Here are some of the latest health and medical news
developments, compiled by editors of
HealthDay:
FDA Wants New Warnings for Rheumatoid Arthritis Drug: Report
The U.S. Food and Drug Administration wants an updated label for
Amgen Inc.'s Enebrel to include warnings that the rheumatoid
arthritis drug can be deadly when taken by children, and that the
drug can cause serious infections in adults, the
Wall Street Journal reported Monday.
In documents posted on its Web site, the FDA said infections,
malignancies and neurological problems have been reported among
children who have used the drug. These problems are similar to
those experienced by some adults, the newspaper reported.
Enebrel is used to treat RA in adults and children and the skin
disorder psoriasis in adults. While the drug's use in children is
thought to be limited, the FDA said the number of life-threatening
pediatric reactions disclosed to the agency's adverse event
reporting database was "concerning," the
Journal said.
Amgen has applied to the FDA to expand Enebrel's approved usage
to include treating children with moderate-to-severe psoriasis. An
expert panel advising the agency is set to consider whether to
recommend the application when it meets Wednesday, the newspaper
said. The full agency isn't bound to follow the suggestions of its
advisory panels, but usually does.
"Given these considerable risks associated with [Enebrel], the
benefit of this therapy in children with plaque psoriasis would
need to be substantial in order to justify its approval and usage
in the pediatric plaque psoriasis population," the agency said.
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Naltrexone May Help Problem Gamblers: Study
The drug naltrexone, widely used to treat alcohol addition, may
also help people with a gambling problem, according to a University
of Minnesota study of people who gambled for six to 32 hours a
week.
The researchers had 58 men and women take doses between 50
milligrams and 150 milligrams of naltrexone every day for 18 weeks,
while 19 others took a placebo. Of the 49 people in the treatment
group who completed the study, 40 percent quit gambling for at
least one month, compared with 10 percent of those in the placebo
group,
United Press International reported.
Participants who took the drug also reported a significant
decline in the intensity and frequency of their urge to gamble. The
findings appear in the
Journal of Clinical Psychiatry.
Naltrexone isn't a cure for gambling, but does offer hope to
problem gamblers, said study author Dr. Jon Grant,
UPI reported.
"This is good news for people who have a gambling problem. This
is the first time people have a proven medication that can help
them get their behavior under control," Grant said in a prepared
statement.
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Environmental Group Urges End of Shower Curtains Containing
Harmful Chemical
For most of us, the only association we make between a plastic
shower curtain and death is the memorable scene with Janet Leigh in
the shower right before she meets a very bad end in the movie
Psycho.
However, reports
U.S. News and World Report, an environmental advocacy group
is calling for the phase-out of all shower curtains and other
products made with polyvinyl chloride (PVC), which it says can emit
a number of harmful materials such as lead and phthalates (the
chemicals that give plastic its flexibility) into the bathroom or
elsewhere in the home.
The environmental group cited a small study indicating that the
substances can be released, the magazine reports, but a previous
study by the U.S. Environmental Protection Agency had also found
that plastic shower curtains containing PVC could emit toxic
substances into the air.
Many major retailers have, or are in the process of, eliminating
plastic products made with PVC,
U.S. News and World Report says. IKEA hasn't sold shower
curtains with PVC for more than a decade, and stores such as
Target, Macy's, J.C. Penney and Bed, Bath and Beyond are in the
process of replacing PVC products with safer ones.
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Pilot Project Tests Cell Phones in TB Fight
The cell phone is joining the arsenal of technology used to keep
folks healthy.
A student-led group at the Massachusetts Institute of Technology
in Cambridge has developed a way to use cell phones to let
tuberculosis patients report their adherence to the drug regimen
they must follow. If the tests show patients are adhering to
doctor's orders to take all their medication, they get rewarded
with free cell phone minutes, the
Associated Press reports.
Under the MIT pilot plan, patients test their urine using a
strip that reveals a numeric code if it detects TB medicines, which
are usually taken for six months. They then text-message the code
to their health care provider and get credit toward incentives such
as free minutes.
The in-home tests also eliminate the need for health care
workers to make several patient-monitoring visits a week, a routine
that is often impractical in remote places, said Jose
Gomez-Marquez, one of the project's leaders.
Dr. Mario Raviglione, director of a World Health Organization
program to fight TB, called the MIT idea "creative." But he told
the
AP personal visits must continue because systems that depend
on patient self-reporting have often failed in the developing
world.
In 2006, the most recent year for which statistics are
available, 9.2 million people worldwide were diagnosed with
tuberculosis, and 1.7 million died, according to
AP. The WHO estimates that up to 10 percent of TB deaths are
among patients who stop taking medication properly.
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Care of Female Veterans Lags at Some VA Hospitals: Report
U.S. female veterans aren't receiving the same quality of care
as men at about one-third of Department of Veterans Affairs
facilities, according to a VA review obtained by the
Associated Press.
While the VA has created women's clinics at many hospitals, more
clinicians need to be trained in women's care, and there's a need
for more equipment focused on women's health, the document
states.
The review, mandated by Congress, seems to support criticism by
advocates and some members of Congress that the health care system
needs to do more to help female veterans, the
AP reported.
Any discrepancies in care are unacceptable and the agency is
aggressively tackling the issue, said Dr. William E. Duncan,
associate deputy undersecretary for health for quality and safety
at the Department of Veterans Affairs.
"We're striving to understand the reason for these health
disparities and to eliminate differences in veterans' health care
based on personal characteristics," Duncan told the
AP.
Currently, women account for about five percent of the VA's
population. But that percentage is expected to nearly double in the
next two years as more female veterans return home from Iraq and
Afghanistan, the wire service said.