcrowded camps and towns due to drought and violence in East Africa increases the risk of cholera, typhoid and measles epidemics.



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Philippines warns against gecko as AIDS treatment (AP)

MANILA, Philippines � The Philippines warned Friday against using geckos to treat AIDS and impotence, saying the folkloric practice in parts of Asia may put patients at risk.

Environmental officials have also expressed alarm about the growing trade in the wall-climbing lizards in the Philippines. An 11-ounce (300-gram) gecko reportedly sells for at least 50,000 pesos ($1,160).

Geckos are reportedly exported to Malaysia, China and South Korea, where they are used as aphrodisiacs and as traditional medicine for asthma, AIDS, cancer, tuberculosis and impotence.

A health department statement said Friday that the use of geckos as treatments has no scientific basis and could be dangerous because patients might not seek proper treatment for their diseases.

"This is likely to aggravate their overall health and put them at greater risk," it added.

Treatments for asthma are easily available and affordable, while there are antiviral drugs to control the progress of HIV, it added.

Geckos are carnivorous, nocturnal reptiles from the family Gekkonidae that are found in tropical countries. They are known for their sticky footpads that allow them to climb vertical surfaces, including glass.

Wildlife official Mundita Lim said her office has asked law enforcers to look into the possibility that scammers may have infiltrated the trade because of the exorbitant prices being quoted online by buyers demanding geckos weighing at least 400 grams (14 ounces).

She said geckos in the wild grow up to 200 grams (7 ounces). Those fattened in captivity can grow only up to 300 grams (10 ounces).

Environment Secretary Ramon Paje earlier warned that collecting and trading geckos without permit can be punishable by up to four years in jail and a fine of up to 300,000 pesos ($6,900).

He said a healthy population of geckos is needed to regulate pests and maintain the fragile ecosystem. Geckos feed on insects and worms. Larger species hunt small birds and rodents.



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