Saturday, September 10, 2011

Common virus kills nearly 100 children in Vietnam (AP)

HANOI, Vietnam � The World Health Organization says an outbreak of hand, foot and mouth disease has surged in Vietnam, killing 98 children and sickening more than 42,000 others this year.

It says three-quarters of the deaths have been in children three years old or younger.

This year's outbreak is a sharp increase over previous years. Since 2008, about 10,000 to 15,000 cases were reported per year, with about 20 to 30 children dying annually.

The WHO statement quoted Vietnam's health minister as warning that cases might increase in coming months when preschools and kindergartens resume.

The disease is spread by sneezing, coughing and contact with fluid from blisters or infected feces. No vaccine exists, but illness is typically mild and most children recover quickly.



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Friday, September 9, 2011

Sewage-tainted floodwaters threaten public health (AP)

MONTPELIER, Vt. � Nasty floodwaters from the remnants of Lee and Irene � tainted with sewage and other toxins � threaten public health in parts of the Northeast by direct exposure or the contamination of private water wells, officials said Thursday.

"We face a public health emergency because sewage treatment plants are underwater and no longer working," Pennsylvania Gov. Tom Corbett said as flooding from Lee's drenching rains inundated central and eastern Pennsylvania. "Flood water is toxic and polluted. If you don't have to be in it, keep out."

A dozen Vermont towns flooded by Irene were still on boil-water orders 12 days later, though officials reported no waterborne illness. Similar precautions have been taken throughout other storm-damaged states.

In Waterbury, the municipal wastewater plant was overwhelmed by flooding from Irene and raw sewage flowed into the Winooski River. The smell of sewage was still strong Thursday in the mud- and muck-stained driveway where Air Force Master Sgt. Joe Bishop, 35, was home on leave � after a tour in Iraq and three in Afghanistan � trying to salvage what he could from his elderly parents' home.

"I've been drinking bottled water," Bishop said, and cleaning up with jugs of water from a tanker truck positioned down the road by emergency officials. He said he's trying to clean his father's power tools and other items but with limited water, the task has been difficult.

"You can't pressure-wash anything," he said. He had no idea when his parents' water service would be restored.

Vermont's state health department, which regulates private water wells, urged residents to check their wells for bacteria with free testing kits it is distributing. If their water smells like gasoline or other petroleum products, officials said the wells would have to be further tested for toxic substances.

Floodwaters cause problems that bedevil water system operators, environmental regulators and homeowners alike: Municipal sewage treatment plants overflow and septic systems back up. A witches' brew of paints, pesticides, motor oil and other toxic substances washes out from basements and garages, swirling in floodwaters and soaking into yards and fields as waters recede.

"It's clearly one of the biggest concerns after any disaster, including flooding," said Dr. Harry Chen, Vermont's health commissioner. "You have to ask yourself, `Is my water safe?'"

Chen said there haven't been any reports of illness in Vermont caused by unsafe drinking water. The Health Department would hear about them, he said, through routine contacts with hospital emergency rooms and pharmacies. Even a spike in pharmacy sales of anti-diarrheal medicines would prompt his department to investigate further, Chen said, and that hasn't happened.

Failed septic systems are a common cause of bacteria contaminating drinking water from wells. When floodwaters cause water tables to rise, septic tanks can become inundated, their contents floating to the surface. On Wednesday, the Vermont Agency of Natural Resources said septic tanks continued to be a threat since the storm hit Aug. 28.

Anyone seeing backed-up sewage on the ground "must take action," said Deb Markowitz, secretary of the agency. "Improperly treated wastewater is a risk to human health, both through direct exposure and by entering and contaminating water supplies."

New York City officials said any threat from Irene's backwash had passed, but upstate, 23 municipal water systems had boil-water orders for varying lengths of time. As some communities in New Jersey and Pennsylvania were taking similar precautions after Irene, the unrelenting rains of Lee were expected to trigger more.

Officials in Maryland, Delaware and the District of Columbia, which were also hit hard by Irene, said drinking-water quality had not been compromised.

In addition to concerns about water-borne illness, residents of affected areas were being urged to avoid exposure to water and mud possibly polluted with household chemicals and paints.

"It's mind-boggling to think about what could possibly be in there," said Kim Greenwood, state scientist with the Vermont Natural Resources Council.

"Most Vermonters would never think I should pour my antifreeze in the brook, or my latex paint or my chain saw oil. The person who cares least about the environment would never dump this stuff in. But we've inadvertently dumped the worst from our households into (streams)."

Greenwood said that while the free tests kits will check for bacteria, residents with private wells might need a more extensive battery of tests to look for other contaminants.

In Woodstock, the privately owned Woodstock Aqueduct Co, which has provided water in the village since 1886, was under a boil-water order until Thursday, when it was lifted, said Eric Wegner, vice president and general manager.

Tests had earlier come back negative for bacteria, but Wegner said state officials were nervous because some water was coming into the system via a fire hose not rated for potable water.

The hose, he said, was installed when a water main passing under the Ottauquechee River was ripped away by floodwaters. To keep the rest of his system properly pressurized, crews used the hose to connect hydrants on the two sides of the river.

More than 500 feet of cream-yellow fire hose snaked across the top of the bridge and up the road, replacing the 8-inch water main that normally runs unseen beneath the stream.

Wegner also had to contend with other issues, including a pump that blew because of an electrical short and fields turned into sodden mud flats surrounding his well houses.

After 10 straight 16- to 18-hour days, Wegner looked haggard as he recalled telling one local resident that he himself had been drinking the company's water.

"Yeah,' the resident observed. "But you don't look too good."

____

Matt Moore in Philadelphia, Sarah Brumfield in Baltimore, Beth DeFalco in Trenton, N.J., and Samantha Gross in New York City contributed to this report.



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Wednesday, September 7, 2011

Rights group: Forced labor in Vietnam drug centers (AP)

HANOI, Vietnam � An international human rights group urged Vietnam to shut down drug rehabilitation centers that it said subject inmates to abuse and forced labor. It also called Wednesday on international donors to check the programs they fund inside the centers for possible ties to human rights violations.

New York-based Human Rights Watch accused Vietnam of imprisoning hundreds of thousands of drug addicts over the past decade without due process and forcing them to work long hours for little pay.

It also alleged that the U.S. and Australian governments, the United Nations, the World Bank and other international donors may "indirectly facilitate human rights abuses" by providing drug dependency or HIV treatment and prevention services to addicts inside some of the centers.

About 309,000 drug users nationwide passed through the centers from 2000 to 2010, with the number of facilities more than doubling � from 56 to 123_ and the maximum length of detention rising from one to four years, the report said, citing government figures.

The report called drug treatment at the centers "ineffective and abusive," claiming donor support for health services inside such facilities allows Vietnam to "maximize profits" by detaining drug addicts for longer periods and forcing them to do manual labor.

"People who are dependent on drugs in Vietnam need access to community-based, voluntary treatment," Joe Amon, health and human rights director at Human Rights Watch in New York, said in a statement. "Instead, the government is locking them up, private companies are exploiting their labor and international donors are turning a blind eye to the torture and abuses they face."

Vietnamese Foreign Ministry spokeswoman Nguyen Phuong Nga called the report "groundless," saying compulsory drug rehabilitation in Vietnam is "humane, effective and beneficial for drug users, community and society."

Vietnam's drug rehabilitation centers comply with Vietnamese law and are "in line" with drug-treatment principles set by the U.S., the U.N. and the World Health Organization, Nga added.

Officials from the U.S., Australia and the United Nations declined to comment.

The U.S. last year provided $7.7 million to the country for methadone treatment and community-based drug intervention, according to the US Embassy website. Injecting drug users are a driving force behind HIV infections across Vietnam.

The World Bank funded an HIV/AIDS prevention program in 20 drug rehabilitation centers across Vietnam that ended last year.

"We have not received any reports of human rights violations in the drug rehabilitation clinics supported by the project," said Victoria Kwakwa, World Bank Vietnam's country director. "If we had, we would have conducted a supervision mission to ensure bank policies were met and concerns fully examined."

Detainees inside the Vietnamese drug centers report beatings and spells of solitary confinement, and some who attempted escape say they were captured and shocked with an electric baton as punishment, according to the 126-page report that interviewed 34 former detainees in 2010 who were held at 14 centers in and around southern Ho Chi Minh City.

It also charged Vietnam with forcing prisoners to sew clothing, lay bricks or husk cashews for between $5 and $20 per month, a violation of domestic labor law, which guarantees a minimum monthly wage of about $40.

Instead of providing health services inside the centers, donors should focus on releasing detainees back into their communities, the report said, citing government reports that place the relapse rate for drug users treated inside the centers at 80 percent or higher.

China and other Southeast Asian countries have also come under fire from rights groups in recent years for alleged human rights violations inside similar drug rehabilitation facilities.

Several large escapes from Vietnam's drug rehabilitation centers have been reported in recent years.

The centers, which began opening after the end of the Vietnam War in 1975, are one facet of Vietnam's ongoing campaign against drug abuse, prostitution and other so-called "social evils."

Most detainees are young male heroin users, the Human Rights Watch report said, citing government data. Some are rounded up by police while others are sent to the centers by family members.

Vietnam says there are 138,000 drug addicts in the country and 30 percent them are HIV positive, down from 60 percent in 2006.



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Tuesday, September 6, 2011

Adult smoking rate edges down slightly: CDC data (AP)

CHICAGO � A new government report shows fewer U.S. adults are smoking, and those who light up are smoking fewer cigarettes daily. But the trend is weaker than the government had hoped.

Overall, about 19 percent of adults said they smoked last year, down from about 21 percent in 2005. The rate for smoking 30 or more cigarettes daily dropped to about 8 percent from almost 13 percent.

The report from the Centers for Disease Control and Prevention compared last year with 2005 and says the decline means 3 million fewer adults were smoking.

The recent trend has been mostly flat. CDC chief Dr. Thomas Frieden says any decline is a good step. But he also notes that you don't have to be a heavy smoker to get smoking-related diseases.



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Novartis fights patent rejection in Indian court (AP)

NEW DELHI � In a case that could affect India's role as drug provider to the developing world, the Supreme Court began hearing arguments Tuesday over whether the government had the right to deny a patent to Swiss drugmaker Novartis AG for its lifesaving cancer treatment Gleevec.

A victory for the company, aid groups warned, could open the door to patenting dozens of other generic medicines made by India's $20 billion drug industry and sold to needy nations at far lower costs than those charged by Western drug manufacturers.

"There will be nothing left to defend if we lose," said Leena Menghaney of Medicins Sans Frontieres, or MSF. "The generic industry is just going to pack up and leave."

The case, launched soon after India passed its Patent Act in 2005, revolves around a legal provision aimed at preventing companies from seeking patents or extensions based on minor changes to existing treatments � a practice known as "evergreening" that is common in Europe and the United States.

The provision has allowed India to reject patents for a range of older drugs for cancer, AIDS, tuberculosis, malaria and other illnesses that are made by India's generics industry.

It also led to the rejection of Novartis' application for Gleevec, in which it argued a newer, more easily absorbed version qualified for a patent because it was demonstrably more effective. The blockbuster drug keeps chronic myeloid leukemia and some other cancers in remission. Its earlier version was ineligible for an Indian patent because the country gives no protection to drugs invented before 1995.

Novartis insisted the revamped Gleevec, marketed outside the United States as Glivec, represents a unique breakthrough rather than just a tweak to the old formula, and that the Indian law "intended as a hurdle for 'evergreening' is not applicable at all," the company said in a statement.

But Indian patent officers and an appellate court said the change only amounted to an obvious development on an existing treatment. It's not known when the Supreme Court might rule.

Novartis now is arguing for a wider understanding of the provision requiring innovation toward improved drug efficacy, hoping to set a legal precedent it says is key to preserving financial incentives for companies to develop new drugs.

"We believe there are important issues to be addressed that are essential to the future of intellectual property law in India and the viability of the innovative pharmaceutical business in this country," the company statement said.

Lawyer Anand Grover for the Cancer Patients Aid Association, which has joined the government to defend the patent rejection, said Novartis' stance represents "a very dangerous argument" to India's effort to prevent patent abuse.

The case is just one of many challenges to India's generics industry, which has frustrated multinational pharmaceuticals since 1972 when India decided not to recognize patents on drug products and began churning out low-cost copies of branded medicines.

Current trade talks with the European Union have snagged on the issue of intellectual property, with EU officials wanting stricter provisions that activists say would also kill the generics industry.

India now makes one-fifth of the world's generics, sending about half abroad.

Given India's own enduring poverty � with more than 800 million people living on less than $2 a day � many argue the limits still make sense domestically, particularly as Indian patients bear at least 80 percent of their own medical costs.

Branded and patented drugs are often 10-40 times pricier than generics, said Dr. Amit Sengupta of the People's Health Movement. In the case of Gleevec's generic equivalent, a monthly treatment in India costs about 8,000 rupees, or $175 � one-fifteenth the $2,600 price charged by Novartis in the country.

"That is really the margin between life and death," Sengupta said, particularly if the verdict leads to more drug patents on older products relied on globally. In treating HIV, for example, the medical charity MSF says it buys 80 percent of its medicines from India.

The pharmaceuticals "don't even care if people live or die so long as they make their money," said AIDS activist Loon Gangte of the Delhi Network of Positive People. "We can't let them win."

___

Follow Katy Daigle on Twitter at http://twitter.com/katydaigle



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Monday, September 5, 2011

UK officials may take 4 obese kids into custody (AP)

LONDON � Scottish officials say they may take four heavy children away from their parents after warnings to help their kids trim down have apparently failed.

The children are aged one to 11. The parents are obese and have three older children who are also heavy. For the past two years, the family has lived in government housing and had their eating habits scrutinized.

Last week, officials in Dundee told the family their four youngest children could be taken into foster care or adopted. A government spokesman said they would act in the children's best interests.

In the U.S., there have been several cases where obese children have been taken into care after their parents couldn't help them lose weight.



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